CPRS Reports and Nature of Orders

Orders

Learning Objectives:• Generate Unsigned Orders Search• Discuss the HIM Role in Searching for

Unsigned Orders.• Compare and Contrast the use of Written,

Policy, Verbal, and Telephone “Nature of Order”.

Unsigned Orders Search

• Unsigned orders reports• Running a report for all unsigned orders:• Select EHR MAIN MENU Option: cprs CPRS Manager

Menu• CL Clinician Menu ...• NM Nurse Menu ...• WC Ward Clerk Menu ...• PE CPRS Configuration (Clin Coord) ...• IR CPRS Configuration (IRM) ...• Select CPRS Manager Menu Option: pe CPRS

Configuration (Clin Coord)

Unsigned Orders Search• Select one of the following: • AL Allocate OE/RR Security Keys• KK Check for Multiple Keys• DC Edit DC Reasons• GP GUI Parameters ...• GA GUI Access - Tabs, RPL• MI Miscellaneous Parameters• NO Notification Mgmt Menu ...• OC Order Checking Mgmt Menu ...• MM Order Menu Management ...• LI Patient List Mgmt Menu ...• FP Print Formats• PR Print/Report Parameters ...• RE Release/Cancel Delayed Orders• US Unsigned orders search• EX Set Unsigned Orders View on Exit• NA Search orders by Nature or Status• DO Event Delayed Orders Menu ...• PM Performance Monitor Report

• Select US – Unsigned orders search

Unsigned Orders Search

Select one of the following:

1 Released/Unsigned

2 Unsigned

3 Unsigned/Unreleased

Enter the type of orders to search: 3 Unsigned/Unreleased

Unsigned Orders Search• Select one of the following:• 1 Service/Section• 2 Provider• 3 Patient• 4 Location• 5 Entered By• 6 Division• Enter the sort criteria: 2 Provider• Would you like a specific Provider? NO//• Enter a starting date: t-200 (APR 10, 2006)• Enter an ending date: t (OCT 27, 2006)• Print summary only ? NO//• DEVICE: HOME// VT •

Unsigned Orders Search

HIM Role in Searching for Unsigned Orders

• HIM is responsible for monitoring unsigned orders.

• HIM shall run unsigned orders list at least weekly.

• Providers with unsigned orders should be contacted immediately.

Written, Policy, Verbal, and Telephone “Nature of Order”.

• Verbal/Telephone Order – Orders that are either spoken aloud or spoken over the telephone

• Entering verbal/telephone orders in EHR – When the selection of verbal or telephone order is made within the EHR, the order is released and a notification is sent to the Provider for signature

Written, Policy, Verbal, and Telephone “Nature of Order”.

• Policy Orders – also known as standing orders, protocols, etc…

• CMS approves the use of policy orders. However, the policy order must be documented in the medical record and signed by the Provider.

• In EHR, if Policy Order is selected, the order is released. However, a notification is not sent to the Provider for signature.

• A note must be created with an object that imports all policy orders into the note. The note creator should then assign the responsible Provider as an additional signer.

• Note: The above method is being used successfully at Cherokee Nation. The TIU object we use is not a standard object. We had it created.

Discussion and Questions