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September, 2011. Meditech 5.64.21 Training ( Designed for initial training for Physicians Office Staff ). Page 1. PURPOSE. This training module has been designed to help you learn and navigate through the Meditech EMR and its various functions. May 2008. 2. Page 2. MHS KEY RESOURCES.
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September, 2011 Meditech 5.64.21 Training (Designed for initial training for Physicians Office Staff) Page 1
PURPOSE This training module has been designed to help you learn and navigate through the Meditech EMR and its various functions May 2008 2 Page 2
MHS KEY RESOURCES For MDMC, MMMC, MCMC: MHS Help Desk 214-947-1999 MHS Help desk email: helpdesk@mhd.com For MRMC and Bush/Renner: Methodist Richardson Help Desk 972-498-4756 MRMC Help desk email: ishelpdesk@richardsonhealth.com Medical staff offices : MDMC: 214-947-2875 MCMC: 214-947-7699 MMMC: 682-622-2069 MRMC: 972-498-4684 PACS – Radiology: Toby Lopez – PACS training 214-947-2465 Email: tobylopez@mhd.com May 2008 3 Page 3
MEDITECH LOGON & PASSWORD CHANGE This screen is now the MHS Meditech site and requires that you have a Meditech user name and password This is different from your token sign on • First time users will get a one time use Meditech password assigned. • Put this one time use password in old password line • Put in your new password and hit enter and then reenter new password and hit enter again • Meditech will acknowledge your new password change as successful • Subsequent logins will not prompt for a new password unless expired • If you forget your password, one can always get assistance by calling: the MHS Help Desk 214-947-1999 or MRMC Help Desk 972-498-4756 October 2006 4 Page 4
CHANGE PASSWORD Depending on your role, you may have a different menu to select than another provider. Menu name shows at “#1” below From “EMR”, go to “Change Password or Create PIN”, then “Change Your Meditech Password” 1 3 2 “EMR” May 2008 Page 5
VIEW PATIENTS 2 1 “EMR” May 2008 Page 6
This applies for all users You now have several choices on how to search for your patient(s) Use the menu on the right panel of the Meditech window You can choose to search by: Admitted Emergency Dept New Results Recent Access Any Location Any Record Rounds Report VIEW PATIENTS October 2006 7 Page 7
VIEW PATIENTS This example shows searching by “Any Record” Type the last name of the patient, and click “OK <F12>” From the list of Patients, select the correct Patient 2 1 3 May 2008 Page 8
VIEW PATIENTS Now select the correct Visit 1 2 May 2008 Page 9
VIEW BY RECENT ACCESS This example shows searching by “Recent Access” This shows all patients you have recently accessed From the list of Patients, select the correct Patient 1 2 May 2008 Page 10
VIEW BY ANY LOCATION This example shows searching by “Any Location” This shows all patients at the location you select Choose the facility From the list of Patients, select the correct Patient 2 3 1 4 May 2008 Page 11
CREATING YOUR OWN PATIENT LIST You can create a patient to list to use by either of two methods. You can use the “Recently Accessed List “choice which is automatic and involves you only having to open a patient and view results to add to your list. Patients automatically get dropped off after 14 days of discharge. Or you can make selection “remove from recently accessed list” You can alternatively make a “Personal List”. This requires more maintenance on your part but gives more control on who gets on your list and when they get taken off. May 2008 12 May 2008 Page 12
Create a personal list by selecting the patients you want to add to list and then hit “Add to personal list” This adds a little more maintenance but allows a printout of your personal list and report with all your patient locations You can see your list at any time by selecting “personal list” Creating Your Own Patient List May 2008 13 May 2008 Page 13
Removing Patients It is easy to manage your patient list by removing those patients you discharge Once you click “Remove from personal list,” the name is removed as indicated Creating Your Own Patient List May 2008 May 2008 Page 14
Printing your list You can select print or view “Personal List/Report” Select all or a specific facility Select “View” or “Print” The “Personal List Report” includes location, patient name, bed, room number, MD, sex/age, medical record number, physician, room, bed Creating Your Own Patient List May 2008 15 May 2008 Page 15
REVIEWING PATIENT INFORMATION Once you select a patient, EMR opens to the “Summary View” You can choose what you want to view using the view selection buttons Or you can view “Special Panels” 1 2 3 May 2008 16 Page 16
PATIENT VIEW AND MENU The admitted patient default screen will be the 24 hour view Patient Information is on the top panel Right panel has individual clinical modules Red color of individual clinical module means new results since your last viewing of record Anything new is listed here for 5 days: vital signs, I and O, reports, lab results etc… 2 1 October 2006 17 Page 17
LABORATORY PANEL The right side of the Meditech desktop contains the Lab menu Select panel, and view the results Use the Laboratory menu option to view information for Hematology, Blood Gas, Coagulation, Chemistry, Urine, Toxicology, Other Body Source, Immunology, Miscellaneous, and Serology To get the numerical reference ranges point your arrow at the test name and click on it. Another window will appear and show the ranges for that test. 2 1 3 October 2006 Page 18
