Скачать презентацию Medical Records Reports AAO Coding Que Training January Скачать презентацию Medical Records Reports AAO Coding Que Training January

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Medical Records Reports AAO Coding Que Training January 18, 2007 & January 19, 2007 Medical Records Reports AAO Coding Que Training January 18, 2007 & January 19, 2007

Policy & Procedures • HIMS policy and procedures for • Contingency Plan • How Policy & Procedures • HIMS policy and procedures for • Contingency Plan • How will you get the information into PCC data entry if your computers are offline? • Unsigned Orders • How long do you give your providers/users to complete a hand written PCC? • Unsigned Notes • How long do you give your providers/users to complete and sign all patient orders? • Electronic Chart Corrections • How long are you going to give a provider/user to correct/add/delete a CPT or POV code?

Daily Reports Unsigned Notes • Unsigned Orders • Alert Management • Daily Reports Unsigned Notes • Unsigned Orders • Alert Management •

UNSIGNED NOTES UNSIGNED NOTES

Unsigned Notes • • • Should align with the HIMS policy for unsigned documents Unsigned Notes • • • Should align with the HIMS policy for unsigned documents Perform Daily Allows user to search: • All document status’s or by individual status • All documents or individual documents • All providers or by individual providers

Unsigned Notes TIU Menu for Medical Records Options: • IPD – Individual patient documents Unsigned Notes TIU Menu for Medical Records Options: • IPD – Individual patient documents • Option allows user to view one patient’s document • MPD – Multiple patient documents • Option allows user to view multiple patients document • SIG – Awaiting Signature Listing • Use this option to pull a list of charts in the Incomplete Chart System that are waiting for signatures on TIU documents • SSD- Search for Selected Documents • Allows Medical Records staff to generate a list of selected documents based on extended search criteria (i. e. status, search category, & reference date range)

UNSIGNED ORDERS UNSIGNED ORDERS

Unsigned Orders • • • Should align HIMS policy on unsigned orders Report should Unsigned Orders • • • Should align HIMS policy on unsigned orders Report should be processed daily Allows user to search by: • Signed/Released Orders • Unsigned/Unreleased Orders

Unsigned Orders • Unsigned Orders Search • Allows the user to search for either Unsigned Orders • Unsigned Orders Search • Allows the user to search for either released but signed orders or just unsigned orders and sort them by • Service/Section • Provider • Patient • Location • A start date entry will allow the site to ignore orders that fall within their allowed grace period. • If a site allows the provider 48 hours to sign unsigned orders, you would enter T-2 days or longer for a start date in order to account for the allotted grace period. • A stop date entry will allow the site to ingore orders older than the date entered • If you wanted to ignore unsigned orders that were placed prior to when you started using CPRS (i. e. EHR)

ALERT MANAGEMENT ALERT MANAGEMENT

Alert Management • • • Used primarily by the Medical Records supervisor and/or the Alert Management • • • Used primarily by the Medical Records supervisor and/or the CAC This option provides a menu of options for managing alerts (AKA Notifications) These options include the ability to delete options based on a time or a particular user, to generate a new alert, etc

Alert Management • • • SURO Alerts – Set/Remove Surrogates for User Delete Old Alert Management • • • SURO Alerts – Set/Remove Surrogates for User Delete Old (>14 d) Alerts Make an Alert on the Fly Set Backup Reviewer for Alerts Surrogate for which users

Alert Management • SURO Alerts – Set/Remove Surrogate for User • Provided so that Alert Management • SURO Alerts – Set/Remove Surrogate for User • Provided so that IRM or ADPAC personnel can set or remove a surrogate for receiving alerts for a user. • Option ask for a user to be selected, then is ready to specify a new surrogate for the selected user, or to remove the current surrogate for that user • NOT needed by the individual users who may select to name or remove a surrogate as one of the options while processing alerts

Alert Management • Delete Old (>14 d) Alerts • This option is used to Alert Management • Delete Old (>14 d) Alerts • This option is used to remove Alerts which remain in the User file after a period of at least 2 weeks • It is assumed that if a user has not either seen or performed an action associated with an alert for this period, that it can not be urgent item for the user

Alert Management • • Make an alert on the fly • This option will Alert Management • • Make an alert on the fly • This option will allow the user to create an ALERT and send it to users or mail groups on the fly Purge Alerts for a user • Permits user holding the correct key to delete alerts for another user • This is intended for when a user has been inactive for a period of time (e. g. vacation, etc) and has accumulated a number of alerts which should not need processing

Alert Management • Set Backup Reviewer for Alerts • Provides a mechanism for a Alert Management • Set Backup Reviewer for Alerts • Provides a mechanism for a user to set entries into the parameter file which will assign an individual as backup reviewer for alerts if there is a date specified for days for backup reviewer in the alert • If this the case, an alert which remains unread for the indicated number of days will be forwarded to the backup reviewer found for the lowest level of the user in the parameter file starting with the user and progressing through OERR team, Team, service, division, up to system

Alert Management • Surrogate for which Users? • Option provides a view of which Alert Management • Surrogate for which Users? • Option provides a view of which users have specified a selected user as surrogates for themselves.

