SOFTWARE CONFIGURATION

Transcription

1 SOFTWARE CONFIGURATION

2 TABLE OF CONTENTS PREFACE How This Manual is Organized... i Understanding Typographical Conventions... i Cross-References... i Text You Type Using the Keyboard... i Keys You Press and Buttons You Click... i Dialog Box, Application Window Titles, and Field Names...ii Notes, Warnings, and Tips...ii SETTING UP THE PRACTICE Mapping to MicroMD PM Terminology Gathering System IDs Log in to the MicroMD EMR Manager Step 1: Enter the Practice Information Step 2: Add Users and Facilities Step 3: Set System-Wide Defaults Step 4: Communication with External Applications Surescripts Setup RxHub Setup Interfax Setup Step 5: Reference Lists Step 6: Defining In-House s and Labs Step 7: System Monitoring Step 8: Customization CONFIGURING ADD-ONS eservices Direct Secure Messaging through Surescripts Clinical Interoperability Network (CIN) (MicroMD EMR) Henry Schein Secure Chart Patient Portal (MicroMD EMR) Dragon Medical Practice Edition MicroMD Custom Reports - Admin Console and Reports Viewer Configuration (MicroMD PM + EMR) Topaz esignature Pad Configuration InterFAX Configuration MicroMD EPCS Gold CUSTOMIZATION Step 1: Encounter Tools Step 2: History Templates and Common Lists Step 3: Other Templates Step 4: Add to the Patient Education Library MicroMD EMR Configuration Manual 10.0 TOC.1

3 Table of Contents Step 5: Add Contacts to the Contact Manager Step 6: Enter Common Dosages into the System Step 7: Establish User Preferences Repeating These Steps What to Do Now CONFIGURING A LAB INTERFACE FOR THE EMR LAB COMPENDIUM TOC.2 MicroMD EMR Configuration Manual 10.0

4 PREFACE This manual is designed for Independent Training Representatives (ITRs), resellers of MicroMD EMR software and for Henry Schein Medical Systems (HSMS) training personnel as a guide through the initial setup of MicroMD EMR. The purpose of this manual is to explain the minimum data required to complete the initial set up of the program, beginning after the installation of MicroMD EMR. These instructions prepare the system for overall office production. STOP Before beginning the procedures contained in this manual, verify that the computer network and MicroMD EMR have been installed appropriately. This configuration manual does not include installation procedures or networking and hardware setup. HOW THIS MANUAL IS ORGANIZED This manual is written on the assumption that the reader already knows how to use the program. It lists the tasks involved in the initial setup in a simple step-by-step format. In other words, this manual describes what needs to be done and why it needs to be done. The MicroMD EMR User s Reference Manual describes in-depth how to actually perform many of the steps required. You can select Help > Reference Manual from the main menu in either the MicroMD EMR application or the MicroMD EMR Manager to access the documentation. UNDERSTANDING TYPOGRAPHICAL CONVENTIONS Before using this manual, it is important to understand the typographical conventions used to identify and describe information. Cross-References Cross-references to chapters, sections, page numbers, headings, etc. are shown in an italic typeface. e.g., Refer to Understanding Typographical Conventions on page i. Text You Type Using the Keyboard Text that you type using the keyboard is shown in a Courier typeface. e.g., Type Anthony Smith in the Name field. Keys You Press and Buttons You Click Keys that you press on the keyboard and buttons/icons that you click with the mouse are shown in a bold sans-serif typeface. e.g., Press Enter. e.g., Click OK to continue. MicroMD EMR Configuration Manual 10.0 i

5 Preface Dialog Box, Application Window Titles, and Field Names The titles of dialog boxes and application windows are shown in italics. Field names and selections made from dropdown menus, etc. are also shown in italics. e.g., The Print Preview dialog box appears. e.g., Select Commercial Insurance from the drop-down list. Notes, Warnings, and Tips Notes, tips and warnings are provided throughout the manual. These provide additional information that is important for you to know about the topic. NOTE A note is an important piece of information. STOP You should definitely read the information in a warning. It could help you prevent a disaster. TIP A tip table helps you with some interesting information about different ways to use the program. ii MicroMD EMR Configuration Manual 10.0

6 SETTING UP THE PRACTICE CHAPTER 1 Once you have everything installed and your content requirements established, you can then configure the program for the practice and then customize each user s preferences. You must first use the MicroMD EMR Manager to create the practice, enter locations, create users and establish any defaults. MAPPING TO MICROMD PM If working with a practice that has purchased both MicroMD PM and MicroMD EMR, there are some important relationships you must understand and some additional IDs you need to retrieve from MicroMD PM. Terminology The following describes as simply as possible how to draw a parallel between the two products and the terms used within each product. You should keep these relationships in mind as you set up a system: Practice in MicroMD EMR has no comprehensive relative in MicroMD PM unless this is a single-practice system. Since there can only be a single practice within MicroMD EMR, but multiple practices within MicroMD PM, you enter the main practice name on the Practice tab in MicroMD EMR. However, you actually enter the practices for the system under the Departments tab and map them accordingly. Clinics in MicroMD EMR = Location in MicroMD PM Each Clinic you establish in MicroMD EMR corresponds to each practice location you create in MicroMD PM. Department in MicroMD EMR = Practice in MicroMD PM When you have multiple practices within MicroMD PM, you enter each of those practices as a department and then map them accordingly. Gathering System IDs If you have a system with both MicroMD EMR and MicroMD PM, you should have some additional information up front before you begin to configure MicroMD EMR. Since you set up the practice management portion of the practice s system first, you should have this information readily accessible. Location Mapping Information Select Setup > System Preferences from the main menu in MicroMD PM. From the Locations tab, record the number in the ID column for the locations you need to map in MicroMD EMR. You will enter this in the External Id field when creating clinics in the EMR. MicroMD EMR Configuration Manual

