Dermatology

Two rooms, one dermatologist, forty patients a day.

Illustrative scenario

Short visits, a lot of photographs, and a pathology result that has to find its way back to the right person.

This is a worked example, not a customer story. LogBlues is new and we have no clinics to quote yet, so inventing one would be the wrong way to start. Everything described here is something the software does today; the clinic is imagined.

Setup

Six steps on a Monday morning.

At setup the clinic picks Dermatology, which describes the shape of the work: skin, hair and nail care with imaging, procedures, pathology and follow-up. The workspace assembles around that rather than offering every screen ever built.

Two providers in the directory, each with a column on the schedule.
Front desk gets its own role, with scheduling and check-in but not the clinical depth it does not need.
The dashboard is rearranged so results waiting to be reviewed sit at the top, because that is what this practice worries about.

The day

What actually happens between nine and five.

9:05 A patient checks in from the schedule. The visit opens with the reason already attached, so nobody retypes it.
9:07 In the room, symptoms and the clinical note are written while the patient is still there. A clinical photograph is attached to the visit from the phone.
9:12 A biopsy is taken. Closing the visit books the follow-up, assigns a task to chase the pathology, and opens a case so the whole episode stays together.
9:14 Coding: a search for the procedure returns CPT, HCPCS, ICD-10-CM, modifier and revenue codes side by side. The invoice attaches to the visit.
2:30 Pathology arrives as a document. It is filed to the patient and marked as a result to review. Because it is a protected result, opening it asks for a one-time code sent to that clinician’s email.
4:50 The dashboard shows what is still outstanding. The chase task is ticked and stays on the list, crossed off, until the week is archived.

What changed

Nothing left in somebody’s head.

The photograph is on the chart, not in a phone gallery.
The pathology chase is a task with an owner, not a sticky note.
The episode is one case, so the next clinician reads a story rather than fragments.
Nothing left the building. Images, notes and results are on the practice’s own machines.

Two rooms, one dermatologist, forty patients a day.

Six steps on a Monday morning.

What actually happens between nine and five.

Nothing left in somebody’s head.

Related