[MT-L] PASS
Tammy McLean
Good afternoon,
We are looking at our infusion, injection charges for the ED and was wondering how other facilities are doing this process? We currently have documentation screens for the nurses and our coders and entering their charges along with the ED professional charge. We need to reevaluate the process, and was hoping others would share their process? Are you charging with documentation of the nurses, and if so, how are you capturing the beginning and ending times? Our ED mgr seems to think the coders should continue to do this, but I feel we are probably the only ones doing this for them?
We are a Magic 5.67 facility and would appreciate any input from others.
Houlton Regional Hospital
Tammy McLean
Director Information Systems
20 Hartford Street
Houlton, ME 04730
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Akers, Paula J.
We are 6.08 site and would also be interested in responses to ED charges done by nursing.
Yours sincerely,
Paula June Akers RN
Nurse Analyst
Morrow County Hospital
From: Meditech-l [mailto:meditech-...@mtusers.com]
On Behalf Of Tammy McLean
Sent: Monday, November 13, 2017 12:51 PM
To: medit...@mtusers.com
Subject: [EXTERNAL] [MT-L] PASS
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David Brown
We built IV Stop Time reassessment CDS to the administration of IVs for this. Attached to every IV carrier was the screen with a rule that only looked to Admit types for the reassessment to display. In other words if your admit type was ADM IN, it did not display but for ADM INo (observation it did-included ED). Attached were default volumes (if using the CDS to track I/O of fluids) and when setting up the times for flagging time to reassess was by usual infusion times. 50 cc bag was set to 30 minutes, and 10 min before and 15 min after (page 4 of the drug dictionary). For any drug as a premix, the CDS was attached as well with the same rule.
Process: Administration of drug or IV fluid with ADM INo, will then display a Reassessment with time for typical reassess by volume and average time it would run. Once the IV was completed, new IV bag being hung, complete reassess, then scan and give next bag. If IV drug, complete, go to into eMAR and complete reassess. If reassess is not complete flags red on eMAR and Status Board under next med until completed.
Many facilities then will have a report that billing can run and will calculate the total time while in observation status that IV were managed. It can also include the number of injections given (all medications filtered by route of the administration).
Hope this is helpful.
From: Meditech-l [mailto:meditech-...@mtusers.com]
On Behalf Of Tammy McLean
Jensen, Donald
I haven’t seen a response to this. Can anyone provide some additional insight?
Don Jensen, MS
Senior Director, Revenue Cycle
5601 Warren Parkway | Frisco, Texas 75034
O: 214.407.5349| E: dje...@bmcf.com
From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Tammy McLean
Sent: Monday, November 13, 2017 11:51 AM
To: medit...@mtusers.com
Subject: [MT-L] PASS
Good afternoon,
Tammy McLean
Good morning L,
I am looking for anyone who uses Nuance or MModal with PDOC. Pros and cons of either system? Why one over the other? We are looking at both and I need some insight. We are a Magic 5.67 facility that will be moving to 6.1 in the next year and a half so any input would be greatly appreciated.
Houlton Regional Hospital
Tammy McLean
Director Information Systems
20 Hartford Street
Houlton, ME 04730
Akers, Paula J.
We use Nuance. We had some problems with corrupted files at first. It was caused by one user not signing off and another user continuing with other user’s sign on.
We are moving to cloud version and hope to never have that problem again.
Yours sincerely,
Paula June Akers RN
Nurse Analyst
Morrow County Hospital
From: Meditech-l [mailto:meditech-...@mtusers.com]
On Behalf Of Tammy McLean
Sent: Monday, November 20, 2017 10:00 AM
To: medit...@mtusers.com
Subject: [EXTERNAL] [MT-L] PASS
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Good morning L,