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Latest Mini-Manuals (with Videos)



MIPS / MACRA (Meaningful Use)


Disclaimer: Praxis does not purport to represent or be an agent of HHS. Please access the CMS Quality Payment Program (https://qpp.cms.gov) to review any official or changing information.



Creating and Editing Practice Advisories PART II: EHR-ECQM
Creating and Editing Practice Advisories PART II: EHR-ECQM
June 4, 2019

This is the second of a three part video. It explains how to understand prepare a complex MIPS clinical practice guideline that will be turned into Praxis Practice Advisories (PAs). It results in 12 different and synergistic Praxis PAs logically linked in an algorithm that will assist theclinic at the point of care perform with great ease, speed, and performance scores. This guideline is as complex as we have found, soit is a great teaching case. If you can follow the logic here, you can pretty much do all the others with ease. This next video discusses some of the required logic in Praxis but focuses mainly how to interpretthe MIPS Guideline in a logical manner, using a specially created Microsoft Word File (attached below). Among other themes, it covers what Value Sets and SNOMED Codes are about. Once the Word file has been properly completed, the next video will explain how to easily prepare the clinic to use it and how to do the Guidelines themselves bytransferring the information from the word file created here.


SUMMARY OF LOGIC USED

  • Not(OR + OR + OR +..) = AND NOT + AND NOT + AND NOT ...
  • Do not mix ORs with AND NOTs within a single window pane
  • Within given a window pane all entries are ORs or AND NOTS
  • Between window panes resulting logical entries are ANDs
  • To create ORs you may also generate Cousin Practice Advisories
  • Line items generate codes needed to attest.
  • Line items can be set to trigger other Practice Advisories
  • The Parent PA value set frequency should probably be set for "once a year" to comply with the reporting requirements with ease.


Practice Advisories created

Practice Advisories created

REFERENCES:

CMS Quality Payment Program QPP
https://qpp.cms.gov/mips/explore-measures/quality-measures?py=2019#measures


National Library of Medicine - Value Set Authority Center
https://vsac.nlm.nih.gov


Useful Microsoft Word File
Doing_Practice_Advisories.doc (DOC file)

Creating and Editing Practice Advisories PART III: EHR-ECQM
Creating and Editing Practice Advisories PART III: EHR-ECQM - Setting Up the PAs
June 6, 2019

This is the third video of the series explaining how the Praxis Practice Advisories may be created or edited. This is the continuation of the second part describe Guideline logic. Here it is more a Praxis technical issue, involving transposing thelogic developed in the previous video into the Practice Advisories of Praxis. We have selected this relatively challenging Practice Guideline, as most others are quite trivial to set up or edit. Knowing how to handle this guideline, therefore, willprepare you to create or edit most others.

PRACTICE ADVISORIES FOR MIPS

Installing Practice Advisories
Installing Practice Advisories
April 9, 2020

This video describes how to Install and active a practice advisory we have prepared for you.

REFERENCES:

Praxis Secure Messaging Mini-Manual
Praxis_Secure_Messaging_Mini-Manual.pdf (PDF file)


Praxis Practice Advisories for MIPS - 2018 Manual
Praxis_Practice_Advisories_for_MIPS-2018.pdf (PDF file)


CMS Knowledge Base for Imports
Praxis_CMS_Knowledge_Base_March_13_2019.zip (ZIP file)

It includes: Breast Cancer Screening Nursing Task Agents, Colonorectal Nursing Task Agents and Discrete Family History.


Additional videos:
Dynamic Fields and Datum
Installing LOINC Codes in Vital Signs and Clinical Parameters (Quick Tutorial)
Merge Labs and Add LOINC Codes

Secure Email and Agents
Secure Email and Agents
December 19, 2017

This video explains how to use Contact Data to send messages and how to then send this messages once you have been registered by having set up your Secure EMail address in Praxis.

Nested PA Issue
Nested PA Issue
June 7, 2019

Question: I set up the criteria properly, but my PA will not trigger with an appropriate patient. What could be happening?


Latest Videos


Deleting Chronic Objective Findings
Deleting Chronic Objective Findings
December 07, 2018

This video addresses the issue of having a chronic objective findings that either appear with your chronic assessments by error or that you entered by mistake, for example if you charted on the wrong patient. These are two different issues with different solutions. This video explains both.

Print to PDF or FAX
Print to PDF or FAX
February 01, 2018

This short video demonstrates how you send documents to PDF or to Fax.


Basic Training Videos


Providers


Introduction to the Concept Processor - First Patient
Introduction to the Concept Processor - First Patient
August 03, 2016

This video explains how the Concept Processor generates your records.

Predictive Model Charting, the heart of the Praxis Concept Processor, may at first appear strange and counterintutive, and for many of you this approach may not even seem useful for the kinds of patients you're seeing and cases you are handling. What we're about to show you, however, will revolutionize the way you document - and even practice - medicine... no matter what types of cases you handle daily. Please do not skip this entire Introductory Video.

The Acute Assessment
The Acute Assessment
September 15, 2016

This video explains how the Concept Processor generates your records.

Note the *HALT areas, where you can safely stop and continue next time without losing your work.

Virtual Assessment and Subjective Protocols
Virtual Assessment and Subjective Protocols
September 29, 2016

This video explains how you handle a complex case of uncertain etiology. It also covers "touchy-feely text" i.e. text that is highly patient specific. We discuss the micromanagement of physical findings, discussion and plan, and finally we cover questionnaires and patient specific information. Finally, we also cover the other highlightable elements as well as private comments in brown. At the end of this video, you should be able to handle any single type acute assessment presenting to your practice.

