auto discontinue configuration. auto-dc functionality oe/rr auto-dc rules file #100.6 create only...
DESCRIPTION
Initial Auto-DC RulesTRANSCRIPT
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Auto Discontinue ConfigurationAuto Discontinue Configuration
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Auto-DC Functionality• OE/RR AUTO-DC RULES file #100.6
– Create only those parameters or rules your site needs
– Customize many attributes• Define the business rules
– All rules may specify types of orders to dc– Exceptions are possible
• Auto-DC may be inactivated to turn off• Audit history• Rule Editor
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Initial Auto-DC Rules
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Auto-DC Rules
• Auto-DC rules work when a “Trigger Event” occurs (i.e. Admission, Discharge)
• Then the Rules discontinue Orders according to pre-defined Business Rules
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Admission Rules
Trigger event• Name, Display
Text• Division patient will
be admitted to• Event = Admission• Usually include all
admission types
Business rules• Included Packages• Excluded Display
Groups• Excluded
Orderable Items• DC Reason
=“Admit”
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Sample Admission Rule
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Discharge Rules
Trigger event• Name, Display Text• Division patient will
be discharged from• Event = Discharge• May want separate
rules for Death and all other Discharges
• Except from Obs
Business rules• Included Packages• Excluded Display
Groups• Excluded Orderable
Items• DC Reason
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Sample Discharge Rule
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Sample Discharge/Death Rule
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Specialty Change and Transfer Rules
There can be Auto Discontinue Rules set up to Trigger when there is a Specialty Change or Transfer from one Ward to Another.
So far we have not used these in an IHS setting since most sites are not complex.
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Editor
• Using the standard EHR menu:
• ORD => DOC => DOE => AUTO-DC RULES
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Auto-DC Rule Editor
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Add/Edit a Rule
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Inactivate a Rule
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Activate a Rule
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Using MAS Rules
• BDGPM MOVEMENT EVENTS protocol event• Activity Log maintained in the OE/RR
PATIENT EVENT file #100.2• No action taken when movements are
deleted, or old movements are changed• Active orders are Auto-DC’d if division and
movement type match an active rule, though it may be skipped if an exception matches
(MAS is VA speak for ADT)
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Manual Release
• If a situation occurs where there are Delayed Orders, but you know there will be no Trigger Event occurring to release them, you may use Manual Release
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Manual Release Set-up• ORD => DOC => PAR =>
• Select one of the following:• • 1 Write orders list by event• 2 Default release event• 3 Common release event list• 4 Manual release controlled by This one• 5 Set manual release parameter This one• 6 Exclude display groups from copy
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Manual Release Set-up
Manual release controlled by:
• Usually set at System level• Select one of the following:• • K Keys Only (ORES/ORELSE)• P Manual Release Parameter Only (OREVENT• MANUAL RELEASE)• B Both (K and P)
• The usual choice is Both (K and P) so that specific clerks could also release orders if necessary.
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Manual Release Set-up• Set manual release parameter:
• Usually set at System or Division level• Allows you to add a User or Class able to Manually Release Orders (when you set K
and P above)
• Allow use of manual release option may be set for the following:
• • 1 User USR [choose from NEW PERSON]• 2 Class CLS [choose from USR CLASS]• 3 Team (OE/RR) OTL [choose from OE/RR LIST]• 4 Location LOC [choose from HOSPITAL LOCATION]• 5 Service SRV [choose from SERVICE/SECTION]• 6 Division DIV [DEMO HOSPITAL]• 7 System SYS [DEMO.MEDSPHERE.COM]• • Enter selection:
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Manual Release
• Now on the Orders Tab, if you right click on a Delayed Order you have a new menu “Release Delayed Orders”
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Manual Release
• There is also a menu in RPMS that can be used to release delayed order:
• ORD => DOC => REL =>
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Troubleshooting
• Detailed Display• Custom View/Event Released Orders• Activity Log in Patient Event file #100.2• Release to Service action• Copy to new order• Note:
-Auto-DC’d Orders do not display on Active Orders view
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Detailed Display on Orders Tab
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Auto-DC/Release Event Orders
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Auto-DC/Release Event Orders
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OE/RR Patient Event file
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Set-Up Planning
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Setup Suggestions
• Plan your rules on paper first• Build all auto-dc rules then build all
release rules (or visa versa)• Create separate division auto-dc and
release rules as appropriate• Use copy function• If you never plan to auto-dc on, e.g.
pass, don’t activate the pass rule
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Questions and Discussion