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3270 QUICK SEARCH

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					Author: Dale Sahlberg                                                                    -1-
                             3270 QUICK SEARCH
Have you ever wished you could see patient information faster?

Do you worry as an IS manager that the REVIEW PATIENT DATA pathway is displaying too much patient
information for some departments?

Currently, there are two methods to view patient data:
    1) REVISE - go through many steps to get to a REVISE screen to view patient data. Then have to make a
        “best guess” what category has the desired data. Need to be careful on that REVISE screen not to
        accidentally change any data.
    2) REVIEW - go through many steps to get to a REVIEW screen to view patient data. Need to make a
        “best guess” what category has the desired data. Information Systems has to make a duplicate of the
        REVISE screens and change the display fields to output only. Substantial work to maintain two types
        of displays.




In the example below are 18                    categories to find data in:




Search event: In the screen above, a new user wants to find the ATTENDING DOCTOR.
  Logically, the doctor’s name is under ! 11 CLINICAL right?
     However, it is actually under ! 16 CASE DATA

Instead of searching many CATEGORIES for data, there is an easier way … let the data come to you! The
new method is called: QUICK SEARCH Pick from a menu what you want to see and the next screen will
display that exact data for you.

QUICK SEARCH allows you to safely view data with no risk – display only.

This QUICK SEARCH function has been in use at one hospital since 1987.
Author: Dale Sahlberg                                             -2-

Select what you want to see.




For example, the option ATN DR NAME was selected and here is the data …
Author: Dale Sahlberg                                                                                  -3-

In the example below, the option PT NUMBER was selected …




                                                             Fast and easy – simply press ENTER for another inquiry.
When you are done, exit to the main menu.


        The above QUICK SEARCH display is HIPAA friendly since a visitor will not see a TITLE such as
         Patient Name: STEIN, BENJAMIN - only a name will appear on the screen, which in this case is the



                   doctor.
        By not having a full screen of data for roving eyes to see (example: the patient demographics screen
         with age, social security number, full patient name, birth date, address, spouse name, etc) protection of
         patient confidentiality is improved while still allowing hospital staff to access vital data for patient care.
        The display screen is more secure with Quick Search - one answer is given per inquiry. No extra
         information is splashed on the screen for visitors to view.
        The screen adheres to the MINIMUM NECESSARY requirement.
                                                   HIPAA
                                             MINIMUM NECESSARY
                                               [45 CFR 164.502(b), 164.514(d)]
The minimum necessary standard, a key protection of the HIPAA Privacy Rule, is derived from confidentiality codes and
practices in common use today. It is based on sound current practice that protected health information should not be used or
disclosed when it is not necessary to satisfy a particular purpose or carry out a function. The minimum necessary standard
requires covered entities to evaluate their practices and enhance safeguards as needed to limit unnecessary or inappropriate
access to and disclosure of protected health information. For routine or recurring requests and disclosures, the policies and
procedures may be standard protocols and must limit the protected health information disclosed or requested to the
minimum necessary for that particular type of disclosure or request. Individual review of each disclosure or request is not
required. For non-routine disclosures and requests, covered entities must develop reasonable criteria for determining and
limiting the disclosure or request to only the minimum amount of protected health information necessary to accomplish the
purpose of a non-routine disclosure or request. Non-routine disclosures and requests must be reviewed on an individual
basis in accordance with these criteria and limited accordingly.

QUICK SEARCH can be used in many pathways – Utilization Review, Medical Records, Nursing, Lab,
Radiology, Pharmacy, Information Desk manned by volunteers, Doctors – people who need to view
the basics quickly. The screen can be tailored to only display the information needed. For example,
the information desk could have the following data display screen …
Author: Dale Sahlberg                                                                       -4-




INFORMATION DESK




QUICK SEARCH allows data to be safely viewed with no risk of changing that data since it is display only


                                          QUICK        SEARCH
A) Create the following user fields -

                       User Fields             Type                    Length
                       UNUMBER                 Integer                 15
                       UPHONE                  Integer                 10
                       UTEXT                   Text                    30
                       UDATE                   Date                    6
                       UTIME                   Time                    4

Technically, the phone could use UNUMBER, yet for display and parsing purposes it is defined as another field.
<... ... ....>

