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Printable Medical Billing Forms Templates - Excel

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Printable Medical Billing Forms Templates - Excel Powered By Docstoc
					Updated:                     7/17/2008

Note: These only include EHR enhancement requests that were submitted via the RPMS Feedback Page

CRID       Submitted By                  Submit Date   Subject
247        Calder, William               6/1/2006      Radiology



246        Schmitt, Charles              9/27/2006     TIU Template GUI Box




248        Wanca, Martha                 10/26/2006    multiple patients with same name
                                                       potential for error




N/A        Furniss, Jamie                11/2/2006     linking med refills to dx




249        Nelson, Rhonda                11/27/2006    Discharge Summary Footer needs
                                                       changed

250        Nelson, Rhonda                11/27/2006    Need print format field of Last 4 of SSN
251   Nelson, Rhonda    11/28/2006   need to be able to assign multiple clinic
                                     codes to a pick list

252   Miller, Michele   12/13/2006   Group note capability




N/A   Shults, Peggy     12/21/2006   Medical Necessity For Labs



N/A   Shults, Peggy     12/26/2006   Coding Queue default for incomplete
                                     charts



253   Shults, Peggy     1/8/2007     Enhancement for notifications




254   Lamer, Chris      1/9/2007     adding historical measurements
255   Miller, Michele   1/16/2007   Evaluation and Management codes




268   Miller, Michele   2/1/2007    RCIS notifications in EHR




266   Lamer, Chris      2/20/2007   Health factors and Exams information




263   John, Karen       3/14/2007   EHR: New Patient Data Object - POV
                                    with ICD-9 Code


267   Mosely, Elvira    3/15/2007   adding measurements and POC test
264   Cain, Lola       3/16/2007   Medication order entry fields - days
                                   supply & qty




270   Johnson, Katie   4/2/2007    Immunizations




271   Johnson, Katie   4/2/2007    Service Hold




N/A   Johnson, Katie   4/2/2007    Problem List on Health Summary
269   Mosely, Elvira       4/3/2007    CPT codes




272   Preston, L. (Jane)   4/5/2007    Students Keys in CPRS




273   VonBibra, Lyn        4/9/2007    Fluid Balance Flowsheet


274   Vesbach, James       4/10/2007   DDS package on services tab



276   Preston, L. (Jane)   4/13/2007   Changing Order Details Printout




277   Gemelas, James       4/16/2007   Surrogate Notification options
275   Mosely, Elvira     4/23/2007   Adding BMI% and HC%




N/A   George, Susan      5/8/2007    Coding Q



283   Furniss, Jamie     5/17/2007   NOTIFICATION HEADERS




284   Lamer, Chris       5/23/2007   Add comments to completed orders



290   Moore, Catherine   5/25/2007   Enhance Notifications


291   Moore, Catherine   6/7/2007    Resize lab results tab for comments




N/A   Furniss, Jamie     6/7/2007    Changable Clinic Codes
292   Preston, L. (Jane)   6/8/2007    Med. Refills for Pull-Down for Diagnosis




303   Lamer, Chris         6/14/2007   Date of onset




302   Preston, L. (Jane)   6/14/2007   Adding Lab Tests to Existing Order



304   Koet, Margaret       6/18/2007   Notification of Uncompleted Consult




306   Vermilyea, Peter     6/20/2007   Graphing of labs - background should
                                       be lighter


307   Vermilyea, Peter     6/20/2007   Please add "Print" button to vital sign
                                       graph area
N/A   Preston, L. (Jane)   6/20/2007   Linking Lab Visit to Ordering Encounter
308   Vermilyea, Peter   6/20/2007   Would like to see time pharmacist
                                     verifies orders in GUI




309   Williams, David    6/21/2007   Pharmacy Order End Dates




322   Lamer, Chris       6/27/2007   improved communication




324   Johnson, Katie     7/3/2007    Missing POV notification


N/A   Habiel, Sam        7/7/2007    Make TIU note template windows non-
                                     modal...



326   Habiel, Sam        7/11/2007   Use of aspell rather than MS Word
                                     spelling dictionary


328   Habiel, Sam        7/12/2007   Need ordering provider when lab
                                     notifications are received
327   Habiel, Sam          7/12/2007   Add another discontinuation reason to
                                       EHR




329   Smith, Marty         7/13/2007   Patient Listing Options




330   Grenier, Denise      7/19/2007   Purpose of Visit/Selection




N/A   Vermilyea, Peter     7/20/2007   RCIS interface to EHR

N/A   Zimmet, Judy         8/7/2007    Please make a Patient Object out of
                                       NPI




338   Doremire, Joshua     8/9/2007    Chart lookup sorted by visit time




347   Preston, L. (Jane)   8/10/2007   Ranges for BMI on Adults



349   Johnson, Katie       8/14/2007   Refusals in EHR v1.1
N/A   Preston, L. (Jane)   8/17/2007   Order Check for Duplicate Active and
                                       Pending Labs




N/A   Preston, L. (Jane)   8/21/2007   Primary Provider for Lab Orders




N/A   Heisler, Michael     9/18/2007   Group Visit/Note Functionality
363   Gemelas, James           9/24/2007   Reminders for Educational goals set in
                                           EHR




355   Johnson, Katie           9/25/2007   Inpatient Education




362   Niesen, Mary Ann         9/27/2007   TIU object request




356   Pierce-Richards, Susan   10/1/2007   Object from Pain Contract
                                           Management register




357   Jaramillo, Joann         10/3/2007   Suicide Form and EHR
358   Mosely, Elvira    10/4/2007    Reminder Computer Findings




367   Rudd, Stephen     10/26/2007   Reminder dialogues




373   Johnson, Katie    11/2/2007    Vitals Entry




372   Bishop, Bradley   11/5/2007    Adding refills to existing medication
                                     orders in EHR
376   Lamer, Chris         11/9/2007    Documenting a patient education code
                                        twice




379   Gemelas, James       11/15/2007   Education provider when entering pt ed
                                        in reminder dialogs




378   Preston, L. (Jane)   11/16/2007   New Column on Orders Tab
N/A   Riley, Mary          11/16/2007   PHN Field Labs




380   Preston, L. (Jane)   11/23/2007   Seperate Tabs for Orders



382   Gemelas, James       11/27/2007   HPV reminder


383   Gemelas, James       11/27/2007   Undo button
384   Gemelas, James       11/28/2007   Vitals refusal prompt




385   Furniss, Jamie       11/29/2007   Display Outcome & Standard button

387   Moore, Catherine     12/5/2007    add annotation tool to lab results

386   Preston, L. (Jane)   12/5/2007    Ability to Record Method of
                                        Measurement for Vitals



449   Preston, L. (Jane)   12/6/2007    Issues with Ordering Providers and
                                        Orphan Visits
389   Shults, Peggy            12/17/2007   Tool to update codes in ICD & CPT
                                            pick lists




390   Pierce-Richards, Susan   12/19/2007   Ability to add health factor from Pt Ed
                                            pick list


392   Vermilyea, Peter         12/19/2007   forwarding notifications



391   Vermilyea, Peter         12/19/2007   Some clinics don't need an E&M code-
                                            no way to set this




393   Frederick, Ronald        12/19/2007   GROWTH CHART




394   Habiel, Sam              12/25/2007   Need a centralized place from where to
                                            enter providers


395   Rudd, Stephen            12/26/2007   Surgical history




N/A   Thomas, Sandra           12/27/2007   patient list by clinic
397   Jones, Jacqueline   1/9/2008    auto-inactivate dates for time limited
                                      prescriptions




398   Mosely, Elvira      1/10/2008   add menu option to BEH menu




400   VonBibra, Lyn       1/16/2008   Education component on Wellness Tab
421   Mosely, Elvira       1/18/2008   Consult group update not working for
                                       all services




401   Preston, L. (Jane)   1/18/2008   When placing orders could EHR ask if
                                       correct provider




402   Dunnigan, Anthony    1/23/2008   Princinal Clinics interaction in EHR--
                                       need a way to exclude them



403   Dunnigan, Anthony    1/23/2008   parameter to prevent note titles from
                                       "breaking up" in searchable list
405   Habiel, Sam              1/31/2008   Add the ability in EHR to change
                                           division

406   Preston, L. (Jane)       2/1/2008    Print Prescription Button




408   Lamer, Chris             2/5/2008    Medication objects for medication
                                           reconciliation




N/A   John, Karen              2/8/2008    Vital Measurement Template - user
                                           class and service/section


411   Murphy, Sue              2/11/2008   Infant feeding choice - birth measure
                                           panel



410   Pierce-Richards, Susan   2/11/2008   Improvement to Adverse reaction
                                           tracking component




409   Moore, Catherine         2/12/2008   Allow only certain lab tests to be
                                           ordered
N/A   John, Karen          2/14/2008   More user-friendly patient education
                                       pick list




459   Gebremariam, Cindy   2/14/2008   Multiple Pap Smear Results




422   Nelson, Rhonda       2/15/2008   inpatient medications listing on med tab
413   Klepacki, Stephanie   2/19/2008   Refusals for Colonoscopy and Flexible
                                        Sigmoidoscopy




N/A   Gemelas, James        2/20/2008   Lab Clinical Indication field option




N/A   Thomas, Sandra        2/20/2008   ehr notifications

N/A   Niska, Lois           3/4/2008    BMI



417   Bartlett, Robin       3/5/2008    dc/edit status during inpatient POE
416   Bartlett, Robin   3/5/2008   Dual Order/Medication Tab Sorting




420   Lamer, Chris      3/6/2008   cannot enter two education codes for
                                   one visit
415   Bartlett, Robin   3/7/2008    New Start Checkbox




414   John, Karen       3/7/2008    New object for PHN data entry




418   Stiffarm, Duane   3/10/2008   modless window
419   Martin, Lisa         3/11/2008   Documenting historical breastfeeding




N/A   Lamer, Chris         3/11/2008   Per Duane Stiffarm




N/A   Thomas, Sandra       3/13/2008   using the control key




423   Frederick, Ronald    3/14/2008   immunization package - skin test




424   Preston, L. (Jane)   3/14/2008   Unable to Record a Different Location
                                       for Current Immunizations
425   Habiel, Sam              3/19/2008   Add functionality to copy
                                           Communications text



428   Pierce-Richards, Susan   3/19/2008   COPY active med order creates a
                                           duplicate med order but no order check




427   Habiel, Sam              3/20/2008   Dialog to send a user generated
                                           notification is very unfriendly to use




426   Johnson, Katie           3/20/2008   Signature Capture




433   Preston, L. (Jane)       3/24/2008   I&O Measurements


437   Habiel, Sam              3/25/2008   When documenting historical PPD,
                                           cannot document date administered or
                                           by whom




429   Preston, L. (Jane)       3/25/2008   Assigning the "Face Sheet" to a button




435   Lamer, Chris             3/26/2008   Reminder override
434   Shults, Peggy        3/28/2008   Enhance New Note Function




432   Thomas, Sandra       4/1/2008    not sure which package




436   Jones, Jacqueline    4/2/2008    Sensitive Patient Tracking vs. EHR




441   Vermilyea, Peter     4/14/2008   double click, single click



439   Vermilyea, Peter     4/14/2008   removal of primary provider




440   Preston, L. (Jane)   4/14/2008   Message: Narrative Too Long (for ICD
                                       codes entry)




442   Werner, Rebecca      4/16/2008   Health Factors
N/A   Dryden-Bergemann, Janet 4/23/2008   Changes to Wellness Tab




451   Ramirez, Rachel         4/25/2008   individual lab result notification




450   Hall, Terri             4/25/2008   Visit Lock




452   Preston, L. (Jane)      4/25/2008   New TIU Template Data Objects


N/A   Yandell, Seth           4/25/2008   Please help get rid of point of care
                                          blood glucose notifications




445   Johnson, Katie          4/30/2008   Print button on Medications Tab

446   Johnson, Katie          5/1/2008    Birth Measurements TIU object
N/A   Dryden-Bergemann, Janet 5/1/2008   Vitals Signs for Standing, sitting and
                                         lying




448   Shults, Peggy           5/6/2008   Pick Lists & Associations




447   Vermilyea, Peter        5/7/2008   PharmED button change


N/A   Hile, Kerry             5/8/2008   Maximize button on templates
N/A   Mosely, Elvira     5/8/2008    Ability to edit inactive cpts and ICD-9
                                     codes attached to pick-lists and
                                     superbills




N/A   Potts, Toni        5/12/2008   Patient Selection Window



453   Habiel, Sam        5/13/2008   We would like consult results
                                     notification to be signable like labs and
                                     radiology




454   Baughman, Todd     5/13/2008   DOCUMENTING EDUCATION




455   Vermilyea, Peter   5/13/2008   How does a user confirm that a
                                     provider has signed off on a
                                     notification?
458   Shults, Peggy        5/19/2008   Visit Summary




456   Preston, L. (Jane)   5/19/2008   Newborn Hearing Screen




457   Habiel, Sam          5/20/2008   Add ability to import more than one TIU
                                       template file at a time
N/A   Mosely, Elvira       5/21/2008   Adding a window function to the EHR
                                       template dialog box.
460   Clark, Donald      5/22/2008   Primary Care Provider




461   Niesen, Mary Ann   5/23/2008   automatic CPT coding in IMM module




N/A   Habiel, Sam        6/2/2008    Add ability to import multiple templates
                                     at the same time



468   Habiel, Sam        6/3/2008    Add Regular Expression based filtering
                                     from output


467   Vermilyea, Peter   6/6/2008    Message field doesn't pop up on
                                     medication quick order




463   Bowie, Albert      6/10/2008   communication tab




464   Clark, Donald      6/12/2008   Pharmacy Ordering


466   Clark, Donald      6/12/2008   Pharmacy Ordering
462   Shults, Peggy      6/15/2008   Chief Complaint Associations




465   Habiel, Sam        6/16/2008   Reminders can't look for CPT modifiers


488   Vermilyea, Peter   6/23/2008   female reproductive status suggestion




475   Bonnell, Mark      6/24/2008   word processor


471   Heisler, Michael   6/25/2008   MRSA Screening Collection Alert
472   Adams, Robert      6/25/2008   Request for addition of New OE/RR
                                     Print Fields




469   Heisler, Michael   6/25/2008   Expansion of PCP Display on
                                     Patient/Visit Toolbar




460   Bonnell, Mark      6/26/2008   Designated Provider



473   Bonnell, Mark      6/26/2008   To Do List
470   Habiel, Sam          6/27/2008   Make it easier to navigate a pick list




503   Preston, L. (Jane)   6/27/2008   Nursing Patient Acuity Assessment
                                       (ANS) - Availability through EHR




474   Johnson, Katie       6/30/2008   Transfer to Outpatient medication
                                       function


476   Rauth, Leslye        7/1/2008    Womens health in EHR
477   Mosely, Elvira     7/1/2008   CNII narcotic print out format




478   Mosely, Elvira     7/1/2008   Nursing inpatient package




N/A   Harris, Linda      7/1/2008   Nutrition / Activity Screening Evaluation




479   Niesen, Mary Ann   7/2/2008   ordering keys and ordering resctrictions
480   Niesen, Mary Ann     7/2/2008   verification of allergies in EHR




481   Mosely, Elvira       7/2/2008   Ability to use reminder dialogs with TIU
                                      templates




482   Gebremariam, Cindy   7/2/2008   Display Community Alerts
483   Palmquist, Roland   7/7/2008   Potential Medical Error due to sign in
                                     defaults when travelling




484   Bishop, Bradley     7/7/2008   PAP Smear refusal logic




486   Rauth, Leslye       7/7/2008   v eye care in personal health




N/A   Lamer, Chris        7/8/2008   ADD time pharmacist verifies a
                                     prescription in the GUI.

