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CSI FOR CIS - 310H

2. Sally KellumCAC, Durham VAMCSheri KreuzEPS/Clin 2, SLC OIFOPhilip VanCampClinical Informatics Coordinator, VA Maryland HCSRich VertiganCPRS Developer, Albany OIFO. Faculty. 3. Overview. You each have your own personal VistA and CPRS account.Each is broken" in a variety of ways~10 minute

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CSI FOR CIS - 310H

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    1. CSI FOR CIS - #310H Investigation to the Higher Degree

    2. 2 Faculty

    3. 3 Overview You each have your own personal VistA and CPRS account. Each is “broken” in a variety of ways ~10 minutes per problem, with successive hints provided during each time period After making any changes, you need to logoff/logon for those changes to take effect Several of the problems have multiple parts to solve/fix the problem. Please follow along as each solution is explained, and raise your hand if stuck.

    4. 4 “Friendly Competition” Each problem will have 2-3 hints If you solve the problem before the 1st hint, you get 5 points. If you solve the problem after 1st hint, you get 3 points. If you solve the problem after 2 or 3 hints, you get 1 point. Keep track of your points – the winner will take home a valuable prize!!!!!!!!!!

    5. 5 Overview (cont’d) Please locate your desktop shortcuts for CPRS and KEA Your login: Access: ##VEHU Verify: VEHU## ESig: VEHU##

    6. 6 Problem #1 The phone has been ringing off the hook. The Active Meds list box has disappeared from everybody's cover sheet.

    7. 7 Problem #1 The phone has been ringing off the hook. The Active Meds list box has disappeared from everybody's cover sheet. Hint #1: Hmmm - looks like the other LISTs are still in SEQUENCE

    8. 8 Problem #1 The phone has been ringing off the hook. The Active Meds list box has disappeared from everybody's cover sheet. Hint #1: Hmmm - looks like the other LISTs are still in SEQUENCE Hint #2: Parameters are your friends.

    9. 9 Solution #1 Re-add ORCV ACTIVE MEDICATIONS to parameter ORWCV1 COVERSHEET LIST as #4 at the SYSTEM level.

    10. 10 Problem #2 User calls to complain that they are not finding the THIRTYTHREE,PATIENT’s pending consult request for Audiology Outpatient when they are making an appointment for that same patient into the Audiology clinic. They’d like to link the appointment to the consult for better tracking/ updating of consult information. Use options provided on the menu to validate that the appointment is really linked to the consult request.

    11. 11 Problem #2 User calls to complain that they are not finding the THIRTYTHREE,PATIENT’s pending consult request for Audiology Outpatient when they are making an appointment for that same patient into the Audiology clinic. They’d like to link the appointment to the consult for better tracking/ updating of consult information. Use options provided on the menu to validate that the appointment is really linked to the consult request. Hint #1: What has “STOP”-ped this process from working, Maybe we should “consult” the appropriate option?

    12. 12 Problem #2 User calls to complain that they are not finding the THIRTYTHREE,PATIENT’s pending consult request for Audiology Outpatient when they are making an appointment for that same patient into the Audiology clinic. They’d like to link the appointment to the consult for better tracking/ updating of consult information. Use options provided on the menu to validate that the appointment is really linked to the consult request. Hint #1: What has “STOP”-ped this process from working, Maybe we should “consult” the appropriate option? Hint #2: Is the clinic and the consult service linked somehow?

    13. 13 Problem #2 User calls to complain that they are not finding the THIRTYTHREE,PATIENT’s pending consult request for Audiology Outpatient when they are making an appointment for that same patient into the Audiology clinic. They’d like to link the appointment to the consult for better tracking/ updating of consult information. Use options provided on the menu to validate that the appointment is really linked to the consult request. Hint #1: What has “STOP”-ped this process from working, Maybe we should “consult” the appropriate option? Hint #2: Is the clinic and the consult service linked somehow? Hint #3: You may need to order a new consult to verify effectiveness.

    14. 14 Solution #2 Use CONSULT ASSOCIATED STOP CODE [SD ASSOCIATED STOP CODE] option to edit the REQUEST SERVICE entries; ASSOCIATED STOP CODE field should be populated with the appropriate STOP CODE that matches the HOSPITAL (CLINIC) LOCATION.

    15. 15 Problem #3 User wants to view 2 patients in 2 different copies of CPRS, and complains that the 2nd instance of CPRS always starts up linked to the same patient as the first.

    16. 16 Problem #3 User wants to view 2 patients in 2 different copies of CPRS, and complains that the 2nd instance of CPRS always starts up linked to the same patient as the first. Hint #1: Users should not be FORCEd to always synch to the same patient.

    17. 17 Problem #3 User wants to view 2 patients in 2 different copies of CPRS, and complains that the 2nd instance of CPRS always starts up linked to the same patient as the first. Hint #1: Users should not be FORCEd to always synch to the same patient. Hint #2: Looks like somebody was trying a shortcut...

