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Chemotherapy Ordering Process Kemp B. Cease, M.D., M.B.A. VA Ann Arbor Healthcare System VISN 11 Health System Board 18 June 2009

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Chemotherapy Ordering Process. Kemp B. Cease, M.D., M.B.A. VA Ann Arbor Healthcare System VISN 11 Health System Board 18 June 2009. See the Big Picture. Early ‘90s. Mid ‘90s. Source?. CPRS Note. CPRS Note. Orders Note Components. Top Warning Box Header Comment box Patient Data - PowerPoint PPT Presentation

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Page 1: Chemotherapy Ordering Process

Chemotherapy Ordering Process

Kemp B. Cease, M.D., M.B.A.

VA Ann Arbor Healthcare System

VISN 11 Health System Board

18 June 2009

Page 2: Chemotherapy Ordering Process

See the Big Picture

Page 3: Chemotherapy Ordering Process

Early ‘90s

Page 4: Chemotherapy Ordering Process

Source?

Mid ‘90s

Page 5: Chemotherapy Ordering Process

CPRSNote

Page 6: Chemotherapy Ordering Process

CPRSNote

Page 7: Chemotherapy Ordering Process

Orders Note Components

Top Warning Box Header Comment box Patient Data Hold Contingencies Preparation Premedication Antineoplastic Drugs Adjunct Medications Antiemetics Other Instructions Bottom Warning Box

Page 8: Chemotherapy Ordering Process

Template Mangement Life Cycle

Page 9: Chemotherapy Ordering Process

Chemotherapy Ordering Process

Page 10: Chemotherapy Ordering Process

Intentionto TreatWorksheet

Page 11: Chemotherapy Ordering Process
Page 12: Chemotherapy Ordering Process
Page 13: Chemotherapy Ordering Process

CPRSNote

Page 14: Chemotherapy Ordering Process

CPRSNote

Page 15: Chemotherapy Ordering Process

Use of Addenda

Second Second Prescriber QA

Nursing QA

VOID

Page 16: Chemotherapy Ordering Process

Addenda

Page 17: Chemotherapy Ordering Process

Voiding Addendum

Page 18: Chemotherapy Ordering Process

Chemotherapy Ordering Process

Page 19: Chemotherapy Ordering Process

Next Steps:Continual Improvement


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