Good Morning,
We go-live in Feb and we are trying to develop a Kardex (via NPR).  Does anyone 
have an example that we could use as a base.  We are working on a form with pt 
name & room number, allergies, code status, diagnosis, doctor, tests/labs 
ordered for that shift/day, glucometers, diet, and activity.  We are also 
trying to develop work list auto reports (if they order a PT RFS, it goes on a 
report that prints at 7a and 7p) if anyone has this that we can look at that 
would be great.

Thanks~

Sarah E. Hipkins
Margaret R. Pardee Hospital
800 N. Justice Street
Hendersonville, NC  28791
828-696-1000 ext 3544

-----Original Message-----
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL 
PROTECTED]
Sent: Friday, January 12, 2007 00:32
To: [email protected]
Subject: meditech-l Digest, Vol 27, Issue 13

Send meditech-l mailing list submissions to
        [email protected]

To subscribe or unsubscribe via the World Wide Web, visit
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or, via email, send a message with subject or body 'help' to
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When replying, please edit your Subject line so it is more specific
than "Re: Contents of meditech-l digest..."


Today's Topics:

   1. RE: Meditech Patient Discharge Instructions (PDI) in
      ourEmergency Department Management Module (EDM) (Burger, Sue)
   2. Printing at Discharge (Hazlett, Kathy)
   3. RE: Meditech Patient Discharge Instructions (PDI) in our
      Emergency Department Management Module (EDM) (Lisa Janeway)
   4. NPR help (Guardiola, Suzannah)
   5. OR Management Systems (Edwards, Rick)
   6. RE: Meditech E-Sig (Betty Wudarck)
   7. RE:  Schedule Change requests - Approval/Denial (Bill Mullins)
   8. Gator Nation (Whitten William)
   9. Reflex labs test (Grisanti, Michael)
  10. Progression of NUR functions (Janet Duback)
  11. Re: Meditech Patient Discharge Instructions (PDI) in      our
      Emergency Department Management (Cindy Snyder)
  12. Re: WEDI NPI Readiness Survey: NOW OPEN (Richard McNeil)
  13. Greenway EMR (Cheryl Hirleman)
  14. RE: Pharmacy Refill List (Pivonka, Michelle)
  15. RE: Hold Acknowledgement Notification in PHA (Bill Mullins)
  16. RE: [SPAM][MEDITECH-L] Suppress or Edit PHA Charge Going to
      B/AR (Bill Mullins)


----------------------------------------------------------------------

Message: 1
Date: Tue, 9 Jan 2007 09:56:36 -0500
From: "Burger, Sue" <[EMAIL PROTECTED]>
Subject: RE: [MEDITECH-L] Meditech Patient Discharge Instructions
        (PDI) in        ourEmergency Department Management Module (EDM)
To: "Lewine, Joan" <[EMAIL PROTECTED]>, <[email protected]>
Message-ID:
        <[EMAIL PROTECTED]>
        
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Message: 2
Date: Tue, 9 Jan 2007 09:16:42 -0600
From: "Hazlett, Kathy" <[EMAIL PROTECTED]>
Subject: [MEDITECH-L] Printing at Discharge
To: <[email protected]>
Message-ID: <[EMAIL PROTECTED]>
Content-Type: text/plain; charset="us-ascii"


We are currently printing a paper record at discharge in our health
information management department.  One printout includes a multiple
report format from PCS for all PCS documentation and notes.  A second
printout of the medication administration report is also printed for the
permanent record.  This represents a large volume of paper, as well as a
cumbersome process for the HIM departments.

What are other hospitals doing for the discharge chart?  Do you print
your documentation for the "permanent record", or do you leave all
electronic documentation electronic?  If you don't print, what do you do
about physicians who want to see a paper record in HIM?  Would you
please describe your process, and who is responsible for the printing?

