Physician Updates - MEDITECH Expanse

This page is to provide physicians with updates in regard to MEDITECH Expanse.

Physician Education | Physician Onboarding

PLC | Downtime

Send in a Help Desk / JIRA Ticket



This page is to provide physicians with updates in regard to MEDITECH Expanse.

Physician Education | Physician Onboarding

PLC | Downtime

Send in a Help Desk / JIRA Ticket



  • 1Health Physician Communication - Nov 25th

    CHANGE SUMMARY

    Change

    Change Date

    Change Summary

    Benefits

    Review/Approval

    Max Doses for Acetaminophen and Loperamide

    Nov 28

    • Acetaminophen will have a rule of a max cumulative dose of 4000mg in 24 hours
    • Loperamide will have a rule of a max cumulative dose of 16mg in 24 hours.
    • These max doses will prompt nursing for an override. If the physician would like an alternate maximum, they must manually type the desired 24-hour max dose in the label comment when ordering.

    Simplifies ordering

    PLC (Nov 21, 2022)

    VTE Order Set

    Nov 30

    • The VTE Order Set will be streamlined on all admission order sets. The Reminders will also be updated and the Improve VTE Score will been added.
    • The following order sets will have “VTE Prophylaxis Not Required or Contraindicated” pre-selected: Admit GI Bleed, Admit UA or NSTEMI, Admit AMI/STEMI, Admit CVA Post Thrombolysis, Admit CVA Hemorrhagic, Admit Pulmonary Embolism

    Reduces clicks

    P&T (January 10, 2022)

    PLC (August 22, 2022)

    MAC (November 16, 2022)

    Print Out of OR Bookings

    Dec 1

    • A new question will be added to the Urgent/Emergent OR Booking Form and Elective Surgery OR Booking orders that will trigger a print out to the Surgical Clinic.
    • The question will default to “Yes” for all physicians working at the Surgical Clinic. It will default to “No” for all other physicians.

    Improves Surgical Clinic workflow

    PLC (November 7, 2022)

    Discharge Transfer from WGH to Community Hospitals

    Early December

    • · Discharge Transfer functionality in Discharge Plan can be used for inpatients transferring from WGH to a community hospital.
    • · Discharge Transfer allows the sending physician to suggest orders for the receiving physician. The receiving physician can then review the suggested orders and decide to continue or omit the orders.
    • With this change, Prescriptions and Problem Reconciliation are not required with a Discharge Transfer – once the discharge disposition is selected by nursing, the required red asterix will be removed.
    • Tip sheets will be posted here prior to go live.

    Streamlines ordering for receiving physician

    Improves BPMH process on future admissions

    PLC (November 7, 2022)

    Pre-Op Pediatric Analgesia Ordering

    Early December

    • The Anesthesia Pre Op Pediatric order set will be updated to include a Medical Directive order for pre-op analgesia. The order will flow to the worklist for nursing to enter the Medical Directive at the time of visit when a weight has been documented.
    • An additional communication will be sent to surgical services regarding this change.

    Improves workflow and accuracy for pediatric analgesia ordering at time of surgery

    P&T (March 14, 2022)

    PLC (June 28, 2022)

    MAC (November 16, 2022)

    Clearing Workload

    Mid December

    Physicians can opt in to having their workload cleared:

    • Only Results, CC Results, CC Documents and CC Reports will be cleared from your Workload
    • All other Workload items (e.g. *Hey Doc*, Deficiencies) will not be cleared

    If you would like your Workload cleared, please email kira.becker@healthtech.ca by December 9th

    Please note that this is the last time that workload clearing will be offered. To have your workload settings changed please email YHC-HELPDESK@wgh.yk.ca

    Removes historical workload results

    PLC (November 7, 2022)

    Required Fields on Lab Orders

    Ongoing

    Lab orders are continually being updated to remove required fields. “Is patient on Antibiotics” is no longer required on the majority of microbiology orders.

    Reduces clicks

    Lab

    FOR INFORMATION

    Item

    Summary

    Review/Approval

    Newborn Metabolic Screen

    To ensure that PKU’s on newborns are not missed, the Newborn order sets have been updated so that these orders default to lab to collect.

