VA Health Summaries

1. VA Health Summaries Lori Moore, Pharm D. Acting SFSU CAC Acting AAO CAC

2. Goals & Objectives • Define the Ad Hoc Report • Add the Ad Hoc Report to the EHR Report Tab • Review process for adding new types of Health Summaries to EHR Reports Tab (i.e. Women’s Health Report) • Create HS Object

3. Health Summary Components (BHS) • Released Spring/Summer 2006 • VAHS Health Summary Overall Menu (GMTS Manager) • Allows site manager/CAC the ability to: • Create customized health summaries and attach them to the EHR Reports Tab • Create health summary objects not available in document definitions

4. VAHS Overall Menu • Health Summary Coordinator’s Menu 2. Health Summary Enhanced Menu 3. Health Summary Menu 4. Health Summary Maintenance Menu

5. Health Summary Maintenance Menu • Disable/Enable HS Component • Selectively enable or disable HS components • Out of order messages may be entered and the disable action may now be identified as being either temporary or permanent • Create/Modify HS Components • Create/Modify HS components by duplication & renaming of existing components, or by entering all appropriate fields for a component programmed on-site • Edit Ad Hoc HS Type • Enter/edit default parameters (Time & Occurrence limits, hospital location displayed, ICD text displayed, provider narrative displayed, selection items and header names) for components of the Ad Hoc HS Type

6. Health Summary Maintenance Menu • Rebuild Ad Hoc HS Type • Reloads the Ad Hoc HS Type to include ALL Components, including any defined by the site, and optionally all temporarily DISABLED components, sequenced by alphabetically by name • Resequence a HS Type • Resequence the components of a given HS type from 5, in increments of % (i.e. 5, 10, 15, 20, 25……..) • Create/Modify HS Type • Allows user to create/modify HS type • Edit HS Site Parameters

7. Health Summary Maintenance Menu • HS Objects Menu • Access utilities to add/edit HS Objects • Display the characteristics of HS Object • Test HS Object or to export/import HS Object • CPRS Reports Tab “HS Types List” Menu • List HS Types on the reports tab • Arrange the order of these HS on the list • View user preferences • CPRS HS Display/Edit Site Defaults • Display the site defaults • Select the HS Types to list on the Reports Tab • Edit the method of building the list (append/overwrite) • Edit allowable entities for the list (i.e. User, System, Division, etc) • Resequence the allowable entities in the order they should appear on the list

8. VAHS Overall Menu Option 4: Health Summary Maintenance Menu

9. Ad Hoc Report

10. Ad Hoc Report • Allows the user to create Health Summaries using pre-defined HS Types for a particular patient • Quick method of looking up information not normally found on the standard HS • Data is not saved – if the user wishes to review the same data on the next patient they will have to start at the beginning of the Ad Hoc Report • If users find they are looking at certain HS type components on a routine basis they may want to work with site manager/CAC to setup a new HS that would display on the Reports tab

11. Ad Hoc Report

12. Ad Hoc Report

13. Ad Hoc Report • Add the Ad Hoc HS to the Reports Tab • Parameters (EP Edit Parameter Values) • ORWRP SUMMARY TYPE LIST  GMTS HS ADHOC OPTION Values for ORWRP HEALTH SUMMARY TYPE LIST Parameter instance Value ------------------------------------------------------------------------------------------------------------------ SYS: SFH.ALBUQUERQUE.IHS.GOV 5 GMTS HS ADHOC OPTION

14. Ad Hoc Report New Ad Hoc Report now Shows up on the Reports tab

15. VA Health Summary

16. VA Health Summary • Create/Modify HS Type • Allows the site manager/CAC the ability to create pre-defined Health Summaries to be displayed on the Reports Tab • Health Summary Type: • Woman’s Health Report

17. VA Health Summary NAME: Woman's Health Report Replace TITLE: SUPPRESS PRINT OF COMPONENTS WITHOUT DATA: no// Do you wish to copy COMPONENTS from an existing Health Summary Type? YES// NO Select COMPONENT: WOM 1 WOMEN'S HEALTH BRIEF WHB 2 WOMEN'S HEALTH DETAIL WHD CHOOSE 1-2:1 WOMEN'S HEALTH BRIEF WHB SUMMARY ORDER: 5// 5 HEADER NAME: Women's Health Brief Replace Select COMPONENT: Do you wish to review the Summary Type structure before continuing? NO// Please hold on while I resequence the summary order.

18. Attach the New HS to the GUI • Parameters • Parameters (EP Edit Parameter Values) • ORWRP SUMMARY TYPE LIST  WOMEN’S HEALTH SUMMARY Values for ORWRP HEALTH SUMMARY TYPE LIST Parameter instance Value ------------------------------------------------------------------------------------------------------------------ USR: MOORE,LORI B PHARM 10 WOMEN'S HEALTH SUMMARY USR: MOORE,LORI B PHARM 15 RENAL HEALTH SUMMARY SYS: SFH.ALBUQUERQUE.IHS.GOV 5 GMTS HS ADHOC OPTION SYS: SFH.ALBUQUERQUE.IHS.GOV 20 MOST RECENT LABS

