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National Reminders- Tobacco Screening

National Reminders- Tobacco Screening. Introduction. The national reminders are in Patch 1005 of clinical reminders. The site manager should load this patch at your site. This will put all the national reminders into the Reminder Exchange file. Preparation.

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National Reminders- Tobacco Screening

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  1. National Reminders-Tobacco Screening

  2. Introduction • The national reminders are in Patch 1005 of clinical reminders. • The site manager should load this patch at your site. • This will put all the national reminders into the Reminder Exchange file.

  3. Preparation • Document pxrm0150.1005 contains setup of each reminder. • Check the taxonomy • Check for reminder terms • Check for orders

  4. Reminder Exchange – Install Reminder • Choose IHS-TOBACCO SCREEN 2007

  5. Reminder Installation • Select IFE to install the reminder • Review the reminder

  6. This reminder contains an order dialog for a consult for tobacco cessation You can either create this consult quick order, substitute one of your own, or delete it from your dialog Order Dialog

  7. Install the Components • REMINDER TAXONOMY entry IHS-TOBACCO COUNSELING 2007 already EXISTS, • what do you want to do? • Select one of the following: • C Create a new entry by copying to a new name • I Install or Overwrite the current entry • Q Quit the install • S Skip, do not install this entry • Enter response: S//

  8. IHS – TOBACCO USE • REMINDER TAXONOMY entry IHS-TOBACCO USE 2007 already EXISTS, • what do you want to do? • Select one of the following: • C Create a new entry by copying to a new name • I Install or Overwrite the current entry • Q Quit the install • S Skip, do not install this entry • Enter response: S//

  9. If there is an error in the taxonomy, you need to build it manually The screen shows what this error would look like Use the pxrm0150.1005o document to determine what codes are in this taxonomy. REMINDER TAXONOMY entry IHS-ASTHMA 2007 is NEW, what do you want to do? Select one of the following: C Create a new entry by copying to a new name I Install or Overwrite the current entry Q Quit the install S Skip, do not install this entry Enter response: I// nstall or Overwrite the current entry The update failed, UPDATE^DIE returned the following error message: MSG("DIERR")=1^1 MSG("DIERR",1)=701 MSG("DIERR",1,"PARAM",0)=3 MSG("DIERR",1,"PARAM",3)=493.02 MSG("DIERR",1,"PARAM","FIELD")=.01 MSG("DIERR",1,"PARAM","FILE")=811.23102 MSG("DIERR",1,"TEXT",1)=The value '493.02 ' for field SELECTABLE DIAGNOSIS in SE LECTABLE DIAGNOSIS SUB-FIELD in file REMINDER TAXONOMY is not valid. MSG("DIERR","E",701,1)= REMINDER TAXONOMY entry IHS-ASTHMA 2007 did not get installed! Examine the above error message for the reason. Error on Taxonomy

  10. Taxonomy Creation

  11. Taxonomy Creation • Give it the same name • ICD9 Codes: • Range 305.1-305.12 • Code ICD Diagnosis • ---- ------------- • 305.1 TOBACCO USE DISORDER • 305.10 TOBACCO USE DISORDER UNSPECIFI • 305.11 TOBACCO USE-CONTINUOUS • 305.12 TOBACCO ABUSE-EPISODIC • Range V15.82-V15.82 • Code ICD Diagnosis • ---- ------------- • V15.82 HX-TOBACCO USE • Range 649.00-649.04 • Code ICD Diagnosis • ---- ------------- • 649.00 TOBACCO COMPLIC PREG UNSPEC • 649.01 TOBACCO PREGNANCY DELIVERED • 649.02 TOBACCO PREG DELIV'D COMPLI • 649.03 TOBACCO COMPLIC PREG ANTEPART • 649.04 TOBACCO COMPLIC PREG POSTPART

  12. Taxonomy Creation • After the taxonomy is created • Re-load the reminder and use SKIP when you reach the taxonomy installation

  13. Reminder Term • REMINDER TERM entry IHS-TOBACCO SCREEN HEALTH FACTORS already EXISTS, • what do you want to do? • Select one of the following: • C Create a new entry by copying to a new name • I Install or Overwrite the current entry • Q Quit the install • S Skip, do not install this entry • Enter response: S//

  14. Reminder Term • REMINDER TERM entry IHS-TOBACCO SCREEN EDUCATION TOPICS already EXISTS, • what do you want to do? • Select one of the following: • C Create a new entry by copying to a new name • I Install or Overwrite the current entry • Q Quit the install • S Skip, do not install this entry • Enter response: S//

  15. Duplicate Education Topics • Sites will get errors on installation of patient education if they have 2 topics with the same name. • If this error occurs, manually create the Reminder Term as you did a taxonomy • You can add both active and inactive topics to the reminder term.

