CCS software - Troubleshooting - Help and feedback

1/13/2011 6:24:36 AM
Dear all,

CCS software has been a problem for many.
Please share your problems and
More importantly;
solutions....

I encountered many problems...
Did anyone face same problems?
can somebody help?

I started with UW CCS prep

Case 1 Cystitis

I wished to give AMox for 7 days.
but case gets over before that...
I was never able to ''delete'' amox from orders and then order urine culture to check the cure.

I also noticed this problem with Many / Most / All cases...
You can start a treatment...but you dont have any control over when to stop..
let it be IBD with sulfasalazine..
or 1st episode of Depression with 6 mth requirement of medicine....

Case 2

As with Antibiotics...so is with Follow up appointments...
they never work like I wish they should...like in your practice....
Have I learned wrong ways to practice medicine or software isnt complete SIMULATION of real life...

Cause I feel lost in case 2 when i cudnt do Glucose tolerance at 26 weeks of pregnancy[ though UW explanation asks us to schedule visits according to proper life situation.......
Follow up appointments are lost in such an abrupt way that I have no clue if Im wrong....
most ''''Patient update''' windows say-
Patient Feeling very good and yet case ends before I have chance of follow up for fair reason

CASE 5
IBS
IBS is diagnosis of exclusion....
I wish to rule out other causes first....before I start loperamide and just reassuarance...

but in CCS they say TSH will b available next day and stool culture 3 days later [though- stool gram says No leukocyte]
Explanation also says SUBOPTIMAL CARE if you send patient home without some sulfasalazine...that means negative points!!

I have never handled IBS case....
I wud wait till next day for diagnosis of exclusion before starting Loperamide as I may need to give antibiotics with loperamide...

SUCH TIME restrictions are at many places....
like CASE 6
Depression...
TSH and Vit B12 level wont b available till next day and They say u shudnt send patient homw wihtout SSRI...
WHAT TO DO?
none of the TWO options is satisfactory....
can I start fluoxetine and if TSH problem found...can I stop it after 2-3 days?


ONE MORE Problem..

with a case in OFFICE-
patient goes home in around 3-4 hours '''automatically'''
I loose my sense that patient isnt in office and has gone home [himself!]...
then I order something and case goes on....even if I say Counsle...CCS clerk says patient counseled...
HOW ? over phone?.....!
IS there something grossly wrong with my management of OFFICE and HOME MOVE or even others find this problem?

I mean we cant sounsel or take a blood draw of patient at Home....right...
do we need to change pt so frequently?

Please help and contribute.

I would appreciate even slightest help.
w


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