Download - McKesson Upgrade - ER 11/12
McKesson Upgrade - ER 11/12
What is ER 11/12? • ER is “Enterprise Release” and
11/12 is the software version. This release will upgrade many parts of the McKesson software used in iCare EMR documentation. A few of these changes will impact the user while others will not be seen.
• Many of the changes in this upgrade support our efforts to meet the “meaningful use” guidelines. Remember meaningful use goals include using data in meaningful ways to promote overall patient safety and quality across the continuum of care.
• Education related to the ER 11/12 upgrade has been broken into modules.
• You may be assigned more than one of these modules in HealthStream.
THIS MODULE IS RELATED TO CHANGES IN THE ADMISSION DATABASE,
IMMUNIZATIONS,SURGERIES AND PROCEDURES,
HOME MEDS,CARE ORGANIZER
THIS SECTION IS RELATED TO CHANGES INTHE ADMISSION DATABASE
Admission Database
There have been a few changes to the Admission Database
• Addedo Family History section
• Updatedo Medical History Past and Present
• Removed (and placed in another location)o Immunizationso Surgery/Procedure History
Admission DatabaseFamily Medical History is now located at the bottom of Medical History Past and Present
To Enter Information Click on the ellipsis
(aka: 3 dots in a box)
Check here if family history is unknown
Shows that no information has been entered for this patient
Admission Database
Adding Family Medical History
• Box will be empty if no family history was entered previously
• Click “Add” to enter information
Click on the ellipsis (3 dots in a box)to “Add, Edit or Remove” Family Medical History and this screen appears
Adding Family Medical History
6. Click “Done” or “Done and Add Another”
5. No need to include which brother, sister, child or grandparent if multiple in family
1. Select Problem from Common List
2. Click Select
3. Complete Who, Age at Onset and Living
4. Enter Comment if needed
If Family Medical History is present, you are able to Edit or Remove items from this window
Editing or Removing Family Medical History
• Click
• Editing window allows you to change the family member, age at onset, if they are living or add a comment
• Click Done when finished
Editing or Removing Family Medical History
When you have finished adding/editing or removing information, click “Done”
Final Step in Adding, Editing or Removing Family Medical History
Admission DatabaseFamily Medical History Completed
The Family Medical History will display much like the rest of the past medical history
Current State
“No history of…” box above system heading
“No history of…” will become longitudinal, meaning the information will stay from one admission to another However, this information must be reviewed with the patient at each admission
Cannot check “No history of…” and add information. Check box must first be unchecked, then the ellipsis can be clicked.
Grayed out
Patient’s Medical History Past and Present UpgradeUpgraded State
Admission Database• With the addition of the Immunization Record and the
Surgery/Procedures module (discussed next few slides), this information will no longer be entered in the Admission Database.
• There is a reminder message directing you to the new module where each of those sections used to be in the database. Once those modules have been addressed, return to the database and place a checkmark in the box to document that the database is complete.
√ √
This section is related to changes inIMMUNIZATION RECORD
Immunization Record
• The addition of the “Immunization Record” provides a location for:• documentation of immunizations given during a hospital
stay within the ProMedica system• documentation of immunizations administered by another
provider• Once entered, this information is available on all subsequent
admissions• Immunizations must be reviewed upon each admission to all
ProMedica facilities
Immunization Record
• Review immunization history with patient
Status:• Given = administered during an
inpatient stay at a ProMedica facility once Immunization Record becomes active
• Historical = administered by another provider
Click “View detail” panel to see
more information
On admission:• Go to Chart
Immunizations
Immunization Record
Specific information regarding the administration can be viewed• Vaccine specific info• Administration date/time• Consent• Information provided
Immunization Record- Historical/Previous Provider
To add immunization data on admission, click “Add”
• If the patient has received an immunization from another provider, the information must be entered into the Immunization Record
Immunization Record-Historical/Previous Provider 1. Select immunization from Common List or Search
5. Enter when immunization was received
• May type info into box or use calendar icon
6. Click Save
4. Choose “Historical” and select a source
2. Select the appropriate age group from the
dropdown
3. Once item is selected from the list, click “Select”
Immunization Record
• Scan the patient• Open the Immunization Record from Chart menu to verify that it was not
already given • Go to HED Vitals/Meds/IO All Meds Admin• Scan the medication• Select a site• Re-open Immunization Record as shown below -This must be completed
for the information to cross to the iCare Immunization Record!