485   Habiel, Sam         7/8/2008   Click and Drag
487   Lamer, Chris       7/8/2008    Enable printing of controlled drug
                                     prescription




489   Bowie, Albert      7/10/2008   ablitity to know when a patient p/u
                                     medication(s)




491   Stearle, Carla     7/10/2008   Inpatient EHR; Medication
                                     Administration Times




N/A   Mosely, Elvira     7/11/2008   for patient selection object to display
                                     correct age in months for pt's under 2




490   Niesen, Mary Ann   7/17/2008   verifying certain notifications have been
                                     processed
492   Vermilyea, Peter     7/18/2008   more detail requested on radiology
                                       requisitions & LMP




493   Preston, L. (Jane)   7/18/2008   New Notification Created

494   Bishop, Bradley      7/18/2008   "License expiring" popup message




N/A   Preston, L. (Jane)   7/18/2008   Require POV to write Progress Note


495   Frederick, Ronald    7/24/2008   notification alert for missing notes


N/A   Clark, Donald        7/24/2008   Notifications




496   Gemelas, James       7/28/2008   Medication Possession Ratio (MPR)


N/A   Preston, L. (Jane)   7/30/2008   Social Services Functionality in EHR
N/A   Lewis, MD, Jeffrey     7/30/2008   template saving,minimizing




497   Lewis, M.D., Jeffrey   7/30/2008   Social history




N/A   Gemelas, James         7/30/2008   "Unable to screen" option in the
                                         personal health component



N/A   Thomas, Sandra         7/30/2008   screening exams


498   Preston, L. (Jane)     7/30/2008   Want Tabbed Order Page

499   Preston, L. (Jane)     7/30/2008   Change form attached to Appointment
                                         Details




N/A   Gemelas, James         7/31/2008   Add pregnancy as a contraindication
                                         reason

500   Vermilyea, Peter       7/31/2008   Pressing F1 in vitals entry




504   Preston, L. (Jane)     8/4/2008    Creation of Additional Notifications




N/A   Webb, Amy              8/4/2008    Completion check at the end of the visit
505   Bowie, Albert        8/4/2008    Done button.




506   Preston, L. (Jane)   8/8/2008    Print Prescription Button on
                                       Medications Tab


507   McIntyre, Carlene    8/13/2008   Med Tab enhancement for inpatient
                                       medications




508   Marsolek, Roberta    8/13/2008   having option when signing orders not a
                                       default




512   Hall, Terri          8/14/2008   enhancement to EHR to add NOT
                                       FOUND under Service Category?

513   Mosier, Gary         8/15/2008   More PCP provider notification


N/A   Anderson, Maggie     8/19/2008   Temporarily Override Visit Lock option




514   Habiel, Sam          8/19/2008   Want to tie pregnancy status with the
                                       rest of the EHR system...


515   Habiel, Sam          8/27/2008   When this dialog pops up, it needs to
                                       send the offending dialog it references
                                       to the top of the
516   Preston, L. (Jane)   8/28/2008   Brighter Flags

N/A   Furniss, Jamie       9/2/2008    New report for visit auditor




518   Grenier, Denise      9/5/2008    On-screen guidance for users




519   Johnson, Katie       9/8/2008    Status of Imaging orders




520   Hays, Howard         9/9/2008    Enable iCare Panels in Patient
                                       Selection




522   Thomas, Sandra       9/9/2008    visit not checked in




N/A   Thomas, Sandra       9/10/2008   group entry

521   Stuart, Peter        9/10/2008   Co-signature comments
523   Habiel, Sam           9/11/2008   Chart Request Button, RPC, Routine
                                        for EHR




524   Moore, Lori           9/12/2008   remove line from complex orders




525   Bishop, Bradley       9/12/2008   Allow immunization entry from
                                        forecaster




N/A   Morphet-Brown, Mary   9/15/2008   blood pressure in triage tab

526   Habiel, Sam           9/15/2008   Reports tab does not have a File > Print
                                        Menu like the rest of the tabs...
527   Habiel, Sam           9/16/2008   Pop up messages should have a "reply"
                                        button so that you can immediately
                                        reply to the person
N/A   Habiel, Sam           9/17/2008   Create RPC, routine, etc. to allow users
                                        to update primary care provider in EHR

N/A   Shumack, John         9/17/2008   Update qty range for quick orders.




528   Habiel, Sam           9/17/2008   Is there a way to change the color of
                                        the notification of the Stat consult to
                                        Red?
529   Harris, Linda     9/21/2008   Tickler file




530   Habiel, Sam       9/22/2008   After CCHIT...




531   Grenier, Denise   9/22/2008   Suicide Reporting Form



532   Thomas, Sandra    9/24/2008   rpms ehr management
N/A   Bartlett, Robin      9/26/2008   Patient Data Objects - Active
                                       Medications & Todays Orders




533   Bolte, Patrick       10/2/2008   Patient Identifier




534   Clark, Donald        10/6/2008   SIGNING ORDERS




535   Stuart, Peter        10/7/2008   HR Display




536   Preston, L. (Jane)   10/7/2008   Availablity of VUA menu item through
                                       EHR




537   Maillett, Lynn       10/8/2008   Spirometry results
538   Sampson, Lorinda   10/8/2008    new measurement?




539   Manning, Thomas    10/9/2008    Vital signs entry




540   Habiel, Sam        10/15/2008   Add the ability to enter "No Known
                                      Allergies" on the right click menu of the
                                      Allergies component
N/A   Habiel, Sam        10/15/2008   Add ability for user to be able to say
                                      "This is an erroneous allergy/ADR" in
                                      EHR

561   Habiel, Sam        10/15/2008   When editing a historical immunization
                                      just after entry, you cant edit the event
                                      date...


541   McCann, Vanessa    10/20/2008   EHR Wish

542   McCann, Vanessa    10/20/2008   EHR Wish Pharmacy

N/A   McCann, Vanessa    10/20/2008   EHR Wish for Orders
543   Goroski, Dean      10/24/2008   medication profile




N/A   Mosely, Elvira     10/27/2008   Add clinic to the BEHOXQPC
                                      REQUIRES E&M CODE parameter
544   Preston, L. (Jane)   10/27/2008   Change Title from one Class to Another




N/A   Dunnigan, Anthony    10/29/2008   better pediatric growth charts




546   Habiel, Sam          11/3/2008    Change renew dialog box so that it
                                        displays refills as a drop down box
                                        rather than a text box...
547   Johnson, Katie       11/3/2008    Discontinue an expired med




N/A   Elliott, Patricia    11/5/2008    BMI calculations and Temperature
                                        recording


548   Preston, L. (Jane)   11/5/2008    Want a Prompt Created for Refusals


N/A   Kelley, Don          11/12/2008   Appointment times after names in
                                        "Patient Select" window




N/A   Bishop, Bradley      11/14/2008   Printing orders from EHR to local
                                        printer
549   John, Karen           11/19/2008   Enhancement: Temp Override Visit
                                         Lock for User [OVR]




550   Vermilyea, Peter      11/20/2008   Broadcast functionality enhancement




N/A   Gemelas, James        11/21/2008   add hysterectomy choice to Personal
                                         Health -reproductive history

551   Cain, Lola            11/24/2008   ICD Search Tool for POV - entry
                                         sequence




N/A   Sebastian, Marianne   11/24/2008   lab accessioning from within EHR




552   Preston, L. (Jane)    11/25/2008   Ability to Print Label from Medications
                                         Tab


N/A   Singleton, Tamara     11/26/2008   demo patients
N/A   Lessert, Amanda     12/1/2008   Consult management reports




553   Lessert, Amanda     12/1/2008   Completed consults report




554   Dunnigan, Anthony   12/2/2008   Infobutton integration into EHR




555   Gemelas, James      12/3/2008   Exam screening result fields for
                                      reminder dialog prompts
556   Maynard, Tyrus     12/4/2008    EHR Notifications and Instant
                                      Messaging Enhancement Requests




557   John, Karen        12/8/2008    New HS object - Mother and Father's
                                      Name


558   Beyuka, Harriett   12/19/2008   Inpatient Pharmacy Management
                                      Report field addition
559   Mosely, Elvira     12/30/2008   print formats




560   Hartmetz, Nancy    1/5/2009     Historical allergy documentation




562   Groom, Amy         1/8/2009     Include VFC eligibility field in the
                                      Immunziaion package in EHR




N/A   Jasso, Jennifer    1/8/2009     Print Format Field
563   Mosely, Elvira     1/8/2009     trigger notification when meds are
                                      returned to stock




564   Johnson, Katie     1/9/2009     Edit Problem List Notes




565   Chasteen, Teresa   1/16/2009    Transaction Superbill Association
566   Bishop, Bradley     1/20/2009   Display Lab Interpretation in EHR Lab
                                      Notifications




567   Grenier, Denise     1/28/2009   Suicide Reporting Form Component




568   McIntyre, Carlene   1/29/2009   Refill limit change for non-controlled
                                      Rxs




569   VonBibra, Lyn       1/29/2009   Enhancement requests x2 for the
                                      Release Orders to Service Box.




570   Potts, Toni         2/2/2009    PICK-UP STATUS default for med
                                      orders
571   VonBibra, Lyn      2/3/2009    Enhancement request for Nature of
                                     order display




572   Flood, Bill        2/3/2009    Provider signature for Policy Orders,
                                     per Sam Habiel




573   Flood, Bill        2/3/2009    drug screening




575   Dewing, Michelle   2/10/2009   Calendar
576   Mosely, Elvira   2/11/2009   Cac can manipulate notifications for
                                   TIU notes




577   John, Karen      2/23/2009   CPT Superbill - allow multiple QTY
                                   setup




N/A   Eggert, Toyo     2/24/2009   Selecting Clinic in EHR to get your
                                   patient list
e RPMS Feedback Page

          Description                                                        Status
          Request concerning the Radiology Order page and the "Submit Closed
          To" box. We would request the entry in "Submit To" this
          automatically default to the facility the user is logged into on
          EHR.
          When moving up and down a note template in the GUI. The            Deferred
          user is forced to pop from the left side, where one opens up sub-
          templates, to the right side, where the scroll bar is. Can we at
          least put the scroll bar on the left side to make the mousing
          easier... and even better could we have the mouse wheel
          function - it functions in other Vuecentric windows.
          When on EHR "select pateint" and last name is typed, if there      Approved
          are two or more people with the same name a warning notice
          should show up "patients with same name - verify correct
          patient" Currently a warning only pops up if there are 2 people in
          system with same or similar SS numbers. There is a potential
          for errors when 2 same names are in system because provider
          could automaically hit enter when first name pops up, without
          realizing there is a second person with same name right below
          this name.
          Recommendation on behalf of Pharmacy department: Can med Completed
          refills be automatically linked to a diagnosis on the problem list
          every time it is refilled/renewed on a Pharmacy visit? (Similar to
          the paperless refill function, only populating the diagnosis for
          you, instead of choosing it)
          Request that the current Discharge Summary footer be               Approved
          changed to show Patient Name, DOB, Sex, Facility, HRN, Date
          of Admission, Date of discharge.
          Request that the field of last 4 of SSN be available for use       Approved
          instead of the entire SSN.

          All I can find is print fields for entire SSN. Vista imaging fix is on
          the way for recognizing chart #, but if I can print last 4 on the
          radiology requistion (worksheet) and also as PCC+ field for
          routing slips then I will have all the info that I need to be able to
          successfully query & to use patient identifiers between the
          PACS and the routing slip & the rad worksheet.

          Now it's more urgent because of Vista and Navajo is running
          out of storage.

          If we have a work around until they can fix the querying by chart
          # issue, then I think we could give this a go sooner. My I.T.
          folks don't want the entire SSN.

          The print field would be in the rad package headers and footers
          & the PCC+ form fields.
In an area where you have different clinics occurring but using Approved
same pick list, it would be nice to put more than 1 clinic # to
auto pull it up.
Our Dietitians, Diabetes Educators, PHNs, and some others are Approved
currently using group encounters for documenting group
education sessions some have data entry do the group entry
and some are document on each pt seperately in EHR which is
very time consuming.

Requesting a way to enter group encounters in EHR instead of
having to log into each and every patient, creating a visit,
documenting education, etc…? Some group visits can have up
to 50 patients. Mary Hager suggested that we ask for an
enhancement to develop the VA group note capability for IHS.

I understand physicians will be prompted for medical necessity         Completed
for lab orders in the next patch, however, I would like to suggest
that that diagnoses automatically poplulate todays POV's so the
doctor doesn't have to duplicate work.
We believe the default should be set to "No" instead of "yes"          Transferred
when determining if a chart is complete to prevent accidentaly
releasing an incomplete chart to the 3PB pckg. Is this
something that can be set by each facility in their parameters or
not? Thanks, Peggy
We would like to be able to link a notification to a specific          First part
patient visit similarly to the way you can currently link a            approved,
notification to a specific patient. This will be advantageous to       second on hold
the provider when coders send a notification requesting
clarification of documentation for coding purposes that relates to
a specific visit. Also could be advantageous for certain clinical
notfications. Also, (wishful thinking) it would be nice to request a
read receipt and also somehow require the provider to reply
back to the coder when the correction is made so that coding
can be completed in a more timely manner. Otherwise, the
coder has to manually keep track of what charts are incomplete
and keep checking to see when they are fixed. It would also
help to be able to automatically populate the deficiency in the
NICE package of RPMS at the time an incomplete notification is
sent to the provider through the EHR. In short, we need a
usable incomplete chart tracking system that is built into or
integrated with the EHR.

Need a way to add historical measurements through EHR - like Approved
using the PCC data entry mnemonic HMSR.
Since we are able to start billing Medicaid and PI for physician Approved
telephone calls. It would be nice to have Telephone added as a
type of service. The codes are:
99371 - Physician Phone Consultation - Brief
99372 - Physician Phone Consultation - Intermediate
99373 - Physician Phone Consultation - Complex
We currently have a superbill with these codes but it would be
helpful for our providers if they were located with the other E&M
codes
Concerns - Future RCIS availablity in EHR. RCIS currently uses Approved
mailman. Since providers already read notifications through the
notification window in EHR and rarely use RPMS, it would be
nice if the RCIS software used the Alerts/notifications to send
updates instead of mailman. That way the provider / provider
team would have all patient related notifications in one place.

I like the idea of a display information button Similar to patient Approved
education: add a button on the health factors and exam code
component that links with information in the Health Factor/Exam
Code manual which can provide clinicians with specific
instructions on proving the screenings.

Suggest to create a new patient data object for the visit POV    Denied
that includes the ICD-9 code.
For now we're using V POV MULTI-LINE, which works great,
but including the ICD-9 would be better.
Certain POC lab test are performed in the clinics by nurses or   Transferred
Dr's. Some facilites do not have a process to put these into the
lab package. Some site have meters for the accucheck but
sometimes these meters are not interfaced with RPMS. Is there
any talks regarding putting a vuecentric tab which users can use
to add these test and these test are inserted into the lab
package? Also with inpatient coming on line soon. Is there any
enhancements in the future that will add IV fluids, NG drainage,
PO intake, ect. If you create these measurments, then add
these to the measurement panels in the IHS health summaries,
then we can create flowsheet using these measurments for
inpatient. Please give me feedback regarding these requests.
The process for medication order entry automatically sets the      Denied
dispense quantity when days’ supply is entered for tablets and
capsules. The reverse is not true.

This generates the potential to dispense medicine with an
inaccurate days’ supply. Manual and automated requests for
refill can result in a message that it is too soon for a refill.
Resulting non-compliance with the medication regimen could
cause patient harm.

Please consider modifying software to permit automatic
calculation of the second field no matter which data is entered
first.
When an immunization is administered and then documented in Approved
EHR while a person is admitted for an inpatient stay, the date
the immunization was given shows in EHR as the admission
date.
I would like to request that EHR displays the date the
immunization was actually given.
In EHR, when using for an outpatient, there are instances when Completed
pharmacy needs to put a medication on "hold" - e.g. too soon to
fill per insurance, patient just received 3 month supply last
week, etc. In this case, "hold" is meaning that pharmacy is
holding on the the medication until the patient needs it. Hold
traditionally means something very different - the doctor writes
an order to hold a blood pressure medication because the
patient has been having low blood pressures or the doc wants
to hold a medication for a short amount of time to see if a side
effect improves, etc. However, in EHR, we really only have one
option for both these instances. We have chosen in our
pharmacy to leave medications pending when the patient does
not need them, but this has lead to its own problems - one being
that we can't use our "queue" in RPMS OERR to complete
prescriptions because it is full of pending meds that the patients
don't need at this time. I am requesting a new category -
something like a "service hold" for pharmacy to use when they
can't fill a med for some reason - too soon, doesn't need, etc.
The traditional hold could continue to truly mean that the patient
I would like to request that the Active Problem List ovject used Completed
in the IHS Regular Adult Health Summary be turned into a VA
Health Summary Object.
In EHR, users must remember to add thier CPT codes in the               Denied
service tab when they are doing procedures. Frequently, they do
not do this. They do the treatment but they don't go to the
service tab to document the CPT. Then it is up to the coder to
review the visit file, read thier notes and enter the CPT. With
EHR, coder's workload has double if not triple with merging and
editing visits before they pass over to third party billing. Due to
this, the likelihood of capturing CPT codes for procedures
performed by clinicians using EHR quick orders would be low.
Besides, most of our clients are medicare/medicaid so we get
an all inclusive rate regardless how much work we did.
Eventually this will change and we need to align our work similar
to how the private sector align their work. Private section
perform itemize billing and will include everything in thier bills. (It
is hard to make providers use the quick orders to order and
complete procedures, then go to the service tab to put the code,
then go into thier notes to document such treatment) The
enhancement I am avocating would be to create an area within
quick order in that we can tell the system that this is a
It would be nice to have a fourth OR key for students (such as Denied
Med. Students) who can write orders with a co-signature. Right
now there is no way to capture an electronic co-signature for the
CPRS menu as there is for notes.




