June - MEDCOM Information Systems
Contents
1. Source in the Name Description column 6 Place a check mark next to the name of each Method that you used in verifying the current list of medications If you choose Other type in a description of the other Method 7 You can enter an optional Comment regarding this particular episode of Reconciliation For example you might indicate if there is some uncertainty regarding one or more of the medications or their dosages 8 Press OK to store this information Now let s view the Medication Reconciliation Log for this patient Press Write Medications Enter the name of the patient Press Utility Reconciliation Log The program shows you the last time that this patient s medications were reconciled including the list of medications and their dosages the Sources Methods and Comment as well as who did the reconciliation and when 5 Present Back button jump into the immediately previous episode of Medication Reconciliation for this patient and the Next button to jump to the immediately subsequent episode of Medication Reconciliation for this patient Pe SS Note that the Medication Reconciliation Log is different from the Medication Snapshot Write Medications Utility Snapshot The Medication Snapshot shows the contents of the Medication Editor on any given date Unlike the Medication Reconciliation Log the contents of the Medication Editor may not necessarily reflect what the patient is actually taking at any given time since it ha2. the program when the patient is referenced The program automatically looks up the Birthdate and Code Number for the patient and shows them to you If you have more than one patient in the practice with this name make sure that you have specified the one that you wish to merge You can do this by verifying that the Birthdate and Code Number are correct f Delete this name fe Make this name a Synonym of Name 2 L INTO the chart of Hame 2 SMITH ELIZABETH GoTo Birthdate 4 3 1943 Code No 132061256 Status and by pressing the Jump button to view various sections of her chart x Cancel Help If you want the name in the Merge the chart of Name 1 box to remain in the program but defined as a Synonym of the name that you place into the INTO the chart of Name 2 box select Make this name a Synonym of Name 2 This is a good idea if Name 1 is in fact a correctly spelled alternative name for this patient On the other hand if Name 1 is a misspelling and should no longer remain in the program then select Delete this name Remember that if you choose to delete the name when in fact the name was a correctly spelled alternative version of the patient s name a user at your site might attempt to open the patient s chart using Name 1 and seeing that this name is not yet listed decide to add it once again into the program thus once again creating two different charts for the same patient and requiring you to use t
3. Volume 36 No 6 copyright 2010 Welford Medical Computing Inc WELFORD CHART NOTES NEWSLETTER June 2010 All rights reserved MERGING TWO CHARTS User s Manual pgs 1105 1106 Suppose you have accidentally created two different charts for the same patient You have stored some of the information about the patient under one name e g Elizabeth Smith and stored some other information about the patient under another name e g Betty Smith and the two names have not been set up as Synonyms of each other You discover your error and want to correct it You can do so by using the Chart Merger Let s see how it works ae a First let s see if the two names are Synonyms of each other Press Name Edit Enter one of the names e g Elizabeth Smith Press Jump Synonyms The program tells you if the patient has any Synonyms and if so what they are In this example the two names are not Synonyms Now let s merge the two charts ee et Make a full backup copy of your CHART directory using whatever backup software you use Press Tools Chart Merger Merge 2 Charts Enter the Master Password Merge the chart of Name 1 Enter one of the names of the patient e g Betty SMITH BETTY i D Smith in the Merge the chart of Name 1 pide 431943 CodeNo 132881237 Pee box This name will not be the official name of the patient when the Chart Merger is finished The official name is the name that appears throughout
4. a back into two separate charts If you discover such an error immediately after running the Chart Merger restore the most recent backup that you created in step 1 MEDICATION RECONCILIATION User s Manual pgs 1113 1115 You can keep track of each time that you verify exactly which medications your patient is currently taking using the Medication Reconciliation feature Medication Reconciliation is important because patients often are not taking medications the way you intended are often started on medications by other healthcare providers and often take over the counter medications on their own It is important to keep the Medication Editor current in order to avoid drug interactions and drug disease contraindications and to enhance compliance with your intended treatment regimen The program keeps a log of each time this activity takes place so that you can see at any given time which medications the patient was verified as taking Let s see how this works 1 Press Write Medications 2 Enter the name of the patient 3 Adjust the list of medications in the Medication Editor to reflect what the patient is currently taking using Edit Add and Stop 4 Press Utility Reconciliation Reconcile Now 5 Place a check mark next to the name of each Source of information that you used to verify the current list of medications Patient is checked by default since this is the most common Source If you use any other Source specify the name of that
5. he Chart Merger again Therefore if the name is actually a correctly spelled alternative version of the patient s name it is wiser to choose Make this name a Synonym of Name 2 In this example choose Make this name a Synonym of Name 2 since Betty Smith is a correctly spelled alternative to Elizabeth Smith Enter the other name of the patient e g Elizabeth Smith in the INTO the chart of Name 2 box This is the name that will remain in the program as the official name of the patient Again the program automatically looks up the Birthdate and Code Number for the patient and displays them To verify that you have specified the correct patient you can press the Go To button to open sections of the patient s chart 11 8 Press OK to merge the two charts Do not turn off your computer during this process or you may end up corrupting the data of the patient s charts 9 If Name 1 and Name 2 have different birth dates the program warns you of this fact before merging the charts MAKE ABSOLUTELY SURE THAT THESE ARE IN FACT THE SAME PATIENT before merging the charts The same patient should not have two different birth dates so this would imply that someone entered the wrong birthdate into the Name Editor for one of the names or that they are in fact two different patients in which case you should not merge their charts REMEMBER MERGING CHARTS CANNOT BE UNDONE Once you have combined two charts the program is not able to separate the dat
6. s not been independently verified with the patient as being accurate SEND US YOUR TIPS If you have tips shortcuts questions or suggestions for future newsletter topics please send them to us at Welford Medical Computing Inc or MEDCOM Information Systems 3779 Hermitage Trail 2117 Stonington Avenue Rockford IL 61114 Hoffman Estates IL 60195 12
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