Rpms immunization package training patient menu
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RPMS Immunization Package Training – PATIENT MENU PowerPoint PPT Presentation


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RPMS Immunization Package Training – PATIENT MENU. Version 8.5*4. Amy Groom, MPH IHS Immunization Program Manager [email protected] 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

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RPMS Immunization Package Training – PATIENT MENU

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Rpms immunization package training patient menu

RPMS Immunization Package Training – PATIENT MENU

Version 8.5*4

Amy Groom, MPH

IHS Immunization Program Manager

[email protected]


Some basic tips

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


Agenda

Agenda

PATIENT Menu

  • SGL Patient Record

    • Adding and Editing Data

      • Patient case data

      • vaccines you give today

      • historical vaccines

      • Forcing doses to be valid/invalid

    • ImmServeProfile

  • Lists and Letters

    • Generating Patient Lists


Rpms immunization package

RPMS Immunization Package

  • MENU SYSTEM

    • PATPatient Menu …

    • REPReport Menu …

    • MGR Manager Menu …


Rpms patient menu

RPMS – Patient Menu

  • PATPatient Menu

    • SGLSingle Patient Immunization Record

    • LETPrint Individual Patient Letter

    • LLSDue Lists and Letters

The immunization record with forecasting you need when you walk into a patient’s room.

- also in the Health Summary

- also is what you see in EHR


Rpms immunization package training patient menu

PATIENT VIEW (IMM v8.5*4) Nov 21, 2012 10:54:14 Page: 1 of 5

Patient: PATIENT, DEMO1 DOB: 15-Apr-2011 (19 mths)

Chart#: 34000 at DEMO HOSPITAL Active Female M HBsAg: UNK

# Immunization History | Immunizations DUE on 11/21/2012

1 07/15/11 DTaP (KINRIX) Demo | HEP B PED past due

2 08/31/11 DTaP Demo | DTaP past due

| HIB,NOS past due

3 11/01/11 DTaP Demo | VARICELLA past due

| HEP A PED past due

4 07/15/11 IPV (KINRIX) Demo | PCV-13 past due

5 08/31/11 IPV Demo |

6 11/01/11 IPV Demo | Last Letter: None

08/31/11 PEDVAXHIB Demo

8 11/01/11 PEDVAXHIB Demo | * CONTRAINDICATIONS/REFUSALS *

+ Scroll down to view more. Type ?? or Q to QUIT.

A Add Immunization D Delete Visit P Patient Edit

S Skin Test Add I ImmServe Profile C Contraindications

E Edit Visit H Health Summary L Letter Print

Select Action: Quit//


Active inactive in the immunization package what does it mean

Active/Inactive in the Immunization Package – What does it mean?

Active/Inactive in the Immunization Package is independent of ‘Active” status in RPMS

Can be inactive in the immunization package, but still have an active chart

Active/Inactive ONLY impacts who is included in your childhood reports

3-27 month, Two year old

All children <36 months who reside in one of your GPRA communities are automatically activated into the immunization package

Can Inactivate children who meet the Moved or Going Elsewhere (MOGE) criteria

Active/Inactive status DOES NOT determine inclusion in Adolescent , Adult, or Influenza reports

Active/Inactive DOES NOT impact forecasting – software forecasts for all patients, regardless of status


Editing patient case data

Editing Patient Case Data

* * * EDIT PATIENT CASE DATA * * *

Patient Name: PATIENT, DEMO1 (19 mths) Chart#: 34000

Street: 1234 MAIN ST. Patient Phone: 505-777-8888

Cty/St/Zip: ALBUQUERQUE, NM 00087

_______________________________________________________________(The above data may be edited through Patient Registration.)