Add to the cover sheet under vital signs a 24hr fliud summary -       Approved
all users can then see cumulative fluid balances. Has to
incorporate elements for pediactrics too.
In an effort to transition dentists to an electronic environment I    Denied
am requesting that they have the capability to enter dental
services codes into the E H R via the services tab and have
those codes cross over to the DDS package.
When we print from the “Order Details” screen the printout            Completed
gives us the name of the patient and their SSN on the second
line. Is there any way we can print the patient’s chart number
instead of their SSN for this printout as we don’t use SSN’s at
Hopi?
Is the EHR1.1 possibly going to fix the issue of assigning a          Deferred
surrogate?
Currently everything sent to a doc comes to their surrogate.
There is no way to pick and choose what gets forwarded and
what waits. This causes issues with cluttering the notifications
board that cannot be resolved in any easy manner.
Dr Rachel Locker
I would like an enhancement that would bring the calculated      Transferred
HC%, for pediatric measurement panel in the IHS health
summary measurement panel. I would also like to add the
BMI% to the adult measurement panel. These are necessary
when doing well child checks and wellness appointments for
adults. I would also like for these calculated measurement % for
Wgt, Hgt, HC, and BMI be available so that CAC can uses
these as object outside the IHS measurement panels. I know
these are more then likely computed fields, can you create an
object that would compute these calculated findings in the TIU
objects file. Also create the HC% in the pediatric measurement
panels and the BMI% in the adult measurement panels.

I find the coding queue report cumbersome. Can the "Hosp Loc" Transferred
column be removed? The clinic is listed & that's more helpful
than the location- I would rather be able to view the deficiency
as that is more helpful. Thank you.
It would be a great enhancement if the notifications could be      On Hold
sorted by "sent to". This would specifically be helpful for coding
staff. We send numerous information only notifications to
numerous providers. When we review these to see if they have
been corrected, it would be a lot easier to check them arranged
by who we sent them to.
Definition from CCHIT: The system shall provide the ability for a Denied
user to attach a free text comment to a result that can be seen
by another user who might subsequently view that result.

Add "reply" to the options when a Scheduled Notification is        Approved
viewed. This will allow the person receiving the Notification to
reply to the sender.
Would like to be able to resize the Most Recent lab results view Approved
so that the comments could be in a bigger box. For sites using
the interface for pap and pathology results, the results are
actually in the comment section. It is diffcult to see the whole
report.
It would be great if the providers could change the clinic code    Denied
that has been already been selected in EHR. An example of
when this is needed is when a diabetic comes in for an acute
problem, the nurse selects an 01 clinic code. Then it turns into a
Diabetes focused visit and the clinic code should be an 06 for
GPRA counts.
The following question was posted on the ListServe with others Closed
experiencing the same issue. It would be nice to have a pull-
down list to populate POV/problems when refills are ordered.
When patients present through the urgent care clinic they
sometimes ask for their other/chronic meds to be refilled.
Because there isn’t a request for diagnosis when requesting a
refill and the refill is not directly related to the current encounter
it is creating billing problems.
Besides creating 2 encounters (because it is only 1 encounter)
how have other sites handled this situation? Do the providers
have to go back to the POV list and repopulate the problems
related to the refill each time?
It would be nice if the refill linked you to possible diagnosis
options for that med.

OK, you guys are probably getting sick of me. But this one         Approved
comes from Dr. Ann Bullock and I think it is a great idea. Add a
field for date of onset in the POV (linked to the POV/Problem,
so it is only entered once) that is hardcoded and can be
searched. Ann wants this for some projects. I think it would be
great for population quality measures - for example, you set
goals for your patients with DM less than 5 years to be less than
8; you set goals for your patients with DM for 15 years to be less
than 9 .. something like this anyway.

Providers should be able to add more labs to an existing order         Denied
(even if the original provider is different) as long as the order is
still pending (specimen has not been collected yet). This is an
existing function in RPMS but not EHR.
Providers and patients would benefit (as would risk                    On Hold
management) from the ability of EHR to send a notification to
an ordering provider when a outside consult is ordered and the
consult remains incomplete after X # of days (or other assigned
interval). Is this possible in EHR?
A physician wanted to print and fax a graph of a patient's lab         Approved
value to an outside specialist. When graph prints from EHR,
the background is too dark, which makes faxing almost
impossible.
Nurses would like to be able to print out the vitals for patients.     Approved
Need "print" button like there is for labs. Thanks.
I sent this question to the Listserv on 5/18 and have had no           Closed
responses so I am forwarding the question to you for Suggested
New Functionality. Is there any way to link an encounter where
a lab is ordered (order # is created) with the lab visit (order #
becomes accessioned) so that it is clearly visible which provider
visit the lab visit is related to?
Looking at "order details" in orders tab. Open up med order,     Transferred
and you can see the date and time an order was electronically
signed by the provider, but no time is noted for pharmacist
verification. This would be VERY helpful in tracking pt
complaints, and for general rx tracking. Plus then providers can
look up to see when an Rx was processed.

Chronic pain medication orders are written for 28 days. I have Transferred
been told that pharmacy orders written for less than a month will
always have an end date 30 days from the start of the original
order.
I would the ability to provide stop/end dates for narcotics to
default to the number of days the RX is written for.
This was requested by Dr. Rusty Maynard, and is a pretty good Approved
idea. (beleive me, I'm not always hanging out on the feedback
page and I really do try to screen out alot of stuff). His request is
to have the ability to broadcast a reply. For example, if the
pharmacist messages the prescriber about a med for a patient,
the prescriber has to copy the pharmacist's message and
respond to ensure the communication is clear, accurate, and
pertaining to the right patient (especially if another pharmacist
gets the broadcast). To do this, it would be nice to have an
ongoing dialog/broadcast by replying to the broadcast and
including the original broadcast message. An alterative would
be to make the Chat application more noticable, easier to
respond to, and to provide a similar alert as the broadcast
message (an in-your-face pop-up window).

Is is possible to have the option to turn off the "missing POV"     Approved
notification for patients that are on admitted to the hospital (are
inpatient status)?
Right now the difficult in template windows is that that they are Duplicate
modal, so if a user opens them and they want to look up, say, a
lab, they cannot look it up without closing out of the template. If
it is non-modal and can be minimized, it will be easy to do that.

MS Word does not have a Medical Dictionary available (and you Denied
need a license anyways). aspell does, and is licensed under
GNU. This is for the far far future; we have more urgent
business to take care of in the meantime.
It would be helpful to have more information on the lab          Approved
notification such as the ordering provider. Providers get each
other's labs all the time (if one is a surrogate of another, if
ordered under the wrong provider), so it would help if they know
who ordered it.
When a medication is discontinued from the medications tab,       Denied
you can select one of the following four reasons:
Duplicate Order
Requesting Physician Cancelled
Obsolete Order
Entered in Error.

A physician here suggested adding "Allergic Reaction" to that
list, which automatically brings up the allergy entry dialogue.

When displaying patient listing by clinic in the EHR patient        Approved
selection box, it would be desirable to be able to list patients by
time of registration or appointment time. This would assist
nursing staff in determining the order in which patients checked
into the clinic.
OIT is currently working on functionality that supports the entry Approved
of behavioral health visits via the EHR. Behavioral health (BH)
providers need the ability to enter either ICD-9 codes or DSM-IV-
TR codes in the POV and Problem List fields. The DSM codes
are a standard set of codes utilized by BH providers for
diagnosis. This table already exists in RPMS in the Behavioral
Health System (AMH): MHSS PROBLEM/DSM IV CODE table.
More specifics on the file name can be provided. We would also
need the standard EHR POV pick-lists and related functionality
for the DSM code set.

Are there plans to interface RCIS to EHR? Winslow needs this! Duplicate

We would like the field NPI that is in the New Person file to      Approved
become a Patient Object in EHR so we can add this information
to Consult documents. Apparently, we don't get reimbursed
unless the NPI is on the consult form. Currently, our Medical
Credentials office needs to supply this information upon
request. Providers will not enter the NPI into a note on their
own. Thank you! jaz
We would like to know if the lookup for patient charts list can be Duplicate
sorted by visit time rather then the patient name on the list
specific to a provider. In other words is there a way to see his
visits in sequential order that they were seen. A high number of
walk ins contribute to this request.
The BMI is an important measure for adults as well as children Approved
but we can't see adult range lines on the Vital chart as we can
see the percentiles for children. This would be nice.

Can you give the sites some control over what is on the refusals Approved
list under the personal health component? PAP Smears and
Mammograms are their own check box on the list, but other
labs or exams you have to search for. The test in particular that
my providers are interested in is the FOBT. They would like that
to be its own check box as well.
Please see message string below. Jane I don’t think there is                     Closed
one for pending or active order that would trigger an order
check in either lab menu or cprs menu. If you think that this
enhancement is important, send it up thru the RPMS feedback
page and see if they would do this. Thanks Elvira Mosely
MSHS, BSN, RN Commander, USPHS Clinical Program
Consultant (Medical Information) Phoenix Area Office 40 N
Central Ave Phoenix AZ 85004 Office (602) 364-5288 Fax (602)
364-5311 -----------------------------------------------------------------------
--------- From: Preston, Lesley J (IHS/PHX) Sent: Thursday,
August 16, 2007 5:01 PM To: Mosely, Elvira (IHS/PHX) Cc:
Tracey, Amanda (IHS/PHX) Subject: RE: Duplicate Labs Elvira,
I can set it up for 24 hours but it looks for a collection within the
last 24 hours not pending, or active orders (labs terminology for
duplicate order) Select Order Checking Mgmt Menu Option: 8
Lab Duplicate Order Range Lab Duplicate Order Range
Duplicate lab orders date range may be set for the following: 1
Location LOC [choose from HOSPITAL LOCATION] 2 Service
SRV [choose from SERVICE/SECTION] 3 Division DIV [HOPI
Labs have to be ordered (credited to) a credentialed provider. If Completed
nursing place the order then the nurses name is often listed as
the ordering provider instead of the primary provider. It would be
nice to have an order check that asks about the primary
provider for labs when the ORELSE keys are used to order.

Because there will not be an updated version of Behavioral        Duplicate
Health GUI, reliance on EHR for behavioral health charting will
increase. Because EHR has no group charting capability there
is a large deficit in EHR's usefulness for behavioral health
record keeping. David Taylor of EHR Deployment and
Implementation has indicated, "We (National EHR Training and
Deployment) advocate that BH Providers order medications
through EHR GUI." (EHR ListServ 12/13/06). Giving EHR these
capabilities will obviate the need for IHS sites to have a single
visit created incrementally in different systems with the visit-
related data ending up in two different data bases. It is our
understanding that the VA's Event Capture package would
provide group charting capabilities were it made available to
EHR. This would not only be greatly useful in BH but in
Diabetes Management, Dietetics, and other areas where group
medical services are called for. Could Event Capture--or some
other GUI-display program be implemented to give EHR group
visit/note generating capabilities?
Mary,                                                          On Hold

What do you think about a reminder to look for Patient
Education Goals that have been set?

Our providers and nurses set goals but remembering to look
and see if a goal is set is something that is not done
automatically. Having this feature would be beneficial! Our site
is part of the Chronic Care Collaborative and goals are being
used more and more. It is searchable in VGEN, so can there be
some Reminder logic written? Do you see this as a possible
enhancement request? I wonder if the VA has something like
this setup?
When entering education topics for a visit, EHR does not allow Approved
you to enter the exact same topic more than once per visit.
This is an issue for inpatients, as their entire admission is
treated in some ways as one visit by EHR. We feel that it is
feasible for a patient to be educated on the same topic more
than once during their inpatient stay.
We can do last med or last med class, will we ever be able to     On Hold
do last # of meds or med class? For example, I have a patient
who is currently on warfarin 2mg tabs (MoWeFr) *and* warfarin
3mg tabs (TuThSaSu). If I use the existing objects, I'll only get
one of them (whichever was filled last, even if by a
nanosecond). I really need a way to get both of the current
warfarin strengths in this object. This could happen with other
drugs, too (i.e. phenytoin).
There is no integration between the EHR and Pain Contract         Closed
Management register. REQUEST THE FOLLOWING: "CASE
REVIEW DATE" and "NEXT REVIEW DATE" - develop and
OBJECT for tiu note writing and flowsheets AND as REMINDER
FINDING for cohort and resolution logic.

After reading the Suicide Reporting Form Component User          Denied
Manual, I noticed that there is no information about what the
audit trail is when a user EDITS data. For example, what is the
reason the change is made, who made the change, date of
change, old value, new value, etc. I believe this information is
useful to understand if this form is working and from a training
point of view, what types of edits are occuring most.
One of my service units have seen a decrease follow up with          Completed
Group B-Strep treatment for OB patients at 35-36 weeks. They
will like to use reminders as a means for alerting and ensuring
that patient get treated intrapartum. The resolution logic
available to me will not help with turning on this reminder at 35-
36 gestation. It will require a computer finding. The logic for this
finding would be that the system will calculate 35-36 weeks
gestational age from the EDC data entered in the reproductive
status tab within the EHR. It would also be beneficial if
somehow users (CACs) can manipulate this computer finding to
maybe create other reminders to turn on for different gestational
ages for the diffrent tests that the patient needs according to
their gestational stage.

We need the ability to embed reminder dialogues within              Approved
templates. This has come up in multiple situations where this
abiltiy would reduce double documentation and improve GPRA
results. I realize this is a functionality that has not existed and
yet I have heard agreement from other sites in the Portland
Area how much this is desired. My personal opinion is this is
currently our most important priority.
1. For consistency, I think the Temperature field should accept #1 - Denied
".0" Currently, it accepts 99.1,99,2, etc, but if you want to enter # 2 - Approved
99.0, it makes you enter it as 99 without the decimal place. This
is confusing and frustrating for some users.

2. We are requesting that there be a way to document how
much oxygen a person is on when they document the O2
saturation in the vitals section. We are starting to enter vital on
inpatient, and the users are telling me that this is a very
important piece of info that needs to go right next to the O2 sat.
An O2 sat on room air vs 2L of oxygen is important for the
providers to know and they can't tell this by just looking at the
vital signs in EHR.

Providers would like to be able to add refills to existing            Transferred
medication orders in EHR without creating a new order and
without filling the prescription. (ie patient has enough
medication, but needs refills to get through the next
appointment)
Requesting the ability to add the same patient education code         Duplicate
into an EHR visit twice.

You can document a patient education code into RPMS data
entry twice - assigning a different goal for each one, but you
cannot enter an education code into the EHR twice.

Why would you want to do this?
From Cece Butler: "It is easy to have more than one goal to a
topic.
Example: A patient who presents with constipation:
Goal increase fiber--eat 3 fiber foods everyday
Goal increase fluids--drink 6 cups of water everyday
All goals for nutrition or MNT

Example: A patient who presents with uncontrolled diabetes:
Goal avoid sugar beverages--change to diet beverages
Goal reduce fats--avoid fried foods
Goal portion control--reduce meal portions
All goals for nutrition or MNT"

Is there any progress on stuffing/choosing/entering the provider Duplicate
when entering patient ed in the reminder dialogs? This would be
similar to the skin test prompt (PXRM SKIN READER) which
works great!

