The TSWF CORE form is intended to be used for adult patients in all primary care areas (Family Medicine, Internal Medicine, Flight Medicine, etc).

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CORE Recent Changes

  • 41 changes for Jan-Apr 2019 update

Jan-Apr 2019 Changes

MSK Lower

  • Added prepopulated text box for Ottawa Ankle rules as an openable ribbon under the existing
    ankle section
  • Added prepopulated text box for Ottawa Foot rules as an openable ribbon under the existing
    foot section
  • Added link to Ottawa rules website: (http://www.theottawarules.ca/ankle_rules)

Procedures Tab: Spirometry Ribbon

  • Revamped the pre- and post-bronchodilator area on the Procedures Tab: Spirometry Ribbon
  • Updated the iMed consent link to http://taylorcommunications.com

HPI/PFSH Tab

  • Removed DoD/VA Pain Scale link
  • Removed Supplemental Question link
  • Added link http://www.dvcipm.org/site/assets/files/1084/dvprs_with_instructions.pdf and labeled as “DoD/VA Pain Rating Scale (DVPRS) “(This took the place of the DoD/VA Pain Scale & Supplemental Question links)”
  • Added Field “DoD/VA Pain Rating Scale: pain severity = /10.”
  • Changed “Sole Provider” to “Name of Primary Opioid Provider”
  • HPV Preventive Services update “2 doses for persons initiating HPV vaccination at ages 9 through 14 years; 3 doses when initiating HPV vaccination at ages 15 through 26 years;
    3 doses for immunocompromised persons initiating HPV vaccination at ages 9 through 26 years” CDC December 16, 2016
  • Updated Allergy clinical clue
  • Added “DVPRS clinical clue “If score is 4 or greater, open ribbon and document functional impact.”
  • Moved “Pain Assessment” field to DVPRS ribbon (except for LOT)”
  • Added “Pain Functional Impact Assessment” to DVPRS ribbon. (except for LOT)”
  • Added “Date last updated:” to the top of the pre-populated text in the Preventive Services Field”
  • Added a clinical clue to all forms on the HPI tab directly above the Medical Conditions and Surgeries/Procedures: “Document anatomic or functional asplenia as surgical history or medical condition AND add diagnosis code(s) in A/P if needed.”
  • Updated USPSTF recommendations for Cervical Cancer Screen wording: 21-29: cytology every 3 years.30-65: hrHPV every 5 years OR hrHPV plus cytology every 5 years OR cytology every 3 years. (USPSTF 2018, Grade A) (Policy for active duty may vary.)
  • Added a new copy-forward specific field entitled “Occupational history and exposures” to the TSWF CORE family of forms. With a clinical clue “include military duty-related information”.
  • Updated the “Social History” field clinical clue to say “Family and lifestyle issues”

Screening Tab

  • Adjusted the Annual Question from “Learning disability, language barrier, hearing/vision deficit” to “Learning disability, language or emotional barrier, hearing/vision deficit?”
  • Added “Assessment: is patient able, motivated, and willing to learn about their healthcare?”
    With yes and no documentation
  • Added “Are you enrolled in Secure Messaging __Yes __No ” to the Annual Questions field
  • Updated Zika clinical clue “Women of childbearing age and men”
  • Updated Intimate Partner Violence clinical clue “Women of childbearing age”
  • Adjusted Health Literacy screening clinical clue wording: From “Further assess patient’s needs if SILS response is Often or Always” To “Further assess patient’s needs if SILS response is Often or Always. IAW MEDCOM Policy Memo 17-035, Army MTFs complete and document an initial assessment of each patient using both SILS and REALM-SF; for subsequent assessments use SILS annually and REALM-SF according to local policy.”
  • Removed “Other Military Duty-Related Information” check box.
  • Added clinical clue ‘Record duty-related info in new “Occupational History” field on HPI tab’
  • “Updated the Menopause/Hysterectomy clinical clue to ““Record hysterectomy and/or menopause on HPI tab. Add appropriate ICD code in A/P module if needed. Hysterectomy Z90.710 or Z90.711. Menopause N95.1”””
  • Updated Tobacco Cessation Counseling
  • Added Thinking about Quitting Tobacco Cessation link
  • Added clinical clue “If appropriate, for provider-delivered counseling use additional E&M code 99406 for duration of 3-10 minutes, 99407 for duration >10 minutes”
  • Removed invalid link from exercise counseling free text field.

Spine Tab

  • Updated under Maneuver/Test “Patrick-Fabere” to “Patrick/FABER”
  • Updated Red Flags header to “LBP Red Flags”

Exit/CCP

  • Added “Late Entry Rationale” field with prepopulated text
  • Updated Chronic Pain Ribbon: “Name of Sole Provider” to “”Name of Primary Opioid Provider”

BH/Other Screening

  • PHQ-9 New format and autocalculates
  • GAD-7 New format and autocalculates
  • Epworth New format and autocalculates
  • Updated the MACE to MACE 2

History

  • 1st AIM form developed
  • One-stop shop
  • Integrates with other forms

The CORE AIM form was the first AIM form developed by the Tri-Service Workflow team, along with its associated workflow. Born out of the frustration of trying to document in AHLTA, the proliferation of different documentation templates, and the multitude of policies and guidelines for clinical documentation, the CORE was created to be a “one-stop shop” where both providers and the clinical support staff could complete the vast majority of their documentation. The CORE form consolidates and standardizes documentation requirements from many disparate sources (inspection agencies, DoD policies, generally accepted clinical guidelines, etc.), and serves as the basis for many of our other forms, like the various Clinical Practice Guidelines (CPG) AIM forms. The CORE works seamlessly with these other forms, allowing staff to use the form that works best for a particular visit without disrupting the form workflow.

Form Lead

TSWF-CORE Form Lead
Dr. James Neville

Tri-Service Workflow is dedicated to serving those who serve. Our innovations bring the team care we exemplify to help you in your patient care.