Immunization Package - Manager’s Menu

Some basic tips To go back to a previous screen, enter “^” (shift 6) To save changes and exit, hit the F1 key and “E” in quick succession To quit and go back to the previous screen WITHOUT saving changes, hit the F1 key and “Q” in quick succession

Patch 5 – Key Changes Additional functionally required for Meaningful Use Updated Smoking Health Factors used for determining High Risk Pneumo forecasting Correction to HPV coverage calculation for Males Addition of new vaccine codes, including all new influenza vaccine codes, to the Vaccine Table Addition of new manufacturer code to the Manufacturer code table– Protein Sciences Change in RPMS short names for influenza vaccines to reflect new CDC nomenclature Change in Influenza report to capture vaccines given starting July 1 st Update to NDC code table to include new flu vaccine NDC codes Updated influenza vaccine forecasting to include new influenza vaccine codes

Influenza Vaccines in RPMS Version 8.5*5 CVX CodeFull vaccine name (CDC abbreviation)RPMS Short NameBrandManufacturer Trivalent Inactivated Vaccines (IIV3) 141 Influenza, seasonal, injectable, trivalent FLU-IIV3 Afluria®, multi-dose vialCSL Limited FluLaval®, multi dose vialID Biomedical Corp. Fluvirin®, multi dose vialNovartis Fluzone®, multi dose vialSanofi Pasteur 140 Influenza, seasonal, injectable, preservative free, trivalent FLU-IIV3pf Afluria®, single dose syringeCSL Limited Fluarix® single dose syringeGSK Fluvirin®, single dose syringeNovartis Fluzone®, single dose syringe, single dose vialSanofi Pasteur 144 Seasonal influenza, intradermal, preservative free, trivalent FLU-DERMAL Fluzone® IntradermalSanofi Pasteur 135 Influenza, high dose seasonal, preservative-free FLU-HIGH Fluzone® High DoseSanofi Pasteur 155 Seasonal, trivalent, recombinant, injectable influenza vaccine, preservative free (RIV) FLU-RIV3 FluBlok®Protein Sciences 153 Influenza, injectable, Madin Darby Canine Kidney, preservative free (cell culture) (ccIIV3) FLU-ccIIV3 Flucelvax®Novartis Quadrivalent Inactivated Vaccines (IIV4) 150 Influenza, injectable, quadrivalent, preservative free FLU-IIV4pf Fluarix® Quadrivalent, single dose syringeGSK Fluzone® Quadrivalent,single dose syringe and single dose vialSanofi Pasteur 158 Influenza, injectable, quadrivalent FLU-IIV4 FluLaval® Quadrivalent, multi dose vialGSK Quadrivalent Live Attenuated Virus Vaccines (LAIV4) 149 Influenza, live, intranasal, quadrivalent (LAIV4) FLU-LAIV4 FluMist® MedImmune Codes that should ONLY be used to record vaccines given elsewhere, if formulation is unknown 88 Influenza virus vaccine, unspecified formulation FLU-NOS None Codes that should not be used this influenza season - Inactivate them in your vaccine table 15 Influenza virus vaccine, split virus (incl. purified surface antigen)-retired CODE FLU-TIVhx None 16influenza virus vaccine, whole virus FLU-WHOLE None 111 Influenza virus vaccine, live, attenuated, for intranasal use, trivalent (LAIV3) FLU-LAIV3 FluMist® MedImmune 151 Influenza nasal, unspecified formulation FLU-NasNOS FluMist®MedImmune 123 Influenza virus vaccine, H5N1, A/Vietnam/1203/2004 (national stockpile) FLU-H5N1 None Red denotes new RPMS Short Name

Flu Vaccines RPMS Immunization Package New codes will be inactive in the Vaccine Table – Sites must activate them to use them CVX code 111 – Flu-LAIV3 will be inactive – This is the trivalent LAIV (FluMist®) vaccine - will not be available this year Forecasting – Same as last year – begins August 1 st, ends March 31 st – 2 dose algorithm for children < 9 years included

Bug in Patch 5 – Temporary Fix Issue: Disappearing vaccine histories for some adults in the EHR. Solution: Because patch 5 contains critical information for patient care related to influenza, sites should install this patch. To address the problem identified above, sites should either : – DISABLE the High Risk Factor Check in the Imm Managers' menu/ESP, parameter #18, or – Keep High Risk Factor Check ENABLED but remove SMOKERS.

