Center for Promotion of Child Development through Primary Care

Parents

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CHADIS

Demonstration

Instructions

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Child Health and Development Interactive System (CHADIS) Instructions for Offices Using CHADIS

  1. Introduction
  2. Staff arranges for parent to do CHADIS
  3. Parent completes CHADIS
  4. Nurse and clinician have visit with patient using CHADIS
    1. For offices where all records are on paper and no laptops or pc tablets are available
    2. For offices where all records are on paper but laptops or pc tablets are available
    3. For paperless e-offices

Introduction

This manual describes how a doctor's office may use CHADIS. It describes the flow of events that will involve the clinician's staff, the clinician, the parent or other caregiver, and the child/patient. While this is a suggested flow, nothing here is meant to suggest that the clinician should not take his or her time with the patient in understanding any problems with which the parent and child are dealing. The CHADIS questionnaires assist in discovering, analyzing and documenting symptoms based on parent report thus saving clinician time. A longer or multiple visits may, of course, be needed to explore or clarify the history and discuss recommendations. In addition, the parent may have questions about the resources that are suggested or may want to discuss in more detail the doctor's suggestions after he or she has had a chance to think about them.

Staff arranges for parent to do CHADIS questionnaires

Before a parent can complete the CHADIS questionnaires, a staff member needs to create a CHADIS invitation for his/her office, which can be reused (see the demonstration instructions for creating CHADIS invitations). Alternately, the staff member can create a new patient in the live site using the username and password assigned to him/her. For assistance in creating a new patient and assigning the parent questionnaires, see the demonstration instructions for creating a new patient as a staff member. After the patient is created and questionnaires are assigned to the parent (or other primary caregiver), you can give the parent the instructions for parents (verbally, via email or on paper).

Parent completes CHADIS

There are three ways a parent can complete CHADIS questionnaires.

  1. Parent logs on to do CHADIS at home.
  2. Parent arrives at appointment ½ - 1 hour early to complete CHADIS on office or waiting room computer before visit (assuming office has one available).
  3. Parent uses computer at a library or work or other convenient place.

Nurse and clinician see patient using CHADIS

For offices where all records are on paper and no laptops or pc tablets are available.

  1. For patients whose parents have completed CHADIS, staff prints out CHADIS Report and puts in patient's chart.
  2. Nurse takes vital signs and writes them on the paper CHADIS Report.
  3. Clinician
    1. Sees CHADIS Report in chart which alerts him/her that parent completed CHADIS
    2. Reviews paper copy of CHADIS Report before visit.
    3. Uses CHADIS diagnostic and treatment worksheets (DTWs) on-line on an available computer if necessary and if time permits.
    4. Writes visit notes on paper CHADIS Report.
    5. Finds resources during or after visit using CHADIS on-line and prints out 2 copies, one for chart and one for patient.
    6. Office orders made in same way as before CHADIS was available.

For offices where all records are on paper but computers are available during the visit.

  1. Nurse takes vital signs, logs in to CHADIS, and enters the values into the patient's physical examination and saves.
  2. Clinician (see CHADIS introduction for clinicians)
    1. Reviews CHADIS Report before visit using the computer
    2. Uses CHADIS Report to record findings from the visit and saves
    3. Uses CHADIS diagnostic and treatment worksheets (DTWs) if necessary and if time permits.
    4. Finds resources using CHADIS and prints out 2 copies, one for chart and one for patient.
    5. Saves and prints CHADIS Report at end of visit to put in chart.

For paperless e-offices.

  1. Nurse takes vital signs, logs in to CHADIS, and enters the values into the patient's physical examination and saves.
  2. Clinician (see CHADIS introduction for clinicians)
    1. Reviews CHADIS Report before visit.
    2. Uses CHADIS diagnostic and treatment worksheets (DTWs) if necessary and if time permits.
    3. Types (or writes if using a tablet pc) visit notes on the report.
    4. Finds resources using CHADIS and prints out or emails copy for patient.
    5. Saves the report including any written notes and chosen resources as PDF or HTML files to add to patient file in EMR. Alternatively, the report can be printed and scanned and the file added to the EMR patient record.
    6. Places orders to nurse directly in EMR.
  3. Nurse or staff accesses EMR to view orders and indicate how they were filled.