On Wednesday, April 20, 2022, there will be some changes made to the Adult Discharge Plan. If you should have any questions, please reach out to your Clinical IT representative.
1. The Quality Measures section will be removed:
Current:
New:
2. The “Discharge Scheduled Procedures” and it’s correlating note “The order below is for OR procedures scheduled by BICU/BIMC” will be removed.
Current:
New:
When upgrading to to the latest Imprivata app (v7.8) some Imprivata ID serial numbers changed. You will not be able to search for the App at this time in the App Store, but Imprivata asks that you do not delete the app from your mobile device. If you do delete it, you will not be able to download and install the app for some time.
If your Imprivata ID serial number was changed, you will need to enroll that new token.
Imprivata is working to resolve the issue with the app and will repost it to the App Store.
We have two new features in Referral Management (see previous post for more information):
Provider gender and language
New status options for ‘When Referral Needed’
Now that the new statuses are available for When Referral Needed this caused some discrepancies in current Worklists.
The following errors may present to the end-user:
In order to resolve this issue, navigate to
Referral Management
List Maintenance
Open each of your worklists where you are receiving these errors and put a ‘.’ (period) behind the name of the Worklist
4. This will allow the Save button to open and the Worklist can be saved again.
Now you can search an external provider by specialty, gender, and language
To find a specific gender and/or language of a provider click the + sign to the Provider Search screen.
You can then look up the provider by clicking the qualifiers listed by specialty, gender and language.
Once you have chosen a combination of qualifiers and clicked the ‘include external practices’ a list of providers will be available.
New options when making a referral Stat, new field is called ‘When Referral Needed’ and the options now available are:
(None)
STAT – Today
ASAP – Within One to Two Weeks
Within 1 Month
First Available
Please use these options if your referral is time sensitive
Note: in the Referral Management mPage the only two statuses that will show with a red flag are:
1. STAT - Today
2. ASAP – Within One to Two Weeks
eCoach is a Cerner solution that provides you with learning assets relevant to your role and workflow and data around how efficiently you are using the EHR. eCoach is meant to improve your experience when using Cerner solutions and is comprised of the following segments:
LearningLIVE provides relevant messaging and learning assets based on your role. Assets are also suggested based on your most recent actions in the EHR or can be searched for using key words.
The Insight component of eCoach provides personalized usage data in regards to your efficiency in the EHR. Insight will also provide suggestions on Focused Learning to help improve your behavior metrics and give you more time to spend with your patients.
End of March.
On your toolbar (or in the Table of Contents) in PowerChart®, FirstNet®, and SurgiNet®.
Click on the link below to watch a short video demonstration of eCoach.
Using the RL6:Mobile App from the Apple App Store/Google Play Store please use the following links in order to login to the respective environment:
Instructions to Login:
1. Navigate to the Change Server screen.
2. Select Manual Entry (see screenshot below)
a. Enter the below URL (do not include https://)
umcrl6prod.teamumc.com/RL6_Prod_Mobile
3. Select a RL6 Server
4. Select Connect
5. In the Select Account Type screen, ensure that the correct Domain is
selected.
Utilize your TTUHSC eRaider account login for the RL6:Mobile Solutions App, same as logging into your desktop version.
Q&A:
I’m getting the message: “Configuration successful. Your version of RL6:Mobile is newer than the base supported version of your hospital’s RL6 server.”:
Ignore this message and proceed by pressing OK
I get a timeout error when I try to connect to a RL6 Test or Training Server:
Make sure you are connected to the hospital office wifi not the guest network.
When I login for the first time I see “My Incomplete Tasks”:
This is the default page when a user logs in for the first time. You can start navigating in the app by pressing the hamburger symbol.
TTUHSC users utilize the UMC’s RL6 server. Login process for both UMC and TTUHSC users are different. The appropriate “Account Type” (Domain) must be selected before a user can login to RL6.
Please see the below screen shot on how to select TTUHSC as the Account Type to login. There are different ways to access the “Select Account Type” screen depending which screen you are currently viewing. If you see the menu (hamburger icon) symbol on the top left you can select “Change Account Type” from there. The “Select Account Type” screen also appears once you press on “Connect” in the Where is your RL Server?” screen.