Case Manager: NURSE,DEMO1

Parent/Guardian:

Other Info: SHEEP CAMP IN SUMMER

Inactive Date: Inactive Reason:

Moved to/Tx Elsewhere: Ft. Defiance

Forecast Influ/Pneumo: Normal

Mother's HBsAG Status: Unknown State Registry Consent: YES


State registry consent field

State Registry Consent Field

  • Use depends on rules around participation in state immunization registries

  • If an Opt -Out state (most states)

    • All patients are automatically entered into the registry unless they specifically say they don’t want to (Opt out)

    • Use consent field to record those who “Opt Out”

      • Leave registry consent field BLANK unless patient opts out of the registry – then enter “No”

  • Opt-In (MT)

    • Requires that patients specifically consent to have their data shared with the state registry (Opt in)

    • Use consent field to record those who “Opt in”

      • Leave BLANK unless patient Opts in – then enter “Yes”


Adding an immunization

Adding an Immunization

Imm v8.5* 4 * * * ADD AN IMMUNIZATION VISIT * * *

Patient: PATIENT,DEMO2 DOB: 11-Nov-1985 (27 yrs)

Chart#: 136175 at DEMO HOSPITAL Inactive Female

_________________________________________________________________ Date: NOV 21,2012 Category: Ambulatory

Vaccine: TdapLot#:

(Tdap)

NDC Code:

Inj Site: Vol: .5 ml

Location Type: IHS Location: DEMO HOSPITAL

Provider: USER,ASTUDENT

VIS Date: JAN 24,2012

VacElig:

_________________________________________________________________


Ndc codes

NDC Codes

  • NDC Codes are National Drug Classification codes

  • A unique code that identifies the Manufacturer, the vaccine type, and the presentation (e.g. syringe, vial)

  • NDC codes change frequently!

  • Currently can only enter NDC codes included in the drop down menu

    • Missing codes


Using vaccine eligibility codes

Using Vaccine Eligibility Codes

  • Before using non – VFC vaccine eligibility codes, check with your state immunization program!

  • Add vaccine for a patient

  • In “Vaccine Eligibility” field

    • “??” to see all active codes

    • Type in code

      • can type in local label (uninsured adult) OR

      • standard code (e.g. CHA-01)


Rpms immunization package training patient menu

Imm v8.5*4 * * * ADD AN IMMUNIZATION VISIT * * *

Patient: PATIENT, DEMO1 DOB: 11-Nov-1985 (27 yrs)

Chart#: 136175 at DEMO HOSPITAL Inactive Female

________________________________________________________________

Date: NOV 21,2012 Category: Ambulatory

Vaccine: Tdap Lot#:

(Tdap)

NDC Code:

Inj Site: Vol: .5 ml

Location Type: IHS Location: DEMO HOSPITAL

Provider: USER,ASTUDENT

VIS Date: JAN 24,2012

VacElig: ??

_________________________________________________________________

Choose from:

999 Unknown Unable to obtain

AKA-01 ALASKA-01 adultuninsured

ASA-05 AMERICAN SAMOA-05 uninsured adults


Invalid doses

Invalid Doses

  • The forecasting software (ImmServe) will flag doses as invalid if:

    • Minimum age is not met

    • Minimum interval between doses is not met

    • Interval between 2 live virus vaccines is too short

  • Invalid doses are flagged with “*”, and the message “INVALID – SEE IMMSERVE”


Invalid dose

Invalid Dose

PATIENT VIEW (IMM v8.5*4) Mar 06, 2013 15:59:23

Patient: PATIENT, DEMO1 DOB: 15-Apr-2011 (22 mths)

Chart#: 34000 at DEMO HOSPITAL Active Female M HBsAg: UNK

Immunization History | Immunizations DUE on 03/06/2013

1 07/15/11 DTaP (KINRIX) Demo | HEP B PED past due

2 08/31/11 DTaP Demo | DTaP past due

| HIB,NOS past due

3 11/01/11 DTaP Demo | VARICELLA past due

| HEP A PED past due

4 07/15/11 IPV (KINRIX) Demo | PCV-13 past due

5 08/31/11 IPV Demo | FLU-TIV past due

6 11/01/11 IPV Demo |

7 02/12/13 *IPV Demo | Last Letter: None

-INVALID--SEE IMMSERVE- |

|-----------------------------

8 08/31/11 PEDVAXHIB Demo | * CONTRAINDICATIONS/REFUSALS

+ Scroll down to view more. Type ?? or Q to QUIT.

