Physician Electronic Signature in Meditech 5.6

Transcription

1 Physician Electronic Signature in Meditech 5.6 November, 009 Page

2 ELECTRONIC SIGNATURE (e-sig) All MHS Physicians can request electronic signature privileges through their respective HIM departments and/ or Medical staff offices Any HIM report viewed in Other Reports in EMR menu can be signed electronically 4/7 in hospital and remotely. Includes H&Ps, Discharge summaries, operative reports, and consults. Can sign and edit documents sequentially or sign at one time. Unsigned verbal/telephone orders and progress notes still require a manual signature at this time in HIM at MDMC and MCMC. Electronic Notice of Participation needs to be completed in the HIM department for authorization of participation Page

3 GETTING STARTED Select the Meditech icon on your PC Put in your Meditech physician user name and hit tab key Put in your Meditech password and hit tab key Last entry is HCIS LIVE hit enter to go to Meditech desktop 3 Page 3

4 ASSIGN e-sig PIN NUMBER Depending on your role, you may have a different menu to select than another provider. Menu name shows at # below From ITS, go to Change Password or Create PIN, then Create/Change Your e-sig PIN From EMR, go to Change Password or Create PIN, then Create/Change Your e-sig PIN 3 3 ITS EMR 4 Page 4

5 ASSIGN e-sig PIN NUMBER Enter your Meditech password Enter what you want for your New PIN number. It can be four digits Enter twice and click OK This will enable your new PIN number for e-signature Once your PIN has been filed, you will receive a confirmation Page 5

6 e-signing DOCUMENTS Again, depending on your role, you may have a different menu to select than another provider. Menu name shows at # below From ITS, click Provider, then follow the instructions on the next slide From EMR, click Sign Documents ITS EMR 6 Page 6

7 e-signing DOCUMENTS Ignore this slide if you are using the EMR menu This only applies if you got here from the ITS menu Once in the Provider screen, click on Sign 7 Page 7

8 e-signature DOCUMENTS SCREEN This applies for all users Your patient documents to be signed will show in this window You can: Edit - Allows editing to be done View - View only Sign Sign documents with pin number Sort Allows sorting of reports Unsign Allows unsigning of reports Signing can be done one at a time or sequentially by placing a check next to multiple reports to review/sign (most efficient) Each report will show sequentially Your PIN number will be asked once at end 8 Page 8

9 SEQUENTIAL e-signature PROCESS This is recommended as the most efficient process Select all patients by clicking the Select button In the pop-up window, click Check All Documents, then click OK Once the system evaluates the reports, click Sign Page 9

10 SEQUENTIAL e-signature PROCESS The report(s) will now display If no changes are necessary, click Sign, which will place this signed document in a queue for later signature PIN number completion at end of session. If you need to fix the report, click Edit You will now be taken to the next document for review Repeat the steps for each report 0 Page 0

11 SEQUENTIAL e-signature PROCESS The number of reports you have reviewed and signed will show in a pop-up window Select Sign as a final confirmation Or Go Back if you need to make changes (Edit, Unsign, etc) Or Cancel Page

12 SEQUENTIAL e-signature PROCESS You will now enter your PIN to complete the e-signature process Page

13 CONFIRMATION OF DOCUMENTS SIGNED STATUS Check the right hand Signed column to confirm your documents have an electronic signature, which shows as a Y. EMR will show in Other Reports as Signed status in a few minutes after completion of signing Y 3 Page 3

14 SEQUENTIAL EDITS This is recommended as the most efficient process, and can be done at the same time as the Sequential Signature process discussed previously Select all patients by clicking the Select button In the pop-up window, click Check All Documents Then once the system evaluates the reports, click Edit 3 4 May Page 4

15 EDIT REPORT SCREEN Under description, the first line may either be blank or you may see "Body of Text (depends on where document was typed) Click in the Edit box, and type Y 5 Page 5

16 DOCUMENT EDIT SCREEN Edit mode usually has the first line in red, but Medquest typed reports at MDMC may not have this red text You can make your corrections just as in Microsoft Word For your own benefit you can document your corrections by selecting format and font icon at top of menu toolbar to make the text bold or italics etc 6 Page 6

17 SAVE YOUR EDITS After making your changes hit the F key or click the green check on the right side of the screen to save your edits. The ESC key exits without saving. Select Yes when prompt asks File? When returned to the General Report Screen (right), click Save 3 7 Page 7

18 SAVE YOUR EDITS After saving, Meditech confirms the changes have been filed Select Close 8 Page 8

19 NEXT EDIT(S) If you had selected multiple reports to edit, the Next report will now be available Select Next, and the repeat the steps to Edit your document(s) If you do not wish to continue, you may select Stop 9 Page 9

20 VIEW SIGNED DOCUMENT IN EMR From ITS, click Provider On the Provider screen, select EMR From EMR, click View Patients EMR ITS ITS 3 0 Page 0

21 VIEW SIGNED DOCUMENT IN EMR This applies for all users Select the correct Patient, using any of the methods, such as Recent Access, Any Location, Any Record, etc Select the correct Visit Page

22 VIEW SIGNED DOCUMENT IN EMR Go to Other Reports Select the category at the top Click the bubble under Report to see the report 3 Page

23 VIEW SIGNED DOCUMENT IN EMR Your electronic signature will appear at bottom of document with date and time signed 3 Page 3

24 UNSIGN A SIGNED REPORT If an important change is missed after a document is signed, you can UnSign the document and edit it Place a check in the checkbox next to the correct Patient/Report Click UnSign, and enter your PIN Y 3 4 Page 4

25 UNSIGN A SIGNED REPORT Report returns to draft status in EMR shown by lack of Y in signed column on right of sign documents screen. You can Edit document by selecting Edit and doing all steps as before Re-sign document when you have reviewed your edited corrections 5 Page 5

26 SIGNED DOCUMENTS NOT LEAVING SIGNING QUEUE Rarely, a document may go to EMR as signed and will remain on your signing queue, but this is easy to fix From ITS, go to Clean Up Sign Documents From EMR, go to Clean Up Sign Documents ITS EMR 6 Page 6

27 SIGNED DOCUMENTS NOT LEAVING SIGNING QUEUE This applies to all users Add your Username at Documents for Provider, then click OK This action will not affect status of any of your signed documents in EMR It only acts as an electronic nudge to get a patient report out and off of your signing document queue. 3 Click Close This prompt indicates number of records hung up, and should take all hung up records off of your signing queue If it does not, contact 7HIM Page 7

28 CONCLUSION Congratulations on your completion of the electronic signature module You should now be able to change your e-sig PIN number, Sign reports, Edit reports, UnSign reports and Clean Up your queue If you have any further questions please contact the HIM personnel: Kelly Reddick and Lori McLemore, MCMC Jose Ago, MDMC Jennifer Sayles, MMMC This document is one of four: Remote Access Meditech Training Physician Consult Ordering Electronic Signature (this document) Page 8

29 CONTACT INFORMATION If you are having problems with your access, please contact the MHS helpdesk or MHS does not have a team to come to your office to repair PCs. October 006 9