Faxing Changes effective January 9th
On January 9th the faxing servers are moving to Kansas City. What does this mean for us?
All faxes going out of the EHR should now include the area code plus the fax number with no dashes, spaces, etc… (i.e. 8065555555). You will need to include all 10 digits even if the fax number is a local number. Do not include the “1” for long distance calling unless it is an international fax. This will be automatically done through the server.
This new process will affect all provider letters, communicable disease report forms and Medical Record Reports. If you have saved favorites in your provider Selection section of the provider letter process your will need to clarify that it is a 10 digit number. If not you will need to correct it or it will fail.
To remove the favorite fax simply click the yellow star, this will remove the information as a favorite. Then it can be re-added under the Add Freetext Recipent button.
If you need help with any of this process please do not hesitate to contact our helpdesk at 743-HELP (4357).
Patient Status Order Changes
When
Sunday August 4th, 2019
Why
- We are transitioning to an order driven billing, based on status and level of care
- Clinical classifications of Inpatient, Observation, and Outpatient in a Bed will be defined by the admitting provider
- The “Level of Care” defines what that hospital can bill
- The goal is to decrease denials through clinical definition and accuracy of patient status and level of care
Impact
NO PATIENT STATUS ORDER (PSO) = LOST HOSPITAL REVENUE
Order Changes
- Patient placement will NOT provide a room # unless the Admit/Observation Plan is placed
- The Admit/Observation Plan can be placed in the clinic or pre-admit encounter in a “Planned” state
- The Admit/Observation Plan cannot be initiated on a pre-admit encounter, so must be “Planned”
- Transfer patient order will be replaced by “Change Inpatient Level of Care” order
- Change Attending Physician order will directly update the attending on the banner bar
Patient Portal: Delay for Radiology and Pathology Results
Orders to Scheduling: Mammogram PowerPlans
ONE order will be REQUIRED
ALL Mammogram orders are now powerplans instead of a single order. The “Why” for this is to ensure the correct mammo order is placed. We have added an option for IMPLANT orders. The radiologist read these in different views and the exam takes longer.
Search for Mammo orders using the “search” or navigate to the Mammo folder within the Radiology folder
When you select the plan, the two mammo options are available. If you do not choose an order, by clicking in the square, you are NOT placing any order. Complete the needed fields as indicated by the blue circle with the X. This indicates you need some additional information on the order
Complete the required fields
If no order is selected, you will receive this message. You will need to click “Cancel” and go back and chose the test you want completed on the patient.
You cannot order from this screen; you must click cancel and order from the powerplan
Antibiotic Time-Out
Attention Medical Staff:
Recently, it has been brought to the attention of the Antimicrobial Stewardship Committee that providers are uncertain of the utility for antibiotic time outs. We have made an effort to bring more meaning to these reminders.
The Centers for Disease Control and Prevention (CDC) recommends 5 core elements for a successful hospital antibiotic stewardship program one of which is “Action”.
An example of an “Action” is a systemic evaluation of ongoing treatment need after a set period of initial treatment also known as an “antibiotic time out”. At UMC these reminders or alerts fire for Level 1 and Level 2 restricted antimicrobials (see list below). There are two time outs, at 48-hours and 72-hours. The 48-hour antibiotic time out is a reminder through SmartZone (which is seen in a ribbon on the right hand side of PowerChart). However, if no modification is made to therapy at 48 hours then a 72-hour antibiotic time out will then fire on a close chart. This time out requires an action be taken by the provider before continuing. See below for examples of both.
48-Hour SmartZone Reminder:
Example: Carbapenem Alert
72-Hour PowerChart Actionable Alert:
Kind Regards-
The Antimicrobial Stewardship Program and Dr. Ragain, CMO
Banner Bar: DNR on File
On March 4, 2019, you will be able to identify if a patient has an Out of hospital DNR or an In Hospital DNR on file on the banner bar in PowerChart.
If a patient does not have a DNR on file for either Out of Hospital or In Hospital, it will reflect ‘None’ in the banner bar. Note: If the field is blank, click refresh.
Out of Hospital DNR/In Hospital DNR on File
If a patient has an Out of Hospital DNR and/or an In Hospital DNR (Applies to patients who are admitted to inpatient or placed in observation), the document will be scanned into the AD Out of Hospital DNR Order bucket and/or the AD Consent for DNR bucket. Once the document is scanned, the banner bar will reflect ‘Review’ on the banner bar.
This provides indication that the patient has a current or previous Out of Hospital DNR and/or In Hospital DNR on file (This is NOT an indication that the DNR is valid – this is only an indication that the chart should be reviewed for what is on file)
**The source of truth will always be the scanned document**
If the patient revokes their Out of Hospital DNR and/or In Hospital DNR, the scanned DNR will be rescanned with VOID marked across the page.
Accessing the DNR on File
In order to quickly access the DNR on file, navigate to the Summary View or the Workflow Page (for those on Dynamic Documentation). Click on the blue hyperlink and you will navigate directly to the scanned document.
Changing the Code Status
To change the code status order:
- DO NOT discontinue!
- Find the existing Code Status and right click to Modify.
Cerner Change: Encounter Focus
During the CPOE conversion there was a new filter set to “Focus” which will only look at the orders on the current encounter. This was a recommended change by Cerner in order not to confuse providers when going about their day-to day business, for the most part.
We will be making the change back to “All” orders associated with the patient.
This change will take place on February 25,2019.
With this change you might need assistance with your exisiting filters. There are videos and articles on PUTTER that will assist you if needed.
/tutorials/using-filters-and-order-view-customization.html
You can also reach out to the help desk @ 806-743-4357 or emrhelpdesklubbock@ttuhsc.edu
Clinical Opioid Withdrawal Screen Powerform