RPMS Immunization Package MENU SYSTEM – PATPatient Menu … – REPReport Menu … – MGR Manager Menu …

Manager’s Menu ERR Edit Patient Errors CMG Add/Edit Case Manager CMT Transfer a Case Manager's Patients SCN Scan For Patients ESP Site Parameters Edit PKG Package Setup Information LET Form Letters Add/Edit LOT Lot Number Add/Edit VAC Vaccine Table Edit ELI Eligibility Table Edit RES Restandardize Vaccine Table EXP Export Immunizations KEY Allocate/Deallocate Imm Menu Keys XVT Export Vaccine Table to Excel File Select Manager Menu Option:

Manager’s Menu ERR Edit Patient Errors CMG Add/Edit Case Manager CMT Transfer a Case Manager's Patients SCN Scan For Patients ESP Site Parameters Edit PKG Package Setup Information LET Form Letters Add/Edit LOT Lot Number Add/Edit VAC Vaccine Table Edit ELI Eligibility Table Edit RES Restandardize Vaccine Table EXP Export Immunizations KEY Allocate/Deallocate Imm Menu Keys XVT Export Vaccine Table to Excel File Select Manager Menu Option:

Site Parameters Edit 1) Default Case Manager : TSUI,GLEN M 2) Other Location : DEMO HOSPITAL NASHVILLE NON-IHS 3) Standard Imm Due Letter.....: Official Immunization Record 4) Official Imm Record Letter...: Official Immunization Record 5) Facility Report Header : CIHA HOSPITAL 6) Host File Server Path : /m/ 7) Minimum Days Last Letter.....: 30 days 8) Minimum vs Recommended Age...: Recommended Age 9) ImmServe Forecasting Option..: #3, WITH 4-Day Grace, HPV through 18 10) Lot Number Options : NOT Required, Default Low Supply Alert=50 11) Pneumo, Flu, Zoster Options......: Pneumo: 65 yrs Flu: All ages (>6 mths);Zoster: Yes 12) Forecasting (Imms Due) : Enabled 13) Chart# with dashes : No Dashes (123456) 14) User as Default Provider.....: No 15) ImmServe Directory : C:\Program Files\Immserve84\ 16) GPRA Communities : 1 Communities selected for GPRA 17) Inpatient Visit Check : Disabled 18) High Risk Factor Check : Enabled (Smoking included in Pneumo) 19) Import CPT-coded Visits......: Disabled 20) Visit Selection Menu : Disabled (Link Visits automatically)

Forecasting (Clinical Decision Support) Site Parameters #8, #9, #11 and #18 deal with forecasting Parameter #8: Minimum vs. recommended – Default should be recommended. If Minimum is selected, system will forecast ALL vaccines at the minimum age rather than the recommended age Minimum age – Pros: if have many children who fall behind or miss well child visits, can provide more opportunities to vaccinate – Cons: Can be confusing for providers Parameter #9 -Forecasting options – All options conform to ACIP recommendations – All options forecast influenza, Tdap and Pneumo for adults – All options forecast Tdap, MCV4 and HPV for year olds – Option to forecast HPV in adults females (19-26 yrs) and males (19-21 yrs)

Forecasting Parameters, cont. Parameter # 11: Options for forecasting flu, Pneumo and Zoster for adults Parameter # 18: High risk factor check for Flu and Pneumo

