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COMMUNITY HEALTH PROGRAMS Marge Koepping, RN, MN, FNP IHS Model Diabetes Education Program

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IHS EHR. Indian Health Service Electronic Health Record. COMMUNITY HEALTH PROGRAMS Marge Koepping, RN, MN, FNP IHS Model Diabetes Education Program. Objectives. Process changes Pros and Cons. Community Health Programs. Diabetes Program Public Health Nursing Nutrition Program/WIC

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  1. IHS EHR Indian Health Service Electronic Health Record COMMUNITY HEALTH PROGRAMS Marge Koepping, RN, MN, FNP IHS Model Diabetes Education Program

  2. Objectives • Process changes • Pros and Cons

  3. Community Health Programs • Diabetes Program • Public Health Nursing • Nutrition Program/WIC • Community Health Representatives • Maternal Child Health • Community Wellness Team • Behavioral Health / Social Worker

  4. EHR & Community Health • EHR oriented towards clinical encounters • Community Health visits may be different: • Field Visits • Group Visits: clinic and community • Social Services • Case management / coordination of care

  5. Process Changes: • All programs and providers need computer access. • Field visits may require portability. • Documenting group education/visits. • Drop in visits vs scheduled visits. • Entering newborns into RPMS.

  6. Process Changes: • Case Management - Chart Reviews • Flow Sheets • Protocols, Guidelines, Standing Orders • Consult/Referral Process

  7. Pros • Faster Entry of Case Management • Increased Visit Documentation • Increased Communication • Consults Between Departments • Chart Reviews enhanced

  8. Cons • Group Visit Documentation • Case Management Communication • Increased Avenues of Referral • Increased visit documentation time • Drop in visit vs scheduled visit

  9. Questions?

  10. IHS EHR Indian Health Service Electronic Health Record Lab Betty Hewson, MLT

  11. Objectives for this Session • Finishing the Lab Order in RPMS • Lab Only Visits • Lab Process Changes • Pros and Cons

  12. Finishing the lab order…..

  13. Check for Past, Present and Future Orders in RPMS T+30//March 1, 2005 DATE to begin review: TODAY// (FEB 01, 2005) Test Urgency Status Accession -Lab Order # 1662 Provider: RUDD,STEPHEN M BLOOD GLUCOSE ROUTINE Requested (SEND PATIENT) for: 02/01/2005@14:44 Sign or Symptom: : ~For Test: GLUCOSE : ~DM II ALT ROUTINE Requested (SEND PATIENT) for: 02/01/2005@14:44 Sign or Symptom: -Lab Order # 1662 Provider: RUDD,STEPHEN M BLOOD HB AIC ROUTINE Requested (SEND PATIENT) for: 02/01/2005@14:44 Sign or Symptom: -Lab Order # 1662 Provider: RUDD,STEPHEN M URINE, CLEAN CATCH URINALYSIS ROUTINE Requested (SEND PATIENT) for: 02/01/2005@14:4

  14. Finishing the lab order in RPMS

  15. Or …Look in EHR instead of RPMS

  16. Lab Result in EHR

  17. Lab Only Visits

  18. Lab Process Changes • How does the lab know when the pt is there? • Service copy can be printed in lab when the order is signed • Patients bring a “token” to the window • Lab Schedule can be monitored by the receptionist

  19. Lab Process Changes • How to handle add on labs • How to communicate the “Signs and Symptoms” (lab pov) to the lab

  20. Pros & Cons • Training Issues: • Signs and symptoms aren’t always communicated to the lab • Ordering provider name =Clinician who signs • Training the patients

  21. Questions

  22. IHS EHR Indian Health Service Electronic Health Record Radiology Bonnie Baxter, RTR

  23. Objectives for this Session • Finishing the Radiology order in RPMS • Process Changes • Pros and Cons

  24. Registering the Patient in the Radiology Package

  25. Registering the Patient in the Radiology Package

  26. Entering the Exam

  27. Radiology Reports in EHR

  28. Process Changes • Using RPMS Radiology Package • Providers order the exam electronically • Radiology orders print out automatically

  29. Pros and Cons • LMP? • Modifiers?

  30. Questions?

  31. IHS EHR Indian Health Service Electronic Health Record Pharmacy LCDR Jim Gemelas, R.Ph.Chief Pharmacist

  32. Objectives for this session • Demonstrate how to finish a prescription order in RPMS • Using EHR in the Pharmacy • Process Changes • Pros and Cons

  33. Finishing the Pharmacy Order in RPMS

  34. Order prints out in pharmacyand shows in RPMS

  35. Stop-review provider note • Provider note- toggle feature RPMS/EHR • Review chart- IHS Pharmacy standards of practice • Medication Profile • Labs

  36. Document Patient Ed- Wellness Tab

  37. Using EHR in the PharmacyPharmacy Only Visits • Refill template • Anticoagulation template • Outside Rx template • Tobacco Cessation template