Clinical Computer Systems Training

Educational Resources and Reference Material

 

SUPPORT STAFF - Enhancement Features Going Live in April 2016

EHR ENHANCEMENTS SUMMARY  

This summary document lists the electronic health record (EHR) enhancements going live on April 19, 2016. You can either open the summary document or view the individual sections broken out below.

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POWERCHART ONCOLOGY GO LIVE

PAEDIATRICS ONCOLOGY

 

As part of the PowerChart Oncology (PCO) project, Clinical Documentation and CPOE Chemotherapy ordering will go live in Paediatrics on B6 inpatients at VH and within paediatric ambulatory care in the PMDU on April 4 at 7am. Nursing intake and many elements of the bedside nursing record for all patients registered on B6 & in PMDU will now be completed online. Chemotherapy orders will be done electronically.

     

POWERCHART ONCOLOGY GO LIVE

ADULT ONCOLOGY

 

Adult Oncology will be going live May 2, 2016 with Clinical Documentation and CPOE Chemotherapy for patients registered to LRCP and C7. This also includes patients receiving Oncology treatments at St. Thomas, Woodstock and Wingham Hospital satellite Chemotherapy units.

     

POWERCHART ONCOLOGY GO LIVE

POWERCHART, FIRSTNET AND SURGINET

 

 

Important note:

After a go live the oncology paper forms will no longer be available at the bedside. This information will be accessible to anyone who has access to PowerChart, FirstNet or SurgiNet and the patient’s online chart.

     

HOME OXYGEN - VH, UH and LRCP ONLY

 

Based on mandated changes from the Ministry of Health, hard copy, signed prescriptions are now required for patients who need home oxygen. In order to facilitate this new requirement enacted on March 1st, a new plan replaced the original single order.

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SLEEP LAB STUDIES DONE AT LHSC CAN BE FOUND IN THE CARDIORESPIRATORY INVESTIGATIONS FOLDER

 

After May 9 (new date) sleep studies done at LHSC will post the results under Clinical Documents/Reports on the Menu, in the Cardiorespiratory Investigations folder, which is found in the Medical Imaging folder.

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NEW STANDARD ADULT TPN ORDER - LHSC ONLY  

There have been changes made to TPN orders. The new order can be ordered as a single order or PowerPlan. The new TPN Adult - Fluid Standard order PowerForm allows for multivitamin and trace elements to be added. Use the Discontinue (Future) TPN Standard order to discontinue the order.

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SELF-MEDICATION PROGRAM (SMP) - LHSC ONLY   There is now a formalized process and policy in place to support the Self-Medication Program (SMP). This will affect providers, nursing and pharmacy.

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NUCLEAR MEDICINE DOCUMENTATION - LHSC ONLY  

Nuclear Medicine will begin documenting the use of therapeutic radioisotopes on the MAR--these therapeutic radioisotopes will be viewable once administered as part of the MAR and MAR Summary.

     
COMING SOON - LEARNNOW  

Accessed through PowerChart, FirstNet and SurgiNet, LearnNow provides in the moment access to learning tools based on your role. Quick guides and videos are suggested based on your most recent actions in the EHR or can be searched for using key words. On March 30 LearnNow went live for a pilot group of Oncology staff and providers. See our website for more information.

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SUPPORT STAFF- Enhancement Features Going Live in February 2016

EHR ENHANCEMENTS SUMMARY  

This summary document lists the electronic health record (EHR) enhancements going live on February 16, 2016. You can either open the summary document or view the individual sections broken out below.

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NEW ALLERT AT LHSC, ST. JOSEPH'S AND STEGH FOR NUCLEAR MEDICINE ORDERS WHEN CHEST X-RAY ORDER NOT FOUND  

A new alert is triggered when the NM order is signed in PowerChart and a Chest X-ray order was NOT found within the 24 hours of this order

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MEDI-SHARE DIAGNOTIC CARDIOLOGY SERVICES WLL BE SCANNED INTO PACS FOR STRATHROY PATIENTS

 

As of Feb 3, 2016 the report generated by Medi-Share Diagnostic Cardiology Services will be scanned into PACS for Strathroy patients and available in PowerChart

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MEDICAL SECRETARIES NOW ABLE TO ENTER THE RECURRENT OUTPATIENTS LABS POWERPLAN IF AVAILABLE AT YOUR SITE  

This is for Medical secretaries that currently enter the Outpatient Lab PowerPlan. A signed paper order is still required if the medical secretary is entering this plan in the system.