REPORTS MENU FOR ALERTS REPORTS MENU FOR ALERTS

Report Menu For Alerts • • These reports should align with the medical records Report Menu For Alerts • • These reports should align with the medical records policy for chart corrections (i. e. missing POV, CPT, etc) This menu provides several options for generating reports on alerts for users or patients This report should be processed on a routine basis Can be used by both Data Entry and Medical Record Technicians to track notifications to users

Report Menu For Alerts • 5 Different reports available • Critical Alerts Count Report Report Menu For Alerts • 5 Different reports available • Critical Alerts Count Report • List Alerts for a user from a specified date • Patient Alert List for specified date • User Alerts Count Report • View data for Alert Tracking file entry

CRITICAL ALERTS COUNT REPORT CRITICAL ALERTS COUNT REPORT

Critical Alerts Count Report • • • Used to generate a report of users Critical Alerts Count Report • • • Used to generate a report of users who have more than a specified number of alerts containing the word “critical” or the words “abnormal imaging” between the specified start and end dates The report is presented in descending order for the number of critical/abnormal imaging alerts present Each user who has the specified number of critical/abnormal imaging alerts or more, the report includes: • Users name • Section/service for the user • Number of alerts in the ALERTS file • Last sign-on date • Number of Critical alerts or Abnormal Imaging alerts • Date of the oldest alert

Critical Alerts Count Report COUNT of ALERTS - users with more than 1 on Critical Alerts Count Report COUNT of ALERTS - users with more than 1 on Jan 15, [email protected]: 03: 31 for date range 01/10/2007 to 01/15/2007 CRIT column indicates number of CRITICAL alerts and ABNORMAL IMAGING alerts Total Oldest Name Service/section Alerts Last Sign-on CRIT Alert -------------------------- -------------MOORE, LORI B CLINICAL PHARMACY 2 DEC 01, 2006 1 07/06/2006 MOORE, LORI B PHARMACY 5 JAN 15, 2007 1 12/18/2006

LIST ALERTS FOR A USER FROM A SPECIFIED DATE LIST ALERTS FOR A USER FROM A SPECIFIED DATE

List Alerts for a User from a Specified Date • • Used to obtain List Alerts for a User from a Specified Date • • Used to obtain an interactive list of alerts from the ALERT TRACKING file for a specified user starting from a specified date Listings include: • Internal entry number for the alert in the ALERT TRACKING file • Date and time the alert was generated • Message text of the alert • Information about any option or routine to be executed for processing the alert

List Alerts for a User from a Specified Date Alerts for User MOORE, LORI List Alerts for a User from a Specified Date Alerts for User MOORE, LORI B PHARM (DFN=1983)for dates Oct 07, 2006 through Jan 15, 2007 Computer Generated User generated DEMO, DEMO (999990): UNSIGNED CHART REVIEW OVERDUE for SIGNATURE. 11/11/[email protected]: 00: 20 [ROU] ien=50274 DEMO, DEMO (999990): UNSIGNED CHART REVIEW OVERDUE for SIGNATURE. 11/12/[email protected]: 00: 21 [ROU] ien=50312 DEMO, DEMO (999990): UNSIGNED CHART REVIEW OVERDUE for SIGNATURE. 11/13/[email protected]: 00: 22 [ROU] ien=50546 DEMO, DEMO (D 9999): New consult HEPATITIS C (Routine) 11/14/[email protected]: 32: 51 [ROU] ien=50726 DEMO, DEMO (999990): UNSIGNED HEPATITIS C CONSULT available for SIGNATURE. 11/14/[email protected]: 34: 41 [ROU] ien=50727 DEMO, DEMO (D 9999): Completed Consult HEPATITIS C 11/14/[email protected]: 34: 43 [ROU] ien=50728 Visit is missing a purpose of visit. 11/14/[email protected]: 39: 14 ien=50729 DEMO, DEMO (999990): UNSIGNED CHART REVIEW OVERDUE for SIGNATURE. 11/14/[email protected]: 00: 21 [ROU] ien=50748 DEMO, GLEN (D 9999): Order requires electronic signature. 11/15/[email protected]: 12: 35 [ROU] ien=50762 DEMO, DEMO (999990): UNSIGNED CHART REVIEW OVERDUE for SIGNATURE. 11/15/[email protected]: 00: 26 [ROU] ien=50894 DEMO, DEMO (999990): UNSIGNED CHART REVIEW OVERDUE for SIGNATURE. 11/16/[email protected]: 00: 20 [ROU] ien=51093 test test 01/17/[email protected]: 52: 17 ien=59613 Alert Tracking Number

