1 / 40

RPMS Immunization Package Training – PATIENT MENU

RPMS Immunization Package Training – PATIENT MENU. Version 8.5*4. Amy Groom, MPH IHS Immunization Program Manager Amy.Groom@ihs.gov. Some basic tips. To go back to a previous screen, enter “^” (shift 6) To save changes and exit, hit the F1 key and “E” in quick succession

maire
Télécharger la présentation

RPMS Immunization Package Training – PATIENT MENU

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. RPMS Immunization Package Training – PATIENT MENU Version 8.5*4 Amy Groom, MPH IHS Immunization Program Manager Amy.Groom@ihs.gov

  2. Some basic tips • To go back to a previous screen, enter “^” (shift 6) • To save changes and exit, hit the F1 key and “E” in quick succession • To quit and go back to the previous screen WITHOUT saving changes, hit the F1 key and “Q” in quick succession

  3. Agenda PATIENT Menu • SGL Patient Record • Adding and Editing Data • Patient case data • vaccines you give today • historical vaccines • Forcing doses to be valid/invalid • ImmServeProfile • Lists and Letters • Generating Patient Lists

  4. RPMS Immunization Package • MENU SYSTEM • PAT Patient Menu … • REP Report Menu … • MGR Manager Menu …

  5. RPMS – Patient Menu • PAT Patient Menu • SGL Single Patient Immunization Record • LET Print Individual Patient Letter • LLS Due Lists and Letters The immunization record with forecasting you need when you walk into a patient’s room. - also in the Health Summary - also is what you see in EHR

  6. PATIENT VIEW (IMM v8.5*4) Nov 21, 2012 10:54:14 Page: 1 of 5 Patient: PATIENT, DEMO1 DOB: 15-Apr-2011 (19 mths) Chart#: 34000 at DEMO HOSPITAL Active Female M HBsAg: UNK # Immunization History | Immunizations DUE on 11/21/2012 1 07/15/11 DTaP (KINRIX) Demo | HEP B PED past due 2 08/31/11 DTaP Demo | DTaP past due | HIB,NOS past due 3 11/01/11 DTaP Demo | VARICELLA past due | HEP A PED past due 4 07/15/11 IPV (KINRIX) Demo | PCV-13 past due 5 08/31/11 IPV Demo | 6 11/01/11 IPV Demo | Last Letter: None 08/31/11 PEDVAXHIB Demo 8 11/01/11 PEDVAXHIB Demo | * CONTRAINDICATIONS/REFUSALS * + Scroll down to view more. Type ?? or Q to QUIT. A Add Immunization D Delete Visit P Patient Edit S Skin Test Add I ImmServe Profile C Contraindications E Edit Visit H Health Summary L Letter Print Select Action: Quit//

  7. Active/Inactive in the Immunization Package – What does it mean? Active/Inactive in the Immunization Package is independent of ‘Active” status in RPMS Can be inactive in the immunization package, but still have an active chart Active/Inactive ONLY impacts who is included in your childhood reports 3-27 month, Two year old All children <36 months who reside in one of your GPRA communities are automatically activated into the immunization package Can Inactivate children who meet the Moved or Going Elsewhere (MOGE) criteria Active/Inactive status DOES NOT determine inclusion in Adolescent , Adult, or Influenza reports Active/Inactive DOES NOT impact forecasting – software forecasts for all patients, regardless of status

  8. Editing Patient Case Data * * * EDIT PATIENT CASE DATA * * * Patient Name: PATIENT, DEMO1 (19 mths) Chart#: 34000 Street: 1234 MAIN ST. Patient Phone: 505-777-8888 Cty/St/Zip: ALBUQUERQUE, NM 00087 _______________________________________________________________(The above data may be edited through Patient Registration.) Case Manager: NURSE,DEMO1 Parent/Guardian: Other Info: SHEEP CAMP IN SUMMER Inactive Date: Inactive Reason: Moved to/Tx Elsewhere: Ft. Defiance Forecast Influ/Pneumo: Normal Mother's HBsAG Status: Unknown State Registry Consent: YES

  9. State Registry Consent Field • Use depends on rules around participation in state immunization registries • If an Opt -Out state (most states) • All patients are automatically entered into the registry unless they specifically say they don’t want to (Opt out) • Use consent field to record those who “Opt Out” • Leave registry consent field BLANK unless patient opts out of the registry – then enter “No” • Opt-In (MT) • Requires that patients specifically consent to have their data shared with the state registry (Opt in) • Use consent field to record those who “Opt in” • Leave BLANK unless patient Opts in – then enter “Yes”