* SELECT FORECASTING OPTIONS * Versions 1, 3, 5, 6, 7 and 11 forecast the first vaccines series at 6 wks; the others beginning at 2 mths. All versions forecast Rotavirus at 2 (6 wks), 4, and 6 mths, and Influenza between Aug 15 and March 14 for infants 6 months-18 years (or all ages). Options 3,4 & 6 forecast Hep A starting at 12 months, while options 1,2,5 and 11 forecast Hep A at 15 months. Option 11 does not forecast Hep A or Hep B in persons over 18 years, regardless of prior doses. All options forecast Tdap, MCV4, and HPV for adolescents per ACIP recs (HPV doses 2 and 3 forecast only in males who receive dose 1). Option 6 Mths 12 Mths 15 Mths ) IPV Hib, MMR, Pn, Var DTaP, HepA 2) Hib, IPV, MMR, Pn, Var DTaP, HepA 3) IPV DTaP, Hib, MMR, Pn, Var, HepA 4) DTaP, Hib, IPV, MMR, Pn, Var, HepA 5) IPV Hib, MMR, Var DTaP, Pn, HepA 6) IPV Hib, MMR, Var, HepA DTaP, Pn 7) Comvax IPV DTaP, HepB, Hib, MMR, Pn, Var Hep A 11) IPV Hib, MMR, Pn, Var DTaP, HepA Select Forecasting Option: 6//

Table shows Recommended immunization schedule

Adult Forecasting System automatically forecasts: – Hep A & B for adults who received a dose < 18 years except if Forecasting Option #11 is selected – Hep A & B for adults who receive a dose > 18 years – Pneumo at 65+ (can choose to forecast starting at earlier age) – Flu for all – Td/Tdap for all Option to forecast: – HPV for females 19-26, males 19 – 21 (#9) – Zoster for 60+ (#11) – Flu for certain age groups only (#11) – Flu and pneumo for High Risk Patients (#18) – Pneumo for Smokers (#18)

High Risk ICD-9 Taxonomy for Pneumo ICD 9 CodeDefinition , 044.9HIV infection Diabetes Alcohol Dependency , 429.2CHF Emphysema Asthma Bronchiectasis, CLD, COPD Pneumoconioses Chronic Liver Dis Nephrotic Syndrome 585.Renal Failure Spleen Injury Transplant V42.0-V42.89Kidney Transplant V58.1-V58.11Chemotherapy V67.2Chemotherapy f/u

Manager’s Menu ERR Edit Patient Errors CMG Add/Edit Case Manager CMT Transfer a Case Manager's Patients SCN Scan For Patients ESP Site Parameters Edit PKG Package Setup Information LET Form Letters Add/Edit LOT Lot Number Add/Edit VAC Vaccine Table Edit ELI Eligibility Table Edit RES Restandardize Vaccine Table EXP Export Immunizations KEY Allocate/Deallocate Imm Menu Keys XVT Export Vaccine Table to Excel File Select Manager Menu Option:

Immunization v8.5*4 Nov 19, :39:40 Page: 1 of 1 CIHA HOSPITAL EDIT LOT NUMBER TABLE (Listed by Unused Doses) # Lot Number Vaccine Status Exp Date Start Unused Facility HEP B ADLT..Active..12/31/ Z2882*vfc HPV Active..11/17/ *sp HPV Active..09/30/ HPV Active..12/15/ AC52B078AA*VFC Tdap Active..12/23/ FLU-DERMAL..Active..10/18/ Enter ?? for more actions. A Add a Lot Number E Edit a Lot Number D Display Inactives Yes/No C Change List Order S Search List I Inactivate Old Lots H Help Select Action: Quit//

Imm v8.5*4 * * * ADD A LOT NUMBER * * * Lot Number: ______________________________________________________________________ Lot Number: Vaccine: INFLUENZA [TIV], SEASONAL, INJ Sub-lot: VFC (FLU-TIV) Status: Active Manufacturer: SANOFI PASTEUR Expiration Date: JUN 30,2013 Source: VFC Default NDC Code: Starting Count: 100 Doses Unused: 100 Doses Used: 0 Low Supply Alert: 20 (calculated) Facility: _________________________________________________________________________ __ Exit Save Refresh Enter a command or '^' followed by a caption to jump to a specific field. COMMAND: Press H for help

