1. RPMS Package Optimizations

2. Learning Objectives
Review the RPMS Clinical Applications that Impact RPMS EHR Functionality.
Discuss the Importance of Identifying RPMS Package Owners.
Delineate the Steps for Optimizing the Identified RPMS Packages.

3. Are Your Patches Current?
How do I find out?
Look in Kernel Installation and Distribution Package
May need to contact local Site Manager
Check this website for the latest Software Versions and Patches List at the IHS website:

4. Patches for RPMS packages
Lab LR
Pharmacy- APSP
PCC Data Entry- APCD
Women’s Health- BW
Immunization- BI
PIMS PIMS
Radiology- RA
Patient Reg- AG
Behavioral health- AMH
Health Summary (IHS) - APCH
Health Summary Components – BHS
Health Summary (VA) - GMTS

5. Adverse Reaction Tracking
Assign “GMRA” keys to Data Entry and utilize “ALG” mnemonic to document allergies (instead of using Problem List)
Run “Allergy Reports” in PCC Data Entry and enter allergies into “Adverse Reaction Tracking Package” and remove from problem list
Assign Pharmacist to review all new Allergies that will be entered using EHR. This person should learn the RPMS Adverse Reaction Tracking Package (how to verify allergies).

6. Asthma Registry System
Setup Asthma Registry and update with new Asthma Patients
Setup Medication Taxonomies – Consult with Pharmacy for medications used at your facility
Add Asthma Supplement to Health Summary
Run Asthma Quality Reports

7. CHS/MIS
CHS, Case Managers and Medical Records staff should collaborate to identify a process to include notice that outside referral and diagnostic reports have been returned to the facility and are available for Provider review.
This process may be included in notifications so that both the Provider, Case Managers and the CHS staff will be informed of the completed contract health service item.

8. Diabetes Management System
Review Setup Diabetes Registry and update with new Diabetic Patients
Review Setup Lab Taxonomies
Consult with Lab Manager for names of lab tests at your facility
Review Setup of Medication Taxonomies
Consult with Pharmacy for medications used at your facility
Add Diabetes Supplement to Health Summary
Conduct “Automated Diabetes Audit” and compare to “Hand Audit” using same patient cohort

9. Immunization
Assign BIZMENU and BIZ Patient Edit keys to all users who enter immunizations.
Review all vaccines in the VAC table
“Activate” vaccines in use.
“Inactivate” vaccines not used
Review all vaccine lot numbers
“Activate” lot numbers in use
“Inactivate” lot numbers no longer in use
Review “Vaccine Information Sheet” (VIS) dates within VAC table

10. Immunization (continued)
Review the Site Parameters to ensure Lot Numbers are required
Determine who will enter new lot numbers into the Immunization Package when they arrive
Teach users (nurses or providers) how to enter immunizations in the Immunization Package

11. Laboratory
Review Laboratory Exam CPT codes (Lab menu> BLR Menu>CPT)
Review Accession Test Groups (menu of tests) and Create New Accession Test Groups to be Used by Clinics and Wards
Ensure that setup for both “Point-of-Care” and “Reference Lab” tests results display in the Lab Package

12. Laboratory (continued)
Review All Tests in the Laboratory Test file (#60) and Inactivate Tests no Longer in Use (Set the TYPE to NEITHER and delete synonyms)
Review Holders of the “LRLAB” Key
Assign LOINC Codes to Lab Tests in the Laboratory Test file (Contact OIT for assistance)
Review Setup of Label Printers for Clinics, ER, and Inpatient to be Used for EHR orders

13. Laboratory (Prep for POC Lab component)
Identify what point of care labs you plan to use at your facility
Give list to Lab Package Administrator
Review EHR v1.1p5 notes and implementation guide
Lab Package Administrator should make sure the labs are set up correctly in the lab package according to the POC documentation provided with EHR v1.1p5 and the Lab Package.
Determine process for POC labs
Where (clinics)
Who (what personnel will perform tests and enter results
Ensure policies and procedures are in place to support POC lab use
POC Lab component is added to the GUI like any other component in Design mode
Final configuration is done in a file called BLR BEHO POC CONTROL file in FileMan. Strongly consider having Lab Informaticist configure this file.

14. POC Lab component

15. BLR BEHO POC CONTROL FILE

16. Pharmacy Maintain drug file in Pharmacy 5/7
Work with Pharmacy Consultant on “Pharmacy Data Management”
Utilize “Paperless Refill” Option
Utilize “EHR Coding Queue” for Managing “Paperless Refills”
Have all NDF patches been installed and verified?

17. Radiology Review Radiology Order Menu (List of Radiology Procedures)
Inactivate Procedures no Longer in Use
Review Radiology Exams in the Radiology Package> Supervisor’s menu> Utility File Maintenance Menu> Procedure Edit Menu
Review CPT Codes

18. Radiology (continued)
Review Process for Radiology Orders that Need to be “Overridden to Completion” if Radiology Report is not Entered into Radiology Package
Review system for getting Radiology Reports into Radiology Package

19. RCIS
Delineate the Steps of the Referral Process (e.g., Are Referrals Entered into the System by the Provider or CHS staff
Check the Link between RCIS and PCC
Review the Template within the RCIS Application to be Utilized by Your Facility to Populate Data on the Purchase Order (Local Category Prompts)
Review RCIS Site Parameters
Review Parameters According to Local Practices and Data/Report Needs

20. Scheduling (PIMS)
Review Clinic setup for Locations within Your Facility
Visit Type: Phone Call, Chart Review, Coordination of Care or Case Management, Pharmacy, Lab & Radiology
Use Correct “Service” Category
Ensure Clinics “Create Visit at Check-in”
Review your process to “Check In” Patients

21. Third Party Billing/Medical Records
Review the PCC Master Control file and make sure that all of the Packages are set to pass data to PCC
Review the Third Party Billing Package site parameters

22. Medical Records Review EHR Coding Queue (PCC Data Entry Patch 8)
Review Coding Paperless Refills Process
Review all Fields of Health Summaries
Review Process for Tracking Providers Utilizing EHR

23. Women’s Health Review Site Parameters
Ensure Link to Pass Procedures to PCC
Review Case Managers setup
Review letters setup
Review Pap Smears Process - Lab Package and/or the Women’s Health Package
Review the System for Entering PAP Results in Women’ Health Package

24. Women’s Health (continued)
Review System for Entering Mammography Exam, Breast Exams, and Biopsies into Women’s Health
Review System for Printing Letters and Tracking Delinquent Reports

25. Questions & Discussion

26. Are You Feeling Overwhelmed?

27. Don’t Panic RPMS-EHR is a TEAM effort!
The CAC does not own every RPMS Package.