[MT-L] POM rule macro

[Chuck McWhorter]

Hello L,

  I’ve feeling adventurous and am trying to modify a POM rule macro to check for specific ordered procedures in OE and medications as well as for new orders during a provider session and if NONE have been ordered or are being ordered, flag the provider to order them.  I was wondering if anyone else has modified a POM rule macro to check for specific medications as opposed to using a PHA RX rule for this purpose?

Charles A. McWhorter

System Analyst

Guadalupe Regional Medical Center

830.401.7447

"There are always possibilities..."

[Dave Tunc]

I've done a few of these.  The one thing you should be aware of is for a rule attached to a PHA category procedure (equivalent to your PHA order types) ON ORD will not work, only ON FILE. 

__________________________________________________________________

Valley Health System is the recipient of:

• HealthGrades recognition as one of America's 100 Best Hospitals for Cardiac Care, Cardiac Surgery, Coronary Intervention, Orthopedic Surgery, Joint Replacement, and Gastrointestinal Care; numerous Clinical Excellence Awards for cardiology and women's health.

• Designation as one of only 65 hospitals in the nation to be a Leapfrog Group Top Hospital; recognition as Grade "A" for patient safety.

• J.D. Power and Associates Distinguished Hospital Program Awards for Outstanding Inpatient and Emergency Department Care.
• Magnet Designation for Nursing Excellence from the American Nurses Credentialing Center since 2003.
• 11 Joint Commission Gold Seals for Cardiac, Oncology, Joint Replacement, and Stroke Care.

• Best Places to Work in New Jersey Designation from NJBIZ.

For more information please visit www.valleyhealth.com/awards

[Gale Freeman]

What would be the difference ? They would only see the issue after they have all the orders entered ?

Gale
 

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[Dave Tunc]

I guess I should have been more clear.  If you make an OE ON ORD rule and attach it to a PHA category, it doesnt fire the way it would if you put the same rule on a LAB order. (Upon selecting the order or in this case med).

>>> Gale Freeman <freema...@gmail.com> 11/15/2012 11:16 AM >>>

[Freeman, Gale]

ok, thanks .

---

From: Dave Tunc [mailto:dt...@valleyhealth.com]
Sent: Thursday, November 15, 2012 11:22 AM
To: Gale Freeman
Cc: medit...@mtusers.com
Subject: Re: [MT-L] POM rule macro

[Chuck McWhorter]

I have not finished testing this, but I have created the following OE rule that is attached to an ADMIT procedure that is used to document where a provider want to admit a pt. The rule checks to see if specific medications and procedures have been ordered or are being ordered and if none have, flags the provider, if any have been ordered, the provider is NOT flagged.

Rule for checking for vte orders:
0^J,
[f ord urn begin int],
DO{[f ord urn next int] IF{[f ord drug info]("HPRNI5000") 1^J;
[f ord drug info]("LVNXI30") 1^J}},
IF{[f last svc hrs ago]("KARDEX","NOVTE") 1^J},
IF{[f last svc hrs ago]("KARDEX","NOPROPHYL") 1^J},
IF{[f last svc hrs ago]("KARDEX","TEDS") 1^J},
IF{[f last svc hrs ago]("KARDEX","PLEXBI") 1^J},
IF{[f last svc hrs ago]("KARDEX","SCDBI") 1^J},
;IF{[f last svc hrs ago]("KARDEX","GIBLEEDNOP") 1^J},
;[f ord proc mne]="GIBLEEDNOP" 1^J;
IF{[f last svc hrs ago]("KARDEX","HEMORRHAGE") 1^J},
IF{[f last svc hrs ago]("KARDEX","THROMBOCYT") 1^J},
IF{[f last svc hrs ago]("KARDEX","ACTIVEBLEE") 1^J},
IF{[f new ord defined]("KARDEX","NOVTE")="Y" 1^J},
IF{[f new ord defined]("KARDEX","NOPROPHYL")="Y" 1^J},
IF{[f new ord defined]("KARDEX","TEDS")="Y" 1^J},
IF{[f new ord defined]("KARDEX","PLEXBI")="Y" 1^J},
IF{[f new ord defined]("KARDEX","SCDBI")="Y" 1^J},
IF{[f new ord defined]("KARDEX","GIBLEEDNOP")="Y" 1^J},
IF{[f new ord defined]("KARDEX","HEMORRHAGE")="Y" 1^J},
IF{[f new ord defined]("KARDEX","THROMBOCYT")="Y" 1^J},
IF{[f new ord defined]("KARDEX","ACTIVEBLEE")="Y" 1^J},
"Consider 'VTE Prophylaxis' or a 'VTE Contraindication' order. "^M1,
IF{J<1 [f ord yes/no](M1_"Click No to Return to Orders");
[f ord ok]};

Charles A. McWhorter
System Analyst
Guadalupe Regional Medical Center
830.401.7447
"There are always possibilities..."