Thanks,

Kathy Hazlett, R.N.
Manager - Clinical Applications
Information Systems
Methodist Health System
[EMAIL PROTECTED]



***********************************************************************

This electronic transmission contains information from Methodist Health 
System and should be considered confidential and privileged.  The 
information contained in the above messages is intended only for the 
use of the individual(s) and entity(ies) named above.  If you are not 
the intended recipient, be aware that any disclosure, copying, 
distribution, or use of this information is prohibited. If you receive 
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Message: 3
Date: Tue, 9 Jan 2007 09:31:26 -0600
From: "Lisa Janeway" <[EMAIL PROTECTED]>
Subject: RE: [MEDITECH-L] Meditech Patient Discharge Instructions
        (PDI) in our    Emergency Department Management Module (EDM)
To: "Lewine, Joan" <[EMAIL PROTECTED]>, <[email protected]>
Message-ID:
        <[EMAIL PROTECTED]>
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Message: 4
Date: Tue, 9 Jan 2007 10:02:21 -0600
From: "Guardiola, Suzannah" <[EMAIL PROTECTED]>
Subject: [MEDITECH-L] NPR help
To: <[email protected]>
Message-ID:
        <[EMAIL PROTECTED]>
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Message: 5
Date: Tue, 9 Jan 2007 11:02:32 -0500
From: "Edwards, Rick" <[EMAIL PROTECTED]>
Subject: [MEDITECH-L] OR Management Systems
To: <[email protected]>,   "CHIME Member Discussion List"
        <[EMAIL PROTECTED]>
Message-ID:
        <[EMAIL PROTECTED]>
Content-Type: text/plain; charset="us-ascii"

For other MEDITECH Magic sites that have OR Management Systems in place,
can you respond back as to the name of the OR Management System
vendor/product that you have? In next 3-6 months, we will be beginning
an extensive OR Management System evaluation and selection process.
 
I thank you in advance for your responses!
 
Rick Edwards
Senior Director - CIO
Howard County General Hospital
5755 Cedar Lane
Columbia, MD 21044
v: (410) 740-7230
f: (410) 740-7565
[EMAIL PROTECTED]
 
 
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Message: 6
Date: Tue, 9 Jan 2007 09:50:08 -0700
From: "Betty Wudarck" <[EMAIL PROTECTED]>
Subject: RE: [MEDITECH-L] Meditech E-Sig
To: <[email protected]>
Message-ID:
        <[EMAIL PROTECTED]>
Content-Type: text/plain; charset="us-ascii"

Gail, I will assume you are a Client/Server site, as are we.  We are
using the messages system that Meditech 5.5 has, to pass questions back
and forth between the radiologist and transcriptionist.  Some of our
radiologists also do some editing themselves when they are in the e-sign
routine.  We are NOT using MSWORD but rather Rich Text.  This makes the
editing process a little faster for the radiologist.  Also we have it
set up to use Quick Edit which means only the body section of the report
is loaded for their editing. (makes it faster still)  Some radiologists
in our region just send a message back to the transcriptionist to
correct the errors and resubmit.  If the radiologist fails to correct
the errors or answer the messages, and signs the report, then when or if
the error is found, it may be necessary to unsign the report, make the
corrections and re-submit for signing. Our transcriptionists have the
ability to unsign reports which is a ITS toolbox parameter set by
Meditech.  

 

Betty Wudarck [EMAIL PROTECTED]
<BLOCKED::mailto:[EMAIL PROTECTED]> 

PH: (780)805-3505 FAX: (780)805-3541

- Supervisor, Diagnostic Imaging.

- RSHIP Meditech Team Member.

Slave Lake Health Complex

________________________________

From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf
Of Howard, Gail
Sent: Thursday, January 04, 2007 1:37 PM
To: [email protected]
Subject: [MEDITECH-L] Meditech E-Sig

 

We are migrating our physicians from Dictaphone E-Sig to Meditech E-Sig
and find the two applications to be very different in editing
capabilities.  

We have two process questions: 

   How do you handle anomalies in E-Sig?  (blanks where the
transcriptionist didn't understand what the dictator said)  What is your
process for 

     when the physician does not complete the blank but signs the
document anyway? 

   Are your physicians using the edit function of E-Sig in Meditech to
make corrections to the document?  How easy have the physicians adapted 

     to learning to edit? 

Thanks for any input.  

Gail Howard 
MIS Analyst II 
mailto:[EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>  
P:  252-522-7884 
F:  252-522-7200 

* Confidentiality Notice * 

This electronic message may contain confidential and legally protected
information, intended only for the use of the individual or entity named
in the message header. The authorized recipient of this information is
prohibited from disclosing this information to any other party and is
required to delete the electronic message after its stated need has been
fulfilled. 