A Add Immunization D Delete Visit P Patient Edit

S Skin Test Add I ImmServe Profile C Contraindications

E Edit Visit H Health Summary L Letter Print

Select Action: Quit//


Immserve profile

ImmServe Profile

  • ImmServe is the software that creates provider reminders/forecasts

  • ImmServe Profile gives you specific information re: what vaccines are due, will be due, and why doses are flagged as Invalid

  • To check the ImmServe Profile select “I” for ImmServe Profile.


Rpms immunization package training patient menu

PATIENT IMMUNIZATION PROFILE Mar 06, 2013 16:21:23 Page: 3 of 6

Patient: PATIENT, DEMO1 DOB: 15-Apr-2011 (22 mths)

Chart#: 34000 at DEMO HOSPITAL Active Female

*** The Influenza dose on 11/7/2011 was given too soon after

11/4/2011.

Dose 2 of Influenza must be given at least 24 day(s) after

dose 1 of Influenza. This dose will therefore not count as part of the Influenza series.

*** The IPV dose on 2/12/2013 was given at too young an age.

Dose 4 of IPV must be given at or after 1457 day(s) of

age.

This dose will therefore not count as part of the OPV/IPV

series.

+ Enter ?? for more actions

Select Action: Quit//


Force a dose to be invalid

Force a Dose to be Invalid

  • Select “E” to Edit the Immunization Visit

  • Select the visit with the vaccine that you want to make invalid

  • Enter “Invalid” in Dose Override Field; select reason for invalid

Immv8.5*4 * * * EDIT AN IMMUNIZATION VISIT * * *

Patient: PATIENT,DEMO2 DOB: 28-Oct-1981 (31 yrs)

Chart#: 555555 at DEMO HOSPITAL Inactive Male _________________________________________________________________

Date: APR 28,1995 Category: Ambulatory

Vaccine: TD (ADULT) Lot#:

(Td-ADULT)

NDC Code:

Inj Site: Vol: ml

Location Type: IHS Location: IHS HOSPITAL

Provider:

VIS Date: Reaction:

VacElig: V04 - Am Indian/AK Native Dose Override: INVALID

_________________________________________________________________

1 INVALID-BAD STORAGE

2 INVALID-DEFECTIVE

3 INVALID-EXPIRED

4 INVALID-ADMIN ERROR


Force a dose to be valid

Force a dose to be Valid

  • Select “E” to Edit the Immunization Visit

  • Select the visit with the vaccine that you want to force to be valid

  • Enter “Force Valid” IN Dose Override Field

Imm v8.5*4 * * * EDIT AN IMMUNIZATION VISIT * * *

Patient: PATIENT, DEMO2 DOB: 15-Apr-2011 (22 mths)

Chart#: 34000 at DEMO HOSPITAL Active Female

__________________________________________________________________

Date: FEB 12,2013 Category: Historical Event

Vaccine: IPV Lot#:

(IPV)

NDC Code:

Inj Site: Vol: ml

Location Type: IHS Location: DEMO HOSPITAL

Provider: GROOM,AMY

VIS Date: Reaction:

VacElig: V04 - Am Indian/AK Native Dose Override: FORCE VALID __________________________________________________________________

Exit Save Refresh


Add a contraindication

Add a Contraindication

CONTRAIND (IMM v8.5*4) Mar 06, 2013 15:39:23 Page: 1 of 1

Patient: PATINET, DEMO1 DOB: 01-Feb-2009 (49 mths)

Chart#: 6666 at DEMO HOSPITAL Active Male

# Vaccine Reason Date Noted

Enter ?? for more actions.

