· Residents will now be required to select an ordering provider and ordering source when placing orders. This is required for referred out tests and to ensure correct result distribution.
· When placing orders, residents must select their preceptor as Provider and Resident Order as Source.
The following changes will be made to the ED Face Sheet:
Allergies and weight will be added
Correction to last hospital visit, and addition of last ED visit and last ADM visit
Community Hospitals only – addition of Discharge date/time and disposition
Provides additional information
PLC (Oct 24, 2022)
Preferred Name
Nov 2
Registration will begin capturing the patient preferred name in standard field.
The preferred name will display in brackets on the ED Face Sheet and the YHC Physician Rounds List Report.
The legal name will display on the ED Tracker and Acute Status Board. The preferred name will display in the chart.
Resolves issues with lab result distribution
Consistently captures preferred name
PLC (Oct 24, 2022)
Patient Search in ED Tracker
Nov 2
Currently, using Find Patient in ED Tracker will only display patient accounts for the specific facility. Using Find Patient in Acute Status Board displays patients for all facilities.
With this change, Find Patient in ED Tracker will display patients for all facilities. Once the chart is open, you may be prompted to select a specific account.
Reduces clicks
More intuitive for locums
PLC (Oct 24, 2022)
CHCAC (Oct 12, 2022)
Order Set Blitz
Nov 7-9
Working with physicians for each area, we will be creating new order sets to improve efficiency and streamline the current order sets.
The new order sets will be labelled with “preclick” at the end of the order set name. Please note that all existing order sets will still be available.
Changes such as pre-selecting orders, collapsing/expanding sections and moving sections will be in scope of the blitz.
Content changes (e.g. med changes) will be out of scope.
Reduces clicks
Reduces scrolling
Improves order set usability
PLC (Oct 11, 2022)
ED Report
Nov 15
The following changes will be made to the ED Report:
The three existing ED report templates will be combined into one ED report template
Prescriptions will be removed
The duplicate ED Diagnosis field will be removed
Sections (ED MDM, ED Procedures) can be added to the report using “Add Content”
ED Diagnosis is only required once
Improves formatting in Plexia
Removes unconfirmed home meds from report
PLC (Oct 24, 2022)
ED Committee (Sept 22, 2022)
CHCAC (Oct 12, 2022)
Preg Urine Dip POC
Mid November
Pregnancy POCi results will be documented electronically by nursing and will display on the ED Tracker. Urinalysis results will remain on paper and continue to be scanned into the chart.
Easier access to pregnancy results
PLC (Oct 24, 2022)
ED Committee (Sept 2022)
FOR INFORMATION
Item
Summary
Review/Approval
Ortho Hip Fracture Order Sets
The OT and PT Referrals on the following order sets will now be pre-selected:
Ortho Hip Fracture Pre Op
Ortho Hip Fracture Post Op
PLC
OB Vaginal Delivery Postpartum Order Set
The first Polyethylene Glycol 3350 order will be changed from SCH to PRN
PLC
HIM Deficiencies
Health Records will be sending a monthly letter to Workload with a list of any outstanding HIM deficiencies. The following material is available on the Physician Education Website for resolving deficiencies.
Admitting Provider for C-Section Newborn Admissions
The OB/GYN will no longer be listed as the Admitting Provider for C-Section newborn admissions. Since the GP OB will be the Admitting and Attending Provider, the surgeons will no longer have newborns on their Rounds List.
MAT Committee
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