If you are not the intended recipient, you are hereby notified that any
disclosure, copying, distribution, or action taken in reliance on the
contents of this electronic message and/or any attachments is strictly
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If you have received this communication in error, please notify the
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(252-522-7000) or by replying to this message and destroying all copies
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Message: 7
Date: Tue, 9 Jan 2007 11:31:40 -0600
From: "Bill Mullins" <[EMAIL PROTECTED]>
Subject: [MEDITECH-L] RE:  Schedule Change requests - Approval/Denial
To: "Carla Fuller" <[EMAIL PROTECTED]>, <[email protected]>
Message-ID:
        <[EMAIL PROTECTED]>
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------------------------------

Message: 8
Date: Tue, 9 Jan 2007 08:24:44 -0500
From: "Whitten William" <[EMAIL PROTECTED]>
Subject: [MEDITECH-L] Gator Nation
To: <[email protected]>
Message-ID:
        <[EMAIL PROTECTED]>
Content-Type: text/plain; charset="us-ascii"

The Gator Nation rejoices today and extends the hand of friendship &
respect to our Buckeye brethren. 
 
In the interest of patient safety, we should request an official
time-out today so everyone can get a nap.
 
Bill Whitten
Pharmacist
Lake City Medical Center
Lake City, FL
(386)719-9343
 
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Message: 9
Date: Tue, 9 Jan 2007 12:38:03 -0500 
From: "Grisanti, Michael" <[EMAIL PROTECTED]>
Subject: [MEDITECH-L] Reflex labs test
To: [email protected]
Message-ID:
        <[EMAIL PROTECTED]>
Content-Type: text/plain; charset="us-ascii"

The Pharmacy is being asked to order lab tests on whenever selected meds are
ordered.  We could do this from OE
but I a looking for a mechanism to automate this.  I am looking for "reflex"
ordering of lab tests once the order is filed.
 
Has anyone addrressed this isssue and if so we would love to learn about it.
 
Thanks in advance
 

Michael S Grisanti,  RPh 
Pharmacy Services 
St Mary's Hospital @ Amsterdam NY 
518 841-3834 
[EMAIL PROTECTED] 

 
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Message: 10
Date: Tue, 9 Jan 2007 11:52:21 -0800
From: "Janet Duback" <[EMAIL PROTECTED]>
Subject: [MEDITECH-L] Progression of NUR functions
To: "MeditechL" <[email protected]>
Message-ID: <[EMAIL PROTECTED]>
Content-Type: text/plain; charset="windows-1252"

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Message: 11
Date: Tue, 9 Jan 2007 12:50:18 -0500
From: "Cindy Snyder" <[EMAIL PROTECTED]>
Subject: Re: [MEDITECH-L] Meditech Patient Discharge Instructions
        (PDI) in        our Emergency Department Management
To: "Joan Lewine" <[EMAIL PROTECTED]>, [email protected]
Message-ID: <[EMAIL PROTECTED]>
Content-Type: text/plain; charset="iso-8859-15"

Hello Joan:

We are using this and I will be happy to talk with you if you'd like.....

Have a great day.

Cindy



Cindy Snyder RN
Clinical Systems Analyst
Howard Regional Health System
Kokomo, IN 46901
(765) 453-8321

The opinions expressed in this e-mail message are those of the author and may 
not be representative of Howard Regional Health System or affiliates.  This 
e-mail message and attachments, if any, may contain confidential or privileged 
information.  If you are not the addressee or authorized to receive this 
message for the addressee, you must not use, copy, disclose, or take any action 
based on this message, any attachments to this message, or any information 
herein.  If you have received this message in error, please advise the sender 
immediately by reply e-mail and delete this message in its entirety. 

>>> "Lewine, Joan" <[EMAIL PROTECTED]> 1/8/2007 8:30 AM >>>
 
We are planning to implement the use of the Meditech Patient Discharge 
Instructions (PDI) in our Emergency Department Management Module (EDM). I would 
like to communicate with current users of PDI. I'm wondering if you are using 
the Meditech standard content PDI, custom or purchased from a third party 
vendor.
 
