Tagged labs and tagged images will auto-pull into the Lab Results section of selected note template BUT will also display in tagged items clipboard.
These labs can be cleared with clicking the top lab in the clipboard.
Clicking the top lab to clear the clipboard will NOT clear the labs from the Lab Result section. Clearing the tagged items clipboard will provide the end user with a full view of the note and acknowledgement that all tagged items have been place within the note.
The MAR summary will be changing for Providers with the upgrade on April 24.
Currently it is in chronological order, but will be going to reverse chronological order to match flowsheets.
This was voted on in March PIC.
New Tube Feeding Order available for use when the patient has been off their nutrition and needs to catch up for the day. The formula is available in “Order Comments.”
A new update to the sliding scale insulin will be available on April 28, 2021.
What Changes: The sliding scales for both the Regular (Novolin R) and the Aspart (Novolog) will change
The changes are illustrated below. Please note the sliding scale and the units of insulin will change as well as the time the blood sugar is rechecked.
There is an update to the Insert Rectal Tube order on March 24, 2021. A required “Reason for Rectal Tube Insertion” field has been added to the order details.
To assist with the need for communication of Nerve Blocks in the Outpatient location, the following changes are being made Thursday, April 15, 2021. *Because there are many OPS powerplans in a planned state currently, we do not anticipate to see the full benefit from these changes for a week or two.*
Addition of Anticipated Nerve Block field to the Surgery Scheduling Powerform within the Adult Outpatient Surgery Plan.
Addition of Events posted on the Main OR Periop Tracking Shell
Addition of Anesthesia Nerve Block Periop Tracking Shell for Anesthesia view only.
Powerform Change:
Periop Tracking Shell Change (coloring/icons will be different in PROD):
When a patient self-enroll for the patient portal, it is now required they enter in both their MRN (Medical Record Number) and their SSN (Social Security Number). They will be required to enter in the last 4 numbers of their SSN to enroll.
If your clinic does not enter the SSN upon registration, you will need to send an invite to your patient. They will not have the ability to self-enroll. Without the invite, your patient will not be able to enroll in MyTeamCare.
On Thursday 3/11/21 IMO secondary diagnosis mapping will be turned on. This will give you the possibility of adding two diagnoses based on one description. There is an easy way to know if the IMO term searched is mapped to two diagnoses. If there are two ICD-10 codes shown next to the IMO term, that term has two diagnoses codes. If there is only one ICD-10 Code, there is only one diagnosis mapped. Below you will see steps.
After you select the appropriate term, one diagnosis is added to the consolidated problems list with a priority. A refresh of the consolidated problems list is required to see the second unprioritized diagnosis.
After refreshing the component, you will see the secondary ICD-10 code added as unprioritized.
Below is a list of current orders that will be renamed:
Only the areas below have POC Sofia Readers:
For UMC Hospital areas that do not have a Sofia Reader, these labs are available:
COVID-19 Sofia Ag- Lab (this is a quick test)
COVID-19 IP Testing Plan
Rapid Strep A Screen
SARS-CoV-2/Flu/RSV by PCR
Respiratory Flu/RSV by PCR
Avoid documenting COVID vaccinations that are already in Immtrac under the historical documentation process- these feed into Immtrac’s system.
In Immunization Schedule, you will see a hyperlink titled “Registry Import.” Open this to view the records saved to Immtrac.
The screen that populates is asking you to verify your patient. After you have verified this is your patient, select done.
You have two options to select. View Registry Forecast is a list of the immunizations your patient has received.
However, to import, we will select Load Records. From here, you will see two lists. The one on the left is what is in Immtrac, while the one on the left is what is in our records. In between both lists are blue arrows.
If you want to import a record, click on the blue arrow to move it to our records. The arrow will then flip. Once you have moved everything, click submit.
The records will then be imported into Powerchart.
Hidden Recommendations occur when new recommendations/expectations are created, personal favorites have been created, and organizational defaults are not visible. To show all new or hidden recommendations, follow the steps below to align with our organizational recommendations and quality programs.
1. Navigate to the Recommendations Workflow MPage component
Either on the dark side or through the Dynamic Documentation Workflow page.
2. Select the "hamburger" icon above the component
3. 1. Click "Manage My Role Filter…" to display all settings applicable to the Recommendations component
4. 1. Navigate to Manage My Role Filter and click the Revert button to unhide hidden items that align with our organizational recommendations and quality programs
5. Click Revert to commit changes to revert favorites to organizational defaults
6. Reviewed selected recommendations and click Submit
Social Needs Screening for Patients 18 years old or older
To assist in completing the questionnaire, a reminder has been activated in the Recommendations component in Powerchart ambulatory workflows. The goal is for patients to complete this once per year. Anyone with access to the Recommendations component can complete the form. Doing this via Powerchart will help us compile the data and identify our populations' most common needs.
1. Navigate to the Recommendations component in your Powerchart.
2. Locate the Social Needs Screening recommendation on your patient
3. Click Document Social Needs Screening button.
4. Document the Powerform accordingly.
5. Sign form by clicking the green check mark when completed.
CMS Interoperability and Patient Access Rule mandated a centralized directory of provider electronic addresses for data exchange be published by the National Plan & Provider Enumeration System (NPPES) as part of the requirement to promote interoperability. The purpose of providing digital contact information is to improve interoperability and the efficiency and effectiveness of electronic health information exchange. The information is collected in NPPES to facilitate the electronic exchange of health care information such as Medical records, order and referrals, etc., in a safe and secure fashion.
