(Lesson Name)



[pic]

PowerChart with Message Center

PowerChart with Message Center 1

Introduction 1

Features 1

Objectives 1

Accessing Citrix 2

Accessing Message Center 2

Securing your Workstation 3

System Access Considerations 3

Security Considerations 4

PowerChart Interface with Eclipsys and Epic 5

Important Points about Eclipsys and Epic 5

Message Center 6

What is Message Center? 7

Home 8

Message Center 9

Message Center Components 10

Refusing to Dictate a Document 15

Message Center Toolbars 18

Modifying Document Results 20

Opening a Document 23

Signing Documents 24

Tips and Tricks 25

Refusing a Document to Sign 26

Considerations 29

Modifying a Document 30

Considerations 31

Considerations 34

Proxies 35

Managing Proxies 35

Adding a Proxy 36

Adding Multiple Proxies 39

Removing Proxies 40

Proxy Details 41

Schedule Tab 43

Schedule Basics 44

Changing the Resource Physician 45

Changing the Schedule Dates 46

Setting up Schedule Defaults 47

Changing your Schedule View 50

Single Day View 51

Tips and Tricks 51

Setting Single Day View Preferences 52

Adjusting Column Width 54

Week View 55

Tips and Tricks 55

Month View 56

Tips and Tricks 56

PowerChart 57

PowerChart Structure 58

PowerChart Organizer 59

PowerChart Toolbar Icons 60

Considerations 60

Patient Search 61

PowerChart Patient Chart Window 63

System Steps to Find a Patient 64

Tips and Tricks 64

Establishing a Relationship 65

Tips and Tricks 66

Considerations 66

Viewing a Patient’s Chart 67

Patient Information View 68

Patient Demographics Sub-tab 68

Considerations 68

Visit List Sub-tab 69

Problem List Sub-tab 70

Allergy Profile Sub-tab 71

PPR Summary Sub-tab 74

Intellistrip Sub-tab 75

Accessing PACS to View Radiology Images 76

Orders Tab 77

Tips and Tricks 79

Reports 80

Accessing Detailed Order Information 81

Order Information Window 82

Tips and Tricks 82

Reference Manual 83

Chart Summary Tab 84

Recent Results Tab 85

Lab and Radiology Tab 93

Tips and Tricks 93

Documents Tab 95

Tips and Tricks 98

Form Browser 99

PowerChart with Message Center

Introduction

PowerChart is a flexible, graphical tool that provides the clinician immediate access to the information in the clinical database. PowerChart enables clinicians to view lists of current patients and to customize lists according to their particular needs and preferences.

Message Center is a component of Cerner Millennium used for managing workflow in the inpatient or outpatient setting. It allows you to route information electronically, rather than having an unwieldy flow of hard-copy documentation moving around your facility. The Message Center enables you to review or sign results, documents, and prescription requests, as well as work with phone and other messages.

Message Center will also include a Schedule feature. From the Schedule view you are able to view a list of patients scheduled to be seen in your facility. The schedule seen in eKiDs is interfaced from the schedule in Epic.

Features

PowerChart Features

• Provides access to view one or more patient records

• Provides filtering options based on professional and personal needs

• Provides immediate access to patient information such as demographics, allergies, orders and visit history

Message Center Features

• All messages and notifications that require your attention, review or signature are routed to your Inbox and are organized in folders.

• Your Inbox can be accessed from any computer on your network that has Cerner Millennium installed on it.

• You can customize the items you want displayed in the Message Center by filtering by dates, types of results, and so forth.

Objectives

In this lesson, you will learn how to:

• Log In and Out of PowerChart

• Security and Confidentiality Considerations

• Navigate in the Message Center

• Review, forward, sign and refuse documents

• How To Find a Patient and open their chart

• The Different Tabs on a Patient’s Chart

• How to View Patient Chart Information

• How to Filter Views of Patient Information

Accessing Citrix

To access Message Center, you must first log in to the Citrix Web Interface. You can access the Citrix Web Interface in three ways:

• Select the Citrix Web Access icon on your Desktop.

• On KDnet, under Popular Links, select Citrix Web Access.

• Type “ekids” into your web browser.

Accessing Message Center

1. Click on the application icon to display the log on screen.

2. Enter your User Name in the designated field.

3. Enter your Password in the designated field.

4. Click OK or the key.

[pic]

Securing your Workstation

Suspend Application

If you need to step away from the system for a short period, you can choose to Suspend Application. By using this option, the patient’s record is still open but is secure. Sign back in using your password.

Change User

You can also leave the patient record open so that another staff member can use the record; select the “Change User” option on the task menu command toolbar. This process will remove your name from the system and the let the new user sign on and take responsibility for the patient record.

Exiting the System

When you have completed working within an application, it is imperative to log out. You can log out by selecting the Exit icon from the toolbar.

System Access Considerations

To gain security access Message Center, the following criteria must be met:

✓ Employee must sign and return the Security Receipt form to the Information Services department.

✓ The Employee Security Access Request form (ESAR) must be completed by the department manager and submitted to the Information Services department. This form can be accessed on KDnet.

✓ Employee must complete all required PowerChart training indicated as a result of their requested access level (indicated on the ESAR) with a score of 80%.

Upon the completion of the above listed steps, security will be activated and access will be given to various features within the eKiDs module, based on completed training and departmental role within CHKD.

Security Considerations

• Passwords must be at least eight characters in length and contain one number.

• Your User Name is assigned to you by the IS Department. User Names can be similar, but they are never the same. William R. Smith’s User Name may be SMITHWR, while Wilhmenia R. Smith’s username may be SMITHWR1.

• No one should ever ask you for your Password for any reason; never share your Password with anyone. Watch out for persons attempting to get your Password or information through social engineering. Social engineering is a method by which a person impersonates or intimidates others to get sensitive information. Report any such cases to Information Services at 668-7075.

• If you feel your Password has been compromised, change it immediately.

• Do not trust unexpected emails/files. Most computer viruses enter the network when an employee opens an e-mail attachment. If an attachment arrives unexpectedly, verify who sent it before you open it. Never open attachments from strangers.

• Use strong p@ssw0rdZ. Hackers use tools that automatically try every word in the dictionary as your Password. Choose longer, hard-to-guess Passwords that contain a mix of letters, numbers, and punctuation. For easy-to-remember Passwords, use a line from a poem, song, or movie.

• Destroy notes containing Passwords. More and more, thieves are stealing computer files or Passwords from their victims. Notes and post-it notes around your work area containing Passwords, account numbers, or other confidential information make it too easy.

• Lock it up to lock them out. Never leave your computer/applications open when you step away from your computer. Locking your PC will help to stop snooping passers by when you leave your desk.

