Transcript Meditech Office Staff Training

(
Meditech 5.64.21
Training
Designed for initial training for Physicians Office Staff
September, 2011
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PURPOSE
• This training module has been designed to
help you learn and navigate through the
Meditech EMR and its various functions
May 2008
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MHS KEY RESOURCES
• For MDMC, MMMC, MCMC:
MHS Help Desk 214-947-1999
MHS Help desk email: [email protected]
• For MRMC and Bush/Renner:
Methodist Richardson Help Desk 972-498-4756
MRMC Help desk email:
[email protected]
• Medical staff offices :
– MDMC: 214-947-2875
– MCMC: 214-947-7699
– MMMC: 682-622-2069
– MRMC: 972-498-4684
• PACS – Radiology: Toby Lopez – PACS training
214-947-2465 Email: [email protected]
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MEDITECH LOGON & PASSWORD CHANGE
• This screen is now the MHS
Meditech site and requires that you
have a Meditech user name and
password
• This is different from your token
sign on
► First time users will get a one time
use Meditech password assigned.
► Put this one time use password in
old password line
►
Put in your new password and hit enter and then reenter new password
and hit enter again
Meditech will acknowledge your new password change as successful
►
Subsequent logins will not prompt for a new password unless expired
►
If you forget your password, one can always get assistance by calling:
the MHS Help Desk 214-947-1999 or MRMC Help Desk 972-498-4756
►
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CHANGE PASSWORD
• Depending on your role, you may have a different menu
to select than another provider. Menu name shows at
“#1” below
• From “EMR”, go to “Change Password or Create PIN”,
then “Change Your Meditech Password”
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“EMR”
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VIEW PATIENTS
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“EMR”
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VIEW PATIENTS
• This applies for all users
• You now have several choices on
how to search for your patient(s)
• Use the menu on the right panel
of the Meditech window
• You can choose to search by:
– Admitted
– Emergency Dept
– New Results
– Recent Access
– Any Location
– Any Record
– Rounds Report
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VIEW PATIENTS
• This example shows searching by “Any Record”
• Type the last name of the patient, and click “OK <F12>”
• From the list of Patients, select the correct Patient
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VIEW PATIENTS
• Now select the correct Visit
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VIEW BY RECENT ACCESS
• This example shows searching by “Recent Access”
• This shows all patients you have recently accessed
• From the list of Patients, select the correct Patient
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VIEW BY ANY LOCATION
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This example shows searching by “Any Location”
This shows all patients at the location you select
Choose the facility
From the list of Patients, select the correct Patient
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CREATING YOUR OWN PATIENT LIST
• You can create a patient to list to use by either of two methods.
• You can use the “Recently Accessed List “choice which is automatic
and involves you only having to open a patient and view results to
add to your list. Patients automatically get dropped off after 14 days
of discharge. Or you can make selection “remove from recently
accessed list”
• You can alternatively make a “Personal List”. This requires more
maintenance on your part but gives more control on who gets on
your list and when they get taken off.
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CREATING YOUR OWN PATIENT LIST
• Create a personal list by selecting the
patients you want to add to list and
then hit “Add to personal list”
• This adds a little more maintenance
but allows a printout of your personal
list and report with all your patient
locations
• You can see your list at any time by
selecting “personal list”
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CREATING YOUR OWN PATIENT LIST
• Removing Patients
• It is easy to manage your patient
list by removing those patients
you discharge
• Once you click “Remove from
personal list,” the name is
removed as indicated
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CREATING YOUR OWN PATIENT LIST
• Printing your list
• You can select print or view
“Personal List/Report”
• Select all or a specific facility
• Select “View” or “Print”
• The “Personal List Report”
includes location, patient name,
bed, room number, MD, sex/age,
medical record number, physician,
room, bed
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REVIEWING PATIENT INFORMATION
• Once you select a patient, EMR opens to the “Summary View”
• You can choose what you want to view using the view selection
buttons
• Or you can view “Special Panels”
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PATIENT VIEW AND MENU
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The admitted patient default screen will be the 24 hour view
Patient Information is on the top panel
Right panel has individual clinical modules
Red color of individual clinical module means new results since your
last viewing of record
• Anything new is listed here for 5 days: vital signs, I and O, reports, lab
results etc…
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LABORATORY PANEL
• The right side of the Meditech desktop contains the Lab menu
• Select panel, and view the results
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Use the Laboratory menu
option to view information for
Hematology, Blood Gas,
Coagulation, Chemistry, Urine,
Toxicology, Other Body Source,
Immunology, Miscellaneous,
and Serology
To get the numerical reference
ranges point your arrow at the
test name and click on it.
Another window will appear
and show the ranges for that
test.