  10. Adding an Immunization Imm v8.5* 4 * * * ADD AN IMMUNIZATION VISIT * * * Patient: PATIENT,DEMO2 DOB: 11-Nov-1985 (27 yrs) Chart#: 136175 at DEMO HOSPITAL Inactive Female _________________________________________________________________ Date: NOV 21,2012 Category: Ambulatory Vaccine: TdapLot#: (Tdap) NDC Code: Inj Site: Vol: .5 ml Location Type: IHS Location: DEMO HOSPITAL Provider: USER,ASTUDENT VIS Date: JAN 24,2012 VacElig: _________________________________________________________________

  11. NDC Codes • NDC Codes are National Drug Classification codes • A unique code that identifies the Manufacturer, the vaccine type, and the presentation (e.g. syringe, vial) • NDC codes change frequently! • Currently can only enter NDC codes included in the drop down menu • Missing codes

  12. Using Vaccine Eligibility Codes • Before using non – VFC vaccine eligibility codes, check with your state immunization program! • Add vaccine for a patient • In “Vaccine Eligibility” field • “??” to see all active codes • Type in code • can type in local label (uninsured adult) OR • standard code (e.g. CHA-01)

  13. Imm v8.5*4 * * * ADD AN IMMUNIZATION VISIT * * * Patient: PATIENT, DEMO1 DOB: 11-Nov-1985 (27 yrs) Chart#: 136175 at DEMO HOSPITAL Inactive Female ________________________________________________________________ Date: NOV 21,2012 Category: Ambulatory Vaccine: Tdap Lot#: (Tdap) NDC Code: Inj Site: Vol: .5 ml Location Type: IHS Location: DEMO HOSPITAL Provider: USER,ASTUDENT VIS Date: JAN 24,2012 VacElig: ?? _________________________________________________________________ Choose from: 999 Unknown Unable to obtain AKA-01 ALASKA-01 adultuninsured ASA-05 AMERICAN SAMOA-05 uninsured adults

  14. Invalid Doses • The forecasting software (ImmServe) will flag doses as invalid if: • Minimum age is not met • Minimum interval between doses is not met • Interval between 2 live virus vaccines is too short • Invalid doses are flagged with “*”, and the message “INVALID – SEE IMMSERVE”

  15. Invalid Dose PATIENT VIEW (IMM v8.5*4) Mar 06, 2013 15:59:23 Patient: PATIENT, DEMO1 DOB: 15-Apr-2011 (22 mths) Chart#: 34000 at DEMO HOSPITAL Active Female M HBsAg: UNK Immunization History | Immunizations DUE on 03/06/2013 1 07/15/11 DTaP (KINRIX) Demo | HEP B PED past due 2 08/31/11 DTaP Demo | DTaP past due | HIB,NOS past due 3 11/01/11 DTaP Demo | VARICELLA past due | HEP A PED past due 4 07/15/11 IPV (KINRIX) Demo | PCV-13 past due 5 08/31/11 IPV Demo | FLU-TIV past due 6 11/01/11 IPV Demo | 7 02/12/13 *IPV Demo | Last Letter: None -INVALID--SEE IMMSERVE- | |----------------------------- 8 08/31/11 PEDVAXHIB Demo | * CONTRAINDICATIONS/REFUSALS + Scroll down to view more. Type ?? or Q to QUIT. A Add Immunization D Delete Visit P Patient Edit S Skin Test Add I ImmServe Profile C Contraindications E Edit Visit H Health Summary L Letter Print Select Action: Quit//

  16. ImmServe Profile • ImmServe is the software that creates provider reminders/forecasts • ImmServe Profile gives you specific information re: what vaccines are due, will be due, and why doses are flagged as Invalid • To check the ImmServe Profile select “I” for ImmServe Profile.

  17. PATIENT IMMUNIZATION PROFILE Mar 06, 2013 16:21:23 Page: 3 of 6 Patient: PATIENT, DEMO1 DOB: 15-Apr-2011 (22 mths) Chart#: 34000 at DEMO HOSPITAL Active Female *** The Influenza dose on 11/7/2011 was given too soon after 11/4/2011. Dose 2 of Influenza must be given at least 24 day(s) after dose 1 of Influenza. This dose will therefore not count as part of the Influenza series. *** The IPV dose on 2/12/2013 was given at too young an age. Dose 4 of IPV must be given at or after 1457 day(s) of age. This dose will therefore not count as part of the OPV/IPV series. + Enter ?? for more actions Select Action: Quit//

