Admin: For your information

Corrected information regarding medications ceasing upon discharge and the 'grace period':

Medications will cease at HH:01 (1 minute) past the second hour - this means that there is at least 1 hour of grace period upon discharge of patient (and potential grace period of nearly 2 hours). 

Description: Audiology order (requisition form) printing to Audiology Department is now enabled

Why: As Audiology is a shared service which sees adult and paediatric patients, having a consistent workflow is essential. Order forms for SCH audiology requests will now print to the Audiology department the same as requests from POW Hospital. 

Application: PowerChart

Audience: Audiology Department admin staff

Available: 06/11/2019

Site(s): SCH

Description: Emergency Department go-live of Quick Registration using MPI Search. This change enables the workflow of adding patient to ED Tracking Board immediately. The Quick Registration allows search for patient within Network EMR and if not found, can query to SESLHD iPM. The patient may be found and then can be added to SCH FirstNet, or if not found, allows the admin staff member to create a new patient. 

Why: This change enables entry of the patient on the tracking board immediately. This is essential for clinical care. This workflow also supports admin workflows and speeds up the registration process.

Application: FirstNet - PM Conversation - MPI Search

Audience: Emergency Department; admin staff and triage nurses

Available: 20/11/2019

Site(s): SCH

Description: Outpatient admin staff can now perform Discharge from right click "Check Out" option within Scheduling

Why: This change allows discharge of current outpatient encounter and will streamline the multi-consultant clinics where multiple encounters need to be created for the same specialty (e.g. TOF and Birthmark clinics)

Application: Scheduling

Audience: Outpatient Department admin staff

Available: 12/11/2019

Site(s): SCH

Description: The Sydney Children’s Hospital Scheduling correspondence letter format is changing. From Friday 8th November, the outpatient letter template will:

• Include the SCHN logo in the top right corner
• Have a QR code for parents/guardians that have smartphone app. This code links through to the Hospital guidebood
• DOB year format change to yyyy (e.g. 2005 instead of 05)
• Only the one relevant MRN will display (SCH or CHW)
• Updated directions to Outpatients Department (for other areas, if you require the correspondence letter directions updated, please log a call with the Service Desk)
• Page 2 (general patient/guardian appointment information) will now print automatically with the first page
• Tumbatin/Community letters will not print the High Street address with the logo 

Why: This change is being implemented following widespread feedback post Network Integration and will reduce any requirement of using pre-printed letterhead stationery.

Application: Scheduling

Audience: Any admin or clinical user who prints outpatient clinic letters

Available: 08/11/2019

Site(s): SCH – Note: this change will only impact SCH outpatient correspondence letters

Description: Clinic Appointment List – Referral and Item No. report now includes infectious status

Why: This change is being implemented following feedback from Outpatient Departments and Infection Control to provide visibility of infectious status and any infection control requirements.

Application: Explorer Menu (Reports)

Audience: Staff managing/working within outpatient areas

Available: 06/11/2019

Site(s): SCH

Description: Pre-admission documents now qualify within PM Docs

Why: Pre-admission encounters now qualify for printing admission paperwork from PM Docs.

Application: PM: Documents

Audience: Admissions, CSAs, anyone who performs pre-admission functions

Available: 06/11/2019

Site(s): SCH

Description: Double sided printing from PM and EMR applications

Why: Since Network Integration, double-sided printing has not worked for EMR printing. There is a configuration setting for the printers that needs to be adjusted to support double-sided printing in addition to printer queue settings (which are already correct). This new configuration item will need to be applied to all printers that require double sided printing.

Application: PM Office, PM Documents, FirstNet, PowerChart, Scheduling

Audience: All admin staff, all areas

Available: 31/10/2019

Site(s): SCH

Description: Default Printer may now display

Why: Now that Document Routing is configured based upon the PC name (not the patient location or  user), the default printer for admin PCs is now defined automatically. One less click!

Application: PM: Documents

Audience: Admissions, CSAs, Inpatient admin

Available: 29/10/2019

Site(s): SCH

Description: PM Documents will now route to a default printer that is associated to the computer ID (PCID).

Why: SCH admission workflows differ from CHW. As such, the automated routing for PM Documents will now be based upon the PCID of the admin staff member rather than the admission location of the patient. This supports the workflows of SCH and reduces printouts going to the wrong printer.

Application: PM: Documents

Audience: Admissions, CSAs, Inpatient admin

Available: 29/10/2019

Site(s): SCH

Description: Pre-printed admission paperwork (e.g. next day expected admissions), will now blank out staff name and date

Why: The blanking out of name and date for pre-printed inpatient election forms will cater for the workflow of a different staff member being responsible for admitting the patient upon arrival.

Application: PM Documents

Audience: Admin SSSU

Available: 21/10/2019

Site: SCH only

Description: Access Management Office ALL WARD worklist has been updated so hospital selection is only prompted once

Why: Removing the second prompt for hospital will save clicks and improve usability.

