TSWF AIM Form Changes for May-Aug 2020 Release

Changes for the upcoming May – Aug 2020 AIM form release are listed below. To see actual screenshots of all Jan-April 2019 form changes, download our Visual Change Log using the button below.

Your AIM Forms will update automatically if they are added to your favorites and are NOT set as your default template. If you are unsure, please follow our guide on how to add TSWF AIM Form Templates to your workstation.

CORE-Compatible Forms

Changes to CORE and Across all Primary Care Forms (7)

May-Aug 2020 Changes

  • All forms and clinical clues changed from IBHC to BHC

Procedures Tab

  • Updated the list of procedures found near the bottom of the Procedures tab of the CORE form to match the list of procedures found on the Procedures AIM form

Exit CCP

  • Chronic Pain’ ribbon label updated to ‘Pain Management Care Plan’ and verbiage updated within section
  • Updated ‘Pain Treatment history’ section
  • Change the ‘Pain care agreement on file. Date: Located @’ to ‘Pain Care Informed Consent on File. Date: Located @:’

HPI Tab

  • Updated the Hepatitis C screening recommendation on the ‘Preventive Services Reccomendations-All Patients’ Ribbon. The new recommendation: ‘The USPSTF recommends screening for hepatitis C virus infection in adults aged 18 to 79 years.’

BH/Other Screening Tab

  • Updated the wording in the ‘Self-Reported Level of Functioning’ row on the PHQ-9
Cardiovascular (4)
HF tab

  • “On the ‘Initial Assessment’ ribbon added a new link labeled “2017 ACC/AHA focused update”.
    http://www.onlinejacc.org/content/70/6/776 “

Afib Tab

  • “Add an additional link labeled “2019 AHA/ACC focused update”
    http://www.onlinejacc.org/guidelines/atrial-fibrillation”
  • “On the ‘Antithrombotic Therapy for Patients with Atrial Fibrillation’ ribbon, added ‘Edoxaban’ to the list on the right. Also change all meds to lower case. And added this statement: “For patients with AF or atrial flutter of 48 hours’ duration or longer, or when the duration of AF is unknown, anticoagulation with warfarin (INR 2.0 to 3.0), a factor Xa inhibitor, or direct thrombin inhibitor is recommended for at least 3 weeks before and at least 4 weeks after cardioversion. (2019)”
    “NOACs are recommended over warfarin where eligible except in those patients with moderate – severe mitral stenosis or a mechanical heart valve. (2019)“”
  • “On the ‘Pharmacological Management of Patients With Newly Discovered Atrial Fibrillation’ ribbon added this as a text box as a clinical clue on the right:
    ‘The decision to use an anticoagulant should not be influenced by whether the AF is paroxysmal or persistent (COR I, LOE B). 2019′”
Pain Management (2)
Screening Tab, DIRE ribbon

  • Added link to DIRE screener

Screening Tab, ORT ribbon

  • Added link to ORT screener
Clinical Pharmacy (0)
  • No specific changes this update
Geriatrics (1)
Screening Tab

  • ” Replace this link: https://www.ahrq.gov/gam/index.html

    with this link: http://www.ospdocs.com/resources/uploads/files/Pocket%20Guide%20to%202015%20Beers%20Criteria.pdf
    on the ‘Geriatrics Wellness’ ribbon”

Low Back Pain (0)
  • No specific changes this update
Metabolic (0)
  • No specific changes this update
Mil-PHA (0)
  • No specific changes this update
Nursing Services (0)
  • No specific changes this update
Peds Nursing Services (3)
HPI/PMH/ROS Tab

  • Addition of DVPRS elements

Behavioral Health Tab

  • Updated PHQ-2a positive score from ‘2’ to ‘3’
  • Removed the clinical clue ‘Document Suicidal and/or Homicidal Ideation below.’
Peds General (2)

Behavioral Health Tab

  • Removed the blue cue “Document Suicidal and/or Homicidal Ideation below.” from the Behavioral Health tab, below the PHQ-2 responses.
  • Changed all instances in PHQ-2a where it says ‘2’ to now say ‘3’ in the clinical clue and the text in the white boxes. And updated clinical clue to say “If the PHQ-2 is positive (score of 3 or higher), complete the PHQ-9A below and alert provider.”
Peds 0-23 (0)
  • No specific changes this update
Peds 2-6 (0)
  • No specific changes this update
Peds 7-18 (2)

