E-DISCHARGE MEDICATION MODULE Last updated: 2/9/151.
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Transcript of E-DISCHARGE MEDICATION MODULE Last updated: 2/9/151.
Last updated: 2/9/15 2
GETTING ORIENTED
Shows most recent Home Med List
Displays all med lists within San Francisco Health Network (SFHN)e.g. eCW, Jail Health Services, Laguna Honda
Create a complete Discharge Med List using Home & Inpatient med lists
Send electronic or print paper rx’s
Find formulary & insurance info
Last updated: 2/9/15 3
SEND PRESCRIPTIONS
To Retail or Discharge Pharm.
DISCHARGE MED LISTImported to Discharge docs
CREATE HOME MEDICATION LISTRequired For Every Admit
STEPS
4Last updated: 2/9/15
SEND PRESCRIPTIONS
To Retail or Discharge Pharm.
DISCHARGE MED LISTImported to Discharge docs
HOME MEDICATION LISTRequired For Every Admit
STEP 1: Collect Home Meds
• Done By Provider or Med Rec Techs
• Cannot start any discharge process until home meds are collected
5Last updated: 2/9/15
SEND PRESCRIPTIONS
To Retail or Discharge Pharm.
DISCHARGE MED LISTImported to Discharge docs
HOME MEDICATION LISTRequired For Every Admit
To Request Home Med collection from Med Rec TechsSelect “Home Med Request” under Collect Home MedsAllow 24 hr turnaround time
STEP 1: Collect Home Meds
6Last updated: 2/9/15
SEND PRESCRIPTIONS
To Retail or Discharge Pharm.
DISCHARGE MED LISTImported to Discharge docs
HOME MEDICATION LISTRequired For Every Admit
Accuracy Counts!Used by all KEY STAKEHOLDERS
STEP 2
Discharge Meds
Patient’s Instructions
Outpatient Providers
Home Health Worker
ePDP
Last updated: 2/9/15 7
Step 1: MUST select Eligibility Benefits to enable e-prescribing. You cannot e-rx later if this step is missed. [choose any available option and then click complete]
Step 2: Select Reconcile Discharge.
STEP 2: Create Discharge Med List
1.
2.
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Step 3: Address all Home Meds
Tips Any Home Medication stopped (X), will be automatically
noted in the Patient Discharge Instructions
Med with a GREEN arrow cannot be e-prescribed later. (telling the patient “take your home supply”)
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Step 4: Address all In-house Meds
Click X to stop any medication
Tip
Med with a BLUE arrow indicates either a home med with changes to directions OR a new medication. [quantity to dispense and refills should be filled in]
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This creates your discharge med list.
Meds listed here = ALL meds the patient should take upon discharge
This list is imported to the ePDP and patient discharge instructions
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Be mindful of tablet strength (325mg) vs. Dose (650mg)
To Prescribe a med, Select the med name
Then fill out additional Rx information
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Always….Always…Always***HIT THE E-RX BUTTON*** when available
Failure to hit eRX button will prevent you from e-prescribing a prescription !!!
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Select Rx destination. Each row is an Rx with unique destination.
TIPSFGH Discharge Pharmacy can be chosen by MDs without DEA license, i.e. interns
Retail Pharmacy Only DEA licensed providers can send eRX to Retail pharmacy. (ask Attending or R3 to send prescriptions)
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Select Paper Rx for:1. Any controlled medication
TIP: schedule II meds, e.g. oxycodone, requires a secure script in addition to entering in discharge med list
2. All Supplies (e.g. ‘test strips’) TIP: supplies to any RETAIL (non-discharge) pharmacy must also be called in OR paper faxed
3. To hand a physical prescription to patient
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Clinical Checking will identify potential interactions
Click here to address the issue
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The GRAY screen indicates your work is saved. (If you navigated away without saving/completing,
you do NOT see this screen)
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SEND PRESCRIPTIONS
To Retail and/or Discharge Pharm.
DISCHARGE MED LISTImported to Discharge docs
HOME MEDICATION LISTRequired For Every Admit
STEP 3
Final step• Remember: interns cannot e-Rx
to Retail Pharmacy (get attending/R3)
• Even if not Rx’ing, discharge list should contain ALL meds patient takes upon discharge
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You can change quantity/destination by selecting the medication then adjusting
in Med Detail pane below**then hit UPDATE PRESCRIPTION*
Or just hit Clear to de-select the medication
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Here, problem is Rx #2 has no destination.
Note: Retail Pharmacy grayed out. Why?
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Because no Retail Pharmacy was selected. Use the Change
button to select one.
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1) Pagerbox window opens. Use this to send D/C info to discharge pharmacy. ***very useful to reduce calls for clarifications** (e.g. – changed lasix dose
2) Notice Gray screen indicates successful completion
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Issues That AriseISSUE RESOLUTION
I can’t select a destination to send my Rx!
• Did you (or person who entered med) hit gray e-Rx button and do an Eligibility Request?
• Perform those functions, remove med in question, re-add it
My med says “free-text medication” and I can’t prescribe it
• Try removing medication from discharge list, then using the “Search for New Med” tab rather than using Home or In-House med list
• Pagerbox Superuser to make aware of issue: 443-5794• Last resort: keep free-text medication on DC med list, call in
rx to pharmacy verbally
I can’t add a med due to invalid frequency
• Use a frequency from the drop-down list OR• Use the ‘alt dose’ field to write out sig free-hand
I’m an intern/resident but not enrolled to e-Rx to Discharge Pharmacy
1. Text Page 443-5794 (superuser) or page 327-0739 OR2. Email: [email protected] with the following: name, year CHN #, NPI# department, and DEA (if you have it)