Patient Status Order Changes

When

Sunday August 4^th, 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

HSV Culture Order Change

MEMORANDUM

DATE:                    April 30, 2019

TO:                        Physicians, Residents, Nursing, and Allied Health Staff

FROM:                   Alanna Emrick, MLS (ASCP)^cm SM^CM

                              Manager, Microbiology

SUBJECT:    HSV Culture discontinued – replaced with HSV PCR

In a continued effort to bring faster turnaround times, the laboratory will no longer perform HSV Culture.  The 7-day culture has been replaced with HSV PCR with a same day turnaround time. 

Beginning May 1, 2019, all HSV Culture will be unavailable and orders will be placed as HSV PCR.

If you have any questions, please feel free to contact me at 775-8361.

NPO Diet Field Additions

The NPO Diet order will now have 2 additional fields.  This is to differentiate and clarify why the patient will be NPO. 

The options of GI Dysfunction, Medical Condition, Procedure, and Swallow Dysfunction will now be available under the new field NPO Reason.  One of the options will be required to be chosen.

Except for Tube Feedings requiring a yes or no answer has also been added.