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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 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. This module teaches the user how to change Active and Inactive status and why this status is important
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 Training MODULE 2 Active vs Inactive Register Status & MOGE Learning Objective Patient Status – Implications and Updating in the RPMS Immunization tracking module.
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 .. --- .. .. --- .. * ~ *. \ / .* ~ * * * \ / * * * * * * ( 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 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 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 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 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 * * * 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” 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” 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 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 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 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 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 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.
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 #1Changing a patient to INACTIVE status removes vaccine forecasting for this patient. TRUE or FALSE
Test Questions #2 When choosing to inactivate a patient, you may not enter a historical date. TRUE or FALSE
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 or FALSE
Test Questions #4 Anytime 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 or FALSE
Test Questions #5 You can look at a list of all the Inactive patients and the reason they are Inactive TRUE or FALSE
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.
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.