  18. Force a Dose to be Invalid • Select “E” to Edit the Immunization Visit • Select the visit with the vaccine that you want to make invalid • Enter “Invalid” in Dose Override Field; select reason for invalid Immv8.5*4 * * * EDIT AN IMMUNIZATION VISIT * * * Patient: PATIENT,DEMO2 DOB: 28-Oct-1981 (31 yrs) Chart#: 555555 at DEMO HOSPITAL Inactive Male _________________________________________________________________ Date: APR 28,1995 Category: Ambulatory Vaccine: TD (ADULT) Lot#: (Td-ADULT) NDC Code: Inj Site: Vol: ml Location Type: IHS Location: IHS HOSPITAL Provider: VIS Date: Reaction: VacElig: V04 - Am Indian/AK Native Dose Override: INVALID _________________________________________________________________ 1 INVALID-BAD STORAGE 2 INVALID-DEFECTIVE 3 INVALID-EXPIRED 4 INVALID-ADMIN ERROR

  19. Force a dose to be Valid • Select “E” to Edit the Immunization Visit • Select the visit with the vaccine that you want to force to be valid • Enter “Force Valid” IN Dose Override Field Imm v8.5*4 * * * EDIT AN IMMUNIZATION VISIT * * * Patient: PATIENT, DEMO2 DOB: 15-Apr-2011 (22 mths) Chart#: 34000 at DEMO HOSPITAL Active Female __________________________________________________________________ Date: FEB 12,2013 Category: Historical Event Vaccine: IPV Lot#: (IPV) NDC Code: Inj Site: Vol: ml Location Type: IHS Location: DEMO HOSPITAL Provider: GROOM,AMY VIS Date: Reaction: VacElig: V04 - Am Indian/AK Native Dose Override: FORCE VALID __________________________________________________________________ Exit Save Refresh

  20. Add a Contraindication CONTRAIND (IMM v8.5*4) Mar 06, 2013 15:39:23 Page: 1 of 1 Patient: PATINET, DEMO1 DOB: 01-Feb-2009 (49 mths) Chart#: 6666 at DEMO HOSPITAL Active Male # Vaccine Reason Date Noted Enter ?? for more actions. A Add Contraindication D Delete Contraindication E Edit Contraindication H Help Select Action: Quit//A

  21. Add a Contraindication • In Patient Record, select “C” for Contraindications • Select ‘Add” to add new contraindication Imm v8.5*4 * * * ADD A CONTRAINDICATION * * * Patient: PATIENT,DEMO1 DOB: 01-Feb-2009 (49 mths) Chart#: 6666 at DEMO HOSPITAL Active Male _______________________________________________________________ Vaccine: PERTUSSIS (PERTUSSIS) Reason: Anaphylaxis Date Noted: MAR 6,2013 _________________________________________________________________ Enter the date on which this Contraindication was noted.

  22. Skin Test PATIENT VIEW (IMM v8.5*4) Mar 06, 2013 15:41:19 Patient: PATIENT, DEMO1 DOB: 01-Feb-2009 (49 mths) Chart#: 6666 at DEMO HOSPITAL Active Male M HBsAg: UNK Immunization History | Immunizations DUE on 03/06/2013 1 08/24/10 FLU-TIVhxDemo | HEP B PED past due 2 10/07/10 FLU-TIVhxDemo | DTaP past due | HIB,NOS past due 3 09/25/09 H1N1-pfree Demo | IPV past due | MMR past due 4 02/01/10 PPD Demo | VARICELLA past due (Negative 0mm) | HEP A PED past due | PCV-13 past due | FLU-TIV due | | Last Letter: None + Scroll down to view more. Type ?? or Q to QUIT. A Add Immunization D Delete Visit P Patient Edit S Skin Test Add I ImmServe Profile C Contraindications E Edit Visit H Health Summary L Letter Print Select Action: Quit// S

  23. Imm v8.5*4 * * * ADD/EDIT SKIN TEST VISIT * * * Patient: PATIENT, DEMO1 DOB: 01-Feb-2009 (49 mths) Chart#: 6666 at DEMO HOSPITAL Active Male _________________________________________________________________ Date: MAR 6,2013 Category: Ambulatory Skin Test: PPD Site: LEFT FOREARM Volume: .1 ml Result: Reading: mm Date of Reading: Location Type: IHS Location: DEMO HOSPITAL Skin Test Provider: PROVIDER, DEMO Skin Test Reader: ______________________________________________________________

  24. Add Skin Test Result Immv8.5*4 * * * ADD/EDIT SKIN TEST VISIT * * * Patient: PATIENT, DEMO DOB: 01-Feb-2009 (49 mths) Chart#: 6666 at DEMO HOSPITAL Active Male ________________________________________________________________ Date: MAR 6,2013 Category: Ambulatory Skin Test: PPD Site: LEFT FOREARM Volume: .1 ml Result: POSITIVE Reading: 20 mm Date of Reading: MAR 6,2013 Location Type: IHS Location: DEMO HOSPITAL Skin Test Provider: PROVIDER, DEMO1 Skin Test Reader: NURSE, DEMO1 ______________________________________________________________________