• Stay in safe Web neighborhoods. You recognize the dangers of wandering to the tough part of town. Web surfing works the same way. Malicious software is installed on victims’ computers from a number of unsafe sites. Look before you click. Look carefully at links before you click them. Unless you intend to download software, no website/web address should have .exe in it. That indicates an executable program, which could be malicious. If a web site does not look right….it probably is not!

• Just click "no." When you visit a Web site and a box asks, "Should I remember your Password?" do not enable it. The password is actually stored on your own computer. Anyone else using your computer can visit your Favorites and log in as you.

• Report suspicious activity. Your computer is not performing as expected, there are more web pages popping up on your screen than clicked on or you notice a program installing and you did not start the installation. These are examples of what are considered suspicious activity on a computer and could indicate that spy ware, ad ware or remote control programs have been installed without your permission or knowledge. If you experience any of these or other suspicious activity, please call the help desk at 8-7075.

• When in doubt, call Information Services. Information Services is here for you. If you ever have a question or need to notify us of a problem, give us a call at 8-7075. Only with your help can we maintain the privacy and security of our systems.

PowerChart Interface with Eclipsys and Epic

PowerChart is the clinical order processing system at CHKD, and Eclipsys is the registration system. Epic is the Physician Practice Management system. During the registration process, information entered into Epic and Eclipsys such as name, address, telephone number, sex and date of birth is sent to PowerChart through the interface. Patients must be registered as an inpatient or an outpatient in Eclipsys in order for the information to be sent to PowerChart.

Important Points about Eclipsys and Epic

• Eclipsys is CHKDHS’s Patient Management system and is used to maintain admission, discharge, and transfer transactions.

• Epic is CHKDHS’s Physician Practice Management system.

• A patient must be previously registered or admitted via Eclipsys or Epic in order to generate an Electronic Medical Record.

• Patients for whom no Electronic Medical Record has been created will not be available from within PowerChart.

What is Message Center?

Message Center is a component of eKiDs that is used to manage the workflow in the inpatient or outpatient setting.

Message Center enables you to review or sign documents online as well as route information electronically.

Important Note:

Message Center will replace the use of Electronic Signature Authentication (ESA) at CHKDHS.

[pic]

Home

When you first log in to PowerChart, the Home page will display. The Home page gives you a quick view of both the Schedule and Message Center.

[pic]

From the Home view, physicians are able to view their workload for the day. This view enables physicians to see how many patients are to be seen that day as well as how many documents they may need to review as well.

Message Center

From Message Center, physicians will be able to review documents that need their attention.

Message Center offers the following benefits:

➢ All messages and notifications that require your attention, review or signature are routed to your Inbox and are organized in folders.

➢ Your Inbox can be accessed from any computer on your network that has Cerner Millennium installed on it.

➢ You can customize the items you want displayed in the Message Center by filtering by dates, types of results, and so forth.

[pic]

Message Center Components

The Message Center window displays:

Inbox Summary – The Inbox Summary provides you with a quick view of all of the items in your Inbox. A number in parentheses listed next to the type of documents indicates the number of unread messages.

View messages from the following sources by clicking the appropriate tab at the top of the Inbox Summary:

➢ Inbox: Your own Inbox

➢ Proxies: Inboxes for which you have proxy rights

➢ Pools: Pool Inboxes (Not available at this time)

[pic]

The Inbox Items section of your Inbox Summary will contain the following sections for physicians.

The Documents section will be broken down into the following folders:

➢ Sign: Scanned and SoftMed documents requiring signature.

➢ Forwarded documents to sign: Documents forwarded from other providers for signature.

➢ Review: Documents submitted for review only.

➢ Forwarded documents to review: Documents forwarded from other providers for review.

The Messages section will display the following:

➢ Proxy notifications only.

[pic]

Note: The number listed next to the Inbox items indicates the number of unopened items.

The Work Items section of our Inbox Summary will contain the following sections for physicians.

➢ Saved documents: Documents added to the Documents tab in PowerChart that have been saved instead of signed or submitted.

➢ Documents to dictate: These are anticipated documents that are added automatically or assigned by the HIM staff. The only documents that will appear in the Documents to Dictate folder are:

o For Residents – RD H&P (resident dictate H&P), RD D/C (resident dictate discharge summary), RD OP (resident dictate operative report), and RD ED (resident dictate ED)

o For Attendings – Anticipated document for the op note (KD OPERATIV RPT)

[pic]

Managing Dictations

Hospital based documents requiring your dictation are managed through the Message Center Inbox. Select Documents to Dictate under Work Items and a list of Documents to Dictate will appear.

Steps to Dictating a Document:

1. Open the document by double clicking on the patient name.

2. To view the patient record select the box above the list window that contains the patient name.

3. Review the record and dictate the document.

4. After dictating, select the X located on the right of the patient’s name on the Document to Dictate tab to return to the Document to Dictate folder.

5. On the Documents to Dictate folder select √ Complete from the tool bar above the document window.

• This removes the document from dictation list. COMPLETE the document ONLY after you have dictated the complete document.

Important note for Attending Physicians

If a resident is to dictate the document for you, select SKIP in the Action Pane [red box]. Do not Complete, Forward, or Refuse. Once the report has been transcribed the document will be removed from your list.

Always remember to select the SKIP option if you do not want to dictate that document.

Refusing to Dictate a Document

If an attending knows another attending is responsible for signing or dictating the document or a resident knows that another resident is responsible for dictating the document, send the document back to HIM by completing the following on the Action Pane.

Steps to Refuse to Dictate a Document:

1. Select Refuse

2. Select a Reason from the drop down table

3. In the Addition Forward Action field, select Review

4. Type him,in into to To field and press Enter. HIM, Inbox should appear in the field

5. Enter the name of the responsible physician into the Comments field

Select OK & Next

Reminder for Attending Physicians: Do not use Refuse when they know a resident is responsible for dictating the report.

The Notifications section of our Inbox Summary will contain the following sections for physicians.

➢ Sent items: Proxy notifications and forwarded documents.

➢ Trash: Deleted proxy notifications

Any new Notifications will be indicated by the Notification Alert icon.

[pic]

The information displayed on the right pane of Message Center will change when a different item is selected from the Inbox section.

In the example below, the Documents tab is selected. The result is a list of documents that need to be reviewed in the right pane.

[pic]

Message Center Toolbars

The following commands are available on the Message Center Toolbar. Toolbars will vary depending on what selection you’ve made under the Inbox tab.

Note: Some buttons are “grayed out” meaning that they may not be available for use at this time.

[pic]

| |Open. Opens the selected notification. |

|[pic] | |

| |Delete. Deletes selected item. This is only used in the Trash section |

|[pic] | |

| |Select Patient. Displays only results, messages and other Inbox items particular to the selected patient. |

|[pic] |This option allows you to navigate through the items in the patient-specific inbox before returning you to |

| |the full-view inbox. Manually selecting the icon while in the patient-specific mode or refreshing will |

| |return the user to full-view inbox mode with the currently selected item in context. |

| |Select All. Displays all results, messages and other notifications. |

|[pic] | |

| |Empty Trash. Deletes all messages, reminders, and consults in the Messaging Trash folder. |

|[pic] | |

Modifying Document Results

From within Message Center you are able to modify the type and the number of documents that are displayed.