  16. Reminder Definition • REMINDER DEFINITION entry IHS-TOBACCO SCREEN 2007 already EXISTS, • what do you want to do? • Select one of the following: • C Create a new entry by copying to a new name • I Install or Overwrite the current entry • Q Quit the install • S Skip, do not install this entry • Enter response: S// kip, do not install this entry

  17. Installing the Dialog • Install the dialog after the reminder is installed • It may appear that you are installing the reminder again • Look to the upper left to see where you are

  18. Installing the Dialog Look here for directions Select IA again for dialog pieces

  19. Attach to the Reminder • You are usually asked to attach the dialog to a reminder • I have named the dialogs and the reminders the same • If you are not asked during the install, you can manually attach them when you activate the dialog

  20. Dialog Installation • An X should be by all the pieces of the dialog

  21. Activate the Dialog • All dialogs installed through reminder exchange are disabled. • Exit out of Reminder Exchange and go to the DM (Dialog Management) • Select Reminder Managers Menu Option: DM Reminder Dialog Management • DP Dialog Parameters ... • DI Reminder Dialogs • Choose DI (Reminder Dialogs)

  22. Activate the Dialog • The initial View is of reminders, use CV and Select D to go to dialogs

  23. Activate Dialogs

  24. Activate the Dialog • Choose the dialog by number then ED

  25. Activate Dialog • Name : IHS-TOBACCO SCREEN 2007 • DISABLE: DISABLED IN EXCHANGE Replace @ • SURE YOU WANT TO DELETE? Y (Yes) • CLASS: LOCAL// • SPONSOR: • REVIEW DATE: • SOURCE REMINDER: IHS-TOBACCO SCREEN 2007 • Select SEQUENCE: 1// • SEQUENCE: 1// • DIALOG ELEMENT/GROUP: HD TOBACCO// • Select SEQUENCE:

  26. Activate Dialog

  27. GUI Setup – First Time • If your site has never setup reminders in the past, the following steps need to be undertaken to “turn on” the GUI reminders • These steps do NOT make sense but they do need to be followed in the correct sequence • DO NOT SKIP A STEP

  28. First Time – Step 1 • Using the steps in the above sequence, install at least 2 reminders. The immunization forecaster and one other that is commonly used such as the tobacco reminder

  29. Use the Parameters menu on the Reminder Setup menu to TURN ON the reminders Use the ACT (Reminder GUI Resolution Active) parameter and set to YES at the system level First Time-Step 2

  30. Set up the CAC to configure in the GUI Set the CFG- Allow HER Configuration in GUI parameter from the same menu Set it by class for the CAC class First Time – Step 3

  31. Set the parameter CVR – EHR Cover Sheet reminder list This list will only have the 2 reminders you have installed First Time – Step 4

  32. First Time –Step 5 • You should now be able to access the GUI • Select a patient for whom the reminder will be due • If the alart clock is RED and the X is gone, you are ready to proceed

  33. Add to GUI • Click on the alarm clock • Select the action drop down menu

  34. Add to GUI • Choose Edit Cover Sheet Reminder List

  35. Add to GUI • Select where you are going to add them. • The choices are in the middle section • The available reminders are on the bottom left. • Move them over using the arrows • Click apply when finished

  36. Add to GUI

  37. First Time – Step 6 • Make the immunization forecaster the first item in your list on the right • Log out of the GUI

  38. Go back to the reminder parameters Select NEW – New reminder parameters Turn this on to YES for the system Log back into the GUI For now, this will look the same, but as you add more reminders to the GUI,they should appear First Time – Step 7

  39. TEST,TEST,TEST • Pick patients where the reminder is not applicable • Pick patients where the reminder is applicable but not due • Pick patients where the reminder is applicable and due • Is it correct??

  40. Use reminder maintenance to see what the computer found Right click on the reminder and choose clinical maintenance Testing

  41. Check the dialog • Start a note • Find the reminder in the reminders drawer • Double click on the reminder and review the dialog

  42. Check the Dialog

  43. Check the Dialog • Complete the dialog and click FINISH • Review the note • Do the PCC items you entered appear below the note? • Are the on the Wellness tab as well?

  44. Check the Note

  45. Check PCC

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