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Outpatient Management

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The Outpatients module should support the setting up and maintenance of clinics and the administration and scheduling of outpatient appointments. The system should provide reporting functionality which will allow planners to see the level of demand for clinics and other statistical information.

The module should allow entries for recurring , referral and clinical outpatients.

 
The following has been extracted from a recent RFP. I've included it here for your reference. It may prove useful for anyone preparing such a document.
Please feel free to comment on this list, and propose any items that you think should have been included in this list. 

Outpatient Management

Description
Outpatient Management
Patient registration , appointment
The Outpatients module should support the setting up and maintenance of clinics and the administration and scheduling of outpatient appointments. The system should provide reporting functionality which will allow planners to see the level of demand for clinics and other statistical information.

The module should allow entries for recurring , referral and clinical outpatients


>>> General
 
1   Outpatient scheduling , pre-registration , and registration
2   Cancel reservation
3   Client billing
4   Handle visits for recurring outpatients
5   Edit and view outpatient data
6   Ability to process multiple referral requests for a single patient visit

>>> Clinic Setup
 
7   Support the setting up of outpatient clinics to include :- Clinic name
8   Support the setting up of outpatient clinics to include :- Clinic location
9   Support the setting up of outpatient clinics to include :- Clinic specialty
10   Support the setting up of outpatient clinics to include :- Human and material resources
11   Support the setting up of outpatient clinics to include :- Patient status ( ex: new , follow up )
12   Support the setting up of outpatient clinics to include :- Clinic days and times
13   Maintain a user defined sessions for a clinic
14   Can one-off sessions be created for a clinic ( ex: an ad hoc Sunday clinic )
15   Can the time slots for different sessions of the same clinic be changed, depending on patient type ( ex: 15min for new , 5 for follow up
16   Can a series of auto generated sessions be re-scheduled ( ex: one afternoon to another )
17   Can public holidays / days off be entered into the system
18   Ability to generate the appropriate warning when clinic sessions are generated for a holiday

>>> Outpatient Registration
 
19   Provide online pre-registration functions for gathering patient demographic, guarantor, insurance and other data
20   Support short outpatient registration process ( ex: compared to inpatient admissions ) tailored to simpler outpatient service requirements ( ex: blood draws , lab tests )
21   Support inquiry into patient’s past hospital visits for past five years
22   Provide ability to automatically assign a pre-registration number for scheduling services and charges
23   Provide on-line help screens for all outpatient registration functions
24   Allow user to page forward and backward in registration screens
25   Automatically retrieve patient’s master patient index data into pre-registration function
26   Automatically establish a patient account from pre-registration record upon arrival of patient for services
27   Allow rescheduling of pre-registrations without re-entry of patient data
28   Allow cancellation of pre-registration and prevent posting of charges to the canceled account
29   Print daily lists of pre-registered patients in alpha order by arrival date, type of service, and financial class
30   Automatically purge pre-registration records after a hospital-defined time period
31   Automatically assign new account numbers when registering outpatients
32   Allow entry of different patient financial class for each outpatient visit
33   Print outpatient and emergency room registration document at registration with ability to reprint if needed
34   Support ‘recurring’ outpatient accounts that do not require re-entering registration data at each visit
35   Provide ability to edit a recurring outpatient’s master record, and reflect all changes in individual visit record
36   Support processing of contract group account with multiple patient’s services billed to one master account ( ex: employee physicals billed to employer , insurance , etc..)
37   Support automatic transfer of patient data and charges from ER and outpatient accounts to inpatient account if patient is admitted ( with override capabilities )
38   Provide ability to maintain and display insurance authorization requirements during registration and pre-registration functions
39   Support the entry of the certification number and /or name obtained from insurance company for authorization
40   Provide quick emergency department registration process ( ex: for stat or unknown patient ) allowing registration records to be completed later
41   Support inter-facility transfers , and print transfer document

>>> Clinic Appointment Handling and Scheduling
 
42   Allow booking of patients to clinics
43   Allow the overriding of patient per time slot setup
44   Handle duplicate appointments for the same day
45   Provide details of previous appointments for a patient
46   Creating , moving , rescheduling and canceling of appointments

>>> Query
 
47   Support online search for patient data by name
48   Support online search for patient data by phonetic ( soundex ) name search
49   Support online search for patient data by social security number
50   View an online summary of patients not attending a clinic session , at any given time

>>> Reports
 
51   Print detail and summary reports of daily outpatient registrations by services
52   No show list
53   Daily list by name, hospital location, account number, or service time
54   Scheduled list
55   Exception report
56   Census list for recurring outpatients report

>>> Integration
 
57   Support interface to patient billing system to transfer patient demographic, insurance and other data
58   Support interface to Master Patient Index and Medical Record


Last Updated ( Tuesday, 28 October 2008 01:44 )  

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