Click on picture of Report/Grid to view microbiology report Once on your screen, the report can be printed. When done hit ESC to go back to patient record MICROBIOLOGY PANEL May 2008 19 October 2006 Page 19
PATHOLOGY PANEL The right side of the Meditech desktop contains the Pathology menu Select panel, and view the results Use the Pathology menu option to view pathology specimens in reverse chronological order with the most recent specimen appearing at the top of the panel. The Pathology panel includes three columns. The left column of the panel includes the date and time of the report. The middle column includes the name of the report (or the EMR ID if the report was scanned). The right column includes the result icon. Click the result icon to view the report 2 1 October 2006 Page 20
You can right click on your mouse on each selected lab values up to three or vital signs and then select graph for viewing You can then print screen the graph if desired GRAPHING RESULTS 1 2 3 4 May 2008 October 2006 21 Page 21
The “Special Panels” selection on third line of top right menu will take you to some pre-built specialty results panels For instance, below is an example of the Diabetic Panel SPECIAL PANELS • You can select time intervals from 5 minutes to 24 hrs. • You can see entire encounter by selecting Earlier or Home if there are more results May 2008 22 October 2006 Page 22
IMAGING (RADIOLOGY) PANEL Radiology studies will be found under “Imaging” Go to the round balloon and click to see report Once report viewed, you can go to top of screen and File/Print Some radiology reports may not print well on non - HP printers Make sure all print drivers are current 2 1 October 2006 Page 23
Active, Discontinued and ALL medications choices can be selected Toggling boxes below can also help to see earlier as well as current view Clicking the headings at the top of each column will sort and give more detail on each medication MEDICATION ADMINISTRATION LIST 1 • Clicking on the Medication will show order details and history May 2008 May 2008 October 2006 24 Page 24
PRINTING REPORTS You may need to print reports from Meditech Select the print option (default is “View”, which displays on screen) You can also choose: Print (you will select a printer) Download (you will choose a download path to save the report to) Browser (this will load the report to your Internet Browser) 1 2 3 October 2006 25 Page 25
OTHER REPORTS Use “Other Reports” for: History and Physical Operative notes Consults Discharge summaries etc that have been dictated by physicians Status shows as Signed, Draft, etc Find report and click on balloon to open report Once the report is open, you can print it by selecting File/Print 3 1 2 October 2006 Page 26
REPRINT FACE SHEET Depending on your role, you may have a different menu to select than another provider. Menu name shows at “#1” below From “EMR”, go to “Reprint Facesheet”, then select a facesheet This will include most recent information for patient demographic information for billing 2 3 1 “EMR” October 2006 27 Page 27
REPRINT FACE SHEET Enter patients CA… DA… MA… RA… number sequentially as all CAPS There are 10 digits in the account numbers (CA0000000042) You MUST enter the leading zeroes These numbers can be found on patient record when in view patient module Multiple numbers can be entered at one time - just use tab and cursor goes to next line October 2006 28 Page 28
REPRINT FACE SHEET Patient face sheet with demographics useful for office staff for billing services This report is always current and available by remote access by office staff with Meditech username and password After viewing report select printer icon at top of menu bar for print copy October 2006 29 Page 29
PATIENT CODING SUMMARY From “EMR”, go to “Patient Coding Summary” This will include most recent information for patient demographic information for billing, and the patient’s billing coding summary done in MHS HIM Most useful to physician’s office personnel for ICD9 codes at patient discharge from hospital 2 1 “EMR” October 2006 Page 30
PATIENT CODING SUMMARY At prompt put in account number and click OK Select View or Print You should now have a summary of HIM hospital coding for your patient 1 2 October 2006 31 Page 31
PATIENT CENSUS • From “EMR”, go to “Census Report”, then “Census”, select a Census • There are 3 census reports available: • Alpha • Doctor • Nurse Unit 1 2 4 3 “EMR” October 2006 Page 32
PATIENT CENSUS (ALPHA) • Alpha Census: • Put the patient name(s) on both blank spaces, click ok 1 2 October 2006 Page 33
PATIENT CENSUS (DOCTOR) • Doctor Census: • Put the Doctor’s mnemonic(s) on both blank spaces • Select your preferred Sorts • Select Report Format (usually Standard) • Click OK 1 2 3 4 5 October 2006 Page 34
PATIENT CENSUS (NURSE UNIT) • Nurse Unit Census: • Type the Date • Select your preferred Location(s) • Click OK 1 3 2 4 October 2006 Page 35
SUMMARY October 2006 • You now understand basic Meditech functions: • Logon, change password • View Patients • Clinical Panels • You have learned about the additional physician desktop EMR icons that contain more functions within Meditech: • Reprint Face sheets • Census report` • Patient coding 36 Page 36
CONTACT INFORMATION October 2006 • If you are having problems with your access at MDMC, MCMC, or MMMC please contact 214-947-1999 the MHS Helpdesk or helpdesk@mhd.com • If you are having problems with your access at MRMC or Bush/Renner please contact the Richardson HelpDesk at 972-498-4756 or ishelpdesk@richardsonhealth.com • MHS does not have a team to come to your office to repair PCs. 37 Page 37