7 Chapter 1. Setting Up the Practice Figure 1.1 Location Tab in System Preferences Practice Mapping Information Locate the first part of the client ID security key (e.g., 2323-AQJK12H). You will enter this in the External Id field when creating departments in the EMR. NOTE For internal employees, you can find the client ID in the Office Package on the Practice tab of the client s account. Provider Mapping Information Select Maint > Provider from the main menu in MicroMD PM. On the Provider List window, record the number in the ID column for the providers you need to map in MicroMD EMR. You will enter this in the External Id field when creating users in the EMR. Figure 1.2 Provider List Window 1.2 MicroMD EMR Configuration Manual 10.0

8 Setting Up the Practice LOG IN TO THE MICROMD EMR MANAGER 1. Double-click the MicroMD EMR Manager icon on the desktop. 2. Type the username and password provided from the installation team for the administrator account. The Logon window opens. TIP This username and password come from the Microsoft SQL installation. 3. Click OK to proceed. STEP 1: ENTER THE PRACTICE INFORMATION 1. Click the Practice Information button. This displays the Practice Information Manager screen. 2. Click the Practice tab. 3. Click the Edit button in the lower right-hand corner of the window. The Practice Information window opens. 4. Edit any data you need to change. STOP The Phone and Fax fields are required for reporting purposes, as well as e-prescribing. The Client ID field is required for MicroMD DMS. 5. Click OK to save this information. Log in to the MicroMD EMR Manager 1.3

9 Chapter 1. Setting Up the Practice Clinics Tab 6. Click the Clinics tab. NOTE You must create at least one entry on this tab in order to use MicroMD EMR. 7. Click the Add button. The Clinic window opens. 8. Enter all applicable data for this location. STOP If configuring a system with both MicroMD PM and MicroMD EMR, you need to enter the number you recorded for this location in the External Id field. 9. Click OK to save this information. 10. Repeat steps 7 through 9 for each practice s physical location. Departments Tab 11. Click the Departments tab. NOTE You must associate at least one practice with each location in order to create users within the system, even if there is only one practice location. 12. Select the appropriate location from the Clinic drop-down list. MicroMD EMR populates this list from the Clinics tab. 1.4 MicroMD EMR Configuration Manual 10.0

10 Setting Up the Practice 13. Click the Add button on the bottom left of this section. The Add Department window opens. STOP You must complete the Street Address, City, State, Zip, Phone and Fax fields for the e-prescription module to function properly. 14. Enter all applicable data for this practice. STOP If configuring a system with both MicroMD PM and MicroMD EMR, you need to enter the client ID security key you recorded for this practice in the External Id field. 15. Click OK to save this information. 16. Repeat steps 12 through 15 to associate each practice with appropriate practice location(s). TIP If you have one practice with multiple locations, you will have to create several instances of the same practice. EXERCISE FOR MICROSYS MEDICAL Create the following in your EMR database: Clinic (Location) 1: Northside Pediatric 760 Boardman-Canfield Rd. Boardman, OH Clinic (Location) 2: Southside ENT No address Step 1: Enter the Practice Information 1.5

11 Chapter 1. Setting Up the Practice EXERCISE FOR MICROSYS MEDICAL Create the following in your EMR database: Department (Practice) for Northside Pediatric: Microsys Medical Department Type: Pediatrics 760 Boardman-Canfield Rd. Boardman, OH Phone: Fax: Department (Practice) for Southside ENT: Microsys Medical Department Type: Family Medicine 790 Boardman-Canfield Rd. Youngstown, OH Phone: Fax: STEP 2: ADD USERS AND FACILITIES The user area in the MicroMD EMR application also functions as the demographics for the user. For example, a user in the MicroMD EMR application who is also a physician only has a user profile. That profile contains their username and password, along with their tax ID, social security number, etc. In MicroMD PM, that physician has both a user profile that contains his or her username and password and a separate provider profile that contains their ID information, etc. TIP When creating users, be sure to click the Next button to save your current changes before you click Back to edit a previous page. If you click the Back button without moving forward first, you lose any data on the current page. 1. Click the Users & Facilities button. This displays the Resource Manager screen. Create Users in the System 2. Click the Users tab. Remember: Physicians in the EMR do not have separate profiles. You should record all of their IDs, etc. in this area. 3. Click the Add button to add a new user. The pages of this wizard correspond to the sub-tabs of the Users tab. To edit any information after creating the user, just click the appropriate tab and click the Edit button. 1.6 MicroMD EMR Configuration Manual 10.0