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USING PM CONVERSATIONS IN CAPMAN  

Capacity Management now provides the ability to complete select PM Conversations from certain gadgets.

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SUPPORT STAFF - Enhancement Features Going Live in January 2016

EHR ENHANCEMENTS SUMMARY  

This summary document lists the electronic health record (EHR) enhancements going live on January 19, 2016. You can either open the summary document or view the individual sections broken out below.

Learn more:

     
ADULT TPN FORM CHANGES  

One change is a new Ensure allergies are reviewed for compatibility with TPN (i.e. eggs, soy, fish etc.) warning that appears at the top of the form.

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CLINICAL DISPLAY STANDARDIZATION  

As part of ongoing work to streamline and standardize changes are being made to clinical displays.

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NEW BONE MARROW FIELD  

A new Reason for Bone Marrow field will need to be filled out on all Differential Bone Marrow orders.

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POSTING OF ECG TRACKINGS IN POWERCHART (LHSC, ST. JOSEPH'S, PARKWOOD INSTITUTE, STEGH, WH, MHA)  

The ECG tracing will post in PowerChart prior to the final interpretation/report being generated by sites using the MUSE system

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TWO SYNONYMS FOR THE ORDERABLE RESPIRATORY CULTURE (RESP) ARE BEING REMOVED  

These are Nasopharyngeal Culture (RESP) and Culture- Nasopharyngeal (RESP).

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RESIDENCE CODE WILL NO LONGER DEFAULT TO 1901 FOR LONDON PATIENTS

 

Instead, when a London address is entered on a new patient or an existing patient has a change of address, staff will need to ensure that they are selecting the correct residence codes. 

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SUPPORT STAFF- Enhancement Features Going Live in December 2015

EHR ENHANCEMENTS SUMMARY  

This summary document lists the electronic health record (EHR) enhancements going live on December 15, 2015. You can either open the summary document or view the individual sections broken out below.

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NEW FIELDS HAVE BEEN ADDED TO THE LACTATION REFERRAL ORDER  

The fields have been added to improve the tasking and prioritization of the order.

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ASSESSED AND UNABLE TO ASSESS OPTIONS ARE BEING REMOVED FROM THE ACUTE RESPIRATORY ILLNESS AND TRAVEL HISTORY SCREEN POWERFORM  

If the Infection Control screening was not completed during registration then screening cannot be bypassed (unable to assess) on the Inpatient task.

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NEW MEDICATION ADMINSTRATION EARLY/LATE REASON  
Self Administered is a new reason in the Early/Late Reasons window.

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OUTPATIENT DISCHARGE NOW AVAILABLE ON RECONCILIATION DROP-DOWN - FEATURE MUST BE REQUESTED FOR YOUR AREA  

Medication actions completed during the Outpatient Discharge process will appear on the Outpatient Visit Summary report.

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SUPPORT STAFF - Enhancement Features Going Live in November 2015

EHR ENHANCEMENTS SUMMARY  

This summary document lists the electronic health record (EHR) enhancements going live on November 17, 2015. You can either open the summary document or view the individual sections broken out below.

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AUTOAMTED ADMISSION MRSA SWABS - LHSC ONLY  

All patients admitted to LHSC will automatically have an MRSA q2 weeks order placed on their chart as per the universal screening protocols.

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SCREENING IS CAPTURED WITHIN REGISTRATION AND POWERFORMS AND APPEARS ON THE INFECTION CONTROL SUMMARY PAGE  

The Infection Control page in PowerChart, FirstNet and SurgiNet is being enhanced to align screening questions and collection within Registration and PowerForms.

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CHANGES TO SUGGESTED ORDERS AND PROPOSED POWERPLANS  
Read when they will be discontinued if not initiated or if they are not accepted or are rejected plus how to set a future date.

