Best Practice Workflow: Patient Matching

Description:

The purpose of this document is to provide the best practice workflow for the secure messaging to external provider’s process. Information sent in this process may include transition of care documents and other patient information that will add value to the patient’s existing medical record.

Workflow:

Messages from external sender are received in to the Message Pool titled Secure Non-Matched, meaning that they are not matched to a patient within PowerChart.

 

The Message will contain an attachment from the external sender and the will need to be matched to a patient within PowerChart by selecting the Patient Match option.

To Patient Match process opens a pop up with Possible Matches determined by preset patient identifiers. 

Review the list of Possible Matches and select the patient that the message should belong to.

If the Patient has not been seen at TTP, UMCP, or UMP, then they may not be in PowerChart.

  • ·   Best Practice is to wait until the patient appointment and attach the information to that encounter   

 

The Saved information can be found in Clinical Notes under Clinic/Office

     > Appropriate department

          > In-Clinic Communication

 

 

Why is my screen locking me out?

 

Industry best practices, regulations, and policies usually stem from some negative experience. One such item which has come up lately is the computer screen lockout of 10 minutes. This is a regulatory requirement (HIPAA and PCI), Industry best practice based on NIST and ISO, as well as a HITRUST requirement. UMC has had this policy in place for the past three years, however we recently discovered not all computers were being affected by this policy.

When a user walks away from a computer and is logged in then anyone, employee or non-employee, now has access to information which they may not be entitled and this information is required to be protected by federal and state law. This lock out policy protects not only UMC and our patients but also our employees who may forget to lock the computer on their own. Whereas we wish healthcare was exempt from malicious actors who wish to profit from our data, this is just not the case. In fact healthcare has become the #1 target of bad guys. We appreciate everyone’s understanding as we make UMC more secure.

Phil Alexander | Director of Information Security & ISO| UMC Health System

Patient Status Order Signature Alert

 

Due to CMS regulations that require an Attending Physician signature on all Admission/Patient Status orders, we are enabling a new alert to ALL providers which will trigger each time a chart is opened.  This alert will cease once an Attending physician has signed the Patient Status order.  We appreciate your cooperation, as these encounters are non-billable without a valid Attending signature.

Medications: VTE Prophylaxis Contraindications

2016 CMS will REQUIRE UMC to electronically submit VTE-1 and VTE-2 quality measures. 

Implementation Date: February 24th, 2016

Currently, we are updating/standardizing VTE prophylaxis contraindications within PowerPlans, PowerForm, and Quality M-page. Build PowerNote sentences

*Active/high risk for bleeding

*Treatment not indicated

*Patient or caregiver refused

*Other anticoagulant ordered

*Anticipated procedure within 24 hours

*Allergy/intolerance to all VTE chemoprophylaxis


Medications: Titration Orders

Per DNV, titration orders must REQUIRE specific titration instuctions and end goals.

Implementation Date: February 3rd, 2016

Pain and Sedation Drips (adult only):

-lorazepam

-propofol

-midaolam

-dexmedetomidine

-pentobarbital

-fentanyl

-morphine

-hydromorphone

 

Added required fields:

•Maximum titration instructions (prefilled)

•Maximum dose (prefilled)

•Primary titration goal

•Optional secondary titration goal

ICD-10: We did it!

Congratulations, you survived the ICD-10 conversions!

So here's an update as to how everything is going, and any issues being addressed:

*   So far, so good – All internal systems appear to be handling ICD-10 codes without difficulty. 

     Coders are utilizing both ICD9 and ICD10 right now. Bills are going out the door with ICD-10

     codes as we speak.  Now we wait to see how the insurance companies and clearinghouses

     handle the claims and return the funds. 

*   We are in continuous discussion with Cerner regarding questions about Diagnosis Assistant. 

     If you have any issues or questions, please join the ICD-10 Fair today in the McInturff

     from 3 – 5 PM. 

Image Source: www.enke.co.za

Lifetime Relationships

In the next month we will be turning on relationships for providers to manage. What does this mean to you as a provider?  It means that you will have to identify why you are opening a chart or creating a relationship with a patient.  This will signify that they should qualify as your patient for quality related measures including Meaningful Use and PQRS.

The first thing that you should understand is there are two types of relationships that you can have with a patient. In order to get credit on all Meaningful Use and PQRS measures you need to have both an encounter and lifetime relationship with the patients you see and manage in the clinic setting.

The first type is an encounter level relationship. This is a relationship that applies to a clinic or inpatient visit. Most meaningful use measures qualify patients at this level.

The second type of relationship is a lifetime relationship. This type of relationship is meant to be a longtime relationship with a patient and shows that you are responsible for the ongoing care of this patient.

Both of these types can be created and assigned in multiple ways. 

Reviewed: 3.1.19

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