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Notifications

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Notifications

List of Available Notifications -1

List of Available Notifications -2

List of Available Notifications -3

Total of 75 Notification Selections

Notification Menu

Notification Management MenuSYS Enable/Disable Notification System

• This menu handles all the notifications.

• SYS turns on the notification system for the facility. – Until then NO notifications can be sent.

• Once turned on, all clinicians will receive any mandatory or enabled notifications, even if they are not using the EHR.

Notification Management MenuDET Determine Recipients

• Allows the user to create a simulated notification recipient list, without sending the alert.

• The user can see who should be getting the notification.

• Used for troubleshooting

Notification Management MenuDET Determine Recipients

(continued)• Each user on the potential recipient list is

evaluated.

• The parameters entity values are processed in a specific order to determine if that particular user should receive the notification/alert or not.

• If a user on the recipient list has the notification “ON”, he/she will receive the alert.

Notification Management MenuDIS Display Notifications a User Can Receive

• Debugging tool to help determine why(or why not) notifications are being received by a particular individual.

Notification Management MenuDIS Display Notifications a User Can Receive

Notification Management MenuERA Erase Notifications

Notification Management MenuFLG Flag Orderable Items to Send Notifications

• This option has two sub-options to flag specific orderable items to send notifications when they are ordered, resulted, or expiring

Notification Management MenuFWD Forward Notifications ...

• This option lets the user set the number of days to hold a notification before forwarding it to the recipient’s supervisor, surrogate, or a backup reviewer.

• Maximum 30 days.

• If not set, the notification will not be forwarded.

• Service/Section must be properly configured and maintained.

Notification Management MenuPAR Notification Parameters ...

ALL Set Show All Notifications

BUL Send Flagged Orders Bulletin

DEL Set Deletion Parameters

EMC Providers that Require an E&M Code

PRG Set Purging Interval

PRI Priority Threshold for Popup Alerts

PRV Set Provider Recipients

RCD Set Default Recipient Devices

RCP Set Default Recipients

SRT Notification Sort Column

Notification ParametersALL Set Show All Notifications

• Do the providers want to see alerts across patients or just for the patient on their screen? The default is to see all alerts.

Notification ParametersBUL Send Flagged Orders Bulletin

• Indicates whether to send a bulletin when an order is flagged for clarification.

• Not frequently used as this sends message in MailMan.

Notification ParametersDEL Set Deletion Parameters

• Allows the user to set parameters to determine deletion conditions. It uses a set of codes to determine how a notification will be deleted at a site. The codes include:– Individual Recipient– All Recipients

Notification ParametersDEL Set Deletion Parameters

(continued)• Individual-deletes the notification for an

individual recipient when:– That individual completes the follow-up action – That individual reviews notifications that do not have

follow-up action

• All recipients-deletes the notification for all recipients when:– Any recipient completes the follow-up action on

notifications– Any recipient reviews notifications that do not have

follow-up action

Notification ParametersDEL Set Deletion Parameters

Notification ParametersEMC Providers that Require an E&M Code

• Which user classes need to do E&M coding?

Notification ParametersPRG Set Purging Interval

• Enter the number of days to archive a notification before deletion in the Alert Tracking file.

Notification ParametersPRI Priority Threshold for Popup Alerts

• An instant message pop-up will appear by setting this parameter

• Priority is low, moderate or high

• If the notification meets the priority set, the pop-up will be generated

• Package value is High

Notification ParametersPRV Set Provider Recipients

• Determine who is going to get the notification

Notification ParametersPRV Set Provider Recipients

P = Primary Provider-InpatientA = Attending Physician-InpatientT = Patient Care TeamO= Ordering ProviderE = Entering UserD= IHS Primary Care providerI = IHS Primary Care TeamG= IHS Designated Providers

Notification ParametersPRV Set Provider Recipients

Notification ParametersRCD Set Default Recipient Devices

• Can set a printer to receive notifications. The printer will receive the notifications whether the notification is enabled or disabled.