Multiple and Chronic Assessments
Multiple and Chronic Assessments
October 16, 2016

This video explains how to mix Acute Assessments and generate the Chronic Assessments, a much faster and effective way to chart a visit for a patient with multiple problems.

Note the *HALT areas, where you can safely stop and continue next time without losing your work.

Assistants


How to use the Praxis Training Videos
How to use the Praxis Training Videos
April 15, 2016

This short video shows you how to make best use of our Praxis training videos. In short, the best way to study each feature is:

  1. To review a video in its entirety prior to attempting the feature in your Praxis
  2. Review again while you split your screen or use the alt-tab keys to flip from the video to your Imaginary patient in Praxis (always use your Imaginary patient to try new features)
  3. Use our timed topics as a reference to quickly find items you wish to review on the fly.

In this video, we show you how to do all this.

Patient Preparation
Patient Preparation
June 17, 2020

This video is meant for Medical Assistants and Receptionists. It explains how to create a patient, how to add allergies and current medications, how to perform an intake history, and finally, how to set the patient for the provider to see.

Note that you may access any area of interest by simply clicking on the Table of Contents on the left.


Other Videos


Medications: The ePrescribing Fixer Engine
Medications: The ePrescribing Fixer Engine
April 18, 2016

This video shows how to fix your medications so they can be understood by the pharmacy computer robots and they no longer bounce back. It is divided into a one-time fix that you need to do now and then, while charting, you will find a simplified dose compatibility engine that will make ePrescribing much easier.

Billing with Praxis
Billing with Praxis
April 30, 2020

This video explains how to generate the Routing Slip or Superbill automatically, with all its ICD-10s and CPTs, and transfer this information automatically to your billing application. It discusses the level of service as well. This is the first of the two videos on billing with Praxis.

See also the unique "ICD-10 Engine" video below.

The ICD 10 Engine
The ICD 10 Engine
March 19, 2016

This video shows the powerful ICD10 engine in action and how to generate the codes with ease from within the Praxis Assessment. It highlights the crucial difference between the Praxis Assessment and the Official ICD10 codes. It discusses syndromes and how to associate more than one diagnosis to the same assessment when needed.

Communication with Patients
Communication with Patients
June 10, 2016

(Please Note the new portal and Dataminer query for agents not read by patients)

REFERENCES:

Patient Portal
https://portal.praxisemr.com/OnlineAccess/

Praxis Agents
https://www.praxisemr.com/manuals/Praxis_4_User_Manual.pdf

Data Miner and Patient Reminders
https://www.praxisemr.com/manuals/Praxis_v5.10_Mini-Manual_January_20_2012.pdf


This video explains how the agents link with your patients via email and the patient portal. This happens with both the Free Agents as well as the SOAP-related agent. It displays several examples of how you can communicate with you patients, such as: sending clinical information to your patients, requesting that they return to see you, scheduling them for an appointment, sending questionnaires and handouts.
It also shows how to receive their answers and how all the information is stored in the patient record. Most importantly, it shows how the system automatically learns from you, thus saving you and your clinic significant time and error.

Combined Queries and Patient Notification
Combined Queries and Patient Notification
February 29, 2016

This video shows you how to use the combine query engine to tackle the most common queries you may wish without being an SQL Programming expert or requesting special queries developed. Patient notification shows you how to send out mail merges to your patients after running a query, and how to document automatically that you have notified them in each progress note.

Excel to Praxis Lab Converter - Part I - Installation
Excel to Praxis Lab Converter - Part I - Installation
January 21, 2016

With the Excel Laboratory converter, you or your staff can enter laboratory information into an Excel spreadsheet at any workstation, and it is instantly sent to the Praxis Labs tab.

This converter is essentially the same as any laboratory import. It works by searching for data you have placed in designated parts of an Excel spreadsheet, then generating an HL7 file which is imported into the Praxis Labs tab. After a short setup, the Lab Converter is easy to use and works automatically.

Excel to Praxis Laboratory Converter - Part II - Everyday use
Excel to Praxis Laboratory Converter - Part II - Everyday use
January 21, 2016

With the Excel Laboratory converter, you or your staff can enter laboratory information into an Excel spreadsheet at any workstation, and it is instantly sent to the Praxis Labs tab.

This converter is essentially the same as any laboratory import. It works by searching for data you have placed in designated parts of an Excel spreadsheet, then generating an HL7 file which is imported into the Praxis Labs tab. After a short setup, the Lab Converter is easy to use and works automatically.

EHRtv's Dr. Eric Fishman Interviews Praxis EMR's CEO And Founder Dr. Richard Low At HIMSS13
EHRtv's Dr. Eric Fishman Interviews Praxis EMR's CEO And Founder Dr. Richard Low At HIMSS13
April 18, 2013

How does Concept Processing work? EHRtv's Dr. Eric Fishman interviews Praxis EMR's CEO and Founder Dr. Richard Low.

This incredibly informative interview covers:

  • The birth of Concept Processing
  • How Praxis EMR works
  • Why templates don't work
  • How Praxis is different
  • How Concept Processing leads to better medicine
  • Future implications for the EHR industry

Doctor Low's presentation at the Yale Healthcare Symposium ("Beyond Obamacare"). Doctor Low was invited to speak as part of a panel that included Professor Paul Cleary, Dean of the Yale School of Public Health and Professor Meridith Rosenthal, Associate Dean of Harvard School of Public Health . Indeed, we are encouraged to see that the US Healthcare system is finally awakening to the serious problems and pitfalls of template-based EHRs.

https://youtu.be/GltKVFdRybk
http://yaleclubor.org/healthcare/agenda


Manual Videos


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References