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BASIC ELECTRONIC HEALTH RECORD (EHR) SETUP
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Learning Objectives• Compare and Contrast the Various
Resource and Patient Management System (RPMS) Packages Utilized for RPMS EHR
• Delineate Functionality of Each Package• Review Basic EHR Setup
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RPMS-EHR SetupComponents needed for RPMS-EHR to
function properly:• Text Integration Utility (TIU)• Health Summaries (IHS and VA)• Orders (OE/RR)• Consults• Graphical Patient Care Component (PCC)
Components• EHR Components (BEH)
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Text Integration Utilities• Progress Notes and Discharge
Summaries• Package is both RPMS and EHR• Character-based (No Pictures, Italics,
Bold, Underline)• Individuals are set up by User Class• Controlled by a set of business rules
– Document Class– User Class
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Indian Health Service (IHS) Health Summary (APCHS)
• Displays data stored in files• Retrieval only (No data is stored into health
summary)• Sites may customize and create their own
health summary types• Originally intended for printing
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VA Health Summary (GMTS)
• Veterans Administration’s (VA’s) version• Ad hoc component to create “on-the-fly
health summaries”• May create “TIU Objects” from VA Health
Summaries
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Order Entry/Computerized Patient Record System (OR namespace, OE/RR, ORD)
• Order Entry/ORD • Quick Orders• Order Checks• Printing of Orders• Delay Orders• Keys Management
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Notification (NOT)• Configure all notification dealing with
orders• Notification dealing with TIU are hard
coded and can not be edited• All notification are alerts but not all alerts
are notifications• CAC can activate or de-activate
notifications
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Patient list (PAT)• Set consult team list• Create patient list that are auto populated
according to the ADT movements.• CAC needs to assign or is responsible for
editing these team list when providers are hired or leave the facility
• Teams may be setup as a subscribe list, meaning that providers can either add or take themselves out of these list within EHR.
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Consults (GMRC)• Setting up Consults (Internal)• Not to be Confused with Referred Care
Information System (RCIS) (External)• Tracking and Reporting Options• Can be used for Requests for Service or
Procedure as well “Consults”
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Graphical Components for V Files (BGO)
• Setup of Pick Lists and Super Bills• Current Procedural Terminology (CPT) Codes
(Super Bill)
• International Classification for Diseases, Ninth Edition (ICD9) Codes (Pick List)
• Patient Education Codes (Pick Lists)
• Includes transaction codes and CPT Modifiers
• Associations may be created for CPT Codes
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EHR Components (BEH)• BEH = Parts of EHR that are not “OR”• Most “OR” parameters are available on the
“BEH Menu” for Clinical Application Coordinator (CAC) configuration.
• Some parameters created specifically for the flexibility of the EHR
• Vital measurements, patient and encounter data
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Clinical Reminders (PXRM)• Only used at EHR sites• National reminders• Sites must configure local tests to national• Reminder dialogs allow users to enter data
into progress notes and PCC simultaneously
• Reminders implemented separately from RPMS-EHR
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CAC Setup• Make sure Medical Records staff and CACs
have necessary keys– TIU Keys = TIUZMGR and TIUZHIS
– BEH Keys = BEHOZMENU
– CIA Keys = CIAV COMPOSE and CIA DESIGN
– BGO Keys = BGOZCAC
– BIZ Keys = BIZ MANAGER
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CAC Setup• Health Summary Keys = APCHZMGR and
GMTSMGR• Allergy Keys = GMRA VERIFIER and
GMRA USER
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Special TIU CAC Setup• Three TIU User Classes
– CLINICAL COORDINATOR– CHIEF, MANAGEMENT INFORMATION
SYSTEM (MIS)– PROVIDER
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Questions and Discussion