Kelly, My reply here is rather detailed, but it is hard to squeeze my 3hr MUSE presentation into an e-mail message.
We are about 280 beds with 250 physicians. We use NPR reports with the DPM of OE.ORD as "custom output formats" in the OE Procedure dictionary. Our Patient Teaching materials have names of OE.ORD.zcus.p000 - OE.ORD.zcus.p999 Our Standing Orders have names of OE.ORD.zcus.001.1 - OE.ORD.zcus.765.1 Among others, we have two categories in OE of "SO" and "PTEDHAND" An example of a standing order is "701". The npr reports associated with it are: OE.ORD.zcus.701.1 (page 1), OE.ORD.zcus.701.2 (page 2), etc. The OE Procedure is 0701, with custom output formats of the NPR reports associated with that order (i.e. OE.ORD.zcus.701.1). When they need to be revised, I copy them to "r1" versions (i.e. OE.ORD.zcus.701r1). Once the revisions are approved, I delete the ".1" version, and then rename the "r1" to ".1". Staff can perform lookups in OE using the standard Meditech routines. For example, *Insulin<lookup> will search all procedures with "Insulin" in the name. We duplicate the "procedures" in OE for each doctor, so staff can perform lookups by doctor. Patient Ed Materials are managed by a secretary in Education Department. Although we use NPR reports to print them, She actually uses IATRIC's "Forms On-Line". Pt Ed Materials are created in MS Word, and saved as "P0001" through "P9999". The NPR reports are OE.ORD.zcus.p0001 - OE.ORD.zcus.p9999. All of the NPR reports look exactly alike. They call the MSWord file with the same name as the report name. For example, OE.ORD.zcus.p0423 calls/prints the MS Word document saved as P0423. As a result, the secretary doesn't have to do anything with the NPR reports themselves. She then edits the OE Procedure dictionary adding the appropriate "Custom Output Format" to the procedure she is initiating. Staff can then search the PTEDHAND procedures looking for the material they need. The neat thing about this is how we use the above NPR reports (Standing Orders and Pt Ed Materials) with our other orders. When staff enter an order for a "Ultrasound Biopsy", the standing orders and patient ed materials automatically print because they are also associated with the OE Procedure US Biopsy. Most of this information is in the presentations I offered at MUSE. See if they are still on the MUSE website. If not, I can try to dig them out of my files. Brian -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kelly Lippold Sent: Thursday, October 26, 2006 3:44 PM To: Meditech-L (E-mail) Subject: [MEDITECH-L] Physician routine orders and discharge instructions Hello, I'm needing some expert input. We are a 200 bed hospital with multiple physicians. Each of these physicians have numerous routine orders and discharge instructions creating hundreds of various papers. How do your facilities deal with these? Do you use standardized documents, a specific program? How do you keep them updated - do you use a specific person or do you have a committee that looks at them? We're moving into Meditech CS 5.5 and are just wanting to get some current processes smoothed out. I would appreciate hugely any input. Thanks in advance. Kelly Lippold, RN, MSN Nurse Informaticist Salina Regional Health Center (785)452-4630 ====================================== All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l ====================================== All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
