As some of you may have noticed, we have a new discharge button on the medres homepage. The new discharge system has been thoroughly beta-tested in the past few weeks. Effective immediately, we ask you to please use the new button and to ignore the old WW and SMH Discharge Buttons. Why, you may ask?
Well, first of all, the old buttons will disappear in the next 1-2 weeks. The new discharge system fixes a number of problems (some of which are highlighted below). And lastly, there are some new features built into the discharge system.
What's fixed?
- WW and SMH d/c summaries don't require separate buttons
- Typing in the MRN and clicking the Find Patient button actually works at RR now. It used to only work at SMH.
- The "patient was not previously on warfarin" box actually saves when you click "Save Form"
- The time-out period until it logs you out has been extended to 30 minutes (tell us if this isn't the case -- it was implemented earlier today)
- The Save Form feature works -- if you save a form, anyone else who is logged in will be able to see it. There is no reason now to finalize discharge summaries until the patient is actually discharged!
- When you click "Create cView Note," the resulting note actually looks readable and nicely formatted. No more ********s. Literally. The QI measures still appear at the bottom and need to be included in the d/c summary to help the hospital track quality outcomes. Because of this, if you choose to verbally dictate the discharge summary, you still need to added your dictation with the QI measures from this section.
- The delete icon under your "Saved Notes" will no longer automatically delete the note -- it will ask you to confirm before proceeding with deleting.
What's new?
- Medications can be printed right from within a discharge form without even saving it. There's a new button that says "Print Medications" at the very bottom of the page. It does require some basic info to be plugged in (patient's MRN, name, allergies) but it should help with those times when you need to quickly print the meds without dealing with the rest of the discharge.
- If you are changing the dose of someone's medication and need to write them a script for it, you do not need to enter the medication twice under Old and New Meds (as you did with the old system). All you need to do is write the medication with how much you want to dispense (i.e. Lisinopril 10mg 1 tab po daily DISP#30, no refills) under the "Old Medications with New Instructions" box. ANY MEDICATION WITH THE WORD "DISP" AFTER IT WILL AUTOMATICALLY BE ADDED TO THE LIST OF PRESCRIPTION MEDS.
- The discharge paperwork that goes to the patient has been dramatically shortened, down to 2 pages. It contains only what the patient needs to know, with a reason for hospitalization in lay terms. It is formatted as a PDF
- There's a new "Upload Discharge PDF to cView" button -- this will actually send the patient's discharge paperwork directly into cView. Note that the discharge instructions do not contain a physical exam. Therefore, please include the physical exam in the discharge summary. If you upload the PDF and make a dramatic change afterwards to the discharge plan or meds, please re-upload the PDF. It's okay for more than one set of discharge instructions to be in the chart. The important thing is for the instructions in cView to be accurate.
- You MUST list a PMD. If it's a PMD at UCLA, simply start typing in their name and the new auto-suggest feature should find their name for you. Let us know if a name is missing. If it's an outside physician, there is an "NPI Search" link to figure out the physician's address. If you select no PMD -- guess what. There will be ASSIGNED a PMD. If are a PMD and you have availability (and the insurance is right), that PMD may be you. Otherwise they will be assigned someone else at UCLA. What if they can't remember their PMD's name? This probably means that the need a new PMD!
Why doesn't __________ work?
- The discharge button is still new. If you find a bug, let us know. We'll try our best to fix it. However, in 2 weeks, the old discharge buttons will disappear so please tell us before then if you can.