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DIAGNOSTIC NEUROLOGY FOLDER IN POWERCHART DISPLAYS CERTAIN RESULTS FROM LHSC AND ST. JOSEPH'S  

PowerChart users will be able to view EEG and EMG results/reports in a new folder called Diagnostic Neurology in Clinical Documents and Reports plus a new view called Diagnostic Neurology in Results Review.

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SUPPORT STAFF - Enhancement Features Going Live in October 2015

EHR ENHANCEMENTS SUMMARY  

This summary document lists the electronic health record (EHR) enhancements going live on October 20, 2015. You can either open the summary document or view the individual sections broken out below.

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DEFAULT DISPENSE QUANTITY FOR NARCOTICS HAS BEEN REMOVED  

The prescriber can still have the dispense auto-calculate by completing the Duration field.

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CHANGE THE DEFAULT SUMMARY VIEWPOINT START PAGE IN POWERCHART AND FIRSTNET  

You can now change the default start page in PowerChart and FirstNet to any page on the table of contents menu.

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A NEW DECISION SUPPORT WINDOW AT TIME OF ORDERING ESR FOR LHSC AND ST. JOSEPH'S  
A new Decision Support window will appear at the time of ordering ESR to help prevent inappropriate ordering for LHSC and St. Joseph's.

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PRESCRIPTION CHANGES  

Prescription entry changes and prescription print changes will be implemented.

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ECG ORDERABLE REPORTING CHANGES FOR FOUR COUNTIES PATIENTS  

A dictated result is viewable electronically in PowerChart as well as a link to the ECG once it is final.

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ECG ORDERABLE REPORTING CHANGES FOR STRATHROY PATIENTS  

A dictated result is viewable electronically in PowerChart as well as a link to the ECG once it is final.

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SUPPORT STAFF- Enhancement Features Going Live in September 2015

EHR ENHANCEMENTS SUMMARY  

This summary document lists the electronic health record (EHR) enhancements going live on September 15, 2015. You can either open the summary document or view the individual sections broken out below.

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MPAGES UPGRADE - ADDITION OF VENUE FIELD - NEW VIEW FOR SCRATCH PAD  

MPages were updated at the end of August.

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SIMPLIFIED ORDERING FOR PUMLMONARY FUCTIONS TESTS IN POWERCHARTE - LHSC ONLY  

The ordering process when ordering Pulmonary Function (PF) tests in PowerChart at LHSC will be simplified.

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CLINICALCONNECT  
The project team is facilitating ClinicalConnect access, starting September 2nd. This means that some users may notice the ClinicalConnect MPage on their accounts. This should not impact any other workflow.

Learn more about ClinicalConnect and Go-Live dates:

     
INFECTION CONTROL SUMMARY PAGE CHANGES COMING IN SEPTEMBER  

In early September the Infection Control Summary page in PowerChart will be enhanced to include up to date Acute Respiratory Illness (ARI) and Travel History Screening results.

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SUPPORT STAFF - Enhancement Features Going Live in August 2015

EHR ENHANCEMENTS SUMMARY   This summary document lists the electronic health record (EHR) enhancements going live on August 18, 2015. You can either open the summary document or view the individual sections broken out below.

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MYEXPERIENCE FOR RESIDENTS  

Clicking the MyExperience icon on the toolbar allows the resident to change their position based on the role they are fulfilling currently.

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ECG ORDERABLE REPORTING CHANGES FOR WGH PATIENTS  

A dictated result is viewable electronically in PowerChart as well as a link to the ECG once it is final.

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BLOOD PRODUCT OUTDATED SAMPLE ALERT AND ORDERING  
When placing single orders and PowerPlans related to blood products for a patient with an outdated Group and Screen, the Blood Product Outdated Sample alert will appear.

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INFECTION CONTROL SUMMARY PAGE CHANGES COMING IN SEPTEMBER  

In early September the Infection Control Summary page in PowerChart will be enhanced to include up to date Acute Respiratory Illness (ARI) and Travel History Screening results.

Learn more:

 

SUPPORT STAFF - Enhancement Features Going Live in July 2015

EHR ENHANCEMENTS SUMMARY   This summary document lists the electronic health record (EHR) enhancements going live on July 21, 2015. You can either open the summary document or view the individual sections broken out below.

