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RPMS Immunization Training. Scott Hamstra, MD, FAAP National Immunization Trainer. Immunization v8.2*1 Training. Welcome to Immunization v8.2*1 training. Training for this application has been broken down into a series of self-paced modules for the user to complete at their own speed.

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RPMS Immunization Training

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Rpms immunization training

RPMS Immunization Training

Scott Hamstra, MD, FAAP

National Immunization Trainer


Immunization v8 2 1 training

Immunization v8.2*1 Training

Welcome to Immunization v8.2*1 training.

Training for this application has been broken down into a series of self-paced modules for the user to complete at their own speed.

This module teaches the user how to change Active and Inactive status and why this status is important


Overview

OVERVIEW

The RPMS Immunization Module provides the following:

  • A means to track and recall patients for immunizations.

  • Feedback to providers and administrators about immunization rates in their patient population.

  • A way to share immunization information with authorized agencies.


Immunization v8 2 1 training1

Immunization v8.2*1 Training

MODULE 2

Active vs Inactive Register

Status & MOGE

Learning Objective

Patient Status – Implications and Updating in the RPMS Immunization tracking module.


Active status

ACTIVE STATUS

REGISTER STATUS IN IMM V8.2*1allows a local site to designate patients as ACTIVE, which then ...

includes the patient in the 2 standard reports …

- 3-27 month old Report (Old Quarterly Report)

- 19-35 month old Report (Old Two Year Old Report)

Conversely – giving a patient Inactive Status ONLY removes the patient from Standard Reports

The following slides will guide you step-by-step to change the Register Status in the RPMS Immunization tracking module.


Immunization main menu

Immunization Main Menu

.. --- .. .. --- ..

* ~ *. \ / .* ~ *

* * \ / * *

* * * *

( NEW * (|) * Version )

* IMMUNIZATION * *** * 8.2*1 *

*. * * .*

* * * *

> * * <

* * * *

* * * * * *

* @ * * * * @ *

( * * * * )

*. * *** * .*

/ /-- ~ ~ ~ --\ \

MAIN MENU at SORRY U R SICK MEDICAL CENTER

PAT Patient Menu ...

REP Reports Menu ...

MGR Manager Menu ...

Select Immunization Menu Option: PAT

From the Immunization Main Menu, select the Patient Menu. Type PAT at the “Select Immunization Menu Option:” prompt. Only users with the Manager Menu security key will see the MGR option.


Patient menu

Patient Menu

IMMUNIZATION v8.2*1 * PATIENT MENU * Site: SORRY U R SICK MEDIC

================= User: WHITE,DAVID

SGL Single Patient Record

LET Print Individual Patient Letter

LLS Patient Lists and Letters

Select Patient Menu Option: SGL

From the Patient Menu, select the Single Patient Record option by typing SGL at the “Select Patient Menu Option:” prompt.


Select a patient

Select A Patient

Immunization v8.2*1

* VIEW PATIENT IMMUNIZATION DATA *

Select Patient Name: DEMO,PATIENT

Type the patient’s name or chart number at the “Select Patient Name:” prompt.

If you enter a patient who has “INACTIVE” status in the Immunization tracking module, you will be asked if you want to change the status to “ACTIVE” add that patient to the Register.

NOTE: While ALL patients get FORECASTING,

REPORTS (3-27 and 19-35 month old) only use ACTIVE patients

– not INACTIVE patients.


Select a forecast date

Select A Forecast Date

Immunization v8.2*1

* VIEW PATIENT IMMUNIZATION DATA *

Select Patient Name: DEMO, PATIENT

M 07-01-1971 540364211 WE 102920

Select Forecast Date: JUL 20,2005// <RETURN> (JUL 20, 2005)

To accept the default forecast date, press the ENTER key at the prompt.

You may change the date for which you want to view the patient’s immunization data at the “Select Forecast Date:” prompt – you may go back to an earlier date or look into the future! 


Edit a patient

EDIT A PATIENT

PATIENT VIEW (IMM v8.2*1) Jul 20, 2005 16:32:33 Page: 1 of 2

Patient: DEMO, PATIENT DOB: 01-Jul-1971 (34 yrs)

Chart#: 102920 at SORRY U R SICK ME Active Male M HBsAg: UNK

# Immunization History | Immunizations DUE on 7/20/2005

1 08/10/90 TET TOX WHIT | 2-HEP B past due

2 07/25/02 1-MMR WHIT | 1-IPV past due

3 02/20/03 3-PEDVAXHIB WHIT |

|

|

| Last Letter: None

ADDITIONAL PATIENT INFORMATION

------------------------------

Case Manager.........: MOORE,CATHERINE

Parent/Guardian......:

+ 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// P

To change the patient to Inactive Status select PATIENT EDIT, type P at the “Select Action: Quit//” prompt.


