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CPRS PARAMETERS & YOU

CPRS PARAMETERS & YOU. Randy Frommater NVS Clin 2 Jeanie Scott NVS Clin 2. XPAR MENU TOOLS. Presented by: Randy Frommater NVS - Clin 2, Salt Lake City OIFO. XPAR MENU TOOLS. General Parameter Tools LV List Values for a Selected Parameter

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CPRS PARAMETERS & YOU

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  1. CPRS PARAMETERS & YOU • Randy Frommater NVS Clin 2 • Jeanie Scott NVS Clin 2

  2. XPAR MENU TOOLS Presented by: Randy Frommater NVS - Clin 2, Salt Lake City OIFO

  3. XPAR MENU TOOLS • General Parameter Tools • LV List Values for a Selected Parameter • LE List Values for a Selected Entity • LP List Values for a Selected Package • LT List Values for a Selected Template • EP Edit Parameter Values • ET Edit Parameter Values with Template

  4. LV List Values for a Selected Parameter [XPAR LIST BY PARAM] Select General Parameter Tools Option: LV List Values for a Selected Parameter Select PARAMETER DEFINITION NAME: ORWPCE ANYTIME ENCOUNTERS Anytime Encounters USR: PASTERNOCK,JOY 1 YES USR: WHITEHEAD,DONNA 1 YES SYS: CPR.ISC-ALBANY.VA.GOV 1 NO

  5. LE List Values for a Selected Entity [XPAR LIST BY ENTITY] Select General Parameter Tools Option: LE List Values for a Selected Entity Entities may be set for the following: 10 User USR [choose from NEW PERSON] 20 Team (OE/RR) OTL [choose from OE/RR LIST] 30 Class CLS [choose from USR CLASS] 40 Location LOC [choose from HOSPITAL LOCATION] 50 Service SRV [choose from SERVICE/SECTION] 60 Division DIV [VAMC ALBANY PIA] 70 System SYS [CPR.ISC-ALBANY.VA.GOV] Enter selection: 10 User NEW PERSON Select NEW PERSON NAME: PASTERNOCK,JOY

  6. Values for USR: PASTERNOCK,JOY • ORQQLR DATE RANGE OUTPT 1 60 • ORQQLR DATE RANGE INPT 1 60 • ORB PROCESSING FLAG NPO DIET MORE THAN 7 Enabled • ORB PROCESSING FLAG CONSULT/REQUEST UPDA Disabled • ORLP DEFAULT LIST SOURCE 1 Ward List • ORLP DEFAULT LIST ORDER 1 Alphabetic • ORLP DEFAULT WARD 1 7A GEN MED • ORLP DEFAULT CLINIC START DATE 1 T-180 • ORLP DEFAULT CLINIC STOP DATE 1 T+30 • ORQQAP SEARCH RANGE START 1 T-365 • ORQQVS SEARCH RANGE START 1 T-365 • ORQQVS SEARCH RANGE STOP 1 T+30 • ORB SORT METHOD 1 Patient • OR ADD ORDERS MENU 1 ORZ ADD MENU CLINICIAN

  7. LP LIST VALUES FOR SELECTED PACKAGE Select General Parameter Tools Option: LP List Values for a Selected Package Select PACKAGE NAME: LAB SERVICE LR Values for PKG: LAB SERVICE LR IGNORE HOLIDAYS 1 YES LR COLLECT FRIDAY 1 YES LR COLLECT THURSDAY 1 YES LR COLLECT WEDNESDAY 1 YES LR COLLECT TUESDAY 1 YES LR COLLECT MONDAY 1 YES LR COLLECT SUNDAY 1 NO LR COLLECT SATURDAY 1 NO LR LAB COLLECT FUTURE 1 7

  8. LT LIST VALUES FOR A SELECTED TEMPLATE Select General Parameter Tools Option: LT List Values for a Selected Template Select PARAMETER TEMPLATE NAME: ORW GENERAL PARAMETERS (USER) Select NEW PERSON NAME: PASTERNOCK,JOY General GUI Parameters for User: PASTERNOCK,JOY ------------------------------------------------------------------------------ Initial Tab when CPRS Starts Notes Use Last Selected Tab on Patient Change NO Interval for Autosave of Notes 60 Verify Note Title ------------------------------------------------------------------------------

  9. EP Edit Parameter Values [XPAR EDIT PARAMETER] Select PARAMETER DEFINITION NAME: ORWPCE ANYTIME ENCOUNTERS Anytime Encounters ORWPCE ANYTIME ENCOUNTERS may be set for the following: 1 User USR [choose from NEW PERSON] 3 Service SRV [choose from SERVICE/SECTION] 4 Division DIV [VAMC ALBANY PIA] 5 System SYS [CPR.ISC-ALBANY.VA.GOV] Enter selection: 5 System CPR.ISC-ALBANY.VA.GOV ---- Setting ORWPCE ANYTIME ENCOUNTERS for System: CPR.ISC-ALBANY.VA.GOV ---- ANYTIME ENCOUNTERS: YES//

