We do not have this problem with our pharmacy systems (I think PYXIS and
Intellidot have found work arounds for this). However, we've had a
similar problem with a 3M HDM coding/billing system. Everytime ADM sends
the undo (A11 message) 3M deletes out all of the charges on the undone
account. This causes lots of rework and missing charges.
The only workaround we found was to have 3M totally ignore the A11
messages. Admission staff have to keep track of the actual cancelled
accounts in Admissions and our 3M coders have to manually remove those
patients from the 3M system. This creates extra work, but it is better
than dropping charges and losing money.
Is your DTS pharmacy specific, or NMI related to change the function of
the A11 message? If it is more global than pharmacy I'd be interested in
following up with you and could possibly help out.
Diana Behling
Application Systems Analyst/Programmer
Parkview Medical Center
719-584-4642
________________________________
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Scranton, Robert
Sent: Tuesday, July 03, 2007 12:25 PM
To: [email protected]
Subject: [MEDITECH-L] ADM/PHA/NMI Undo discharge issue
The more modules involved in an issue slows its resolution
exponentially. You can quote me on that. Our pharmacy department has a
carousel and drug packaging dispensing system that has a few issues of
it's own without MediTech's help, but MediTech seems to have the need to
help it have more issues. We use the RXRobot interface which was
developed for the McKesson Robot system which normally gets along
perfectly fine with our AutoPharm system. The issue we have is that when
Admissions does an undo on a patient account and undoes a discharge even
for a fraction of a second, all of the medications that were not
dispensed for that person, be it hours, months days, or weeks are
dispensed from the carousel and automatic packaging machine. Then the
order is immediately discontinued and credited, but we are left with
plagues of medication to be manually returned. Has anyone run into this
problem? If you have you can make a difference. A DTS number would me
most helpful. Our ADM support person at MediTech is not grasping the
levity of the situation and I am running extremely low on ibuprofen. If
anyone out there has had this issue, I feel your pain, but would
appreciate your help.
Robert B. Scranton RPh
Pharmacy Information Specialist
Adena Regional Medical Center
Chillicothe, OH 43154
(740)779-7898
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