Entering inactive status

Entering “INACTIVE” status

* * * EDIT PATIENT CASE DATA * * *

Patient Name: DEMO,PATIENT (40 yrs) Chart#: 999999

Street: Unknown Patient Phone: Unknown

Cty/St/Zip: Unknown, No State No Zip

_____________________________________________________________________________

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

Case Manager: MATT,SUSAN

Parent/Guardian:

Other Info:

Inactive Date: Inactive Reason:

Moved to/Tx Elsewhere:

Forecast Influ/Pneumo: Both, Influ & Pneumo

Mother's HBsAG Status: Negative

_____________________________________________________________________________

Enter the date on which this patient became Inactive in the Immunization

Register. To RE-ACTIVATE this patient, enter "@" (shift-2, no quotes),

which will delete the Inactive Date.

Type the date on which this child changed to “INACTIVE” status at the “Date:” prompt. Note the lower screen tells you

To save you time and keystrokes, if you want Today’s date simply type “T”


Entering inactive status1

Entering “INACTIVE” status

* * * EDIT PATIENT CASE DATA * * *

Patient Name: DEMO,PATIENT (40 yrs) Chart#: 999999

Street: Unknown Patient Phone: Unknown

Cty/St/Zip: Unknown, No State No Zip

_____________________________________________________________________________

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

Case Manager: MATT,SUSAN

Parent/Guardian:

Other Info:

Inactive Date: 5/11/06 Inactive Reason:

Moved to/Tx Elsewhere:

Forecast Influ/Pneumo: Both, Influ & Pneumo

Mother's HBsAG Status: Negative

_____________________________________________________________________________

Select the reason this patient was made Inactive.

Choose from:

m Moved Elsewhere

t Treatment Elsewhere

d Deceased

p Previously Inactivated

n Never Activated

Type the reason for a change to INACTIVE

Type any key to see the 5 choices.


Entering inactive status2

Entering “INACTIVE” status

* * * EDIT PATIENT CASE DATA * * *

Patient Name: DEMO,PATIENT (40 yrs) Chart#: 999999

Street: Unknown Patient Phone: Unknown

Cty/St/Zip: Unknown, No State No Zip

_____________________________________________________________________________

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

Case Manager: MATT,SUSAN

Parent/Guardian:

Other Info:

Inactive Date: 5/11/06 Inactive Reason: Moved Elsewhere

Moved to/Tx Elsewhere:

Forecast Influ/Pneumo: Both, Influ & Pneumo

Mother's HBsAG Status: Negative

_____________________________________________________________________________

If the patient has moved, enter the location (if known). Or if the patient is

receiving treatment elsewhere, enter the name of the clinic or hospital (if known).

New to Version 8.1 – it is important to provide some detail for the Inactive Reason – this both helps to ensure reasons are legitimate and helps us search and sort these patients later.


Edit a patient1

EDIT A PATIENT

PATIENT VIEW (IMM v8.2*1) Jul 20, 2005 16:32:33 Page: 1 of 2

Patient: DEMO, PATIENT DOB: 01-Jul-1971 (34 yrs)

Chart#: 102920 at SORRY U R SICK ME Inactive Male M HBsAg: UNK

# Immunization History | Immunizations DUE on 7/20/2005

1 08/10/90 TET TOX WHIT | 2-HEP B past due

2 07/25/02 1-MMR WHIT | 1-IPV past due

3 02/20/03 3-PEDVAXHIB WHIT |

|

|

| Last Letter: None

ADDITIONAL PATIENT INFORMATION

------------------------------

Case Manager.........: MOORE,CATHERINE

Parent/Guardian......:

+ 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//

After saving changes to PATIENT EDIT, the Patient View Screen returns and you will see “Inactive” status near the top .


Quit adding immunization data

Quit Adding Immunization Data

PATIENT VIEW (IMM v8.2*1) Jul 20, 2005 16:32:33 Page: 1 of 2

Patient: DEMO, PATIENT DOB: 01-Jul-1971 (34 yrs)

Chart#: 102920 at SORRY U R SICK ME Inactive Male M HBsAg: UNK

# Immunization History | Immunizations DUE on 7/20/2005

1 08/10/90 TET TOX WHIT | 2-HEP B past due

2 07/25/02 1-MMR WHIT | 1-IPV past due

3 02/20/03 3-PEDVAXHIB WHIT |

4 07/20/05 1-DTaP WHIT |

|

| Last Letter: None

ADDITIONAL PATIENT INFORMATION

------------------------------

Case Manager.........: MOORE,CATHERINE

Parent/Guardian......:

+ 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// Q

If you are finished with this patient, type Q or just hit return key to quit at the “Select Action: Quit//” prompt.


Select a patient1

Select A Patient

Immunization v8.2*1

* VIEW PATIENT IMMUNIZATION DATA *

Select Patient Name or Chart #: 99999

MICKEY MOUSE M 10-10-2005 SE 99999

This patient is less than 36 months old and his Immunization Status is INACTIVE.

Should this patient's Status be changed to ACTIVE?

Enter Yes or No:

To go to another patient, type the patient’s name or chart number at the “Select Patient Name:” prompt. If you are finished entering immunization data, press ENTER to return to the Patient Menu.

NOTICE: whenever you choose a patient LESS THAN 3 YEARS OLD who is “INACTIVE” – IMM will prompt you asking if the patient should be ACTIVE

This ensures that patient who move away or goes elsewhere – BUT then return to your site do not get MISSED!


Patient menu1

Patient Menu

IMMUNIZATION v8.2*1 * PATIENT MENU * Site: SORRY U R SICK MEDIC

================= User: WHITE,DAVID

SGL Single Patient Record

LET Print Individual Patient Letter

LLS Patient Lists and Letters

Select Patient Menu Option: <ENTER>

If you are finished entering immunization data, press the ENTER key at the “Select Patient Menu Option:” prompt to return to the Immunization Main Menu.


Immunization main menu1

Immunization Main Menu

.. --- .. .. --- ..

* ~ *. \ / .* ~ *

* * \ / * *

* * * *

( NEW * (|) * Version )

* IMMUNIZATION * *** * 8.2*1 *

*. * * .*

* * * *

> * * <

* * * *

* * * * * *

* @ * * * * @ *

( * * * * )

*. * *** * .*

/ /-- ~ ~ ~ --\ \

MAIN MENU at SORRY U R SICK MEDICAL CENTER

PAT Patient Menu ...

REP Reports Menu ...

MGR Manager Menu ...

Select Immunization Menu Option:

You are now back at the Immunization Main Menu.


Rpms immunization training

ACTIVE vs INACTIVE STATUS

Review

When you change a patient to INACTIVE status – 3 bits of information are entered

1.Inactive Date

2.Inactive Reason

3.Moved or Treated Elsewhere “details”


Test questions

Test Questions

#1Changing a patient to INACTIVE status removes vaccine forecasting for this patient.

TRUE or FALSE


Test questions1

Test Questions

#2When choosing to inactivate a patient, you may not enter a historical date.

TRUE orFALSE


Test questions2

Test Questions

#3 From the date a patient is INACTIVE the patient disappears from the standard 3-27 and 19-35 month old reports.

TRUE orFALSE


Test questions3

Test Questions

#4Anytime you look at a child under 3 years old with INACTIVE status – IMM will ask “Do you want to change the patient’s status back to ACTIVE?”

TRUE orFALSE


Test questions4

Test Questions

#5You can look at a list of all the Inactive patients and the reason they are Inactive

TRUE or FALSE


Test answers

Test Answers

  • False - Forecasting ALWAYS stays for ALL patients.

  • 2. False – You may enter ANY date – and OFTEN is common sense to use a date from the past.

  • 3. True – Inactive Status removes patients from the

  • REPORTS – as of the Inactive Date.

  • 4. True - IMM prompts you to change to ACTIVE status if you bring up an INACTIVE status patient.

  • 5. True – This is a very useful view of all the INACTIVE patients – to get a quick look at why children are inactive – 5 reasons.


Rpms immunization training

ADDITIONAL PATIENT ENTRY OPTIONS

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

OPTIONS THAT WILL BE ADDRESSED IN FUTURE MODULES

S – Basically same process as immunization entry

E – If you make an error –select visit/vaccine – correct the error and save.

D – If the entire visit was incorrect – you can delete the visit – BE CAREFUL!

I – If the forecast is confusing to you – ImmServe Profile provides the detailed logic behind why a vaccine may or may not be due today.

H – View a Health Summary (perhaps hard chart not available).

P – Patient Edit allows you to change to “Inactive” status

** BE CAREFUL! ---- You must follow the MOGE guidelines!

C – You may select from legitimate contraindications for a specific vaccine.

L – After administering vaccines and updating IMM – you have the option to print an official immunization record/history to give to the patient or parent/guardian.


Questions oit help desk 888 830 7280 support@ihs gov

QuestionsOIT Help Desk(888)[email protected]


Congratulations end of module 2

Congratulations!!! End of Module 2


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