august 2013 clinical update

AUGUST AUGUST 20132013 CLINICAL UPDATE CLINICAL UPDATE

CNACNA

Changed login process• CNA for CNA and Nurse have been combined. The

new welcome screen has functions based on security settings in CNA touch

Release notes includes instructions for your system administrator to change the launcher

CNACNA

Old Look- Nurse Old Look- CNA

New CNA-Welcome Screen New CNA-Welcome Screen OverviewOverview

CNA- Resident SelectionCNA- Resident Selection

New- defaults to assigned residents on welcome screen

Old- Residents appear after clicking/touching record action

CNA-Add ResidentCNA-Add Resident

Residents are now filtered by assigned CNA, all residents or only unassigned residents

CNA-Missed DataCNA-Missed Data

Clicking on the MT will bring up any missed entry

CNA- Default ProfilesCNA- Default Profiles

The edit default profile has been separated from edit profile

CNA- Vital SignsCNA- Vital Signs

Text on the CNA Vital Sign screen is more legible

Automatically goes to selected vital sign for data entry

Docs ManagerDocs Manager

Cosmetic changes• Bolded the text in the ‘From’ and ‘Thru’

fields. • Changed ‘All Files’ Label to ‘All Folders’. • Scanned Documents are now listed in Date Order

Rehab touch- G-CodesRehab touch- G-Codes

Added G-Code Prompt for PPS residents

Rehab touch- G-CodesRehab touch- G-Codes

If set to no in security, it is grayed out in non-PPS

PPS NON-PPS

Rehab Touch- G-codesRehab Touch- G-codes

Improved display for the selected modifier buttons in the “Report G-Code Data” screen. Selected buttons are now highlighted using light green background color.

Auto-populates to 1

Allocated more vertical space to the Directives Area to reduce the amount of scrolling need to view listed directives

Medication Directives

Next Day ColumnNext Day Column

eMAR history window displays a next day column in the grid. Convenient for users working on the night shift who administer early morning

medications, to the results of early am administrations.

MAR/TAR Report Page FooterMAR/TAR Report Page FooterChanged MAR/TAR Report page footer to display up to 7 Diagnosis’s, 7 Allergies and 14 Initials

A separate page will be added for residents that have more Diagnosis, Allergies or Initials Applied

Extended Directions AddedExtended Directions Added

Added Extended Directions to the Additional Information Window, which appears when user clicked magnifying glass icon in eMAR, and eMAR History views

Changed the midnight time display format from "--:--" Changed the midnight time display format from "--:--" to "00:00" in the eMAR/eTAR History window. to "00:00" in the eMAR/eTAR History window.

Midnight Time Display

Proximity Card AuthenticationProximity Card Authentication

For device installation and information please read update release notes pages 22-32

Note: Until the Proximity Card Reader and Servers are configured correctly, the ADL system will return an ‘Authentication Failed’ error message.

eMAR now supports Proximity Card Authentication

PrecautionsPrecautionsPrecautions can now be added in four areas of the system. Through Alert button, Services button , also on the Precautions tab. All areas can be located on the order entry home screen. The last area is the bottom of the eMAR/eTAR screen.

Rotation of Injection SitesRotation of Injection Sites

Captures rotation site for injections and patches in eMAR/eTAR

Set up for Patch or Injection rotation siteSet up for Patch or Injection rotation site

1. Click in the box next to ‘rotate injection sites or patch sites’2. Select subcutaneous on the route when writing an order

Note: The rotate injection site flag can also be setup in the drug profile using the formulary editor also. (see next slide)

Setup for ‘rotation of injection or patch site Setup for ‘rotation of injection or patch site in the formularyin the formulary

1. Open the drug master editor and lookup the injectable drug you would like to set the rotate injection site flag.

2. Left click on the flags tab and check the box next to rotate injection sites, the same would apply for setting patch site.

Rotation injection site once setup in the Rotation injection site once setup in the formularyformulary

3. Left click on the button.

Note: The drug will now appear in order entry with the Rotate Injection Site already checked.

Email message to ADL Support Email message to ADL Support

Added ability to send an email message to ADL Support directly from inside Optimum EMR

Please read page 37 of release notes on setup information.

Note: In order for this feature to work, am email program must be installed and configured on your system. If no email program is loaded onto the computer or system, a pop up message will appear alerting you that Optimum EMR could not find an email program. If an email program is installed on your system, but not configured to send emails, the program will open and you will be prompted to configure your email settings. In either one of these scenarios, please contact your system administrator or IT – department to install and setup an email program on your system.

Host name and user id added to title barHost name and user id added to title bar

Creating discharge ordersCreating discharge orders

Added new function for creating discharge orders from active orders

To create discharge orders from Active Orders: 1. Left click on Service and then Create Discharge Orders.

Note: Creating Discharge Orders can only be done by persons with prescribing privileges.

2. Left click in the Check Box next to the active orders you would like to create as Discharge Orders.

Discharge Orders

Note: This will create discharge orders.

3. Left click on the button to write discharge orders

Discharge Scripts

*Discharge scripts**Discharge scripts*

Facility must contact your state government to obtain legal prescription paper for printing.

Same as when facility orders the facility pad.