Using the SubLot field Use if you have: 2 lots of vaccine that you need to track separately because they are different sources, e.g. – VFC and facility purchased flu vaccine – IHS clinic and Tribal PHN program Satellite facilities sharing same RPMS database – Decide how to distinguish different facilities, and put in Sublot field Information in Sublot field is appended with * to the lot # – *VFC – *CHEM

Use of “Facility” field Use with caution! If you enter a facility in the Facility field, then only users logged in under that facility can see that Lot# Useful if you have satellite clinics that share the same RPMS database but receive/manage their own vaccine inventory

Wrong Vaccine Help! I entered the lot number but picked the wrong vaccine – I put Hep B ADLT instead of Hep B Ped. I can’t change the vaccine type in the lot table, and the system won’t let me enter a duplicate lot number! What do I do????? In Lot Table, choose “E” to Edit Lot #. Change the lot# by adding a “z” in the front of the lot # – Warning re: changing lot# will pop up Change Status to Inactive You can now re-renter the lot#, and pick the correct vaccine

Imm v8.5*4 * * * EDIT A LOT NUMBER * * * Lot Number: ______________________________________________________________________________ Lot Number: z12345 Vaccine: HEP B,ADULT ¦ ¦ ¦ CAUTION! ¦ E¦ ¦ De¦ Changing an existing Lot Number will affect historical patient data. ¦ ¦ Previous immunizations that used the old Lot Number will now show ¦ ¦ the new one. ¦ Lo¦ ¦ Facility: ______________________________________________________________________________ NOTE! Changing the text of an existing Lot Number should be done with caution, as it affects existing historical data. COMMAND: Close Press H for help Insert

Imm v8.5*4 * * * EDIT A LOT NUMBER * * * Lot Number: _____________________________________________________________________________ Lot Number: z12345 Vaccine: HEP B,ADULT Sub-lot: (HEP B ADLT) Status: Inactive Manufacturer: ABBOTT LABORATORIES Expiration Date: DEC 31,2011 Source: Default NDC Code: Starting Count: 100 Doses Unused: 49 Doses Used: 51 Low Supply Alert: 50 (calculated) Facility: _____________________________________________________________________________ Enter the date on which this Lot Number expires. Press H for help Insert

But wait! There’s more! We have some patients who had received this lot#, and now their records say they got Hep B Adlt when really it was Hep B Ped. What do we do? Go to Lists and Letters in the Patient Menu Change the following parameters: – Age group (e.g. 0 – 100 years) – Patient group – include Active AND Inactive – Lot # - enter the lot # WITH THE Z IN FRONT OF IT This will give you a list of patients who received the lot associated with the wrong vaccine – You can then choose “E” to edit each patient in that list – go into the patient record and edit the immunization visit to change the vaccine type and change the correct lot# (without the Z).

Immunization v8.5*4 Mar 06, :12:41 Page: 1 of 1 IMMUNIZATION LISTS & LETTERS 1 - Date of Forecast/Clinic..: 06-Mar Age Range : Years 3 - Patient Group (01) : Active, Inactive 4 - Community : ALL 5 - Case Manager : ALL 6 - Designated Provider......: ALL 7 - Immunizations Received...: ALL 8 - Immunizations Due : ALL 9 - Health Care Facility.....: DEMO HOSPITAL 10 - Lot Number : z Additional Information...: None 12 - Order of Listing : by Patient Age 13 - Include Deceased : No Select a left column number to change an item. List of Patients Print Due Letters Help Select Action: Quit//

Immunization v8.5*4 Mar 06, :14:59 Page: 1 of 1 CIHA HOSPITAL Report Date: 06-Mar-2013 Total Patients: 2 (0-100 Years) *01 Patient Group: Active, Inactive Facility: DEMO HOSPITAL Lot Number: z Name HRCN# DOB Age Today Sex Current Community DEMO,PATA /14/2004 (8 yrs) M WOLFTOWN Enter ?? for more actions Edit Patient Print List (no queuing) Select Action: Quit//E

