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We have similar problems with our IV infusion center and our oncology
center. Admitting has our recurring accounts set up for 90 days, so you
might want to consider that change. Our biggest problem is that we generate
the refill lists the day before and often times this is on day 90 and at
midnight on the day of the visit, the a new account number is generated and
as a result, we have billed to the wrong account number. I've written a rule
that looks at the date of the first order for that account and displays if
we are within 5 days of creating a new account. The pharmacist then will
calculate to see if the day of the patient visit will fall within 90 days or
not. If they figure a new account will be created, the orders for that
patient are held until the next day.
As to not being able to see the old medications, if the pharmacist does
a sort, changes the
Start at Inactive Date to T-however many days they want to look back and the
By Account or Medical Record to M for medical record number, every thing
will show up. At this point, if we have a new account, we just copy and edit
the order(s).
Charlie
Charles Downs Pharm.D.
Washington County Hospital
Inpatient Pharmacy
251 E. Antietam Street
Hagerstown, MD, 21740
301-790-8904
----- Original Message -----
From: "Jussila, Ginger" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Wednesday, September 20, 2006 6:11 PM
Subject: [MEDITECH-L] PHARMACY ORDERS ON RCR SDS ACCOUNTS
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I wanted to get input on a current problem that we have and if there is a
better way to handle it.
We have IV Therapy and IVIG patients that come in weekly, monthly, etc for
6weeks to years at a time for treatment. We have these accounts set-up as
RCR SDS and they are auto-discharged at the end of each month. The
Pharmacy Director has tasked me with seeing if there is a more efficient
way to handle these patients as the auto-discharge causes all of the meds
to be DC'd and no longer appear on the Profile. Then when the patient
arrives for their next trip in the following month they are given a new
account number in where the Pharmacist must enter all of the meds again.
There are concerns that we are losing the mechanism to track doses ordered
and sent for the patient. Also there has been a lot of frustration on the
part of the patients and Nursing staff as many times there is a lag time
while the Pharmacy verifies the order and reenters all of the applicable
meds/orders on the new account number.
I wanted to check to see if there is a more efficient way of handling
this? If this type of issue has been identified before, how was it
resolved? Is there anything within Pharmacy that we are not thinking of
that could help us?
Thanks for your assistance!
Ginger Jussila
Systems Support Analyst/Project Leader
Little Company of Mary - Torrance
Providence Health & Services
Office Ph: (310) 543-5919
[EMAIL PROTECTED]
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