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Consults. EHR for HIM. Consults . EHR consults are to be used in-house such as Podiatry, Dietary, etc. The RCIS is used for outside referrals Consults are a 2 way street- one person requests the Consult and another person does the consult.
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Consults EHR for HIM
Consults • EHR consults are to be used in-house such as Podiatry, Dietary, etc. • The RCIS is used for outside referrals • Consults are a 2 way street- one person requests the Consult and another person does the consult. • Consult orders can print to the department doing the service or a Notification can be sent to the person doing the Consult.
Example of EHR consult • Quick orders can be made for ordering Consults. • Each Consult Service has to be setup in the EHR. This will be done by the CAC and the person providing the service.
New Consult Service SetupCON Menu • Add/Edit Another Service? NO// YES • Select Service/Specialty: DIABETES EDUCATION • SERVICE NAME: DIABETES EDUCATION// • ABBREVIATED PRINT NAME (Optional): • Select SYNONYM: • SERVICE USAGE: • SERVICE PRINTER: • NOTIFY SERVICE ON DC:
New Consult Service SetupCON Menu (cont) • REPRINT 513 ON DC: • PREREQUISITE: • No existing text • Edit? NO// • PROVISIONAL DX PROMPT: • PROVISIONAL DX INPUT: • DEFAULT REASON FOR REQUEST: • Topics to cover: {FLD:DIABETES EDUCATION}
Quick Order • Consult to Service/Specialty: NUTRITION// • Consult Type: • Reason for Request: Appetite: {FLD:DIET APPETITE} Frame size: {FLD:DIET FRAME SIZE} Nutritional status: {FLD:NUTRITIONAL STATUS Diet request: {FLD:DIET REQUEST} Edit? No// • Category: OUTPATIENT// • Urgency: ROUTINE// • Place of Consultation: Consultant's Choice// • Attention: • Provisional Diagnosis:
Consult results – Note Titles • Special document class exists for consult note titles • Consults have their own Note Title such as Podiatry consult
HIM Role in Consults • HIM is responsible for monitoring pending consults (incomplete vs. complete) • For more information, see Policy and Procedure Monitoring RPMS EHR Reports at www.ihs.gov or EHR FTP site • This will be presented under the TIU Reports section
Consult ReportsCON Menu Decide who is responsible for tracking pending consults ST Completion Time Statistics PC Service Consults Pending Resolution CC Service Consults Completed CP Service Consults Completed or Pending NU Service Consults with Consults Numbers SC Service Consults By Status Print Completion Time Statistics Report Print Service Consults by Status