[MT-L] JW Waste and Pyxis interface

[Melissa Wyant]

Has anyone been able to get the Pyxis interface engineers to set up the interface messages to send the Waste while removing?

We have the Waste messages if it is a return/waste but not for Waste while removing.  We set up the Pyxis to ask if they are administering the entire dose and whe waste is calculated with the Pyxis vend but it does not send to Meditech.

Melissa

Melissa Wyant, R.Ph.
Pharmacy Application Analyst, IS
Holyoke Medical Center

Holyoke, MA
413-534-2842

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[Carpenter, Michael]

Melissa, Pyxis has an corporate jw waste solution, to create a full waste message from the ‘waste while removing’ scenario. Our Pyxis CE got it to work. It then acts just like a ‘waste after removing’ scenario. There is still some work to do, for advising the pyxis user to (not) waste items, to reduce issues/noise in the Process Infce Errors routine in Meditech.

 

 

Mike

 

Michael Carpenter | Sr.Systems Analyst | ENGAGE | michael....@thinkengage.com | 509.232.8340 | engage.xyz

[Charles Downs]

I am dealing with that and my interface person here couldn’t even find the waste message on the one with waste after removal. Also, the one where I wasted during removal did not even make it to Meditech (not to the patient profile nor in the process errors queue). Always a problem when you are dealing with two vendors. Are you going to be in on the MUSE web JW waste discussion tomorrow at 1 PM EST? Marc Johnson and Bob Lombardi are going to be on the call, so maybe we can get some answers.

Charlie

 

 

Charles Downs Pharm.D.

Informatics Pharmacist

Trivergent Health Alliance

1116 Medical Campus Road

Hagerstown, MD, 21742

Office: 301-790-8904

Fax: 301-790-9229

charle...@trivergenthealth.com

 

 

 

 

 

 

From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Melissa Wyant
Sent: Monday, December 19, 2016 12:34 PM
To: Meditech L
Subject: [MT-L] JW Waste and Pyxis interface

 

Has anyone been able to get the Pyxis interface engineers to set up the interface messages to send the Waste while removing?

CONFIDENTIALITY NOTICE: This electronic mail transmission and any accompanying data files is confidential and is intended exclusively for the individual or entity to which it is addressed. The communication may contain information that is proprietary, privileged or confidential or otherwise legally exempt from disclosure. If you are not the named addressee or you otherwise have received this message in error, you are not authorized to read, print, copy or disseminate this message or any part of it. If you have received this message in error, please notify the sender immediately by email and delete all copies of this message. Receipt by anyone other than the named addressee is not a waiver of any attorney-client work product or other applicable privilege.

[Charles Downs]

So, the question I have is what happens if the waste is documented after removal, which sometimes it is. Also, what happens if the whole thing is wasted? This should still credit the order. You sure don’t want it to bill for 100% waste.

Thanks,

Charlie

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[Lisa Wagoner]

Hi all - this is the same issue we are having with Omnicell where they won't credit for 100% waste. I asked if the credit for waste could be triggered based on the reason for waste (eg. pt refused vs. partial dose), but the reply I got was the credit could only be issued for a return, not a waste (and as we know, once an injectable is drawn up to be administered, it must be wasted and cannot be returned). The parameter setting in Omnicell "Credit patient for Wastes" is falsely misleading...it just means 'send' waste message. They also told me other sites have not contacted them about this issue...

We are also having the problem where the waste message is being rejected and is appearing in the Interface Error queue. Meditech seems to think it has something to do with the RX# but Omnicell says otherwise:

Meditech:

Lin,Jintao (MEDITECH) - Dec 19, 2016 - 1642 EST:  Hi Leigh, i have took a look
at this in TEST, the error "Order originated in MEDITECH" get generate is
because the RX number (@PHA.INFCE.in.rx.number) in not exist in the Message and
the RX is not exist in the PHA interface index. so the PHA Interface program
not able to find the RX to update the WASTE data. please have the site to test
this again with a new RX in TEST. if there still an issue, please provide me
with the RX # and message # to review.  Thanks!