        The U fields allow one output screen to display up to 57 fields (patient case and index)
         by using five basic U fields as “placeholders” for data.
        These five fields accommodate each edit type and length, whether the field is 30 text
         characters long or just 4 integers long.
        The U fields are only temporary.
Author: Dale Sahlberg                                                   -5-

B) Cut and paste the entire image inside the box into a new screen called SEARCH …


   QUICK SEARCH OPTIONS
/------------------------------------------------------------------------------\
 ! ADM DATE                    ! GU LAST-NAME                ! PT NUMBER
 ! ADM DR NAME                 ! GU PHONE                    ! PT PHONE
 ! ADM DR NUMBER               ! GU REL-TO-PT-CD             ! PT RACE
 ! ADM PRIORITY                ! GU STATE                    ! PT SEX
 ! ADM SOURCE                  ! GU ZIP CD                   ! PT SSA NUMBER
 ! ADM TIME                    ! HOSP SVC                    ! PT STATE
 ! ATN DR NAME                 ! MED REC NUMBER              ! PT STS
 ! ATN DR NUMBER               ! NO OF INS PLANS             ! PT TYPE
 ! BED                         ! NURSE STATION               ! PT ZIP CD
 ! DSCH DATE                   ! PT ADDRESS 1                ! SUB ADDRESS 1
 ! DSCH DISP                   ! PT ADDRESS 2                ! SUB ADDRESS 2
 ! DSCH TIME                   ! PT AGE                      ! SUB CITY
 ! FC                          ! PT BIRTH DATE               ! SUB FIRST-NAME
 ! GU ADDRESS 1                ! PT CITY                     ! SUB FULL-NAME
 ! GU ADDRESS 2                ! PT FIRST-NAME               ! SUB LAST-NAME
 ! GU BIRTHDATE                ! PT FULL-NAME                ! SUB PHONE
 ! GU CITY                     ! PT LAST-NAME                ! SUB REL-TO-PT-CD
 ! GU FIRST-NAME               ! PT MARITAL STS              ! SUB ST
 ! GU FULL-NAME                ! PT NAME                     ! SUB ZIP
\------------------------------------------------------------------------------/
 ! PF1 RETURN                                        SELECT AN OPTION ABOVE



Enter in the stack command:      WHERE "%USER" IS VALUED THEN $S=SEARCH2

Define the return command with a:      "%CSRET"='Y',$R=M


C) Cut and paste the entire image inside the box below into a new screen SEARCH2
…


    QUICK SEARCH DATA

/------------------------------------------------------------------------------\



                        <..............................>
                        <...............>
                        <.. .. ..> <....>
                        <... ... ....>



\------------------------------------------------------------------------------/


      ! PF1 MAIN MENU                          PRESS ENTER FOR ANOTHER INQUIRY
Author: Dale Sahlberg                                                        -6-

Enter in the stack command:
WHERE "%USER" IS VALUED
THEN $D=UNUMBER
        $D=UPHONE
        $D=UTEXT
        $D=UDATE
        $D=UTIME
        $S=SEARCH

Define the Main Menu return command with a: "%CSRET"='Y',$R=M


Define the display fields as follows:

         <..............................> UTEXT
         <...............> UNUMBER
      UDATE <.. .. ..> <....> UTIME
         <... ... ....> UPHONE


                         User Fields              Type              Length
                         UNUMBER                  Integer           15
                         UPHONE                   Integer           10
                         UTEXT                    Text              30
                         UDATE                    Date              6
                         UTIME                    Time              4



