The Schedule now highlights appointments falling within the current time. For such appointments, the LMR highlights the Time column with a yellow background. This only applies when the schedule is displayed by provider (that is, appointments are not highlighted when the schedule is displayed for ***ENTIRE PRACTICE***).
Enhancements include the following:
Changes have been made to improve workflow for limited duration medications (such as antibiotics). Previously, missing duration information resulted in many antibiotics remaining on the active medication list even if the Expire option was selected. Now, the LMR checks to see if the Duration field has been completed; and if not, the LMR replaces the Expire option with "Can't Expire w/o Duration," and disables the checkbox. Once the Duration field is completed, the Expire option is automatically set for antibiotics. Additionally, a new custom preference is added to allow you to treat antibiotics differently than other medications. Previously, a single custom preference was used for all medication types.
The LMR now allows you to renew a medication and navigate to the Sign screen with a single click. A Renew & Sign button is added to save you keystrokes. See Renewing and Discontinuing Medications for details.
The Dispense field has been increased to display three digits on all Medication screens. Previously, the Dispense field only displayed two digits.
When discontinuing a medication, the reason "No Longer Necessary" is now presented as the default reason. Previously, no default was included, resulting in an extra mouse click.
The Patient Med/Allergy List report has been updated to use a larger type for improved readability.
Links have been added to allow you to access a list of the patient's medications recorded in the OnCall system (for patients with MGH medical record numbers only), as well as to display a legend explaining co-pay symbols used on the Medications module.
Prescribing alert screens now display complete prescription details. Previously, complete details were not displayed.
The LMR now sends a clinical message for all failed fax transmissions.
Faxed prescriptions now include the supervising MD, if appropriate. Previously, the supervising MD was not included on faxes.
The Medications Add form has been enhanced to include additional choices at the Take and Dispense Units drop lists. The Take field now includes "1.25," "2.5," "6," "7," "8," and "9." The Dispense Units now includes "Jar(s)" and "Cartridge(s)."
Printed prescriptions now include a control number in the lower right corner. This is needed to comply with new regulations for tamper-proof paper for Medicaid prescriptions. This control number is not included for prescriptions that are sent electronically. Other changes have been made to the Rx Queue for this enhancement. See Working with the Rx Queue for details.
The print queue of the Rx Queue now allows you to reprint prescriptions for up to 7 days. Previously, you could not reprint prescriptions that were more than one day old. This change is made in conjunction with the addition of a control number for printed prescriptions (due to new Medicaid regulations). Additionally, you can now look up previously printed prescriptions by control number, and the control number displays as a tool tip when you move the mouse pointer over the medication name. For details, see Working with the Rx Queue.
A new Health Coach Referral reminder displays for patients meeting certain criteria that qualifies them for participation in the Partners HealthCare Connection program. Clicking the Execute button brings you to the Health Coaching Request form.
A new reminder also displays for patients meeting certain criteria who do not have a completed Advanced Directive or Code Status form. This is to improve end of life documentation. Clicking the Execute button brings you to the Advanced Directive documentation form. For details, see Adding or Updating Advance Directive Information.
Enhancements include the following:
LMR users now have the ability to communicate with PHS GE Centricity users via Clinical Messaging. If a GE user is selected as a message recipient, the sender is able to include applicable clinical documentation along with the message. Likewise, a GE user may choose to send a clinical message to an LMR user with applicable clinical data attached. The LMR user has the option to associate the message with a patient and then save the message contents as a note within the LMR.
The Get Messages button is now available to refresh your inbox and receive any new messages.
After clicking a recipient's name from the Send To drop-down list, you must now click the
button
to select it. This ensures that you do not send a message
to an unintended recipient.Custom distribution lists display at the top of the Send To drop-down list.
To save time when saving a message as a note, there is a new Save/Delete button.
You no longer get a copy of a reply message sent to yourself.
Enhancements include the following:
Using either search feature in the template player, you can now type in multiple search terms followed by a comma. A search yielding one result is automatically added to your encounter.
EOV Favorites have been redesigned. The Favorites tab now displays favorites in a columnar format for easier navigation and selection. You can also add an eight character custom label to your EOV favorites. For more information, see Maintaining EOV Favorites.
Practices can opt to have validation measures built into their templates to ensure key data is not missing from EOV encounters.
A specific amount of units can now be designated for an in-office procedure.
You can set a preference for a default tab to display when you open the template player. For more information, see Setting Your Preferences.
The title of the EOV Transactions screen in the right pane of the template player has changed. It now includes the subset name of the LMR location to which you are logged in, the date of the encounter, and the name of the provider with whom the encounter is associated.
For pilot users at the MGH Cancer Center and DFCI, a header is automatically inserted into a note if the practice has an existing default header. For free-form notes, the header is visible when viewing and editing a note. For structured notes, a header checkbox is visible in edit mode, and the header is visible in view mode.
You can now inactivate multiple problems from notes without accessing each problem individually.
Scanned notes and results that have not yet been acknowledged are now indicated by the letters "UA" next to the subject. For additional information, see Working with Scanned Notes and Results.
A new HTML editor is available for the following:
- Free form notes
- Preceptor queue
- Results Manager 2 notes and letters
- Custom paragraphs
- Custom templates
- Custom headers
- My Patient List notes
The default font for printing form-based (pediatric) notes is Arial 10.
The LMR no longer displays a confirmation prompt ("Are you sure...") when moving problems to the procedures list.
