medication

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

  1. Patient placement will NOT provide a room # unless the Admit/Observation Plan is placed
  2. The Admit/Observation Plan can be placed in the clinic or pre-admit encounter in a “Planned” state
  3. The Admit/Observation Plan cannot be initiated on a pre-admit encounter, so must be “Planned”
  4. Transfer patient order will be replaced by “Change Inpatient Level of Care” order
  5. Change Attending Physician order will directly update the attending on the banner bar

Click HERE for Tutorial Handout

ACE Inhibitor Therapeutic Interchanges

ACE Inhibitor Therapeutic Interchange

Currently, when a medication is ordered that has an approved P&T Therapeutic Interchange, Pharmacy makes the change at verification. Cerner allows for the substitution to be visible to the provider before pharmacy verification.  UMC is trialing the functionality with the approved ACE Inhibitor Therapeutic Interchanges. Please see the attachment for the functionality and workflow.  This applies for inpatient medications only.