Transcript Centricity 2005 - MSU Electronic Medical Records Home Page

WHAT’S NEW IN 9.2
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PRIMARY FEATURES
• THE LOG IN PROCESS
• NEW LOOK
• THE DESKTOP
• THE PATIENT CHART
• IN A CHART UPDATE
• HELP
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THE LOGIN PROCESS
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New Name/Login Screen
User ID and Password
remain the same
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New Name/Login Screen
Location of Care stays blank
until the user’s ID and Password
have been authenticated
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New Name/Login Screen
Persons who work in multiple HT locations will
need to make sure that the correct location is
selected at the start of each session
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YOUR DESKTOP
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Appointment Preference
Double-click on an appointment
on your Desktop Summary to
go directly to the patient’s chart
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Appointment Preference
This feature is only available on
the Desktop Summary tab –
not from within an appointment book
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Care Alerts on the Desktop
Displayed along with your Flags,
Care Alerts offer extra functionality
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What is a Care Alert?
A Care Alert is a care-related note about a
specific patient and is attached to that patient’s chart
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Care Alerts on the Desktop
A Care Alert can be prioritized as normal,
important, or urgent
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Care Alerts on the Desktop
A Care Alert can also be assigned a
Start Date and/or an Expiration Date
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Care Alerts on the Desktop
You can Hide a Care Alert, which removes it from
your Desktop, but keeps it visible in the patient’s chart
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Care Alerts: Hide vs. Remove
Hide a Care Alert to
remove it from your
Desktop, but preserve
it in the patient’s chart
Remove a Care Alert
to actually delete it
from your Desktop and
the patient’s chart
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Restoring Hidden Care Alerts
• To restore hidden Care Alerts, go to the Alerts/Flags tab of
your Desktop, then click the Organize button
• Check  View removed alerts/flags, then click OK
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The Chart’s Most Recent List
Click the Chart button’s dropdown arrow to see the 10
most recent charts in which you have been working
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THE PATIENT CHART
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No Known Medications
If it has been documented that
the patient has no known medications, it is
displayed as such on the Summary tab
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No Known Medications
“No known medications” also
displays prominently across
the Patient’s Medications tab,
when applicable
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Medications
Medications prescribed by a
non-HealthTeam clinician and
recorded as historic can be
displayed accordingly
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Medications
* Entered By
* Signed By
* Authorized By
Comments help
convey details of
the prescription
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Care Alerts in the Chart
Care Alerts are displayed on the
Summary tab of the patient’s chart
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Care Alert Display
Hover over a Care Alert displayed on a different tab
to see the full content of that Alert
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Care Alert Display
Click directly on the Alert display
to open the View Alerts/Flags window for
more viewing and editing options
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Care Alert Pop Ups
A Care Alert can be set to Popup when
the patient’s chart is accessed
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The Alerts/Flags Tab
The Alerts/Flags tab displays:
* Allergies & Adverse Reactions
* Directives
* Care Alerts & Flags
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The Alerts/Flags Tab
Click Organize to
access additional
options for displaying
Alerts & Flags
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Creating a Care Alert
1.In the patient’s
chart, click the New
button on the
Centricity toolbar
2.Choose either to
send the Alert to a
specific Location or
User(s)
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Creating a Care Alert
3.Set the Priority
appropriate for this
instance
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Creating a Care Alert
4.Select the Type,
either Flag, Care
Alert, or Popup
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Creating a Care Alert
5.Enter a Start and/or
Expiration date, if
applicable
6.Attach to either the
Patient’s Chart,
Registration, or
Appointments
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Creating a Care Alert
7.(Optional) Modify
the Subject line
8.Type the content in
the Message field,
then
9.Click Send
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A Care Alert Caution
Popup Care Alerts can be useful, but
they should not be over-used, or
users may become desensitized to all
Popups and miss something critical
about a patient’s medical care.
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Disabling Pop Ups
At some point you may turn off the Popup
functionality, intentionally or inadvertently, by
checking  Disable popup care alerts
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Disabling Pop Ups
Disabling Popups is not recommended, as Popups
are meant to bring special attention to specific
aspects of a patient’s condition and medical care
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Restoring Pop Ups
To reactivate disabled Popups, go to Options | Display…
and check  Restore warning message dialogs
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The History Tab
History views are
a helpful
alternative to
flowsheets for
displaying
narrative text in
the patient’s chart
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IN A CHART UPDATE
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Directives Reviewed
Record that the patient’s Directives have
been reviewed during an update
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New Directive Options
The Directives’
Description dropdown list
has been significantly
expanded
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Recording No Known Meds
Record in a chart update that the
patient has no known medications
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Medications Reviewed
Record that the patient’s medication list
has been reviewed during an update
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The Medications Window
The patient's active Problems are
displayed in the New, Update, and
Change Medications windows
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Search for a Medication
Search for a medication by:
* Brand Name
* Generic Name, or
* Keyword
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Medication Search Methods
When searching by Brand Name
or Generic Name, the Search
methods include:
* beginning with
* containing, and
* ending with
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Medication Handouts
Print a patient handout of the medication selected
in the Find Medication window
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Handout Print Options
When printing a medication handout, you can
choose a small or large font, English or
Spanish language, and to record printing the
handout in the patient’s chart
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Dosing Calculator
Having selected a medication in the
New or Update Medication window, click
the Dosing Calculator button to access
this feature
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The Monograph Utility
Select a medication, then click the
Monograph button to view
reference information about that
medication, such as precautions,
contraindications, etc.
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Searching for a Pharmacy
When searching for a pharmacy, you can choose to
search Mail-order or Retail establishments
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Historic Medications
To record medications
prescribed to a patient by a
non-HT clinician, set Authorized
By: to “Provider, Non-MSU”
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Prescription Refills
When refilling prescriptions, the
system checks for interactions
and adverse reactions, then
displays the corresponding icon
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Prescription Refills
Hover over the icon to see a list
of warnings, or click on the icon
to see details of the interaction
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Updating Problems
The person who entered a problem and the one
responsible for that problem is displayed in the Update
Problems window
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Search for a Problem
Search for a Problem by:
* Code (CPT or ICD-9)
* Description, or
* Keyword
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Problem Search Methods
When searching by Code or
Description, the Search
method options include:
* beginning with
* containing, and
* ending with
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Drug to Disease Interaction
Centricity EMR 9.2 checks for drug to disease interactions
when a new medication or problem is added to a patient chart
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Drug to Disease Interaction
Click the Drug interactions icon
to see details of drug to disease
interactions
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Drug to Disease Interaction
The system checks for drug to disease
interactions when a new medication or
problem is added to the patient chart
A critical allergy, absolute contraindication,
or severe drug interaction/precaution
A noncritical allergy, potential contraindication,
or moderate drug interaction/precaution
A low severity drug interaction, use with caution
contraindication, or other information message
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Drug to Disease Interaction
Levels of Contraindications
Absolute Contraindications: those posing a substantial
risk of injury; the prescribed drug should not be given in
the presence of the stated condition
Potential Contraindications: those which may present
clinical risks when certain conditions are met
Use with Caution Contraindications: Additional
caution and monitoring for safe and effective use in the
stated condition is warranted
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Getting Help
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Centricity EMR 9.2 Help
Get general
assistance at
Help | Help Topics
Read about new
9.2 features in
Help | What’s New
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Help at the HealthTeam
Health Information Technology
(517) 355-6531
Training materials
http://www.emr.msu.edu/
Submit a service request
http://www.hit.msu.edu/
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