============================================================================= Run Date: JAN 17, 2020 Designation: WEBB*2*11 Package : WEBB - BED MANAGEMENT SOLUTION Priority: Mandatory Version : 2 SEQ #9 Status: Released Compliance Date: FEB 16, 2020 ============================================================================= Subject: BMS v2.4 Category: - Informational Description: ============ Description: =========== The Bed Management Solution(BMS)v2.4 software enhancement project is to comply with 508 requirements and improve usability of the BMS system, which improves the data accessibility and usability for the BMS v2 users, and increase the integration of the BMSv2 and VA systems. Patch Components: ----------------- The following enhancements are included in this release: 1. Address 508 compliance issues 2. Reporting Enhancements: New Reports: - Average Discharge Time: This report is used to calculate the average time between discharge order and the time of discharge. This report is sortable by source and is similar to the patient movement file report. - Discharge Tracking Report: This report allows users to capture/monitor the amount of time between the signing of the order and the actual discharge event occurring. - Census Calculations: This report displays facility census by bed type- Acute Inpatient, Intensive Care Unit (ICU), Acute Mental Health, Domiciliary (DOM), CLC, and Others. - Evacuation Status: This report is to identify disposition status during evacuation mode that will display on the whiteboard - Patient Transfer Report: This report lists patients transferred and the facility or ward from which the patient was transferred during an evacuation event. Modified Reports: - Contracted care report on BMS Report Pick List: This report displays all the elements of the Contract section without data on other patients. This is on the VISN page of BMS. It is under the VISN Patients Pending Bed Placement reports and was modified to add a Fee Basis section to the VISN PPBP and to provide a field to display on the VISN and National PPBP the name of the person who is the point of contact for the transfer. - Emergency Management Regulating Report : This report includes the total number of patients for each type of emergency icon. This report has been added to VISN home page . - Emergency Management Vehicle Manifest : This report includes data from VistA for: the originating facility name, address, point of contact name(s) and telephone number(s). This report has been added to VISN home page. - All Reports were standardized to show duration in hours and minutes. - Access to the reports server for VHA report analysts to develop custom queries and reports to be used by the BMS user community. 3. Patients Pending Bed Placement (PPBP)-Custom layouts are available for each view and all PPBP reports are exportable. Each view at the facility level has been modified to include additional patient related elements. 4. Dashboard view: - On the facility home page for displaying real-time facility information (i.e. BMS ward group census, system status, new event summary, diversion type/duration, and other capacity information). BMS users at all levels will be able to access current capacities and capabilities at a glance in one common, central location to improve their ability to make timely decisions. - On the BMS Facility Site Options: On the Facility level Admin page the Bed Board Module Enable/Disable has been removed from BMS. 5. Icons: - Patient care icons will automatically display based on orders entered into CPRS (e.g. telemetry and PICC). - The icon stays with the patient until a patient movement occurs or the order is discontinued. - Icon for Methicillin-Resistant Aureus (MRSA) and the ability to create icons for other infectious diseases as they are identified have been added. - These icons shall perform isolation-type Environmental Management Services (EMS) notifications upon discharge of the patient - Patient Opt Out: An icon is displayed on the BMS presentation layer pages when the Opt Out of Hospital Directory field has been activated. - Automatic Icon: BMS provides specific Orderable Item (OI) and precise instructions for the CAC's to follow. Where appropriate, this ability will eliminate the need for BMS users to manually determine the need for addition or removal of icons. - On the Site Configurable Icon page BMS was enhanced to display a warning to users: "Warning: Do Not create icons to communicate patient's Life Sustaining Treatment orders (i.e. DNR, DNAR, DNI, Do Not Attempt Resuscitation, or similar). Reference CPRS/VistA directly for this information, as BMS does not currently support communication of the Life Sustainment Treatment Order Set. Using BMS to manually indicate patient end of life wishes could result in a catastrophic patient safety event." 6. WhiteBoard Treating Specialty Display: - For BMS Administrator - adding a parameter on the VistA Ward Add/Edit page under Site Options to allow the user to configure each ward to determine if the treating specialty would be displayed, to limit the personal health information that is displayed in public areas. - For BMS Administrators, this option will allow the user to determine the mode where the display restriction would be applied, e.g., apply the restriction to Kiosk mode but not to the desktop mode. 7. Observation (OBS) countdown : Display on the Whiteboard a countdown for a patient in observation status (the number of hours a patient has left in observation status). 8. Diversion Categories and Display: - Allow diversion to be indicated by treating specialty or BMS ward group. - Display the units that are on diversion. - There is a pop-up on diversion that would show the type of diversion. - The VISN Page displays a diversion icon to appear if the facility is on diversions. - Display Diversion Status on VISN Page: There is a "Mouse Over" or "Hover" capability that is the same as the facility diversion hover capability. - Diversion is displayed on the Bed Summary Report, along with what kind of diversion (Psych, ED, etc.) using the same icons as used elsewhere. - Diversion report on the home page under reports- This report tracks diversions by instances and number of hours and by type of diversion for a user specified time period. It includes a header and is available at the facility and VISN level. This report can be exported to Excel. - Diversion display includes a comments field to describe the diversion. - An Excel file can be populated with data from the displayed Diversion Report. 