19. Attach the New HS to the GUI Reports Tab New Health Summary

20. Creating VA HS Objects

21. Creating VA HS Objects • 1st step • VAHS Health Summary Overall Menu • Health Summary Maintenance Menu • Create/Modify Health Summary Type • Select Health Summary Type: __________ • Setup Occurrence Limit &/or a Time Limit • 2ND Step • TIU Menu for Medical Records • TIU Maintenance Menu • Document Definitions (Manager) • Create TIU/Health Summary Objects with the same name you created in the first step • 3rd Step • Test the object you created in EHR

22. Creating VA HS Objects Select EHR MAIN MENU Option: VAHS Health Summary Overall Menu 1 Health Summary Coordinator's Menu ... 2 Health Summary Enhanced Menu ... 3 Health Summary Menu ... 4 Health Summary Maintenance Menu ... Select Health Summary Overall Menu Option: 4 Health Summary Maintenance Menu 1 Disable/Enable Health Summary Component 2 Create/Modify Health Summary Components 3 Edit Ad Hoc Health Summary Type 4 Rebuild Ad Hoc Health Summary Type 5 Resequence a Health Summary Type 6 Create/Modify Health Summary Type 7 Edit Health Summary Site Parameters 8 Health Summary Objects Menu ... 9 CPRS Reports Tab 'Health Summary Types List' Menu ... 10 CPRS Health Summary Display/Edit Site Defaults ...

23. Creating VA HS Objects Select Health Summary Type: All Labs last 90 days Are you adding 'All labs last 90 days' as a new HEALTH SUMMARY TYPE (the 26th)? No//YES WARNING: You are about to edit a Health Summary Type that is being used by a Health Summary Object. Changing the structure of this Health Summary Type will alter how the Object will display. Do want to continue? NO// y YES NAME: All labs last 90 days Replace TITLE: All labs last 90 days SUPPRESS PRINT OF COMPONENTS WITHOUT DATA: no// Do you wish to copy COMPONENTS from an existing Health Summary Type? YES// n NO

24. Creating VA HS Objects Select COMPONENT: v lab 1 V LAB VLAB 2 V LAB -MOST RECENT LMR 3 V LAB MOST RECENT BY DATE LMRD CHOOSE 1-3: 2 V LAB -MOST RECENT LMR SUMMARY ORDER: 5// 5 OCCURRENCE LIMIT: TIME LIMIT: 90D HEADER NAME: Lab Most Recent// Select COMPONENT: Do you wish to review the Summary Type structure before continuing? NO// YES HEALTH SUMMARY TYPE INQUIRY Type Name: All labs last 90 days Title: All labs last 90 days Owner: MOSELY,ELVIRA SUPPRESS PRINT OF COMPONENTS WITHOUT DATA: no Max Hos ICD Pro CPT Abb Ord Component Name Occ Time Loc Text Nar Mod Selection ------------------------------------------------------------------------------ LMR 5 Lab Most Recent 6 90D * = Disabled Components

25. Creating VA HS Objects Select TIU Menu for Medical Records Option: TMM TIU Maintenance Menu (DEMO HOSPITAL) DDM Document Definitions (Manager) ... TAT TIU Alert Tools TPM TIU Parameters Menu ... TTM TIU Template Mgmt Functions ... UCM User Class Management Menu ... Select TIU Maintenance Menu Option: DDM Document Definitions (Manager) (DEMO HOSPITAL) DDM1 Edit Document Definitions DDM2 Sort Document Definitions DDM3 Create Document Definitions DDM4 Create Objects DDM5 List Object Descriptions DDM6 Create TIU/Health Summary Objects Select Document Definitions (Manager) Option: DDM6

26. Creating VA HS Objects Enter a New TIU OBJECT NAME: Last labs for last 90 days Object Name: LAST LABS FOR LAST 90 DAYS Is this correct? YES// Use a pre-existing Health Summary Object? NO// n NO Checking LAST LABS FOR LAST 90 DAYS (TIU) with Health Summary... Creating Health Summary Object 'LAST LABS FOR LAST 90 DAYS (TIU)' Select Health Summary Type: ?? Choose from: AD HOC REPORT All labs last 90 days All labs last 90 days LAST PRIMARY CARE VISIT LAST PRIMARY CARR PROV VISIT PRENATAL FLOWSHEET PRENATAL MEASUREMENT FLOWSHEET PRENATAL FLOWSHEET SAMPLE 1 SAMPLE 2 SAMPLE 3 SAMPLE 4 TIU TPBN FUTURE APPTS Future Appointments (TPBN) Woman's Health Report

27. Creating VA HS Objects Answer with Health Summary Type name, title, owner or hospital location using the summary. Your response must be at least 2 characters and no more than 30 characters and must not contain an embedded up arrow Select Health Summary Type: all Labs Last 90 Days OK? YES// All labs last 90 days Do you want to overwrite the TIME LIMITS in the Health Summary Type 'ALL LABS LAST 90 DAYS'? N// O Print standard Health Summary Header with the Object? N// O Partial Header: Print Report Date? N// O Print Confidentiality Banner? N// O Print Report Header? N// O Print the standard Component Header? Y// ES Use report time/occurrence limits? N// O Underline Component Header? N// O Add a Blank Line after the Component Header? N// O Print the date a patient was deceased? N// O Print a LABEL before the Health Summary Object? N// Suppress Components without Data? N// O

28. Creating VA HS Objects OBJECT DESCRIPTION: No existing text Edit? NO// Create a TIU Object named: LAST LABS FOR LAST 90 DAYS Ok? YES// TIU Object created successfully.

30. Questions?