12 Setting Up the Practice 4. Enter all personal information appropriate for this user in Step 1 of the wizard and click Next. 5. In Step 2 of the wizard, enter the user s identification numbers, etc. if applicable, and click Next. 6. In Step 3 of the wizard, enter the user s various contact information and click Next. 7. In Step 4 of the wizard, associate the user with at least one of the departments you created and click Next. 8. In Step 5 of the wizard, establish the user s access rights to the system and click Next. 9. In the final step of the wizard, provide the user account with log in credentials and click Finish. NOTE If using the e-prescription module, you must complete the NPI and/or DEA fields for the user. These numbers are required for the module to function properly. NOTE If using the e-prescription module, you must complete the Phone and Fax fields. NOTE If you do not associate the user with a department, they will not be able to open patient charts. TIP Remember: Click the Edit button to add or adjust the permissions of the individual user. Click the View Rights button only to reference the permissions of each role overall. NOTE If this user has the role of Physician, Physician s Assistant, Nurse Practitioner or Non- Physician Care Giver, you must enter the security key code when prompted. 10. If this is a system with both MicroMD PM and MicroMD EMR, you need to map this user to a provider on the PM side. Proceed with step 11. Otherwise, skip to step Highlight the user and click the Access tab. Step 2: Add Users and Facilities 1.7

13 Chapter 1. Setting Up the Practice 12. Click the Map to External System button. The External System Mapping window opens. 13. Click the book button to add the ID from the PM side. The Edit Mapping window opens. 14. Select MicroMD from the System drop-down. This information comes from the Communication Setup Manager portion of the MicroMD EMR Manager. 15. Enter the provider s system ID in the External Id field and click OK. 16. Repeat these steps to create all users. If you do not need to map to MicroMD PM, you can skip steps 11 through 15. Create User Groups 17. Click the User Groups tab. User groups are used throughout the system. For example, when a provider prescribes a plan for a patient, the provider can specify that any member of a specified user group can execute that plan. 18. Click the Add Group button. NOTE If you do not need to create User Groups for this practice, skip to step Enter all appropriate information for this user. Please refer to the main MicroMD EMR User s Reference Manual under User Roles and Functions for more in-depth details on user privileges. 1.8 MicroMD EMR Configuration Manual 10.0

14 Setting Up the Practice 20. Click OK when finished to save the new group. 21. Repeat steps 18 through 20 for each user group. Create Facilities 22. Click the Facilities tab. This tab allows you to create resources such as EKG machines, ultrasound machines, etc. 23. Click the Add button. 24. Enter all appropriate information for this facility. 25. Click OK when finished. 26. Repeat steps 23 through 25 for each facility. EXERCISE FOR MICROSYS MEDICAL Create the following users in your EMR database: USER 1 Donald Smith, MD Address: none SSN: unknown Gender: Male Specialty: Pediatrics Location/Practice: Northside Pediatrics/Microsys Medical Roles: Physician, Nurse, Administrator Additional Functions: all, except View OR and View Delivery Room Username/password: pedia/pedia USER 2 Justa Kidd, MD Work Address: 760 Boardman-Canfield Rd., Boardman, OH SSN: unknown Gender: Male Specialty: Pediatrics DOB: November 27, 1950 Medical License Number: MA Location/Practice: Southside ENT/Microsys Medical Roles: Physician, Administrator, Lab Technician Additional Functions: Merge Charts, Manage CliniPatient, Add templates to shared, Reports (Admin), Manage Telemedicine, and Add reference data Username/password: kidd/kidd Step 2: Add Users and Facilities 1.9

15 Chapter 1. Setting Up the Practice STEP 3: SET SYSTEM-WIDE DEFAULTS The System Settings area allows you to maintain the MicroMD EMR system. For setup purposes, the installation takes care of most of these settings. The following steps outline only those items that you need to edit at this time. 1. Click the System Settings button. This displays the System Settings Manager screen. Demographics Tab 2. Click the Demographics tab. The Demographics tab establishes the defaults for the listed items when a staff member creates a brandnew chart. 3. Click the Edit button. The Demographic Defaults window opens. 4. From the State drop-down, select the appropriate default state for your practice s new patients. 5. Click OK to save this change. You can leave all remaining fields at their default values. Practice Tab 6. Click the Practice tab. 7. Click the Edit button. The Practice Settings window opens. 8. Edit the options as appropriate for the practice. 9. Click OK to save this change. Leave all remaining fields at their default values. Directories Tab 10. It is not essential to make any changes to the Directories tab at this time. This tab defines various internal pathways for the system, and they were established during the installation. If you need to edit them, you can click the Edit button. Notification Tab 11. It is not essential to make any changes to the Notification tab at this time. This tab defines prevention and immunization reminders. Practice Holidays Tab 12. It is not essential to make any changes to the Practice Holidays tab at this time unless the practice is going to use the schedule actively. Refer to your MicroMD EMR User s Reference Manual for more details about establishing these days MicroMD EMR Configuration Manual 10.0