Behavioral Health Tab

  • Removed the clinical clue “Document Suicidal and/or Homicidal Ideation below.” from the Behavioral Health tab, below the PHQ-2 responses. 
  • Changed all instances in PHQ-2a where it says ‘2’ to now say ‘3’ in the clinical clue and the text in the white boxes. And updated clinical clue to now say “If the PHQ-2 is positive (score of 3 or higher), complete the PHQ-9A below and alert provider.”
Procedures (0)
  • No specific changes this update
Pulmonary (0)
  • No specific changes this update
Navigator (1)
  • Removed the Zika Risk Assessment form from the Navigator

Specialty Forms

Behavioral Health Specialty (0)
  • No specific changes this update
Case Management (0)
  • No specific changes this update
DHA CSSP (0)
  • No specific changes this update
Case Management Pediatrics (0)
  • No specific changes this update
Behavioral Health Consultant (0)
  • No specific changes this update
MHSPHP (0)
  • No specific changes this update
mTBI (2)
Tabs along the left side

  • Change Initial Visit Tab to NSI
  • Change Follow up Management tab to PCM Follow Up
Obstetrics (1)

Lactation Tab

  • Replaced broken Hazel-Baker link on the lactation tab: https://www.med.unc.edu/pediatrics/education/current-residents/rotation-information/newborn-nursery/hazelbaker_frenum.pdf

    with this new link:
    https://media.starship.org.nz/hazelbaker-assessment-tool-for-lingual-frenulum-function-(hatllf)/hazelbaker.pdf

Separation Health Physical Exam (0)
  • No specific changes this update
Sports Medicine (29)
Lower Leg/Ankle/Foot’ tab

  • Removed of ‘Foot’ tab and combined it with ‘Ankle/Lower Leg’ tab. New tab is called ‘Lower Leg/Ankle/Foot’ tab
  • Removed ‘Ankle’ from Provoking/Alleviating field
  • Added ‘Shoe Inserts’ to Previous Treatments field
  • Added ‘Radicular Symptoms’ to ROS
  • Updated the ‘Ankle-Specific Physical Exam’ ribbon to now say ‘Ankle/Foot-Specific Physical Exam’
  • Add ‘Sports Related Plan- Foot’ and ‘Foot Exam Educational Material’ ribbons to the new tab.
  • Add “Achilles complex” to the Ankle Specific PE under Tenderness to Palpation-Ankle
  • Replaced ‘Foot Deformity’ with ‘Foot/Toe Deformity’ and removed ‘Toes, Erythema, Ecchymosis, Warmth and Edema/Effusion’ as these are primarily used in podiatry and not in sports medicine to the Ankle/Foot Physical Exam ribbon
  • Replaced ‘Heel Squeeze’ and ‘Heel Tap’ with ‘Calcaneus’. Replaced ‘Plantar” with ‘Plantar fascia’. Remove ‘Medial midfoot’ and ‘Lateral midfoot’ and just put ‘Midfoot’ and remove ‘Calcaneal tuberosity’ on the Tenderness to Palpation section on the Ankle/Foot Specific Physical Exam ribbon
  • Removed ‘Feet’ and added ‘Toes’ and also added ‘If yes, specify which’ under Range of Motion on the Ankle/Foot Specific Physical Exam ribbon
  • Remove Motor Strength, Tests, Sensation and Gait fields entirely from the now removed Foot specific Physical Exam ribbon

Hip, Kneee, Lower Leg/Ankle/Foot Tabs

  • Add ‘Pes cavus’ and ‘Pes planus’ to all LE exams on Inspection section of the Physical Exam ribbons

Shoulder; Elbow to Finger; Hip; and Knee Tabs

  • Added ‘Skin Changes’ Yes and No check box in ‘Inspection’ section on Physical Exam ribbons

Lumbosacral Spine Tab

  • Added ‘Atrophy’ Yes and No check box in ‘Inspection’ section

to Upper Arm; Upper Leg, and Lower Leg/Ankle/Foot.

  • Added ‘Atrophy’ and ‘Skin Changes’ Yes and No check boxes in ‘Inspection’ section

to Cervical Spine, Shoulder/Upper arm, elbow to finger, Lumbosacral Spine, Hip/Upper leg, Knee, Lower Leg/Ankle/Foot tabs

  • Added ‘Radicular Symptoms’ in the ROS ribbon of each tab.

Shoulder/Upper Arm Tab

  • Added ‘Neck’ with Abnormal/Normal options in Range of Motion area on the Shoulder Specific PE ribbon
  • Add ‘Spurling’ with Positive/Negative options in Maneuver/Test area on the Shoulder Specific PE ribbon
  • Added ‘Left handed’ and ‘Right handed’ as Inspection items for Shoulder PE.

