$TXT Created by AUGUSTINIAK,MARK at MNTVBB.FO-ALBANY.DOMAIN.EXT (KIDS) on Friday, 07/19/13 at 11:31 ============================================================================= Run Date: FEB 20, 2014 Designation: OR*3*349 Package : OR - ORDER ENTRY/RESULTS REPORTING Priority: Mandatory Version : 3 SEQ #328 Status: Released Compliance Date: MAR 23, 2014 ============================================================================= Associated patches: (v)OR*3*306 <<= must be installed BEFORE `OR*3*349' (v)OR*3*336 <<= must be installed BEFORE `OR*3*349' Subject: AUDIOCARE AUTORENEWAL FOLLOW-UP Category: - Routine Description: ============ This patch corrects four issues in the ORDER ENTRY/RESULTS REPORTING package: 1. Add a description to the Parameter OR AUTORENEWAL USER. 2. Use the OR AUTORENEWAL USER parameter value to populate the ENTERED BY (#16) field in the PRESCRIPTION (#52) file for AudioRENEWAL prescriptions. 3. MailMan messages from AudioRENEWAL module are not displaying enough information to quickly take appropriate follow-up action. 4. Modify the AudioRENEWAL routine so that when the ordering provider of a renewable outpatient medication order has a status of terminated or disusered has an active surrogate designated, the routine creates the new unsigned renewal order. ASSOCIATED NSR(s): ================== N/A ASSOCIATED REMEDY: ================== 1. INC000000410605 - Need Parameter Definition added after release of OR*3*336 2. INC000000444880 - Audio Renewal function (d)INC000000446522 - Audio renewal User (d)INC000000469725 - Audio Care renewal 3. INC000000446533 - Enhancement request for Audio Renewal 4. INC000000507614 - Patient Safety Issue - AudioRENEWAL (Audiocare) PSPO #2164 PARTICIPATING TEST SITES: ========================= Shreveport VAMC, LA VA Central California HCS, Fresno Philadelphia VAMC, PA VA West Los Angeles HCS VA Gulf Coast HCS, Biloxi MS Wm. Jennings Bryan Dorn VAMC, SC REMEDY OVERVIEW: ================ 1. INC000000410605 - Need Parameter Definition added after release of OR*3*336 Problem: -------- The parameter definition for OR AUTORENEWAL USER has no description. Resolution: ----------- OR AUTORENEWAL USER parameter definition has been updated to include a description of the parameters usage. Parameter Definition Text: -------------------------- This parameter points to a proxy user in the NEW PERSON (#200) file created for the auto-renewal process. This value is used to populate the 'entered by' field in the ORDERS (#100) file, and the 'Entry by' field in the PRESCRIPTION (#52) file, and is the proxy user IEN placed in the AudioRenewal module User Parameters field 'Host User ID#'. 2. INC000000444880 - AudioRenewal function Problem: -------- When a site is using AudioRENEWAL functionality, the ENTERED BY (#16) field in the prescription (#52) file of the renewal order erroneously contains the name of the user who runs the option to process telephone refills. Renewal orders created by this functionality should use the proxy user name entered in the OR AUTORENEWAL USER parameter for the 'entered by' field. Resolution: ----------- Routines ORAREN and ORWDXR have been modified to use the OR AUTORENEWAL USER parameter value to populate the ENTERED BY (#16) field in the prescription (#52) file for AudioRENEWAL prescriptions. This allows the 'entered by' name to match in CPRS order detail and Outpatient Pharmacy Package and identifies the order as a renewal created by the AudioRENEWAL process. 3. INC000000446533 - Enhancement request for Audio Renewal Problem: -------- The MailMan message with the subject line 'Renewal Requests not Sent to Providers' reports requests that failed to create new unsigned renewal orders. There are many situations when a renewal may not process, such as patient chart locked, provider terminated, or RX status not active or expired. The second MailMan message has the subject line 'Renewal Requests with Order Checks' and reports the order checks that are displayed to a provider who is beginning to write medication orders for a patient, for example, renal functions for patients over 65 years old or polypharmacy count. There is not enough information in the content of these messages to allow personnel to quickly and accurately take appropriate follow-up action. Resolution: ----------- Routine ORAREN has been modified to add the name of the drug prescribed, the CPRS patient identifier (first initial of last name and last 4 of SSN), and the inactive providers name to the existing content of the MailMan message. 