1. MSU HealthTeam Michigan State University WHAT’S NEW IN 9.2

2. MSU HealthTeam Michigan State University PRIMARY FEATURES THE LOG IN PROCESS NEW LOOK THE DESKTOP THE PATIENT CHART IN A CHART UPDATE HELP

3. MSU HealthTeam Michigan State University THE LOGIN PROCESS

4. MSU HealthTeam Michigan State University New Name/Login Screen User ID and Password remain the same

5. MSU HealthTeam Michigan State University Location of Care stays blank until the user’s ID and Password have been authenticated New Name/Login Screen

6. MSU HealthTeam Michigan State University New Name/Login Screen Persons who work in multiple HT locations will need to make sure that the correct location is selected at the start of each session

7. MSU HealthTeam Michigan State University YOUR DESKTOP

8. MSU HealthTeam Michigan State University Appointment Preference Double-click on an appointment on your Desktop Summary to go directly to the patient’s chart

9. MSU HealthTeam Michigan State University Appointment Preference This feature is only available on the Desktop Summary tab – not from within an appointment book

10. MSU HealthTeam Michigan State University Care Alerts on the Desktop Displayed along with your Flags, Care Alerts offer extra functionality

11. MSU HealthTeam Michigan State University What is a Care Alert? A Care Alert is a care-related note about a specific patient and is attached to that patient’s chart

12. MSU HealthTeam Michigan State University Care Alerts on the Desktop A Care Alert can be prioritized as normal, important, or urgent

13. MSU HealthTeam Michigan State University Care Alerts on the Desktop A Care Alert can also be assigned a Start Date and/or an Expiration Date

14. MSU HealthTeam Michigan State University Care Alerts on the Desktop You can Hide a Care Alert, which removes it from your Desktop, but keeps it visible in the patient’s chart

15. MSU HealthTeam Michigan State University Care Alerts: Hide vs. Remove Hide a Care Alert to remove it from your Desktop, but preserve it in the patient’s chart Remove a Care Alert to actually delete it from your Desktop and the patient’s chart

16. MSU HealthTeam Michigan State University Restoring Hidden Care Alerts To restore hidden Care Alerts, go to the Alerts/Flags tab of your Desktop, then click the Organize button Check  View removed alerts/flags, then click OK

17. MSU HealthTeam Michigan State University The Chart’s Most Recent List Click the Chart button’s dropdown arrow to see the 10 most recent charts in which you have been working

18. MSU HealthTeam Michigan State University THE PATIENT CHART

19. MSU HealthTeam Michigan State University No Known Medications If it has been documented that the patient has no known medications, it is displayed as such on the Summary tab

20. MSU HealthTeam Michigan State University No Known Medications “No known medications” also displays prominently across the Patient’s Medications tab, when applicable

21. MSU HealthTeam Michigan State University Medications Medications prescribed by a non-HealthTeam clinician and recorded as historic can be displayed accordingly

22. MSU HealthTeam Michigan State University Medications * Entered By * Signed By * Authorized By Comments help convey details of the prescription

23. MSU HealthTeam Michigan State University Care Alerts in the Chart Care Alerts are displayed on the Summary tab of the patient’s chart

24. MSU HealthTeam Michigan State University Care Alert Display Hover over a Care Alert displayed on a different tab to see the full content of that Alert

25. MSU HealthTeam Michigan State University Care Alert Display Click directly on the Alert display to open the View Alerts/Flags window for more viewing and editing options

26. MSU HealthTeam Michigan State University Care Alert Pop Ups A Care Alert can be set to Popup when the patient’s chart is accessed

27. MSU HealthTeam Michigan State University The Alerts/Flags Tab The Alerts/Flags tab displays: * Allergies & Adverse Reactions * Directives * Care Alerts & Flags

28. MSU HealthTeam Michigan State University The Alerts/Flags Tab Click Organize to access additional options for displaying Alerts & Flags

29. MSU HealthTeam Michigan State University Creating a Care Alert 1.In the patient’s chart, click the New button on the Centricity toolbar 2.Choose either to send the Alert to a specific Location or User(s)

30. MSU HealthTeam Michigan State University Creating a Care Alert 3.Set the Priority appropriate for this instance

31. MSU HealthTeam Michigan State University Creating a Care Alert 4.Select the Type, either Flag, Care Alert, or Popup

32. MSU HealthTeam Michigan State University Creating a Care Alert 5.Enter a Start and/or Expiration date, if applicable 6.Attach to either the Patient’s Chart, Registration, or Appointments

33. MSU HealthTeam Michigan State University Creating a Care Alert 7.(Optional) Modify the Subject line 8.Type the content in the Message field, then 9.Click Send

34. MSU HealthTeam Michigan State University A Care Alert Caution Popup Care Alerts can be useful, but they should not be over-used, or users may become desensitized to all Popups and miss something critical about a patient’s medical care.

