Rebecca Iffert

MYTEAMCARE/PATIENT PORTAL BANNER BAR UPDATE

Beginning 9/2/2020, the banner bar will be updated to reflect the patient’s MyTeamCare status. The status will reflect when the patient was offered access in the PM Conversation and if the patient has an active MyTeamCare account.

If the patient has an active account, then the field next to it should state "Access Offered." If it says anything 'did not access' even though they have an active account, we do not get credit for MIPS reporting. The "Access Offered" field should match their active status. If the patient declined, the patient declined access offered needs to be updated as well.

Below are examples of what the banner bar will reflect:

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Invite Status

Self-Enrolled

Error

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Please invite

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GASTRIC TUBE PLANS

Available on August 26, 2020.

Two new PowerPlans have been created for Gastric Tubes. These plans have everything you need to insert and manage your gastric tubes.

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Each plan has 3 phases.

  • The first contains the order to insert the gastric tube. You will not have to initiate this phase.

  • After the tube has been inserted, the nurse will initiate the second phase which contains the order for confirmation xray as well as any care you chose when you placed the plan.

  • Once the xray has been read, the nurse will initiate the cleared for use phase.

When a gastric tube is discontinued, you should right click on the plan and discontinue it. This will keep the orders profile clean and save steps in discontinuing several orders.

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DUPLICATE LAB ALERT UPDATE

Available on August 17, 2020.

Reducing Unnecessary Labs

Hospitalized patients frequently have considerable volumes of blood drawn for diagnostic testing during short periods of time. Phlebotomy is highly associated with changes in hemoglobin and hematocrit levels for patients and can contribute to anemia. This anemia, in turn, may have significant consequences, especially for patients with cardiorespiratory diseases. Additionally, reducing the frequency of unnecessary phlebotomy can result in significant cost savings for hospitals.

 

This duplicate lab alert exists for the 4 labs at UMC that are most commonly ordered within the same timeframe.

  • ·         CBC

  • ·         CBC with Differential

  • ·         BMP

  • ·         CMP

If the requested time for the lab you are placing is within 2 hours of one already placed, you will see this alert.

Recommendation: Cancel the duplicate lab order.

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GONORRHEA & CHLAMYDIA TESTING

Effective – 8/6/2020

Due to a reagent shortage UMC will be sending out Gonorrhea & Chlamydia by PCR. The test will be sent to CPL in Austin.

If you are sending any Gonorrhea & Chlamydia to the UMC Lab understand there could be a delay in results.

The new order will be a combined order  “ Gonorrhea & Chlamydia by PCR (CPL)

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A new collection kit is required for this test (pictures below).  All Care Set Orders have been updated with the new order code for ease of use for all physicians. 

Aptima Yellow, includes pipette – URINE collection – Fill between the viewing box

Aptima Orange, includes swab – Endocervical Swab

Do NOT puncture the foil lid.

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The order is in several other care sets so please be aware that if you are using any of the care sets below these orders will be sent out to CPL in Austin to result.

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** If you are sending the testing to the OB Lab this will stay the same. This change will only impact any testing that is being sent to the UMC Lab **

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Please contact UMC Microbiology at 775-8361 with any questions

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PEDIATRIC BLOOD ORDER CHANGES 07/29/2020

Beginning 7/29/2020 all blood orders for patients will be separated based on weight.  Below are how the orders will appear.

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Once you find the blood product you need, you click on it.  Each blood product order goes to the same plan.  The plan is BB Transfuse Blood Product Plan for Patients LESS than 20 kg.  The names above are alias for this plan.  You can only order a blood product through the plan.  The individual orders are hidden. 

Here is the plan you will be ordering blood products from.

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You will notice that there are medications in the plan that are also weight based to help with transfusion reactions and potential fluid overload. 

 

Once you order PRBCs and platelets you will see they are ordered in mL(s) NOT units.  This is following the guideline of usual dose is 10-15 mL/kg.   This will ensure safety for our patients less than 20 kg.

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HHS NEW MANDATORY REPORTING REQUIREMENTS FOR COVID-19 TESTING

Effective 08/03/20

The U.S. Department of Health and Human Services now requires the following patient information to be entered at order entry for all COVID testing.

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Please note the Reference Text icon on the order with the added link to the CDC for a list of symptoms and the HHS list of examples for Congregate Care Settings:

 

Refer to the CDC for a list of symptoms for COVID-19:

https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html

 

Congregate care setting includes:

  • ·         nursing homes

  • ·         residential care for people with intellectual and developmental disabilities

  • ·         psychiatric treatment facilities

  • ·         group homes

  • ·         board and care homes

  • ·         homeless shelter

  • ·         foster care or other setting

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