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HIMS EHR MONITORING

HIMS EHR MONITORING. For Medical Records Text Integration Menu Monitoring Reports RPMS Basics. HIMS EHR Monitoring (Local menu assigned as secondary with EHR synonym). Select HIMS EHR Monitoring Option: ?? ALRT Report Menu for Alerts ... [XQAL REPORTS MENU]

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HIMS EHR MONITORING

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  1. HIMS EHR MONITORING For Medical Records Text Integration Menu Monitoring Reports RPMS Basics

  2. HIMS EHR Monitoring(Local menu assigned as secondary with EHR synonym) Select HIMS EHR Monitoring Option: ?? ALRT Report Menu for Alerts ... • [XQAL REPORTS MENU] CSR Consult Tracking Reports ... • [GMRCZ CONSULT REPORTS] PMR Performance Monitor Report • [OR PERFORMANCE MONITOR] SPAC Sensitive Patients Accessed Report • [BDGZ SENSITIVE PT REPORT] TIUM TIU Menu for Medical Records ... • [BTIU MENU2] **> Locked with TIUZHIS USO Unsigned orders search • [OR UNSIGNED ORDERS]

  3. TIUM TIU Menu for Medical Records ... • Select TIU Menu for Medical Records Option: ? • IPD Individual Patient Document • LAD List of Active Document Titles • MPD Multiple Patient Documents • PDM Print Documents Menu ... • SIG Awaiting Signature Listing • SSD Search for Selected Documents • STR Statistical Reports ... • UPL TIU Upload Menu ... • VUA View a User's Alerts

  4. Individual Patient Document Select TIU Menu for Medical Records Option: individual Patient Document Select PATIENT NAME: 999999 ZZDEMO,PATIENT <CWAD> F 10-17-1963 000002222 RLHO 999999 Available documents: 12/06/2004 thru 04/19/2005 (19) Please specify a date range from which to select documents: List documents Beginning: 12/06/2004// T-30 (MAR 27, 2005) Thru: 04/19/2005// (APR 19, 2005) 1 04/19/2005 13:16 MEDICATION REFILL ZIETLOW,K Visit: 04/19/2005 2 04/18/2005 14:01 GENERAL ENCOUNTER ANDERSON,M Visit: 04/15/2005 3 04/14/2005 11:25 GENERAL ENCOUNTER HAMSTRA,S Visit: 04/14/2005 4 04/14/2005 11:25 GENERAL ENCOUNTER BORROMEO,M Visit: 04/14/2005 Choose one or more documents: (1-4): 4

  5. Individual Patient Document

  6. List Manager Commands Note: Change Title is a hidden command which may be used by the Chief, MIS, user class to change titles on completed notes.

  7. Select TIU Menu for Medical Records Option: Search for Selected Documents Select Status: ALL// ? 1 undictated 5 unsigned 9 purged 2 untranscribed 6 uncosigned 10 deleted 3 unreleased 7 completed 11 retracted 4 unverified 8 amended Enter selection(s) by typing the name(s), number(s), or abbreviation(s). Select Status: ALL// COMP completed Select CLINICAL DOCUMENTS Type(s): Progress Notes// ? 1 Progress Notes 3 Discharge Summaries 5 Laboratory Reports 2 Addendum 4 Clinical Procedures Select SEARCH CATEGORIES: AUTHOR// ? 1 All Categories 5 Patient 9 Title 2 Author 6 Problem 10 Transcriptionist 3 Expected Cosigner 7 Service 11 Treating Specialty 4 Hospital Location 8 Subject 12 Visit Select SEARCH CATEGORIES: AUTHOR//TI Title Please Select the PROGRESS NOTE TITLES to search for: 1) LETTER TITLE TITLE 2) Start Reference Date [Time]: T-7// T-30 (MAR 27, 2005) Ending Reference Date [Time]: NOW// You may choose more than one status by either entering the numbers or status (i.e. 5,6 or uns,uncos) either one would give you unsigned and uncosigned

  8. To get a list of unsigned notes Select TIU Menu for Medical Records Option: SSD Search for Selected Documents Select Status: ALL// UNS,UNCO unsigned uncosigned Select CLINICAL DOCUMENTS Type(s): Progress Notes// ALL Progress Notes Addendum Discharge Summaries Clinical Procedures Laboratory Reports Select SEARCH CATEGORIES: AUTHOR// ALL All Categories Start Reference Date [Time]: T-7// T-365 (NOV 14, 2005) Ending Reference Date [Time]: NOW// (NOV 14, 2006@08:37) This will list all unsigned and uncosigned notes, addendums, and discharge summaries for all authors.