Application: PM Office

Audience: Admissions, CSAs, Inpatient admin

Available:18/10/2019

Site(s): Any site that uses ALL WARD worklist

Description: SCH Emergency – Outpatient correspondence letters will no longer tell patient to bring their referral with them

Why: ED referrals to outpatient clinics do not require a written referral letter. As such all appointment letters for ED referrals

Application: Scheduling

Audience: SCH ED Admin

Available: 17/10/2019

Description: Outpatient letters can now automatically print to your default printer

Why: Correspondence uses PM Doc Default Printer which is a setting set up by the EMR Support team (within “WTS”). If you want your outpatient letters to automatically print upon confirmation of appointment, please let the EMR Support team know. Emergency department reception and comms PCs have been added on 16/10/19

Application: Scheduling - Correspondence

Audience: All Admin staff who book OP appointments

Available: 16/10/2019

Site(s): SCH / CHW (standard functionality)

Description: Admin staff no longer get message “The current GP recorded is NONE, Specified” when trying to discharge patient

Why: A fix has been put in that will copy over the person level GP into the encounter (if the GP is specified against the person). This will prevent further instances of the message “The current GP recorded is NONE, Specified”.

Application: PM

Audience: All Admin

Available: 16/10/2019

Site(s): SCH

Description: The Require Encounter at Booking preference has been turned on for all Procedure - WL Elective appointment types (impacts SCH only)

Why: The Scheduling preference for "require encounter at booking" was not defaulted on for Waitlist Elective appointment types. This has now been added and will prevent this step from being missed.

Application: Scheduling

Audience: SSSU Admin

Site(s): SCH

Description: Add commonly used printers to your personal “favourites” list within Documents

Why: Sometimes a user’s default printer can drop off from within Documents when printing admission paperwork. Users can add printers to their personal favourites list and then save favourites as the default printer list. This will save time searching for individual printers on each occasion.

Application: Documents

Audience: All admin

Notice date: 16/10/2019

Site(s): SCH / CHW (standard functionality)

Description:  Food Challenge (C1N) Waitlist Conversation - addition of User Defined Field for fasting time. This field will only display for C1N patients

Why: Admin staff within Admissions Office were printing off letters and having to manually write in information regarding fasting times. Adding UDF to the Waitlist conversation will save time for manual workarounds and make letters appear more professional.

Application: Documents

Audience: Admissions

Available: 15/10/2019

Site(s): SCH

Description: A report within Explorer Menu that proactively identifies patients and the data fields that need updating in iPM.

Why: Decreasing reliance and time criticality of dummy updates from iPM (by proactive identification/fixing of those requiring updates) will improve workflow and efficiency for staff and patient.   

Application: Explorer Menu

Audience: Outpatient Admins, Outpatient Supervisors

Available: 15/10/2019

Site(s): SCH

Description: Reprinting selected or entire ward patient labels via PowerChart patient list (Task Menu, Reports, SCH Patient List)

Why: Ad hoc or regular patient label printing may be required for many patients. Doing via PowerChart can print the patient labels quickly when multiple patients are selected. This functionality has been in place since June (but use case of multiple patient reprints not raised until now).

Application: PowerChart> Reports

Audience: Inpatient Admin, Admissions  

Available: 15/10/2019

Site(s): SCH

Description: A report within Explorer Menu that lists all ED admissions for a particular date/date-range.

Why: Daily reports identifying inpatients (admission source = ED) is required for Revenue/Billing. This report replaces manual workarounds being performed to provide this data.

Application: Explorer Menu

Audience: Admissions, ED Admin

Available: 14/10/2019

Site(s): SCH

Description: SCH Haemodialysis Admission paperwork – change to qualification

Why: SCH Haemodialysis patients seen at POW only require a Front Sheet to be printed out. This change will prevent all other admission paperwork from automatically printing when admission is generated within PM. 

Application: PM 

Audience: Admissions

Available: 11/10/2019

Site(s): SCH

Analysis Range:
•    Before: 09/09/19 - 15/09/19
•    After: 30/09/19 - 06/10/19

Results (Domain wide):
•    Average transaction time - 16% improvement (fairly good when average transactions > 1million per M-F day)
•    Login Average Response time - 18% faster (averaged; note this does not include citrix/imprivata components)
•    % Transactions over 5 seconds - 48% improvement
•    % Transactions under 2 seconds - 1.4% improvement (whist this sounds like a small %, it does mean that about 125,000 transactions are processing faster)

Note: It is unlikely that the above performance improvement will assist with any IPM messaging/interface, so work needs to continue in this space. 
 

Description: SCH Emergency – Document routing fix for ambulance arrivals

Why: SCH ED patients who present by Ambulance have labels and paperwork automatically printing to front reception. After a Cerner package installation, functionality to fix this has been added. Routing will now occur based upon PC-ID (e.g. ambulance arrivals will have documents print at ED Comms) 

Application: PM Documents

Audience: Emergency Admin

Available: 02/10/2019

Site(s): SCH