Mobile Rounding Rewrite Enhancement

BenefitPhysicians are looking for more interactive/editing capabilities on the mobile rounding application forsmartphones and tablets.

OverviewThe current Mobile Rounding application for Physicians will be re-written using the DesktopTranslator technology that is currently being used for the Patient Portal and other webapplications. This will allow for more flexibility in functionality in the future.

MEDITECH Application RoutinesOutline:

I. Sign on screen and Main Menu1. New Sign on page for full screen view2. Preferences and Logoff options moved to the top right of the screen3. Sign will be in Red if the provider has items to sign4. Display of My Admitted/Rounds patients and removing patients5. Display of Outpatient lists6. Display of Find Patient, Find by Location, Coverage and Restore Accounts7. Smartphone redesign

II. Patient Level Menu1. New two column display of Results page on the tablet2. Vital signs and I&O page displays3. Meds & Allergies has been renamed to Medications on the tablet and Meds on the

smartphone4. Laboratory displays5. Microbiology displays6. Reports/Notes change in display7. Code Visit change in display8. Changes to the Sign list navigation9. Clinical Summary has changed to Summary and Information icon added to the patient

header.

MEDITECH Dictionaries and ParametersTo use the sign functionality, users will need to be setup as a provider within the MIS providerdictionary and enabled to esign. They also will have to be setup to E-sign. This is the same setupas it is for signing in C/S EMR or MAGIC Clinical Review.

When there are items to be signed, the Mis Person/Profile setting ‘Select all for ElectronicSignature’ will be looked to to determine if all items will be pre-selected.

When signing orders, the drop down menu will have the options to Sign, View & Sign or Reject. Theoption to ‘sign’ will only be an available in the dropdown menu if the OM toolbox parameter ‘Viewbefore Order sign’ is set to No.

1

Enhancement WorkflowI. Sign on screen and Main Menu

1. Signing into Mobile Rounding will display a full screen view.

2

Enhancement Workflow cont.2. Preferences and Logoff options moved to the top right of the screen. The user is brought totheir default patient list upon signing in, which can be set in the Preferences tab.

3

Enhancement Workflow cont.3. For both iPad and Handheld versions, Sign will be in red if the provider has items to sign. A newSign button will be introduced on the smartphone.

4

Enhancement Workflow cont.4. The display of My Admitted/Rounds patients and removing patients will change. The box toselect a patient will now display with a red X and the Remove Selected button is in the footerregion.

5

Enhancement Workflow cont.5. The Outpatient list will now display a weekly calendar with the daily number of scheduledappointments upon entry. Selecting the calendar will display a monthly calendar indicating whichdays have appointments and can be chosen. Clicking on a date will display the patient namesbelow the calendar.

6. Find Patient, Find by Location, Coverage and Restore Accounts● List by Location has been renamed to Find by Location on the tablet and Find by Loc on the

smartphone.● Find Patient and Find by Location will have pop up screens for searching.● Provider Coverage has been renamed to Coverage● Coverage will also have pop up screens for searching.● Restore Accounts has been renamed to Restore Acct on the smartphone● Restore Accounts will have green checks when selected with Select All and Restore footer

buttons

6

Enhancement Workflow cont.7. The handheld version of Mobile Rounding is redesigned to look and function more consistentlywith the tablet version. The smartphone will now utilize a new slider menu.

7

II. Patient Level Menu

1. There will be a new two column display of Results page on the tablet. The smartphone willdisplay the results in a one column display due to available real estate. If available, CBC and BMPresults will always display at the top of the page

Recent Results will display per calendar date, but clicking on the date will bring up a monthlycalendar where any date can be chosen. The arrows are also available to toggle between days.

8

Enhancement Workflow cont.2. The Vital Signs panel will display the last 5 dates/times that information was recorded inflowsheet form on the tablet. The smartphone will display the last 3 dates/times that informationwas recorded in flowsheet form. Footer buttons are available for Flow Sheet, Graph and Historydisplays on the tablet

9

Enhancement Workflow cont.Choosing the History button, on the main Vital Signs page, will display a complete history of thehard-coded data items

10

Enhancement Workflow cont.Choosing a data item will display the item in a history view.

11

Enhancement Workflow cont.The new Intake and Output display will mirror that of the new Vitals display. They will display in aflow sheet form with 6 columns displaying on the tablet and 3 columns on the smartphone. 1 Hr, 4Hr, 8 Hr, 12 Hr, 24 Hr footer buttons are available on the tablet to change the time frame viewedand there will be no time frame footer buttons available on the smartphone due to lack of realestate.