(See attached image) See 11/27/07. The exam and patient ed
were entered via a dialog template. The provider was entered in
the exam (alcohol screen) but not patient ed.
I would love to see an additional column on the orders tab that Approved
says ordered by as well as provider. (see attachment)
Just as it does in RPMS

Select Order number: 48498
DEMO,PATIENT ADAM             14        Requesting location:
CRQMS
Date/Time Ordered: 11/06/07 10:31       By:
BLACKROCK,DENISE M
 -Lab Order # 48498               Provider: ACKLEY,DAVID
THURLOW

That way the person placing the order could at least tell if it was
ordered correctly.
In Elko, NV(and PHN Depts across the nation), the PHNs do           Closed
blood glucoses, cholesterol screening, etc., in the field. The only
place to record the values was to bury them in the PHN notes.
The problem with that is that the Drs do not see those values
and GPRA cannot capture the i.e. cholesterol levels. In the
current EHR system there is a lab package that is entered
through RPMS. The process of entering labs is a bit lengthy.
Elvira suggested that the PHNs have access to the lab package
to enter field screening labs. That was a good suggestion and
we are now doing that. The problem is: - it is very cumbersome
and time consuming to be charting in EHR then go into the lab
package and go through that whole lab entry process. [ In the
lab package, the PHN can sign off as the orderer (Provider),
and sign off on the reviewer of the labs. The PHN notes reflect
patient referral to the Clinic and further PHN f/u when labs are
abnormal.] Here is the idea... - Have a "PHN labs" section within
EHR - The PHN can document PHN labs without having to go
into the RPMS lab package. PHN notes and labs can be
documented within the same EHR program. - The PHN labs will
Our staff would like to see some sort of seperation on the          Denied
Orders tab to make it easier to search (such as making a
seperate tab for lab orders, nursing orders, imaging orders, etc.)

Need HPV reminder similar to other series immunuzations.               Completed
Tried to create locally but only 1st dose resolved, CONDITION
field does not appear to resolve 2nd dose.
Would like an "undo" button for EHR.                                   Denied
I'm trying to make a dialog to document refusals of vitals. The        Duplicate
nurse assistants frequently get patients who refuse, WT, HT ,
BP, etc. Going in and entering all these refusals through the
Personal Health component takes time. The PED refusal works
great for education refusals. I tried to build one but it didn't work.
Any chance of a Vitals refusal or similar item?

Our pharmacists would like to have the Display Outcome and          Approved
Standard button added to the Pharm Ed button.
Add new annotation tool to lab results so that providers can add    Approved
their comments to lab results
I have received numerous requests for a method to record            Duplicate
othrostatic blood pressure or note when O2 Sat. is recorded that
the patient is on O2 or room air, etc. It would be nice to have a
column for method as well as range and units when recording
method.
What I would like to see is an option to change the ordering        Denied
provider when ordering labs. See attached document for more
details.
Updating the ICD and CPT code changes in the pick lists is very Approved
cumbersome and time consuming. A simple search, find and
replace tool would make this task easier. The tool could search
for an obsolete code by code number and provide you with an
option to replace the code, edit the narrative, or delete the entry.

Learning health factor can be added now when entering Pt Ed           Approved
EXCEPT when choosing pt ed topics from the Pt Ed pick lists
Request this feature be added

Forwarding notifications should do just that. Currently               Approved
forwarding a notification merely copies it to another user. The
original recipient is forced to sign off on it anyway, even if they
never saw the patient.
EHR should not prompt providers to enter in an E&M code for           Closed
colposcopy clinic visits. If they put one in, that would be an
error. There's no way to remove this prompt by clinic- only by
user or class. See below... Please add this option. Thanks.

EHOXQPC REQUIRES E&M CODE may be set for the
following:

  10 User USR [choose from NEW
PERSON]
  50 Class   CLS [choose from USR
CLASS]

Enter selection:

Select PARAMETER DEFINITION NAME:

To plot percentiles on growth chart is almost nonfunctional           On Hold
especially if child is less then 1 year of age. All of our
peds/family providers have converted back to paper now.
Need a way to be able to implement CDC's growth chart or to
be able to right click on be able to enlarge so providers can see
the percentile that the child falls in.
The AVA Add Edit Provider menu is (was?) a mainstay of how            Denied
providers are entered. Unfortuantely, it has not kept up with the
changes in the medical field. There is no place to enter a fax
number, or a place to enter an NPI number.
The entry function for "Historical services" will not allow you to    Approved
make an entry to the surgical history on the same day the
surgery occured. For sites that do not have an IHS hospital, this
forces you to have to put off the entry to the next day. This
should be fixed, as this has the potential to cause this sort of
entry to be missed.
We would like to see the patient's time of visit next to the          Duplicate
patients name when using the clinic sort option on the patient
selector.
The Fort Defiance Med Error team recommends that the EHR Transferred
national group modify software to strengthen the safety of the
EHR medication ordering system. The first modification we
recommend is instituting a software program that sends an alert
to the provider when the provider writes an order that exceeds a
maximum dose for the drug in question.

The final modification we recommend is to have auto-inactivate
dates for time-limited prescriptions (for instance, when a
provider orders Amox for 10 days, the Rx should automatically
become inactive after 10 days, without requiring the provider to
go into the system and manually inactivate it at the next visit).




One thing I think that needs to be added to the new BEH menu Approved
created by medsphere in future EHR patches would be the
ability for CAC’s to see all the keys a user has. In my database I
added the XQLISTKEY option in my BEHOORKY MAIN menu
and this is how that menu option looks after the change.

DEMO HOSPITAL               RPMS-EHR
Management               Version 1.1
                     Key Management

 ALL Allocate OE/RR Security Keys
 CHK Check for Multiple Keys
 SHOW Show the keys of a particular user

This will allow CAC’s to have access to see all the keys that
user holds not just the order keys. In my opinion this will help
CAC troubleshoot problems without them having to contact IT
for a list of user keys or having to give the CAC’s access to site
manager’s key menu.

Education topics accumulate rapidly particularly with inpatient. Approved
Cumbersome tool with too much breakdown of education
details. Suggest that these topics do not display after X days, or
drop off with Patient discharge.
I found where it need to be updated so not to return the default Approved
for all services when doing a Group update of consult/procedure
request. In my opinion we should not have a default of all
services for this prompt since all services is a grouper not a
working consult so it would never need a be updated. Beside if
you try to use it to do a group update, it will not work. Look at
documents above. (this is from a training database no real data
used for the document). If you feel this need to get fixed, below
you will see how to fix it then send it out to the service units.

This is the option I want to change the default. (option is
GMRCSTSU) Select Consult Management Option: GU Group
update of consult/procedure requests

Select Service/Specialty: ALL SERVICES//

The routine that stuff this default is GMRCASV in this entry
point,

Before change
ASKPRMPT ;Write the prompt and do the Read to get the user
text entered in X
↓Here           ↓ Move this
W !!,$S($D(GMRCASV):GMRCASV,1:"Select
Service/Specialty:
")_$S($L($G(GMRCSVNM)):GMRCSVNM,1:"ALL
SERVICES")_"// "
R X:DTIME
I '$T S
X="^"
    ↓here
I X'["^" S
X=$S($G(GMRCASV)["Forward"&('$L(X)):"^",'$L(X):"ALL
When a provider (or nurse) places an order in ED or Urgent          Denied
Care for another provider (such as the designated PCP) it would
be nice if EHR asked "Are you the Primary Provider for this
order". Very similar to the way it asks if you are not the
designated visit primary provider but try to place orders. That
way it reminds the provider to make the necessary change so
that the correct ordering provider is selected (such as for pre-
visit labs).
Principal Clinics created in PIMS can be selected by EHR            Approved
users. These clinics are meant to be groupers and should not
be selectable. Users are picking these and writing orders, etc,
which then become hard to find because people are looking for
them in the wrong place. Thank you.
When scrolling/searching for a note title, titles of more than one Denied
word will display in the list multiple times. We are at the point
where we have so many different titles that it is getting really
confusing for our users. We are teaching them to set personal
preferences for note titles, but I would also like a parameter that
disallows the 'breaking up' of the note titles in the list. Thanks.
Sometimes I log into the incorrect division and have to close it Denied
out and log in again. I wish we can just change the division like
we can in RPMS from the toolbox.
A "Print Prescription" button on the medications tab would be     Duplicate
nice. That way when providers write an order for a class II drug
or none formulary item they can print a standardized
prescription straight away to sign and give to pharmacy or the
patient.
This request is on behalf of the pharmacy NPC and PSG.            Approved
Medication reconciliation is being performed in many different
ways. There are plans to include this information in the PWH;
however, programs also want other options to perform this
process through EHR templates. The PSG and NPC is
requesting the addition of multiple medication objects for EHR
templates that include all statuses (pending, active,
discontinued, expired, hold, suspense, etc) as well as chronic or
non chronic. It is also necessary to be able to include outside
prescriptions (from either the upcoming Non-VA meds or from
the pharmacy outside Rx option (AORX). Additionally, it would
be great if these objects could be adjusted by time (go back 10
days, 30 days, 6 months...). Thanks!

When setting up a vital entry template at the USR CLASS or        Completed
SERVICE/SECTION level, settings are not holding. Vital
templates are only setting at System, Division and User levels.

The original intent of identifying the baby's mother was to   Approved
provide a path for connecting the baby and mom at some point.
Is it possible to change the item so that is reads
mother/guardian's name needs to read mother's name, chart
number, or birth date?
Adverse drug rxns do not order check in real time in current  Approved
system.

Request enhancement/change autosign (immediate
participation in order check upon entry) entries AND order
check at SIGNING of orders rather than just at ENTRY of
orders to improve safety.

(Also CRID 412: When you enter NO KNOWN ALLERGIES, it
is immediately visible without signature in POSTINGS and
HEALTH SUMMARY.
No know allergies enters the system without signature despite
request to “sign”)
When a provider uses the "Other" lab test option to order a lab Approved
test, all of the tests in file 60 are displayed. Would like the EHR
to allow only tests in file 60 that are marked as "Both" or Input"
to be seen in the list. This will keep the provider from ordering
inappropriate tests.
Don't know if this was submitted already. Request to make the Duplicate
patient education pick list more user-friendly. User’s can’t see
the entire name, especially when the category is long and it cuts
off the topic. 1) Adding hover-help/mouse-over help, to show the
entire name (and long) education category and topic. - OR - 2)
Ability to increase columns, just like the ICD-9 and Superbill
picklists. A scroll bar appears when the columns are increased.

Users would like the ability to display multiple pap smear dates     Approved
and results for individual patients. See attached email from
Dr.Cullen.

Modify Last PAP object to return Last # PAPs (i.e., last 3 PAPs).

Name: LAST PAP
Abbreviation:
Print Name: LAST PAP AND RESULT
Type: OBJECT
IFN: 763
National Standard: NO
Status: ACTIVE
Owner: CLINICAL COORDINATOR
Technical Fields
Object Method: S X=$$LASTPAP^BTIULO2(DFN)
Description: Returns last pap smear date and result from
Women's Health package.

Additional Information: Add fourth parameter for the #; PGEN
doesn't allow secondary prompt; Last Pap call is a TIU call, a
programmer call (developed by Lori); should call new published
entry point that we created

Dr. Bieberly pointed out that he has a very difficult time        Approved
managing inpt meds when pt are returning from surgery. On
the medications tab, it just says discontinued and the date, but
he doesn’t know if the med was discontinued for a reason prior
to surgery or just due to surgery. On the orders tab, it shows
obsolete order as a reason for d/cing and the date & time. It
would be nice if on the medications tab, it also showed the time,
not just date and the reason for dc/ing.

Another thing he pointed out is that it defaults back a number of
days, would be nice if inpt drugs defaulted to only this
hospitalization, with the ability to change the dates, which you
can already do.

I instructed Dr. Bieberly on how to change the date range now in
order to limit the # of meds & also what to look for on the orders
tab .

He has a valid point.
I do not know of any method that enables users to enter a      Duplicate
refusal for colonoscopy in EHR. The only refusals I see that
providers are able to enter in EHR and which count toward
meeting the GPRA measure are refusal of guaiac lab test and
possibly barium enemas. The latter depends on which CPTs
are used, which are not listed. (It would be nice if the
corresponding CPT codes were listed along with the description
of the radiological exam.)

As soon as possible, it is important to enable providers to enter
refusals for colonoscopies so they may be counted toward
meeting the GPRA measure (Colorectal Cancer Screening),
particularly for this measure since I would expect it might have a
high refusal rate. Flexible sigmoidoscopies also count toward
meeting the measure. I do not know how common this
procedure is but they might need to be added, too. Please
contact me if you need a list of the codes that are counted for
these two procedures, as we are constantly updating our logic
and do not want to include them here in the event they change.

Issue: Providers frequently order screening labs for diabetes,      Duplicate
lipid disorders, etc. There is currently no option for this in the
clinical indication drop-down menu. Providers want to have the
option of choosing "screening for" in the drop-down menu.
Currently, the choices are the from the problem list and
"Other..." (I apoplogize if I have already submitted this request!)

We would like to be able to "respond" to a notification just like    Duplicate
responding to an email.
It would be nice to have BMI charts added for kids just like we      Closed
do for height and weight as this number is age adjusted. Then
we can get a BMI percentile just like we can for height and
weight.
When a pharmacist edits asterick fields in the inpatient             Approved
pharmacy package to correct an EHR ordered inpatient
medication prior to verifying, both the new order and the old
order appear on the Orders tab. The old order has a status of
dc/edit, but dc is an unapproved abbreviation and causes
confusion amongst other providers and nurses following the
patient. Can we change the dc/edit status to something else
like change/edit on the EHR display side. I emailed Carlene
McIntyre, and she seemed to think changing the EHR display
side may be better than attempting to change the RPMS
pharmacy package. I would like to submit this issue as an
enhancement request for consideration.
Dual order sort of the orders and medications tabs would be            Approved
clinically beneficial.

Currently, if you click on one column in EHR to sort orders, it will
only sort by that column. There doesn't seem to be any rhyme
or reason to the other columns. For example, if you group
orders by service, they are not in chronological order by start
date or alphabetical order by order, provider, or status. This
dual sort would especially be beneficial on the inpatient side
where orders are being followed more closely by nursing and
providers. Some providers use the All Orders-All Services
custom order view function to be able to see orders that are
both active and discontinued to be able to track the inpatient
admission orders better vs. Active only orders that just shows
the most recent and pending orders.

Same thing happens on the medications tab. It would be better
to be able to dual sort columns by clicking on 2 columns or
holding down your shift or control key when selecting the
columns to which you desire the sorting to apply.
For example, on the medications tab, the provider could click on
the medication column to put the medications in alphabetical
order then click on the last fill date in order to sort them by both
columns. Dual sort capabilities would especially be beneficial
with C-2 medications where no refills are allowed and a new
As reported by White River: For a given visit, you can’t use the Duplicate
same topic code more than once. That means if a pt returns
for a FU visit, and has not met a goal that was set at the
previous visit, you cannot note GNM and note an adjusted goal
set during that day’s visit.

As an example...
a patient sets a goal last week using the diabetes exercise
education code (DM-EX-GS-walk daily). The patient comes
back and says, I didn't walk every day, but I think I can walk
every other day. The clinician needs to document: DM-EX-
GNM (because they didn't meet the goal) then DM-EX-GS (to
set a new goal).

A better idea is to add a new goal status of "Goal Reset" to
address this issue.
Due to Joint Commission standard (MM.5.10.6) regarding          Approved
documentation of first dose to new start medications, can we
add a "New Start" checkbox (either above or below the
Expected First Dose Now checkbox) for inpatient medications
ordered via EHR? This checkbox would act like a comment
that the provider has added to the script when processed and
will print on the RN and pharmacy order service copies. We
would like for providers to be able to assist pharmacy and
nursing in identifying new start medications so that we can
become more compliant with the current standards. Thought
about adding this to each drug orderable item in our pharmacy
package as patient instructions but cannot separate from other
needed comments (i.e. for pain) and this would be a lot of work
with lots of meds.
Can we add in a new "New Start" checkbox to inpatient
medication EHR quick orders? I believe all inpatient sites will
need to have this in order to assist in becoming compliant with
Joint Commission standards.