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MICROBIOLOGY PANEL
• Click on picture of Report/Grid
to view microbiology report
• Once on your screen, the report
can be printed. When done hit
ESC to go back to patient
record
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2008 2006
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PATHOLOGY PANEL
• The right side of the Meditech desktop contains the Pathology menu
• Select panel, and view the results
Use the Pathology menu option
to view pathology specimens in
reverse chronological order
with the most recent specimen
appearing at the top of the
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panel.
The Pathology panel includes
three columns. The left column
of the panel includes the date
and time of the report. The
middle column includes the
name of the report (or the EMR
ID if the report was scanned).
The right column includes the
result icon. Click the result icon
to view the report
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GRAPHING RESULTS
• You can right click on your
mouse on each selected lab
values up to three or vital signs
and then select graph for
viewing
• You can then print screen the
graph if desired
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SPECIAL PANELS
• The “Special Panels” selection on
third line of top right menu will
take you to some pre-built
specialty results panels
• For instance, below is an
example of the Diabetic Panel
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You can select time intervals from
5 minutes to 24 hrs.
You can see entire encounter by
selecting Earlier or Home if there
are more results
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2008 2006
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IMAGING (RADIOLOGY) PANEL
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• Radiology studies will be
found under “Imaging”
• Go to the round balloon and
click to see report
• Once report viewed, you
can go to top of screen and
File/Print
• Some radiology reports may
not print well on non - HP
printers
• Make sure all print drivers
are current
MEDICATION ADMINISTRATION LIST
• Active, Discontinued and ALL
medications choices can be
selected
• Toggling boxes below can also
help to see earlier as well as
current view
• Clicking the headings at the top
of each column will sort and give
more detail on each medication
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Clicking on the Medication will
show order details and history
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PRINTING REPORTS
• You may need to print reports from Meditech
• Select the print option (default is “View”, which displays on screen)
• You can also choose:
– Print (you will select a printer)
– Download (you will choose a download path to save the report to)
– Browser (this will load the report to your Internet Browser)
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OTHER REPORTS
• Use “Other Reports” for:
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History and Physical
Operative notes
Consults
Discharge summaries
etc that have been dictated by
physicians
• Status shows as Signed,
Draft, etc
• Find report and click on
balloon to open report
• Once the report is open, you
can print it by selecting
File/Print
REPRINT FACE SHEET
• Depending on your role, you may have a different menu to select than
another provider. Menu name shows at “#1” below
• From “EMR”, go to “Reprint Facesheet”, then select a facesheet
• This will include most recent information for patient demographic information
for billing
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“EMR”
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REPRINT FACE SHEET
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Enter patients CA… DA… MA… RA… number sequentially as all CAPS
There are 10 digits in the account numbers (CA0000000042)
You MUST enter the leading zeroes
These numbers can be found on patient record when in view patient module
Multiple numbers can be entered at one time - just use tab and cursor goes
to next line
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REPRINT FACE SHEET
• Patient face sheet with
demographics useful for office
staff for billing services
• This report is always current and
available by remote access by
office staff with Meditech
username and password
• After viewing report select printer
icon at top of menu bar for print
copy
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PATIENT CODING SUMMARY
• From “EMR”, go to “Patient Coding Summary”
• This will include most recent information for patient demographic information
for billing, and the patient’s billing coding summary done in MHS HIM
• Most useful to physician’s office personnel for ICD9 codes at patient
discharge from hospital
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“EMR”
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PATIENT CODING SUMMARY
• At prompt put in account
number and click OK
• Select View or Print
• You should now have a
summary of HIM hospital
coding for your patient
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PATIENT CENSUS
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From “EMR”, go to “Census Report”, then “Census”, select a Census
There are 3 census reports available:
► Alpha
► Doctor
► Nurse Unit
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“EMR”
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PATIENT CENSUS (ALPHA)
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Alpha Census:
Put the patient name(s) on both blank spaces, click ok
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PATIENT CENSUS (DOCTOR)
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Doctor Census:
Put the Doctor’s mnemonic(s) on both blank spaces
Select your preferred Sorts
Select Report Format (usually Standard)
Click OK
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PATIENT CENSUS (NURSE UNIT)
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Nurse Unit Census:
Type the Date
Select your preferred Location(s)
Click OK
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SUMMARY
• You now understand basic Meditech functions:
– Logon, change password
– View Patients
– Clinical Panels
• You have learned about the additional physician desktop EMR icons
that contain more functions within Meditech:
– Reprint Face sheets
– Census report`
– Patient coding
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CONTACT INFORMATION
• If you are having problems with your access at MDMC, MCMC, or
MMMC please contact 214-947-1999 the MHS Helpdesk or
[email protected]
• If you are having problems with your access at MRMC or
Bush/Renner please contact the Richardson HelpDesk at 972-4984756 or [email protected]
• MHS does not have a team to come to your office to repair PCs.
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