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Meditech has a DDP proposal, POM DDP 4051, for a Device Site Restriction, and has had the proposal for some years now, that will resolve this for us and all other hospitals that are having this same problem noted below. The DDP establishes how a site is associated to a patient location in POM when one facility has multiple sites. If other facilities fall under this same dilemma, request Meditech to move this Out of Sequence and get it into 5.5. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jim Sehloff Sent: Wednesday, March 01, 2006 2:14 PM To: [email protected] Subject: [MEDITECH-L] POM and lab sites All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== All our in patient units are currently POM enabled and providers are entering orders for their patients. This is great. Sometimes they even do this from their offices when they get called about an in patient. This also is the way it is supposed to work. Here is the problem. We have multiple lab sites. These are located in the clinics that we own. Everything is on our WAN so their devices work just like they were located in our building. Devices in the clinics are managed in the lab device dictionary to their particular site. If an order is entered their the system sees the specimen as being at that site. Certain tests like CBC's and UA's are performed at several of our sites. If the provider enters the order the order for a test that is performed at the lab at the ordering site and also at the ML site, the system sees the specimen at the clinic site. If you use the change site routine to try to move the specimen to the ML site, you get a pop up that tells you that there are no tests that need to be at ML. If you try to enter results, it tells you that there are no eligible results. Your options are to switch to the ordering site and enter results as if you were doing the test at that site, attaching a site footnote incorrectly to the report, or to cancel and reorder at the ML site. Neither idea is very appealing. The system is working as designed, I feel we need to fix the system. I suggest that we need to modify the lab site routines so that patient locations can be linked to a specific site. If the patient is registered to an inpatient location, the lab site would always be ML. If a patient's location is one of our clinics, they would always be at the site for that clinic. I could probably remanage all devices in the clinics to ML except for those that the lab staff uses. This is at best a temporary work around because Ambulatory Order Management is coming and clinic orders will be entered from the desk top. I am looking for help on how to carefully define this to Meditech so that they can program it so that it works right. Please send me ideas on how you think this should look. My vision is to add fields to the SITE dictionary that allows us to list entries from the MIS location dictionary and indicate that orders for these locations are always at a particular site. Other ideas will help refine this. Thanks for any help on this. Jim Sehloff M.S. MT(ASCP) Information Security Analyst MUSE Central Region Chair-elect Holy Family Memorial Medical Center Manitowoc, WI 54221-1450 920-320-2799 Holy Family Memorial Quality Pledge We pledge to...Openly share information; be creative and efficient; work as partners to meet your health care needs; and remain focused on quality improvement. The documents accompanying this transmission may contain confidential health information that is legally privileged. If you are not the intended recipient, please notify the sender. You are also hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of these documents is strictly prohibited. _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