One way to edit the amount of documents that display in your Inbox is by adjusting the amount of days back the Inbox will show.

➢ Select the down arrow in your Inbox tab in the Display field.

➢ Select the ‘Last Days’ you would like for the Inbox to display.

[pic]

In the example above, the inbox will only display messages that have been added to your Inbox for the last 30 days. Any message that was added past 30 days will not display

You can also adjust the date by using the calendar located in the Inbox tab.

➢ Click on the ellipsis.

➢ Select a date.

➢ Select OK.

The calendar will automatically calculate the last number of days and display those messages received within that time period.

[pic]

You can also show all the documents by using the Show Completed option from the Inbox menu.

➢ From the Inbox menu, select Show Completed.

This will place a check mark next Show Completed indicating that this function is ‘on’.

The right pane will now show the Completed documents as well as the documents that still need to be reviewed.

[pic]

Opening a Document

There are three ways to open a document:

1. Double click directly on the subject line.

2. Clicking once to highlight and right click to open.

3. Select the subject line highlighted and clicking the open icon.

[pic]

Once one of the above options to open a message has been executed, the document will open.

Signing Documents

Documents that require your review or signature are displayed in the Inbox Summary. Notifications that require your signature include transcribed documents, saved documents, as well as documents forwarded to you by the HIM department for signature.

To sign or review a notification, complete the following steps:

➢ Open and review the message by double clicking on the desired message.

➢ Review the notification and if no changes need to be made, select Sign.

Note: Documents can be modified prior to signature

➢ Click OK to mark as signed or OK & Next to mark as signed and open the next document

➢ Select the ‘X’ on the Sign_Doc tab to close the document and return to your Inbox

Note: If the document is not ready to be signed or refused you can select Skip to move on to the next document.

[pic]

Note: DO NOT forward documents to another provider! This function is not being implemented at this time.

Tips and Tricks

After reviewing a document, there are 3 options to choose from:

OK – Marks the document as reviewed.

OK & Next – Marks the open document as reviewed and opens the next document.

Skip - If the document is not ready to be signed or refused you can select Skip to move on to the next document.

[pic]

➢ If you just want to view a document and are not ready to sign, clicking the ‘X’ in the Sign_Doc tab closes the document and brings you back to the Inbox.

[pic]

Refusing a Document to Sign

There may be times when you may need to refuse a document due to insufficient or incorrect data.

At this time, any document refusal will be forwarded to the Health Information Management (HIM) department inbox.

DO NOT forward documents to another provider! This function is not being implemented at this time.

To refuse a document, complete the following steps:

➢ With the document open, select Refuse

[pic]

Important Note for Attending Physicians:

Do not use Refuse when they know a resident is responsible for dictating the report for them.

Once the Refuse button is selected, the Reason, Additional Forward Action and To fields become required fields.

➢ Enter the Refusal Reason.

o The Refusal Reasons available are:

▪ Not my document

▪ Not discharging physician

▪ Partner’s patient

▪ Not my patient

▪ Do not follow this patient

➢ Select Sign in the Additional Forward Action field. Do NOT select Review. The document will not show in the HIM Inbox and the deficiency will not be released from the provider.

[pic]

➢ In the To field, enter “HIM, Inbox” to send the document to Health Information Management for review.

➢ Type in a comment in the Comment field if needed.

➢ Once complete, select OK or OK & Next.

Note:

➢ If the document is not ready to be refused you can select Skip to move on to the next document.

➢ DO NOT USE THE FORWARD ONLY OPTION!! USING FORWARD ONLY WILL NOT RELEASE THE PROVIDER FROM THE DEFICIENCY

Once the OK or OK & Next is selected, the document will show up in your Sent Items with a status of Pending indicating the document has been sent to HIM for further review.

[pic]

If a comment is entered on a refused document it will show up in the subject line when forwarded and also in the History pane of the document.

[pic]

➢ To view the history of a document hover the mouse over the bottom line of the screen until it turns into a double arrow [pic].

➢ Hold down the mouse button and pull up History Pane to desired view.

[pic]

Considerations

All comments can be viewed by any user with access to the patient’s medical record. Only comments pertinent to the document should be entered.

Modifying a Document

If modification is needed on a document, edits can be done with the document open.

➢ Edits can only be done on a transcribed document with the document open.

➢ Examples of Transcribed Documents are:

o H&P’s

o Discharge Summary’s

o Op Notes

To modify a document, complete the following steps:

➢ Right click on the document.

➢ Select Modify

[pic]

The document will open allowing you to edit the information.

➢ Edit the information within the document as needed.

[pic]

➢ Once you are done modifying the document, select Sign if complete.

➢ If the document still needs review select Save or Save & Close.

Considerations

If you realize you made a mistake in editing the document, select Cancel. This will cancel all the changes/modifications made to the document.

Scanned documents cannot be modified. The only modifications that can be made in Message Center are comments that can be entered in the Document Description pane.

To enter comments on a scanned document, complete the following steps:

➢ Right click on the document.

➢ Select Modify.

[pic]

Once modify is selected, the modify window will appear.

➢ Type/edit the information as necessary directly in the designated pane.

[pic]

➢ Once you are done modifying the document, select Sign if complete.

➢ If the document still needs review select Save or Save & Close.

Note: DO NOT select the Import button. This feature will not be implemented at this time.

The comments will now show up in the Document Description pane.

[pic]

Note: At this time Residents are not able to modify documents.

Considerations

All comments can be viewed by any user with access to the patient’s medical record. Only comments pertinent to the document should be entered.

PowerChart Help finding Inpatient, ED or Day Surgery Form

In PowerChart go to HELP/Policies and Procedures/Finding a Form to access the list of folders and an excel spreadsheet of the forms hierarchy.

Open the spreadsheet by selecting Find a Form

1. Click on Edit found in the toolbar

2. Click on Find

3. Enter the form number or part of the title in the Find What field

4. Click on Find Next

5. Continue clicking Find Next until you find the form you are looking for

An imaged document can be made up of multiple forms. If the form number of the form you are looking for is NOT highlighted in yellow, the form you are looking for is found behind the lead form of the document that is highlighted in yellow just above it.

If viewing the images By Type, documents are in folders. The name of the folder in which the document is housed, is found to the right of the form number and is bolded.

Use the up and down arrows found under the folder/document list to move from document to document. Use the right and left arrows found under the images window to move from page to page or form to form within a document.

Note: This document should be opened as READ ONLY!

Proxies

Granting proxy authorization enables another provider to access your Inbox messages and handle them for you. Additionally, you may be able to take proxy from another provider and access their Inbox in their absence.

