The following is the list of topics presented in this communication:
- Code Status on the Patient Header
- Surgical History Selections - Now, Age and Sex Appropriate
- Image Thumbnails on the Media Tab
- Dual Pane view on Ad Hoc Telephone Encounters to be expanded to more departments
- Chat with a Doc
Most topics have a button (like the one below) to access related training materials on MyHelp. Use it.
Code Status now appears on the Patient Header
(New Functionality + Modified Workflow )
Impacts: All Departments - Starting March 21st, HealthConnect will display a patient's current Code Status in the Patient Header.
The patient header displaying a patient's code status, which was entered as an order. The phrase Not on File appears if no code status has been entered.
Providers are still able see a patient's Code Status in the Demographics section; however, they are no longer able to make changes to Code Status in this section.
New Workflow to enter patient Code Status
To enter a Code Status (DNR-No Code," or Full Code), providers must enter an order within an open encounter.
Important: The existing process of obtaining Advanced Directive paper documentation is still required and must be performed before placing the Code Status Order.
Code Status is entered as an order within an open encounter. The status appears on the patient header. The details appear in the Life Care Planning activity.
Enter Code Status in the Medications & Orders Search box, press enter, select an option, and then sign the order.
Note: If there is a prior Code Status in place for a patient any newly entered Code Status overrides the existing one, and the previous Code Status is filed to history.
Additional Training: To see the entire workflow and notes regarding each step , please click on the following button to open (and download, if you wish) the Code Status job aid.
To review the Code Status details
Click Code Status on the Patient Header to open the Life Care Planning activity which displays details specific to the status.
Click the Status Code on the patient header. This opens Report Viewer which displays the Life Care Planning activity's summary page. It provides additional detail plus links to any scanned advanced directive documents (e.g., MOST) associated to the patient.
The Life Care Planning activity displayed in the HealthConnect Report Viewer.
Surgical History Selections - Now, Age and Sex Appropriate
Impacts: All Ambulatory Departments - With the new release, it is easier to document a patient's Surgical History in the Visit navigator because HealthConnect dynamically modifies the displayed options within that section based on the patient's age and sex.
Surgical History options based on age and sex of patient: 51 year old, female.
For comparison: The options available within the Surgical History section on a 51 year female patient's encounter will differ from those on a eight year old male's encounter.
Surgical History options based on age and sex of patient: 8 year old, male.
Adding Surgical History Items (not part of default selection set)
If you need to document a Surgical History item that is not part of the default selection set (examples shown above), you can add it by using the Search function. (This works just like the current design.)
To add a surgical history item not found on default selection set, use the Search function to find it and add it.
Image Thumbnails on the Media Tab
(New Functionality )
Impacts: All Departments - To preview images, such as those taken by a camera or by an iPhone with Haiku on it, open a patient's encounter or chart, and then:
- Open the Chart Review activity
- Click the Media Tab
- Click the Thumbnail View button
Patient's chart opened on the Media Tab within Chart Review.
By selecting Thumbnail View, users can see a preview of most images taken by a digital camera or by an iPhone with an active Haiku install.
The selection of Thumbnail view and personalization of icon size and labels are remembered across patients and sessions. Can quickly toggle between Details View and Thumbnails View.
Users can control: (A) Icon size, (B)labels shown, and (C) sort order.
Note: Thumbnails do not appear for documents or some imported images.
Dual Pane view on Ad Hoc Telephone Encounters to be expanded to more departments
Impacts: Most departments who don't have dual pane view Ad Hoc (on-the-fly) Telephone Encounters - Ad Hoc (not scheduled) Telephone encounters have been configured to a dual pane format. Impacts to users include slightly different views in their Telephone encounters and changes to the location of some sections and activities.
The first thing users will notice is that the Telephone tab is now replaced by Call Intake and Take Action tabs.
On the Call Intake tab you can access: Contacts, Reason for Call, SmartSets, Visit Diagnoses, Meds & Orders, Exercise Vitals, Pt.Instructions, Disposition, Routing, and LOS & Follow-up.
Check-In Questions and Languages are accessed via the Questionnaire button on the Call Intake tab.
On the Take Action tab you can access: Contacts, Problem List, LOS, Routing, Best Practice Advisories, Visit Diagnoses, Meds & Orders, and SmartSets.
The Take Action tab is configured in the Dual Pane View.
Where to find options previously found on the Telephone tab that haven't been placed on the Call Intake or Take Action tabs:
- Review tab will now be Chart Review.
- The Documentation navigator section now resides in the Sidebar.
- History and Allergies are no longer in the encounter but can be accessed via their activity.
- Exercise Flowsheet navigator section is no longer there; however, it can be accessed via the link in the Exercise Vitals navigation section.
Chat with a Doc
Everyone can view 'Chat with a Doc' encounters within Chart Review; however, at this time, only providers who work the 'Chat with a Doc' service line (Call Center) have access to the 'Chat' encounter type.
KPHC documentation of ‘Chat with a Doc’ sessions will have their own encounter types. This allows these session to be easily identified in Chart Review.
Chat with a Doc session listed as its own encounter type within Chart Review.
"Thank You" for taking time to review the changes coming to HealthConnect. We hope the functionality reviews are informative and the 'status update' is helpful. If you have questions, please reach out to your department's HealthConnect Ambassador. Or, drop the HealthConnect training team a message through Quick Questions.