Omnicell:

We should be sending the Rx number already otherwise this would be impacting standard DFT charge transactions as well. 

Thanks,
Lisa Wagoner, PharmD  

Pharmacy Clinical Manager/

Clinical Informatics Pharmacist
Hunt Regional Medical Center

4215 Joe Ramsey Blvd

Greenville, TX. 75401-1059
Office: 903.408.1870
Fax:    903.408.1072

On Mon, Dec 19, 2016 at 1:34 PM, Charles Downs <Charle...@trivergenthealth.com> wrote:

So, the question I have is what happens if the waste is documented after removal, which sometimes it is. Also, what happens if the whole thing is wasted? This should still credit the order. You sure don’t want it to bill for 100% waste.

Thanks,

Charlie

 

From: Meditech-l [mailto:meditech-l-bounces@mtusers.com] On Behalf Of Carpenter, Michael
Sent: Monday, December 19, 2016 1:56 PM
To: Melissa Wyant; Meditech L
Subject: Re: [MT-L] JW Waste and Pyxis interface

 

Melissa, Pyxis has an corporate jw waste solution, to create a full waste message from the ‘waste while removing’ scenario. Our Pyxis CE got it to work. It then acts just like a ‘waste after removing’ scenario. There is still some work to do, for advising the pyxis user to (not) waste items, to reduce issues/noise in the Process Infce Errors routine in Meditech.

 

 

Mike

 

Michael Carpenter | Sr.Systems Analyst | ENGAGE | michael.carpenter@thinkengage.com | 509.232.8340 | engage.xyz

 

 

 

From: Meditech-l [mailto:meditech-l-bounces@mtusers.com] On Behalf Of Melissa Wyant
Sent: Monday, December 19, 2016 9:34 AM
To: Meditech L
Subject: [MT-L] JW Waste and Pyxis interface

 

Has anyone been able to get the Pyxis interface engineers to set up the interface messages to send the Waste while removing?

 

We have the Waste messages if it is a return/waste but not for Waste while removing.  We set up the Pyxis to ask if they are administering the entire dose and whe waste is calculated with the Pyxis vend but it does not send to Meditech.

 

Melissa

 

 

Melissa Wyant, R.Ph.
Pharmacy Application Analyst, IS
Holyoke Medical Center

Holyoke, MA
413-534-2842

 

CONFIDENTIALITY NOTICE: This email communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please reply to the sender immediately and destroy all copies of this communication and any attachments. For further information regarding Holyoke Medical Center's privacy policy, Please visit our Internet web site at http://www.holyokehealth.com

CONFIDENTIALITY NOTICE: This electronic mail transmission and any accompanying data files is confidential and is intended exclusively for the individual or entity to which it is addressed. The communication may contain information that is proprietary, privileged or confidential or otherwise legally exempt from disclosure. If you are not the named addressee or you otherwise have received this message in error, you are not authorized to read, print, copy or disseminate this message or any part of it. If you have received this message in error, please notify the sender immediately by email and delete all copies of this message. Receipt by anyone other than the named addressee is not a waiver of any attorney-client work product or other applicable privilege.

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[Melissa Wyant]

Mike,

Are you a magic site with Pyxis Medstation 4000?  If so, who did you work with as the Pyxis CE?  We have not been able to get this to work after dealing with two separate Pyxis engineers.

Melissa

[Charles Downs]

Meditech said in the MUSE webinar that that so far only ES can send over the waste message to Meditech, but that yesterday, Pyxis said that they may be able to do it for legacy machines.

Charlie

CONFIDENTIALITY NOTICE: This electronic mail transmission and any accompanying data files is confidential and is intended exclusively for the individual or entity to which it is addressed. The communication may contain information that is proprietary, privileged or confidential or otherwise legally exempt from disclosure. If you are not the named addressee or you otherwise have received this message in error, you are not authorized to read, print, copy or disseminate this message or any part of it. If you have received this message in error, please notify the sender immediately by email and delete all copies of this message. Receipt by anyone other than the named addressee is not a waiver of any attorney-client work product or other applicable privilege.