1Health Physician Communication - July 28th

CHANGE SUMMARY

Change

Go Live Date

Change Summary

Benefits

Review/Approval

Acute Inpatient to Home Discharge

Aug 11

The following changes will be made to the Inpatient to Home Discharge:

  • · Discharge Prescription report and Home Medications report will be updated
  • · Comment field on Discharge order will be expanded
  • · Stop reason will no longer be required when a home medication is stopped
  • Notes to Community Pharmacy field will be added and will print on prescriptions
  • · Discharge Plan layout changes: Discharge order moved to top and barriers removed (these will be available on the discharge summary)
  • Discharge Packet

Tip Sheets and documents that will be made available on 1Health Physician Education page:

  • Discharge Overview
  • Discharge Medication Reconciliation and Prescriptions
  • Lab and Imaging Orders at Discharge
  • Acute Inpatient to Home Discharge Workflow
  • Optimized discharge process for all providers and allied health members involved with the inpatient discharge workflow
  • Improved Discharge Prescription that includes Notes to Community Pharmacy
  • Simplified Discharge Plan with discharge order located at the top to reduce scrolling
  • Reduced clicks when stopping home medications

Acute Discharge Working Group (May 6, 2022)


PLC (May 30, 2022)

Community Hospital Inpatient Discharge Changes

Aug 11

To standardize the discharge process, the following changes will be made for WLCH and DCCH:

  • Home medications will have to be reconciled at discharge
  • Prescriptions must be Finalized

Tip Sheets and documents that will be made available on 1Health Physician Education page:

  • Community Hospital Discharge Tip Sheet
  • Lunch and Learn dates to come
  • Ensures home medications are reconciled at discharge

Acute Discharge Working Group (May 6, 2022)


PLC (May 30, 2022)

Printed Rounds List

Aug 3
  • A new Rounds List report option will be added in Web Acute that includes the patient’s healthcare number and admission diagnosis, as well as additional space to write notes

Tip Sheets and documents that will be made available on 1Health Physician Education page:

  • Rounds List Reporting Tip Sheet
  • Relevant information will be included on the printed Rounds List

PLC (July 11, 2022)

D/C’s meds in Current Orders

Aug 3
  • Discontinued medications will no longer be displayed in the Current Orders list
  • To view discontinued medication orders, select the drop down next to “Current” and select “Historical”- all the historical orders will be displayed
  • Simplifies Current Orders list.

PLC (July 11, 2022)

Admit Request

Mid-August
  • Changes to the Admit Request are coming soon - a separate email will be sent in early August with more information
  • Streamlined admission process that reduces clicks

PLC (July 11, 2022)

Labor/Birth Summary Record

Aug 2
  • The Labour/Birth Summary Record will now display as “Labor & Delivery Summary” in Provider Notes
  • Please note that historical reports will continue to display as “Labor and Delivery Notes” as this change will only impact new reports
  • Clarifies report

PLC (July 11, 2022)

EMS Arrival on ED Tracker

Aug 3
  • On the My List and All Patients in Department ED Tracker, the ED Area will now display in red text for patients that arrive by EMS
  • Please note that this functionality is currently on the To Be Seen tracker
  • Displays patients that arrived by EMS on additional ED Trackers

PLC (July 11, 2022)

Inpatient Lists on ED Tracker

Aug 3
  • The following lists will be added to the ED Tracker under More Lists: WGH Medical, WGH Surgical and WGH ICU

Tip Sheets and documents that will be made available on 1Health Physician Education page:

  • Remove Lists From ED Tracker
  • Easily view WGH inpatient lists without having to switch to Web Acute

PLC (July 11, 2022)

Surgical List Format

Aug 2
  • The Surgical Cases List in Web Acute will be updated to include additional information

Tip Sheets and documents that will be made available on 1Health Physician Education page:

  • Exclude Cancelled Cases from Surgical Cases List
  • Improves patient list display

PLC (July 11, 2022)

Critical Care Flowsheet

Aug 11
  • A new Critical Care Flowsheet has been created to pull a variety of information into one view. The Flowsheet is located under the Flowsheet tab for physicians and the Clinical Panel tab for nursing
  • The flowsheet includes the following patient information: Vital Signs, Ventilator parameters, Glucose, Bowel Movements, Labs, Imaging, Microbiology, Pathology, Provider Notes, Nursing Notes, Allied Health Notes, Medication Administrations, Intake & Output, CIWA and COWs
  • Flowsheets reduce clicks for physicians and provide one central location for viewing patient information

PLC (July 25, 2022)

Cancel All prompt for orders

Aug 11
  • Some order sets (e.g. Admit Med/Surg) have the setting “Cancel All” associated with them. As a result, when cancelling an individual order from that order set, it prompts to cancel all the orders.
  • This change will turn off Cancel All function for all ED, Admit and Convenience order sets. The order set PCA, DKA Fluids, Midazolam and Naloxone will still have Cancel All associated with them
  • This will reduce clicks and improve order set usability when physicians are stopping orders placed from within the order set.

PLC (July 11, 2022)

Aliases

Aug 2
  • Aliases will be added to several orders to improve the search functionality. See a list of the new order alias changes here
  • Improves ordering process by making orders easier to find

PLC (July 25, 2022)

Suppress Titrate

Aug 9
  • The titrate button is currently available within infusions (I.e., PCA) when accidentally de-selected removes the protocol attached to that drug string. Manually replacing the protocol into the string is the only option after it is selected, which has resulted in protocols being removed from high alert medications and infusions
  • Other sites have suppressed this setting to ensure protocols are not removed from infusion strings
  • Eliminate the potential for the protocol to be removed and does not impact the actual ordering of a titrating infusion

PLC (June 30)

FOR INFORMATION

Item

Summary

Review/Approval

Default Lab View on ED Tracker
  • The default display for labs from the ED Tracker is currently set to Flowsheet.

Tip Sheets and documents that will be made available on 1Health Physician Education page:

  • Change Default Display for Labs From ED Tracker to List

PLC (July 11, 2022)

Beta-hydroxybutyrate testing
  • Effective July 28, beta-hydroxybutyrate testing will replace serum ketones testing and will be available on site at the Whitehorse General Hospital Laboratory using whole blood samples sent to the laboratory for measurement with the Nova Statstrip Hospital Point of Care Meter™. Beta-hydroxybutyrate testing will not have to be sent to SPH for processing, improving TAT for results aiding with diagnosis and treatment of patients at WGH. No extra order sets to be built, clear definite testing for all order sets currently using Ketone and B-hydroxybuterate)

YHC Laboratory Services

Plexia Report Distribution Issue
  • On July 12, a critical issue was reported to the 1Health team related to report distribution from MEDITECH to Klondyke Medical Clinic
  • The issue was due to an error within Plexia
  • The issue was resolved by Plexia on the evening of July 13

PLC (July 25, 2022)

Eliminate the vitals that pre-populate in the labor progress note
  • The auto-population of the vitals on the labor progress note is not required and formatted data can be pulled in manually within the report when required

PLC (July 25, 2022)

Postpartum Progress Note EMR ID change
  • When a Postpartum progress note is filed, it now has the appropriate EMR ID associated with it. Until now, it was displayed as "maternal-fetal progress note" on the provider notes section

PLC (July 25, 2022)

If you encounter any issues or have any questions about these changes, please contact the
1Health support line at Ext 8601 (internal) or (867) 393-8601 (external) or through JIRA at YHC-HELPDESK@wgh.yk.ca