• (Not usually used or recommended.)

Notification ParametersRCP Set Default Recipients

• Enter “Yes” if the recipient should always receive this notification. Recipients (users, teams) will receive the notification on a regular basis, despite settings in the option Enable/Disable Notifications.

• Example: Chaplain gets notification for all admissions even if he has turned off the notification

Notification ParametersRCP Set Default Recipients

Notification ParametersSRT Notification Sort Column

• Sorting is by – Patient– Type– Urgency

Notification Management MenuPRC Enable/Disable Notifications

• Turns specific notifications on or off

– E (Enabled): notification enabled for entity unless entity of higher precedence has notification disabled (ex. Enabled at System level and Disabled at User level=user will not receive notification

– D (Disabled): notification disabled for entity unless entity of higher precedence has notification enabled

– M (Mandatory): Notification is mandatory and cannot be disabled

Notification Management MenuREC Display Patient Alerts and Alert Recipients

• Used as a troubleshooting tool.

• This shows users that receive a particular Alert.

• Produces a list of all OE/RR alerts for a specified patient for the dates you enter

• Produces detailed listing on specific alerts attached to the patient record

• Used mainly for troubleshooting purposes

Notification Management MenuREC Display Patient Alerts and Alert Recipients

Notification Management MenuUNV Set Delays for Unverified Orders ...

• Provides access to options that set up parameters for delaying unverified orders alert triggers

– Set Delay for All Unverified Orders– Set Delay for Unverified Medication Orders

• Primarily used for Inpatient

Notification Management MenuUNV Set Delays for Unverified Orders ...

Notification Management MenuURG Set Urgency for Notifications

• Allows the user to set the Urgency for a notification. Used mainly for sorting in GUI displays.

• The Urgencies include:– Low– Medium– High– Info only

• All notifications come with a package value already set.

Notification Management MenuURG Set Urgency for Notifications

GUI Personal Preferences

• From the Tools menu and “Options”, a user may:– Enable/disable notifications– Set a surrogate– Set the GUI display sorting: urgency, type,

patient– Request Mailman bulletin be sent for flagged

orders

GUI Personal Preferences

Display on Notifications Tab

• By selecting the “Show All” box, notifications may be viewed across patients

• Notifications may be sorted by clicking on the column headings

• Notifications may be processed, either by processing all or by highlighting and selecting “process selected”, or “info only”

Processing Notifications• Process All-use Next and Stop buttons in

lower right corner of EHR to move to next notification.

• Process Selected-select notifications to address.

• Process Information only notifications.

• Use the forward button to send the notification to another user.

Processing Notifications

• Process Info Only Alerts

How do I receive and create notifications?

Click on the notification tab, then right click inside the notification panel and click the schedule button.

This dialog box will open, click on the add button

This dialog box will appear. If you don’t want this notification associated with this patient, unclick the “associate with” box. Then click on the “deliver on”.

To have this notification delivered today, click the “Now” button. Otherwise, this notification will not get delivered until 24hrs after it was created.

Next, select the priority, subject and fill as appropriate. If you want to send this notification to someone other then yourself, click on the button on the right corner of the recipient box.

Find and highlight the user or users you want this notification to go to. Then send this user to the recipient box.

If you do not want to send a notification to yourself, highlight yourself and use the arrow keys to send your name back to the users group. Then hit OK.

Notice now that the only person that will receive this notification will be the user you selected. You will not get the notification.

Now you are ready to finish the message, then hit OK

The system will process your notification. At this point you can “close” the application.

Your notification will appear in the Notifications area of your recipient’s EHR.

To process a notification, you simply highlight the notification and you either double click on it or hit the select button.

Your notification message will appear and the user can either Delete, Skip or Cancel the notification once he/she has processed it.

There are two kind of notifications users can get. A system generated notification and a user generated notification. You can only turn off system notification once you have done what the system wants you to do. For users notifications, they can easily be deleted. We can distinguish between system and user generated notifications by a red check mark before patient’s name.

Questions and Discussion