How To Check An Order Check On A Medical Device On A Pc Or Macodeo

Transcription

1 RPMS EHR CAC Review Order Checks

2 Content Developed by: Philip Taylor, BA, RN Clinical Consultant Medsphere Systems Corporation Order Checks 2

3 Learning Objectives Understand Order Check configuration. Understand Order Checks required for Meaningful Use. Generate an on demand Order Check on the Medications tab. Order Checks 3

4 Order Checks The implementation of Meaningful Use for EHR requires that certain Order Checks be enabled and mandatory. If these are not properly configured this menu option will fail: MUCD Establish Meaningful Use 'Clean Date' Order Checks 4

5 Order Checks Order Checks that must be properly configured: Allergy-Contrast Media Interaction Allergy-Drug Interaction Allergy Unassessable Critical Drug Interaction Dangerous Meds For Pt > 64 Estimated Creatinine Clearance Glucophage-Contrast Media Glucophage-Lab Results No Allergy Assessment Renal Functions Over Age 65 Order Checks 5

6 Order Checks Meaningful Use Order Checks must be enabled at the system level and must be marked as Not Editable by User at the system level. These Order Checks must not be configured at any other Level. Order Checks 6

7 Orders Checks From the RPMS-EHR Configuration Master Menu: ORD > OCX > PAR Order Checks 7

8 Enable an Order Check MEDSPHERE DEMO HOSPITAL RPMS-EHR Management Version 1.1 Order Check Parameters CON Creatinine Date Range for Contrast Media Orders CTH CT Scanner Height Limit CTW CT Scanner Weight Limit DAN Set Clinical Danger Level DBG Enable/Disable Debug Message Logging DPL Lab Duplicate Order Range DPO Orderable Item Duplicate Order Range DPR Radiology Duplicate Order Range EDT Mark Order Checks Editable by User ENA Enable/Disable an Order Check GLU Creatinine Date Range for Glucophage-Lab Results LCL Edit Local Terms MRH MRI Scanner Height Limit MRW MRI Scanner Weight Limit PLY Number of Medications for Polypharmacy USR Order Checks a User Can Receive Select Order Check Parameters Option: ENA Enable/Disable an Order Check Order Checks 8

9 Enable an Order Check MEDSPHERE DEMO HOSPITAL RPMS-EHR Management Version 1.1 Enable/Disable an Order Check Order Check Processing Flag may be set for the following: 1 User USR [choose from NEW PERSON] 2 Location LOC [choose from HOSPITAL LOCATION] 3 Service SRV [choose from SERVICE/SECTION] 4 Division DIV [MEDSPHERE DEMO HOSPITAL] 5 System SYS [DEMO.MEDSPHERE.COM] 6 Package PKG [ORDER ENTRY/RESULTS REPORTING] Enter selection: 5 System DEMO.MEDSPHERE.COM -- Setting Order Check Processing Flag for System: DEMO.MEDSPHERE.COM -- Select Order Check: ALLERGY-DRUG INTERACTION Order Check: ALLERGY-DRUG INTERACTION// ALLERGY-DRU G INTERACTION Value: Enabled// ALLERGY-DRUG INTERACTION Order Checks 9

10 Mark Order Check Not Editable by User MEDSPHERE DEMO HOSPITAL RPMS-EHR Management Version 1.1 Order Check Parameters CON Creatinine Date Range for Contrast Media Orders CTH CT Scanner Height Limit CTW CT Scanner Weight Limit DAN Set Clinical Danger Level DBG Enable/Disable Debug Message Logging DPL Lab Duplicate Order Range DPO Orderable Item Duplicate Order Range DPR Radiology Duplicate Order Range EDT Mark Order Checks Editable by User ENA Enable/Disable an Order Check GLU Creatinine Date Range for Glucophage-Lab Results LCL Edit Local Terms MRH MRI Scanner Height Limit MRW MRI Scanner Weight Limit PLY Number of Medications for Polypharmacy USR Order Checks a User Can Receive Select Order Check Parameters Option: EDT Mark Order Checks Editable by User Order Checks 10