9. Functionality for Patients Pending Bed Placement(PPBP): - National PPBP Adding Patients: Changed BMS so that when a user indicates that the patient should be added to the National PPBP the system will ask the user to confirm that the patient should be added to the National PPBP. This is to validate the need of the patient to be placed on the National PPBP and with confirmation, to send email notice to the VHA BMS National Patient Placement Alert. - Updated BMS to provide the ability for the user to indicate if the patient on the PPBP is in a community hospital and be able to sort and identify those PT receiving care outside of the VA (i.e. Fee). - Updated BMS to provide the ability to promote a patient from the VISN PPBP to the National PPBP- For System Administrators to provide the ability to finalize a patient from the National PPBP to any VISN PPBP. - In-house transfer: BMS will, when configured, automatically add patients to the PPBP when a transfer order is created and retrieve required data elements from VistA. - Provided a "Today-1/Today+1" button to the Current/Past filtering with the PPBP header section. 10. Enhancements - System performance/reliability. Moved reporting to a dedicated server. - Improve speed of BMS whiteboard. Whiteboard was reworked to improve system efficiency. - Finalize/promote patient transfers from the facility, VISN, or national levels. Allows movement of patients without individually re-entering information. - Add/Edit User: the following was changed for the options: - The domain of the user can be retained. domain defaults for user - The add user and remove selected on the Facility Settings screen is enabled. - User management allows searching for user by given name in addition to system name. - The system accommodates adding multiple users to a role in one transaction. - BMS updated so that System Administrators can assign national read access (for EM evacuation and access). - BMS can now limited write access to whiteboard for any role when assigning accesses. - Facility Setting: - admin section - group wards - Background Processors - Audit: System Administrators can now click a VISN or region and include all facilities in the VISN or Region. - BMS will allow for creation of virtual wards Patients waiting to be admitted. There is now the ability to create wards that would be used only in BMS and would not be dependent on patient movements in VistA. - BMS will record the ID of users performing create, update, and delete actions on the PPBP List and the Whiteboard. This information will be available on the PPBP and Whiteboard Modification Audit Report. - Application Parameters Page. A page was created to allow national support users to control hyperlinks for clinical inventory and national placement email. 11. National Utilization Management Integration(NUMI), Emergency Department Integrated System(EDIS), VistA Data Exchange, and Emergency Management System(EMS) - NUMI Numbering Feature: Change the display of the NUMI Numbers. The top number should be the number of days at the current status. The bottom number should be the number of days since the last review. - ED Patient Interface: When the disposition in the EDIS changes to admit (changes to Flag =VA Admit), the patient is automatically added to the PPBP. (Cancelled Scheduled Admissions: When a scheduled admission is cancelled in VistA, the patient does not appear on the PPBP). - Emergency Management Patient Roster: Each vehicle's roster provides clinicians with details on each patient. - Emergency Management VISN Page: Emergency Management reports are available from the VISN page for patients pushed there. - EMS Module Activation by Ward: Facility Administrators and EMS Users can configure EMS Module to be activated by Ward. Users need the ability to customize the use of the BMS Modules at the local level. - EMS Dispatcher Role: A new role of EMS Dispatcher is available that has more privileges, i.e., being able to look at the whiteboards to plan for demand based on anticipated discharges. - The EMS User Add Edit page, link, and/or control is relabeled to in indicate the functionality applies to portal access control. Files & Fields Associated: -------------------------- N/A Forms Associated: ----------------- N/A Mail Groups Associated: ----------------------- N/A Options Associated: ------------------- N/A Protocols Associated: --------------------- N/A Security Keys Associated: ------------------------- N/A Templates Associated: --------------------- N/A New Service Requests (NSRs): ---------------------------- NSR20120801 Patient Safety Issues (PSIs): ----------------------------- N/A Test Sites: ----------- Jackson, MS Marion, IL Minneapolis, MN NY Harbor/Brooklyn Software and Documentation Retrieval Instructions: ---------------------------------------------------- Software being released as a host file and/or documentation describing the new functionality introduced by this patch are available. The preferred method is to retrieve files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the software and/or documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Hines: domain.ext Salt Lake City: domain.ext Documentation can also be found on the VA Software Documentation Library at: http://www.domain.ext/vdl/ Title File Name FTP Mode ----------------------------------------------------------------------- Bed Management Solution Technical BMS_2_0_TM_2_4.PDF Binary Manual v2.4 Bed Management Solution BMS_2_0_UG_2_4.PDF Binary User Guide v2.4 Bed Management Solution Deployment BMS_2.0_DIRB_2.4.PDF Binary Installation Rollback and Back-Out Guide Pre/Post Installation Overview: ------------------------------- N/A Pre-Installation Instructions: ----------------------------- N/A Installation Instructions: -------------------------- The BMS application is a centrally managed web-based application hosted at AITC. BMS version 2.4 will be loaded into BMS Production account by AITC staff. No software will be installed at the facilities. Reporting Problems: ------------------- If there are problems associated with the BMS application, they should be reported via Service Now by contacting the Enterprise Service Desk (ESD) at 1-855-673-4357 for assistance. Routine Information: ==================== No routines included. Routine Information: ==================== No routines included. ============================================================================= User Information: Entered By : Date Entered : JUL 16, 2019 Completed By: Date Completed: JAN 15, 2020 Released By : Date Released : JAN 17, 2020 ============================================================================= Packman Mail Message: ===================== No routines included