Your proxy can review, sign, refuse, and forward messages in the folders to which you have granted authorization. When granting proxy authorization, you specify the provider or provider group, the specific Inbox folders, and a date range. When taking proxy, you will only be able to access specific Inbox folders and perform certain tasks.

Managing Proxies

When first accessing Proxies, the tab will appear blank. You will need to set up your Proxies.

To set up your Proxies tab, complete the following steps:

➢ Click on the Proxies tab.

➢ Either select Manage or from the menu bar select Inbox/Manage Proxy.

[pic]

This will open the Proxy screen where you can add or delete proxies.

Adding a Proxy

To proxy your Inbox to other physicians, complete the following steps:

➢ Select the Add button.

[pic]

This will open the Add proxy section.

➢ Type the physician’s name that will be granted proxy rights to your Inbox.

➢ Enter in the Begin and End date the physician will have proxy rights. The default setting grants 30 days

➢ Select Grant All to grant the physician proxy rights to all items in your Inbox (recommended)

Or…

➢ Select a specific section of your Inbox to grant to the physician and select Grant.

➢ Select OK.

[pic]

If you mistakenly grant a section of your Inbox before selecting OK, simply select the Revoke or Revoke All button to remove that section from the Granted Items section.

The physician that you granted proxy rights to will now show up in the Given proxy tab.

[pic]

➢ Select OK.

A Settings saved successfully window will appear. It is important that you select OK on the message below or your settings will not be saved.

[pic]

➢ Select OK.

Adding Multiple Proxies

If you would like to grant multiple physicians rights to your Inbox, multiple proxies can be set up at one time.

To set up multiple proxies, complete the same steps as adding a proxy.

➢ Once you enter the physician name, select the down arrow to add that physician to Additional Users box.

➢ Enter the next physician’s name in the space provided

➢ Select the down arrow to move the physician to the Additional Users box.

Keep adding the desired physicians.

Once the desired physicians are entered:

➢ Grant the desired inbox sections to the physicians.

➢ Once complete, select OK.

[pic]

The physicians will now show up on the Given tab of your Proxy list.

Removing Proxies

Should you need to remove a proxy, complete the following steps:

➢ From the list of physicians who have proxy rights to your Inbox, highlight the name you would like to remove.

➢ Select Remove.

[pic]

The physician will disappear off the list.

➢ Select OK.

Proxy Details

To view proxy details you have given to another physician, complete the following steps:

➢ From the Proxy screen, select the physician’s name whose proxy details you would like to view.

➢ Select Details.

➢ The proxy details for that physician is now viewable.

[pic]

Schedule Tab

Schedule Tab

From the Schedule view you are able to view a list of patients scheduled to be seen in our facility. The schedule seen in eKiDs is interfaced from the schedule in Epic.

➢ To get to the Schedule Tab view, click on the Schedule button.

Your Epic schedule will appear.

[pic]

Schedule Basics

[pic]

Changing the Resource Physician

You are able to change the Resource from the Schedule to view another physician’s schedule.

To do this you can either:

➢ Type the desired physician’s name in the Resource field.

Or

➢ Selecting the down arrow from the Recent button, you are able to select from a list of recently viewed physicians.

[pic]

Once a selection is made, that physicians schedule will now display.

Changing the Schedule Dates

From the Schedule tab you are able to change the dates that are displayed.

There are 2 ways to change the date of the displayed appointments.

One way is to:

➢ Type in the desired date in the Date field.

[pic]

Once a date is populated in the Date field, the Schedule will reflect appointments for that date.

The other way to change the date of a schedule is to:

➢ Select the drop down arrow next to the Date field. A drop down calendar will appear.

➢ Select the desired date.

Note: Should you need to change the month or year, use the arrows next to the fields to scroll thru.

[pic]

Setting up Schedule Defaults

From the Schedule tab you are able to modify the schedule that populates in the spreadsheet. Once the defaults are set up the physician will not have to change this every time they log in.

To set up your Schedule defaults, complete the following steps:

➢ From the Schedule Menu, select Preferences.

➢ The Schedule Preferences box will appear.

[pic]

➢ Enter the physician’s last name in the Default Resource field to automatically pull up this physician’s Epic schedule every time you log into PowerChart.

➢ Once the name populates, select OK.

➢ You will need to log out then log back in to PowerChart for the changes to take place.

[pic]

Once you log back in to PowerChart, the default resource (physician) will now display in the schedule.

[pic]

Changing your Schedule View

➢ From the Organizer, the Epic schedule automatically defaults to a one day view. You can change this to a Weekly or Monthly view.

➢ From the Schedule Page select Schedule from the Menu bar.

➢ Select View.

➢ Three options are available: Day View, Week View and Month View.

[pic]

Single Day View

Single Day View will show scheduled appointments for one day.

[pic]

Tips and Tricks

➢ Hovering your mouse over a patient’s name gives you an information box containing general information about the patient.

➢ Pressing CTRL + Home will take you to the beginning of the day.

➢ Pressing CTRL + End will take you to the end of the day.

➢ Double clicking on the patient’s name will open up their chart.

➢ Right clicking on a patient and selecting Open Chart allows you to open to a specific tab within a patient’s chart.

Setting Single Day View Preferences

With Single Day View you are able to edit the information that is populated on the screen, such as the columns that are displayed.

To edit the columns listed on the spreadsheet, complete the following steps:

➢ From the Schedule menu select Preferences.

[pic]

The Preferences window will open.

➢ From the Preferences window, select the Day View tab.

➢ Under Columns, moving items from Available columns to Visible columns will provide the information you see in the Schedule.

➢ Should you need to move an Available column over to the Visible columns to be seen on the spreadsheet and vice versa, simply highlight the column name and use the arrows to set up.

➢ When finished, select OK.

[pic]

Adjusting Column Width

Within Single Day View the user is able to permanently adjust your column width. If the column width is not set the columns will go back to their original state once the user logs out.

➢ Click on the Schedule menu and choose the Preferences option.

➢ Click on the Day View Tab and select the Expand to fill screen checkbox.

➢ Click and drag each column to adjust individual column widths if necessary.

➢ Click OK to save the changes.

[pic]

Week View

Week View will show you scheduled appointments for one week.

[pic]

Tips and Tricks

➢ By clicking on the arrow on one of the days brings you back to Single Day View.

➢ Hovering your mouse over a patient’s name gives you an information box containing general information about the patient.

➢ Double clicking on the patient’s name will open up their chart.

➢ Right clicking on a patient and selecting Open Chart allows you to open to a specific tab within a patient’s chart.

Month View

Month view will show scheduled appointments by month.

[pic]

Tips and Tricks

➢ By clicking on the arrow on one of the days brings you back to Single Day View.

➢ Hovering your mouse over a patient’s name gives you an information box containing general information about the patient.

➢ Double clicking on the patient’s name will open up their chart.

