This document provides guidance for customizing and implementing various aspects of a MEDITECH CPOE system, including:
1. Standardizing naming conventions and formatting for orderables, medications, and order strings to follow industry standards and legal requirements.
2. Configuring order sources, reflex order sets, and evidence-based order sets from approved vendors.
3. Training physicians, nurses, ancillary staff, and pharmacists on using the CPOE system for tasks like placing orders, reconciling medications, and managing orders during downtime. Emphasis is placed on specialty workflows.
4. Coordinating go-live preparations across departments like registration and virtual beds in ED.
Computerized Physician Order Entry: A Case Studyslvhit
Dr. Pappas describes the planning, implementation, and lessons learned of a Computerized Physician Order Entry (CPOE) launch at a small community hospital in Chicago, IL. He shares his experience as the director overseeing the project, its challenges and solutions. The goal of his presentation gives administrators, providers, and analysts information on what to expect when trying to implement CPOE and Health Information Systems.
Computerized physician order entry (CPOE), sometimes referred to as computerized provider order entry or computerized provider order management (CPOM), is a process of electronic entry of medical practitioner instructions for the treatment of patients (particularly hospitalized patients) under his or her care.
Closed Loop Medication Management - A preferred way to go go forward for Prov...CitiusTech
Closed Loop Medication Management (CLMM) system is a fully electronic medication management process that integrates automated and intelligent systems to completely close the inpatient medication management and administration loop, and seamlessly document all the relevant information.
Computerized Physician Order Entry: A Case Studyslvhit
Dr. Pappas describes the planning, implementation, and lessons learned of a Computerized Physician Order Entry (CPOE) launch at a small community hospital in Chicago, IL. He shares his experience as the director overseeing the project, its challenges and solutions. The goal of his presentation gives administrators, providers, and analysts information on what to expect when trying to implement CPOE and Health Information Systems.
Computerized physician order entry (CPOE), sometimes referred to as computerized provider order entry or computerized provider order management (CPOM), is a process of electronic entry of medical practitioner instructions for the treatment of patients (particularly hospitalized patients) under his or her care.
Closed Loop Medication Management - A preferred way to go go forward for Prov...CitiusTech
Closed Loop Medication Management (CLMM) system is a fully electronic medication management process that integrates automated and intelligent systems to completely close the inpatient medication management and administration loop, and seamlessly document all the relevant information.
Case Study on Analysis of Efficiency Level of Casualty Management at BGS Glob...Rijo Stephen Cletus
Submitted in partial fulfillment of the requirement for the award of the
Post Graduate Diploma
In
HOSPITAL AND HEALTHCARE MANAGEMENT
To
Visvesvaraya Technological University, Belgaum,
By
Rijo Stephen Cletus
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010Cientis Technologies
Speaker: Peter Basch, MD, FACP, Medical Director, Ambulatory EHR and Health IT Policy, MedStar Health. He is a Senior Fellow with the Center for American Progress, practices general internal medicine in Washington, DC. Dr. Basch is an early adopter of electronic health records and e-prescribing.
Dr. Basch explained the Stage 1 Meaningful Use Criteria including the 15 Core Measures you must meet plus how to select the 5 Menu Measures that are most appropriate to your practice.
These slides review problems with current electronic medical record (EMR) systems and makes suggestions for future improvements in design and usability. This work was sponsored by the Szollosi Healthcare Innovation Program (www.TheSHIPHome.org).
This is about an Electronic Medical Record System for General Practitioners, especially for those who are from developing countries like Sri Lanka. Details are there in www.lakmedi.com
Case Study on Analysis of Efficiency Level of Casualty Management at BGS Glob...Rijo Stephen Cletus
Submitted in partial fulfillment of the requirement for the award of the
Post Graduate Diploma
In
HOSPITAL AND HEALTHCARE MANAGEMENT
To
Visvesvaraya Technological University, Belgaum,
By
Rijo Stephen Cletus
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010Cientis Technologies
Speaker: Peter Basch, MD, FACP, Medical Director, Ambulatory EHR and Health IT Policy, MedStar Health. He is a Senior Fellow with the Center for American Progress, practices general internal medicine in Washington, DC. Dr. Basch is an early adopter of electronic health records and e-prescribing.
Dr. Basch explained the Stage 1 Meaningful Use Criteria including the 15 Core Measures you must meet plus how to select the 5 Menu Measures that are most appropriate to your practice.
These slides review problems with current electronic medical record (EMR) systems and makes suggestions for future improvements in design and usability. This work was sponsored by the Szollosi Healthcare Innovation Program (www.TheSHIPHome.org).
This is about an Electronic Medical Record System for General Practitioners, especially for those who are from developing countries like Sri Lanka. Details are there in www.lakmedi.com
Enterprise systems in healthcare: leveraging what we know from other industr...CONFENIS 2012
Dr. Carol Brown - distinguished professor at Stevens Institute of Technology , The Howe School of Technology Management
enterprise systems in healthcare: leveraging what we know from other industries
HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACShospitalsoftwareshop
HospitalSoftwareShop PACS is a fully web-based image management solution, vital to the improvement and cost effectiveness of Radiology workflow. HSS PACS is integrated with RIS. Contact us for a demo.