Set up for Days of the WeekSet up for Days of the Week

1.Login to Optimum Security

2. Left click on the System Parameter menu item.

3. Left click on the Orders Category.

4. Select a level (Facility or System) from the facility drop down menu Facility

5. Left click on the Days of the week on line item located near the bottom of the list.

6. Left click on the Yes radio button at the bottom of the parameters screen.

7. Left click on the Save.

Setup for days of the weekSetup for days of the week

Days of the week OrderDays of the week Order If Every Other Day option is selected in the

Schedule Screen then the order's frequency will be shown as frequency_name (every other day starting with exact_day at scheduled_time) Example:

Daily frequency is set for Sun, Mon, Tue, Wed, Thu, Fri, Sat in Orders Management (9:00am)

Daily frequency is changed in Orders Entry to Every Other Day starting with Wed for a specific order As a result, the frequency will show Daily (every other day starting with Wed at 9:00am)

Days of the Week OrderDays of the Week Order

Days of the week OrderDays of the week Order

Order Type FilteringOrder Type Filtering

You can now drill down the order type of expiring order.

Diagnosis and Allergies DisplayDiagnosis and Allergies Display

Diagnosis and Allergies will now display horizontal on all Order Reports and Physician Orders.

Add DoctorAdd Doctor

Login to Optimum Security

2. Left click on the Order User Level

3. Select a user role in the Role Drop down menu .

4. Left click on the Functions radio button

5. Scroll down to the selection that says Add Doctor

and place a check in the column next to it.

Add DoctorAdd Doctor

Add Doctor

Note: if access to this feature is restricted, the add Doctor button will be disabled as shown in picture above.

Notification ButtonNotification Button

The Notifications button is lit differently based on who is logged into the system. If a doctor is logged in, we used to check orders that need signature for the last 7 days. We will now check orders that need signature for the last Notifications Lookback Period number of days. Therefore the way orders are counted in order to light the Notifications button will now match the way orders are counted when the Sign Orders screen is open. If a nurse is logged in, we used to check orders that need to be noted for the last 7 days for both Note Orders and Note Orders - 2nd Signer screens. We will now check orders that need to be noted for the last Notifications Lookback Period number of days. Therefore the way orders are counted in order to light the Notifications button will now match the way orders are counted when the Note Orders / Note Orders - 2nd Signer screens are open. Also, when a nurse is logged in, we either show the regular Note Orders screen or the Note Orders for Each Shift screen based on the Note Orders option system parameter, which determines how the Notifications button will light up. I

Notification ButtonNotification Button

If Note Orders option = Note Orders, we check orders that need to be noted in the: o Note Orders screen, if 2nd Signer on Confirm = NO (this means the Note Orders

- 2nd signer screen is not used therefore we don't need to count those orders) o Note Orders and Note Orders - 2nd signer screens, if 2nd Signer on Confirm = YES (this means the Note Orders - 2nd signer screen is used therefore we need to count those orders)

If Note Orders option = Note Orders for each shift, we check orders that need to be noted in the Note Orders for each shift screen To enable this feature: 1. Login to Optimum Security

2. Left click on the System Parameters menu item.

3. Left click on the Orders Category.

4. Select a level ( Facility or System) from the facility drop down menu .

5. Left click on the Note Orders Option system parameter.

Notification ButtonNotification Button

6. Selecting a setting from the Code Table drop down menu that you wish to set and then click on the Save button.

Pay source CheckingPay source Checking

Added system parameter for using Negative - Home substitution code for residents which are not covered by any insurance plan.

To enable this feature: 1. Login to Optimum Security 2. Left click on the System Parameters menu item.

3. Left click on the Orders Category. 4. Select a level (Facility or Security) fro the drop down

menu. 5. Left click on the Use Negative Home system parameter. 6. Left click on the Yes radio button at the bottom of

screen. 7. Left click on the Save.

Pay source Checking

Pay source CheckingPay source Checking

Pay source CheckingPay source Checking

Pay source CheckingPay source Checking

Medicare Part D CoverageMedicare Part D Coverage

Note: The resident's main paysource is Medicare if the resident is covered by Medicare or Medicare and Medicaid. If the resident is covered by Medicare Part A and Medicare Part D, Medicare Part A takes precedence and it considered the main paysource, therefore Part D checking will not be performed.

For setup information please read Release Notes on page 52-53.

Creating Draft Orders for Residents on Creating Draft Orders for Residents on Bed RetentionBed Retention

To enable this feature: 1. Login to Optimum Security

2. Left click on the Orders User Level

3. Select a user role in the Role Drop down menu .

4. Left click on the Functions radio button.

5. Scroll down to the selection on the list and put a check in the ‘A’ Column next to the “Create Drafts for Res. Discharged to Bed Retention.

Draft OrdersDraft Orders

Facility can now create draft orders for residents on bed retention.

Discharged on Physician order sheet.Discharged on Physician order sheet.

1. Login to Optimum Security

2. Left click on the System Parameters menu item.

3. Left click on the Orders Category.

4. Select a level (Facility or System) from the facility drop down menu .

5. Left click on the Discharged res. line item located near the bottom of the list.

6. Select a setting from the ‘Code Table’ drop down menu that

you wish to set.

7.Left click on the Save.

Discharge on Physician Order Sheet.Discharge on Physician Order Sheet.

Note: Possible Settings Include: Do not include Include only residents discharged to bed retention - default value Include all discharged residents except deceased ones Include all discharged residents (including deceased ones

Discharge Resident Order Sheet SetupDischarge Resident Order Sheet Setup