  25. Hands on Exercises SGL Patient Menu – Use Demo Patients! • Change patient status to Inactive in Immunization Registry • Add a MMR vaccine for today’s date • Add FluMist for yesterday’s date • Check the ImmServe profile to see why the MMR is invalid • Force the MMR vaccine to be Valid • Make the FluMist vaccine invalid because of poor storage • Add a contraindication for Varicella vaccine, Hx of Chickenpox

  26. Immunizations in EHR

  27. Electronic Health Record (EHR) • The EHR sits on top of RPMS Data entered into the RPMS roll and scroll will display in EHR • Data entered intoo the EHR will display in roll and scroll

  28. EHR Immunizations What you can do • Most SGL Patient Menu options • Enter/edit immunizations for a patient • Enter/edit contraindications • Enter/edit skin tests • Enter/edit VFC vaccine eligibility codes • Change active/inactive status • Change Case manager What you can’t do • Access the Manager’s Menu • Change Forecasting options, VIS dates • Enter /Edit Lot numbers • Use Lists and Letters • Run Reports • Force dose to be valid/invalid • Add non-VFC vaccine eligibility codes

  29. Immunization Tab in EHR

  30. Add Immunization

  31. Add Vaccine Eligibility Codes • Currently can only select VFC eligibility codes • EHR Patch 11 will have new state eligibility codes

  32. Add Skin Test

  33. Add Contraindication • Select Vaccine for, then add a contraindication

  34. PatIEnt Lists and Letters

  35. Patient Lists and Letters • Available in the PAT Menu • Roll and scroll only • Complement the canned immunization coverage reports • Allows you to run lists of patients based on different criteria • List of patients who received a certain lot# • Lists of patients who are due for certain vaccines • List of patients who received vaccines in a certain time period • Generate reminder letters for a listof patients

  36. IMMUNIZATION v8.5*4 * PATIENT MENU * Site: DEMO HOSPITAL ================== User: GROOM,AMY SGL Single Patient Record LET Print Individual Patient Letter LLS Patient Lists and Letters You've got PRIORITY mail! Select Patient Menu Option:

  37. Immunization v8.5*4 Mar 06, 2013 16:24:28 Page: 1 of 1 IMMUNIZATION LISTS & LETTERS 1 - Date of Forecast/Clinic..: 06-Mar-2013 2 - Age Range................: 1-72 Months 3 - Patient Group (01).......: Active 4 - Community................: ALL 5 - Case Manager.............: ALL 6 - Designated Provider......: ALL 7 - Immunizations Received...: ALL 8 - Immunizations Due........: ALL 9 - Health Care Facility.....: DEMO HOSPITAL 10 - Lot Number...............: ALL 11 - Additional Information...: None 12 - Order of Listing.........: by Patient Age 13 - Include Deceased.........: No Select a left column number to change an item. List of Patients Print Due Letters Help Select Action: Quit//

  38. Lists and Letters • To change a parameter, type in the number of the parameter • To change Age Range from Months to years • Type in Parameter # (2) • Type in “Y” to change to Years: “M” to change to Months • Patient Group • Can choose more then one, separated by a comma (e.g. 3,4 = Active, Inactive) • For lists that include adolescents or adults, ALWAYS include both “Active” and “Inactive” patient groups.

  39. Hands on Exercises – Lists and Letters Generate the following lists and include the total number: • Children 0 – 35 months who are Inactive ___________ • Children 0 – 35 months inactivated between Jan 1, 2010-March 31st2010 ______ • Children 0 – 35 months automatically activated between Jan 1st 2011 – Dec. 31st 2011_____ • Active and Inactive Adolescents 11-18 yrs _____________ • All Patients 11-12 yrs who are Due for a Tdap ________ • Patients due for a 2nd or 3rd dose of HPV _____ • All children <5 who received a Varicella vaccine between Dec. 1st, 2010 – Dec. 31st 2010, ________ • List of all AI/AN (e.g. beneficiary) patients < 5 years of age who refused a vaccine _________ • List of all patients all ages who received seasonal flu vaccine Oct 31st, 2011. • List of children < 6 yrs who are due for a PCV, with parent/guardian name

  40. Immunization Resources • RPMS Immunization Package User Manual • RPMS Application Documents • http://www.ihs.gov/RPMS/index.cfm?module=home&option=documents • IHS vaccine preventable disease page • www.ihs.gov/epi • CDC vaccine resources • www.cdc.gov/vaccines • Immunization Action Coalition • www.immunize.org

More Related