How much auto insurance do you need in Illinois?fohrman
In order to help ensure that drivers are in compliance with the minimum insurance requirements, Illinois monitors vehicle insurance by verifying proof of insurance during traffic stops. For More Details Visit: http://www.chicagolegalnet.com/
This is a 2.0 version of the presentation I did at Content Marketing World in September 0f 2013. I've updated it with more practical examples - and a new structure. Still a journey - but one step further.
This slide includes:
Standard Operating Procedures (SOP) - its definition, types, needs, method of SOP making, General Areas Covered by SOP in a Pharmaceutical Industry, Do's and Don't while making SOP definition and types of parenteral preparation in BRIEF.
The questions added at the end of the presentation is based on the asking pattern of CSVTU, Bhilai.
Tips, Tricks and Best Practices to Get Maximum Benefit from your EMRCientis Technologies
Implementation of electronic medical records does not necessarily mean that the systems are being used effectively. Using EMRs optimally requires extensive optimization. This presentation provides a number of useful tips trick and best practices to assist practices with the optimal use of their EMR systems.
Medication order entry introduction, Medication order management system, steps involved, clinical decision support system, entering information in computers, drug labels and drug lists
In the age of core system replacements, there are a lot of tough decisions that have to be made. Quirk Healthcare lends its expertise of this difficult topic in this weeks Insight.
The productive operating the Gateshead way - Joanne Coleman, Gateshead Health NHS Foundation
Trust
Presentation from the Productive Endoscopy Workshop, Tuesday 15th October 2013 at Ambassadors Bloomsbury , London, WC1H 0HX
This meeting brought together teams from around the country, and embarked on creating and testing the productive endoscopy toolkit. The aim of the day is to allow time with your team for sharing of experiences and exchange of good practice, learn how to apply lean techniques and hear the impact of successfully implemented case studies.
Law Enforcement Track, National Rx Drug Abuse Summit, April 2-4, 2013. Health Care Investigations presentation by Karen Matthew and Agent Bruce DiVincenzo.
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
4. Dictionary Review
At least make considerations and have a style guide to follow
when making these changes
5. Order Sources
eMAR Quick Charge Ramifications:
If the order source is defaulted into PHA, then that order source will also default into
the Quick Charge routine for nurses.
6. Review OE Procedure Dict
• Naming conventions: Orderable name descriptions should
be spelled out completely since it is the legal name.
However when appropriate, in many name descriptions it
makes more sense to use the industry-standard
abbreviation or acronym.
Computerized Axial Tomography Scan of Head is the legal name for the
orderable commonly known as Head CAT scan but CT is the known
“Industry Standard”.
Example: CT Head wwo Cont
Example: CT Chest Abdomen Pelvis w Cont
7. Review Pharmacy Med Dict
• Trade Name field should be formatted as:
• Injectable and Bulk (If more than one concentration is available)
[Trade name] + [drug concentration] + [dose form]
• All others: [Trade name] + [dose form]
• Add special identifying information at end of the name (i.e.
PEDS, OR, ER, etc)
• Express suffixes that are part of the brand name (SR, SA, CR)
within both the generic name and brand name. Suffix should
immediately precede the dose form.
• (Example: Metoprolol Succinate 12.5 mg XL Tab ).
• Combination medications should contain strength of items at
end of name
• Example: Dyazide 50/25 Cap
• If more than one trade name for product, add additional trade
names to Generic Equivalent field.
8. Review Pharmacy Med Dict
• Pharmacy - Generic Equivalent
• Generic Equivalent can be used to add additional generic
or trade names, using naming convention described above
for Trade Name field.
• Trade names that you enter at the Generic Equivalent
prompt appear in lookups that are sorted by trade name.
• Utilize Generic Equivalent field for any Automatic
Therapeutic Interchanges.
•
Example: Add “Atorvastatin Auto Sub to” as a
Generic Equivalent for
•
Simvastatin, if Simvastatin is
automatically substituted for Atorvastatin.
9. Order Strings
• Review the format of the order strings first
• MEDITECH recommends using Joint Commission and ISMP
standards when building the frequency schedules, example: use
“daily” instead of “qd”.
• Medication orders should include common order strings.
(* Morphine might have many order strings, with variation in both dose
and route)
•
•
•
•
Morphine Inj 1 mg IVP every 4 hours PRN
Morphine Oral Liquid 2 mg PO q2hp
Morphine PCA 50 mg/ 50mL 50 mg IV ONCE ONE
Morphine 30 mg IR PO Q2h2 SCH
• Frequency - The most common frequency is the default on the order
selection screen.
• *Note in Zynx all Frequencies are displayed and are not separated by
Category use. Frequencies should be standardized when possible.
10.