Manager’s Menu ERR Edit Patient Errors CMG Add/Edit Case Manager CMT Transfer a Case Manager's Patients SCN Scan For Patients ESP Site Parameters Edit PKG Package Setup Information LET Form Letters Add/Edit LOT Lot Number Add/Edit VAC Vaccine Table Edit ELI Eligibility Table Edit RES Restandardize Vaccine Table EXP Export Immunizations KEY Allocate/Deallocate Imm Menu Keys XVT Export Vaccine Table to Excel File Select Manager Menu Option:

Vaccine Table Includes – Short Name of vaccine used in RPMS Cannot change – CVX (aka Immunization ) code for each vaccine Cannot change or add. Based on standard code table maintained by CDC – Active/Inactive status for vaccines – VIS default dates – Default volume – Forecasting (Yes/No)

Immunization v8.5*4 Feb 13, :05:23 Page: 1 of 12 CIHA HOSPITAL EDIT VACCINE TABLE # Vaccine CVX Active Lot# Dflt VIS Dflt Vol Dflt Forecast 1 ACTHIB (48)...Active /18/ ml YES 2 ADENO,oral.. (143)..Inactive NO 3 ADENOV,NOS.. (82)..Inactive ml.... NO 4 ADENOVI,T4.. (54)...Inactive ml.... NO 5 ADENOVI,T7.. (55)...Inactive ml.... NO 6 ANTHRAX..... (24)...Inactive /10/ ml.... NO 7 BCG (19)...Inactive ml... NO 8 BOTULINUM... (27)...Inactive ml.... NO 9 CHOLERA..... (26)...Inactive ml.... NO 10 CMVIG (29)...Active ml.... NO 11 COMVAX (51)...Active /18/ ml.... NO 12 DENGUE FEV.. (56)..Inactive ml.... NO 13 DIPHTHERIA.. (12)...Inactive ml.... NO + Scroll down to view more. Type ?? for more actions E Edit Vaccine C Change List Order H Help F Forecasting P Print List Select Action: Quit//

Vaccine Table, cont. If your facility does not use a particular vaccine (e.g. ActHib), can inactivate in the Vaccine table – Providers can still enter this as a historical vaccine, but will not be able to use this code for vaccines they administer NOS – stands for Not Otherwise Specified. – NOS codes should NOT be used for vaccines administered at the facility, but may be used if historical vaccine info lacks specific vaccine type

Forecasting Generally you should NOT turn off forecasting for a vaccine in the vaccine table Does not turn off the forecasting for just the one vaccine Individual vaccines are part of a vaccine group Turning off the forecasting for a vaccine actually turns off forecasting for that entire group of vaccines – Example: if you turn off forecasting for ActHib, you are actually turning off the forecasting for ALL Hib vaccines – If you turn off forecasting for PCV13, you turn off all Pneumo vaccines (including PPSV23)

Immunization v8.5*4 Nov 20, :32:51 Page: 1 of 2 CIHA HOSPITAL EDIT VACCINE GROUP FORCASTING # Vaccine Group Forecast 1 DTORP YES 2 FLU YES 3 H1N NO 4 HEPA YES 5 HEPB YES 6 HIB YES 7 HPV YES 8 MENING YES 9 MMRORME YES 10 OORIPV YES 11 PNEUMO YES 12 ROTAVIRUS YES 13 TD_B YES C Change Vaccine Group Select Action: Quit//

ELIGIBILITY TABLE

Vaccine Eligibility Codes Vaccine eligibility is collected in the Patient record for each dose of vaccine administered Previous vaccine eligibility codes were limited to codes for Vaccines for Children eligibility Some states (OR!)are now requiring collection of eligibility status for non-VFC vaccines New vaccine eligibility codes have been added for each state. Can be renamed for local use. – E.g. state provides Tdap vaccine for uninsured adults Non-VFC vaccine eligibility codes are currently only available in the roll and scroll environment, not in EHR