A Add Contraindication D Delete Contraindication

E Edit Contraindication H Help

Select Action: Quit//A


Add a contraindication1

Add a Contraindication

  • In Patient Record, select “C” for Contraindications

  • Select ‘Add” to add new contraindication

Imm v8.5*4 * * * ADD A CONTRAINDICATION * * *

Patient: PATIENT,DEMO1 DOB: 01-Feb-2009 (49 mths)

Chart#: 6666 at DEMO HOSPITAL Active Male

_______________________________________________________________

Vaccine: PERTUSSIS

(PERTUSSIS)

Reason: Anaphylaxis

Date Noted: MAR 6,2013

_________________________________________________________________

Enter the date on which this Contraindication was noted.


Skin test

Skin Test

PATIENT VIEW (IMM v8.5*4) Mar 06, 2013 15:41:19

Patient: PATIENT, DEMO1 DOB: 01-Feb-2009 (49 mths)

Chart#: 6666 at DEMO HOSPITAL Active Male M HBsAg: UNK

Immunization History | Immunizations DUE on 03/06/2013

1 08/24/10 FLU-TIVhxDemo | HEP B PED past due

2 10/07/10 FLU-TIVhxDemo | DTaP past due

| HIB,NOS past due

3 09/25/09 H1N1-pfree Demo | IPV past due

| MMR past due

4 02/01/10 PPD Demo | VARICELLA past due

(Negative 0mm) | HEP A PED past due

| PCV-13 past due

| FLU-TIV due

|

| Last Letter: None

+ Scroll down to view more. Type ?? or Q to QUIT.

A Add Immunization D Delete Visit P Patient Edit

S Skin Test Add I ImmServe Profile C Contraindications

E Edit Visit H Health Summary L Letter Print

Select Action: Quit// S


Rpms immunization package training patient menu

Imm v8.5*4 * * * ADD/EDIT SKIN TEST VISIT * * *

Patient: PATIENT, DEMO1 DOB: 01-Feb-2009 (49 mths)

Chart#: 6666 at DEMO HOSPITAL Active Male

_________________________________________________________________

Date: MAR 6,2013 Category: Ambulatory

Skin Test: PPD Site: LEFT FOREARM Volume: .1 ml

Result: Reading: mm Date of Reading:

Location Type: IHS Location: DEMO HOSPITAL

Skin Test Provider: PROVIDER, DEMO

Skin Test Reader:

______________________________________________________________


Add skin test result

Add Skin Test Result

Immv8.5*4 * * * ADD/EDIT SKIN TEST VISIT * * *

Patient: PATIENT, DEMO DOB: 01-Feb-2009 (49 mths)

Chart#: 6666 at DEMO HOSPITAL Active Male

________________________________________________________________

Date: MAR 6,2013 Category: Ambulatory

Skin Test: PPD Site: LEFT FOREARM Volume: .1 ml

Result: POSITIVE Reading: 20 mm Date of Reading: MAR 6,2013

Location Type: IHS Location: DEMO HOSPITAL

Skin Test Provider: PROVIDER, DEMO1

Skin Test Reader: NURSE, DEMO1

______________________________________________________________________


Hands on exercises sgl patient menu use demo patients

Hands on Exercises SGL Patient Menu – Use Demo Patients!

  • Change patient status to Inactive in Immunization Registry

  • Add a MMR vaccine for today’s date

  • Add FluMist for yesterday’s date

  • Check the ImmServe profile to see why the MMR is invalid

  • Force the MMR vaccine to be Valid

  • Make the FluMist vaccine invalid because of poor storage

  • Add a contraindication for Varicella vaccine, Hx of Chickenpox


Immunizations in ehr

Immunizations in EHR


Electronic health record ehr

Electronic Health Record (EHR)

  • The EHR sits on top of RPMS Data entered into the RPMS roll and scroll will display in EHR