Currently, there is no way to enter data for the PHN mneumonic Transferred
via EHR. Would like a new object so users can enter this,
prompts are as follows:

MNEMONIC: PHN           Public Health Nursing Form
ALLOWED VISIT RELATED ONL
Y
 LEVEL OF INTERVENTION: ?
   Choose from:
    P       PRIMARY
    S       SECONDARY
    T      TERTIARY
 TYPE OF DECISION MAKING: ?
   Choose from:
    S       STRAIGHTFORWARD
    L      LOW COMPLEXITY
    M       MODERATE COMPLEXITY
    H       HIGH COMPLEXITY
 PSYCHO/SOCIAL/ENVIRON: ?
   Answer must be 1-200 characters in length.
 NSG DX: ?
   Answer must be 1-200 characters in length.
 SHORT TERM GOALS: ?
   Answer must be 1-200 characters in length.
 LONG TERM GOALS: ?
   Answer must be 1-200 characters in length.
Could the vim/EHR code be altered so that we have an             In Process
additional option for opening popup windows. Either add a
popup3 or modify popup2 so that we can have either modal or
modeless popup object windows. That would allow us to have
objects such as notes open and still allow us to reference other
objects/patient data.
It is wonderful to be able to document infant feeding choice         Closed
now, but it would be great data if we can do it other than real
time. Ex: If a baby is one year old now, but mom breastfed for
the first 6 months, then swtiched to formula, there is not way to
capture that the baby WAS breastfed for 6 months if the baby
had not been seen at that time. This would be a great addition
to the epidemiological data IHS is trying to capture through the
new Infant Feeding Choice selection in RPMS/EHR.

I’ve found that there are a lot of cool things you can do with the Duplicate
program launcher button. Say for example, I’m on the progress
notes tab and I want to take a quick look at the immunizations.
Instead of having to leave the progress notes tab to search for
the immunization object, you can click on a program launcher
button that will open up the immunization object into a window
on top of EHR. When you’re done, just click on the X to close
the immunization object window. This is the line of code you’ll
put in the EXENAME box of the program launcher button dialog;
$(VIM.popup2,IHSBGOIMMUNIZATION.BGOIMM,Immunizatio
ns) This works for all the objects, you can get the program
identifier from the EHR Technical Manual. Just add the program
identifier after, ($VIM.popup2, ). The last part just after the
program identifier is the title of the window that you’ll open up.
You can name it whatever you want. ? If you prefer using Menu,
the line of code can also be inserted into the Menu.
Unfortunately this only opens up the object in a modal window,
so you won’t be able to click outside the popped-up object
window. It would be great if the programmers would give us a
I have had providers here request the ability to use their control Denied
key and pick multiple pov's off the historical list or problem list at
the same time.


Need to include (1)injection site (2) where placed left or right     Approved
arm (3)lot number (4) dosage.
This is already available in RPMS this needs to be included in
the EHR if you want providers to use EHR instead of RPMS.
Thanks
When our PHNs perform immunization clinics they need to              Denied
record them as "Current" so that they can account for the Lot#
amd Injection Site but they also would like to change the
location to the actual place where the clinic was held, such as
"Jeddito Dental Clinic". The only way you can do this right now
is to record the immunization as "historical" or go into the roll-
and-scroll and make the appropriate edits.

Can you add the "Location" box to the "Current Immunizations"
entry area as an option.
Add functionality to copy communications. Right now the text      Denied
pops up in a yellow box, but you can't select the text to copy.



Using COPY TO NEW ORDER for an active med creates a              On Hold
duplicate med order. This action does present the "Duplicate
Order" box to the user. (This DOES occur if user enters a new
order). This leaves 1 pending and 1 active order for a given
medication. During the pharmacy processing the duplicate med
order is discontinued. The provider notes are usually written
PRIOR to pharamcy filling the pending meds. The medication
reconciliation is then incorrect in the note (see attached).
Ideally, duplicate orders should trigger the presentation of the
"duplicate order" box regardless of how order created.

Dialog to send a user generated notification is very unfriendly to Approved
use. It's so unfriendly, requiring so many clicks. It lacks
appropraite defaults, like a default to today's date and time.
Choosing a user to send to requires going to another screen.
And the default to send it to myself is unreasonable: most of the
time, I don't send a notification to my self. For comparison, see
how much easier to use the dialog to assign an additional signer
is.
Requesting a way for EHR to capture patient's signatures in        Closed
association with consent forms.
Ideally, something like how ScriptPro Central has a signature
pad and captures the signature when a patient signs that they
are picking up medication.
Would it be possible to add intake and output measurements to Duplicate
the vitals measurement panel for inpatient's use?

When entering a historical PPD through EHR, you cannot enter Approved
the date it was administered vs. read, and you cannot document
who did the initial injection, vs who read it, vs who documented
it (current user). In addition, the view in the Imm package is
misleading. It says that the user both administered and read it
was the user who documented it in EHR.

The ED has always used the "Face Sheet" in the Patient          Closed
Registration package to send with a transferred patient. I have
placed the "Health Summary," and "Patient Wellness Handout"
on the GUI for easy access but I am unable to attach the "Face
Sheet." Can this be added?
Add the ability to override a health maintnenace reminder (or   Denied
enter anoverride for EHR reminders) similar to what can be
done in PCC data entry.
Move the prompt for "Date/Time of Note:" before the prompt for Denied
"Progress Note Title" OR add a prompt for "Late Entry" that you
click and it jumps to the "Date/Time of Note" prompt and opens
the calendar.

Justification: Providers forget to change the date of the note to
the correct date when creating late entries. It is time-consuming
to fix these errors and if left uncorrected, the notes are out of
chronological order making it hard to locate the visit note. If
they were prompted to click a box at the very beginning of the
new note box for "LATE ENTRY" and it took them directly to the
calender, then they would be reminded they need to change the
date OR the "Date/Time of Note" prompt could be moved to the
beginning as a reminder to select before selecting a note title.

Nursing staff has requested additions to the list of family      Transferred
planning methods found in EHR. They would like:
Depo-Provera
Total Hysterectomy
Subtotal Hysterectomy
Tubal Ligation
When the user tabs around EHR while in a sensitive patient, it Denied
does not log what they have viewed. In the roll-n-scroll, it
captures package activity and on the EHR side, it only captures
Vuecentric. It would be ideal to know where a user went within
a patient chart, especially now with all the issues coming up in
the media with users going into patient records.

Some things require single click, while others require double     Denied
click. (single click the plus sign, but double click the work) It
kind of bugs me, and others have commented on it too. It
would be nice to have it more uniform.
The users should be able to remove the primary provider if        Denied
another provider is listed for the visit. The GUI should just
automatically switch the primary provider to be the next provider
down on the list. Currently this process takes too many clicks.

Providers keep getting a message when entering ICD codes          Transferred
directly asking "If they want to truncate the narrative". We see
this a lot with the diabetes codes and it can get annoying. It
would be nice if the provider narrative field could be increased
from 80 characters so that it could accomodate the ICD lists
loaded in the system.
We would benefit from an area in health factors or exams on       Denied
the wellness tab in EHR to put screening for street drugs
use/abuse. Our nurses screen for this regularlly, but no place to
document this. Thanks.
Nursing had a couple of request for the Wellness tab. Under       Transferred
Personal Health/Reproductive History they would like to know if
partial hysterectomy, full hysterectomy and tubaligation could be
added. Surgical sterilization is what they have been choosing,
then adding a note the CC/PROBS tab, below the chief
complaint. - Under Health Factors, can drinking occasionally be
added? Also, where would they enter Vision and Hearing Tests?
Under the Vitals tab, when entering vitals, there is an option to
enter vision corrected and vision uncorrected, but this does not
allow them to enter the information they have. They are also
putting this information under CC/PRBS. Do they need to enter
it under a note?

We, the physicians, request a patch to give the ability to turn off Approved
the notifications for inpatient blood glucose values. These
notifications are numerous and crowd our notifications. Some
physicians receive up to 100 per day. The results are often 1-3
weeks late, also! We urge you to make this available for us as
soon as possible.
Can the visit lock be activated when the coder answer Yes - this Approved
record is complete -

Example: provider completes the visit, signs the visit, coder
codes and completes the visit and answers yes to is this visit
complete, visit crosses over to 3rd party if a billable visit, this is
when the visit lock should lock the visit, even if the visit lock is
set at 30 days the visit is completed as above, before the 30
days, visit should lock when coder answers the question yes.

I would like TIU Template Data Object created for, 1) Pending            Approved
Lab Orders, 2) Chronic Meds that have no refills left, and 3)
Reminders Due.
We, the physicians, request a patch to give the ability to turn off      Duplicate
the notifications for inpatient blood glucose values. These
notifications are numerous and crowd our notifications. Some
physicians receive up to 100 per day. The results are often 1-3
weeks late, also! We urge you to make this available for us as
soon as possible
Could we add a choice in the printing options to be able to print        Approved
the inpatient medications?
Until the fields are available in EHR, can the TIU Birth                 Completed
Measurements object be modified to only display those that you
can enter in EHR? For now, it is somewhat unusable in a note
because the apgar, complications, and type of delivery fields will
always say "unknown" especially on a first visit like a weight and
color check for newborns before data entry would even have a
chance to fill in these fields from reading a note.
Request that there be a way to indicate on Vital Signs whether        Duplicate
they were administered Lying, sitting or standing. It would be
easiest for the nurse or other provider to annotate this on the
VITALS tab, right at the top in the same box as the date and
time. It could just be a drop down box that says LYING,
SITTING, STANDING and they choose which one.

Prior to V1.1 I had the ability to add diagnosis codes multiple       Completed /
times to same pick list with different narratives. We still need to   Approved
be able to do that. In many cases one ICD-9 Code can cover
several different narratives. In addition, providers have unique
preferences in the way narratives are worded. For example,
One provider wants 780.4 worded "dizziness" another wants it
worded "vertigo". I do not wish to nor have the time to create
unique pick lists for every provider according to their
preferences. I realize that when duplicates are used in a pick
list, and one diagnosis is selected, all the other common codes
are "checked" as well and this sometimes causes panic among
the providers, but I usually only have to explain what is
happening to the providers once and they ignore this in the
future. We have learned to live with this in the first version. Can
this be a site specific parameter - to allow duplicate ICD-9's or
to disallow? Associations: Love them! I still cannot associate
health factors or exams with a CPT - I submitted that in a
separate Feedback. Would like to see added: 1. Ability to
associate a CPT code with a second CPT code. Some coding
We'd like to be able to check off BOTH V65.49 AND V68.1 for           Denied
our pharmacy POV when using the PharmED button. Can you
change the radio buttons to checkboxes? Thanks.
The recent patch removed the maximize button on the                   Denied
templates and it is time consuming and cumbersome to have to
drag the corners of the screen to maximize the template. I
would like to request that the maximize button be returned to
the templates. Thank you!
As you all well know exach year new CPT or ICD-9 codes are            Duplicate
added or deleted. If your pick-lists for CPT or ICD-9 codes using
these inactive codes, you would have to go through all your list
to find the inactive one. Needless to say this is very time
consumming. There is an option within the RPMS EHR order
menu (SRO Search/Replace Orderables ) where I can serach
all my quick order for inactive tests or meds and repoint the new
test or med to that quick order. I am asking to create this same
functionality within the GUI. I know that these super-bills and
pick-list are created in the GUI and more then likely are stored
somewhere within the GUI files. If the developer can delelop a
button (similar to the query button) within the superbills or pick-
list dialog that when it is selected, the system will search the
pick-list then search the CPT or ICD-9 RPMS files for these
same codes and if the inactive field is true, then it can either
stop the query and ask user to either replace or delete the
inactive code inside the GUI lists then after this is done it
continues the query where it left off. Or do the query then
provide the user with a list or report of all the inactive codes plus
Many requests have been made by providers to include the              Duplicate
PIMS Check-in time for viewing when selecting a patient by
clinic within the patient selection window of EHR. This would
assist in prioritizing patients.
At my site, I set up a process so that referrals go to a CHS          Approved
consult; when the results come back, we scan it in, attaching it
to the consult. This generates a consult completed notification,
but it just disapprears when you double click on it. In order to
promote a paperless environment, I would like a signature from
providers that they have seen the consult. They would only sign
it if they acted on it.

Right now, we route documents to the providers prior to
scanning since their initials and the date on the paper mean that
they have seen the document.

While documenting patient education for each pov, it would be       Approved
very nice to be able to high-light as many education
descriptions/categories as we want, at the same time.

As i am sure you know, at this point only one of these can be
selected at one time, the number of minutes is entered, then
you have to select the next one, and so on.
Recently during a AAAHC review, the reviewer asked me how a Approved
provider can check to see that another provider has seen
(signed off) a lab or imaging report. I know I can go into RPMS
and track who signed off on the notification, but it would be nice
if others could see this in the GUI. It would be nice be able to
see this at the bottom window of the lab tab.
Need to be able to print multiple visit summaries by a range of      Approved
dates. Also need to be able to customize the selection to
exclude or include certain service categories, clinics, locations,
providers.

Also, add a function to Radiology report print to be able to print
a range of radiology reports or all radiology reports in the
system. Tis would be similar to the LDIS and LSUM print
functions in the lab package.

It would be nice if the above print enhancements could be
added to both the EHR and RPMS. If added to the EHR,
access could be limited to HIM staff or House Supervisor staff.

Justification: For release of information purposes, sometimes
patients or attorneys request the entire medical record. Going
in and printing each visit summary one at a time is time
consuming. We would also like to be able to exclude lab only or
x-ray only visits from the range of printed summaries because
we use the LSUM function to print all labs in the system and
don't need these to be duplicated through visit summaries.


It would be nice to have a "Newborn Hearing Screen" as part of Approved
the Birth Measurements under Personal Health as this is usually
performed prior to the baby's discharge (or soon after) and
seems like a logical place to find the information. Would be
especially nice it this information also recorded the appropriate
CPT code automatically.
Add ability to import more than one TIU template file at a time… Approved
Now you have to do it one by one…
I sent a template with buttons via listserver that gave the          Duplicate
providers the ability to enter data into the different RMPS
packages without leaving the note tab. Draw back is if they have
activated a template, the "buttons" will not "work" until they close
that template. I request the following enhancement From e-mail:
However I know that the ability to minimize the template was
removed, but if somehow this functionally was return. Then the
provider can minimize the template, go to the buttons above
and enter data, then go back to his template and finish the
notes. In addition to the minimizing function, we would need the
ability for that template to get new data, like a refresh button
somewhere in that object, so that the template would contain
the latest If this could be done, you will have a lot of happy
providers eager to use EHR. Providers are frequently “losing”
there notes trying to go to other tabs. This is especially true with
new providers using the system.
We need to be able to designate a patient's primary care          Approved
provider in EHR, rather than backing out and going to RPMS.
This should be easy to do, such as a button on the top task bar
w/ either free text, or preferably dropdown of choices of medical
providers to designate. This should be done soon. This inability
to designate PCP is slowing down our ability to adopt
Innovations in Planned Care (and more sites are joining) as well
as our ability to make maximal use of iCare.

My coders are informing me that the CPT code for the PPDs              Approved
includes the needle and syringe, yet the package is adding
separate codes for the needle and syringe and injection. They
are needing to manually remove these each time. We can set
the package so no CPT codes come across, but we would
really like to be able to set this per vaccine or skin test to avoid
issues like these. Any information you can provide to assist us
in fixing this problem will be appreciated.

I don't remember whether I asked for this before, but I would        Duplicate
like to be able to import more than one template at a time by
selecting all of the ones I want to import from the filesystem
(selecting multiple files using shift and Ctrl) and import them into
a folder in one operation.
So, for example, I want to filter the output of all meds to meds     Denied
that are expired or get a single value from Reproductive history--
I don't want the whole object. An example of how this is
implemented is the Unix utility grep.
For medication quick orders, if the pharmacy put something in In Process
the MESSAGE field (drug enter/edit in the rx package), it is
supposed to pop up when the provider selects the quick order.
However, the message only appears if the provider EDITS the
quick order. It would be nice if the message appeared always,
not just when the QO was edited. Thanks.

The communication tab is a helpful assest to have for EHR.          Denied
One suggestion is to be able to look back at at least 5 old
messages. At our clinic we use it to communicate to pharmacy
when pt is here for medications. However if you x out of the
note you can not look back at the note to verify which patient is
here for medications. It would be great to have at least 5
messages stored to review messages.
When "Copying to New Order", one must choose one of three Approved
locations for meds to be picked up. Please allow sites to set one
of these three to default, in our case "window".
When clicking "refill" for a chronic med, the refill disappears. It Approved
needs to be displayed in bold like new orders. When refilling
meds for a patient on multiple drugs, it's easy to lose track of
which ones have been refilled or not. Either the patient doesn't
get an intended drug, or it wastes patients', providers' and
pharmacy time to call me and ask if I really didn't want to refill
something the patient's been on forever.
Our Nurse Executive has requested the possiblity of associating Denied
Treatment Protocols or Practice Standards with a chief
complaint diagnosis. For example: If the nurse selects "Patient
reports chest pain" from the chief complaint builder the nurse
would be prompted with the protocol to give the patient an
aspirin. This would act merely as a reminder that the protocol
exists. She then would enter policy orders as appropriate.

Also, this could possibly be an electronic file for protocols with
functionality to document yearly review and approval status for
legal purposes.

A CPT modifier can indicated, e.g., that a mastectomy is           In Process
unilateral rather than bilateral. If I want to test for that in
reminders, now I can't.
The nurses have asked for more specific options in the             In Process
reproductive status window to separate "surgical sterilization" to
include BTL and hysterectomy. Patients apparently are getting
frustrated when the nurse keeps asking them for their last
menses when they had a hysterectomy.

Also for RCIS as well as EHR - How about a post 1985 or so           Denied
word processor that consistently justifies across lines when
things are inserted, spell checks, etc.
Because all new admissions to the hospital require that the          Denied
patient be screened for MRSA, would like an alert to appear in
EHR (GUI) when patient is admitted indicating they have not
already been screened for MRSA for that admission. Alert
should inactivate when MRSA lab test is ordered on Orders
screen.
Could you consider three more OE/RR print fields for the next      Approved
patch where you are putting the PROVIDER DEA on? These
would make formatting the Controlled Substance prescription
look much better.

This information is currently available on the Print Format
Webex, but requires Fileman programmer access to complete.
So is dangerous This puts all of the Patient Address information
on one line. (Mary gave me this a couple of years ago)

Select OE/RR PRINT FIELDS NAME: ADDRESS OF PATIENT
NAME: ADDRESS OF PATIENT//
DEFAULT CAPTION: Address//

EXAMPLE ENTRY: 504 Smith Drive//
VARIABLE: ADDR//
FORMATTING FUNCTION:
TYPE:
PACKAGE RESTRICTION:
CODE FOR SETTING VARIABLE: S
ADDR=$$ADDRS^BDGF2(DFN)
       Replace
WORD PROCESSING:
 No existing text
 Edit? NO//

The other three are for items from the FACE SHEET that come
from the Patient File.

The first would be for the information from item #9, Street
Address [Line 1] The second one - item #12, City: and # 13
ST:
The third one – item #14, Zip Code. Team panel (green) on Denied
Modify the display in the Primary Care
the Patient/Visit toolbar to not only display the Team/PCP but
the Women's Health Team/PCP and possibly the DMS provider
as well (if there is room). The prompt to add/edit the WH
provider is already present in the UPC (Update Primary Care
Provider) option in PIMS. What you enter there does not
display in GUI, however. What you elect as a site to display in
this panel should be controlled by a parameter which gives sites
latitude to display information relevant to their operation.

It would be nice for providers to be able to designate within EHR Duplicate
the primary care provider in order to build patient panels. We
should be able to do this by clicking on the Green Box.

It would be helpful to be able to create a To Do List with links to Deferred
certain notes
The most practical way to navigate a pick list today is to scroll it. Transferred
However, many pick lists are large enough that it would be
helpful to include a sort of easy to access search functionality. I
would model such functionality on Windows Explorer or Gnome
Natulius file browser.
Due to the age, lack of interface with other RPMS packages,           Transferred
and it's ability to meet JC requirments for measuring staffing
statistics the Nursing Acuity System needs to be upgraded.

The package has a lot of potential because it meets a JC
requirement and can be used to calculate the necessary
statistics with minimal data entry because most of the
information can be pulled from data already available in PIMS.

One of the missing components in the EHR patient charting is a
standardized patient assessment for each inpatient shift. If an
EHR component could be created to enter the inpatient
assessments, this data could be used to calulate the staffing
statistics together with information entered in the roll and scroll
about nurse staffing levels per shift (like it already does). The
EHR patient assessment component could possibly be a vitals
measurement if it is programmable. This would also allow for
charting of the assessments.

The reports (available through the roll and scroll) should include
the ability to define date ranges. We would only need the
staffing statistics reports if the assessment was performed and
available through EHR.

Plus, please fix all the bugs!!!!


Is there a way to add fields for defaults into the inpatient order Transferred
file for medications so that when a doc uses the "transfer to
outpatient" option, defaults can be set for things like day supply,
pick up location, refills, chronic flag, etc?
Dear RPMS Enhancement Team,                                         In Process

A recommendation to the reproductive health tab – would be to
note that menses has not begun and the date it begun.

It the button had a yes/no functionality – that would be blank
until selected no and the date would be defaulted by the date it
was checked NO.

There would be a box for the date menses began with a
calendar and the selection of the date would automatically
check the box YES.
We need to have medsphere create print formats for the CNII          Approved
narcotics that will bring in patient's address, prescribing
provider, institution address, dea# and NPI number. There has
been discussions on the listserve about the DEA requirements
for CNII narcotics. There have been other discussion here at
Area about JACHO stand on hybrid environemnts. One service
unit that I know of has been warn about having hybrid EHR
environment and the impact this has on patient care. If we are
to continue with the EHR inscentive, we need to electronicalize
all and every form. So it would be prudent to start with creation
of print formats for provider's DEA, precribing provider, NPI,
patient address (the address needs to look more like an
address then just a single string of street, city and zip code),
and institution address. I am not sure if the provider does not
have a dea# then will the institution DEA number be sufficient?
Don't know, but it might be a good idea to create print format for
institution DEA. The CAC's can then use those print formats to
create their own RX footer or header. You can also have
medsphere create a sample CNII footer that if the CAC does
Continuing with the need to eliminate hybrid EHR                     Approved
enviroment....Efforts are being made for the EHR inpatient
deployment, but we are lacking any good nursing package. Hopi
is using the acuity system but this package has its problems
and no developer assign to it. Then we have the problem with
I&O's. Where are nursing going to document their I&O's, dietary
count, restraints checks, 24 hours order checks, etc. Inpatient is
run by nursing, so we need a nursing package that will address
our needs.
We are using the REAP (Rapid Eating Assessment for Patients)         In pre-CCB
screening questionnaire. It is done yearly so when we document       discussion
it via template, it would be nice that it would immediately
populate the screening exam section under the Wellness tab.
That way we would not have to look through all the notes to find
out when it was done so that it will not be repeated more than
once a year unless the physician requests it.

In the EHR, the ability to order is governed by order keys             Approved
(ORES, ORELSE, ORMAS) but because there are multiple
categories of items that can be ordered, this creates problems
for many sites including ours. I (as CAC) have been asked to
turn on the functionality to "restrict requester" so that nursing will
not inadvertently order meds or labs but then they are not able
to order consults, which our facility allows. I'd like to see an
additional category of keys, or some other way to set the system
so that we can restrict ordering of each category of ordering--
lab, radiology, consults, nursing, etc. this will also impact the
ability of the nurse to request a refill on behalf of the patient (a
refill that already exists)--it cannot currently be done with the
restrict requester function turned on but some facilities allow
this.
Although this is nice in theory, it is not fully functional in that I Approved
cannot actually change (or even see) all of the information to
make the allergy actually work--most especially the VA Drug
class code. Without that data, the order checks do not always
work and creates a hazardous situation where we think we are
protected but in fact are not. We are able to see and edit this
data when verifying allergies on the RPMS side. Can the
verificatin through the EHR be enhanced, or can the feature be
allowed to be turned off? it gets really annoying getting the pop-
up window on the patient, even though I have already verified
the allergy on the RPMS side for that session.

Presently we have the ability to enter data into the RPMS while Denied
providers are writting their notes in the form of reminder dialogs.
Problems with this is that creating reminder dialogs takes time
and are not as easy as creating TIU notes. I don't know if this is
available in the VA but it would be nice if we can create the
majority of the TIU template as a regular template then we can
attach reminder dialogs strategically thorugh out this template
so that providers can create the consult, or enter education,
enter diagnosis, etc while they are constructing their notes. How
the system is set now, reminder dialogs can not be attached to
a TIU template. Providers have to be taught to click on their
note template, then if they want to use a dialog, they need to
paste that template, then go back and select the dialog. Enter
the data there and hit ok again and maybe go back to the
template and finish the note. This is easy for those more
experience provides but for the average person, it can be
confusing. If we can attach these dialogs as we built our TIU
templates, then I think it would greatly help the provider.
Specially ER/urgent care providers. Just a thought....
Dr. Cullen has requested that the Community Alerts regarding Approved
Suicidal Behavior and CDC Nationally Notifiable Diseases is
displayed in the EHR and "the first time a user logs on to
RPMS"
Is it possible for a user to change the default sign ins when we Denied
go to a outside facility? When I travel to my secondary (outside)
clinics, I have to remember to switch to that clinics outside
siteand not hit the default to my local site every time I log in...I
accidentally signed into the primary site EHR record several
time when I was out the satelite clinic...Some of the patients get
seen at both sites and it would be very easy to chart
inadvertently on the Primary site EHR when seeing someone in
at the satelite clinic.

   It would be nice if I could go into a set up screen and change
my default to outside facility and the clinic for the time I was
there, and then switch it back 1 time when I got back to my
home area. If this is not possible, it should be brought up to the
programmers to make this possible as I believe it is going to be
a source of significant error in the EHR environment with
traveling physicians going to other EHR sites, especially if every
one sets this default up differently!

When entering a Pap Smear refusal through the Personal       Approved
Health component, the logic looks for "PAP SMEAR" in the Lab
File 60. If local test is not named "PAP SMEAR" search and
Refusal entry fails.

Suggest that this be made a locally editable parameter so that it
can match the local Lab file.

See attached document for screenshot examples.
The eye glass prescription is only entered on the RPMS side. In Process
And a prescription is needed and the only way to pull the
prescription over is the use of EYE care HEALTH summary out
of PCC and that is not real time and useful in the EHR
application.

An ideal solution is to have it in the personal health history so
the tech or eye MD can enter it and generate an electronic
prescription.
Request from the pharmacy PSG to ADD the time pharmacist             Duplicate
verifies a prescription in the GUI. Currently no place for this in
RPMS.
I believe this was a feature in the late deceased 1.0 version.       In Process

If you left-click on an order, then move the mouse while holding
the left mouse button, you were able to select multiple orders or
meds; whatever your mouse swooped on. Now you don’t have
that option: you have to use CTRL or SHIFT with the mouse
buttons to select adjacent items. Would this feature be
restored?
Request from the pharmacy PSG: The new Print button on the Duplicate
Med tab (CCHIT) will allow a provider to print a copy of the
outside script (e-prescribing) but not work for in-house scripts.
The PSG would like to be able to print a CII medication using
this method with the provider's DEA number and perhaps a note
stating that the medication was filled "in-house" to meet federal
and state requirements of maintaining a prescription for
controlled substances for a minimum of 2 years.

Presently the patient education is found in education format.    Transferred
For most providers when they ask to see if a patient has pick up
meds they look at the notes. However the patient education
note by pharmacy does not put an addendum to the visit to
know what meds have or have not been picked up. Please
make changes to keep providers up to date on pt compliance.

This situation applies to a pharmacy WITHOUT 24 hour           Denied
coverage. In the inpatient setting, a medication is ordered
electronically by the provider during non-pharmacy hours. The
medication is verified and co-noted by the nursing staff and a
MAR is printed. None of the pending orders give administration
times for continuous orders (i.e. BID=0600-1800; Q24H=1200).
When pharmacy arrives in the morning and finishes the pending
orders, then the administration times appear when the MAR is
re-printed. Pre-EHR, nursing staff utilized RPMS to enter
orders and MAR would print correctly. Any suggestions other
than 24 hour pharmacy?

I had a request from one of my service untis to see if we can         Duplicate
change the demophraphical display of patient's age in the
patient selection objects to display months for patients under 2
y/o. If you click on the ppatient detail button in that object, the
age is displayed correctly in months. See attachement:

Currently, there is only a labor-intensive and restricted access Approved
process for a site to verify that certain notifications from the
EHR have actually been processed, and not just deleted due to
age. This can be a significant issue in terms of meeting
requirements for accreditation (JCAHO, etc.) as they often want
documentation that we have followed our policies, for example if
we say all labs are signed off by the provider we need to be able
to show this. We need to have canned reports or an easier way
to see that these have been processed.
Our radiology tech has mentioned the IHS policy for x-ray        In Process
exams specifically states that if the patient says she is not
pregnant, "How is the client certain she is not pregnant? The
answer given should be included on the x-ray requisition". On
EHR orders, the ordering provider isn't prompted to put in this
answer anywhere. It might be nice to have either the LMP
automatically print on the x-ray requisition, or a free text box
appear prompting the ordering provider to state how the patient
is certain she is not pregnant. Attached is the IHS policy, see
top of page 2, item #3.

Would like a notification created from the mailman bulletin      Transferred
APCL DIABETES REG NEW CASE
The EHR Vuecentric framework currently has a "The license on Denied
this host will expire on..." popup that appears for all users
beginning 30 days before expiration. This is proving to be
bothersome and even confusing to many users. Since most end-
users have no control over the license installation, and the
license patch has historically not released 30 days before
expiration, I suggest changing this message to a parameter that
can be set at the User, Class, Division, and System levels. This
would allow it to be in place for CACs and other IT folks who
need to be aware of license expiration without adding to the
plethora of popup messages that end-users are experiencing.

It would be nice if the "Visit Diagnosis" component would        Denied
automatically open (pop-up) if someone tries to write a progress
note without first selecting a POV.
Providers are requesting an option that we could turn on for a   Deferred
mandatory notification to be sent for missing notes for the
current visit.
We need to have the ability to designate which groups of         Duplicate
notifications can be forwarded to our surrogates when we are
on leave. At our facility it would be ONLY lab and radiology
reports, but other facilities might have other needs, such as
scanned-in consultant's notes. It clutters up the surrogate's
notifications screen when notifications for things like missing
E+M codes or about missing notes are going to the surrogate.

The Pharmacy PSG is requesting a Medication Possession            Approved
Ratio (MPR) as a calculated field in the outpatient medication
section of the EHR.
As our Social Services department moves forward with EHR          Denied
they would like to be able to enter the "Activity" and "Number of
people served" into EHR. At this time they are having to go into
the roll and scroll to enter this information although EHR
captures the remainder of their encounter information.
We believe that it would be helpful to have templates have a      Duplicate
minimize button that would allow us to exit the template to seek
information from other parts of the record without losing our
place. We also believe it would be nice for providers who go in
and out of templates if the template that was being used would
remember the information marked previously when it is brought
back up. It is sometimes awkward to have to go back to the
printed note to figure out where in the template we had left off.

We believe that there should be built into one of the tabs an       In Process
area for permanent registration of social history such as patient
lives in a abusive household, patient is a single parent, patient
has had multiple legal problems, patient is in foster care, patient
has sibling with autism, etc.
Nurse aides would like the ability to document "unable to           Transferred
screen" when unable to take certain measurements (height or
weight) from those who are wheelchair bound. Currently,they
have to document unable to screen as a refusal in the Personal
Health component.
I would like to request an exam be added. We do a screening         Transferred
called CHAT. Its a checklist for autism in toddlers.

It would be nice if the Order Component had a tab for each       Denied
service instead of all in one list.
When viewing / printing the Appointment Actions component        Approved
details the form that EHR takes you to is the "Visit Summary"
which is data entry / coder friendly but EHR was supposed to be
for providers and nurses so I would like the details to show the
"Visit Brief" summary which would work better for providers and
nurses. Data entry and coding staff can access the visit
summary through PCC as usual.

Nurse requested the option of selecting "pregnancy" as a          Denied
contraindication reason to a vaccine.

I noticed that pressing F1 to get the help menu while entering    Completed
the patient weight in the vitals entry component, it doesn't tell
the user how to enter in pounds and ounces for peds patients.
(putting a space indicates lb oz.) Can that line be added to the
help dialog box?
1. Would like to have an automatic notification for the infection Completed
control nurse each time a "flagged" microbiological organism is
identified.
2. Would like to have an automatic notification for the infection
control nurse each time a laboratory threshold of "positive" is
resulted.
Is there a way to ensure that all fields for a given visit are    Duplicate
completed. This is like an immediate error check instead of
getting the notifications?
Request that a done button that had the following function.    In Process
1.When pressed it provides the provider with the missing
information needed to complete the visit. Thereby decreasing
notificaiton and having providers try to remember from memory
information from a visit that may have took place several days
ago. this should increase billing more complete visits and not
have missing E&M codes, or use of 9999codes etc.