16 Setting Up the Practice Security Tab 13. It is not essential to make any changes to the Security tab at this time. Unless the practice has specific requests, there is no need to edit this information. This tab specifies the number of characters in passwords, how many failed attempts to allow, etc. Prescriptions Tab 14. It is not essential to make any changes to the Prescriptions tab at this time. Unless the practice has specific requirements for the prescription module, there is no need to edit this information. Third-Party DMS Tab 15. It is not essential to make any changes to the 3 rd Party DMS tab at this time. Unless the practice has a document management system you must configure, there is no need to edit this information. You re finished with any edits to System Settings. EXERCISE FOR MICROSYS MEDICAL Make the following edits to the System Settings section: Demographics: Change the state default to Ohio. STEP 4: COMMUNICATION WITH EXTERNAL APPLICATIONS The settings displayed when you click the Communication button are created when the system is installed and any interfaces are established. Surescripts Setup If the practice is going to send prescriptions and receive prescription requests from Surescripts, you must set up and configure the communication between the two systems. You must also establish information for RxHub. NOTE You must have MicroMD EMR version 7.0 (or later) installed and CliniGration version 7.0 (or later) installed. Any MicroMD EMR user who will send prescriptions and receive prescription requests via Surescripts must be registered with the company. Once you register a user with Surescripts, you receive a Surescripts Provider Identifier (SPI) for that user. This number is issued by Surescripts and identifies the provider in all communication with Surescripts. You use the MicroMD EMR Manager to configure the communication and to register users with Surescripts. Step 4: Communication with External Applications 1.11

17 Chapter 1. Setting Up the Practice You can only register providers who have DEA and NPI numbers recorded in MicroMD EMR. For those nurse practitioners and physician assistants who use a supervising physician s DEA number, you need to enter those users manually into the Surescripts system and then enter the SPI into the MicroMD EMR Manager manually. You must also add the supervisor s DEA and the user s license number combination in the user s profile under the Map to External System button to be included in the prescription transmissions. Figure 1.3 Surescripts in the MicroMD EMR Manager To set up communication and register a physician with Surescripts: 1. Open the MicroMD EMR Manager using the sa login. For more in-depth information about using the MicroMD EMR Manager to set up external communication, please refer to the main MicroMD EMR User s Reference Manual under External Communication. 2. Click the Communication button. The Communication Setup Manager opens. 3. In the System section, highlight the Pharmacy option. MicroMD EMR displays a list of any pharmacy systems with which the practice has been configured to communicate. Ensure that Surescripts does not already appear in the list. 4. Click Add. The System Integration Wizard opens and displays the first step in the wizard. 5. From the Product Name drop-down, select Surescripts. 6. Select Web Service from the Exchange Mechanism drop-down MicroMD EMR Configuration Manual 10.0

18 Setting Up the Practice 7. Select Continuous from the Exchange Mode drop-down. 8. Click Next. Step 2 of the wizard appears. 9. Enter the required task and system schedule information. NOTE The paths for the Rx-Out and Rx-In (Requests) field must be to two different folders. 10. Click Next. Step 3 of the wizard appears. 11. Enter any required information to specify the communication parameters. 12. Click Next. Step 4 of the wizard appears. 13. Click Finish without registering. 14. Restart CliniGration. 15. Return to the MicroMD EMR Manager and step 4 of the System Integration Wizard. TIP Click the Edit button in step 4 instead of the Add button. Click Next until you reach Step 4 of the wizard. 16. Place a check mark in the checkboxes next to the names of the users that you want to register with Surescripts. 17. Enter the user s MicroMD EMR key code when prompted. 18. Click the Register with Surescripts button. A message appears indicating that your request is being processed. Click OK to dismiss the message. Notice that the names of the users who you are registering appear in gray text and the message Step 4: Communication with External Applications 1.13

19 Chapter 1. Setting Up the Practice 19. Click Finish to close the System Integration Wizard. Registration request sent to Surescripts appears to the right of each of these names. MicroMD EMR is now set up for communication with Surescripts. Surescripts may take 10 minutes or more to process your registration requests. Be sure to return to the System Integration Wizard to confirm that the users were successfully registered. RxHub Setup If the practice is going to send prescriptions and receive prescription requests from Surescripts, you must set up and configure the communication between the two systems. You must also establish information for Surescripts. NOTE You must have MicroMD EMR version 7.0 (or later) installed and CliniGration version 7.0 (or later) installed. The RxHub configuration controls the information download so the system can update the benefits information, formulary data and the medication history provided by Surescripts. To set up the RxHub entry: 1. Open the MicroMD EMR Manager using the sa login. For more in-depth information about using the MicroMD EMR Manager to set up external communication, please refer to the main MicroMD EMR User s Reference Manual under External Communication. 2. Click the Communication button. The Communication Setup Manager opens. 3. In the System section, highlight the Pharmacy option. MicroMD EMR displays a list of any pharmacy systems with which the practice has been configured to communicate. Ensure that Surescripts does not already appear in the list. 4. Click Add. The System Integration Wizard opens and displays the first step in the wizard. 5. From the Product Name drop-down, select RxHub. 6. Select Web Service from the Exchange Mechanism drop-down. 7. Select Continuous from the Exchange Mode drop-down. 8. Click Next. Step 2 of the wizard appears MicroMD EMR Configuration Manual 10.0