12

Enhancement Workflow cont.Choosing the data items will display the item in a history view

13

Enhancement Workflow cont.Items can then be graphed from the history view. Graphing has an option of hours/days to displayat the top and includes any instances within each section as before.

14

Enhancement Workflow cont.3. Medications replaces Meds & Allergies as Allergies now display in the header, summary and moreinformation (i) sections. Active, Discontinued and Pending Medications will display in their owntables. Allergies will display in the Summary panel.

Choosing a Medication will bring up a pop up screen with the Medication Details.

15

Enhancement Workflow cont.4. The Laboratory screen will display the same information as before with 'Flow Sheet' and 'MostRecent' (previously Current and Last Values) as footer buttons with the ability to scroll throughdays

A drop down of the lab sub panels will now be available.

16

Enhancement Workflow cont.Most recent will display all Lab Last Values in a 2 column format.

17

Enhancement Workflow contChoosing a data item in blue will bring up the history view and selecting the Graph item footerbutton will graph the data item. Users have the ability to toggle between the History and GraphItem footer buttons.

18

Enhancement Workflow cont.5. Microbiology will display in columns detailing the date and time collected, source,procedure/result and an icon to view the report.

19

Enhancement Workflow cont.Choosing the clipboard or camera icon will bring up the Microbiology report in a scrollable pop upwindow.

20

Enhancement Workflow cont.6. The Reports/Notes screen will now display available items in the left column and the chosenreport/note to the right on the tablet. The Reports and Notes buttons with a drop down to thedifferent categories that are available

21

Enhancement Workflow cont.Choosing the arrow in the top right corner will enlarge the report/note to a full screen pop up viewon the tablet. Users have the ability to launch .xml (external) version of CCD from Reports page(regular version and .xml version are both needed in order to be available).

22

Enhancement Workflow cont.7. Code Visit page will display the entire summary on the top half of the screen at all times on thetablet while the bottom half of the screen will display choices for each section. Code Encounterhas been renamed to Code Visit on the smartphone slider menu and will display one section at atime.

The Code Visit menu button will turn green once editing begins and the button will remain green ifthe user navigates to another page and until the coding is submitted on the tablet.

23

Enhancement Workflow cont.8. Items to be signed will be listed on the left in the same manner as the reports on the tablet.Selecting an Order, Note or Report will display the details to the right which are scrollable(reports/notes are expandable) on the tablet.

A green checkmark will be placed next to each item viewed, indicating that it is ready forsigning/pinning. Selecting the check mark again will remove the checkmark and remove the itemfrom the list of items ready to be signed/pinned.

After each section is populated, the screen will automatically move on to the next section.Selecting any section of the summary will bring back the items for selection

24

Enhancement Workflow cont.A red exclamation point will display if items need editing on the physician desktop before signingand a message will also display at the top of the report.

25

Enhancement Workflow cont.For signing orders, any rejected items will display a red X.

26

Enhancement Workflow cont.Choosing the Enter Pin footer button will display a pop up with the Pin field as well as a summary ofitems that have been chosen and the action taken: Rejected, Not Viewed, Signed.

Selecting an item in the summary will take the user back to that item on the sign list for review.Typing in the PIN and Submitting will Sign all items and take the user back to their sign list

27

Enhancement Workflow cont.The Back to Rounds/Back to Patient footer buttons will display a warning that leaving the routinewill clear all selected items. Choosing Back to Rounds will return the user to their patient list. Thebutton will be called ‘Back to Rounds’ in the Sign routine at the patient list level and ‘Back toPatient’ within an individual patient’s record.

28

Enhancement Workflow cont.9. The Summary page will replace Clinical Summary and has moved to the top of the menu on thetablet. Summary is the first option, within the patient record on the slider menu of the smartphone.Additionally, Allergies will be displayed in this panel instead of in the Medication and Allergies panel.

29

Enhancement Workflow cont.More Information (i) icon will be added to the Header region on the tablet and smartphone. Clickingthe (i) icon will display a popup window.

30

Enhancement Workflow cont.Allergies will be viewable and the external flag will be displayed within the Allergy table display as‘(External Data Available)’.

31

Enhancement Workflow cont.Items that were previously on Clinical Summary (C/S only) will now be on the more informationpopup window on the Main tab; For example: Current Height, Current Weight, Isolation,Resuscitation status. Additionally, Order based resuscitation status will be viewable in the popupwindow on the Resuscitation tab

Available ReleasesC/S and MAGIC: 5.66

Supporting DocumentationDDP 16331DDP 16332

32