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NEW COMPLIANCE CODE "STARTED IN SENDING HOSPITAL"   A new compliance reason "Started in Sending Hospital" is now available when documenting medications that were started in the sending hospital.

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DI CANCEL NOFITY SENT TO MESSAGE CENTER  

A DI Cancel Notify will appear in Message Centre when orders are canceled within Diagnostic Imaging.

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TPN ADULT FORM CHANGE  

A No/Yes prompt is now available to the Additives section of the form for Additional Zinc.

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BPMH "LEAVE MED HISTORY INCOMPLETE - FINISH LATER" CHECKBOX FOR POWERCHART AND SURGINET  

When you are unable to document all medications for a patient, ensure Leave Med History Incomplete - Finish Later has been checked.

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STANDARDIZE DOSING FOR TRANEXAMIC ACID (IV)  

Standardize dosing will eliminate pharmacists "modifying" a dose during verification to a measurable amount.

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BOX AROUND "TIMED" ON LAB LABELS  

A small box will appear around the word ‘TIMED’ on lab labels with a timed frequency.

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POWERPLANS  

A PowerPlan section has been added to the left-hand menu. To see a list of all PowerPlans across all sites, to request a new or require a change to a PowerPlan or print PowerPlans during downtime, choose PowerPlan and then Quick Guides on the list of options.

 

SUPPORT STAFF - Enhancement Features Going Live in April 2015

EHR ENHANCEMENTS SUMMARY   This summary document lists the electronic health record (EHR) enhancements going live on April 21, 2015. You can either open the summary document or view the individual sections broken out below.

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NUCLEAR MEDICINE NOTIFY ORDER FOR INPATIENT AND EMGERENCY  

The job aid explains the new Nuclear Medicine Notify Order.

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NEW DISCONTINUE (FUTURE) TPN +/- LIPIDS ORDERS (LHSC, STEGH AND WGH only)

 

The job aid explains the new Discontinue (Future) TPN (excluding lipids) and Discontinue (Future) TPN and Lipids orders.

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CLINICAL NOTES VIEWER AND DOCUMENT VIEWER NOW AVAILABLE FOR MEDICAL SECRETARIES  

The job aid explains that Medical Secretaries now have access to Document and Cliinical Notes Viewers.

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SUPPORT STAFF - Enhancement Features Going Live in March 2015

EHR ENHANCEMENTS SUMMARY   This summary document lists the electronic health record (EHR) enhancements going live on March 17, 2015. You can either open the summary document or view the individual sections broken out below.

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CANCEL DC REPLACES CANCEL/REORDER ON LBORATORY ORDERS  

The job aid explains how Cancel DC replaces Cancel/Reorder on Laboratory orders.

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NEW OUTPATIENT PICC ORDER - LHSC ONLY  

The job aid explains the new Outpatient PICC order.

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SUPPORT STAFF - Enhancement Features Going Live in February 2015

EHR ENHANCEMENTS SUMMARY   This summary document lists the electronic health record (EHR) enhancements going live on February 17, 2015. You can either open the summary document or view the individual sections broken out below.

Learn more:

     

 

SUPPORT STAFF - Enhancement Features Going Live in January 2015

NEW CORPORATE PASSWORD STANDARD   Beginning January 20, when you are next prompted to change your corporate password a new standard will be required. When the password is changed the matching Cerner ID will be linked to the corporate ID.

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SUMMARY  

This summary document lists the electronic health record (EHR) enhancements going live on January 20, 2015.

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SUPPORT STAFF - Enhancement Features Going Live in December 2014

SUMMARY   This summary document lists the electronic health record (EHR) enhancements going live on December 9, 2014.

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SUPPORT STAFF - Enhancement Features November 2014

FIRST DOSE DEFAULT TIME FOR MEDICATIONS
  When ordering medications many of the standard frequencies will now default the first dose to the next regularly scheduled time.

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MY SEARCH
  My Search provides an improved experience over classic search and uses predictive text technology to make your order searches faster and more efficient.

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ADDITIONAL EDUCATION MATERIAL
  The job aids represent additional features/enhancement going live in PowerChart in November.

Job aids: