[MEDITECH-L] ADM/PHA/NMI Undo discharge issue

[Scranton, Robert]

            The more modules involved in an issue slows its resolution exponentially. You can quote me on that. Our pharmacy department has a carousel and drug packaging dispensing system that has a few issues of it’s own without MediTech’s help, but MediTech seems to have the need to help it have more issues. We use the RXRobot interface which was developed for the McKesson Robot system which normally gets along perfectly fine with our AutoPharm system. The issue we have is that when Admissions does an undo on a patient account and undoes a discharge even for a fraction of a second, all of the medications that were not dispensed for that person, be it hours, months days, or weeks are dispensed from the carousel and automatic packaging machine. Then the order is immediately discontinued and credited, but we are left with plagues of medication to be manually returned. Has anyone run into this problem? If you have you can make a difference. A DTS number would me most helpful. Our ADM support person at MediTech is not grasping the levity of the situation and I am running extremely low on ibuprofen. If anyone out there has had this issue, I feel your pain, but would appreciate your help.

 

Robert B. Scranton RPh

Pharmacy Information Specialist

Adena Regional Medical Center

Chillicothe, OH 43154

(740)779-7898

rscr...@adena.org

A pessimist is one who makes difficulties of his opportunities and an optimist is one who makes opportunities of his difficulties.

Harry S Truman

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[Behling, Diana]

We do not have this problem with our pharmacy systems (I think PYXIS and Intellidot have found work arounds for this). However, we've had a similar problem with a 3M HDM coding/billing system. Everytime ADM sends the undo (A11 message) 3M deletes out all of the charges on the undone account. This causes lots of rework and missing charges.

 

The only workaround we found was to have 3M totally ignore the A11 messages. Admission staff have to keep track of the actual cancelled accounts in Admissions and our 3M coders have to manually remove those patients from the 3M system. This creates extra work, but it is better than dropping charges and losing money.

 

Is your DTS pharmacy specific, or NMI related to change the function of the A11 message? If it is more global than pharmacy I'd be interested in following up with you and could possibly help out.

 

Diana Behling
Application Systems Analyst/Programmer
Parkview Medical Center
719-584-4642

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From: meditech-...@mtusers.com [mailto:meditech-...@mtusers.com] On Behalf Of Scranton, Robert
Sent: Tuesday, July 03, 2007 12:25 PM
To: medit...@mtusers.com
Subject: [MEDITECH-L] ADM/PHA/NMI Undo discharge issue

This e-mail contains the thoughts and opinions of the sender and does not represent official Parkview Medical Center policy.

This communication is intended only for the recipient(s) named above, may be confidential and/or legally privileged: and, must be treated as such in accordance with state and federal laws. If you are not the intended recipient, you are hereby notified that any use of this communication, or any of its contents, is prohibited. If you have received this communication in error, please return to sender and delete the message from your computer system.