Since having to print prescriptions for CII drugs we would like an Duplicate
easier process to do this such as a "Print Prescription" button
on the medications tab, and/or on the Orders tab.

The Med Tab needs to display stop time in addition to date for Approved
inpatient meds. (This has already been done in Medsphere's
CIS product.)
-----------------------
I meant to request that Start date/time also be displayed on the
Med Tab for inpatients.
Our Providers have requested a change on the signature box. Denied
Often they will start their note when seeing the patient. They will
use the option “Save without signature” order the patients lab
work and plan to complete the note when the lab work is
completed. The problem is that when they click the signature
tool to sign the lab orders it brings the note into the box as well.
The providers then end up signing the note they wanted to save
and then compete when the lab results returned. They would
like to see the default changed so the provider needs to check
the items they want to have their signature applied to, not have
the default of all items checked.

We are requesting that Not Found a Service Category be added           Completed
to EHR for PHN to use this category when patients not found at
home.
Some kind of one line message under the PCP name in the                Approved
green box say that there are more providers to view, such as:
“Click to see more providers”
Request to modify:                                                     Duplicate
Encounter Context Configuration
   [BEHOEN MAIN]
Temporarily Override Visit Lock for User option so that when
you do an unlock you are asked the date you wish to relock it?
It could be set at that time or if left blank then you would have to
go back in and relock it...much like the surrogate setting works
in the EHR.
Dean has a good suggestion. Pregnancy status entered into the          In Process
reproductive history component can trigger an automatic POV
and order checks for providers and pharmacists when ordering
meds.
... screen so that users won't be confused about what dialog is        Approved
already open
We love the patient record flags just wish they were                Denied
brighter/more contrasting.
The coders at my facility perform internal audits on each other. Transferred
Right now we have to run a complicated fileman report to find
visits that each coder has audited. It would be nice if there was
some kind of predefined report to specify a date range, service
category, clinic code and visit auditor. Or possibly just add visit
auditor as an option in VGEN.
Display the CAGE Health Factor questions on the screen (along Approved
with guidance on scoring) - same with PHQ2, PHQ9, CRAFFT,
AUDIT and AUDIT-C Measurments. Displaying the actual
questions and the "scoring key" would provide the user with
guidance on using the tool. Display in a way that is similar to the
Patient Education Outcome & Standards functionality currently
available in the EHR. See the email string from Dr. Elaine Miller
(Aberdeen) and others below.

For Imaging orders, san the "status" column on the orders tab      Approved
be made to mirror what is actually in the radiology package?
Currently EHR shows "scheduled" as the status, when the
status in the radiology package is actually "examined."

EHR should allow users to select patients from iCare panels           Approved
through the patient context selection dialog. I'd envision another
bullet in the list called "iCare Panels". Selecting this bullet would
expose a drop-down list of iCare panel names available to that
user (ones she created or ones shared with her). There are two
API that iCare uses for this. the way I understand it is that
BQIGETPANELLIST is called first to bring back the list of
panels available to that user, and then when they select a panel
name the BQIGETDFNBYPANEL API brings back the patient
names in that panel. Panels are easy to create in iCare and
users clearly need to access those same panels in EHR.

When a provider chooses a patient using the default clinic and In Process
today and the patient hasn't been checked in yet its not easy to
tell. The visit box shows the time the appointment is made for. I
would like to see the visit box show a message that the visit isn't
checked in yet or is not available yet.

I would like to request group visit entry functionality be added to Duplicate
ehr.
It would be very helpful to automatically open up a comment or In Process
addendum field when being sent a document to sign as an
additional signer. This would allow a plan or response to be
entered - possibly with a functionality that would allow a return
to the first signer for review.
It is important! And the RPC call and the routine wouldn't take     Approved
too long to write... ----- The only way to do this is RPMS. Send it
as a enhancement if you think this is important.
________________________________ From: Electronic
Health Record on behalf of Marianne Sebastian Sent: Tue
9/9/2008 10:00 AM To: EHR@LISTSERV.IHS.GOV Subject:
notification to med rec to pull chart Just wondered if anyone is
using EHR to request charts to be pulled by medical records for
nursing? If so, how are you doing so and can you make it print
to a designated printer? We are currently using RPMS to
request charts but providers/nurses would prefer to do this in
EHR. Thanks

we would like to be able to remove a line within a complex order     Approved
when entered in error. This functionality would apply to the
provider entering a long complex order on the fly. i know this
functionality works in the quick order wizzard - is it possible to
apply this option to the providers option when building their
own? thanks, lm
Nursing would like to have the functionality to enter an             Approved
immunization when it is clicked in the forecaster window of the
Immunization object. Example...forecaster shows Tdap due.
When nurse clicks on Tdap currently nothing happens.
Suggestion to have it open the Tdap entry window as if the
nurse had cllicked "Add" and then chosen Tdap from the
available vaccines list.
Can we add a way of recording the size of cuff used, i.e., adult,    Duplicate
large adult, child?
Teaching and education issue... Need it to be consistent.            Approved

if they have a question for you. Attached is an example of a         Duplicate
popup

... rather than having to go to RPMS to do it. Maybe an idea for     Duplicate
the scheduling GUI if not deemed EHR appropriate.

Allow for an amount less than 1 as a quantity for quick orders. I Completed
can mention three examples: Ativan 2mg/ml a 1mg dose =
0.5ml, HPV single dose = 0.5ml, Regular insulin 10 units subq
now = 0.1ml. Currently, these quantities can be entered by the
provider or the pharmacist in the order dialog or RPMS, but they
cannot be entered in the quick order setup. This change would
increase the convenience for providers and pharmacists of
having the correct dose for each new order already entered. As
is, there is greater risk of an incorrect dose which could then
result in medication errors.

See attachement. It should be red.                                   Approved
Saw a comment about a tickler file on the EHR Listserv and          In Process
thought this would be a very useful enhancement. Here is the
original message I posted earlier about making "tickler" file
functionality in CPRS. I have finished this, and use TIU Text
Objects. This means it could be used in any CPRS without any
modifications needed. How to use it: ========== 1. Drop a
Tickler template into one's note in CPRS. This will look
something like this: ======= [TICKLER MESSGE] =======
#DUE#: <----- to be edited.
================================ Message: ... 2. Sign
the note. 3. When the due date/time arives, then an addendum
will be added to the note, and an alert is created to this
addendum noting that a signature is due. It is at this point that
one can see whatever message was put into the tickler, and do
what ever follow up is needed. 4. When done, sign the
addendum. The final note might look like this *** ACUTE
MEDICAL ISSUE VISIT Has ADDENDA *** 09/03/08 (423) 123-
4567 ======= [TICKLER MESSGE] ======= #DUE#: 9/3/08
@ 3:20 pm ================================ Message:
... /es/ KEVIN S TOPPENBERG Family Physician Signed:
I know that one of the features we are going to have is being       Denied
able to send electronic prescriptions to pharmacies via
Surescripts or other portals. I want to ask the converse
question: Are we planning on being able to receive electronic
prescriptions from Outside Providers? (yes, not a lot of IHS
pharmacies do that; but we do).
Modify the patient context display on the Suicide Reporting         Approved
Form. The current "demographic banner" at the top of the form
is a holdover from the IHS Patient Chart application and is kind
awkward. It is not a standard convention.
I would like a report that gives just the number of consults in a   Approved
timeframe. I would like it to have the number broke out with the
number completed, pending, dcd etc but I dont need the list of
patients with it.
Is it possible to separate the Active Medications and the          Approved
Pending Medications in Patient Data Objects? We often have
our Active Outpatient Medications Patient Data Object in the
SUBJECTIVE area of our progress notes. Providers usually
document POV, Superbill, and Order Meds, Labs, etc. prior to
creating their note for everything to pull into the note. Pharmacy
usually reviews the providers note prior to releasing medications
during their clinical review of medication therapy. Hence, a lot
of times the medication orders that providers ordered via EHR
show up as pending in the providers progress note, and orders
are duplicated under pending. The total medications also is
inaccurate [as in the example where the patient is only on 8
meds but total medications counts 15.]         Providers have
asked if there is a way to separate the Active Outpatient
Medications from the Pending Medications. They want the
patients current active medications to be in the SUBJECTIVE
section of their note and the pending medications to be in the
PLAN. Pending Medications currently also show up in the
PLAN with the Todays Orders Patient Data Object, but this
The Joint Commission requires the use of two patient identifiers In Process
when providing patient care/services. Is it possible to add a
radio button on the "Pharm Ed" pop-up option to check to
document that two patient identifiers were used by the
pharmacy when services were provided? For the radio button,
the wording could read, "Two identifiers verified" Thanks.

I may write multiple orders, e.g. med renewals/changes but only In Queue
sign one or two of those orders, e.g. chapparone or for an EKG.
I leave the meds to be signed later since Pharmacy staff would
like a signed note before filling meds, whenever possible. The
problem occurs when I do my note, and sign. The orders that
are waiting to be signed do not automatically pop up w/ the note
for sig. It requires a separate step - often forgotten until a
notification arrives! - to go back and sign the other orders. Can
everything thats pending just come up at the same time? Thx

When selecting patients the display does not display the MR          In Queue
with the patient name. For patients with multiple duplicates [i.e.
Joe Yazzie in Navajo] one has to go to each patient to find out
what their MR is before choosing the right one. It would be
quicker if the name, DOB and MR all displayed.

The VUA [View a Users Alerts] menu item in the TIUM should           Denied
also be accessible through the EHR menu, EHRBEHNOTVUA
as this is a logical place for CACs to find the information that
they are often need. This would be nice as a national
enhancement so that local changes will not be overwritten.

Would like spirometry to be added to vitals.                         Approved
As an ambulatory Urgent Care setting, I need to always denote In Queue
the patients: 1. Mode of arrival [ambulatory, carried,
wheelchair], 2.a Triage aqcuity system 1-5 in number to denote
on all patients. Can we have this added either to the chief
complaint section or as a measurement [which it isnt] but do not
know where else it would go.
I find it very distracting and in fact quite useless to have all vital Duplicate
sign values recorded to 4 significant digits. There is really no
basis or indication for doing so. The added characters in each
value actually reduce ones ability to focus on what the value
truly is. Please give strong consideration to removing the
added program that ends up calculating these temperatures,
weights, heights, and BMI to the 4th significant digit.

CPRS v27 has that functionality. Its faster for documentation.       Approved


I believe CPRS v26 had that functionality. I dont know the           Duplicate
business rules it followed, but in any case thats for SMEs to
decide. I would encourage having the ability for pharmacists,
nurses, and providers.
You will want to do that if you have an approximate date and         In Queue
need to satisfy the Forecaster. the only way around it is to
delete the immunization and start all over. We should be able to
edit that field and the Location as well in the edit box. See
attachement.
Vitals that need to be added: orthostatic BP, route of temp.         Transferred
taken and Ishiharas color blind test.
Remove unreleased pharmacy orders that were a carry over             In Queue
from pre-EHR.
Individual tabs for orders, ex: nursing, labs and radiology.         Duplicate
medication profile is cumbersome to read when you want to            In Queue
look at "what the patient in currently taking". Current meds
would include active medications and expired medications--
meds having just expired, but patient still taking. Having the
discontinued meds in there confuses the picture. Is there an
option to have a tab like the chronic only or active only, that
would screen out the discontinued medications --leaving expired
and active. Thanks
I have a service unit that uses T-sheets and EHR in the ER.          Completed
The providers that work in this ER also works in outpatient
department. This parameter is set to either class or person.
They would like add clinic so that when the provider works in the
ER, then they will not get the notification for and E&M code but
when they work in the outpatient they would get the notification.
The T-Sheet already contains the E&M code for that ER visit.
Sometimes we need to change a Progress Note to a Discharge In Queue
Summary that was written in the wrong place [provider seleced
Family Medicine Title under progress notes to write a discharge
summary]. Change title will only work within a class and not
between classes. Need something that will move a document
from one class to another.

I saw this snapshot of the new pediatric growth chart in the     Completed
DOD's AHLTA. It looks significantly better than ours in terms of
functionality and usability. Is there work currently going-on
through IHS as far as growth chart improvements? It would be
great to take ours in this direction.
See attached screenshot.                                         Denied


In EHR v1.1, only holders of the ORES key can discontinue            In Process
expired meds. Can this functionality also be given to holders of
the ORELSE and OREMAS keys. There are instances when a
holder of the ORELSE key might need to dc and expired med
by policy or even need the ability to do it by a verbal or
telephone order.
1 - BMI calculation on the triage tab is for adult only and does     Completed
not calculate for pediatric population 2 - temperature on triage
table indicates oral only and does not give a choice of indicating
that it is a rectal temperature
It would be nice to have a "Refusals" prompt created that would      In Queue
record the appropriate refusal infomation in the Personal Health
component of EHR.
Attempted to submit with attachment, not sure it worked - this is    Duplicate
the second attempt without the attachment. Request the ability
to add appointment date/time after the patient name in the
"Patient Selection" window. Currently we can get the
appointment date/time if we change the "List Appointments for"
option to "Past Week", "Past Month", or if we select any date
range other than current date in both to and from fields, it would
be helpful if we could select "To" and "From" for today and the
date/time would show. That way, those that don't like the feature
could just select "Today" in the "List Appointments for" menu
and they would get the names without the appointment times.

Orders cannot be printed from EHR Orders tab [using File,           Duplicate
Print] to local Windows printer...only able to print to RPMS
printers. Other tabs [ie Notes, Labs, etc] allow printing to both
local printers and remote RPMS printers. This is becoming an
issue with the requirement to print Class II narcotic prescriptions
for hardcopy wet signature and for printing outside prescriptions
to send to other pharmacies.
When visits are to be relocked, it would be helpful if the visit ID Transferred
was also listed. Sometimes a patient can have several visits
listed for a given day. - Setting Use to override visit lock for a
user. for User: STEWART,KELLY A - Select Visit to unlock: ?
Visit to unlock Value --------------- ----- SEP 30, 2008@16:40
YES Answer with VISIT VISIT/ADMIT DATE&TIME, or VCN, or
VISIT ID Do you want the entire VISIT List? N [No]

Users [myself included] often almost click on the "toggle" or "all" In Queue
button in Broadcast on the communication menu, instead of
clicking on "send". These buttons are not necessary, anyway,
since users can simply hold down the shift key and highlight all
users if they want to send a message to everyone. Also, the
shading on the message recipient is so light, we have to inspect
the screen carfully to see who the recipient is. My request, then
is to either: 1] increase intensity of highlight color 2] Reduce size
or disable the "All" and "toggle" buttons 3] Increase the size of
the "Send" button to draw user's attention to that. 4] Relocate
the "All" and "toggle" button to a less prominent location to
make it not so tempting to click. 5] Maybe rename the "toggle"
button to "Surprise Party" :]

Users would like to have "Hysterectomy" added as a drop-down Duplicate
box choice in the reproductive history [see attached] so they can
stop asking when their last LMP was.
Clinicians at Claremore Indian Hospital have requested that the In Queue
ICD pick list in the POV search tool be formated to have the
same sequence presentation as the ICD search tool in the
Laboratory Order medical justification. The alphabetic
presentation of the ICD pick list in the Laboratory Order "Other"
justification is more usable for the non-coder.
I would like to request and EHR enhancement that allows you to Denied
multipurpose accession from EHR and AWE from EHR. We are
a multi-divisional facility and use these functions outside the lab
setting, e.g. nurses, providers, diabetes, etc... We have many
facilities that use this function by providers to create their labels
to print for drawing purposes, often times done by them. It is an
awful inconvenience to have to switch from EHR to RPMS to
complete and order to print bar code labels. This is requested
by our providers Thanks

In order to help us meet JC requirement NPSG.03.04.01 it         In Queue
would be nice if we can print a medication label from EHR that
providers can use when transferring meds from one container
to another, such as the use of syringes.
we are unable to erase demo patient notifications. It feels good Denied
to have all notifications taken care of and these really have no
bearing on patient care. Why can't we erase these notifications
even once we have done what they ask? what can be done
about it?
I am running reports under consult management so I can keep          Completed
my consults under control. When I run a report for pending or
completed consults for my clinic it gives me the name of the
patient and the last four digits of their social. It would be sooo
helpful if it would give the name of the patient and the chart
number instead of the social. Please take into consideration. :]

I do quarterly chart audits and am the only therapist at this       In Queue
facility. If I get a consult in March, I usually don't schedule the
patient until June. When I do my chart audits I need to find the
date I completed the Evaluation not the date the consult was
written. It would be helpful to have a report for WHEN the
consult was completed in June instead of the fact that the
consult was completed and the consult is from March. Thank
you. :]
Many EHRs are achieving a higher level of decision support by In Queue
integrating vendor-provided healthcare information into their
system through the use of "infobuttons." We pay for two
programs that both have infobutton capability: Micromedex and
Up-To-Date. An example of an infobutton that would be of
tremendous benefit to RPMS-EHR users would be a link to
specific drug-drug interactions [Micromedex has a VERY nice
lookup for this] that could be accessed from a button attached
to the current pop up we get [the one that tells which drugs
interact, but doesn't describe the interaction or severity of it].
This type of functionality may prove to be a cost-efficient way to
build robust decision-support into our existing EHR.