➢ Right clicking on a patient and selecting Open Chart allows you to open to a specific tab within a patient’s chart.

[pic]

PowerChart Structure

PowerChart is designed to operate in two main windows: the Organizer and the Patient Chart. Both windows can be open concurrently. The Organizer displays your patient lists upon log-on. The Patient Chart displays several views of a patient chart. Both the Organizer and the Patient Chart must be closed to log completely out of PowerChart.

The Patient Chart level of PowerChart is most closely related to the actual patient’s binder within the chart rack. It contains patient specific information for that particular encounter such as orders, results and documentation. The Patient Chart is made up of a combination of tabs that allow the clinician to quickly access the information that is pertinent at that moment.

Like most Windows applications, PowerChart utilizes a menu bar and a toolbar. The menu bar contains textual options of system actions that can be taken based on the particular window that is open.

[pic]

The actual menu bar items and actions that can be taken vary, depending on the tab that is currently selected.

PowerChart toolbar options also vary depending on the tab that is selected and whether the user is at the Organizer or Patient Chart level.

PowerChart Organizer

The PowerChart Organizer serves as the Desktop for PowerChart users. The PowerChart Organizer opens to the Home page which gives a quick view of both the Message Center and the Schedule.

[pic]

PowerChart Toolbar Icons

The following table describes the different icons available from the PowerChart Organizer toolbar. Some are available from both the Organizer and Patient Chart.

|[pic] |Find Patient – Use this icon to launch the Find Patient window. |

| |Change User – Suspends, but does not close, the application and displays the Change User dialog box to|

|[pic] |allow another user to enter a user name and password. The new user's patient lists and other defaults|

| |are then displayed. If the new user does not have a relationship with the active patient chart and |

| |does not declare one, the Organizer is opened. |

|[pic] |Suspend Application – Suspends, but does not close, the application and displays the Suspend User |

| |dialog box. The user must reenter their password to restore the window they were viewing. |

|[pic] |Exit – Closes the patient chart. If the PowerChart Organizer is not open, exits the application. |

|[pic] |Print – Use this icon to print the current window. |

|[pic] |Previous Patient’s Chart – Opens the chart of the patient listed just before the current patient if |

| |the user has accessed the chart from a patient or task list. If the chart of the first patient on the|

| |list is being viewed, it jumps to the bottom of the list and opens the last chart. |

|[pic] |Next Patient’s Chart – Opens the chart of the patient listed just after the current patient if the |

| |user has accessed the chart from a patient list or a task list. If the chart of the last patient on |

| |the list is being viewed, it jumps to the top of the list and opens the first chart. |

|[pic] |Recent Patients – Opens recently viewed patients. By default, PowerChart remembers the last five |

| |charts you have viewed. |

|[pic] |Notifications – Notifies user when a new message has been received. |

|[pic] |Refresh – Use this icon to refresh the current window. |

Considerations

A list of the last five patient’s charts you accessed will be available from the Task Menu on the Organizer. You can click on a patient’s name to open their chart.

Staff should not open more than one chart at a time.

Patient Search

Search for specific patient

Prior to viewing patient information in PowerChart, you must first select your patient. There are a few ways to look up a patient. One way to find your patient is by clicking on the Search for specific patient icon on the tool bar. You may search for your patient by name, medical record number, financial number, or social security number. You may also choose to enter birth date, age range and gender as indicated on the Patient Search screen to limit the number of possible matches.

The top window will display all patients found who meet the search criteria entered. Highlight the target patient and click OK or double click on the name of the target patient to open their chart.

The bottom window will display all encounters associated with the patient. The top encounter defaults to the current or most recent encounter, but the columns can be sorted by clicking on them.

Click the Preview button to view information associated with the highlighted patient or encounter.

[pic]

Name Search field

Another way to look up a patient is by utilizing the Name Search box which is also located on the toolbar. This feature allows you to quickly look up a patient by name or by MRN.

Click on the down arrow next to the Name Search field and select Name or MRN to indicate what type of search you are to perform.

[pic]

Recent Patients

A Recent patient button is available as well, which will allow you to look up recently viewed patients. To look up recently viewed patients, click on the down arrow next to the icon and select the desired patient.

[pic]

PowerChart Patient Chart Window

Once you find your patient, the Patient Chart will appear.

The PowerChart Patient Chart Window provides quick and easy access to specific patient information. Patient demographics, allergies, visit history, current orders and results can be viewed from the Patient Chart Window.

The Patient Demographics Bar provides information such as patient name, age, DOB, sex, Location, MR Number, and Financial Number.

You can access more information by clicking on any field in the Patient Demographics Bar that has a hyperlink. A hyperlink is indicated by an underline when you hover over the field.

[pic]

System Steps to Find a Patient

|Steps |Notes |

|Click on the Find Patient icon on the Organizer toolbar or simply| |

|type the patient’s name in the search box OR. | |

|Click on the task menu and then click on Find Patient from the | |

|drop down menu to open the Patient Search screen. | |

|Enter the established CHS search criteria. Search options |The Medical Record Number is the most direct way to search. |

|include Name, Medical Record Number, Financial Number or Social |You can search by full or partial name. 3,3 is the standard |

|Security Number. |CHKDHS name search, indicating the First three letters of the |

| |patient’s Last Name, and the First three letters of the First |

| |Name. |

| |You can search by full or partial Social Security Number. |

|Click on the Search button to activate a search for all patients |A list of patients who meet the search criteria will display |

|who meet the entered criteria. |on the top portion of the window. |

|Click OK or double click on the target patient’s name to open |The bottom portion of the window will display all encounters |

|their chart. |for the selected patient. |

| |A search by Financial Number will display only the specific |

| |encounter associated with that Financial number. |

|Double click on the target encounter to access information | |

|regarding that encounter. | |

Tips and Tricks

• You may select on your keyboard to activate a search instead of clicking on the Search button

• You can click on the button to remove the existing search criteria so you can re-enter information as needed

Establishing a Relationship

You can establish a relationship between yourself and a patient. When you attempt to open a patient's chart without having an established relationship with the patient, the Assign a Relationship dialog box prompts you to do so. To establish a provider relationship with a patient, perform the following steps:

System Steps to Establish a Relationship

|Steps |Notes |

|1. Select the patient from the list | |

|2. Select Assign a Visit Relationship or Assign a Lifetime |The Create a Visit Relationship Window will display |

|Relationship command from the Patient List menu | |

|6. Click | |

[pic]

Tips and Tricks

If you only have one type of relationship, the system will automatically assign your relationship, and you will not be prompted to do so.

If you open a patient’s chart with who you already have an established relationship, you will not be prompted to establish a relationship again for that same encounter.

At this point, the Infection Control Nurse and Physician will be the only positions with the ability to create a lifetime relationship.

After a relationship has been established, it will display on the PPR (Patient Provider Relationship) window.