    Lab, Maternity

    Personalized Order Sets Pop Up

    To turn off the notification that a personalized order set has been updated go to Menu>Manage Personal Sets, select the order set and click “Do Not Show Again”.

    Admission Cancellations in ED

    When the admission of an ED patient has been cancelled, please ensure that the Admit Request order is cancelled. Nursing will follow up with Registration to have the account corrected.

    To ensure Health Records and CIHI standards are met, the documentation must accurately reflect the account type. If an Admission Note has been started it will have to be adjusted to an ED Report.

    1Health Team

    Barriers to Discharge in Discharge Summary

    Starting December 5th, a change will be made to the Barriers and Goals section in the Discharge Summary. During this transition, you may temporarily see multiple responses for barriers prior to and after December 5th.

    Please note that the Barriers to Discharge section is view only and will not display on the Discharge Summary output.

    1Health Team

    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

  • 1Health Physician Communication - Oct 28th

    CHANGE SUMMARY

    Change

    Change Date

    Change Summary

    Benefits

    Review/Approval

    Resident Ordering

    Nov 1

    • · 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.
    • Orders placed by residents will not require a signature
      Resident and Medical Student Ordering Overview Tip Sheet
      Resident Ordering Tip Sheet
    • Improves process for referred out tests
    • Improves result distribution

    PLC (June 28, 2022)

    Medical Student Ordering

    Nov 1

    • · Medical Students will now be able to enter orders.
    • · Orders placed by medical students must be ordered under their preceptor and require an e-signature.
    • When placing orders, medical students must select their preceptor as Provider and Medical Student as Source.
    • Orders placed by medical students will be unverified and will not cross to nursing and ancillary applications until they are e-signed.
    • · Preceptors use the Sign Queue to sign or reject medical student orders.
      Resident and Medical Student Ordering Overview Tip Sheet
      Medical Student Ordering Tip Sheet
    • Allows medical students to place orders

    PLC (July 11, 2022)

    ED Face Sheet

    Nov 2

    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.

    HIM Deficiency Overview Video

    Completing Workload Deficiencies Tip Sheet
    Completing Sign Queue Deficiencies Tip Sheet

    PLC, HIM

    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

  • 1Health Physician Communication - Sept 29th


  • 1Health Physician Communication - Sept 26th

  • 1Health Physician Communication - August 26th


  • Inpatient Discharge to Home Changes

  • 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

  • 1Health Physician Communication - June 30th

    CHANGE SUMMARY

    Change

    Go Live Date

    Change Summary

    Benefits

    Review/Approval

    Quick Text

    Tuesday, July 5

    Quick Text will be set up so all physicians can create custom text templates to be inserted into reports.

    Tip Sheets

    Allows physicians to create templates to insert into documentation

    PLC (May 30, 2022)

    Physician Report Dates

    Tuesday, July 5

    All Physician created reports will be updated so that the patient visit date and encounter date are labelled correctly in the report header.

    • Report header will include the Pt Admit/Reg Date and Encounter Date
    • Report Footer will include the Encounter Date/Time and Transcription Date/Time

    Encounter Date will now display the correct date on Physician reports

    PLC (May 30, 2022)

    Visit Widget

    Tuesday, July 5

    The “Active/Cancelled Visits” widget will be added below DIS Portal on the Reference Region for all physicians.

    • Visit information is easily accessible
    • Renaming widget clarifies that both active and cancelled visits are included

    PLC (May 30, 2022)

    CBC w BMP and CBC w CMP Orders

    Tuesday, July 5

    • The bundled CBC w BMP and CBC w CMP orders create issues in lab. This change would inactivate the bundled orders and use the two standalone orders instead. Part of this change would also fix the Lab Basic Metabolic Panel build and Comprehensive Metabolic Panel build on the Lab side so that the results flow to Plexia correctly.
    • A CBC w BMP convenience order set and a CBC w CMP convenience order set will be created.
    • Impacted order sets will be updated with the two standalone orders.
    • Patients no longer have a second phlebotomy done unnecessarily
    • Reduces chance of delayed testing/results
    • Reduced workload for Lab

    PLC (June 13, 2022)