Using Vaccine Eligibility Codes BEFORE USING NEW NON-VFC VACCINE ELIGIBILITY CODES, CHECK WITH YOUR STATE RE: THEIR VACCINE ELIGIBILTIY REQUIREMENTS Also check with your IHS Area Immunization Coordinator

Activating Vaccine Eligibility Codes Go to Manager’s Menu Select ELI –Eligibility Table Edit Active Eligibility Codes appear at the top – Note: all VFC codes – V01 – V07 – are defaulted to ‘Active’ To activate a new vaccine eligibility code, scroll to find the codes for your state Select ‘E” to Edit code Type in line number for code you wish to edit

Manager’s Menu ERR Edit Patient Errors CMG Add/Edit Case Manager CMT Transfer a Case Manager's Patients SCN Scan For Patients ESP Site Parameters Edit PKG Package Setup Information LET Form Letters Add/Edit LOT Lot Number Add/Edit VAC Vaccine Table Edit ELI Eligibility Table Edit RES Restandardize Vaccine Table EXP Export Immunizations KEY Allocate/Deallocate Imm Menu Keys XVT Export Vaccine Table to Excel File Select Manager Menu Option:

39 Immunization v8.5*4 Nov 14, :42:04 Page: 1 of 31 CIHA HOSPITAL EDIT ELIGIBILITY CODE TABLE # Code Label of Code Status Local Text Report Tx Unknown Active....Unable to obtain......Unknown 2 AKA ALASKA Active....adultuninsured adlunin 3 ASA AMERICAN SAMOA Active....unisured adults uninad 4 V Not Eligible Active....Not Eligible NotElig 5 V Medicaid Active....Medicaid Medicaid 6 V Uninsured Active....Uninsured Uninsured 7 V Am Indian/AK Native....Active....Am Indian/AK Native...AmIn/AKNa 8 V Underinsured Fed Qual..Active....Underinsured Fed Qua..Under/Fed 9 V State-specific Elig....Active....State-specific Elig...State 10 V Local-specific Elig....Active....Local-specific Elig...Local 11 AKA ALASKA Inactive AKA ALASKA Inactive AKA ALASKA Inactive Scroll down to view more. Type ?? for more actions E Edit Elig Code H Help Select Action:Quit//

Activating Vaccine Eligibility Codes, cont. Change status to “Active” Local Text – add label for code as you want it to appear in your system (20 character limit) – E.g. ‘Adult uninsured’ Report Abbreviation – Type in label for report display (9 character limit)

41 Immunization v8.5*4 * EDIT ELIGIBILITY CODE * Elig Code: AKA-01 Code Label/Text: ALASKA-01 Active Status: Active Local Text: adultuninsured Report Abbreviation: adlunin ACTIVE: ACTIVE//

FORM LETTERS

Manager’s Menu ERR Edit Patient Errors CMG Add/Edit Case Manager CMT Transfer a Case Manager's Patients SCN Scan For Patients ESP Site Parameters Edit PKG Package Setup Information LET Form Letters Add/Edit LOT Lot Number Add/Edit VAC Vaccine Table Edit ELI Eligibility Table Edit RES Restandardize Vaccine Table EXP Export Immunizations KEY Allocate/Deallocate Imm Menu Keys XVT Export Vaccine Table to Excel File Select Manager Menu Option:

Creating a New Form Letter Type in name for new form letter At prompt “Are you entering [your new letter name] as a new BI letter?” type “Y” Choose template to work from – Standard Due Letter – Official Immunization Record – Standard Due letter – forecast first

VIEW/EDIT FORM LETTER Nov 20, :44:22 Page: 1 of 5 Form Letter: yes top: Jimmy's Immies Clinic 7 Your Street Your City, ST |BI TODAY| Date of Birth: |BI DATE OF BIRTH| Chart#: |BI CHART NUMBER| + Scroll down to view more. Type ?? for more action T Top F Forecast C Closing H History B Bottom P Print Sample Letter M Middle D Date/Loc X Delete Form Letter Select Action: Quit//