20 Setting Up the Practice 9. Place a check mark next to all three task checkboxes: Benefits Update, Formulary Update and RxHistory Update. 10. Enter the computer name of the server and the following paths: Benefits Update: NOTE Remember to create the appropriate folders on the server. If you are currently on the server, you can click the Create Paths button. C:\Program Files\HSI\MicroMD EMR CliniGration\rxhub\benefits Formulary Update: C:\Program Files\HSI\MicroMD EMR CliniGration\rxhub\formulary RxHistory Update: C:\Program Files\HSI\MicroMD EMR CliniGration\rxhub\rxhistory 11. Click Next. Step 3 of the wizard appears. 12. Click Next. Step 4 of the wizard appears. 13. Click Finish to close the System Integration Wizard. 14. Restart CliniGration. MicroMD EMR is now set up to download the prescription data updates. Interfax Setup To set up faxing with Interfax, you need the following information to enter in the system: Interfax account number(s) and password(s) Incoming fax line number(s) from Interfax List of EMR users associated with those numbers and/or department associated with each number. NOTE If no user is associated with an outgoing fax account, the system does not display a Fax button for them. To set up the Interfax communication within MicroMD EMR: Create Interface Entry 1. Open the MicroMD EMR Manager and click the Communications button. 2. Choose the Fax option. Step 4: Communication with External Applications 1.15

21 Chapter 1. Setting Up the Practice 3. Click the Add button. The System Integration Wizard window opens. 4. Select Interfax from the Product Name drop-down. 5. Select Shared Directory from the Exchange Mechanism drop-down. 6. Select Continuous from the Exchange Mode drop-down. 7. Click Next. The Task add System Schedule step displays. 8. Place a check mark in the appropriate task you want to activate. If you want to use Interfax for both outgoing and incoming faxes, place a check mark next to both Faxing Out and Faxing In. 9. Complete the Computer Name and Path fields as appropriate. 10. Click Next. The Communication Parameters step displays. 11. Click Next again. The System Specific Data step displays MicroMD EMR Configuration Manual 10.0

22 Setting Up the Practice Adding Faxing Out 12. Click the Add button in the Faxing Out section. The Outgoing Fax Account window opens. 13. In the Account Name field, enter the account name provided by Interfax. 14. In the Password field, enter the password for this Interfax account. 15. If this Interfax account applies to users within an entire department in MicroMD EMR, select that department from the Department drop-down. This is the login name the system uses to access the Interfax web site for this account. This is the password the system uses to access the Interfax web site for this account. The system looks at the departments selected in the Workplace tab of a user account in the MicroMD EMR Manager under Users and Facilities. 16. In the Description field, enter useful text that helps you identify this Interfax account in the list. 17. Click the Lookup icon next to the User(s) field to associate this Interfax account with the appropriate MicroMD EMR users. When these users click the new Fax button in various parts of the system, their faxes use this Interfax account. To remove a user from the list, highlight their entry and click the Delete icon. 18. Click OK. 19. Repeat steps12 through 18 for each outgoing Interfax account the EMR should use. Step 4: Communication with External Applications 1.17

23 Chapter 1. Setting Up the Practice Adding Incoming Faxing 20. Click the Add button in the Faxing In section (step 11). The Inbound Faxline setup window opens. 21. In the Faxline Number field, enter the incoming fax number associated with the Interfax account listed in the Account Name field. 22. In the Account Name field, enter the Interfax account name. 23. In the Password field, enter the password for the account listed in the Account Name field. 24. If this Interfax account applies to users within an entire department in MicroMD EMR, select that department from the Department drop-down. This is the login name the system uses to access the Interfax web site for this account. This is the password the system uses to access the Interfax web site for this account. The system looks at the departments selected in the Workplace tab of a user account in the MicroMD EMR Manager under Users and Facilities. 25. In the Description field, enter useful text that helps you identify this Interfax account in the list. 26. Click the Lookup icon next to the User(s) field to associate this Interfax account with the appropriate MicroMD EMR users. When these users click the new Fax button in various parts of the system, their faxes use this Interfax account. To remove a user from the list, highlight their entry and click the Delete icon. 27. Click OK. 28. Repeat steps 20 through 27 for each incoming fax line from Interfax. 29. Click Finish in the System Specific Data step when you have completed adding outgoing and incoming fax details MicroMD EMR Configuration Manual 10.0

24 STEP 5: REFERENCE LISTS Setting Up the Practice Of the tabs on this screen, you only need to edit the Practice-Preferred Lists tab and the Customizable Lists tab. Before you edit these tabs, you want to make sure that you have this information from the client. These lists allow the practice to support their standard of care electronically. The Practice-Preferred Lists allows the practice to narrow the choices available in the system to those labs, procedures, and medications it uses most frequently or the ones it prefers to use. The Customizable Lists tab allows the practice to define the stations and flag colors used in the Scheduled Visits section of the Desktop. STOP Do not confuse the Practice-Preferred Lists with each user s personal Common List. 1. Click the Reference Lists button. This displays the Reference List Manager screen. Practice-Preferred Lists Tab 2. Click the Practice-Preferred Lists tab. 3. Click the Medications tab on the right-hand side. 4. Add the practice s most commonly prescribed medications to this list. This narrows the list for all prescribing providers and helps avoid the need to scroll through a large list of medications the practice doesn t even use. 5. Click the Plans tab on the right-hand side. 6. Add the practice s most commonly used procedures. This narrows the list of procedures in any plan lists and allows the practice to force the providers to choose from an approved list of procedures. NOTE Physicians can always access the entire list if necessary. 7. Click the Labs tab on the right-hand side. 8. Add the practice s most commonly ordered lab panels. 9. Click the Nursing tab on the right-hand side. 10. Add the practice s most commonly used nursing procedures. Once you finish step 10, you re finished with Reference Lists. Step 5: Reference Lists 1.19