Elbow to Finger tab

  • Updated ‘Handedness’ to now say ‘Left handed’ and ‘Right handed’ on Elbow to Finger-Specific Physical Exam Ribbon
  • Add ‘Radial Head’ as a Palpation item to the Elbow to Finger-Specific PE ribbon
  • Updated ‘Scaphoid tubercle’ to now say ‘Scaphoid’ and updated ‘Metacarpal Shafts’ to just say ‘Metacarpals under Tenderness to Palpation- Wrist/Hand section on Elbow to Finger- Specific PE ribbon
  • Removed the bolded ‘Wrist’ and “Hand’ labels and moved ‘Anatomic Snuffbox’ to go in between ‘Scaphoid’ and ‘Ulnar Collateral Ligament’ so that they will be in anatomical order, from proximal to distal on the Tenderness to Palpation- Wrist/Hand area in the Elbow to Finger-Specific PE ribbon
  • Changed ‘Finkelstein’s’ to ‘Finkelstein’s/Eichoff’ and added ‘Flick Sign’ to the Tests area on theElbow to Finger- Specific PE ribbon
  • Added ‘(Flexors and Extensors)’ in small text to the larger bold text heading of ‘Strength/ROM – Fingers’

Lumbosacral SpineTab, Knee Tab, Lower Leg/Ankle/Foot Tab

  • Added ‘Leg Length Discrepancy’ Y/N to Tests (along w/ prepositioned text) on the following tabs: Lumbosacral Spine (removed “Leg Length to hip” under Inspection), Knee Tab, Lower Leg/Ankle/Foot Tab

Hip/Upper Leg Tab

  • Updated the ‘Range of Motion’ heading to now say ‘ROM (Passive & Resisted)’ on the Hip-Specific Physical Exam Ribbon

Knee Tab

  • Removed ‘Misalignment’ from the Inspection section on the Knee-Specific Physical exam ribbon
  • Updated ‘Meniscal Integrity Apprehension’ to now say ‘Meniscal Signs’ and added ‘Patellar Compression’ to Tests on the Knee-Specific Physical Exam ribbon
Flight Event (1)
ROS TAB

  • Added clue to ROS that states “**May be self-reported or endorsed by significant other or peer who knows patient well enough to report subtle changes in personality or thought process.”
Dive Event (1)
ROS Tab

  • Added clue to ROS that states “**May be self-reported or endorsed by significant other or peer who knows patient well enough to report subtle changes in personality or thought process.”
Breast Cancer Risk Assessment (0)
  • No specific changes this update

May-Aug 2020 Mid-cycle Changes Rev. 1

All CSSP forms

  • Removed the link to the Infectious Disease Travel Screen form the left hand side menu of Peds Sore Throat, Adult Sore Throat, Peds Cold, Adult Cold Dysuria and Preg Test forms.

Infectious Disease Travel Screen Form

  • Updated the ‘DHA CSSP- Infectious Disease Travel Screen’:
    1. Remove ‘DHA-CSSP’ from AIM Form name
    2. Remove links out to Peds Sore Throat, Adult Sore Throat, Peds Cold, Dysuria and Preg Test.

Clin Pharm tab

  • Refined Metrics for Pharmacist Intervention ribbon, Tests section, RIOSORD score, was changed from “At a score of 32 or greater, Naloxone is indicated” to “At a score of 33 or greater, Naloxone is indicated”.

COVID-19 Assessment Tab

  • Update form to match the COVID-19 Registry with these elements:
    1)’Onset of earliest symptom’ added as the first field in the COVID-19 Related ROS
    2) Known contact with a confirmed case in past 14 days – ‘Confirmed COVID-19 Contacts or exposure’ updated to say, ‘Confirmed COVID-19 Contact or exposure within the past 14 days’
    3) Domestic travel – ‘Recent Travel’ was updated to 2 different items:
    Recent International Travel. If yes, describe:
    Recent Domestic Travel. If yes, describe:
    4) Altered consciousness/confusion added to the COVID-19 Related ROS
    5) Added ‘Has the patient been self-quarantining? If yes, for how many days?’
    6) Added ‘Has the patient been practicing social distancing? If yes, when did he/she start?’
    7) Added ‘Does the patient live independently (outside of medical/assisted living/nursing facility)?’
    8) Added ‘Does the patient live in on-base housing?’
    9) Added ‘Does the patient live in the barracks? If yes, describe the living area i.e. single room, roommate, open bay, room number’

TSWF AIM Forms

zen aim form
TSWF AIM forms make it easy to document an S/O note, saving time and helping to make clinic workflow more efficient. The forms are separated into two distinct groups, based upon compatibility with the CORE form. AIM Forms

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