To update the NPPES database, the provider or designated representative will log in to or register on the NPPES website: https://nppes.cms.hhs.gov/#/
Locate the provider that needs to be updated, and go to the Health Information Exchange Tab.
Update the following information:
Endpoint Type - Direct Messaging Address
Endpoint - this is the direct address for the provider
If you need this information, please contact the Service Desk
Endpoint Location – What practice to affiliate this direct messaging address with
Affiliation Legal Business Name (LBN) when Endpoint is affiliated to another organization.
For these last two - UMCP, UMC and TTP are the only organizations associated with the direct addresses, if the provider has privileges at UMC and have clinic at TTP, they can add the addition affiliation here.
Additional Information:
Providers can review their information via the following sources:
• NPPES NPI Registry: https://npiregistry.cms.hhs.gov/;
• NPPES NPI Registry API: https://npiregistry.cms.hhs.gov/registry/help-api ; or
• NPPES Data Dissemination file https://www.cms.gov/RegulationsandGuidance/AdministrativeSimplification/NationalProvIdentStand/DataDissemination
References:
CHIME PUBLIC Policy, Digital Contact Information Requirements Under the CMS Interoperability and Patient Access Final Rule. (2020, November 6). Retrieved January 14, 2021, from https://chimecentral.org/wp-content/uploads/2020/11/CMS-Interoperability-Patient-Access-Digital-Contact-Info-FR-DRAFT-CHEAT-SHEET-v2.pdf
HEALTH INFORMATION EXCHANGE (HIE) PAGE. (2016). Retrieved January 14, 2021, from https://nppes.cms.hhs.gov/webhelp/nppeshelp/HEALTH%20INFORMATION%20EXCHANGE.html
National Plan & Provider Enumeration System NPPES. (2021). Retrieved January 14, 2021, from https://nppes.cms.hhs.gov/#/
For STAT ECHO during business hours please contact (806) 775-8740.
After hours, weekends, and holidays refer to on-call.
Beginning 1/20/2021
Generic orders for Flow Cytometry for Hematologic Malignancy and Testing for Dr. Tonk will be changed to include the specimen type as well as the test to be performed according to the current naming convention for Lab orders. The new name for Testing for Dr. Tonk will be replaced by the laboratory name-TTUHSC Cytogenetics. FISH orders will also include selecting the FISH panel to be performed. A Careset has also been created named TTUHSC Cytogenetics Testing for Dr. Tonk that will allow placing multiple orders for TTUHSC Cytogenetics testing. See below for more information about the new tests.
*** There will be no changes to the testing procedures performed in the appropriate laboratory.
_____________________________________________________________________________________________
OLD Order name: Flow Cytometry for Hematologic Malignancy
OLD Order name: Testing for Dr. Tonk
TTP and UMC have partnered up to offer two monoclonal antibody infusions as outpatient treatment for SARS -CoV-2 viral infection. The FDA has allowed Emergency Use Authorization (EUA) to high risk patients. They define High risk as the following.
High risk criteria required for bamlanizimab or casirvimab/ imdevimab infusion:
High risk is defined as patients who meet at least one of the following criteria:
Have a body mass index (BMI) ≥35
Have chronic kidney disease
Have diabetes
Have immunosuppressive disease
Are currently receiving immunosuppressive treatment
Are ≥65 years of age
Are ≥55 years of age AND have
o cardiovascular disease, OR
o hypertension, OR
o chronic obstructive pulmonary disease/other chronic respiratory disease.
Are 12 – 17 years of age AND have
BMI ≥85th percentile for their age and gender based on CDC growth charts
sickle cell disease, OR
congenital or acquired heart disease, OR
neurodevelopmental disorders, for example, cerebral palsy, OR
a medical-related technological dependence, for example, tracheostomy, gastrostomy, or positive pressure ventilation (not related to COVID-19),
OR
asthma, reactive airway or other chronic respiratory disease that requires daily medication for control.
SCAN this QR code to fill out an online form to request medication. The UMC Ambulatory Infusion Clinic will then call the patient to schedule them if they are eligible.
To place the referral through Powerchart click on Links then Monoclonal Antibody.
UMC Health System and UMC Accountable Care have partnered with Signify Health in collaboration with the city of Lubbock, to record social determinants of health for our patients using an EMR integrated questionnaire (Health Leads). This questionnaire includes a 10-item screening tool that helps identify patient needs in 5 different domains that can be addressed through community services (housing instability, food insecurity, transportation difficulties, utility assistance needs, and interpersonal safety). Future integration will enable us to send electronic orders/requests to our city’s community resources to address the needs when resources are identified and available.
To assist in completing the questionnaire, a reminder has been activated in the Recommendations component in Powerchart ambulatory workflows. The goal is for patients to complete this once per year. Anyone with access to the Recommendations component can complete the form. Doing this electronically will help us compile the data and identify the most common needs for our populations.
