Several changes have been made in an attempt to improve overall application performance. There is no functional impact on users as a result of these changes.
The color scheme and button changes introduced on certain screens with the last release have been extended throughout the application.
A stork icon (
) is displayed if the selected patient is pregnant
and has an open OB record. Click the icon to display the patient's
estimated delivery date, current gestational age, gravida
and parity.
Enhancements include the following:
The LMR now allows prescriptions to be sent electronically to pharmacies (e-Prescribing). The steps for doing so are the same as for sending prescriptions via faxing. This functionality is currently limited to selected LMR providers. Additionally, schedule 2 - 5 drugs are not eligible for e-Prescribing.
The LMR now includes certain medication compounds specific to the Massachusetts Eye and Ear Institute (MEEI).
The LMR now displays prescribing alerts based on genetic testing results. The alert displays if a clinician prescribes Tarceva (Erlotinib) or Iressa (Gefitnib) for a patient with a EGFR-a or EGFR-b resulted as resistant.
The LMR now includes medication utilization alerts when prescribing oral contraceptives and lipids. Medication utilization alerts guide providers toward less expensive medications.
The Family History module has been enhanced for this release. You can now choose to suppress any family history item from displaying on the patient's problem list. The method for adding new items has been redesigned to make it easier to specify items by family member. Also, if the patient has no family history of problems, a "None" button displays. See Adding Family History Items for details.
LMR Reminders now display on the Sign screen for increase visibility.
Actionable reminders (available to EOV users) have expanded to allow users to add recommended prescriptions and radiology orders to the patient's record directly from the reminder.
A new reminder has been added for rheumatoid arthritis. If a patient has an established diagnosis of rheumatoid arthritis and is not being treated with DMARD, a reminder displays. This reminder recommends a referral to a rheumatologist unless the patient is currently seeing a rheumatologist or patient refusal is documented.
Other backend improvements have been made that may result in the re-display of reminders that have previously been acted upon. Clinicians will need to re-enter responses in order to close or defer these reminders. This is a one-time transition effort.
You can copy previously created annotated diagrams using the copy feature within finalized free-form or structured (non-pediatric) notes. Or you can ”r;carry forward” a diagram from within a structured note section.
Additional images and image libraries (Burn, ENT, GYN, Ophthalmology, Surgery, Urology) have been added based on user requests.
Practice managers are now authorized to remove templates (as well as favorites and other "custom" items) that are no longer required by all users in the practice.
This release includes the addition of the following three buttons: Final-OK, Archive-OK and Unarchive-OK. Now you can easily take action on the last item in your document management queues.
For practices using document scanning, similar changes have been made to acknowledge scanned documents. Previously, you needed to click a checkbox to acknowledge a scanned document. This release includes addition of buttons for Acknowledge/Next and Acknowledge/Ok to reduce clicks when you are processing multiple documents.
For Oncology-related specialists, Breast Summary template notes no longer display in your queue of Preliminary documents. This should make it easier for you to navigate within that queue.
Enhancements include the following:
You now have the ability to add multiple future orders in a batch.
Future lab orders for the same lab and timeframe are printed on the same requisition.
Additional test detail options (nurse to draw, lab to draw, research sponsored) have been added to accommodate DFCI requirements.
You are now able to select and print patient education materials while documenting an encounter.
E&M has been added to the list of EOV Favorites available on the Favorites tab for ease of use.
You can search for a diagnosis by selecting a patient’s problem in the Past Pt. Data tab. Applicable diagnosis related to the problem display so that you can select the appropriate diagnosis.
From the EOV Desktop, certified clinical providers can review and approve orders placed for their patients by non-certified staff members.
For EOV users, you can set the default for all orders to be designated as NTD (nurse to draw) or LTD (lab to draw).
Transcription Portal (to pilot)
This portal allows transcription services to upload notes to the LMR without providing them with direct access to the PHS network.
A new OB module will be released to pilot at BWH in April 2007. The OB Record provides clinicians with a means for documenting and viewing comprehensive clinical data on obstetric patients within the LMR. The OB Record uses current LMR functionality such as medications and family history combined with new OB specific data collection screens and decision support.
Enhancements include the following:
On the Infusion Flowsheet module, when more than one diagnosis has been entered, you are now allowed to specify which is the primary diagnosis. The primary diagnosis is then used as the default for all new visits. Previously, there was no way for a user to specify a primary diagnosis on the flowsheet, resulting in problems for future visits and on reports.
The Teaching section of the Infusion Flowsheet module has been revised based on new JCAHO requirements. All new visits will be documented using the new section. However, visits started before this release will continue to use the previous Teaching section.
The Oncology Staging module has been enhanced to add a DX (diagnosis) field to categorize tumor types. Previously, all tumor types displayed in a single list. Staging modules have also been added for tumor types associated with head and neck cancers.
For practices using automatic note distribution, the Physician table now includes a button to create a clinic CC list. This CC list is applied to all notes created for the associated patient by any LMR user in that clinic. For additional information on using CC lists, see Working with CC Lists.
The pediatric flowsheet is no longer automatically displayed for patients 18 years old and younger.
The "Dipstick" flowsheet is renamed "Point of Care Test" in keeping with current clinical guidelines.
You can now remove (inactivate) multiple problems from a patient's problem list simultaneously. Previously, you could only remove a single problem at a time.
The Pediatrics immunization grid has been reorganized to facilitate ease of use, most notably by reordering and grouping vaccines according to the ACIP (Advisory Committee on Immunization Practices) schedule.
The Immunizations module can now be accessed via the Popup menu in LMR, and immunization information may be more easily included in both structured and free-text notes via a separate tab entry.