11 Mark Order Check Not Editable by User MEDSPHERE DEMO HOSPITAL RPMS-EHR Management Version 1.1 Mark Order Checks Editable by User Order Check On/Off Editable by User may be set for the following: 1 Division DIV [MEDSPHERE DEMO HOSPITAL] 2 System SYS [DEMO.MEDSPHERE.COM] Enter selection: 2 System DEMO.MEDSPHERE.COM Setting Order Check On/Off Editable by User for System: DEMO.MEDSPHERE.COM Select Order Check: ALLERGY-DRUG INTERACTION Order Check: ALLERGY-DRUG INTERACTION// ALLERGY-DRU G INTERACTION Editable by User?: NO// ALLERGY-DRUG INTERACTION Order Checks 11

12 Order Check Configuration This process must be completed for all 10 Order Checks required for Meaningful Use. If there is a setting at any level other than system, you will be notified when trying to set the Meaningful Use Clean Date. Remove the setting that prevents setting the Clean Date. Order Checks 12

13 Removal of Disabled Order Check MEDSPHERE DEMO HOSPITAL RPMS-EHR Management Version 1.1 Enable/Disable an Order Check Order Check Processing Flag may be set for the following: 1 User USR [choose from NEW PERSON] 2 Location LOC [choose from HOSPITAL LOCATION] 3 Service SRV [choose from SERVICE/SECTION] 4 Division DIV [MEDSPHERE DEMO HOSPITAL] 5 System SYS [DEMO.MEDSPHERE.COM] 6 Package PKG [ORDER ENTRY/RESULTS REPORTING] Enter selection: 1 User NEW PERSON Select NEW PERSON NAME: DOLITTLE,DUDLEY D DDD DOCTOR ---- Setting Order Check Processing Flag for User: DOLITTLE,DUDLEY D ---- Select Order Check: ALLERGY-DRUG INTERACTION Order Check: ALLERGY-DRUG INTERACTION// ALLERGY-DRU G INTERACTION Value: ALLERGY-DRUG INTERACTION Order Checks 13

14 List All Order Check Settings If you wish to have a listing of all settings of all Order Checks in your system, you can accomplish this via the General Parameter Tools menu. Order Checks 14

15 Order Check Settings Listing The General Parameter Tools option List Values for a Selected Parameter will list ALL Order Check Values in RPMS: LV LE LP LT EP ET EK List Values for a Selected Parameter List Values for a Selected Entity List Values for a Selected Package List Values for a Selected Template Edit Parameter Values Edit Parameter Values with Template Edit Parameter Definition Keyword Select General Parameter Tools Option: LV List Values for a Selected Parameter Select PARAMETER DEFINITION NAME: ORK PROCESSING FLAG Order Check Processing Flag Order Checks 15

16 Order Check Settings at Other Levels Values for ORK PROCESSING FLAG Parameter Instance Value PKG: ORDER ENTRY/RESULTS REPOR ESTIMATED CREATININE Enabled PKG: ORDER ENTRY/RESULTS REPOR ORDER CHECKING NOT A Enabled PKG: ORDER ENTRY/RESULTS REPOR ALLERGY-DRUG INTERAC Enabled PKG: ORDER ENTRY/RESULTS REPOR ALLERGY-CONTRAST MED Enabled PKG: ORDER ENTRY/RESULTS REPOR CT & MRI PHYSICAL LI Enabled [Some items in list removed for clarity] SYS: DEMO.MEDSPHERE.COM GLUCOPHAGE-LAB RESUL Enabled SYS: DEMO.MEDSPHERE.COM DANGEROUS MEDS FOR P Enabled SYS: DEMO.MEDSPHERE.COM NO ALLERGY ASSESSMEN Enabled SYS: DEMO.MEDSPHERE.COM ALLERGIES UNASSESSIB Enabled LOC: INPATIENT POLYPHARMACY Disabled USR: TAYLOR,PHILIP K CT & MRI PHYSICAL LI Disabled USR: DOLITTLE,DUDLEY D ALLERGY-DRUG INTERAC Disabled Order Checks 16

17 On Demand Order Check The Medication Tab contains a Check button. Click this button to invoke the order checker at any time. Order Checks 17

18 On Demand Order Check Order Checks 18

19 Hands-on Activity 1. Review order check Allergy Unaccessible to ensure it is enabled and marked as Uneditable by User at the system level. 2. Run Clean Date option in RPMS to ensure all Order Checks are correctly configured for Meaningful Use. 3. Generate an On Demand Order Check. Order Checks 19

20 Questions and Discussion Order Checks 20