    18. 18 Solution #3 Remove CCOW=FORCE from CPRS shortcut.

    19. 19 Problem #4 Staff from Quality Management call and say they have a reviewer (VEHU,EIGHTY) that has the wrong CPRS access.

    20. 20 Problem #4 Staff from Quality Management call and say they have a reviewer (VEHU,EIGHTY) that has the wrong CPRS access. Hint #1: They are saying that they can see all the patients

    21. 21 Problem #4 Staff from Quality Management call and say they have a reviewer (VEHU,EIGHTY) that has the wrong CPRS access. Hint #1: They are saying that they can see all the patients Hint #2: The reviewer was supposed to be Restricted to just a few patients (310H Patient List)

    22. 22 Problem #4 Staff from Quality Management call and say they have a reviewer that has the wrong CPRS access (V80) Hint #1: They are saying that they can see all the patients Hint #2: The reviewer was supposed to be Restricted to just a few patients (310H Patient List) Hint #3: The dates for the restriction are up to August 30, 2008

    23. 23 Solution #4 Look up GUI access in the CPRS Clinical Coordinator Options Make Sure Restriction is Yes Make Sure a Patient List is assigned Make Sure the RPT tab is assigned Lastly check the expiration dates for the assignment of the RPT tab Remove COR so that only RPT is showing Validate in CPRS that user only sees REPORTS tab

    24. 24 Problem #5 User (VEHU, FORTYFOUR) calls stating they cannot complete clinical reminders even though they see them on the coversheet.

    25. 25 Problem #5 User (VEHU, FORTYFOUR) calls stating they cannot complete clinical reminders even though they see them on the coversheet. Hint #1: Are they DOA?

    26. 26 Problem #5 User (VEHU, FORTYFOUR) calls stating they cannot complete clinical reminders even though they see them on the coversheet. Hint #1: Are they DOA? Hint #2: You don’t need a paramedic to check their ORQQPX REMINDER FOLDERS parameter.

    27. 27 Solution #5 Lookup parameter ORQQPX REMINDER FOLDERS for User (VEHU, FORTYFOUR) to see what value. Use Edit parameter ORQQPX REMINDER FOLDERS to set D, O, A, N, E as appropriate Close CPRS Gui and re-log in to see if VEHU, FORTYFOUR can access the reminders

    28. 28 Problem #6 User (VEHU, FORTYFOUR) calls stating they cannot find or use note title “310H Lost Title Problem”.

    29. 29 Problem #6 User (VEHU, FORTYFOUR) calls stating they cannot find or use note title “310H Lost Title Problem”. Hint #1: “Actively” play Hide and Seek for the title

    30. 30 Problem #6 User (VEHU, FORTYFOUR) calls stating they cannot find or use note title “310H Lost Title Problem”. Hint #1: “Actively” play Hide and Seek for the title Hint #2: User has to play by the “Rules”

    31. 31 Problem #6 User (VEHU, FORTYFOUR) calls stating they cannot find or use note title “310H Lost Title Problem”. Hint #1: “Actively” play Hide and Seek for the title Hint #2: User has to play by the “Rules” Hint #3: Do the rules apply to the user? (310H Lost Title UC)

    32. 32 Solution #6 Check the status of the title and activate if inactive Check the Business Rules for the note title for any requirements Check the user’s (VEHU, FORTYFOUR) membership in the user class requirement and assign

    33. 33 Problem #7 User VEHU,SIXTYFIVE calls and says that they and TEAMGENMEDWARD are not getting alerts for new Telemetry Orders for patient ZZZRETIREDONENINETEEN,PATIENT

    34. 34 Problem #7 User VEHU,SIXTYFIVE calls and says that they and TEAMGENMEDWARD are not getting alerts for new Telemetry Orders for patient ZZZRETIREDONENINETEEN,PATIENT Hint #1: We are sending the message but do they have it turned ON?

    35. 35 Problem #7 User VEHU,SIXTYFIVE calls and says that they and TEAMGENMEDWARD are not getting alerts for new Telemetry Orders for patient ZZZRETIREDONENINETEEN,PATIENT Hint #1: We are sending the message but do they have it turned ON? Hint #2: Do we have this Order set to notify anyone?

    36. 36 Problem #7 User VEHU,SIXTYFIVE calls and says that they and TEAMGENMEDWARD are not getting alerts for new Telemetry Orders for patient ZZZRETIREDONENINETEEN,PATIENT Hint #1: We are sending the message but do they have it turned ON? Hint #2: Do we have this Order set to notify anyone? Hint #3: What role does the user play on TEAMGENMEDWARD?