If a relationship is deleted, it will no longer show on the PPR window, but it will show in the audit trail.

Considerations

A Visit Relationship is encounter specific and will end when the encounter is over.

A Lifetime Relationship is ongoing. Only the Infection Control Nurse role and Physicians establish Lifetime Relationships at this time.

Viewing a Patient’s Chart

Upon opening a patient’s chart, several tabs will display. Depending on which tab you select you will be able to view different parts of the patient’s chart. You can access information such as patient demographics, current orders and results.

Views of information can be customized to meet individual needs and preferences.

Patient Demographics Bar

You can click on the Location Hyperlink on the Patient Demographics Bar to obtain general information regarding the patient’s visits.

You can switch visits by clicking on the desired visit in the list or Right clicking and selecting Change Encounter.

.

[pic]

Patient Information View

The Patient Information tab displays high-level data about the patient relative to demographic information and additional patient identifiers such as medical record or social security numbers.

This view is different from the others in that there are several tabs available within the Patient Information View.

Patient Demographics Sub-tab

Use the Patient Demographics Sub-tab in the Patient Information view the same way that you would a paper chart’s face sheet. You can view information such as name, address, phone number, gender and any aliases the patient may have.

Demographic information recorded in Eclipsys during the registration process is displayed here. Blank fields are an indication that those fields may not have been populated during the registration process, or that specific information is not recorded in PowerChart.

[pic]

Any aliases or name changes will be reflected in the Previous Name(s) field in the Patient Demographics sub-tab.

Considerations

If the VIP indicator field is completed in Eclipsys during the registration process, a star will display in the VIP column for that patient on the patient list. An explanation of the VIP indicator can be found in the Patient Demographics tab.

Visit List Sub-tab

Use the Visit List Sub-tab to view a patient visit summary to CHKDHS. The Visit List is available from the patient chart as a tab of the Patient Information view.

In the Patient Information view, the Visit List window is separated into two sections by a horizontal splitter bar. The top panel displays information regarding a patient's visits including the admission and discharge date, location, financial Number and medical service. The visit within which the Visit List was accessed is considered as primary in the system. Any action performed on the patient chart, such as a new order, is associated with the selected visit.

Select another visit by double-clicking the selected encounter or clicking on Options on the menu command toolbar and selecting Change Encounter.

The bottom panel contains information specific to the selected visit such as the admission date and time, reason for the visit and room number. Provider and Patient relationships are also available in this section.

Visits can be sorted by clicking on the column headings.

[pic]

Problem List Sub-tab

Problems and Diagnoses can be accessed from the Patient Information Sub-tab within PowerChart. The Problem List provides a way to sort and track patient problems that cross encounters. Anything that presents a problem to the patient's overall health may be listed in the Problem List. The Problem List uses duplicate checking to help prevent duplicated problems.

Problems can be displayed according to an Active or Inactive status. Once a problem is resolved, it is removed from the default view. The view can be switched between All, Active, or Active & Inactive Problems.

Displaying Problems in Problem List

In Problem List, problems can be grouped or displayed according to a view that is most beneficial to the clinician. The problems can be sorted and viewed by using the following:

• The Management Discipline View allows Clinicians to filter down by Headers to organize the view by care team.

• The Classification View displays entries that pertain to Medical or Nursing classifications. Clinicians can change back and forth between Management Discipline and Classification View by clicking Change View.

• Additional Problem sorting can be accomplished by selecting All Problems, Active & Inactive, or Active from the list. These display options work in conjunction with Change View.

• The view can be further customized by clicking on Problem List in the menu bar and then selecting Properties. You can then add or remove columns to select those that best display the data that pertains to your role.

[pic]

Considerations

Only designated staff such as Infection Control, OR and ED staff will update Problem List/Diagnosis information.

Allergy Profile Sub-tab

The Allergy Profile Sub-tab is used to view allergies on a patient. This profile can be viewed by clicking on the Allergy Profile Sub-tab within the Patient Information tab or on the Allergies hyperlink on the Patient Demographics Bar.

[pic]

Allergy Profile Options

The allergy profile offers the clinician several options to determine which allergies to display.

The Display drop-down box allows the clinician to determine which allergies to show currently. The All Reactions choice will allow the clinician to see all allergies that are documented on the patient while the other choices allow for a more filtered list of the allergies.

The Perform Reverse Allergy Check button allows the clinician to force the system to perform reverse allergy checking. The system will attempt to compare the patient’s allergies with current medications to determine if any interactions should be displayed. It will also provide you with Drug References and Educational leaflets if applicable. Right click to print the information.

If interactions are indicated, you can also double-click on the Interactions column to obtain this additional information.

To sort the allergies based on a particular data point, click on the column. The system will adjust the sorting of the columns in either alphabetical or reverse-alphabetical order.

Pharmacy and the Emergency Department will enter allergies with the exception of food allergies, which will be entered by Nutrition.

Right Click Menu Options for the Allergy Profile

The right-click menu contains several additional options the clinician may find helpful.

[pic]

View – Once a particular allergy is selected, the system will open up the All Allergy window in a view-only mode using this option.

View History of – Once a particular allergy is selected, the system will open up a window displaying the history of the allergy using this option.

Display Current Allergies (only), Display Current Reactions (of all types), and Display All Reactions – These options will allow the clinician to change the view of the Allergy Profile.

Check Interaction - This option will display possible interactions.

Adjusting Allergy Profile Preferences

Allergy Profile preferences may be changed using the “Preferences” option from the Allergy menu. Use the “Save Settings on Exit” option from the Allergy menu to save any preference changes made.

Allergy Warning Preferences

This warning screen will display each time if a user clicks on the allergy tab or hyperlink while in a patient’s chart if any medications have been ordered that have an interaction with a documented allergy for that patient.

[pic]

Preferences can be set that will prevent allergy warnings from continuing to display once you have reviewed it at least once and click OK to close the screen. To inactivate the warning for the displayed allergy in the future, select the Preferences option from the right click menu. Uncheck “Perform reverse allergy interaction checking on load” and click OK.

[pic]

This will prevent the warning message from redisplaying each time you select the option to open the patient’s allergy profile.

The allergy profile will only be updated by Emergency Department, Nutrition and Pharmacy. Nutrition updates will be limited to food allergies only.

PPR Summary Sub-tab

The Patient Provider Relationship Summary (PPR) Sub-tab in the Patient Information view is used to display a patient's relationships with healthcare providers known to CHKDHS. Separate lists are provided for Lifetime and Visit-specific Relationships.

This information is displayed in a split screen. The top portion displays established lifetime relationship information. The bottom portion of the screen displays visit-specific relationship information.

Views can be filtered to display only your relationships to the patient or all health care provider relationships. In addition, the view can be filtered to display only current active relationships or all relationships.

