AHLTA Tips and Tricks: What You Need to Know Today!

Transcription

1 AHLTA Tips and Tricks: What You Need to Know Today! Edited 2015 from USAFP Conference March 2007 Mark E. Stackle, MD AMEDD AHLTA Program Office

2 Outline Creating and editing order sets from A/P module Dx Prompt/Prompt Default Templates Consult Log (Time permitting) Patient Handout AIM Form (Time permitting) AMEDD AHLTA Program Office

3 Creating Order Sets In The A/P Module Order sets can be huge time savers! Enables you to select commonly used orders from pick list instead of having to search each time Order sets can be created and edited from the A/P page within your normal workflow You can easily modify orders in your order set to adjust for an individual patient (i.e. type impression for x-ray or consult order, change sig for medication orders)

4 To edit the Order Set of an ENC template in the current encounter A/P module 1) Select template you wish to modify in the drop down menu OR 2) If you don t have a template yet, start one by following the steps on the next slides Selected Template

5 1) Go to appropriate order module and search for the medication, lab or radiology study 2) Select appropriate order 3) Click on Save To Queue For example, order UA IMPORTANT: You must select Save To Queue, NOT Submit

6 You will know you are successful if the order appears here and is Underlined. AMEDD AHLTA Program Office Repeat previous steps to add as many orders as you would like.

7 1) Once you have completed entering your orders and saving them in the queue, go to the Order Sets tab 2) You should see the new orders you entered at the top and underlined (Any previous orders in the order set will be listed below) 3) Select Save As Order Set

8 1) From this menu, select the template you wish to add the orders to. Make sure that the name appears below after Template Name 3) Once you have the correct name in place, select SAVE 2) If you are creating a brand new template, simply type in your desired template name.

9 This menu will appear if you are editing an existing template, not if you are creating a new order set From this menu, Select ADD TO. If you select Replace, you will lose all your previous orders

10 1) You have now successfully added an order to your Order Set without leaving the A/P module. (*You can finish ordering the tests/meds you had Saved To Queue by clicking SUBMIT ALL or you can Delete them.)

11 2) Select orders by clicking boxes, then click SUBMIT 1) To access your newly modified Order Set on the next patient, simply select your template from drop down menu here and go to Order Set tab. AMEDD AHLTA Program Office 3) To modify an order, pick select box on left and modify box on right you will get prompts to make modifications.

12 Additional Suggestions Take a minute to list what orders you plan to add. The orders you add will appear in the sequence in which they were ordered so if you want to group orders by type (lab, xray, med), then group those together. Note: Long term medications should be renewed from medication list to avoid adding duplicate meds to patient s medication list. Future: New enhancement will allow the building of order sets and full templates without being in an encounter (present in build 3.3)

13 Consult Log How this Helps Provides an easy to use menu to track status of consults to include being able to see: Status of consult (has it been booked, has patient been seen, did patient no-show) Access completed consult easily Way to see all consults and pertinent info easily (reason for consult, location of consult)

14 To access Consult Log, select from folder list AMEDD AHLTA Program Office

15 1) Click here to select parameters 2) From this box, select manner which you would like to track consults to include dates, status of consult 3) If you always want to see consult display the same way, select this as default. AMEDD AHLTA Program Office 4) OK when finished.

16 1) Can sort by any of topics listed on this bar. (Status, Dx, Clinic, Appt Date, etc...) 2) Double click on consult and completed encounter will load if available.

17 1) Select HISTORY and you can track date/time of progress. (see box below)

18 Patient Handouts Template A great tool to quickly access patient education materials directly through AHLTA! Enables easy documentation into progress note that patient education occurred Can be used by any member of the health care team (RN, LPN, Medic, Patient Educator, Provider) Handouts available in English or Spanish Many handouts have great pictures Can link easily to other related handout information Usage Directions: Go to S/O Template Management from the S/O Module Search for: all--patient handouts Select and Add to Favorites for easy access in the future

19 General patient education topics across top of form AMEDD AHLTA Program Office

20 Selecting Left bullet will document that educational materials were given to patient AMEDD AHLTA Program Office

21 Documentation is added automatically under Counseling/Education AMEDD AHLTA Program Office

22 Selecting RIGHT? button will direct you to the Health Library patient handout that can be printed and given to patient.

23 Many are available in Spanish as well AMEDD AHLTA Program Office

24 *Information includes Causes, Risks Factors, Symptoms *Blue text provides link to other related diagnoses or procedures *Some procedure topics also include short summary video of what the patient should expect with the procedure

25 *Also includes Diagnosis Methods and Treatment Options (both prescribed and OTC) and Prevention Strategies *Can be printed directly from site and handed to patient at the close of the visit or ed to patient