When editing the letter, if your screen looks like this.. You need to switch from LINE EDITOR to SCREEN EDITOR top: FORT DEFIANCE Indian Hospital 1920 Herkimer Drive FORT DEFIANCE, AZ |BI TODAY| + Scroll down to view more. Type ?? for more action 23> Dear Parent or Guardian: 24> 25> Your child, |BI NAME FIRST|, is due for immunizations. According to our 26>records, the following immunizations have already been received: EDIT Option:

Switching from Line Editor to Screen Editor: At MGR Menu Prompt, type “^tbox” ERR Edit Patient Errors CMG Add/Edit Case Manager CMT Transfer a Case Manager's Patients SCN Scan For Patients ESP Site Parameters Edit PKG Package Setup Information LET Form Letters Add/Edit LOT Lot Number Add/Edit VAC Vaccine Table Edit ELI Eligibility Table Edit RES Restandardize Vaccine Table EXP Export Immunizations KEY Allocate/Deallocate Imm Menu Keys XVT Export Vaccine Table to Excel File Select Manager Menu Option: ^tbox

In User Toolbox, Select “Edit User Characteristics” Select Manager Menu Option: ^tbox User's Toolbox Change my Division Display User Characteristics Edit User Characteristics Electronic Signature code Edit Menu Templates... Spooler Menu... Switch UCI TaskMan User User Help Select User's Toolbox Option: edit

Accept Default Terminal Select TERMINAL TYPE NAME: C- VT100// HIT ENTER TO ACCEPT DEFAULT TERMINAL

Change Preferred Editor to Screen Editor IMMUNIZATION v8.5*4 * MANAGER MENU * Site: DEMO HOSPITAL _______________________________________________________________________________ INITIAL: AG PHONE: NICK NAME: AMY OFFICE PHONE: VOICE PAGER: DIGITAL PAGER: ASK DEVICE TYPE AT SIGN-ON: AUTO MENU: YES, MENUS GENERATED TYPE-AHEAD: ALLOWED TEXT TERMINATOR: PREFERRED EDITOR: SCREEN EDITOR - VA FILEMAN NETWORK USERNAME: Want to edit VERIFY CODE (Y/N): _______________________________________________________________________________ COMMAND: F1 + E to save and exit

Letter in Screen Editor VIEW/EDIT FORM LETTER Feb 12, :21:03 Page: 1 of 7 Form Letter: Standard Due Letter top: FORT DEFIANCE Indian Hospital 1920 Herkimer Drive FORT DEFIANE, AZ |BI TODAY| + Scroll down to view more. Type ?? for more action T Top F Forecast C Closing H History B Bottom P Print Sample Letter M Middle D Date/Loc X Delete Form Letter Select Action: Quit//

SCREEN EDITOR SUMMARY OF KEY SEQUENCES – Editing Letters Navigation Incremental movement Arrow keys One word left and right and Next tab stop to the right Jump left and right and Beginning and end of line and or: and Screen up or down and or: and Top or bottom of document T and B Go to a specific location G Exiting/Saving Exit and save text E Quit with optional save Q or Exit, save, and switch editors A Save without exiting S Enter minutes for AutoSave S

Editing Letters, cont. Deleting Character before cursor Character at cursor or From cursor to end of word From cursor to end of line Entire line D Settings/Modes Wrap/no wrap mode toggle Insert/replace mode toggle or or Set/clear tab stop Enter columns for tab stops Set left margin, Set right margin. Status line toggle ?

Editing Letters, cont. FORMATTING Join current line to next line J Reformat paragraph R Finding Find text F Find next occurrence of text N Find/RePlace text P Cutting/Copying/Pasting Select (Mark) text M at beginning and end of text Unselect (Unmark) text M Delete selected text or on selected text Cut and save to buffer X on selected text Copy and save to buffer C on selected text Paste from buffer V Move text to another location X at new location Copy text to another location C at new location

Resources RPMS Immunization Package User manual – Available on the RPMS Clinical Applications Website u.pdf IHS Immunization Program Website – accine_main accine_main