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Run Date: JUN 30, 2020                     Designation: PSJ*5*394
Package : PSJ - INPATIENT MEDICATIONS         Priority: Mandatory
Version : 5       SEQ #341                      Status: Released
                  Compliance Date: JUL 31, 2020
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Subject: INPATIENT MEDICATION SUPERVISOR MANUAL UPDATE

Category: 
  - Informational

Description:
============

 This patch is informational only concerning an update to the Inpatient 
 Medication Supervisor's User Manual which accompanies Outpatient Pharmacy
 patch PSO*7.0*546.
  
 Associated ticket(s):
 =====================
  
 Tickets addressed in PSO*7.0*546:
  
 INC1684422 - Medication File Status Mismatches
 INC2322377 (d)
 INC3194336 (d)
  
 Defect Tracking System Ticket(s) & Overview:
 ============================================
 INC1684422: Orders File / Medication File Status Mismatches
  
 Issue:
 ------
 Discontinued or expired medication orders might display in CPRS with an 
 "active" status under the Orders tab instead of the correct "discontinued"
 or "expired" status. A patient safety ticket has been logged because
 providers who use the CPRS Orders Tab to review medication orders will be
 under the impression that a patient has an ongoing medication order when
 in fact the order has expired or has been discontinued.
  
 Medication orders with this issue display correctly under the CPRS Meds
 tab.
  
 Resolution:
 ----------
 Create option Medication Status Check [PSO MEDICATION STATUS CHECK], and 
 add to the Supervisor Functions [PSO SUPERVISOR] menu.
  
 Outpatient Pharmacy Manager [PSO MANAGER]
         Supervisor Functions [PSO SUPERVISOR]
                 Medication Status Check [PSO MEDICATION STATUS CHECK]
  
 The option will allow date ranges of the ORDERS (#100) file to be
 searched. The user is also asked which types of orders should be searched:
  
           I         Inpatient
           O         Outpatient
           N         Non-VA
           IN        Inpatient and Non-VA
           ON        Outpatient and Non-VA
           A         All
  
 "Inpatient" and "Outpatient" refer to the order dialog used, not the 
 patient's status.
  
 The search option asks the user if the affected orders should have an 
 erroneously active ORDERS (#100) file status field automatically 
 corrected to discontinued or expired while searching.  Sites may want to 
 first determine how widespread the issue has occurred before deciding 
 whether to correct the issue automatically or manually. Most of the 
 orders found with this issue are very old, from 1998-1999, so reports 
 should be run back to 1/1/1998.
  
 NOTE: Date ranges prior to the release of CPRS in 1997 are not valid.
       If the user selects a beginning date prior to the first order on 
       filed in CPRS for that site, the user is told to select a different 
       starting date.  The first date on file for the site is displayed.
  
  
 After the user verifies selection criteria, the option is tasked to run 
 in the background.
  
 The status of the ORDERS (#100) file entry is compared to the associated 
 medication file entry.  Medication file entries will either be in the 
 PRESCRIPTION (#52) file for outpatients or the PHARMACY PATIENT (#55) 
 file for inpatient medications and non-VA medications. Non-verified 
 orders are not checked.
  
 If a status mismatch exists between the ORDERS (#100) file and the 
 associated medication file, information such as order and prescription
 numbers is sent to the user in a MailMan message. Instructions to check 
 the reported orders are included.
  
 If no status mismatches exist for the selection criteria, the MailMan 
 message will state that there are no issues.
  
 An alert is sent to the user after the option completes so that the user 
 will know that a MailMan message is now available.
  
 Participating Test Sites:  
 =========================
 Martinsburg VAMC (Martinsburg, WV)
 Oklahoma City VAMC (Oklahoma City, OK)
  
 Software and Documentation Retrieval Instructions:
 --------------------------------------------------
 Documentation describing the new functionality is included in this 
 release. Documentation can be found on the VA Software 
 Documentation Library at: https://www.domain.ext/vdl/
  
 Documentation Title                                   File Name
 --------------------------------------------------------------------------
 Supervisor's User Manual                           PSJ_5_P394_SUPR_UM.DOCX
                                                    PSJ_5_P394_SUPR_UM_PDF

Routine Information:
====================
No routines included.

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User Information:
Entered By  :                               Date Entered  : OCT 25, 2019
Completed By:                               Date Completed: JUN 30, 2020
Released By :                               Date Released : JUN 30, 2020
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Packman Mail Message:
=====================

No routines included