If you have any questions or need assistance, please feel free to call Lacy Phillips, Director of Performance Improvement @743 2883 or Paige Howell @743 1815.
The above orders will be changed to UMC Cancer Center to prevent mistake of entering SW for request for Social Services referrals on 2/23/22.
Change to Social Services for Dialysis with the above fields added to the order.
Anticipated Change Date: 2/23/22
Frequency field added as free text that is required to be completed on this order.
Anticipate to Go live on 2/9/22.
In relation to our Vital Sign 6 project for screening mental health, the PHQ2 question choices needed to move from the Yes/No answer to the four options you see on the PHQ9 assessment.
As these are the first two questions of the PHQ9, and for the measures to pull in appropriately, the answers needed to change. We are currently working with Cerner to update the Smart Template to pull in the new answers.
This will occur on Wednesday, January 19th.
IMPORTANT INFORMATION
We have discovered that two of the commonly used I/O Smart Templates is miscalculating the total I/O balance for the encounter and is reporting incorrect data in the note (screenshot below).
We are going to remove this from any note that contains the template as well as remove the autotext from being available for use. The I/O data you view within the chart in either the Intake and Output component or in INet remains accurate. The only thing that was affected is the Smart Template that brought the data into your DynDoc note. In the meantime, we are developing strategies for how to display I/O data in clinical notes in the future.
We apologize for any inconvenience this may cause.
The following note templates will have the intake and output section removed:
Progress Note PICU
Derm Progress Note
Family Medicine ICU Progress Note
Family Medicine Progress Note
Orthopaedic ICU Progress Note
Orthopaedic Progress Note
Palliative Care Consult Note
Palliative Care Progress Note
Pediatric Oncology Progress Note
Surgery Admission H&P
Surgery Progress Note
In addition, the public autotext below will be removed for use from the system. Please note that if you have duplicated this autotext for personal use, it will no longer function as well but will display as “no qualifying data”.
We have discovered an issue that has caused the ADT Notifications (CMS Admission, Discharge, and Transfer Event Notifications) to fail. The following processes are impacted along with ADT Notifications:
Messages from Message Center sent to a secure email address outside or our EMR (email address not ending in “@direct.myteamcare.com”) will potentially fail
Sending of CCDs or ToCs to someone not using our EMR or Message Center will potentially fail
We are working diligently to correct this issue.
Before Ordering a Lab Add-On
Check the patient's chart for lab testing that has been completed in the last 24 hours for specimen availability.
Check patient's chart for any duplicate orders that may have already been ordered by other providers.
Do Not Use Lab Add-Ons for:
For Future Daily Routine Orders
If specimens are not “IN LAB” status
for Troponin T High Sensitivity (must be collected in green lithium heparin tube)
for tests that must be received on ice (Lactic Acid, Ammonia, Homocysteine, ACTH)
for all reference lab orders (New collection required with special requirements)
for protect from light tests (methotrexate)
Coagulation tests (PT/PTT)
GC Urine by PCR (This requires a separate collection kit)
TEG (New collection required)
Transfusion Testing (New collection required)
Do’s for Lab Add-On:
Start & Stop Date are for current date & time only.
Under Priority select LAB ADD ON
Reporting Priority is Routine
Frequency is not to be selected
Collected is to be entered as NO
Nurse Collect is be entered as NO since nothing is to be drawn
Plan to update the following Diet modifiers to match IDDSI Standards and explain these diets are for dysphagia on Wednesday, January 19th, 2022.
Dysphagia: Easy to Chew (EC7)
Dysphagia: Minced & Moist (MM5)
Dysphagia: Soft and Bite Size (SB6)
Dysphagia: Pureed (PU4)
Mildly Thick Liquids (MT2)
Moderately Thick Liquids (MO3)
New Supplements to Add to Dietary Supplements: Code set 6107
Ensure Max Protein
We need your help! Recently, funeral homes have begun to refuse to pick up bodies from our morgue until the physician has signed the death certificate. This is causing a great deal of backup and congestion in the morgue at UMC.
Nursing House Supervisors are having to do a frequent physician follow-up to get physicians to sign death certificates. Some physicians do not yet have an account with the state database.
Please complete death certificates as quickly as you can. If you are not signed up with the Texas online database for certification, TexEver, then please contact your administrator to sign up.