    37. 37 Solution #7 Be sure the Flagged orderable item is set for inpatient orders Look at the Provider Recipients settings Make sure VEHU,SIXTYFIVE is a member of TEAMGENMEDWARD

    38. 38 Problem #8 User (VEHU, FORTYFOUR) calls stating they are prompted for cosignature on ALL notes. They only need cosignature for title: 310H Title Requires Cosignature

    39. 39 Problem #8 User (VEHU, FORTYFOUR) calls stating they are prompted for cosignature on ALL notes. They only need cosignature for title: 310H Title Requires Cosignature Hint #1: Obviously this “Student” didn’t graduate from class.

    40. 40 Problem #8 User (VEHU, FORTYFOUR) calls stating they are prompted for cosignature on ALL notes. They only need cosignature for title: 310H Title Requires Cosignature Hint #1: Obviously this “Student” didn’t graduate from class. Hint #2: Title needs to get some “class” (310H Cosignature Required UC)

    41. 41 Problem #8 User (VEHU, FORTYFOUR) calls stating they are prompted for cosignature on ALL notes. They only need cosignature for title: 310H Title Requires Cosignature Hint #1: Obviously this “Student” didn’t graduate from class. Hint #2: Title needs to get some “class” (310H Cosignature Required UC) Hint #3: User doesn’t want Title to be in class by itself.

    42. 42 Solution #8 Inactivate User’s (VEHU, FORTYFOUR) Student User Class Add 310H Cosignature Required UC to cosignature requirement within Documents Parameters for title 310H Title Requires Cosignature Add 310H Cosignature Required UC to the user Test the 2 titles 310H Title Requires Cosignature and 310H Title No Cosigner Needed for cosigner prompts

    43. 43 Problem #9 Surgery Service users cannot graph any Vital Signs (one particular user to check/validate is VEHU,THIRTYTHREE (V33)). Users are not using Vitals Lite.

    44. 44 Problem #9 Surgery Service users cannot graph any Vital Signs (one particular user to check/validate is VEHU,THIRTYTHREE (V33)). Users are not using Vitals Lite. Hint #1: In this situation, the GUI is NOT your friend!!!

    45. 45 Problem #9 Surgery Service users cannot graph any Vital Signs (one particular user to check/validate is VEHU,THIRTYTHREE (V33)). Users are not using Vitals Lite. Hint #1: In this situation, the GUI is NOT your friend!!! Hint #2: Parameters at your “service”.

    46. 46 Problem #9 Surgery Service users cannot graph any Vital Signs (one particular user to check/validate is VEHU,THIRTYTHREE (V33)). Users are not using Vitals Lite. Hint #1: In this situation, the GUI is NOT your friend!!! Hint #2: Parameters at your “service”. Hint #3: ORWG is the place to be!!!

    47. 47 Solution #9 Use LV to see that ORWG GRAPH EXCLUDE DATA TYPE parameter is set for SURGERY service to exclude file #120.5 GMRV VITAL MEASUREMENT. Use EP to remove the value.

    48. 48 Problem #10 User trying to place outpatient meal request for an outpatient seen in the AUDIOLOGY clinic (new visit); getting 2 different pop-up boxes indicating unable to place outpatient meal order.

    49. 49 Problem #10 User trying to place outpatient meal request for an outpatient seen in the AUDIOLOGY clinic (new visit); getting 2 different pop-up boxes indicating unable to place outpatient meal order. Hint #1: In this situation, the GUI is not your “friend”.

    50. 50 Problem #10 User trying to place outpatient meal request for an outpatient seen in the AUDIOLOGY clinic; getting 2 different pop-up boxes indicating unable to place outpatient meal order. Hint #1: In this situation, the GUI is not your “friend”. Hint #2: Can AUDIOLOGY and “Outpatient Meals” nutrition location be linked?

    51. 51 Problem #10 User trying to place outpatient meal request for an outpatient seen in the AUDIOLOGY clinic; getting 2 different pop-up boxes indicating unable to place order. Hint #1: In this situation, the GUI is not your “friend”. Hint #2: Can AUDIOLOGY and “Outpatient Meals” nutrition location be linked? Hint #3: For the 2nd pop-up, shouldn’t we EXPAND the ordering menu?

    52. 52 Solution #10 Use N&FS option Enter/Edit Nutrition Locations to associate Outpatient Meals location w/Audiology Hospital Location There are particular order dialogs that need to be used to order Outpatient Meals (Recurring Meals & Special (1x) Meals) – FHW OP MEAL and FHW SPECIAL MEAL on outpatients – expand the Dietetic Orders (FHWMENU) ordering menu to find Diet Order (o)

    53. 53 Problem #11 User calls and doesn’t know how many licks it takes to get to the center of a tootsie roll lollipop.

    54. 54 Problem #11 User calls and doesn’t know how many licks it takes to get to the center of a tootsie roll lollipop. Hint #1: Unwrap lollipop

    55. 55 Problem #11 User calls and doesn’t know how many licks it takes to get to the center of a tootsie roll lollipop. Hint #1: Unwrap lollipop Hint #2: Begin counting

    56. 56 Solution #11 The world may never know.

    57. 57 Congratulations!

    58. 58 Questions?

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