Meaningful Use

Social History Control Updates

With new requirements for Promoting Interoperability Program (PIP), formerly Meaningful Use Stage 3, the Social History control with the Nursing Adhoc is being updated!

You will have the same options, just in a slightly different format. You will still be able to document the patient’s social history within the Intake form; it will just have a more updated appearance.  

The look of the Social Habits Ambulatory section currently looks something like this:

Mid-July, the updated look will roll out and revealing a more sleek appearance. Double-clicking on any of the key terms, will launch open the forms, making them available for you to document patient information:

SEXUAL HISTORY

TOBACCO USE

ALCOHOL USE

RECREATIONAL DRUG USE

Once the information has been documented, select OK to update the patient record. Once back on the Social History home screen, click on Mark All as Reviewed (take credit for your work!) to update the Last Reviewed date to today’s date and select Verified in the Social History Verification box to on the Left.

On subsequent encounters: Once the social history has been completed in this process, follow the following instructions to verify and update.

Verify with the patient that the information is accurate, if it IS correct, click on Mark All as Reviewed (take credit for your work!!) to update the Last Reviewed date to today’s date and select Verified in the required box. Moreover, you are finished with Social History.

If it IS NOT correct, select the control that needs to be updated and select Modify. 

In this example, we are going to modify the Tobacco control.

Make the necessary updates and select OK.

Reviewing the Tobacco Control, you are now able to see the updates to this control.

Right-clicking on the desired control, you can view more options that allow you to edit the controls. Note that this is where you can review the history of the control.

 

Social History Control

Sexual Orientation - Gender Identity (SOGI)

2015 CEHRT/Meaningful Use Stage 3/PIP: Sexual Orientation & Gender Identity

Sexual Orientation & Gender Identity (SOGI)

As a part of the 2015 CEHRT (Certified EHR Technology) requirements, our electronic health record (EHR) must have the capabilities to document sexual orientation and gender identity (SOGI). Utilizing this feature will allow us to improve our patient care by capturing a patient’s sexual orientation and preferred gender identity.

SOGI can be documented in Cerner using the Social History Control, and can be accessed via Histories on the Table of Contents/Menu or by documenting in the control via a PowerForm.

Sexual Orientation & Gender Identity (SOGI) – Transgender Alert

The new Social History Control has the Gender Identification field; similar to the one in the Sexuality History PowerForm. In order to maintain the Transgender Alert (patients that are transitioning from one gender to another and cannot yet legally change their name in the EHR), the Sexuality History form will be renamed and continued to be used for the purposes of adding documentation for the Transgender Alert.

Due to upcoming functionality for documenting Birth Sex, the Sex at Birth field will be removed in the near future.

For those allowed to update the birth sex or admin sex in PM Conversation:

Select PM Conversation from within a patient’s chart.

Select Admin/Birth Sex

Document the appropriate/legal admin or birth sex field.

Select OK.

SOGI Education