CPRS REVIEW Orders in EHR Learning Objectives Review
CPRS REVIEW (Orders in EHR)
Learning Objectives • Review Basic Computerized Patient Record System (CPRS) Configuration • Compare and Contrast the Functionalities of the ORES, ORELSE, and OREMAS Ordering Keys • Define Order Checks and Notifications
Electronic Health Record (EHR) Menu (ORD) DOC KEY MNU OCX PAR PRN RPT Delayed Orders Configuration. . . Key Management. . . Order Menu Management. . . Order Check Configuration. . . Order Parameters. . . Print/Report Parameters. . . Order Reports. . .
EHR Configuration Review • • • Security Keys Parameters Print Formats Notifications Order Checks
Key Management • Allocate OE/RR Security Keys (KEY) • Primary Providers Need ORES Key • Do Not Allocate More Than One Ordering Key
Key Management • ORES – For clinicians who can order independently • ORELSE – For those who can release verbal, telephone and policy orders • OREMAS – For clerks who transcribe written orders • Run the option to check for multiple keys. • Remove keys from anyone who shouldn’t have them. Remove duplicates as well.
Order Menus • Review your site’s order menus and quick orders • Delayed orders are configured for hospital sites when they are ready for Inpatient Setup
Order Menu Configuration
Order Menu Parameters
Order Checks
Order Check Parameters
Order Parameters HLD MSC ORD RSN UOV VER Disable Hold/Unhold Actions in EHR Miscellaneous Parameters Disable Ordering in EHR Edit DC Reasons Set Unsigned Orders View on Exit Enable/Disable Order Verify Actions
Miscellaneous Parameters Set Up Miscellaneous Parameters before Users Actively Start Using Orders in RPMS-EHR
Miscellaneous Parameters Active Orders Context Hours 24 Clerks to Act on Med Orders No Auto Unflag Yes Confirm Provider Default Provider Error Days Grace Days before Purge Blank New Orders Default Blank Restrict Requestor YES (ORELSE & OREMAS) Review on Patient Movement Blank Show Lab Number Y/N Show Lab Status Y/N Signature Default Release without Signature Signed on Chart Default No
Unsigned Orders EX Set Unsigned Orders View on Exit Enter the unsigned orders view to present ORES key holders on exit. Select one of the following: 0 1 2 NEW ORDERS ONLY MY UNSIGNED ORDERS ALL UNSIGNED ORDERS
Print Report Parameters
Printing • Review process for printing orders • Review format for orders, requisitions, labels, etc. • Review service copies process • Educate providers on how to select proper printer
Order Reports MON NAT UNS Performance Monitor Report Search orders by Nature or Status Unsigned orders search
Questions and Discussion
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