[MEDITECH-L] ADM Demo Recall

[Pierce, Beth]

Just wondering if anyone is having issues with demo recall in ADM in
general? Currently, we have several depts and users who pre-register or
register patient accounts and we are experiencing issues with the wrong
info demo recalling based on how the registrar answered the question.
Does anyone have any ideas as to how to get a handle on multiple users
that register or any good tidbits?



Thanks,

Beth Pierce

Information Systems Department

Systems Analyst

Southwestern Vermont Healthcare

100 Hospital Drive

Bennington, Vt 05201

Phone 802-447-5099

Pager 802-742-5589



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[Davison, Regina]

We're having the same problem on our patients that come in and get preregistered for eye surgeries. We were thinking it had something to do with the fact that demo recall is only kept on the most recent visit. So if they enter in a future visit say for the other eye, then demo recall is not updating that visit. I haven't been able to prove that theory yet, but if others out there have experienced the same problem and have figured out how to deal with it, please share what you did.

Thanks,

Beth Pierce

Information Systems Department

Systems Analyst

Southwestern Vermont Healthcare

100 Hospital Drive

Bennington, Vt 05201

Phone 802-447-5099

Pager 802-742-5589

Visit us on the web at <http://www.murrayhospital.org>

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[Nancy Schoessel]

Beth,

We have had this issue since upgrading to 5.61.

Here is what we have determined. Patient is pre-registered for a future
visit. Sometime prior to scheduled visit, patient registered for, let's
say, lab work. A couple of days prior to patients scheduled visit, a
registrar calls to pre-reg over phone. Updates pre-reg visit with new
information and files. Patient comes in day of appointment, registrar
registers pre-reg appt, choosing Y for pull most recent demo recall info and
no information from pre-reg call was retained. This happens in both TEST
and LIVE 5.61, however when I test in our TEST 5.5 this is not how it
worked.

Meditech is able to reproduce, first programmer stated working as designed,
but I refused to accept that based on several different scenarios. And
works fine in 5.5 TEST. Escalated with no results so far.

Would be interested if anyone has a DTS or fix for this as well.

Thanks,

Nancy Schoessel
IT Business Analyst
Pennock Hospital
269-945-1212 x 359
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-----Original Message-----
From: meditech-...@mtusers.com [mailto:meditech-...@mtusers.com]
On Behalf Of Pierce, Beth
Sent: Monday, February 18, 2008 1:40 PM
To: medit...@mtusers.com
Subject: [MEDITECH-L] ADM Demo Recall

[McCormack, Margaret]

Good morning,

I was about to write in on this exact matter! I have been working with Meditech for around 2 years now and from what I understand this has always been an issue. We are Magic 5.5 and from all of the reading that I have done it is described that demo recall pulls the data from the most recent visit. So the information that is documented files to the MRI if it is filed on the most recent visit. If it is a visit that is not the most recent then the information is stored in ADM but not the MRI hence the recall of outdated data.

We have been using demo recall for years and had small issues with weight, for example. Now that we are trying to move to more outpatient clinics this functionality is becoming a risk issue. For example, we have a home medication screen that we use across visits. When the patient is registered they are registered for their pre-surgical screening (PSS) appointment and for their OR at the same time. PSS documents all of the medications and on the day of the OR that information is not the information that is pulled forward because it was not the most recent visit. This is now resulting in the nurse having to re-enter all medications, which is time consuming and is leading to a mistrust of the system.

My understanding is that in Client Server, demo recall pulls the most recently filed data regardless of the visit. Does anyone know of a fix in Magic or would this be a custom???

Margaret McCormack
Manager, Health Informatics
Lakeridge Health
Oshawa, ON
905-576-8711 X 3360

________________________________

From: meditech-...@mtusers.com on behalf of Davison, Regina
Sent: Mon 2/18/2008 1:52 PM
To: Pierce, Beth; medit...@mtusers.com
Subject: Re: [MEDITECH-L] ADM Demo Recall

We're having the same problem on our patients that come in and get preregistered for eye surgeries. We were thinking it had something to do with the fact that demo recall is only kept on the most recent visit. So if they enter in a future visit say for the other eye, then demo recall is not updating that visit. I haven't been able to prove that theory yet, but if others out there have experienced the same problem and have figured out how to deal with it, please share what you did.

Thanks,

Beth Pierce

Information Systems Department

Systems Analyst

Southwestern Vermont Healthcare

100 Hospital Drive

Bennington, Vt 05201

Phone 802-447-5099

Pager 802-742-5589

Visit us on the web at <http://www.murrayhospital.org <https://remote1.lakeridgehealth.on.ca/http/0/www.murrayhospital.org> >

[Deborah Bergeron]

Margaret
We have the same type of issue. Our Medication Reconciliation screens
(Homemeds) are documented in NUR. If we set the NUR screen to default in
queries, it will always pull in the last instance of that screen being
documented, not the last visit that was documented on a screen with the
same queries. Meditech has told me...functioning as designed> That is
why we are looking at using zRXM for Med Recon.
Good Luck

deb

--

Deborah Bergeron RN BS CDE
Clinical Systems Analyst
Information Technology Department
Androscoggin Valley Hospital
59 Page Hill Rd
Berlin NH 03570

Phone: 603 326-5668
603 752-2200 ext 5668

Email: deborah....@avhnh.org

Meditech Magic 5.61 Site

[Bill Mullins]

We set up our discharge instructions intervention and do not allow the
home med queries to be recalled. The caregiver must retype the most
accurate list of meds on discharge per the doctor's written orders.