Thank you,
Joan Lewine
 
1-386-254-4000, ext. 7214
[EMAIL PROTECTED]
 
 
 
Joan Lewine, RN
Meditech Core Team
Emergency Department
Halifax Medical Center
Phone 386.254.4000, ext. 7214
E-mail: [EMAIL PROTECTED]
 
Electronic communications originating from or sent to Halifax Community Health 
System (HCHS) are subject to monitoring and public inspection under ยง 119.07, 
Florida Statutes.  This message and any attachments are the property of HCHS 
and are intended to be received only by the individuals or entities identified 
in the message.  If you have received this message in error, please take 
notice: 1) that any use, copying, printing, forwarding or distribution of this 
message in any form is strictly prohibited, and 2) please notify the HCHS 
Compliance Department at (386) 254-4278 and/or forward the message to [EMAIL 
PROTECTED], and please delete or destroy all copies of the message and any 
attachments.
 
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Message: 12
Date: Tue, 09 Jan 2007 12:57:58 -0500
From: "Richard McNeil" <[EMAIL PROTECTED]>
Subject: [MEDITECH-L] Re: WEDI NPI Readiness Survey: NOW OPEN
To: <[email protected]>
Message-ID: <[EMAIL PROTECTED]>
Content-Type: text/plain; charset="us-ascii"

Pleas pass to your Billing folks.
Thanks,
Rich McNeil

>>> <[EMAIL PROTECTED]> 1/9/2007 12:20 PM >>>


FINAL WEDI NPI READINESS SURVEY
 
SURVEY IS ONLY OPEN UNTIL FRIDAY, JANUARY 19TH. 
 
This is the last in a series of WEDI surveys to measure the healthcare
industry's ability to meet the May 23, 2007 NPI implementation deadline.
 To ensure complete anonymity we have removed any questions that could
be used to identify the respondents. 
 
While NPI affects all the HIPAA standard transactions, this survey
focuses heavily on NPI readiness for claims.  Previous surveys indicated
the majority of everyone's work effort has focused on claims first. It
is extremely important that you complete all the questions so we can
obtain an accurate assessment of everyone's NPI readiness.  If you are a
healthcare entity that engages in multiple categories contained in this
survey (Health Plan, Healthcare Provider, and clearinghouse), please
answer the survey for each category applicable to your organization.   
 
WEDI encourages you to forward this email link to any other companies
you know affected by NPI so they can also complete the survey.  WEDI
would like to thank you in advance for your participation.
 
Please click on the link below to begin the survey.
http://www.surveymonkey.com/s.asp?u=64993103585

 


Ann Marie Railing
Director of Regional Education & Operations
WEDI
Workgroup for Electronic Data Interchange
12020 Sunrise Valley Drive, Suite 100
Reston, VA 20191
(703) 391-2718
(703) 391-2719 f

NPI: Get It. Share It. Use It. 
****************************************
Upcoming WEDI Conferences & Events: 
February 12, 2007, 6th WEDI NPI Industry Forum: For the Love of NPI,
Hyatt Dulles, Herndon, VA
February 13-14, 2007, ASC X12/WEDI Real Time Adjudication Forum, Hyatt
Dulles, Herndon, VA
February 28, 2007, WEDI NPI Audio Cast: Claims In Claims Out, 2:00 pm
Eastern Time (90 min.) 
May 14-17, 2007, 16th Annual WEDI National Conference, Hyatt Regency
Baltimore, Baltimore, MD





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and destroy any copies. Please note that any views or opinions presented
in this e-mail are solely those of the author and do not necessarily
represent those of Southcoast. The recipient should check this e-mail
and any attachments for the presence of viruses. Southcoast accepts no
liability for any damage caused by any virus transmitted by this e-mail.




CONFIDENTIALITY NOTICE:
This e-mail and any files transmitted with it are confidential and may contain 
health information protected by law.  Any unauthorized use or disclosure is 
strictly prohibited.  If you are not the intended recipient, please notify the 
sender by return email, delete this email, and destroy any copies.  Please note 
that any views or opinions presented in this e-mail are solely those of the 
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should check this e-mail and any attachments for the presence of viruses. 
Southcoast accepts no liability for any damage caused by any virus transmitted 
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Message: 13
Date: Tue, 9 Jan 2007 13:00:08 -0500
From: "Cheryl Hirleman" <[EMAIL PROTECTED]>
Subject: [MEDITECH-L] Greenway EMR
To: "Meditech-L" <[email protected]>
Message-ID:
        <[EMAIL PROTECTED]>
Content-Type: text/plain; charset="us-ascii"


We are interfacing to the Greenway EMR from Meditech and I would like to
know if anyone else is doing this, and how do you capture the Greeenway
Account number?

