============================================================================= Run Date: NOV 13, 2014 Designation: PXRM*2*54 Package : PXRM - CLINICAL REMINDERS Priority: EMERGENCY Version : 2 SEQ #29 Status: Released Compliance Date: NOV 15, 2014 ============================================================================= Associated patches: (v)PXRM*2*26 <<= must be installed BEFORE `PXRM*2*54' Subject: NATIONAL EBOLA REMINDER Category: - Routine - Data Dictionary Description: ============ VA is developing policies, procedures, and resources to define our response and approach to management of individuals who may have been exposed to Ebola Virus Disease. The VA-EBOLA RISK TRIAGE TOOL template is a product developed based on the Center for Disease Control and Prevention (CDC) algorithm for evaluating individuals who have traveled in countries with active epidemics of this disease. The collaboration led by Dr. Theresa Cullen in Health Informatics included input from the Office of Public Health, the Office of Primary Care, the National Director for Infectious Disease, Health Solutions Management, Informatics Patient Safety, Health Information Management, the National Clinical Reminder Committee (NCRC), and the Nashville Usability Lab among others. The template was created for use by VA clinical staff that is evaluating patients identified as having traveled to involved areas or as having contact with a known Ebola patient. Initial identification of patients with travel or contact risks may be done through several different pathways. These may include telephone hotlines, public service announcements, or signage at the medical center, all of which will direct patients to the appropriate intake location as established by the facility. Patient check-in Kiosks in clinic areas will have a screening question about travel to affected areas. Patients who enter a positive response will be immediately directed to clinic staff. Clinic check-in staff may also ask the initial questions about travel or contact. Patients with a positive response will also immediately be directed to clinical staff in compliance with locally established protocols. The VA-EBOLA RISK TRIAGE TOOL is intended for use by the clinical staff that assesses patients referred through any of these pathways. Additional clinical information about Ebola is available at the VA Ebola Outbreak site and the CDC Ebola Hemorrhagic Fever home page (see below). The template follows the CDC algorithm in guiding the assessment and recommending appropriate follow-up and actions based on the findings and risk level identified. It is intended for use throughout VA as the approved template for assessing these patients. It is sponsored by the Office of Public Health which will oversee use, evaluate data collected, and update recommendations as needed for this rapidly evolving disease. RECOMMENDATIONS: ---------------- The template was created for use by VA clinical staff evaluating patients identified as having traveled to involved areas or as having contact with a known Ebola patient. Associated Remedy Tickets: =========================== 1. INC000001077502 - National Ebola Screen Content Dialog Associated NSR(s): ================== N/A Participating Test Site(s): =========================== VA New Jersey HCS VA North Texas HCS VA Illiana HCS - Danville, IL James E. Van Zandt VAMC. Altoona, PA Richard L. Roudebush VAMC - Indianapolis, IN REMEDY OVERVIEW: ================= 1. INC000001077502 - National Ebola Screen Content Dialog Problem: ------------ The VA National Ebola Screen Content Reminder Dialog should be initiated and used for patients identified as having traveled to involved areas or as having contact with a known Ebola patient. Resolution: --------------- This patch, PXRM*2*54, contains two routines, PXRMP54E and PXRMP54I. They are init tasks that add new entries to the REMINDER EXCHANGE (#811.8) file and the contents of these entries are installed during the post-init. These routines can be deleted after the install. Build Components: ================= N/A Data Dictionary: ================ N/A Software & Documentation Retrieval Instructions: ================================================ This patch is being distributed as a host file. The name of the host file is PXRM_2_0_54.KID. This file should be downloaded in ASCII format. The preferred method for obtaining these files is to use File Transfer Protocol (FTP) to download them from: ftp://download.vista.domain.ext/. This transmits the files from the first available FTP server. Sites may also elect to retrieve the files directly from a specific server as follows: Albany ftp.domain.ext Hines ftp.domain.ext Salt Lake City ftp.domain.ext The Install and Setup Guide is also available on the above servers. It is available as .pdf format. This file should be downloaded in BINARY format. File Name: Description: Protocol: ========== ============ ========= PXRM_2_0_54_IG.PDF PXRM*2.0*54 Install BINARY and Setup Guide PXRM_2_0_54_CDS.PDF Ebola Clinical Decision BINARY Sheet PXRM_2_0_54.KID PXRM*2.0*54 Host File ASCII Documentation can also be found on the VistA Documentation Library (VDL) at: http://www.domain.ext/vdl/ Installation: ============= This patch can be loaded with users on the system. Installation will take five minutes. Refer to the Install and Setup Guide, PXRM_2_0_54_IG.PDF, for complete details. 1. Use the "Load a Distribution" option on the KIDS installation menu. When prompted to enter a host file type in PXRM_2_0_54.KID 2. On the KIDS menu under the 'INSTALLATION' menu, use the following options, as desired: Print Transport Global Compare Transport Global to Current System Verify checksums in Transport Global Backup a Transport Global 3. On the KIDS menu under the 'INSTALLATION' menu, use the following option to install the patch: Install Package(s) When prompted for INSTALL NAME, use PXRM*2.0*54 4. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//," respond 'NO'. 5. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO// respond 'NO'. 6. After successful installation, the following init routines may be deleted PXRMP54E PXRMP54I Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;CLINICAL REMINDERS;**[Patch List]**;Feb 04, 2005;Build 213 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PXRMP54E Before: n/a After: B755087 **54** Routine Name: PXRMP54I Before: n/a After: B6112887 **54** ============================================================================= User Information: Entered By : Date Entered : OCT 23, 2014 Completed By: Date Completed: NOV 13, 2014 Released By : Date Released : NOV 13, 2014 ============================================================================= Packman Mail Message: ===================== No routines included