25 Chapter 1. Setting Up the Practice Customizable Lists Tab 11. Click the Customizable Lists tab. 12. Highlight the Station List option and add each item the practice wants to be able to select in Scheduled Visits. 13. Highlight the Flag Colors option and add each color the practice wants to have available in Scheduled Visits MicroMD EMR Configuration Manual 10.0

26 STEP 6: DEFINING IN-HOUSE PROCEDURES AND LABS Setting Up the Practice There are practices that perform certain procedures and/or laboratory tests in their office, rather than sending the patient out to another vendor. This section allows you to specify those procedures and/or labs for the practice from which users can place orders. Users can access these lists from the Smart button when building an encounter. The main MicroMD EMR User s Reference Manual explains the use of this section in more detail under Setup. Unless the practice has a lab interface, there is no need to edit the Custom Labs tab. This tab is only for those panels agreed upon with the third-party interface. 1. Click the In-House Settings button. This displays the In-House Settings Manager screen. Create a List of In-House s 2. Click the s tab. 3. Highlight the appropriate resource and click the Add button on the bottom right-hand corner of the window. 4. Enter all appropriate in-house procedures performed by the resource. The Reference List Viewer window opens. Please refer to the main MicroMD EMR User s Reference Manual for more details on in-house procedures. 5. Click OK when finished. 6. Repeat steps 3 through 5 for each resource that performs procedures in house. Create a List of In-House Lab Tests 7. Click the In-House Labs tab. 8. Click the Add button on the bottom right-hand corner of the window. 9. Create the lab panel and add tests to the panel. The main MicroMD EMR User s Reference Manual explains this in more detail. 10. Click OK when finished creating the lab. 11. Repeat steps 8 through 10 for each in-house lab panel performed by the practice. That s it. You are finished with In-House Settings. Step 6: Defining In-House s and Labs 1.21

27 Chapter 1. Setting Up the Practice STEP 7: SYSTEM MONITORING There is no setup required under System Monitoring. This happens during the installation of the program. Please refer to the main MicroMD EMR User s Reference Manual under System Monitoring for detailed information about this section. STEP 8: CUSTOMIZATION Depending if you need to perform any customizations or you just need to train the client to do the customizations themselves, please proceed to Chapter 2. This chapter provides a basic list of the items you need to be sure to address MicroMD EMR Configuration Manual 10.0

28 CONFIGURING ADD-ONS CHAPTER 2 MicroMD works with many different software vendors and partners to bring you the most effective tools to run your practice. Since these tools work in conjunction with the MicroMD EMR and PM products, there may be some set-up required for each add-on. In this section we will cover all of the add-ons for MicroMD EMR, complete with pertinent information on key coding, set-up instructions, and guidance on acquiring support for each one. ESERVICES The following are eservices that work with MicroMD EMR. Direct Secure Messaging through Surescripts Clinical Interoperability Network (CIN) (MicroMD EMR) The Surescripts Direct Secure Messaging service is a network developed for the safe and secure transmission of clinical data between providers and patients. Surescripts Direct Secure Messaging will enable providers to meet several Meaningful Use objectives that require secure transmission of medical information, including Core Objective 17 Secure Electronic Messaging. See the MicroMD Objective Measure Calculations 2014 manual for a complete listing and explanation of all core objective measures for 2014 meaningful use. Patients and providers can transmit a wide range of formats of clinical data over the Surescripts Direct Secure Messaging service through the MicroMD Secure Chart Patient Portal. Both the practice and patient must be configured to use provider-to-provider direct secure or patient-to-provider direct secure . The domain of all direct addresses will be the The practice will complete a registration form with practice information, and an alias for each user, practice or clinic. When the form has been submitted, MicroMD accounting will process the form and generate the necessary key codes used for registering users, clinics and practices. Available in Version: or higher Key Codes: Required Whenever a practice, user or clinic is assigned a direct secure address to be used with Surescripts Direct Secure Messaging, the Accounting department at Henry Schein will generate a key code. This key code is used internally when users are configured for their direct secure addresses. Support Users requiring support should call the MicroMD Client Support at (330) x3973 (EMR Support) Additional Configuration Instructions The first piece of configuration necessary to enable Surescripts Direct Secure Messaging is the configuration of direct addresses. For small practices, communication will generally flow through one main part pf the practice. These practices should register their main department. For larger practices with multiple locations where communication is handled by each of these sites individually, communication will generally flow through each location, and all appropriate clinics should be registered. MicroMD EMR Configuration Manual

29 Chapter 2. Configuring Add-ons Configuring Direct Mail A. Open the MicroMD EMR Manager. B. Select Communication from the navigation pane on the left. C. Select Direct Mail in the System menu. D. Click the Add button. This will open the System Integration Wizard. E. In the Product Name drop-down, select Net2Net. F. In the Exchange Mechanism drop-down, select Web Service. G. In the Exchange Mode drop-down, select Continuous. H. Click the Next button. I. In the Data to Exchange panel, enter the Computer Name and Path for incoming and outgoing mail. J. Click the Next button to continue to Step 3. K. When configuring Direct Mail, no communications settings are required in Step 3. Click the Next button. L. In Step 4 you will be choosing providers from the practice who will be enrolled in direct messaging. Check the checkbox next to the name of the clinic, department or user you would like to enroll. 2.2 MicroMD EMR Configuration Manual 10.0

