Monthly Archives: March 2009

Document & File Management System Overview

ChiroPulse365 now features a fully indexed document file-management system that links any computer file to your patient database. You simply view/find the computer file (document, audio, video, picture, PDF, etc.) then tag it by patient, description, date, & keywords as well as optionally link it to a treating doctor, referring doctor, claim and/or lawyer. This lets you instantly retrieve, view, edit or print the linked file from any computer in your office or network running ChiroPulse365 – including wireless netbooks!

When working with any patient (for example from  Patient Finder Tab) you will see a list of documents – such as MRI results from 2/2009, blood tests, faxes, word processor files – that were linked to this patient. Thus keeping your patient files totally organized & always at your fingertips!

Here is walk-through for this powerful new feature & tool for your office.

You can use the file viewer to quickly view many types of audio, video & data files directly from ChiroPulse365. In this example you are viewing the PATIENT-DATA folder and the (blurred for privacy) & highlighted PDF file is visible.

The file viewer has two modes or ways to be used. One to Browse & Tag images and the second to View Patient Images (that were already tagged). Use the top button bar to switch between Browse mode & Patient Image mode. In both modes the left panel shows a list of files/documents which can quicky be viewed in the large left space. When a patient is selected in Scheduler or Patient Finder, the document viewer opens to View Patient Images mode so you can quickly see all patient documents.

The picture above shows Browse mode where the left panel has buttons to navigate to a network folder or mapped drive as well as the folder tree view below where you can navigate the selected folder/drive/share.

Don’t let computers confuse you! Think of your computer & it’s data storage area(s) as a large file cabinet. This storage cabinet can have several drawers, which in computer terms are drives. Within each drive (drawers) there can be several folders. Within each folder there are documents (ie. files). A computer document is called a data “file” since it is readable by anyone on the computer. Note that some computer files are programs or hidden as part of Windows. Document files can come in various formats, each identified by a 3 or 4 digit extension. For example .DOC is a word document, whereas .PDF is an acrobat portable document file, whereas .JPG is a graphical image file. All of these are files/documents. Documents can be multiple pages if stored in formats such as Word Processor or better yet Acrobat PDF format. Pictures  are considered one-page documents.

View all files & external viewer options

show all file types & external viewer options

Use the folder tree-view and network drive box to first find the folder where the computer file is stored that you want to tag & import. Then simply click the file in the list directly below (blurred for privacy in this example) to immediately view the document. While viewing the file you want to import press the Import Document button. This brings up the Image tagger window so that you can identify the document & link it to a patient, claim, treating doctor & more!

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Quick Soap Notes with Point & Click Wizard

Creating clinically valid Soap Notes has never been easier than when using ChiroPulse365. One tool offered is the Point & Click Soap Wizard which allows you to create detailed & specific – yet clinically relevant – Soap Notes. This is touchscreen friendly and can allow the creation of a Soap Note without typing. It is even easier than it appears since once the initial Soap is created, the data collected is quickly viewed & used to start your next note for the patient’s next office visit. This allows continuity & validity of your clinical  documentation for all your patients.

The first thing to do for your patients is setup the Chief Complaints & Exams for the specific Claim (i.e. patient’s treatment episode). Remember you can have multiple simultaneous Claims running, each with thier own ICD-9 diagnosis, complaints, etc.  When you create a new Soap Note you will be asked to select which claim the note is for.

create a new soap note & select the claim it is for

create a new soap note & select the claim it is for


While in the SOAP Note Editor or Wizard you can quickly jump to  Claim Wizard Page-3 to view & change the complaints & exams! Do this effortlessly with the top menu or keyboard hotkey CTRL+F3. Note that the same keyboard shortcut is universally used in ChiroPulse365, in many windows such as Office notebook, Travelcard, Patient Homepage, Scheduler, Soap Notes, History, etc.