Cheryl Hirleman
Beaufort Memorial Hospital
843-522-7902

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Message: 14
Date: Tue, 9 Jan 2007 12:22:01 -0600
From: "Pivonka, Michelle" <[EMAIL PROTECTED]>
Subject: RE: [MEDITECH-L] Pharmacy Refill List
To: "Nielacny, Aimee" <[EMAIL PROTECTED]>,      "Thompson, Jeff"
        <[EMAIL PROTECTED]>,    "Stephanie Roberts" <[EMAIL PROTECTED]>,
        <[email protected]>,       "Herb Bromenshenkel"
        <[EMAIL PROTECTED]>
Message-ID:
        <[EMAIL PROTECTED]>
Content-Type: text/plain; charset="us-ascii"

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Message: 15
Date: Tue, 9 Jan 2007 12:25:52 -0600
From: "Bill Mullins" <[EMAIL PROTECTED]>
Subject: RE: [MEDITECH-L] Hold Acknowledgement Notification in PHA
To: "Carpenter, Michael--IRM" <[EMAIL PROTECTED]>,      "Pierson, Jeff"
        <[EMAIL PROTECTED]>, <[email protected]>
Cc: Steve Pruter <[EMAIL PROTECTED]>, Karen Ham <[EMAIL PROTECTED]>,    Kevin
        Goecke <[EMAIL PROTECTED]>, Warren Matiko <[EMAIL PROTECTED]>,  Doug
        Davison <[EMAIL PROTECTED]>
Message-ID:
        <[EMAIL PROTECTED]>
Content-Type: text/plain; charset="us-ascii"

Michael:

 

We always had activity with EMAR/BMV,but I guess if you run the report
(schedule the report very frequently) you might get the no records found
message.

 

I have seen someone (Joe C or Brian S or some other smart person) send
the L list a footnote or macro to suppress the no records found. I am
not sure why suppressing the message hangs the scheduler up?

------------------------------------------------------------------------
-------------------------------------------------------

Print "NO RECORDS FOUND" on NPR Report

 

If you want to generate a page when a report doesn't find any records -
no

records are selected to print on the report, add the following footnote:

 

AL CLOSE.UP IF{'/R.FOUND "NO RECORDS FOUND"}^!

 

A page will print whatever you type inside the quotes.

In this example, it will print NO RECORDS FOUND.

------------------------------------------------------------------------
-------------------------------------------------------

ANSWER:

 

How to suppress a "No Records Found" Page

 

It is possible to prevent the "No Records Found" page from printing when
your

report does not find any data that meets your selection.

 

Within the object code in any report, if data passes selection, the
number 1

is stored in a report variable /FOUND.  If /FOUND is nil, that means no
data

met your selection criteria.  By placing the following line of code in
the

footnotes tab, it will prevent this page from printing and instead
display a

Text box indicating that no data was found for your report:

 

AL CLOSE.UP IF{'/R.FOUND 1^/R.FRAGMENT,@W.choice("C",{"&OK"},"FORM NOT

PRINTED")}

 

Populating the /R.FRAGMENT variable suppresses the page and the
@W.choice

macro creates the text display box.

 

Since you are scheduling it, I would leave off the call to the message
macro:

------------------------------------------------------------------------
----------------------------------------------------

ANSWER:

 

AL CLOSE.UP IF{/R.FOUND;1^/R.FOUND^/R.PAGE.NUM,@Z.spool
1^/ZMAIL^/R.HALTED}

 

If the report finds records, then /R.FOUND will be set up, so there is
no

action to take.

 

Otherwise, /R.FOUND and /R.PAGE.NUM will be set up which will fool the
system

into thinking that records were in fact found and the "No Records Found"

message will NOT print.

 

Also, if the report is being spooled, then there will be a value for
@Z.spool.

In this case, we assign a 1 to the global variable /ZMAIL which will
prevent

the spool file from being placed on the index called

MIS.SPOOL.spool.group.priority.index.    This index is used by the
Meditech

background job to print spool files.  If the spool file is NOT on this
index,

then it will NOT print.