30 Configuring Add-ons When you check the checkbox next to a user s name, a direct address will automatically populate the field. NOTE The address that was generated for the key code must be entered in place of the automated one. Notice the yellow area reserved for the key code for each user. The key code will be entered into the yellow field to the right. M. Once you have selected the users, clinics and/or practice you would like to enroll, click the Register Direct Mail Users button. You will be presented with the following pop-up notification. The system will display a red/orange circle while the request is pending. Once the request has been approved, a green checkmark appears. NOTE The window must be closed and re-opened to be refreshed. If the request fails, the system will display a red X. The error message will appear in hover text over the icon. N. Click the Finish button. The next step in configuring enrollment in the Surescripts Direct Secure Messaging Service is to enter the direct address for the practice. Copy the direct address from the main department or clinic, then paste it into the direct address field. eservices 2.3

31 Chapter 2. Configuring Add-ons Figure 2.1 Enter the direct address in the EMR Manager Next, you ll need to configure individual users and permissions for viewing and sending both practice direct mail and user direct mail. 1. Open the MicroMD EMR Manager. 2. Select Users & Facilities. 3. Select the Users tab under Users and Facilities Manager. 4. Select the appropriate System User from the menu on the left (or perform a search). 2.4 MicroMD EMR Configuration Manual 10.0

32 Configuring Add-ons 5. First, click the Edit... button (below the Additional Functions area). This will open the User Roles and Functions window. 6. The last item on the right side of the window is the Manage Mail to Clinic checkbox. Check this box to grant the user access to the primary direct mail address of the practice. 7. Click the OK button to close the User Roles and Functions window and advance to the next step. 8. Select the Roles tab. eservices 2.5

33 Chapter 2. Configuring Add-ons 9. Select the Mail Access tab in the lower portion of the window. In this tab, you will designate which direct addresses each user can access. 10. Click the Add... button. This will open the Reference List viewer. 11. From the Viewer, select the preferred accounts that will be associated with the selected user, clicking the Insert button after each one. You can associate multiple mail accounts with one user. Simply repeat this process. When finished, each user granted access to will have a list of Mail Access permissions as shown below. Any direct mail that comes in for the direct addresses that the user has been given permission tio access will appear on the desktop under the mail section. 2.6 MicroMD EMR Configuration Manual 10.0

34 Configuring Add-ons Henry Schein Secure Chart Patient Portal (MicroMD EMR) The following steps outline setting up the patient portal from start to finish. Sales, MicroMD Accounting and Support staff all play a part in the registration and set-up, and each step is tagged with the responsible party. Keep in mind that billing for the patient portal begins as soon as the portal is created, so Accounting will not want to register the client until the client is ready to go live with the product. Available in Version: 7.5 or higher Key Code: Required Once a signed quote for Patient Portal is returned to MicroMD Accounting with the completed Secure Chart Patient Portal Registration Form, MicroMD Accounting will generate and issue a key code to activate the integrated functionality with MicroMD. Support Users requiring support should call the MicroMD Client Support at (330) x3973 (EMR Support) or contact their VAR for support. Additional Configuration Instructions The configuration of a client to use the Patient Portal involves several steps (outlined below). Setting up clients to use The Henry Schein Secure Chart Patient Portal The following steps will explain the process of configuring the Patient Portal for client use. 1. MicroMD receives an order from sales and issues a quote to the sales resource along with the Patient Portal Registration Form for the client to complete. The form must be returned to MicroMD Accounting. 2. MicroMD Accounting receives completed Patient Portal Registration Form and generates the key code. 3. Enter the key code into the appropriate area of the EMR Manager See Patient Portal Registration Form explained below. NOTE Key code is provided to MicroMD Client Support or the VAR to complete the client configuration. The key code is entered in the spaces provided next to the user name in Step 4 of the System Integration Wizard. (See the screen shot below.) These instructions are continued below after a brief explanation of the registration form. eservices 2.7

35 Chapter 2. Configuring Add-ons Figure 2.2 Insert the key code into the area marked in yellow The Registration Form Explained Henry Schein MicroMD Client Support or the VAR will set up the basic patient portal after the client registration paperwork has been received. Below is an example of how the client should complete the registration form. Complete the fields in the Practice Information section. The desired portal web address will be the address the patients will go to log in to the portal (much like a website address), so keep it simple. Do not use symbols or spaces in the web address. In the Portal Administration section, make sure the first username is an actual address; the password is not their address. 2.8 MicroMD EMR Configuration Manual 10.0

36 Configuring Add-ons In the Provider Information section, enter the information for each provider in the practice. Each provider is allowed to have up to ten users. Enter user information in the Users section as shown below. Configuring the Patient Portal (cont'd.) 4. (cont d from above) In the MicroMD EMR Manager, click the Communication button. 5. In the System column, click the Patient Portal button. NOTE Steps 4-9 are completed by MicroMD Client Support staff or the VAR. The Patient Portal configuration details display in the right pane of the MicroMD EMR Manager. 6. Click the Edit button. eservices 2.9