11. Evidence Based Order Sets
Both of these vendors are approved by MEDITECH:
• Provation
• Zynx
12. Reflex Order Sets
There are three types of reflex orders you can build:
1. Suggested Order
2. Pre-requisite
3. Linked Meds
13.
14.
15. CPOE Training
We suggest grouping all the same type of clinicians into a training
to make it relevant to their practice.
16. Provider Training
• Explain process for Direct Admit and ED to Inpatient, if
pertinent to provider practice
• Place single medication order and protocol Order Set
• Add a single order to favorites and create a specialty
folder for it
• Explain difference with CPOE telephone orders/Verbal
Order, Written and Protocol
• Place an order for a consult, Diet
• Complete a Transfer & D/C an old Order Set
• Enter admission orders
• Adjust the Admission orders (register as, etc.)
• Initiate & Sign Order Sets – demonstration and explain
difference of the two
17. Provider Training
• Complete Medication Reconciliation – Admission,
Transfer
• Discontinue orders, discontinue O/S or complete
• Complete Discharge Process – discharge order, Depart,
D/C med rec
• Resolve order conflicts – alerts
• Demonstrate Proper Hand off/Chart Check
• Explain Downtime Process
• Physician Desktop – how are orders are signed or
refused
• Discuss process around your specialty area….as
pertinent (ex. ED, Med/Surg, Oncology, OB, NICU and
processes)
18. Nursing and Clinicians
•
•
•
•
•
Train on Single Orders, Order Sets (O/S), any Order Sets related to their specialty, Transfusion
O/S, TPN O/S, Admit to venue Order Sets, identifying statuses O/S and how to discontinue if you
have too many Home Medications on the Med Rec when they print.
Emphasize looking to Initiate Order Sets when patients arrive from the Physician‟s office, ED or
the OR once the location is updated by Registration in the computer and looking for a completed
admission med rec or transfer if it pertains to the circumstance.
Train on Transfer orders (service or bed location), Transfer Med Reconciliation (where to find all
the med recs if completed before sending a patient anywhere)
Identify and train on the Med Rec process for the outpatient areas
Train on where to find orders.
•
•
•
•
Discuss with ED & PACU – Process for discontinuing their O/S phase of orders before patient
goes to department or completing to obtain a „completed‟ status for the O/S.
Surgery areas & ED must be proficient on use of the eMAR.
Discuss looking for Provider Orders, and the use of „Notify Physician‟ orders
•
•
•
•
•
For example: Where do I find my consults (case management, PT/OT, dietician) now that paper is gone?
Example: Provider Order – notify physician when pt arrives to department (nurse can complete this one time order
when task is complete)
Example: Notify physician if pt. BP <100 is continuous order (nurse does not complete since it is continuous and each
nurse needs to see this order)
Discuss Discontinuing orders/Order Sets within the proper workflow
Discuss receiving telephone or verbal orders
Discuss receiving telephone calls related to admission orders and med reconciliation process for
telephone orders
19. Nursing and Clinicians
•
Discuss Downtime process for CPOE with clinicians, what their role is during a downtime and
where to find information, as well as what has to be placed back in the computer once the
application is back up.
•
Discuss Status of Order Sets – physicians may have entered one twice, know to review both
and call the doc to cancel one that is hanging out there.
•
Discuss importance of Documenting Home Medications correctly the first time in the OR,ED,
Admission so the physician does not receive an error message when doing reconciliation and
so that the meds print correctly for discharge.
•
Discuss the importance of using the proper „Order Source Type‟ when placing orders
•
Discuss what to do if a nurse orders a med as „Written‟ that should have been a „Telephone
order‟ that will need a physician signature in the messaging.
•
Discuss the more complicated process if the order is entered, and completed with the wrong
Order Source Type. Discuss how to change or adjust as needed.
•
Discuss readiness (day or night) to take orders if calling a physician: computer on, in patients
chart ready to take orders. Ideal is for physician to enter orders themselves, but you always
want to be prepared. Be collaborative rather than rigid.
20. Ancillary Departments
•
•
•
•
•
•
•
Discuss Downtime process for CPOE with ancillary department and their role for
CPOE during a downtime.
Discuss how to look at a chart and review
Discuss any virtual beds needed for ED, and Rehab areas with registration if the
facility does not already have the process in place. If patient is in a virtual bed and an
order set is initiated it will go to the department the patient is expected to go to versus
if not in a virtual bed, it will fire the O/S orders to the Outpatient department.
Discuss with the auditors and registrars where to find order sets, and how to look up
orders on charts now that there is no paper. Walk through a typical workday where
each would use paper and identify where in the computer it will now reside.
Discuss with Pharmacists use of the messaging for communication
Discuss with Pharmacist Physician Order Management (POM) Order entry to assist
physicians and troubleshoot the POM side of ordering medications and online med
rec entry.
Discuss with Pharmacists when to use the appropriate order source type so that
proper routing to the ordering physician inbox can occur. This is also important for
CPOE statistics.