  9. Report by Author Select TIU Menu for Medical Records Option: SSD Search for Selected Documents Select Status: ALL// 5,6 unsigned uncosigned Select CLINICAL DOCUMENTS Type(s): Progress Notes// ALL Progress Notes Addendum Discharge Summaries Clinical Procedures Laboratory Reports Select AUTHOR: USER,ONE ON LPN Start Reference Date [Time]: T-7// T-365 (NOV 14, 2005) Ending Reference Date [Time]: NOW//

  10. Example of a report by author. Print to provide a copy to provider.

  11. View a User’s Alerts(Located under TIU Menu for Medical Records Option) 'View a User's Alerts' Synonym: VUA Displays a user's alert list. Used to compare alert list with MYU list which medical records personnel can see via SSD option. Select TIU Menu for Medical Records Option: vua View a User's Alerts Select NEW PERSON: maggie ANDERSON,MARGARET A MAA ADP SITE MANAGER 4 alerts found for ANDERSON,MARGARET A: 1 DEMO,PATI (999999): UNSIGNED GENERAL ENCOUNTER OVERDUE for SIGNATURE. 2 DEMO,PATI (999999): UNSIGNED EMPLOYMENT PHYSICAL OVERDUE for SIGNATURE. 3 DEMO,PATI (D9999): Labs resulted - [GLUCOSE] 4 DEMO,PATI (D9999): Critical lab: GLUCOSE 950 03/09 16:21 Rather than printing the unsigned list, Check to verify they have a pending notification. If so, advise user to process notifications.

  12. Additional TIU options List of Active Document Titles' Synonym: LAD Displays a list of active titles sorted by document class. Multiple Patient Documents' Synonym: MPD IHS version of report to view documents from multiple patients. Awaiting Signature Listing' Synonym: SIG Use this option to pull a list of charts in the Incomplete Chart system that are waiting for signatures on TIU documents. You can update the Incomplete Chart file here and print out a chart copy of the document. Statistical Reports' Synonym: STR IHS version of Statistical Reports Menu. Contains IHS option and header code. AUT AUTHOR Line Count Statistics DTS Dictation Timeliness Statistics SER SERVICE Line Count Statistics TRA TRANSCRIPTIONIST Line Count Statistics The incomplete chart system is not used in IHS.

  13. Print Documents Menu PDM This menu allows medical records personnel access to options which print CHART or WORK copies of Discharge Summaries, Progress Notes, or mixed Documents on demand. • PDM1 Discharge Summary Print • PDM2 Progress Note Print • PDM3 Clinical Document Print

  14. Create an addendum in EHR 2. Highlight the note • 3. Rt. Click in body • This pop-up menu • Choose Make Addendum 1. Click on Notes

  15. Enter your note • Enter the note • Click on the signature icon (hand/pen) • Sign the note

  16. Unsigned orders search • Unsigned Orders Search This report is formatted for a 132 column output. Select one of the following: 1 Released/Unsigned 2 Unsigned 3 Unsigned/Unreleased Enter the type of orders to search: 2 Unsigned Select one of the following: Enter the sort criteria: ? To sort orders by Service/Section enter a 1, by Provider enter a 2, by Patient enter a 3, by Location enter a 4, by Entering Person enter a 5 and by Division enter a 6, Enter an ^ to exit the option. Select one of the following: 1 Service/Section 2 Provider 3 Patient 4 Location 5 Entered By 6 Division Enter the sort criteria: 6 Division Would you like a specific Division? NO// Enter a starting date: t-7 (AUG 21, 2006) Enter an ending date: t (AUG 28, 2006) Print summary only ? NO// DEVICE: HOME//

  17. Critical Alerts Count Report Select Report Menu for Alerts Option: CRitical Alerts Count Report Display users whose CRITICAL ALERT count is at least: 10// START DATE: T-365 END DATE: (11/14/2005 - 11/14/2006): T Breakout by One or More Divisions? NO Select one of the following: 1 By Name 2 By Number 3 By Service/Section Select the ordering of results desired: 1 By Name DEVICE: HOME//

  18. Alert Management Select Report Menu for Alerts Option: USer Alerts Count Report Do you want to count only alerts containing specific words or phrase(s)? NO Display users whose ALERT count is at least: 100// 50 START DATE: T-9999 END DATE: (6/29/1979 - 11/13/2006): T Breakout by One or More Divisions? NO Select one of the following: 1 By Name 2 By Number 3 By Service/Section Select the ordering of results desired: 1 By Name DEVICE: HOME// VIRTUAL Right Margin: 80//