  • Data entered intoo the EHR will display in roll and scroll


Ehr immunizations

EHR Immunizations

What you can do

  • Most SGL Patient Menu options

    • Enter/edit immunizations for a patient

    • Enter/edit contraindications

    • Enter/edit skin tests

    • Enter/edit VFC vaccine eligibility codes

    • Change active/inactive status

    • Change Case manager

What you can’t do

  • Access the Manager’s Menu

    • Change Forecasting options, VIS dates

  • Enter /Edit Lot numbers

  • Use Lists and Letters

  • Run Reports

  • Force dose to be valid/invalid

  • Add non-VFC vaccine eligibility codes


Immunization tab in ehr

Immunization Tab in EHR


Add immunization

Add Immunization


Add vaccine eligibility codes

Add Vaccine Eligibility Codes

  • Currently can only select VFC eligibility codes

    • EHR Patch 11 will have new state eligibility codes


Add skin test

Add Skin Test


Add contraindication

Add Contraindication

  • Select Vaccine for, then add a contraindication


Patient lists and letters

PatIEnt Lists and Letters


Patient lists and letters1

Patient Lists and Letters

  • Available in the PAT Menu

  • Roll and scroll only

  • Complement the canned immunization coverage reports

  • Allows you to run lists of patients based on different criteria

    • List of patients who received a certain lot#

    • Lists of patients who are due for certain vaccines

    • List of patients who received vaccines in a certain time period

  • Generate reminder letters for a listof patients


Rpms immunization package training patient menu

IMMUNIZATION v8.5*4 * PATIENT MENU * Site: DEMO HOSPITAL

================== User: GROOM,AMY

SGL Single Patient Record

LET Print Individual Patient Letter

LLS Patient Lists and Letters

You've got PRIORITY mail!

Select Patient Menu Option:


Rpms immunization package training patient menu

Immunization v8.5*4 Mar 06, 2013 16:24:28 Page: 1 of 1

IMMUNIZATION LISTS & LETTERS

1 - Date of Forecast/Clinic..: 06-Mar-2013

2 - Age Range................: 1-72 Months

3 - Patient Group (01).......: Active

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...............: ALL

11 - 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//


Lists and letters

Lists and Letters

  • To change a parameter, type in the number of the parameter

  • To change Age Range from Months to years

    • Type in Parameter # (2)

    • Type in “Y” to change to Years: “M” to change to Months

  • Patient Group

    • Can choose more then one, separated by a comma (e.g. 3,4 = Active, Inactive)

    • For lists that include adolescents or adults, ALWAYS include both “Active” and “Inactive” patient groups.


Hands on exercises lists and letters

Hands on Exercises – Lists and Letters

Generate the following lists and include the total number:

  • Children 0 – 35 months who are Inactive ___________

  • Children 0 – 35 months inactivated between Jan 1, 2010-March 31st2010 ______

  • Children 0 – 35 months automatically activated between Jan 1st 2011 – Dec. 31st 2011_____

  • Active and Inactive Adolescents 11-18 yrs _____________

  • All Patients 11-12 yrs who are Due for a Tdap ________

  • Patients due for a 2nd or 3rd dose of HPV _____

  • All children <5 who received a Varicella vaccine between Dec. 1st, 2010 – Dec. 31st 2010, ________

  • List of all AI/AN (e.g. beneficiary) patients < 5 years of age who refused a vaccine _________

  • List of all patients all ages who received seasonal flu vaccine Oct 31st, 2011.

  • List of children < 6 yrs who are due for a PCV, with parent/guardian name


Immunization resources

Immunization Resources

  • RPMS Immunization Package User Manual

    • RPMS Application Documents

    • http://www.ihs.gov/RPMS/index.cfm?module=home&option=documents

  • IHS vaccine preventable disease page

    • www.ihs.gov/epi

  • CDC vaccine resources

    • www.cdc.gov/vaccines

  • Immunization Action Coalition

    • www.immunize.org


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