 

Also, we assign 1 to /R.HALTED which fools the system into thinking the
report

was HALTED (as if an end-user pressed <Esc> or  <F11>) so the system
will NOT

bother sending the file anywhere via MOX.

 

 

I think that should work out for you.  The Spool file is still created
but

will NOT print and it should still purge as it normally would.  I am
sure

there are other options out there that will work by manipulating other

Meditech "slash" variables.

 

Brian Schmit

[EMAIL PROTECTED]

 

 

QUESTION:

I have an NPR report scheduled to run in MIS and managed to a remote
printer.

My NPR report contains the footnote "AL CLOSE.UP IF{'/R.FOUND

1^/R.FOUND^/R.PAGE.NUM}" to suppress the output of the "No records
found".  My

problem is that I still get a blank page printing out on my printer when
my

report finds no records.  Anyone have any ideas how I can suppress the
blank

page from printing?

 

I'm told by Meditech I get a blank page since a spool file is created
for the

scheduled report when the schedule starts and there is nothing I can do
to

prevent the creation of this file.  If I view the spool file in MIS, I
get a

message "Could not load page 1.  Status: CREATED  # pages:".  If I print
this

spool file, I get a blank page.  If I print this spool file to a file, I
get a

0kb file created, but still get a file non-the-less.

 

If I run the report directly to a printer, I get a blank page if I leave
the

footnote on the report.  If I remove the footnote and run the report
directly

to a printer, I do not get a blank page, but get the on-screen message
"No

records found" instead.

 

The solution I'm creating requires that no output be received by the
remote

printer.  The problem goes beyond the annoyance of blank page.  I'm
trying to

create an on-screen alarm on remote workstations when certain events are
found

by my report.  To avoid the alarm when no records are found, I must
avoid all

output from Meditech to the remote printer.

 

 

------------------------------------------------------------------------
--------------------------------------------------------------------

Good Luck,

 

 

________________________________

From: Carpenter, Michael--IRM [mailto:[EMAIL PROTECTED] 
Sent: Monday, January 08, 2007 3:15 PM
To: Bill Mullins; Pierson, Jeff; [email protected]
Cc: Steve Pruter; Kevin Goecke; Warren Matiko; Karen Ham; Doug Davison
Subject: RE: [MEDITECH-L] Hold Acknowledgement Notification in PHA

 

Hi all, to schedule this report is great but has anyone figured out a
way not to hose up the scheduler if you attempt to suppress the "No
records found" message from printing.. We have a similar custom report
that goes off every 15 minutes but had to continue to print the 'NO
MESSAGE FOUND" result because suppressing this message would cause the
scheduler to hang on this report..

 

Thanks, Mike

 

Michael D. Carpenter 
Sr. Systems Analyst 
Clinical Applications 
IRM-Informations Resource Management 
INHS-Inland Northwest Health Services 
157 S. Howard St., Suite 400 
Spokane, Wa. 99201 
Ph 509-232-8340/ Fax 509-462-3452 
[EMAIL PROTECTED] 

 

 

 

________________________________

From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf
Of Bill Mullins
Sent: Friday, January 05, 2007 3:11 PM
To: Pierson, Jeff; [email protected]
Cc: Steve Pruter; Kevin Goecke; Warren Matiko; Karen Ham; Doug Davison
Subject: RE: [MEDITECH-L] Hold Acknowledgement Notification in PHA

Jeff:

 

When I helped implement EMAR/BMV 5 yrs ago at HCA, Pharmacy did have a
standard report that they could run to show any hold acknowledgements
from NUR and could act on those issues (change the dose, the start date
or time,etc..)or call nursing to discuss.

 

PHA.RX.print.nur.outstanding.activity (Nursing Outstanding Requests)

 

This report can be scheduled to print hourly or whatever you want. I am
thinking about using Joe C and other peoples npr reports for tracking
some dept activity (RAD,ADMITING,etc) and using that tracking report to
show whenever NUR makes a request via EMAR, not just HA (Hold
Acknowledgement), that way we could have a running screen that refreshes
up in PHA dept, with the latest and greatest info for PHA to be aware
of.

 

#51 On the PHA Reports Menu. 