Providers would like to customize exam screening result prompt In Queue
fields to their specific entries. For example, the IPV exam result
field would only contain NEGATIVE, PAST and PRESENT when
entering exams through reminder dialogs.
Notification enhancement requests:                                   In Queue

- Dual Sorting of notification columns.

- Add option to save notifications as info only after review [sign
and save OR view and keep] to use as clinical reminder to
follow-up [i.e. abnormal labs/imaging results].

- Default NOW for new scheduled notifications rather than
having to pull up calender and select now with several clicks.

- Add REPLY option to scheduled notifications with copy of
previous message to keep conversation thread going until
issues resolved.

- Add list of message recipients identified for scheduled
notifications so that sender can assure proper selection of
desired recipients and recipients can tell who all received same
notification for communication and case management
purposes.

- Add REPLY on instant messaging notification so that you don't
have to go back to the notification tab to respond and remember
who sent you the instant message.

- Add minimize functionality to instant message popup to be
reviewed at provider's convenience.
[Instant messages often disappear before being able to read,
get stuck back behind EHR, or have to be closed prematurely.
All these instances could result in the instant message being
forgotten about and no response sent.]

- Add option to "Add comment" to progress notes [similar to
Creating a new HS object for patient's mother and father's        In Queue
name would be helpful. Identified on page 2 of the Pt Reg
package: 8. FATHER'S NAME : 9. MOTHER'S MAIDEN NAME
: Thank you.
Inpatient pharmacy staff would like the Patient's Diagnosis to be In Queue
printed on the following report:
IV Menu Option [PSIV] -- Supervisor's Menu -- Management
Reports -- Patient's on Specific Drugs.
Thank you.
I sat down with pat and edited the header and footer for the      In Queue
report tab. We felt we did not need to have repeated items in
the header as well as in the footer. Below are our edits. Thanks.
for header: CIAVUTIO DEFAULT HEADER [for dicatated and
patient centric reports] ==[ WRAP ]==[ INSERT ]=======<
Patient-centric reports =====[<PF1H=Help ]==== &c&f
$[patient.name] $[patient.hrn]&rDOB:$[patient.dob]
[$[patient.age]]

&u

for the CIAVUTIO DEFAULT footer I took out the S^specify
dates.

==[ WRAP ]==[ INSERT ]=======< Patient-centric reports
=====[ <PF1H=Help ]==== &u Page &p&r&e &u
WORK COPY ONLY &rPrinted: &d &t

We were unable to document an historical Penicillin allergy on In Process
an elderly patient who was told by the military that he was
allergic to Penicillin. The patient had allergy testing and had no
known reaction to enter. It would be nice to have a way to
document an allergy from allergy testing and not an actual
reaction.
We released a new version of the RPMS Immunization                  In Queue
Package [Version 8.3], and added a new field called "VFC
eligibility" that is associated with each shot a patient receives.
This information is required by many state immunization
programs, and by capturing it in RPMS we are saving sites a lot
of paperwork. Unfortunately, for sites using EHR, this field is not
available. Because VFC eligibility is determined at the time the
shot is given, it makes sense to have this field in EHR so that
providers can complete it without having to go out of EHR.

Please add print format for provider license and NPI number.          Duplicate
I would like to request that an enhancement be in place that          In Queue
would automatically notify the ordering physician that a med
was not pick up by the patient and it was returned to stock. A
notification that gets triggers and gets sent to the ordering
provider when a medication is returned to stock via the
pahramcy package.
Sorry if this is already reported... Can we add the ability to edit   In Queue
an existing problem list note? The current functions available
are "add note" and "delete note". Providers would benefit from
being able to edit existing entries instead of having to delete
them and add a new one.
Unable to add Transaction to the Superbill Association even           In Queue
though information is in Version 1.1 Please see attachment.
Suggest that the Interpretation field from File 60 be displayed in In Queue
Lab Result Notifications in EHR. This is most often used for
important lab range result information...particularly for
therapeutic drug levels. Sample from File 60:
INTERPRETATION: Therapeutic levels: Drug Dosage: Trough:
Peak: 500 mg BID 3.1-10.0 ug/mL 10.0-25.0 ug/mL 1000 mg
BID 4.9-37.1 ug/mL 30.0-40.0 ug/mL 1500 mg BID 7.0-34.0
ug/mL 36.1-70.0 ug/mL
The business owners of the RPMS Suicide Reporting Form              In Queue
[SRF] are requesting two changes to the following fields 1]
Lethality [inactivate] and 2] Behavioral Act [inactivate two values
and add four others].They are also requesting that all fields on
the SRF be mandatory but not forced. These changes have not
yet been made to the SRF in PCC and AMH but when they are
released to the field they will need to be followed as soon as
possible by the changes to the EHR SRF component. See the
attached for more details. Thank you.

Currently there is a logic check in the EHR RenewMed dialog            In Queue
that restricts refills to a range of 0 to 11. The Pharmacy PSG
approved a change in the pharmacy package to a maximum of
15 refills within a 1 year period so that certain types of
medication will not run out of refills prior to the 1 year legal limit
[OCs, inhalers, topical ointments, etc]. I'm requesting that the
dialog be changed to 15 so that it corresponds to what is in the
pharmacy package.

Enhancement requests x2 for the Release Orders to Service          In Queue
Box. 1. RN enters order in physician name – clicks ACTION ?
Release without signature – 2. The Release Order to Service[s]
box displays ? default size is small and this “hides” the Nature
of Orders. 3. The user must remember to use scroll bar to
see/change the Nature of Orders defaults. [See first 3 screen
shots below] This is A. Not user friendly and B. An easily
forgotten step contributing to errors with nature of order [sites
audits] ENHANCEMENT REQUEST: 1. The Nature of Order
should be listed first [at the top of the box]. Below that have
“The following orders will be released”. [See preferred display
screen shot] 2. Increase the default size of the Release Order to
Service box for better visualization of all fields [when using the
Hand and Pen signature icon the box size is larger – see final
screen shot]

In using EHR for Inpatient purposes--when ordering meds using In Queue
the transfer from inpatient to outpatient, need a way to default
the pick up status to window.
Enhancement Request for Nature of Order display When RN             In Queue
takes a telephone order from a doctor the RN must do a verbal
read back of that written order to the doctor. The RN also
documents “verbal read back done” with that order. Sites and
surveyors audit this. Currently e.h.r. does not easily capture this
information. [RN enters a note stating this [easily forgotten and
makes audit trail convoluted]. This information could easily be
captured by incorporating it with the order entry process. For
Nature of Order make the following change: Telephone to
Telephone/verbal read back done or Telephone/Verbal R/B
done or Telephone/VRB done [depends on spacing issues]
Verbal to Verbal/Verbal repeat back done, or similar If the
change is approved there are 2 places the Nature of order
displays to the user when entering the order: 1. Release Order
to Service[s] – when using Action – Release without signature 2.
Review/Sign Changes – when using Signature icon. I would
anticipate the change will display in the Reports - Order
Summary etc? [Thereby satisfying audits]

Billing requires a provider signature for all orders. When nurses In Queue
enter standing orders for a test they are prompted to select
"Policy", "Telephonic" or "Verbal" or "Hold until signed". All of
these will generate a reminder to a provider to sign the order
EXCEPT policy. Can we modify the program to generate a
reminder and allow providers to sign these as well so they can
be billed?
The drug/alcohol screening only includes the CAGE for alcohol In Queue
and no screen for drug use. Can we add a drug screening
component V65.42 to include uses, does not use, in
counseling? And then change the name of the CAGE to alcohol
screening and not Drug and Alcohol Screening.

When entering historical data of some sort, it would be           In Queue
wonderful to not have to choose a specfic date. For example-
Patient says that they had a hysterectomy 30 years ago,
sometime in the June. Right now you have to choose an actual
day, month and year. What if no one knows? We'd like to be
able to put in an approximate date when the situation arises.
I believe that notifications for unsigned notes is somewhere        In Queue
hard coded. Frequently service units are seing that note are not
getting signed by the provider and they are not able to send that
visit out due to this. Since the notification dealing with unsigned
notes can not be manipulated so that a notfication can get
forward to a supervisor if not sign within a specified time frame,
HIM personnel has to manually check the VUA menu or the
management to see if providers are signing there notes within
reasonable time. I think that if the CAC can select the unsign
note notification and have that notification automatically forward
to a supervisor or backup reviewer after whatever timeframe it
is agreed upon by all parties, it would make this process a lot
easier to monitor for HIM. I am requesting that TIU notifications
be part of the notification list that we have access to under the
notification menu option. Please let me know if this will be
worked on or not so I can get that information back to my
service unit. thanks

Would like the ability to setup certain CPT codes with multiple In Queue
quantities. This would save providers extra clicks. CPT: L3050
PATIENT NAME: DEMO,PATIENT VISIT: FEB 23,
2009@08:52 PROVIDER NARRATIVE: Foot, Arch Support,
Removable, Premolded, Metatarsal, Each PRINCIPAL
PROCEDURE: NO QUANTITY: 1 EVENT DATE AND TIME:
FEB 23, 2009@16:29:02 ENCOUNTER PROVIDER:
JOHN,KAREN M CPT SHORT NAME [c]: FOOT ARCH SUPP
PREMOLD METAT For example, our Podiatrists always issue 2
for the following CPT codes: L3050 S0395

When you click on the blue box [patient] and then you have        Duplicate
ways of viewing your patients, If you choose clinic and this
displays what patients are in that clinic for whatever day you
specify [Alphabetically]it would be nice if they were listed by
appointment and their appointment time [like the VA does]
Notes                                    Projected Release
Working as designed--Radiology
package setup issue


Mouse wheel is fixed in v1.1. This
could make the scroll bar a non-issue.
Not sure if it's possible (or easy) to
move the scroll bar to the left side.




                                         Pharmacy Patch
                                         1005
Transferred to PCC Data Entry




Subcommittee on notifications will
determine second request
This will need to be done locally



Transferred to CIMTAC as a PCC
request
This is a training issue




                           EHR v1.1




                           BHS patch 1
Could cause trouble--a CPT code that
drops in to PCC when the order is
placed is likely to get billed even if the
order (procedure) is never carried out.




Students should get NO keys - this
forces a cosigner to be identified.
Students should highlight the
cosigning provider in blue or gray
when selecting the visit so that the
cosigner appears in the visit box. This
will place the orders under the
cosigning provider's name and should
prompt for an electronic signature
from the provider to sign off on the
orders.



EDR is on its way and RPMS Dental
Package will be phased out


                                             EHR v1.1




Because notifications are handled at
the kernel level, the LOE is considered
to be prohibitive in the short term
Transferred as a Health Summary
request (not EHR)




Transferred to PCC Data Entry



Subcommittee on notifications will
make determination




There is a suitable workaround in
place




This is really a national Health
Information Management policy issue.
Working as designed




Not supported by Lab PSG



On hold until RCIS becomes part of
EHR




Actually wanted to link diagnosis
(available in v1.1)
Transferred to the Pharmacy PSG




Transferred to the Pharmacy PSG




See CRID 418




Cannot be site-specific; supporting this
would be too difficult
This will need to be done locally




                                    EHR v1.1 patch 3




See CRID 329
Need to make the Duplicate
Order Order Check mandatory.




                               EHR v1.1




See CRID 252
On hold until changes are made to
Patient Education




On hold until Reminders v2 comes out




Merged with CRID 346




Out of scope--not EHR
Beta strep screening is in the Prenatal Prenatal Module
Module at 32-36 weeks.




#1 - not allowed to have trailing zeros
due to National Patient Safety Goals




Transferred to the Pharmacy PSG
See CRID 355




Entered as a problem report
Will be addressed with the EHR Point
of Care Lab result entry component.




You can already sort by the service
and create a custom view.


HPV is in Reminders patch 1005.        Reminders patch
                                       1005

LOE too high
Entered as a problem report




See CRID 373




There is currently a work-around and
implementing this enhancement could
cause numerous other problems.
Working as designed--setup issue




Waiting on current development
regarding charts displaying in the GUI




Out of scope--not EHR




See CRID 329
Transferred to the Pharmacy PSG
This is a training issue




This is a training issue
LOE too high


Printable prescriptions are being
included as part of the CCHIT
development




                                    EHR v1.1 Patch 1
See CRID 388




See CRID 311




See CRID 290

Should be included in new Well Child
Module
See CRID 355
Transferred to PHN project as they're
currently working on many
enhancements
It will be available in the Prenatal
Module (both PCC+ and EHR) which
is now in alpha test.




See CRID 418




Can already keep the control or shift
key depressed and right click at the
same time to add several historical dx
or problem list entries over to the Visit
DX component




Working as designed
The CCB feels that communications
should only be used for simple quick
messages, and don't think it should be
used for more (e.g. sending patient
info).




IHS is looking into using iMed Consent
for this issue. It is not currently
considered an enhancement to EHR
as it is a separate project.

See CRID 273




Already working




We will soon have the ability to change
a reminder
A change has been approved to make
it easier to sort by visit date.




Transferred to PCC




Cannot be done




This is how Windows works



Could cause confusion as to who is
listed as the primary provider



Transferred to PCC




Can already use CAGE and will soon
be able to use CRAFFT
Transferred to PCC CCB




See CRID 451




This should be fixed in the most recent
TIU patch.
See CRID 373




#1 - Completed in v1.1 patch 1
#2 - Approved




The Pharm Ed button was not
designed to be used this way.

Double-click title bar to maximize
See CRID 389




See CRID 329
Approved, pending changes made to
PCC.




See CRID 418
See CRID 457




Too sophisticated of a request to put
out to the general public.




Notifications should be used in this
case instead.




A solution was approved that should
cover the stated issue.
Too difficult to do on a national level.




TIU notes currently expose the RPMS
text editor, so would not be possible
without a major re-write.
This appears to be a local policy and
could possibly be remedied with a
standing order.
There is only so much information that
can fit in the PCP box. You can click
on the box to get the other provider
information.




Combined with CRID 460



This might be better suited to the web-
based version of EHR that should
come out in the next 1-2 years.
Search function already exists but with
glitches. This has been transferred to
a problem report.


Transferred to the Nursing Acuity
System.




Transferred to the Pharmacy PSG
Medsphere says this is not technically
feasible at this point.
Doubtful that this can be done.




See CRID 308
Transferred to the Pharmacy PSG




The CCB does not concur with this.
Transferred to Diabetes Program

There will be no more pop-up
messages for Licensing file.




Cannot require a POV before starting
the note, due to different types of
workflows.
It was decided that this is too difficult
for now. It may work in the next
generation of EHR.
See CRID 277




Can already be done in the BHS/BH
GUI.
See CRID 418




Entered as a problem report




Transferred to PCC CCB




This is actually an Immunization
package issue, but was also denied.




This can be addressed through the
community alerts in iCare.




See CRID 505
This is a training issue.
Transferred to PCC CCB




Already approved.
See CRID 373



See CRID 322


See CRID 460


Will be in a future patch.
Will be included in a future patch




Already exists.
Transferred to PCC CCB



See CRID 380




This can already be done.
This will be included in the upcoming
Well Child Module.




Works as designed.




See CRID 329
Transferred to PCC CCB




See CRID 488




Suggested setting up a label printer to
work with the EHR so that when you
order a lab test you get a label.




User issue
See CRID 329

				
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