Use the menubar to open Claim Wizard page-3

Use the menubar in Soap Wizard to quickly open Claim Wizard page-3

The first goal is to establish what you want to clinically monitor while the patient is under your care for this treatment period (ie. claim). Complaint & Exam packages can be created for frequently used diagnostic scenarios. This will allow you to rapidly enter a preset package for “sciatica” or “headaches” with complaints & exams in your specified order.  These can be changed on-the-fly while doing Soaps using  add/insert, omit & remove;  or changed permanently (all soaps going forward) via Claim Wizard. Just remember it is best to setup your starting point in the Claim Wizard first.


In the example below we will change the primary complaint (selected in blue) in Claim Wizard. We then save the changes so that the appropriate complaints will appear when we create a new Soap Note for this Patient & claim.

Claim Wizard page-3 Complaints & Exams

Claim Wizard page-3 Complaints & Exams


The Point/Click Wizard has started in the picture below, ready to create a new Soap Note.  In the Wizard you work from top to bottom, left to right & remember that almost everything is “clickable” or selectable. You can see in this example three (3) Chief Complaints are used for Carmella but the “shoulder-arm…” complaint is Omitted for this note meaning we will skip that complaint for today’s note. Use omit to skip a complaint or exam while keeping it in the Claim Wizard for use later, such as if an exacerbation occurs. You can delete the complaint so it will not appear in the next new Soap note.

Use the SOAP tabs to navigate between components or simply use Next/F3 to go from finding to finding (ie.  location… description… better… aggravated) to quickly loop through & visually create your Soap Note. The keyboard shortcuts allow you to navigate a Soap without grabbing for the mouse. If you are using the mouse however, you can click on any blue text link to jump to that data panel.

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ChiroPulse365 Refresh 365.1.631 info (database 5.07)

We’re going to try and Blog each ChiroPulse365 Refresh from here on out, to visualize some changes. For a complete list of changes please see the Member Center and/or from MyOffice open the “Recent Additions” printable file!

We are releasing a second Refresh in March because we anticipate our next Refresh will be a significant one with database level jump to allow for our Image & Document Managment System to be introduced.

Changes in this Refresh:

travelcard-startmenu

Travelcard startup configuration - new menu added

Travelcard – “Set Travelcard Startup…” new top menu added with keyboard shortcut Alt-T.  This lets you select which note type to view & load when opening Travelcard, for each computer. Previously the “SOAP Note” was automatically viewed, then more recently “ChiroCare”. Now you can decide, per computer what you want to view when Travelcard is opened! Continue reading

What Major Stuff is in the works for ChiroPulse365!

We just launched our web blog (i.e blog) to help us stay in better touch with your office! Let us share some exciting things happening with ChiroPulse365.

1. ChiroPulse365 will soon feature a fully indexed document file-management system that links any computer file to your patient database. You simply view/find the computer file (document, audio, video, picture, PDF, etc.) then tag it by patient, description, date, & keywords as well as optionally link it to a treating doctor, referring doctor, claim and/or lawyer. This lets you instantly retrieve, view, edit or print the linked file from any computer in your office or network running ChiroPulse365 – including wireless netbooks!

When working with any patient (for example from  Patient Finder Tab) you will see a list of documents – such as MRI results from 2/2009, blood tests, faxes, word processor files – that were linked to this patient. Thus keeping your patient files totally organized & always at your fingertips!  – This is in beta testing at select sites since February, 2009. Continue reading

Ten (10) Scheduling Tips with ChiroPulse365 Enhanced Scheduler

1. If all slots for the doctor are taken you can quickly insert one.
First click on a taken slot for the doctor, so it presets that doctor. Now click “new appointment”, select the patient then click “Select Slot”. Now press “Add Extra Slot” and create the additional slot.

2. Future Appointments view is for…. you guessed it…. viewing only future appointents :)
To view all appointments for the week simply click the date and in the calendar click Week. To view all appointments for the month for a specific patient, in scheduler F3 find the patient & click the date, then month button. Presto!

3. Keyboard shortcuts are your friend in patient finder. Especially the less obvious ones.
For example in the patient dropbox type “all” (without the quotes” and press down arrow to immediately go to all patients. To find Joe Fitzgerald simply type fitzg and press down once or twice until Joe Fitzgerald appears right before your eyes! No need to keep reaching for the mouse. Continue reading