What's New in this Release - January 2005

• General

  • Indicators similar to the Clinical Messages (CM) icon have been added to the upper right corner of the Webshell. They let you know if there is data waiting in your work queues, and you can navigate directly to the modules. These user alerts now exist for Clinical Messages, Rx Refill Queue, Result Manager, Referral Manager, and Document Management. See Module Shortcuts for more details.

  • You can access the QuickLook popup (F8) to display view-only summary information for the selected patient. You can click QuickLook from the Popup menu, or click this icon  that displays to the left of every patient's name on the desktop modules. See Using the QuickLook Option for more details.

  • A Desktop Navigation Bar (F7) lets you monitor the modules or quickly navigate to your work queues via a popup accessible from anywhere in the LMR application. You can also select the option from the Desktop module.

  • Chart Access Control (CAC) is a service that monitors access to a patient’s medical record any time a user accesses a patient’s data. If a provider is affiliated with an ACE (affiliated covered entity) practice, they will be granted permission to access a patient outside of their practice if they identify a reason for needing to do so. CAC will never prevent a registered LMR user affiliated with an ACE practice from accessing a patient. CAC will, however, prevent inappropriate access to patient charts for non-ACE practices. If you are not sure of your ACE status, or have any questions about the CAC function, please contact your HIS department.

• Clinical Messages

  When you're sending a new message, the Send To field now displays only those names of staff members in your department. There is a Show All link that lets you display an expanded list of all members at the entire practice level. See Create a Message for more details.

• Document Management

  You can now send e-mails to physicians on your CC list. See Working with CC Lists for more details.

• Results Manager

  Enhancements include the following:

  • You can now use a Quick Letter button to generate a patient's letter for all results and automatically add an ending and signature at the close of the letter. For an even faster option, there's Turbo Letter, which has all the functionality of Quick Letter and more. It automatically inserts the General Chemistry and General Hematology template data into your patient letter while bypassing both of these template popups.

  • The General Chemistry and General Hematology templates now include a Miscellaneous section to capture results for infrequently ordered tests.

  • Three new templates have been added for Microbiology, Radiology, and Pathology results to let you add additional interpretation for a patient.

  For all these new enhancements, see Create a Patient Letter for more details.

• My Patient List

  You can create a customized list of patients by adding and removing patients in the list. See My Patient List for more details.

• Rx Refill Queue

  The Rx Refill Queue function lets you view tasks assigned to you and other users for patients' renewal requests. See Rx Refill Queue for more details.

• EOL Referrals

  There is a new End of Life (EOL) referral tool in the LMR that lets providers complete an online form and submit the referral to the EOL care coordinators so that appropriate end-of-life care is provided to the patients. See End of Life Referrals for more details.

• Summary

  Reminders now display for diabetics that are almost due or overdue for Microalbumin.

• Medications

  • Lower cost alternatives will be suggested for Antihistamine medications and Selective Serotonin Re-uptake inhibitors (SSRIs) during the medication ordering process. The suggested substitutions will have similar medicinal benefits.

  • Suggested dosing and frequency adjustments will display for age-based dosing (Gerios) and renal dosing (Nephros). Drug substitution warnings will allow you to select an alternative medication.

  • For these new enhancements, see Responding to Prescribing Alerts for more details.

• Health Maintenance

  The "See report in results" that displays in the Result column on the Health Maintenance grid for text reports is now linked to a more detailed view of the CDR results for the selected Health Maintenance item.

• Notes

  When you want to e-mail a note, there's a new Patient-Provider List button that automatically pulls in the list of physicians from the patient's Summary 2 screen. This new feature detects which physicians have valid e-mail addresses, and makes those providers available to you for e-mailing the note. See Sending a Note Using E-mail for more details.

• Oncology

  • Oral chemotherapy medications ordered on the prescription pad will automatically display on the active medications list under the Take Home Oncology Meds section on the Oncology Infusion Flowsheet. See Add Medications (Premeds, Chemo, and Other), Blood Products, Hydration, or Routes for more details.

  • A new module has been added for entering structured Oncology Staging information into the LMR for the purpose of oncology tumor staging. You can add tumor markers, histology/grade, and recurrence data points for each tumor type. See Oncology Staging for more details.

  • There is a new warning message that will alert a user when the value being entered in flowsheets for a patient’s weight differs by 10% or more in either direction (higher or lower) from the last value entered for the patient’s weight.

• Custom

  • The Summary screen can now be customized for QuickLook (F8) and the new Desktop Navigation Bar (F7). Tabs display across the top of the Custom Summary screen to let you choose which one you want to modify, including the existing Summary and the Summary Popup (F9). See Custom Summary Overview for more details.

  • A header section is available on the Summary  for super users only, that allow them to display other sections in addition to the reminders at the top of the summary screen.  Super users can also add and remove columns for a maximum of five columns.

• Preferences

  • You have the option of choosing which user alerts you want displayed in the Webshell. These indicators display in the upper right corner of the Webshell for Clinical Messages, Rx Refill Queue, Result Manager, Referral Manager, and Document Management. See Setting Your Preferences and Module Shortcuts for more details.

  • You can set your note classification defaults for Professional Training and Specialty for the current location.

• Reports

  Enhancements include the following:

  • You can maintain a history of the Health Form Reports that are printed. You also have the ability to save any printed version of the Health Form report for future reference.

  • The TB Risk Status of High or Low, as recorded in pediatric structured notes, will also display on the Health Form Report.

  For all these new enhancements, see Printing a Health Form Report for more details.

• Admin

  The HIS department has a new report available called Notes Compliance Status Report that is accessed from the Admin: Tools module. The report tracks all visits with missing notes and all notes that have not been finalized in LMR. See Notes Compliance (Deficiency) for more details.