After selecting a site, click Open Immunization Record
Documentation of Immunization Administration
After the “Open Immunization Record” button is clicked, you will be asked to verify consent for immunization data to be sent to the state registry.
• Consent for the data to be sent is given when the patient signs the Consent for Treatment on admission.
• Verify that Consent for Treatment has been signed.
It is now necessary for hospitals to have the ability to submit immunization data to the state registry.
Address consent for immunization data to be sent to the state registry; click OK
Documentation of Immunization Administration
Auto-fills when drug is scanned
1.Choose Info Sheet2.Choose Publication date
(located at the bottom of the vaccine information statement)
3.Click Add
Enter Manufacturer, Lot # and Exp. date
Select Eligibility (for pediatric patients only if applicable) Click Save
NOT APPLICABLEDo Not complete this section
Ex of info that can be placed in comments:“Parents gave verbal consent &
acknowledges info has been received”
Documentation of Immunization Administration
Once you click Save, you return to the med administration screen.
Complete administration of immunization:• Scan the patient• Give the immunization• Scan yourself
Documentation of Immunization Administration
Immunization Record
Registry consent can be seen in right-hand corner. If it is
necessary to change it, click on the Registry Consent
button.
THIS SECTION IS RELATED TO CHANGES INTHE SURGERY/PROCEDURE MODULE
Surgery/Procedures
• Surgery/Procedure history has been removed from the Admission Database
• Surgery/Procedures module is accessed from the Chart menu
Adding Surgery/Procedures
• Surgery/Procedure information is reviewed upon admission
• To enter new information, click “Add Procedure”
Click Add Procedure
Adding Surgery/Procedures
Enter procedure date by:
1. Date OR2. # years ago OR3. At X years old OR4. Other
Click Save or Save and Add Another
Type in name of procedure
Click Add it as free text procedure
Fill in body site if applicable
Editing Surgery/Procedures
Procedures can be Confirmed, Edited, Removed or Added here
To edit previously entered information, click on Edit Details
Editing Surgery/Procedures
Change information as necessary
Triangle indicates what was changed
Click Save when done
Removing Surgery/Procedures
Details shows when data was updated
If an incorrect procedure has been added, it can be removed• Highlight the incorrect entry• Click Remove
Removing Surgery/Procedures
• Verify that this is the procedure to be removed
• Choose the reason• Click Remove
THIS SECTION IS RELATED TO CHANGES INHOME MEDICATIONS
Home Medications
Changes to Home Medications
• The order of Status, Dose, Route, etc. has changed• Last taken has been added to the main section• Special Instructions is now Patient Instructions
• Comments is now called Internal Comments
Home Medications
Before
Home Medications
• Patient Instructions print on the Patient Discharge Medication List
• Internal Comments DO NOT show up on Discharge Medication List
THIS SECTION IS RELATED TO CHANGES INCARE ORGANIZER
• Care Organizer will now open to “Changes view” instead of “To Do”
• Active view has been reorganized.
• It will display as follows:o Stat Medication orderso Stat Non-medication
orderso Medication orderso Non-medication orders
(Listed alphabetically by group)
Changes to Care Organizer
This education was created in collaboration with Clinical IT, Nursing Leadership, and the ProMedica Center of Nursing Excellence in support of the ProMedica System-Wide
Standardization Initiative.
Please direct questions regarding the McKesson Enterprise Release 11/12 Upgrade to your facility’s
Hospital IT Support.