1. PDI Hospital Overview PATIENT DISCHARGE INSTRUCTIONS Patient Discharge Instructions can improve outcomes and reduce readmission rates by sending patient home with a single set of clear and complete discharge instructions.

2. Step 1: Launching PDI A. Click on the desktop icon to launch the PDI application to sign on. B. Through MEDITECH PCI using the PCI data source Med Red/Discharge Instructions routine on the PDI main menu.

3. Step 3: Using the Main Display The main PDI screen displays after logging on. All categories will display in a tab style.

4. How to Enter Medications Home meds can be entered directly into the category PRE ADM, or you can use the Copy Previous routine to initialize the home medications from a previous visit.* OPTION A: TO ADD MEDICATIONS (directly from the grid): 1. Highlight a line and right click. 2. Click on Add Med - Grid. A blank line displays. Start typing the medication name. This is a type-ahead lookup. Status defaults to HOME. Fields entered in the PHA Drug Dictionary may default in. 3. Click on the Dose, Route, and Frequency fields to enter the information. *Do not use with DMI Category

5. How to Enter Medications (second option) OPTION B, TO ADD MEDICATIONS (using the “Add Med” routine): 1. Click on Add Med. Enter Home Medication Instructions displays. 2. Enter medication name (type-ahead lookup), status defaults to HOME again. Fields entered in the PHA Drug Dictionary may default 3. Click in the Dose, Route, and Frequency fields to enter the information.

6. No Home Meds/Unable to Obtain In Pre Adm Meds there is a prompt “Home Medications” that will allow you to easily document of the patient has no home medications, or if you were unable to obtain the medications

7. Admissions Reconciliation Medication Reconciliation will be captured in the Pre Adm Meds Category query “Continued upon Adm?”

8. Filing Meds and Finalizing Categories When the medication list or instruction is complete, click on Finalize Instr to electronically sign. After entering and editing your medications, and discharge instructions click SAVE to file your changes (located on the top left corner). After finalizing, you have the option to un- finalize the category to edit the medication list again.

9. Discharge Medications Current active inpatient medications will default in and be marked as discontinued upon discharge. Inpatient Medications will be indicated with a To pull in home medications select Split Then select “Home Meds & DMI – Vertical”

10. Discharge Reconciliation Discharge Medications will display on the left, and Home Medications will display on the right. W = Indicates patient should continue medications upon discharge from hospital. E = Indicates patient should discontinue medications upon discharge from hospital. Drag a Home Medication into Discharge Medications to continue it upon the patient’s discharge Click on the to continue an inpatient medication upon the patient’s discharge

11. Combined Discharge Forms There will no longer be separate discharge forms for Page 1, and Discharge home without services. All discharge instructions will be entered via the category “Discharge Instr”

12. Icons and Colors: Pharmacy Medications Home Medications Home Med added on Admissions New meds entered AND edited appear in green (Prior to filing) : black line Deleted meds appear with a black line (prior to filing): Example:

13. Questions? Please contact Sarah Freedman at: sfreema1@mah.harvard.edu 617-499-5610 Or IS staff on call at: 617-575-8607