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Created by Charles M. Stewart, MD
Clinical Record Keeper-Plus™


Full Description

Typing

  • Average typists after some practice can type 40-50 words per minute all day long.
  • Initially when people start to type regularly they may feel klutzy. In my conversations with others, however, that has little or nothing to do with how well they eventually type.
  • Practice makes perfect. The more you type the easier it gets.
  • Within a few months practitioners are typing much faster with fewer errors.
  • Almost no one can handwrite as fast as an average typist.
  • You can try an experiment. Handwrite a typical sentence. Then increase your speed and write it again. Finally increase your speed again. You will find that your letters get blurred, details of the writing are dropping off, and legibility is going down. Continue that for a few years and even you will have trouble reading what you wrote!
  • That is why I suggest typing.
  • There is good help for those who need it.  For a selection of great programs : Click Here
  • Typing combined with a well organized computer program can go a long way towards office efficiency. Take a look at the details of a great program for clinicians I created that really helps reduce your stress.

Some Details of the Program

Want to create and manage your documents easily?

  • Explorer like tree (outliner) on the left in the program means rapid access to all your files.
  • Open and close folders to show their contents.
  • A history navigator can take you backwards and forwards in the program.
  • The organization of the tree can go from simple to complex and I can help you determine how much of this you want or need (included with the program).
  • One social worker wanted a simple configuration.   Click Here

Want to use a template?

  • Templates can structure what information you enter.
    • This lets you work faster.
  • Templates are much more versatile than fields you tab between.
    • Use only the templates you want to, or use free text i.e. no template.
  • Edit my templates or create your own. No programmer needed.

Need Visibility?

  • We spend a lot of time looking at a computer screen. The least I can do is make the files you see clear and easy to read.

Specific Clinical Record File

  • This file can hold the following information:
    • Initial evaluation, with or without a template.
    • All subsequent progress notes with or without the use of templates.
    • Authorization codes for managed care.
    • Reminder section.
    • Active problem list.
    • Next appointment date.
  • Here is a screen shot:   Screen Shot

Maybe some Progress Notes?

  • They follow the initial evaluation in the same file.
  • No separate screens or libraries or unruly commands to get in the way.
  • Because they are sequential you can see the progression of things.
  • Use a template or not. Your choice.
  • For more on progress notes:    Click Here

Keep a Psychotherapy Note file?

  • Psychotherapy notes are kept in contiguous but separate files.
  • Access requires one click.
  • Review of the last sessions notes before an upcoming visit is quick and easy.
  • For more on psychotherapy notes:   Click Here

How about an Address book and Contact file?

  • Complete contact file.
  • User definable fields that can be searched.
  • Use a template. Modify it to suit you.
  • Supplemental files are easy to do.

Want to keep an electronic schedule?

  • Make a live link to Outlook if you have that installed, or other free calendars.

Want to print a file?

  • Any file in the program can be printed.
  • Envelope creation is uncomplicated.

Need a Visit and Receipt Record?

  • The Weekly Visit and Receipt Record combines 8 functions in one file.
  • These files make updating the Statement of Account (ledger type) fast and easy if you use it.
  • It serves as a deposit record for your checking account.
  • It serves as a quick check on your income for a month, a quarter, or the year.
  • It gathers information in a way that expedites any billing process, yours or your billing assistant.

Keep your eye on that time and energy saved by using a program like this. It is worth a lot!

Need to make managed care outpatient treatment requests?

  • Keep an individual OTR for any specific patient using a template. It can be edited, updated, and re-submitted saving time and energy.
  • Managed care companies accept these reports, even if you are a networked provider.
  • This streamlines the process of asking for authorization and greatly reduces repetitive typing.

How about Treatment Plans?

  • Use an editable template to make an individual file.
  • You determine the goals and interventions, etc.
  • Edit it and re-submit it again.
  • Talk about easy!

Letterhead, Fax sheet, Intake forms, Release of Information?

  • Kept as templates they can be used over and over, saving you much time in the administrative work of your practice.

Super bill, Receipts, Statement of Account?

  • Save time by using CRK-Plus templates or create your own.
  • CRK-Plus does not do accounting.
  • It does have a Statement of Account (ledger type) for monthly printout and mailing to clients if desired. (no envelope needed).
  • Or you can use an Excel spreadsheet if you have Excel installed and link to it directly from the client's clinical chart.

Of course you want to stay organized?

  • Grouped To Do list.
  • This is a great way to handle all the details of a clinical practice. No more scraps of paper!

Have your eyes glazed over or do you want more details?

Password protected.

  • Each database can have its own password.
  • That and other working procedures and policies make CRK-Plus a great way to create a HIPAA environment in your office.

Need an easy backup method?

  • The program is easily backed up using USB drives or CD's.

Complete Flexibility of architecture

  • Drag and drop nodes, branches and files.
  • Delete functions you don't use and simplify the outline tree.
  • You do it, or I can do it for you at no extra charge.
  • This makes for a custom configuration for the way you work.
  • Tell me your needs. E-mail me:   Click Here
  • With all this, your custom organized CRK-Plus makes short work of record creation and management.

Comparison with the original CRK

  • CRK Plus is a more involved program.
  • It is suitable for more advanced computer users.
  • I do have extensive directions files.
  • Link to the original Clinical Record Keeper  Click Here

Other technical aids and software

  • Dragon Naturally speaking (obtained separately) can be used in this program for dictation at a high rate of speed.
  • You can find Dragon:   Here
  • Dragon is especially helpful for longer reports.
  • For more on dictation:   Click Here
  • Voice recognition has come a long way in the past few years.
  • A simple and inexpensive abbreviation utility ($19.95) is very helpful. You make a dictionary of commonly used words and phrases and use abbreviations to insert these into text you are writing. It is essential for medication management.

Psychiatrists

  • Medication management module:
    • Track med changes, labs, and prescriptions.
  • Current medication section with Allergies, good till dates, doses, Sig etc.
  • Pharmacy numbers.
  • Manual type system I have used for 10 years.
  • An abbreviation utility is very helpful here.
  • Contact me for more details:   Psychiatric Info:  Click Here

What are you going to do with that time you are going to save?

Want to keep scanned documents?

  • Buy a scanner and scan paper into Windows folders.
  • Then make a live link from the patient's clinical chart to that folder for viewing.

How about live links to anywhere?

  • Links to other files in the program, other programs on your computer, or the Internet.
  • PDF files are becoming the de facto standard for documents.
  • Make folders in Windows, put PDF files in the folders and link to them there from within CRK-Plus.
  • You can link to an Excel spreadsheet from within CRK-Plus.
  • You can link to drug interaction software, web sites, practice guidelines, etc.

Bottom Line

  • Avoid handwriting at 20 wpm. Type at 50 wpm or dictate at 100wpm.
  • Get rid of paper charts and get efficient.
  • Whether you need an ultra simple record keeper, with just a few functions or the full monty Clinical Record Keeper-Plus™is ready to help you do your work.

The Shape of Things to Come

In a few short years all records will be done electronically. In the meantime those who are searching for greater efficiency are already looking for better solutions. Clinical Record Keeper-Plus™delivers an efficient design, running in a familiar environment, with advanced features to help you.

The benefits are tremendous. You can become much more efficient and put some time and energy back in your day!

To purchase Clinical Record Keeper-Plus:  Click Here

 

 

Charles M. Stewart, M.D.

Blueberry Harbor Software, Inc.

 

Clinical Record Keeper-Plus™
All rights reserved. Copyright 2008 Charles M. Stewart