[pic]

Intellistrip Sub-tab

The Intellistrip is a visual representation of the health lifeline for an individual. It displays icons or symbols that represent acute healthcare events, chronic problems, and various types of health-related documentation. The icons are displayed along a collapsible time line that can be zoomed in for a close up view of a specific time period.

Icons or rectangular shapes on top of the backgrounds represent individual occurrences. Events with an associated duration such as a hospital visit or a health problem are represented by lines or rectangles that expand or contract according to the time scale selected. Visits are represented by a rectangle, problems with a bar.

If any events have been entered for the selected individual, they are pictorially represented by an icon representing the event type; for example, a hand and pen represent a document. If you click on an event, the date, time and description will display in the lower left hand corner. Double click on the icon to open any associated report.

[pic]

The date range view can be adjusted by clicking on the desired Time Scale.

Visits, Problems and Events can be added or hidden by adjusting the Layers.

Additional view adjustments can be made by using the Navigate tools.

Accessing PACS to View Radiology Images

Picture Archiving and Communication Systems (PACS) are computers or networks dedicated to the storage, retrieval, distribution and presentation of images. PACS provides the ability to simultaneously view the same x-ray image on multiple monitors throughout CHKDHS network.

The ability to view radiology images directly from eKiDs can be achieved by selecting the View Image button while viewing a radiology report.

The View Image button will be green and become available when images are available via a URL to the Synapse PACS system. If you click on the image button, it will pull up the linked Synapse image(s) associated with that accession number.  It does not launch you into Synapse; you cannot access any other images or patients, just the one linked to the selected accession number.  

Considerations

If you do not have access to view images, when you click on the View Image button the screen will be black. To request access to view images, call the Information Services Help Desk at 668-7075.

 

 

Orders Tab

The Orders tab is used to view orders and detailed order information. There are two main sections of the Orders tab: the Clinical Categories Navigator and the Existing Orders Profile.

[pic]

Navigator Overview

The left side of the Orders tab is the Navigator, which lists clinical categories.

The Navigator allows you to select the categories from which you want results displayed.

When the check mark on the left is selected, the category of orders from the profile section is displayed. When it is unchecked, the category and its orders are hidden.

Order Profile

The Order Profile lists patient orders, their statues and detailed information.

Filtering Orders

• Orders can be filtered to meet individual preferences.

• From the Orders Tab click on the Filtering window located in the upper right corner and select the optimal view.

• Click on the downward arrow for a list of selections.

The system displays the set of orders you selected.

[pic]

Tips and Tricks

From the Menu Tool Bar on the Orders tab you can click on and select from several methods to customize the view of the Order Profile.

[pic]

If you select from this menu, you will be able to customize the types of order statuses you will see and in what date order they will be sorted.

[pic]

When you have set your filters, click on one of the following buttons.

|OK |Saves settings for this session only |

|Cancel |Cancels the changes that you have made |

|Save |Saves selected filters and applies them to this |

| |and future sessions until changed |

Reports

You can access patient reports, such as the active order profile, from within a patient’s chart. Click on the Task button and then select Reports.

[pic]

Select the type of report you want and the date.

Accessing Detailed Order Information

System Steps to View Detailed Order Information

|Steps |Notes |

|1. Right click the order | |

|2. From the shortcut menu, select Order Info. |The Order Info Window will display. |

|3. Click on Details |Displays the order format and the current details for the |

| |order. If any details have been modified, the newest |

| |values are displayed. |

|4. Click on Additional Info |Displays the order name, start time, stop time, order |

| |IDNumber and department status. |

|6. Click on History |Displays each action taken on an order in reverse |

| |chronological order. The initial order action displays the|

| |order details. |

| |Subsequent modifications show before and after detail |

| |information for comparison. |

|7. Click on Comments |Displays order comments entered for the selected order with|

| |the most recent listed on top. |

|8. Click on Results |Displays results for an order. |

Order Information Window

Tips and Tricks

From the Task menu on the Order Information Window you can Save your Viewer preferences.

You may exit the Order Information Window by clicking on < Exit> from the Task menu, by clicking on the Exit icon on the tool bar or by clicking on the X in the upper right hand corner.

To go directly to the Results tab on the Order Info Window, Right click on the desired order and select Results from the shortcut menu.

To make sure you are viewing the most current information, be sure to refresh the view by clicking on the REFRESH button on the tool bar.

[pic]

Reference Manual

To obtain Prep information that is associated with an order, Right Click on the order, and select Reference Manual from the drop down menu. The prep information will display and can be printed by Right Clicking and selecting Print. If Reference Manual is grayed out, there is no reference manual or preps associated with the designated order.

[pic]

You can print the displayed prep by right clicking in the prep window and selecting the Print button.

Click OK to close the displayed prep window.

Chart Summary Tab

Chart Summary views pull information entered or viewed in different areas of the chart into a single convenient view.

The primary purpose of these summaries is to present pertinent, clinically relevant information to the clinician to facilitate their workflow.

The Chart Summary contains a quick view of information such as problems documented in the Problem List, Height and Weight, reason for the visit, allergies, isolation precautions, critical labs and continuous infusions.

[pic]

You can sort items listed in the Problem List, Critical Labs and Continuous Infusions sections by clicking on the column headings in each area.

Infection Control Staff are responsible for entering problem/diagnosis information. Pharmacy staff is responsible to enter and update height & weight information.

Recent Results Tab

When the Recent Results tab is selected, the Quick View of the flowsheet displays and will default combined results of the past 48 hours and 24 hours in the future.

Information is shown in a spreadsheet with flexible display features that make it possible to create an optimal view. Each piece of clinical data qualifies as an event or result, including numeric results and clinical documents and notes.

This flowsheet can be accessed from the patient’s chart by clicking on the Recent Results tab. Views can be limited to Lab or Radiology results by clicking on the Lab or Radiology tab

The Flowsheet is divided into two major sections. The left section is the Navigator, which consists of a list of categories that serve as an electronic index. By selecting a category, the display focuses to its contents, which are displayed as values in the grid on the right. The right section is the Results Display that provides a two-dimensional view of events (tests, procedures, and documentation) against a time continuum.

[pic]

Tips and Tricks

Click on the ellipsis next to the Flowsheet drop down menu to select a specific category to view. This will open up the Procedure Selection window and allows you to free-text search criteria.

Changing the View

Users can change the flowsheet view to other relevant pre-defined views by selecting the drop-down box next to the Flowsheet option.

[pic]

There are several other views that clinicians can select to view information to change the manner in which the flowsheet displays the same information to aid in trending and viewing data in an alternate fashion.

The Table View is the standard flowsheet viewing method, but you can also choose the Group View or the List View. Each of these methods is discussed further in the following information.

Table View

The Table View is the standard flowsheet viewing method.

The table view displays the event descriptions and dates respectively as the x and y axis of the results display.

[pic]

Double click on the result or right click and select View Details or View Order Info to obtain additional result information.