    Inpatient Flowsheet

    Tuesday, July 5

    • · A new Inpatient 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, Glucose, Bowel Movements, Labs, Imaging, Microbiology, Pathology, Provider Notes, Nursing Notes, Allied Health Notes, Medication Administrations, Intake & Output, CIWA and COWS.
    • To set a default Flowsheet, follow the instructions here: Set default Flowsheet

    Flowsheets reduce clicks for physicians and provide one central location for viewing patient information

    Inpatient Committee (June 22, 2022)

    PLC (June 28, 2022)

    Physician Reports: Procedures Section

    Wednesday, July 6

    • A narrative section will be added to the top of the Procedures section and the “Other Procedure” heading will be removed.
    • This change impacts many report templates that have the standard Procedures section, such as the Consult Note, ICU Consult Note, GP OBS Consult and Gen Surgery Consult.

    Simplifies reports and reduces scrolling

    PLC (June 28, 2022)

    Order Aliases

    Wednesday, July 6

    Aliases will be added to several orders to improve the search functionality. See a complete list of the order alias changes here.

    Improves ordering by making orders easier to find

    PLC (June 28, 2022)

    Microbiology Order Changes

    Thursday, July 7

    All microbiology orders will be updated with the following changes:

    • MIC Source will not be required when placing orders. It will be entered when the specimen is collected.
    • The MIC Source and Penicillin Allergy question will no longer be displayed by default for Microbiology orders. The orders can be expanded to view these.
    • Fewer required fields on orders
    • Orders do not take up as much space on the screen

    PLC (June 13, 2022)

    Genital Tract Convenience Order Set

    Thursday, July 7

    A new Genital Tract Convenience order set that replicates the paper requisition will be available.

    • Streamlines ordering

    PLC (June 13, 2022)

    Imaging Order Changes

    Wednesday, July 13

    • Clinical Indicators field will be expanded
    • All imaging orders in the ED will default to STAT
    • XR orders: “Portable” field will only display when relevant and will default to “No.”
    • CT and MR orders: “To be protocoled by radiologist?” has been added to all orders. It will default to “Yes” for all orders, except CT head w/o con and CT head c-spine w/o con will default to “No”
    • CT orders: Fields have been reduced, After Hours Radiologist and Protocol have been combined with Comment field.
    • Community Hospitals: Imaging orders completed at WGH will be available under Ambulatory Orders
    • More space to enter clinical indicators
    • Less clicks for imaging orders in the ED
    • Streamlined ordering with fewer questions to answer
    • Clearly indicates that CT and MR orders will be protocoled by radiologist

    Medical Imaging (June 9, 2022)

    PLC (June 28, 2022)

    FOR INFORMATION

    Item

    Summary

    Review/Approval

    Physician Education Material

    As of June 30, there is now a link on the physician desktop to the Physician Updates website.

    The updates website includes a direct link to the Physician Education website. The physician onboarding training module is now available, and tip sheets will be added regularly.

    1Health Team

    Sort By Drug Class

    The default sort can be changed so that medications sort by Drug Class instead of Generic Name in Current Orders. Follow the steps here: Default Medication Sort in Current Orders

    PLC

    Labetalol Continuous Infusion

    As of June 28, this order is now available in LIVE.

    Pharmacy and Critical Care

    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

  • 1Health Physician Communication - June

    CHANGE SUMMARY

    Change

    Change Date

    Change Summary

    Benefits

    Review/Approval

    Clearing Workload

    Wed, June 22

    Workload will be cleared for all providers

    • Only Results, CC Results, CC Documents and CC Reports will be cleared from your Workload
    • All other Workload items (e.g. *Hey Doc*, Deficiencies) will not be cleared

    If you do not want your Workload cleared, please email Paul.Payne@yukon.ca prior to 4 pm on Tuesday, June 21st

    Historical Workload notifications for results and documents will be removed.

    New Workload items will be easier to view.

    PLC

    May 30, 2022

    Workload Notifications

    Wed, June 8

    Workload notifications will no longer be sent for CC Results, CC Documents and CC Reports for physicians who have results turned off in Workload.

    Note: If you are currently receiving results in Workload, you will continue to receive all results and documents in your Workload.