 

You can define what activity to include in this report, just as H -
HOLD, HA- HOLD ACKNOWLEDGEMENT, etc.

 

   From Location BEGINNING

   Thru Location END

 

       From Date 12/06/06  Time 0000

       Thru Date 01/05/07  Time 1616

 

       Include   AAT  ADJUST ALL TIMES

       Activity  ADJ  ADJUST ADMIN

                 AST  ADJUST SPECIFIC TIMES

                 DC   DISCONTINUE

                 H    HOLD

                 HA   HOLD ACKNOWLEDGEMENT

 

New Page/Patient N

 

Report Will Always Include:

  1. One-Time Admin Orders

  2. Unverified Nursing Orders

  3. Fix-Cancelled Orders due to Administration

 

This is what the output looks like (this is in TEST 5.5 SR2)

 

PATIENT: TEST,KAREN V00000002014

 

 

                                  OUTSTANDING NURSE ACTIVITY

 

 

Rx NUMBER   MEDICATION/DOSE                                 ROUTE
START

 
SIG/SCH               STOP

 

00000195    METFORMIN HCL 500 MG PO                         PO
11/30-1145

 
BID;AC                None

 

   01/05/07 1459 - HOLD ACKNOWLEDGEMENT        by MIS.WAM

   Comment:  TESTING OF HOLD ACK REPORT

------------------------------------------------------------------------
-------------------------------

@Index reports, Outstanding Activity

@Index reports, Nursing Outstanding Requests

 

Use this routine to print a report of outstanding activities and
requests.

 

You can define two separate sets of default values for this report in
the PHA

Defaults Dictionary. For example, to track Nursing-specific activities,
you can

associate Nursing Module-specific activity types with the Nursing
Outstanding

Requests version of this report.

 

*  To associate default values with the PHA Nursing Outstanding Requests

   Report, enter NUROACT at the Routine prompt in the PHA Defaults
Dictionary.

 

*  To associate default values with the PHA Outstanding Activity Report,
enter

   REVOACT at the Routine prompt in the PHA Defaults Dictionary.

 

Using this routine, report entries are listed by patient name, and you
can

arrange for each patient's orders to appear on separate pages. The
following

information appears for each order:

 

*  RX Number              *  Medication/Dose

 

*  Route/Sig/Schedule     *  Start/Stop Dates

 

You can include any of the following activity types in your report.

 

The field of pnur.req.type is a CHOICE TYPE

 

CH=ALL,AAT,ADJ,AST,DC,H,HA,RA,RAT,RE,RN,RO,RS,RSS,RST

 

To include this activity          From this module*    Enter

------------------------          ----------------     -----

Adjust all times                           PHA                  AAT

 

Adjust next admin time                PHA                  ADJ

 

Adjust specific times                   PHA                  AST

 

Discontinue orders                      PHA                  DC

 

Hold (deactivate) orders             PHA                  H

 

Hold Acknowledge orders          PHA                  HA

 

Review Reactivate/Deactivate      PHA                  RA

 

Review Adjusted Times               NUR                  RAT

 

Review edits                               POM                  RE

 

Review new orders                     POM                  RN

 

Resume orders                            NUR                  RO

 

Review stop                                POM                  RS

 

Review SCH/SIG edits               PHA                  RSS

 

Review stock orders                   EDM                  RST

 

*The above table refers to the following modules:

 

PHA     Pharmacy Module

 

NUR     Nursing Module

 

POM     Provider Order Management

 

EDM     Emergency Department Management

 

@Screen.sample.fields(PHA.RX.print.nur.outstanding.activity,out.nur.act.
rpt)

 

DATA SEGMENT MAIN-Not accessible by customer npr, need to use Segment
PHA.RX  nur.request

To get field  PHA.RX.pnur.req.type

 

 Or 

 

Detail DPM      PHA.RX                      Detail Segment
pha.rx.nur.req.hold.ack.cmts

 Index DPM       PHA.RX                      Index File
pha.rx.number.index

 

 Or

 

Detail DPM      PHA.RX                      Detail Segment  pha.rx.file

 Index DPM       PHA.RX                      Index File
nur.request.index

 

 

 Or

 

Detail DPM      PHA.RX                      Detail Segment  nur.request

Index DPM       PHA.RX                      Index File
pha.rx.number.index

------------------------------------------------------------------------
---------------------------------

Report Will Always Include:

  1. One-Time Admin Orders

  2. Unverified Nursing Orders

  3. Fix-Cancelled Orders due to Administration

------------------------------------------------------------------------
-------------------------------

 I have written custom reports for Hold Acknowledgements from NUR, along
with administration reports for EMAR.