[pic]

Group View

The Group view allows clinicians to see the trend in data in a vertical manner by displaying the vertical axis as the result date/time and the horizontal axis as the charted value.

[pic]

To review reports grouped together, select Group view and then select the desired category from the Navigator.

List View

The list view can be used to easily see all the results that were charted during a specific time together, rather than being divided into the normal groupings of results.

[pic]

Controlling the Flowsheet

The flowsheet contains functionality that allows the clinician to adjust viewing/trending data. The flowsheet uses the standard date/time bar to allow the clinician to expand/contract the date/time range being searched. Clinicians can use the left and right arrows to change the beginning/end date by one or more days. Another method to change the search criteria is to right click on the date/time bar to select other options.

[pic]

The default search criteria has been set to the Posting Range. This allows users to see new results that have been posted. For example, if an event occurred 1/1/08 but is not completed as a result until 1/4/08, the Recent Results tab will show the results posted within the last two days.

Other result lookup options include Clinical Range which is date based, Result count, which returns a predefined number of results, New results, which returns results that have never been viewed and Admission date to current date.

Flowsheet Display Options

You can choose to turn “Off” the units of measure from displaying on resulted values in the flowsheet to make it easier to read the

numerical data for resulted orders. Select “Options” and then “Properties” from the toolbar menu.

[pic] [pic]

[pic]

Flowsheet Seeker

Clinicians can use the Flowsheet Seeker functionality to get a high-level overview of the flowsheet and where results are located, including any critical/high/low results.

Use the seeker [pic]icon to display the seeker window. Then click and drag the movable rectangle within the seeker window to adjust the view of the flowsheet.

[pic]

Viewing Results in a Graph

In addition to adjusting the date/time of the flowsheet and using the seeker, clinicians may opt to graph specific result(s).

PowerChart can only create graphs on data that is numeric and where the unit of measure has not changed for the time range being graphed.

To create a graph:

← Use the checkboxes next to individual results to select 1 or more results to graph.

[pic]

← Click the graph [pic] icon from the tool bar to open up the graphing window. The system will show the reference ranges for the individual results as long as items that are being graphed have reference ranges.

[pic]

← Combine the results into one graph, if necessary, using the Combine button within the graphing window. Once a display is combined, that button toggles to a Split button to separate.

Critical Results

Any critically high or critically low results will display in red. In addition, the result will gain an H (high), L (low), or C (critically high/low) character to denote criticality.

[pic]

The asterisk (*) character in the result tells the clinician that a comment exists on the result.

The corrected, (c), characters are also added for results that have been corrected or updated by a user within the system.

The result legend may be accessed by clicking on Options on the menu and selecting Result Legend.

[pic]

Lab and Radiology Tab

You can limit the results displayed to Lab or Radiology only results by clicking on the Lab or the Radiology Tab from the patient’s chart.

You can change the number of results displayed by clicking on the Date/Time Bar.

[pic]

Tips and Tricks

To view a group of reports together, such as pathology reports, select Group view, and then select Pathology Reports from the clinical categories navigator.

[pic]

You can resize your window settings in reports by selecting the side or corners of the current window and expanding the window. The system will remember your preferences the next time you open a report.

Documents Tab

Clinical documents can be viewed from the Patient Chart by clicking on the Documents tab. Documents view is accessible from the Patient Chart windows of PowerChart, thus providing ready access to clinical documentation to healthcare providers.

Visual indicators in both icon and alphanumeric form alert healthcare providers that documentation for clinical results has been entered into the system.

[pic]

Documents available for viewing can be selected by the following options:

|By Type |Displays by type of document |

|By Status |Displays by status of document |

|By Date |Displays by date of documentation |

|Performed By |Displays by who performed the documentation |

|By Encounter |Displays all documents associated with a specific encounter |

Filtering Documents Tip:

The most efficient way to look at the same “type” of documents across encounters is By Type.

To most efficient way to view documents related to a specific visit is By Encounter.

When viewing images scanned into the system you are able to scroll through each page by using the arrows.

[pic]

While viewing scanned images, a thumbnail view is available so you may go directly to the image you wish to view.

To view the thumbnails, click the arrows located next to the image.

Double click the image you wish to view.

[pic]

When viewing scanned images, you can adjust the document panes to your preference.

Hover the mouse over the bottom line of the pane until it turns into a double arrow [pic] .

Hold down the mouse button and pull up the pane to desired

[pic]

System Steps to View Documents

|Steps |Notes |

|1. Click the Documents Tab. | |

|2. Adjust the time range. |Right click the information bar where the date and time or |

| |document count are displayed, and select Change Search Criteria. |

| |Or, from the Index menu you may select Change Search Criteria . |

|3. If documents are found for the time range, they are listed in| |

|the index tree. Click [pic] or double-click a folder to view | |

|its contents. (If a folder is displayed, it contains one or more| |

|documents.) | |

| | |

|4. Click the [pic] , or double-click the folder that represents | |

|the document category. The individual documents are denoted by a| |

|colored icon that reflects document status. | |

|5. Double-click the icon or the date of the document to open the| |

|document. | |

|6. To view the history of the current document in detail, point | |

|to the lower border of the document display area until the cursor| |

|becomes a pair of opposing arrows. Drag the splitter bar (lower | |

|border of the document display) upwards. | |

Tips and Tricks

The document status color legend may be accessed by clicking on Index from the menu and selecting Color Legend from the Drop Down menu.

Form Browser

Use Form Browser for a convenient way to view the complete details of any charting that has been done for a selected patient via PowerForms. You are able to see the charted information in its entirety.

Click on the Form Browser chart tab and select the desired sorting method.

The Form Browser window displays a directory tree that lists all the completed forms for the selected patient. You can open a form to view the information in the same format used to capture it. Double-click a form to display a list of occurrences from which you can select. Right click a form and select “View” to open the form.

[pic]

[pic]

[pic]

-----------------------

Sign in at the Citrix Login screen.

Your Citrix User Name and Password will be the same as your Network User Name and Password.

Considerations:

• If you change your password in an eKiDs module, it will be changed in all other eKiDs modules.

• NOTE: The FIRST TIME you login, enter your username; the initial password to use is chkd + your employee number (i.e., chkd1234).   You will then be prompted to change your password. 

[pic]

Chart

Tabs

Clinical Categories Navigator

Existing Orders Profile

Orders Profile

[pic]

Units of Measure Displays

Units of Measure Does Not Display

Uncheck

Units of Measure.

Only Day View will display these columns. You can edit the information displayed from Schedule Preferences.

PowerChart with Message Center

The Default Resource (physician) you specify will display here.

The physician’s Epic appointment schedule will display in this area

Date: Displays the appointments for that day.

[?]

-7Resource: Displays the selected physician’s schedule.

Schedule: The Epic schedule will display in this area.

Enter your comment here.

Enter your comment here.

Message Center

PowerChart

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download