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316H Diagnosis CPRS – Dive Right In Christy Gagliano Dale Givens Duane Mawhorter Nick Strong 316H Diagnosis CPRS - Dive Right In Class Objectives Utilize existing VistA tools to support disease management Utilize group knowledge to design a solution based on user requirements
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316H Diagnosis CPRS –Dive Right In Christy Gagliano Dale Givens Duane Mawhorter Nick Strong
316H Diagnosis CPRS - Dive Right In Class Objectives • Utilize existing VistA tools to support disease management • Utilize group knowledge to design a solution based on user requirements • Facilitate group’s ability to determine own learning path • Utilize group dynamics to learn from and teach each other
316H Diagnosis CPRS - Dive Right In • Group Introductions • Take 2 minutes to get to know each other and assign a group leader • The focus is for the team to take advantage of expertise of the group • The group leader will coordinate and assign tasks • Members will present group results at end of class
316H Diagnosis CPRS - Dive Right In • Access Code: ##VEHU • Verify Code: VEHU## • Signature Code: VEHU##
316H Diagnosis CPRS - Dive Right In Diabetes ORZ MN 316 ORZ GMENU 316 Medications PSOZ QO 316 (All for 30 days with 3 refills) Glipizide tab 5mg PO qam Metformin 500mg PO tid Insulin NPH (no preset dose)
316H Diagnosis CPRS - Dive Right In Supplies For all - Schedule As Directed; Quantity 100 Dose Route Syringes 1 syringe SQ Lancets 1 lancet ‘blank’ Alcohol pad 1 pad TOPICAL Glucose test strips 1 strip ‘blank”
316H Diagnosis CPRS - Dive Right In Labs LRZ QO 316 HGB A1C (every 3 months) Lipid profile (yearly – more often if needed) Basic Metabolic Panel (yearly – more often if needed) Microalbumin & UA (yearly – more often if needed)
316H Diagnosis CPRS - Dive Right In Consults GRMCZ QO 316 • Dilated eye exam (Ophthalmology) - yearly • Foot risk assess. (Diabetic nurse)- yearly • Foot/nail care (Podiatry) (as needed) • Nutrition/weight control (Dietary/MOVE) • Diabetic Ed. Class (Diabetic nurse)
316H Diagnosis CPRS - Dive Right In Radiology RAZ QO 316 • Renal Ultrasound (uncontrolled DM with protein in urine) Text orders ORZ GXTEXT 316 • Nursing – provide self injection ed. • Nursing – Blood glucose testing ed. • Clerk – RTC with labs or without labs
316H Diagnosis CPRS - Dive Right In Hyperlink • National Diabetes Practice Guidelines http://www.oqp.med.va.gov/cpg/DM/DM_base.htm Documentation provided • Blood pressure • LDL Cholesterol • HGB A1C • Microalbumin