  19. Report of pending alerts >50 COUNT of ALERTS - users with more than 50 on Nov 17, 2006@14:00:19 for date range 11/17/2005 to 11/17/2006 CRIT column indicates number of CRITICAL alerts and ABNORMAL IMAGING alerts Total Oldest Name Service/section Alerts Last Sign-on CRIT Alert ----------------- ----------------- ------ ------------ ---- ---------- PROVIDER,ONE OUTPATIENT 206 MAY 10, 2006 2 11/01/2006 PROVIDER,TWO OUTPATIENT 96 AUG 18, 2006 1 11/01/2006 PROVIDER,THREE OUTPATIENT 67 NOV 17, 2006 0 11/01/2006 PROVIDER,FOUR OUTPATIENT 89 OCT 16, 2006 1 11/06/2006 PROVIDER,FIVE OUTPATIENT 53 NOV 17, 2006 0 11/06/2006

  20. Pending Consults • Setup HIMS at the ALL SERVICES level. • HIMS should routinely run the pending consults report for all services to be sure pending consults are being processed and completed correctly.

  21. Service Consults Pending Resolution Select Consult Tracking Reports Option: Service Consults Pending Resolution Select Service/Specialty: ALL SERVICES GROUPER ONLY List From Starting Date: ALL DATES// ...SORRY, HOLD ON...

  22. All Services pending report

  23. Sensitive Patients Accessed Report(This is a locally developed fileman template option) Sensitive Patients Accessed Report [BDGZ SENSITIVE PT REPORT] * Previous selection: DATE(DATE/TIME RECORD ACCESSED) from Feb 10,2006 to Feb 10,2006@24:00 START WITH DATE(DATE/TIME RECORD ACCESSED): Feb 10,2006// (FEB 10, 2006) GO TO DATE(DATE/TIME RECORD ACCESSED): Feb 10,2006// T (NOV 14, 2006) DEVICE: The report shows the last run date; therefore, you just need to change the ending date to Today

  24. Performance Monitor Report Enter starting date: t-30 (JUL 29, 2006) Enter ending date: t (AUG 28, 2006) Do you want ALL providers to appear on this report? Y// ES Select one of the following: A All orders P Pharmacy orders only Select order category: P// All orders Select one of the following: I Inpatient O Outpatient B Both Select patient status: B// oth Select one of the following: S Summary (includes provider details) D Detail (includes order details) B Both (Summary & Detail) T Summary Report Totals Only (no provider details) Select report: S// ummary (includes provider details) DEVICE: HOME// VIRTUAL

  25. Report example CPRS Performance Monitor - Summary Report Aug 28, 2006 PAGE 1 Selected Date Range: 7/29/06 to 8/28/06 Sort criteria: ALL PATIENTS/ALL ORDERS BREAKDOWN OF ORDERS PROVIDER PROVIDER NOT SELF ENTERED PROVIDER UNIVERSE DEA/STU/POL ORDERS ENTERED % WR/VE/TE/EL -------------------------------------------------------------------------------- PROVIDER,ONE Outpt Tot 16 16 16 100% Sub-tot 16 16 16 100%

  26. Screen Editor Commands Exiting/Saving Exit and save text <F1>E Quit with optional save <F1>Q Deleting Character before cursor <Backspace> Entire line <F1>D Formatting Join current line to next line <F1>J Reformat paragraph <F1>R To see all of the commands <F1>H=Help

  27. Editing with replace… Example: SIGNATURE BLOCK TITLE: V23 SENIOR SYSTEM ANALYST Replace The "Replace" and "With" prompts are case sensitive. If you want to replace the entire entry, you can enter ellipsis points—three periods (...) at the "Replace" prompt and then type in the new entry at the "With" prompt. Also, these prompts are only presented to you when an entry is greater than or equal to 20 characters in length. If the entry is less than 20 characters, you will merely be shown the current default entry, if any, and you must type in your entire new entry after the prompt. These are VA FileMan conventions. … If you wish to replace the whole line END If you wish to add to the end of the line @ If you wish to delete the entire entry

  28. General RPMS Conventions ? Provides information about what the system expects to receive at a given prompt. ?? Provides more detail concerning what the system expects to receive at a given prompt ??? Provides maximum information concerning what the system expects to receive at a given prompt

  29. Conventions, continued… • ^ Will allow you to exit an option or prompt • @ This is the delete command • // A prompt followed by this indicates a default answer. • You may either press enter to accept or change the answer. • DEVICE • Enter a printer or SLAV • Enter HOME or just press enter to display to your screen

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