37 Chapter 2. Configuring Add-ons 7. In the Web Address field, enter the address provided to you by your MicroMD Support Team. 8. In the CCD / CCR Message text box, enter a standard message explaining to patients how their CCR and CCD files will be displayed and added to the Patient Portal. 9. In the Department drop-down, select which department in the practice is licensed to handle the communication through the Patient Portal. You may be prompted for a key code. This is the web address for the patient landing page. This is the default message patients view in their My Records section of the Patient Portal. When a user publishes a CCR or CCD, he or she can remove this default message and add a new one. NOTE Leave the Patient Portal Settings window open if you are planning to add MicroMD EMR users to the Patient Portal. Figure 2.3 Patient Portal Settings Window Adding MicroMD EMR Users to the Henry Schein Secure Chart Patient Portal Once the system settings have been established for the Patient Portal, you can add MicroMD EMR users authorized to send messages and publish to the Patient Portal. 1. In the MicroMD EMR Manager, click the Communication button. In the System column, click the Patient Portal button. Click the Edit button. 2. In the Registered users section of the Patient Portal Settings window click the Add button. NOTE Steps 1-10 are completed by MicroMD Client Support or the VAR. The Portal User window opens: 2.10 MicroMD EMR Configuration Manual 10.0

38 Configuring Add-ons 3. Enter the user name and password that were established in Patient Portal administration workspace for the MicroMD EMR user. 4. Click the OK button. The username appears in Users Name section of the Patient Portal Settings window. 5. Click on the Users & Facilities button on the left side of the MicroMD EMR Manager and verify the Users tab is displayed. 6. Highlight the appropriate user in the left side of the window and select the Access tab. The system displays the user s current details in the right side of the window. 7. Click the Map to External System button. The External System Mapping window opens. 8. Click the Lookup icon. The Edit Mapping window opens. 9. From the System drop-down list, select MicroMD Patient Portal. 10. In the External Id drop-down, select the correct username established in the web-based administration application of the Patient Portal. The user is now mapped correctly into the system and can begin using the Patient Portal. eservices 2.11

39 Chapter 2. Configuring Add-ons Dragon Medical Practice Edition Dragon Medical Practice Edition lets clinicians use a narrative format to dictate the elements of a patient encounter where clinicians need to document care in their own words, including the History of Present Illness, Review of Systems, Physical Examination, and Assessment and Plan. Dragon Medical Practice Edition supports HIPAA patient confidentiality guidelines, a critical requirement for any practice concerned with patient confidentiality. Clinicians also save additional time by using customized macros to enter frequently-dictated text with a single voice command. Additionally, the Dragon Medical Template Library a library of more than two dozen macros for standard notes and an extensive list of medical normals by body system facilitates rapid note creation. Overall, Dragon Medical solutions dramatically reduce the time clinicians spend documenting care saving 30 minutes or more a day, according to a number of studies. Available in Version: 9.0 or higher Key Codes: Not required; MicroMD Accounting will process the order and the software may be installed when received Support: Users and VARs requiring support should contact MicroMD Client Support, Phone: (330) Option 2 (EMR Support) or hsms.support@henryschein.com Additional Configuration Instructions: Below are details on how to install the Dragon software, depending on the environment, as well as instructions to configure the PowerMic buttons. If you need specific instructions on setting up Dragon for individual providers, please contact MicroMD Client Support, Phone: (330) Option 2 (EMR Support) or hsms.support@henryschein.com Local Client Installation 1. Put the Dragon DVD into your DVD drive and follow the on-screen prompts. 2. Enter the serial number that is printed on the DVD sleeve. 3. Choose a set-up type. We recommend Typical/Complete. Click Next. 4. Continue to click Next, taking all of the recommended options. 5. Double-click the Dragon icon on your desktop. This will Start Dragon. 6. When prompted to activate your software, first click Activate Now and then Activate Automatically. NOTE You must be connected to the Internet to activate. For more information, see: MicroMD EMR Configuration Manual 10.0

40 Installing and configuring Dragon in an RDP Environment Configuring Add-ons 1. Install Dragon Medical Practice Edition on the Windows 2008 Server R2 operating system. Only this operating system detects when the Remote Desktop Connection 7 starts. 2. Install the Dragon Client for Remote Desktop on the client computer. You can find this installation in a top-level folder on the Dragon Medical Practice Edition DVD. The installation consists of two components that you install on the client computer: A. Audio Setup Wizard: a stand-alone application that provides a way to check that your microphone sound levels and signal quality are suitable for using Dragon Medical Practice Edition with a remote desktop connection. B. PMIIControl.exe - The PowerMic II Button Control application: a stand-alone application that provides a way to customize the buttons on the PowerMic II. The buttons can be used with Dragon Medical Practice Edition while working across the remote desktop connection, and can also be used with local applications, independent of installing and using Dragon Medical Practice Edition. 3. After you install Dragon Medical Practice Edition on the server and both the Dragon Client for Remote Desktop, and the Remote Desktop Connection 7 on the client PC, perform the following steps on each client computer that will connect to Dragon Medical Practice Edition on the server. 4. On the client, plug in the microphone that you will use to dictate with Dragon Medical Practice Edition. Then perform the Audio Setup Wizard to check that microphone sound levels and signal quality are suitable for using Dragon Medical Practice Edition.. 5. On the server, make sure that the "Remote audio" recording device is created. 6. In the Windows registry, set the KLM\SYSTEM\CurrentControlSet\Control\Termin alserver\winstations\rdp- eservices 2.13