PATIENT ALERT LIST FOR SPECIFIED DATE PATIENT ALERT LIST FOR SPECIFIED DATE

Patient Alert List for Specified Date • • Used to obtain a list of Patient Alert List for Specified Date • • Used to obtain a list of alerts for a specified patient from the ALERT TRACKING file for a selected date A prompt is provided to obtain: • A quick scan listing of dates with at least some alerts for the patient • DVB alerts: • Other patient related alerts that need to be identified by looking at each alert’s message text and are included in the full list, but not the quick scan

Patient Alert List for Specified Date • Listing includes the: • Internal entry number Patient Alert List for Specified Date • Listing includes the: • Internal entry number for the alert in the ALERT TRACKING file • Date and time the alert was generated • Message text of the alert • Information about any option or routine to be executed for processing the alert

Patient Alert List for Specified Date Do you want to scan for a list Patient Alert List for Specified Date Do you want to scan for a list of dates that have at least some alerts for this patient? YES Select one of the following: 1 1 Week ago 2 1 month ago 3 3 months ago 4 6 months ago 5 1 year ago 6 As far back as possible The oldest entry in your Alert Tracking file is from 04/09/2004 Select a period for starting: 6 As far back as possible Dates and number of alerts found in () [may not be all of them] 10/04/2005 (3) 10/05/2005 (3) 10/06/2005 (6) 10/19/2005 (1) 11/06/2005 (1) 11/07/2005 (1) 12/13/2005 (1) 12/21/2005 (1) 01/18/2006 (1) START DATE: TODAY// (JAN 29, 2007) *** WARNING ***: Do not specify too many days - each entry in the Alert Tracking file must be checked for the date range specified. END DATE: (1/29/2007 - 1/29/2007): Jan 29, 2007// Do you want to list only alerts containing specific words or phrase(s)? YES ALL words or phrases connected by -AND- must appear in the message for an alert to be selected Enter a word or phrase: LAB -ANDEnter another word or phrase: Select one of the following: 1 Both Action and Info Only 2 Action Alerts 3 Info Only Alerts Select Alert Type(s) desired: 1// Both Action and Info Only DEVICE: HOME// VIRTUAL Found 0 Selected Alerts for Patient DEMO, DEMO D (D) for dates Jan 29, 2007 through Selected alerts containing: LAB --- OR --Selected alerts containing: CRITICAL --- OR --Selected alerts containing: POV

USER ALERTS COUNT REPORT USER ALERTS COUNT REPORT

User Alerts Count Report • • Used to generate a report on users who User Alerts Count Report • • Used to generate a report on users who have more than a specified number of alerts in the ALERTS file The report covers a specified range of dates Can be sorted by: • User name • Number of alerts • Service/section In addition, the report in each of these formats may be generated by Divisions if desired

User Alerts Count Report • Report includes: • Specified number of alerts or more User Alerts Count Report • Report includes: • Specified number of alerts or more • User name • Section/service for the user • Number of alerts in the ALERTS file • Last sign-on date • Number of Critical alerts or Abnormal Imaging • Date of oldest alert

User Alerts Count Report COUNT of ALERTS - users with more than 100 on User Alerts Count Report COUNT of ALERTS - users with more than 100 on Jan 15, [email protected]: 05: 14 for date range 01/10/2007 to 01/15/2007 CRIT column indicates number of CRITICAL alerts and ABNORMAL IMAGING alerts: Name --------DR. DEMO Total Oldest Service/section Alerts Last Sign-on CRIT Alert -------------- -----------MEDICAL SERVICE 115 JAN 11, 2007 1 01/06/2007

VIEW DATA FOR ALERT TRACKING FILE ENTRY VIEW DATA FOR ALERT TRACKING FILE ENTRY

View Data For Alert Tracking File Entry • • Used to view data for View Data For Alert Tracking File Entry • • Used to view data for one or more entries in the Alert Tracking file in captioned format Internal entry numbers for the entries to be displayed must be entered individually

View Data For Alert Tracking File Entry Select Report Menu for Alerts Option: VIEW View Data For Alert Tracking File Entry Select Report Menu for Alerts Option: VIEW DATA FOR ALERT TRACKING FILEg file entry Internal Entry number in Alert Tracking File: (1693 -59216): 51093 Another Internal Entry number in Alert Tracking File: (1693 -59216): DEVICE: HOME// VIRTUAL NUMBER: 51093 DATE CREATED: NOV 16, [email protected]: 00: 20 GENERATED BY: LEATHAM, ROSS DISPLAY TEXT: DEMO, DEMO (999990): ROUTINE TAG: ACT DATA FOR PROCESSING: 8188^ NAME: TIU 8188; 41; 3061116. 23002 PKG ID: TIU 8188 GENERATED WHILE QUEUED: YES UNSIGNED CHART REVIEW OVERDUE for SIGNATURE. ROUTINE FOR PROCESSING: TIUALRT RECIPIENT: MOORE, LORI B PHARM ALERT FIRST DISPLAYED: NOV 17, [email protected]: 11: 18 DELETED ON: NOV 17, [email protected]: 00: 18

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