Then upon the next hospital visit, the home med queries are allowed to
be recalled from the last discharge. We have found this to work better
for us.

Good Luck,

[Wegenast, Steve]

We are Magic 5.53.
Just recently I did some extensive testing of Demo recall in hopes of
understanding it better and being able to explain it to our ADM staff.
Demo Recall can be a bit complicated and confusing. I created a
document (attached) with some notes on demo recall and the MRV (most
recent visit) that I observed in my testing along with a couple articles
from Meditech that help explain how DR is supposed to work. Don't take
this document as gospel but it may give someone some insight and help a
little.

Steve Wegenast <><
sweg...@sfmc-gi.org

Jesus Christ... the God who comes for us!

-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Pierce, Beth
Sent: Monday, February 18, 2008 12:40 PM
To: medit...@mtusers.com
Subject: [MEDITECH-L] ADM Demo Recall

[North-Roman, Mary]

Steve, I didn't get the attachment, can you re-send? We are currently
having trouble with demo recall queries being addressed in the EMD
Triage Assessment and for some reason, on Friday of last week, they
stopped populating in the OE Patient Data routine and the PDI Med Rec
application. They are getting filled as "Null" in ADM and there is no
explanation to date. Thanks!

Mary
Mnorth...@paloscomm.org

-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Wegenast, Steve
Sent: Tuesday, February 19, 2008 8:05 AM
To: Pierce, Beth; medit...@mtusers.com
Subject: Re: [MEDITECH-L] ADM Demo Recall

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[Pat Mulberger]

Our site is C/S and we have the same issue. We can't even get the
correct information from Demo Recall to pull onto a brand new
registration. We have tried and tried to set up conference calls to no
avail. I don't know of this functionality of pulling the most recently
filed data. We use this on our resistant organism screens across
clinics and hospitals and are having serious issues.

Pat Mulberger
Kalispell Regional Medical Center
Kalispell, Montana

[Jeanette Ahrens]

Please post.
Thanks,
Jeanette Ahrens, RN
MIS Clinical Support
DeSoto Memorial Hospital
Arcadia, FL

>>> "North-Roman, Mary" <MNorth...@paloscomm.org> 2/21/2008 8:53 AM >>>

Mary
Mnorth...@paloscomm.org

Thanks,

Beth Pierce

Information Systems Department

Systems Analyst

Southwestern Vermont Healthcare

100 Hospital Drive

Bennington, Vt 05201

Phone 802-447-5099

Pager 802-742-5589

"The information contained in this message may be privileged and/or confidential and protected from disclosure. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this document is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to this message and deleting the material from any computer."

[Davis, Dan]

While I am interested in looking at the information that didn't come across earlier from Steve, here are some things about demo recall that I believe to be true:

1. Demo Recall simply makes the data available in ADM.PAT on the queries in question available on the next admission, it does not change how the information gets into ADM.PAT.
2. When a query is filed blank, nothing is passed to ADM.PAT regarding that instance of documentation for that query. So, if you are pulling information from @p.ADM.PAT.ccdqr.response["myquery"], you will be pulling the last actual value that was filed, not the last instance of documentation that was blank.

Dan Davis, RN
Clinical Informatics Analyst
Sumner Regional Health Systems
Phone: (615)328-6548
Fax: (615)328-6665
We provide comprehensive tools, which collect and communicate information, that support clinicians and their processes to improve quality of care and patient safety.

Mary
Mnorth...@paloscomm.org

Steve Wegenast <><
sweg...@sfmc-gi.org

Thanks,

Beth Pierce

Information Systems Department

Systems Analyst

Southwestern Vermont Healthcare

100 Hospital Drive

Bennington, Vt 05201

Phone 802-447-5099

Pager 802-742-5589

This transmission contains Privileged and Confidential information intended for the use of the addressee named above. If you are not the intended recipient of this information, you are hereby notified that a dissemination or copying of this transmission is strictly prohibited.

If you have received this transmission in error please notify us immediately and return the original transmission to the original sender.

[Nancy Carman]

There are several Meditech Knowledge Base articles regarding Demo
Recall. Search the Knowledge Base for ALL applications and
Title/Summary search on DEMO and RECALL -- there are 77 articles.

I found KB 14679 to be very informative.

Nancy Carman
Systems Analyst
Lima Memorial Health System
1001 Bellefontaine Ave
Lima, Ohio 45804
ph 419-226-5197 ext 2360
fx 419-998-4725
email nca...@limamemorial.org
web www.limamemorial.org