    Notifications that are received through other sources (e.g. Plexia) will no longer be sent to the Workload.

    PAC
    Dec 14, 2021

    Lab Scanned Documents

    May 24

    Laboratory started adding description comments to the scanned laboratory reports for non-interfaced referral testing.

    The comment will display the abbreviated name of the tests (following the naming conventions used in Expanse) on the report, up to and including the first 3 tests on the report. More than 3 tests will be noted as “and others”.

    Allows providers to find non-interfaced reports more easily in the Chart

    PLC (May 16, 2022)

    Lab Leadership

    “Start Up” Voice Command

    Mid May

    A single voice command called “Start Up” is now available in Nuance Dragon to open MEDITECH Expanse, Synapse and Plexia.

    Additional applications (e.g. Outlook) can be added to launch with the command. A tip sheet is attached with instructions on how to insert your Plexia URL and add additional applications.

    Reduces clicks to open applications when logging on to a device

    Reviewed by PLC

    May 30, 2022

    Activity Log in Acute Status Board

    Wed, June 8

    The Activity Log will be filtered to only include diagnostics, vital signs, ins/outs, provider notes and nurse/allied health notes. It will no longer include med administration, assessments, workload items and administrative tasks.

    This simplifies the information in the Activity Log. All information is still available in the patient’s chart.

    PAC (Jan 19, 2022)

    Inpatient Committee physicians

    Sexual Assault Note

    Wed, June 8

    A Sexual Assault Note template will be available and includes instructions on appropriate use.

    Please note that the report will only be distributed to the author of the report and any providers that are added as Additional CC’s.

    Approved by ED Committee (Feb 2022) and SART Team Member (April 2022)

    Any Location for Scheduled Outpatients

    Mid April

    The Any Location list in the Acute Status Board can now be used to view outpatient appointments for future dates

    In consultation with MEDITECH, it was determined that this functionality should have been available and is now working as intended.

    Provides a list of outpatient appointments by location for all providers

    Imaging Convenience Order Sets

    Wed, June 8

    In addition to the CT Scan Convenience order set that is already available, the following imaging convenience order sets will now be available:
    MR MRI Convenience order set
    Breast Imaging Convenience order set
    US Convenience order set

    Aliases will also be added to individual MR, MM and US orders

    Imaging orders will be easier to find for physicians. Order sets will sort by body part.

    PLC (May 30, 2022) and Imaging Department


    FOR INFORMATION

    Item

    Summary

    Review/Approval

    Bang the Table

    Updates to the system and changes will be posted on Physician Updates page: https://1healthyukon.ca/1health-physician-updates

    There are additional links on the page to all PLC meeting documents, as well as downtime preparation documents.

    Flowsheet Requests

    Flowsheet requests can come through JIRA and will include a physician lead assisting with the development. Flowsheets will go to the relevant committee and PLC for approval.

    PLC
    May 30, 2022

    Sign Queue

    A request (JIRA 12685) was submitted to have the sign queue orders not pre-selected. This was reviewed at PLC and a decision was made to leave the sign queue as is and not implement the requested change.

    PLC
    May 30, 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

  • Updating Collection Defaults - "Nurse to Collect" or "Lab to Collect"

    • There are several lab orders in the LIVE Meditech system that have been identified to have the incorrect collection defaults.
    • Once these collection defaults are corrected, nurses and physicians will no longer need to change the default collection field when the order is placed.


    Example: an HPV sample is normally collect by a Nurse and then sent to the lab. Currently, the default is “Lab to collect”, therefore the nurse has to enter the order and change the collection default manually to correct it. Once the change is implemented, when an MD orders HPV it will flow to the worklist and default to “Nurse to collect”.


    • This change has been approved by YHC lab, the order management team, and facilitated by 1Health to streamline the lab ordering process and reduce human errors.


    • The work to implement these changes will commence in MEDITECH on May 3rd. If you encounter any issues with lab ordering at this time please contact the 1Health support line at ext 8601 (internal) or 393-8601 (external). If you have questions regarding lab collections please call the lab extension at 8739.
Page last updated: 15 Apr 2024, 10:37 AM