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Standing Orders as a System Change

Standing Orders as a System Change. Creating and Implementing Standing Orders Linda Mendoza – El Rio Community Health Center. What is a Standing Order.

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Standing Orders as a System Change

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  1. Standing Orders as a System Change Creating and Implementing Standing Orders Linda Mendoza – El Rio Community Health Center

  2. What is a Standing Order • It is a written instruction/document containing orders, rules, regulations or procedures prepared by a physician for the conduct of patient care. • Standing Order (SO) authorizes certain medical staff to carry out medical orders per practice-approved protocol. • SO usually apply to a certain patient population.

  3. Review what is the need: • Taking steps to improve patient’s health and longevity. • Early detection of disease. • Meet and exceed screening protocols.

  4. Standing Orders • What are some common screenings or routine/seasonal immunizations you may consider for SO: • Breast and Cervical Cancer • Colorectal Cancer • Diabetes • Immunizations • Flu Shots • Diabetes

  5. Who does the SO affect? • Patients • Education about health screening and their frequency • Financial impacts

  6. Staff • Easier process • Saves time

  7. Creating the SO • Content/Scope • Who is your target population • Documentation

  8. What are your desired outcomes • Increase and improve the delivery of services. • Identify and address care gaps. • To meet and exceed screening protocols.

  9. Getting your SO approved • Organizations will have different processes. • Medical Director • Nursing Director • Committees

  10. Implementation of SO • Introduction of new SO. • Training of staff. • Resources available for both staff and patients.

  11. Outcomes • How do you measure • Baseline at implementation. • Review at 3 months, 6 months, 12 months. • Review SO for effectiveness. Important note “Have staff buy in!”

  12. Questions?

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