 

See attached reports for examples, these are MAGIC 5.5 SR2

 

Good Luck,

 

 

 

From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf
Of Pierson, Jeff
Sent: Thursday, January 04, 2007 9:11 AM
To: [email protected]
Subject: [MEDITECH-L] Hold Acknowledgement Notification in PHA

 

I know Magic's shortcomings regarding efficient communication of  eMAR
Hold Acknowledgements to pharmacy has been discussed often here, but
does anyone have something new to offer?  We are being told to schedule
a report (what report?) to print every so often, but I am skeptical
about this. Can anyone who successfully uses this process give me some
specifics that I can take to I.S.? We certainly want to utilize this
functionality and decrease telephone calls and forms, but our
pharmacists are constantly super busy with a backlog of orders and tend
not to deal with reports until caught up (i.e. never). We are very label
driven though. Has anyone come up with a way to get the Hold
Acknowledgement to print on a thermal label? Thanks for any
contributions. 

 

Jeff Pierson, RPh
Manager - Pharmacy Operations
SwedishAmerican Health System
Rockford, IL 61104

 

________________________________

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Message: 16
Date: Tue, 9 Jan 2007 12:33:36 -0600
From: "Bill Mullins" <[EMAIL PROTECTED]>
Subject: RE: [SPAM][MEDITECH-L] Suppress or Edit PHA Charge Going to
        B/AR
To: <[EMAIL PROTECTED]>, "Lehl, Jim" <[EMAIL PROTECTED]>,
        <[email protected]>
Message-ID:
        <[EMAIL PROTECTED]>
Content-Type: text/plain; charset="us-ascii"

Sounds good, but sometimes it is appropriate to change the dose, say the
doctor orders 7.5mg Vicodin, your hospital only carries 5mg Vicodin, so
the nurse scans pill 1, it says 5 mgs, she scans pill 2 it say 10 mgs
and flashes a error msgs that this does not match the dose. She is
suppose to give 1.5 tabs or pills, we had to erase the 10mg we scanned
and enter 7.5mg to proceed.

This is just an example, I am sure there will be other situations where
the caregiver may need to adjust the dose, but maybe you will handle
this by simply messaging PHA to edit the order before you give it? 


Good Luck,

-----Original Message-----
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf
Of [EMAIL PROTECTED]
Sent: Saturday, January 06, 2007 10:24 AM
To: 'Lehl, Jim'; [email protected]
Subject: RE: [SPAM][MEDITECH-L] Suppress or Edit PHA Charge Going to
B/AR

Hi Jim-
I have tried the same without getting it to work either - I ended up
with an
NPR that looked at charge and/or quantity and run it daily so fixes can
be
made before day end.

My thought is to not let the eMAR user "change the dose" (via parameter
setting)...that should then limit these issues to just zero dose
entries.
Thoughts?

 
 
Kevin McConnell, PharmD.
Clinical Consultant
(713)480-6810
[EMAIL PROTECTED]
www.RPhInformatics.com
-----Original Message-----
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf
Of
Lehl, Jim
Sent: Thursday, January 04, 2007 1:12 PM
To: [email protected]
Subject: [SPAM][MEDITECH-L] Suppress or Edit PHA Charge Going to B/AR

Any ideas out there how I can either suppress a charge from passing from
PHA to B/AR or at least edit the charge to $0.00.

What I'm trying to do is catch and avoid gross charge errors from
passing to B/AR that are result of gross documentation errors on the
eMAR in an Admin Billing environment.

I attempted a TXN rule that evaluates txn.items and if it exceeds a
specific amount, set the charge type to one I named "Error".  I then
created a Charge Formula to attach to this Charge Type that I had hoped
would override the charge and send a $0.00 transaction to B/AR.  My
first attempt failed.  Don't know if this is even possible or if I coded
my rule wrong or set up my Chg Formula wrong.

Any ideas will be appreciated!

Jim Lehl
<><


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