Patients register for the eAMS and download the eAMS app. The app includes a questionnaire which patients are required to complete before each appointment. In clinics that use OCEAN Patient Reminders, an email is automatically sent to eligible patients one week before their booked appointment, reminding them to complete the questionnaire. Alternatively, a search function can be used by a clinic staff member to periodically send email reminders, and/or patients can be reminded to complete the questionnaire on their device when they arrive for their appointment. After they complete the questionnaire (on their computer or through the mobile app), their data are processed immediately to provide you with decision support (decision support remains valid for 1 month after the patient has completed the questionnaire).
Upon opening the patient's chart, if any action is required, you will see the eAMS Toolbar, with a notification in red text indicating the level of asthma control for that patient. Click this text to access the decision support window.
The decision support window takes you through a maximum of 5 screens, as follows (note that this may open as a tab, depending on your browser settings):
Any actions in the decision support screens are automatically documented in a PSS chart note. Upon returning to the chart after using the decision support, you must click on the "Refresh" button in the eAMS toolbar for the chart note to load into the chart:
Note that if you leave the chart without clicking "Refresh," the chart note will still automatically load whenever the chart is next opened (but no earlier than the next day). Similarly, if the patient completes the questionnaire but no action is taken by the clinician that day, a chart note documenting the patient's responses to the asthma control questions is automatically added to the chart whenever the chart is next opened (but no earlier than the next day).
Also note that in cases where the user who interacted with the decision support was not the patient's most responsible physician (MRP; identified as "Patient MD/NP" in PSS), if there are remaining decision support steps available, PSS sends the MRP a PSS message informing them of decision support actions taken and remaining available actions for their patient. This message is sent when the chart is next opened, as long as the decision support is still valid (but no earlier than the next day). Similarly, if the patient completes the questionnaire but no action is taken in the decision support system, a PSS message outlining the patient's asthma control and any available decision support actions is automatically sent to the MRP (this message is sent when the chart is next opened, as long as the decision support is still valid, but no earlier than the next day).