EMR feature requests

Feedback from doctors: Diagnostic reports for outsourced tests are currently not inputed in the app. Often because they are received by email from diagnostic partners. It's useful to find out why and how this can be improved. This would make it easy for doctors to view and interpret diagnostic reports of patients

Thanks for your time and attention. We are currently making software customizations that will make Serenity useful for medical operations in primary care, emergency and in-patient operations. Please share your thoughts on the app: https://staging.nyaho.provider.serenity.health/

Some corporate customers would like to view their healthcare spend by a categorization of registered beneficiaries - such as an employee's branch or department. Note: This is similar employee tags for the corporate portal

It should be possible to tell where a patient was registered (e.g. a provider location or elsewhere like in the case of self-service registration)

Should be able to record vitals and triage patients for risk assessment: Risk assessment metrics requested: Pain assessment scale South African triage tool (MEWS & TEWS) Fall risk assessment tool

Diagnostic procedures are currently supported on Serenity. We'd like to extend this to cover other forms of imaging procedures: https://www.hl7.org/fhir/procedure.html The scope of this feature is to ensure that procedures can be requested, paid for, and marked as completed with notes (simple block of unformatted text) digitally recorded where necessary.

To reduce the likelihood of patients having access to unauthorised insurance payment methods, we should connect to the RxHealth info systems to always have updated information on insurance patients. This will also ensure that accurate details of the patient are associated to bills to aid in claims processing - such as the patient's insurance policy ID

Should be able to identify which patient's came for follow up appointments/consultations. Subsequently should be able to analyze billing data by this category

Problem: Policy numbers on the bill do not match insurance patients policy. Credit control team ends up having to cross-check with Rx ICD-10 codes are not displayed on bills (displays code) Not able to delete duplicate bills/claims Don’t see policy numbers in excel reports Not able to print invoices per patient Not able to generate invoices in USD by self-service Sum totals do not tally on corporate invoice/claims Sometimes, sum totals do not show (need to see an example of this) Not able to configure level of detail for the invoice/claims Excel revenue reports needs to tally with pdfs generated (Up to excess of 200K) Not able to download excel reports from metabase Some patients can be processed for a lab on credit payment but not follow through with the clinical process. Will lead to claim rejections. Need a way to identify completed clinical activities (for each service class) - Not able to determine clients owing in bill payments due to rejected claims / claims with potential to be rejected hence not submitted Note: Team annotates customer details to identify patients in debt but this needs to be automated to avoid revenue loss Impact: More manual reconciliations and lower productivity in other assigned team tasks Revenue loss from rejected claims Annotations on paper bills have an impact on Nyaho’s brand - also have medicolegal/ethical concerns Ask: Policy number registered needs to tally with that on bill * Def need solve each problem above * Need a way to handle recon on EMR revenue cycle management extensions to confirm which bills are settled. Perhaps integrate the accounting software

It's important to effectively identify which specialists performed consultations so that they can be paid appropriately. The following have been identified as blockers to the process. Problem: Not finding some specialists in the reports Not finding some transactions included Impact: Manual reconciliations for 4000 bills each month resulting in salary payment delays for specialists. Also impacts other financial reports because more hands are needed on this op Impacts doctor morale and ultimately patient care Notes/Asks: Merge existing specialist reports into 1: Consultations, labs and meds Perform reconciliations between manual books and digital reports on Serenity to identify problem Could some be related to cancelations? Could some be related to consultations with unassigned doctors? Digitize revenue share/commissions computation for doctors? Note: Commissions are mainly determined by the type of the service but can vary based on doctor’s contract