4. INC000000507614 - Patient Safety Issue - AudioRENEWAL (AudioCare) Patient Safety Issue: -------------------- PSPO #2164 Problem: -------- Currently, when an AudioRENEWAL request is processed and the outpatient medication order is renewable but the ordering provider status is terminated or disusered, the unsigned renewal order is not created. An entry is made in the MailMan message with the subject line 'Renewal Requests not Sent to Providers' with the problem listed as 'Provider flagged as ', where status will state the problem with the provider. The person that calls in the renewal request is more than likely hearing the message "Your renewal request has been submitted. Please call back in <#> days for a status." If site personnel fail to take action on the problem listed in the MailMan message, the patient may call back days later to find out that no action has occurred on the renewal, or may not call until they have run out of the medication. This could create a situation where the patient misses multiple doses of a needed medication. Resolution: ----------- The AudioRENEWAL routine ORAREN has been modified so that when the ordering provider of a renewable outpatient medication order has a status of terminated or disusered has an active surrogate designated, the routine 'accepts' the surrogate's active status and creates the new unsigned renewal order. This new unsigned order generates the ORDER REQUIRES ELEC SIGNATURE notification which is distributed based on surrogacy and provider recipient codes set for this notification in the Notification Mgmt. Menus. If no surrogate is assigned to inactive providers when renewals are processed, the result will be the same as before this patch. When the ordering provider is terminated or disusered, and there is NO designated surrogate, NO renewal order is created. Since there is no unsigned order, no notification is generated. An entry is made in the MailMan message with the subject line 'Renewal Requests not Sent to Providers' with the problem listed as 'Provider flagged as ' where status will state the problem with the provider and will contain the name of the inactive provider. Documentation Retrieval: ======================== An updated AudioCARE Renewal Release Notes and Install Guide and CPRS GUI Technical Manual will be distributed with OR*3*349. These documents are available on the ANONYMOUS.SOFTWARE directory at one of the following Office of Information (OI) Field Offices. Sites may retrieve documentation in one of the following ways: (1) The preferred method is to FTP the files from download.vista.domain.ext, which will transmit the files from the first available FTP server. (2) Sites may also elect to retrieve documentation directly from a specific server as follows: Albany ftp.fo-albany.domain.ext Hines ftp.fo-hines.domain.ext Salt Lake City ftp.fo-slc.domain.ext The documentation distribution includes: FILE NAMES DESCRIPTION FORMAT CPRSGUITM.pdf CPRS GUI Technical Manual BINARY PSO_7_P328_IG.pdf AudioCARE Renewal - Release BINARY Notes and Install Guide (3) Documentation can also be retrieved from VHA Software Document Library (VDL) on the Internet at the following address, http://www.domain.ext/vdl. INSTALLATION INSTRUCTIONS: ========================== All sites are expected to install OR*3*349 to their production Vista system, even if they are not currently using AudioCARE applications. This installation does not change the functionality of CPRS or Outpatient Pharmacy applications. This patch can be installed with users in the system. However, no AudioCARE processing should take place during the installation. Processing telephone refills/renewals during installation may result in a system error. Installation will take less than two minutes. Suggested time to install: non-peak requirement hours. 1. Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. Start up the Kernel Installation and Distribution System Menu [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: Installation 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 3. From this menu, you may elect to use the following options (When prompted for the INSTALL NAME, enter OR*3.0*349): a. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as DD's or templates. b. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all components of this patch (routines, DD's, templates, etc.). c. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 4. Use the Install Package(s) option and select the package OR*3.0*349. a. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//", answer NO. b. When prompted "Want to DISABLE Scheduled Options and Menu Options and Protocols? NO//", answer NO. Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;ORDER ENTRY/RESULTS REPORTING;**[Patch List]**;Dec 17, 1997;Build 10 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ORAREN Before: B23956192 After: B44893839 **336,349** Routine Name: ORWDXR Before: B54765656 After: B55649537 **10,85,125,131,134,141,149, 187,190,213,243,331,306,349** Routine list of preceding patches: 306, 336 ============================================================================= User Information: Entered By : THOMPSON,SETH Date Entered : APR 12, 2011 Completed By: HULET,LEE ANN Date Completed: FEB 10, 2014 Released By : PASTERNOCK,JOY Date Released : FEB 20, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT