New PowerForms: TUG Test & PHQ-9

TUG Test (Timed Up & Go)                      

PHQ-9 (Patient Health Questionnaire - Adult)

Two new powerforms are available for provider/mid-level/nurse documentation.  Currently, the powerform is nested (when saved) in "form browser" and "clinical notes".  Hopefully at a later date it will also live in the flowsheet as well, but this has not yet been approved and their is not estimated date.  

The forms can be found for ad hoc documentation within the "Additional Assessments" folder.

Business Office: Status of LBOCS

All:

Per Mike Hollers from the Business Office regarding the status of LBOCS...  

  • ·         LBOCS is to be used for…
    • o   Clinics needing assistance with such things as FSC or insurance or providers that need added to the system
    • o   General Questions
    • o   Inquiries that have no established contact from within the Business Office
  • ·         LBOCS is not to be used for…
    • o   Any requests that can be handled through the MPIP SharePoint Website
    • o   This includes requesting a new user or to change a profile
    • o   TES or PC work file access

Vaccine Eligibility Update

You may have noticed an update to the Vaccine field in the nursing adhoc intake forms.

Ultimately, what this change does is:

     * Take the place of paper form that the clinics fill out each visit

     * The Health Department can not look at the powerform for chart audits, instead of

        scanned documents

     * A report is being developed that can be ran as needed for yearly reporting to the

        Health Department. 

Use your own guidelines, but you can utilize this data field in place of the current paper form (TVFC – Patient Eligibility Screening Record) that was being filled out each visit and then scanned into the patient’s chart. 

Date of Injury Documentation in Ad Hoc

* In Ad Hoc, click on the 'Workers Compensation' tab

* Once the form opens, populate the following fields:

     1. Date of Injury

     2. Injured at Work

     3. Employer (if needed)

     4. Injury Side

     5. Injury Site

* Once a form is completed, use the check mark to sign it

* A charge will need to be dropped by the provider or nurse for the visit

* The date of injury will flow through the interface into TES for the coders and billing staff to

   add to claims

*The coders will still have to populate the remaining fields in TES

PRINT OUT of Date of Injury Tutorial

Order Communication Types

ATTENTION

Modification to communication types

*Depending upon your position will determine which communication type you will have access to.*

You will need to select the communication type based off the criteria below.

Transcribed from Paper:  Used to transcribe an order from a paper order, signed by the provider, into the system by authorized personnel

Transcribed from Electronic:  Used to transcribe an order from an electronic order, signed by the provider, into the system by authorized personnel

Order Management:   Used when entering an order because of an error in the way it was entered by a provider. Examples include orders that were activated on the wrong encounter when no order details need to be changed.               Note: If any details of order change or a different exam is needed, you must call physician for clarification and choose Phone/Read Back as your communication type.

Phone/Read Back:   Used when taking an order from the provider over the phone and entering it into the system. Can only be used under specific circumstances and by specific personnel.

Verbal/Read Back:   Used in emergent situation when provider cannot access the system to enter orders themselves

 

*Note: Activation of future orders does not require entry of a communication type. It will default to type entered by original person that entered order.

This change will take place: Wednesday, March 4th @ 0630 hours

Evidence Based Practice - Updated Pain Assessment

Updated Pain Assessment for the Cognitively Impaired

To stay in accordance with current evidence based practice, UMC has updated their inpatient nursing documentation of the cognitively impaired patient.  This will have small changes to outpatient pain documentation as well.  No changes will be noticible unless you select that option for cognitively impaired while doing your pain documentation.  You will then be taken to the newly updated subscreen to continue as usual.

The new cognitively impaired pain assessment tool will go in to effect later today and should cause minimal workflow change. 

A side note to point out is that each field has reference text associated to it that can assist staff with how to score a particular field if they get stuck.  


 

New Toolbar Option - Ambulatory Organizer

Now available to front staff and nursing positions within the ambulatory setting...the ambulatory organizer!  This is the new schedule setting you've been seeing with the providers for the past couple months.  It is NOT set as your default, as not all clinics wish to use this option.  But it is now in your toolbar for your use and convenience.  Enjoy! 

There is a PUTTER Ambulatory Organizer tutorial link at the bottom if you are unfamiliar with its workings.

 

 

Ambulatory Organizer

Patient Past Medical History Control Changes

Later in November we are looking to continue with our efforts of progressively streamlining documentation.  This change will consist of continuing the ability to VIEW the past medical history control, but no longer manipulating it.  It will be in a "view only" state.

The goal is to document patient issues on the problem list.  For all clinic nursing intakes that currently contain the past medical history control, we will be removing those and replacing them with the problem/diagnosis control.  Not all locations use these tools for nursing, so continue on as usual with your current workflow...it will just be a different control within nursing documentation.  Also, the option of "patient stated" has been added as the default setting for nurses, so they will not have to worry about making that selection every time.  It will work that way for both the powerform in ad hoc charting as well as the TOC workflow.

Providers:  Be aware that if you do come across a nurse-entered problem that you wish to convert with the "patient stated" listed within it, you will need to make sure to select the drop-down and manually change the classification to "medical".

Listed below are examples of the changes taking place.

 

 

*Please be aware that we are not able to disable the "ADD" button itself when you are within the View Only PMHx tab.  If you do select it, it will take you to the Add functionality, but will not allow you to actually add anything.  If you find yourself within the "ADD" screen, simply select the "cancel" button to back out.

Flu Reminders in PowerChart - 9.17.14

Starting tomorrow, TTP and PNS will begin sending reminders through the portal to patients reminding them that it is flu season and it is time for their flu shots.

They will be instructed to reply via the portal:

      1. To request appointments for their vaccine, and/or

      2. Reply to message stating that they received the reminder. 

This will help you meet your meaningful use metrics for patient reminders and secure messaging.

If you receive the generic messages stating that the patient received the reminder, no action will be necessary.  Feel free to delete those messages from the pool.

 

 

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Scanning Folder - Birth Plans

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A new scanning folder is available for the documetation of paper birth plans.

Please note: this is not meant to bypass the existing electronic documentation in the nurse OB initial and supplemental intakes that populate the birth plans section of the pregnancy summary.

The new folder is nested with the folder that will be viewable by both clinics and hospital. 

Your staff that do any current scanning of this will need to add the folder to their defaults, if they

 

Portal Registration - Refresher Training and New Items

The banner bar has some new verbiage to present a clearer picture for when trying to decide if a patient can be signed up for the portal.  Also, in the attempt to decrease the amount of “errors” and patients not receiving their invitations properly, we are sending some refreshers…enjoy!

 

The banner bar will now show the following options:  “please invite”, “invitation sent”, “active account”, “not interested”, and “yes, generate invitation”.

When filling out the invitation information, to avoid any errors, follow the following workflow:

  1. Fill in ALL four boxes:  email address,would you like to enroll, challenge question, and challenge answer
  2. If the patient is not interested, “not interested” INSTEAD of “yes, generate invitation”
  3. If something is not correct on the invitation will see “yes, generate invitation” in banner bar
  4. If no email address, do not generate an invitation
  5. Check to make sure no spaces in the email address
  6. Use PIN as the challenge question and a 4 digit number as the challenge answer
  7. Take the time to make sure the spelling and spaces are correct prior to clicking “OK”