35. MSU HealthTeam Michigan State University Disabling Pop Ups At some point you may turn off the Popup functionality, intentionally or inadvertently, by checking  Disable popup care alerts

36. MSU HealthTeam Michigan State University Disabling Pop Ups Disabling Popups is not recommended, as Popups are meant to bring special attention to specific aspects of a patient’s condition and medical care

37. MSU HealthTeam Michigan State University Restoring Pop Ups To reactivate disabled Popups, go to Options | Display… and check  Restore warning message dialogs

38. MSU HealthTeam Michigan State University The History Tab History views are a helpful alternative to flowsheets for displaying narrative text in the patient’s chart

39. MSU HealthTeam Michigan State University IN A CHART UPDATE

40. MSU HealthTeam Michigan State University Directives Reviewed Record that the patient’s Directives have been reviewed during an update

41. MSU HealthTeam Michigan State University New Directive Options The Directives’ Description dropdown list has been significantly expanded

42. MSU HealthTeam Michigan State University Recording No Known Meds Record in a chart update that the patient has no known medications

43. MSU HealthTeam Michigan State University Medications Reviewed Record that the patient’s medication list has been reviewed during an update

44. MSU HealthTeam Michigan State University The Medications Window The patient's active Problems are displayed in the New, Update, and Change Medications windows

45. MSU HealthTeam Michigan State University Search for a Medication Search for a medication by: * Brand Name * Generic Name, or * Keyword

46. MSU HealthTeam Michigan State University Medication Search Methods When searching by Brand Name or Generic Name, the Search methods include: * beginning with * containing, and * ending with

47. MSU HealthTeam Michigan State University Medication Handouts Print a patient handout of the medication selected in the Find Medication window

48. MSU HealthTeam Michigan State University Handout Print Options When printing a medication handout, you can choose a small or large font, English or Spanish language, and to record printing the handout in the patient’s chart

49. MSU HealthTeam Michigan State University Dosing Calculator Having selected a medication in the New or Update Medication window, click the Dosing Calculator button to access this feature

50. MSU HealthTeam Michigan State University The Monograph Utility Select a medication, then click the Monograph button to view reference information about that medication, such as precautions, contraindications, etc.

51. MSU HealthTeam Michigan State University Searching for a Pharmacy When searching for a pharmacy, you can choose to search Mail-order or Retail establishments

52. MSU HealthTeam Michigan State University Historic Medications To record medications prescribed to a patient by a non-HT clinician, set Authorized By: to “Provider, Non-MSU”

53. MSU HealthTeam Michigan State University Prescription Refills When refilling prescriptions, the system checks for interactions and adverse reactions, then displays the corresponding icon

54. MSU HealthTeam Michigan State University Prescription Refills Hover over the icon to see a list of warnings, or click on the icon to see details of the interaction

55. MSU HealthTeam Michigan State University Updating Problems The person who entered a problem and the one responsible for that problem is displayed in the Update Problems window

56. MSU HealthTeam Michigan State University Search for a Problem Search for a Problem by: * Code (CPT or ICD-9) * Description, or * Keyword

57. MSU HealthTeam Michigan State University Problem Search Methods When searching by Code or Description, the Search method options include: * beginning with * containing, and * ending with When searching by Code or Description, the Search method options include: * beginning with * containing, and * ending with

58. MSU HealthTeam Michigan State University Drug to Disease Interaction Centricity EMR 9.2 checks for drug to disease interactions when a new medication or problem is added to a patient chart

59. MSU HealthTeam Michigan State University Drug to Disease Interaction Click the Drug interactions icon to see details of drug to disease interactions

60. MSU HealthTeam Michigan State University Drug to Disease Interaction The system checks for drug to disease interactions when a new medication or problem is added to the patient chart A critical allergy, absolute contraindication, or severe drug interaction/precaution A noncritical allergy, potential contraindication, or moderate drug interaction/precaution A low severity drug interaction, use with caution contraindication, or other information message

61. MSU HealthTeam Michigan State University Drug to Disease Interaction Levels of Contraindications Absolute Contraindications: those posing a substantial risk of injury; the prescribed drug should not be given in the presence of the stated condition Potential Contraindications: those which may present clinical risks when certain conditions are met Use with Caution Contraindications: Additional caution and monitoring for safe and effective use in the stated condition is warranted

62. MSU HealthTeam Michigan State University Getting Help

63. MSU HealthTeam Michigan State University Centricity EMR 9.2 Help Get general assistance at Help | Help Topics Read about new 9.2 features in Help | What’s New

64. MSU HealthTeam Michigan State University Help at the HealthTeam Health Information Technology (517) 355-6531 Training materials http://www.emr.msu.edu/ Submit a service request http://www.hit.msu.edu/