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Clinical (EHR) Release Notes February 23, 2017

On Thursday, February 23, 2017, your Kareo Clinical account will be upgraded to the latest version. This release includes point-of-care tests and historical lab report entry.

What is “Point of Care Testing”?

Point-of-care testing (POCT), or bedside testing is defined as medical diagnostic testing at or near the point of care—that is, at the time and place of patient care. The driving notion behind POCT is to bring the test conveniently and immediately to the patient. This increases the likelihood that the patient, physician, and care team will receive the results quicker, which allows for immediate clinical management decisions to be made.

Why do patients care?

POCT contrasts with the historical pattern in which testing was wholly or mostly confined to the medical laboratory, which entailed sending off specimens away from the point of care and then waiting hours or days to learn the results, during which time care must continue without the desired information. This is very frustrating for the patient and places pressure on the provider to expedite the results, which are often, outside their control.

What are the overall benefits?

Point-of-care testing allows timely diagnosis and treatment of the patient, while the patient is still in the provider's office. Kareo Clinical now allows providers to order a handful of the most commonly performed point-of-care tests, and for practice staff to document the results of those tests as discrete results in the patient's chart. 

Major benefits are obtained when the output of a POCT device is made available immediately within an EHR. Results can be shared instantaneously with all members of the medical team through the software interface enhancing communication by decreasing turn-around time (TAT). A reduction in morbidity and mortality has been associated with POCT and the EHR.

Potential operational benefits of POCT: more rapid decision making and triage, reduce operating times, reduce high-dependency, postoperative care time, reduce emergency room time, reduce number of outpatient clinic visits, reduce number of hospital beds required, ensure optimal use of professional time.

What is Kareo doing differently?

Previously, Kareo Clinical only allowed results of point-of-care tests to be entered as free text comments into the patient’s chart, making reporting against the results and display of results over time difficult. 

What are the most commonly performed point-of-care tests?

  • Cholesterol Total*
  • Ejection Fraction Study*
  • Fecal Occult Blood
  • Glucose
  • Hemoglobin A1C*
  • Influenza A/B
  • Lipid Panel*
  • Mono
  • Pregnancy Test
  • Rapid Strep
  • RSV Rapid Test 
  • Urinalysis 
  • Urinalysis w/Microscopy

To recommend additional point-of-care tests for our consideration, or to provide general feature feedback, please fill out our one-minute survey.

How do I order a point-of-care test?

  1. Select + Create Order under the patient's Labs/Studies tab or from the Labs/Studies button from within the Note and proceed with the lab order workflow.
  2. By deselecting the "eLab" checkbox, the user will designate the lab as a paper order.
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What are the protocols when opening Paper Orders?

Any paper orders for the following lab tests will open a discrete lab results entry form when the user selects Open for a test under "Needs Results" status.  

  • Cholesterol Total*
  • Ejection Fraction Study*
  • Fecal Occult Blood
  • Glucose
  • Hemoglobin A1C*
  • Influenza A/B
  • Lipid Panel*
  • Mono
  • Pregnancy Test
  • Rapid Strep
  • RSV Rapid Test 
  • Urinalysis 
  • Urinalysis w/Micro

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Are there any implications for lab tests not performed at the point-of-care?

No! The good news is with this release, users can also add discrete lab results in the patient's chart for any of the lab tests listed above, even if the lab test was not performed at the point-of-care.

To do so, the user should select Add Lab Report next to the + Create Order drop-down. After entering some basic information about the lab report such as where the lab report came from, and which provider in the practice should review the lab report, the user is immediately brought to a discrete results entry form. 

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What are the final steps to close out the review of results?

After marking the results as added, the result will be routed for the designated provider in the practice for Review and Sign Off. This process makes it easy for the patient to expedite the entire lab testing process so their provider can diagnose and recommend treatment immediately.

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*Indicates discrete lab result entry into Kareo Clinical is required to fulfill related MACRA/MIPS quality reporting for the following measures: 

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