Deficiency Worklist Topics Viewer Topics

To Process Missing Text Deficiencies

Processing missing text deficiencies requires the use of the worklist for deficiency selection and the Deficiency Viewer for review and completion. You can also decline deficiencies from the worklist without viewing the document image.

Note: Only the missing text deficiencies assigned to you (or your group if you are in a group worklist) are displayed in the viewer, even if the document has other missing text deficiencies assigned to other physicians. If you want to process your deficiencies only, select an individual worklist from the Deficiency Worklists panel. When you process in group mode, deficiencies are locked for other physicians in the group.

To review and process missing text deficiencies, do the following:

1. Use the steps in To Select and Display Missing Text Deficiencies to access one, many, or all of your deficiencies.
2. The page with the deficiency contains a yellow text-entry box for the text you need to add. (You must be on this page to complete the deficiency; the system defaults to the page with the deficiency.) If the page with the missing text deficiency is not the active page (the page being displayed), do one of the following to reach the deficiency page:
• Use the arrow buttons to page through the document to the page with the deficiency.
• On the document tree in the viewer, click on the page with this icon (indicates the page with the deficiency).
3. On the page with the deficiency, click in the yellow text-entry box.
4. Enter the text you want (a maximum of 240 characters). When you reach the limit, the system alerts you. (You must have a sound card that is attached to either speakers or headphones, or no sound card but have internal speakers that are enabled.)
5. If other missing text deficiencies assigned to you (or your group, if in group mode) exist on this page, they must be processed as a set (either all completed or all declined). Make an entry in each box on the page in the order you prefer. Only when you have entered text in each active text box, does the module enable the Complete (check mark icon) button. You can also use Alt+T to navigate the cursor to the next text box.
6. To research the other documents for this encounter, click the Encounter Viewer button. The first page of the first document for this encounter is displayed in an additional viewer. Use the arrow buttons to page through the documents.
7. Do one of the following:
• Complete the deficiency
• Choose another processing option

Complete the deficiency

When you have entered the text you want in one text entry box (or all boxes, if multiple deficiencies exist on the page), to complete the deficiency click the Complete button. Deficiencies on subsequent pages are not displayed until you disposition all deficiencies on the active page.

When you complete the deficiencies on the active page, the module either:

• Displays the next page with a deficiency for this encounter.
• Displays the next encounter with a deficiency.
• If all deficiencies have been processed, returns you to the deficiency list.

For each completed deficiency, the module takes the following actions:

• The text is permanently added to the document image. A hyphen, space, and your initials are added to the text.
• An authentication stamp is added to the bottom of the image with your initials, name, and date/time.
• The completed deficiency is removed from the deficiency worklist.

Choose another processing option

If you choose not to complete the deficiency at this time, use the viewer Deficiency menu or toolbar options in the following table to disposition the deficiency.

To...	Click the...
Skip the deficiency	Skip button. The system skips the deficiency and displays the next deficiency or, if you are on the last deficiency, returns you to the worklist. The deficiency is retained in the worklist. If you have made an entry in the text box, you will be prompted to confirm the skip.
Decline the deficiency	Decline button. The system displays the Decline Deficiency window. See Declining Deficiencies. If you have made an entry in the text box, you will be prompted to confirm the decline. If you click OK to accept the reason and decline action, the system returns you to the worklist. The declined deficiency is processed.
See all the documents associated with this encounter	Encounter Viewer button. The system displays the first page of the first document in the chart in an additional viewer.
See a list of all the encounters/documents associated with this patient	Medical Record Viewer button. The system displays the list of encounters/documents for the patient in the viewer, allowing you to access the documents for each encounter.
Discontinue the missing text completion function	Exit viewer button.

Related topics:

About Missing Text Deficiencies