New Physician Onboarding

What is CHIME and why do we use it?

CHIME helps clinics by delivering the right person to the right place at the right time.

CHIME has three main components:

  1. Wall Mounted Tablets outside each room and allow nurses, clinicians and other staff members to

    1. Check in and out of appointments

    2. Add extra steps to appointments (e.g. vaccinations)

    3. See which rooms need cleaning

    4. See what patient is next in their queue

  2. A Central Flow Dashboard that’s accessible via a browser and allows staff members, nurses, and clinicians to:

    1. Check patients in as they arrive

    2. Edit appointment information and add extra steps (e.g. vaccinations)

    3. View and edit patient queues

    4. Edit rooms 

    5. Advance appointment status

  3. An Artificial Intelligence that decides who should do what, when. This component is currently turned OFF, until we are confident that it has been configured to work well for the clinic in a manual way.

These components are constantly talking to each other to make sure that everyone stays in sync.

How to use CHIME in clinic

How to see when patients have arrived and are available for you to see

  • The stripey area is the scheduled appointment time

  • If the patient is GREEN they have checked in and are waiting, usually in the waiting room, and have not been roomed in an in-clinic room yet

  • If the patient is PINK they're waiting in an in-clinic room for the Provider (this can be the nurse, doctor, or MA/Runner)

  • CHIME Colour Code Legend

How to check in at a room

Beside the door of the patient exam room you are about to enter, there is a CHIME Wall Mounted Tablet.

  • Tap the “CHECK IN” button on the tablet.

  • Enter room and conduct your visit.

How to check out after an encounter

Beside the door of the patient exam room you are leaving, there is a CHIME Wall Mounted Tablet.

  • Tap the “CHECK OUT” button on the tablet.

  • The tablet will automatically show you the next patient waiting for you and the room number.

  • The tablet will automatically show the next staff/clinician visit if applicable or set the room to “Room Needs Cleaning” so that staff can tidy prior to room being circulated back into use.

How to add a nursing service onto a current encounter

On the Central Flow Dashboard, in the Admitted Queue section, find and click on the patient under your name.

In the pop-up window that shows up:

  • Choose one of the pre-defined services as listed or add a custom service by clicking on the “Add Service” drop-down menu.

  • Choose the appropriate clinician/staff as needed.

  • Click “Save Patient” button on the bottom of the pop-up window.

How to manually move patients from the waiting room to a room

If you leave a room after seeing an in-person patient and your next patient has not been auto-roomed, you can force CHIME to auto-room them right away by swiping on their name in your queue after you check out on the room tablet.

What do patients see when they interact with CHIME?

How does Virtual Orchestration work?