From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Freeman, Gale
Sent: Thursday, November 15, 2012 10:23 AM
To: 'Dave Tunc'; 'Gale Freeman'
Cc: 'medit...@mtusers.com'
Subject: Re: [MT-L] POM rule macro

ok, thanks .

________________________________________

From: Dave Tunc [mailto:dt...@valleyhealth.com]
Sent: Thursday, November 15, 2012 11:22 AM
To: Gale Freeman
Cc: medit...@mtusers.com
Subject: Re: [MT-L] POM rule macro
I guess I should have been more clear.  If you make an OE ON ORD rule and attach it to a PHA category, it doesnt fire the way it would if you put the same rule on a LAB order. (Upon selecting the order or in this case med).

>>> Gale Freeman <freema...@gmail.com> 11/15/2012 11:16 AM >>>
What would be the difference ? They would only see the issue after they have all the orders entered ?

Gale
On Thu, Nov 15, 2012 at 8:36 AM, Dave Tunc <dt...@valleyhealth.com> wrote:
I've done a few of these. The one thing you should be aware of is for a rule attached to a PHA category procedure (equivalent to your PHA order types) ON ORD will not work, only ON FILE.
__________________________________________________________________

Valley Health System is the recipient of:

* HealthGrades recognition as one of America's 100 Best Hospitals for Cardiac Care, Cardiac Surgery, Coronary Intervention, Orthopedic Surgery, Joint Replacement, and Gastrointestinal Care; numerous Clinical Excellence Awards for cardiology and women's health.
* Designation as one of only 65 hospitals in the nation to be a Leapfrog Group Top Hospital; recognition as Grade "A" for patient safety.
* J.D. Power and Associates Distinguished Hospital Program Awards for Outstanding Inpatient and Emergency Department Care.
* Magnet Designation for Nursing Excellence from the American Nurses Credentialing Center since 2003.
* 11 Joint Commission Gold Seals for Cardiac, Oncology, Joint Replacement, and Stroke Care.
* Best Places to Work in New Jersey Designation from NJBIZ.

For more information please visit www.valleyhealth.com/awards

===###===###===###===###===###===###===
To unsubscribe from the meditech-l, follow the instructions at the URL http://mtusers.com/mailman/options/meditech-l_mtusers.com/

Please do NOT send messages that ask "Please post to the list" or "I'd like to see your answers" or "Send that info to me, too" These are useless messages that just waste the email server's resources. Instead, email the original requester and ask that they send you or post the results of their question.

Go to http://MTUsers.net for other information on the list, as well as:
1) reading meditech-l messages online
2) job opportunities
3) vendor products and service


Do NOT send email to meditech...@MTUsers.com. This is a system email box that is NOT monitored by a human. If you need help or advice on how to use the meditech-l, email lo...@MTUsers.com or ju...@MTUsers.net. Both of these people help manage the meditech-l, so they are your best resource.

===***===***===***===***===***===***===

__________________________________________________________________

Valley Health System is the recipient of:

* HealthGrades recognition as one of America's 100 Best Hospitals for Cardiac Care, Cardiac Surgery, Coronary Intervention, Orthopedic Surgery, Joint Replacement, and Gastrointestinal Care; numerous Clinical Excellence Awards for cardiology and women's health.
* Designation as one of only 65 hospitals in the nation to be a Leapfrog Group Top Hospital; recognition as Grade "A" for patient safety.
* J.D. Power and Associates Distinguished Hospital Program Awards for Outstanding Inpatient and Emergency Department Care.
* Magnet Designation for Nursing Excellence from the American Nurses Credentialing Center since 2003.
* 11 Joint Commission Gold Seals for Cardiac, Oncology, Joint Replacement, and Stroke Care.
* Best Places to Work in New Jersey Designation from NJBIZ.