You can now apply a single reason to all when removing multiple problems from a patient's problem list. Previously, had to assign a reason for each problem individually. For details, see Removing Multiple Problems.
The Pediatric flowsheet includes updated options for Vision, Hearing, and Stereopsis.
Selected pilot users can now automatically upload vital sign data directly into the LMR from a limited number of vital sign monitors. For details, click here.
PSA is added by default to the General section for male patients age 49 and up. Results are automatically displayed from the CDR (Clinical Data Repository).
The Adolescent Health Screening section is removed. Health Maintenance items previously in this section are contained in the General or Women's Health Screening section.
Updated response options are now available for Colonocopy and Pap Smear.
The drop-down list of Allergens now includes "Statins" as an option within the Drug category.
Enhancements include the following:
All medication sections of the Infusion Flowsheet (such as Pre-Medications, Chemotherapy, and Other Medications) now include subsections for Active and Inactive Medications. These subsections can be expanded or collapsed independently. Previously, discontinued medications were displayed with active medications, leading to increased scrolling.
The header of the Infusion Flowsheet now remains displayed when scrolling through the flowsheet. Previously, the flowsheet header scrolled out of view when scrolling through a long flowsheet.
A clinic/practice or subset can now request a specific LMR header be used as a practice default header. This header is inserted at line 1 when a user with a selected location (that has a practice default header defined) creates a note.
Custom reports have been updated to allow data from Infusion Flowsheet visits and BMT Flowsheet visits to be selected.
The default name assigned when creating a new infusion flowsheet now identifies the associated institution (such as, "Treatment Flow Sheet - MGHCC"). Previously, end users needed to type the institution. The default name can no longer be edited.
A column has been added (Dist. Prefs.) to indicate the provider's distribution preferences if selected in Custom > Preferences or in the Referring DB. This column displays when viewing the CC list from a note or when viewing the clinic CC list (for sites using automatic notes distribution). For additional information on using CC lists, see Working with CC Lists.
You can now select sites other than a provider's primary site when adding the provider to a CC list. Option buttons allow you to select any site associated with that provider. Also, different clinic/subsets can select different site options for a given provider. Previously, the provider was added according to his or her primary site and could not be changed.
If you add a provider or update distribution preferences, the LMR now redistributes notes based on those changes. This only applies to a CC list from the detail view of a note (from the Notes or Document Management module). This does not apply if updates are made via the Clinic CC button on the Summary 2 screen.
Providers added to a patient's list of physicians from the CPM now include country and postal code information. Previously, the LMR did not receive country and postal code information for international providers.
Faxes sent for a CC list now include the associated header. Previously, headers appeared on printed notes, but not faxed notes. Applies only to sites using automatic notes distribution.
Emailed notes sent for a CC list now include the text: "***This is an automated message. Please do not reply to it.***" Applies only to sites using automatic notes distribution.
The Notes Distribution report now includes all pages of the report when you click Print Report. Previously, the report printed only a page at a time.
HIS staff can now run a report of all Clinic CC lists a provider is associated with, to assist in removing a provider no longer associated with the hospital. Do so by selecting the Notes Distribution option from the HIS menu (Admin>Tools>HIS). Then, click Provider Report and search for the provider by name or license number.
You can now delete entries from the Fax Errors queue of the Notes Distribution report by clicking the associated checkbox and Delete.
You can now get a daily report of all the notes in the LMR for a particular subset per provider. Do so by selecting the HIS Reports option from the Admin menu. Then, select the LMR Notes Report.
The Notes Compliance report can now be run for more than one subset at a time. (Notes Compliance is an HIS-based feature of the LMR, currently used only by DFCI and the MGH Cancer Center. For details about Notes Compliance workflow, click here.)
The Incomplete/Overdue Notes by Provider report (from Notes Comp Mgt) can now be run for NPs only.
Column headers have been added for Notes Compliance reports sent via email.
Notes printed from the Document Management view now include the custom header for the user or practice.
The Incomplete/Overdue tab now displays a queue of clinic-specific notes (for practices using note compliance). Previously, the queue included all information, regardless of institution.
An Acknowledge button now displays in the detail view of a scanned document that has not yet been acknowledged, when viewed by support personnel (users with Sign For privileges). Click this button to acknowledge these documents on behalf of the provider. Previously, the Acknowledge button only displayed for the provider associated with the scanned document.
Providers added to the Physician table from the CPM (Corporate Provider Master) now include country and postal code information. Previously, the LMR did not receive this information for international providers.
For practices using automatic note distribution, you can now select sites other than a provider's primary site when setting up the clinic CC list. Option buttons allow you to select any site associated with that provider. Also, a column has been added to display the distribution preferences for each provider you add to the clinic CC list. For additional information on using CC lists, see Working with CC Lists.
Currently available to pilot users only, this enhancement adds an important new tool for primary care providers. It allows you to take a look at how you do, how you do compared to others, and what you can do better. It includes several reports, such as anti-platelet management and beta blocker management, comparing your performance with the performance of your colleagues for a number of key quality measurements. You can drill down to view report details or view data in a variety of graphic modes. You can also choose to generate a list of patients from report data, which you can subsequently use in the LMR to provide follow-up such as notes and letters.
New individual patient reports have been added to the OB Reports module.
You can now print an OB Summary report for a patient from the schedule using the Print Reports function. For more information see Printing Custom Reports from the Schedule List.
Several projects have been delivered in an attempt to improve overall application performance. There should be no functional impact on users.