Some providers experience large numbers of In Basket messages related to cutover activities for Wave 2. Tips to be posted this week to illustrate how to manage these in batch.
Missed Cutover Admission Order & MedRec
If an admission order was missed, or medication reconciliation was not completed at Wave 2 cutover, efforts to discharge the patient post-launch can be blocked.
✅Instructions are prepared and promoted, with a Support posting, updated Manual section and new Tip.
Phases of Care
A workgroup continues to investigate any reports of surgical orders not anchored to a phase of care. Solutions are emerging.
✅No technical or configuration problems have been found, with no evidence of a build issue. Resolution through training and workflow.
Leave of Absence for Procedure
Some providers have struggled with workflows associated with leave of absence for a procedure at another facility.
✅The Manual has been updated and a new Tip sheet provided with clear step-by-step guidance for prescribers.
Duplicate Order Warnings related to Phase of Care
A cause has been identified for some inappropriate duplicate orders warnings related to phases of care.
✅A fix has been found and is implemented the afternoon of November 4, 2020.
A SWAT team is assembled to investigate order use in complex teams and ensure that saved, pended and co-sign status for orders works optimally for nurses, trainees, hospitalists and consulting surgeons.
✅Affect teams have adapted order signing (save, pend, sign, held, etc.) to fit with needs of surgical teams with hospitalists where surgeon in consultant role
Optimizing use of Treatment Teams
Work continues to find an optimal use of principle care provider, attending and admitting designations in obstetrics at some sites.
A team is working on optimizing workflows for the provision of "bridging" medications needed during leave of absence and some transfers.
A workgroup with many experienced physicians continues to unpack cutover challenges with medication reconciliation in high-volume settings.
✅Unintended automatic delivery of provider-authored progress notes is fixed in a Nov 4 upgrade.