D) Match each title with the database field from the following table -

                         Title                              Field
                         ADM DATE                           C0809
                         ADM DR NAME                        2ADMDRNA
                         ADM DR NUMBER                      C0824
                         ADM PRIORITY                       C0804
                         ADM SOURCE                         C0805
                         ADM TIME                           C0810
                         ATN DR NAME                        C0825
                         ATN DR NUMBER                      C0826
                         BED                                C0822
                         DSCH DATE                          C0811
                         DSCH DISP                          C0848
                         DSCH TIME                          C0812
                         FC                                 C0815
                         GU ADDRESS 1                       0PTGARZ1
                         GU ADDRESS 2                       0PTGARZ2
                         GU BIRTHDATE                       0PTGARBD
                         GU CITY                            0PTGARZ3
                         GU FIRST-NAME                      0PTGARXA
                         GU FULL-NAME                       0PTGARXC
Author: Dale Sahlberg                                                                        -7-
                        GU LAST-NAME                         0PTGARXB
                        GU PHONE                             0TZ99999
                        GU REL-TO-PT-CD                      0PTGARZ4
                        GU STATE                             0PTGARST
                        GU ZIP CD                            0PTGARZI
                        HOSP SVC                             C0820
                        MED REC NUMBER                       C0803
                        NO OF INS PLANS                      C0847
                        NURSE STATION                        C0821
                        PT ADDRESS 1                         0PTADDZ1
                        PT ADDRESS 2                         0PTADDZ2
                        PT AGE                               C0851
                        PT BIRTH DATE                        C0813
                        PT CITY                              0PTADDZ3
                        PT FIRST-NAME                        0PTADDXA
                        PT FULL-NAME                         0PTADDXC
                        PT LAST-NAME                         0PTADDXB
                        PT MARITAL STS                       C0816
                        PT NAME                              C0806
                        PT NUMBER                            C0801
                        PT PHONE                             0TZ99999
                        PT RACE                              C0818
                        PT SEX                               C0817
                        PT SSA NUMBER                        C0828
                        PT STATE                             0PTADDST
                        PT STS                               C0807
                        PT TYPE                              C0830
                        PT ZIP CD                            0PTADDZI
                        SUB ADDRESS 1                        5IS1SSZ1
                        SUB ADDRESS 2                        5IS1SSZ2
                        SUB CITY                             5IS1SSZ3
                        SUB FIRST-NAME                       5IS1SSXA
                        SUB FULL-NAME                        5IS1SSXC
                        SUB LAST-NAME                        5IS1SSXB
                        SUB PHONE                            5IS1SSTE
                        SUB REL-TO-PT-CD                     5IS1SSZ4
                        SUB ST                               5IS1SSST
                        SUB ZIP                              5IS1SSZI


               Match text fields with UTEXT                    UTEXT with “C0825”
               Match number fields with UNUMBER                UNUMBER with “C0801”
               Match phone fields with UPHONE                  UPHONE with “0TZDD”
               Match date fields with UDATE                    UDATE with “C0809”
               Match time fields with UTIME                    UTIME with “C0810”


Meets the 80 / 20 principle in providing 80% of needed information without clutter of 20% fields seldom viewed.
Author: Dale Sahlberg                                  -8-

Here is an example of the ATN DR NAME being defined…




Here is an example of the PT NUMBER being defined…
Author: Dale Sahlberg                                                                -9-

E) Select the main menu or submenu to put the prompt ! QUICK SEARCH on -




F) Define the prompt ! QUICK SEARCH -
Create a command set like the following:
     $T=QUICK
        $P=INQUIRY               inquiry program of your choice such as $P=CHPPNPID
        $P=CASEPROG                 case retrieval program of your choice
        $S=SEARCH                     Quick Search screen



Stack whatever inquiry program you want to use – here are some possibilities among many
other choices …
    EAD Inquiry
    Numeric Inquiry
    Inhouse Patient Name Inquiry
    Phonetic Inquiry
    SSN/Name Inquiry (PIDX)


The QUICK SEARCH function is flexible. It can be in a main menu or in a submenu. QUICK SEARCH can
replace many department’s REVIEW PATIENT DATA pathway with a faster and secure application. Even if
you are using GOLD, this application can be a remapped screen to meet REVIEW needs. Just use GOLD for
actual data revisions.
Author: Dale Sahlberg                                                     - 10 -

QUICK SEARCH has these advantages;
  1) Quick to build – cut and paste the screen images, then define just five user fields
  2) Meets the 80/20 rule in providing 80% of needed information without 20% clutter
  3) Is HIPAA friendly and adheres to the MINIMUM NECESSARY requirement
  4) Easier to maintain than a full review pathway
  5) Can be ported out to many pathways – Utilization Review, Medical Records, Nursing,
     Lab, Radiology, Pharmacy, Information Desk manned by volunteers, Doctors – people
     who need to view the basics quickly
  6) Can be customized to provide data only for the fields you define
  7) Display screen reduces risk of compromising data by not blaring out a title with data
     that visitors can easily see standing near a terminal
  8) QUICK SEARCH allows you to safely view data with no risk of changing that data
     since it is display only
  9) No training needed – just point and click.




                                      Dale Sahlberg
                               www.ecsahlberg.com/Help.html
                                      dsahl@aol.com

				
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posted:11/29/2011
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