  10. ET EDIT PARAMETER VALUES WITH TEMPLATE Select General Parameter Tools Option: ET Edit Parameter Values with Template Select PARAMETER TEMPLATE NAME: ORW GENERAL PARAMETERS (USER) Select NEW PERSON NAME: PASTERNOCK,JOY General GUI Parameters for User: PASTERNOCK,JOY Verify Default Title:

  11. ET EDIT PARAMETER VALUES WITH TEMPLATE Initial Tab when CPRS Starts Notes Use Last Selected Tab on Patient Change NO Interval for Autosave of Notes 60 Verify Note Title ------------------------------------------------------------------------------ Initial Chart Tab: Notes// Use Last Selected Tab: NO// Auto-Save Interval: 60// Verify Default Title:

  12. PCE PARAMETERS Presented by: Randy Frommater NVS - Clin 2, Salt Lake City OIFO Slides by Joy Pasternock

  13. PARAMETERS • In the beginning, life was simple: • TIU parameters: • SUPPRESS DX/CPT ON ENTRY: • FORCE RESPONSE TO EXPOSURES: • ASK DX/CPT ON ALL OPT VISITS: • Then ORWPCE parameters were added • ORWPCE ASK ENCOUNTER UPDATE • ORWPCE FORCE ENTRY NOW…..

  14. ORWPCE ANYTIME ENCOUNTERS ORWPCE ASK ENCOUNTER UPDATE ORWPCE DISABLE AUTO CHECKOUT ORWPCE DISABLE AUTO VISIT TYPE ORWPCE EXCLUDE IMMUNIZATIONS ORWPCE EXCLUDE EXAMS ORWPCE EXCLUDE HEALTH FACTORS ORWPCE EXCLUDE SKIN TESTS ORWPCE EXCLUDE PATIENT ED ORWPCE FORCE PCE ENTRY

  15. ORWPCE ASK ENCOUNTER UPDATE • When signing a note, this parameter is used to determine if the user should be prompted to enter encounter information when signing the note, based on one of eight possible settings: • Entity Levels: • User, Location, Service, Division, System, Package • Option: • Parameter Edit

  16. ORWPCE ASK ENCOUNTER UPDATE • 0 Primary/Data Needed (Default Setting) - The user will be asked to enter encounter information if they are the primary encounter provider, and if data is needed for the encounter. • 1 Primary/Outpatient - The user will be asked to enter encounter information if they are the primary encounter provider, and the service category is “A” (Ambulatory), “I” (In Hospital), or “T” (Telecommunications). • 2 Primary Always - The user will be asked to enter encounter information on all encounters, if they are the primary encounter provider.

  17. 3 Data Needed - All users will be asked to enter encounter information if data is needed for the encounter. • 4 Outpatient - All users will be asked to enter encounter information, if the service category is “A” (Ambulatory), “I” (In Hospital), or “T” (Telecommunications). • 5 Always - All users will be asked to enter encounter information on all encounters. • 6 Never – The user will never be asked to enter encounter information when signing the note. • 7 Disable - The user will never be asked to enter encounter information when signing the note, and the encounter button will be disabled, even when a note is being edited.

  18. DATA NEEDED???

  19. WEB PAGE http://vista.med.va.gov/VistA_Lib/Clinical/Comp_Patient_Recrd_Sys_(CPRS)/cprsguitm.pdf.1 Prompting for Encounters Data Needed

  20. ORWPCE FORCE PCE ENTRY • Forces the PRIMARY ENCOUNTER PROVIDER to enter PCE data before being allowed to sign/complete a progress note. • Overrides the parameter ORWPCE ASK ENCOUNTER UPDATE if you are the primary encounter provider • If you are not the primary encounter provider – follows the settings in ORWPCE ASK ENCOUNTER UPDATE • Entity Levels • User, Location, Service, Division, System, Package • Option: • Parameter Edit

  21. Visit Info • Visit Info box added to reminder dialogs • Visit Info auto ask on finishing a reminder dialog

  22. ORWPCE Disable Auto Checkout • Disables the automatic checkout of encounters that do not have a diagnosis, procedure, or provider information. • Entity Levels: • User, Location, Service, Division, System • Option: -Parameter Editor

  23. ORWPCE Disable Auto Visit Type • This parameter prevents the automatic selection of a Type of Visit on the Visit Tab of the encounter form. • When set to yes, this parameter prevents the automatic selection of the first Type of Visit defined for that encounter location. • Prevents Billing problems at location where a mix of patients are seen. • Only used with electronic encounter forms. • Entity Levels: • User, Location, Service,Division, System • Option: • Parameter Edit

  24. No Yes ORWPCE Disable Auto Visit Type

  25. ORWPCE Anytime Encounters • Allow updating/editing encounters for notes that have already been signed. • Choosing a patient without pre-defined visit • New Encounter • Edit Note Encounter • Selecting a patient with a pre-defined visit • Edit Current Encounter • Edit Note Encounter • Allows encounter entry on dictated progress notes, while not editing a note • Entity Levels: • User, Service, Division, System • Option: • Parameter Edit

  26. Selecting a patient with a pre-defined visit

  27. ORWPCE Exclude… • Some types of encounter data can be restricted from entry within the encounter form. • This may be needed when specific encounter information should only be entered through reminder dialogs, and prevents entry through the encounter form. • There are five parameters that allow specific encounter information to be excluded from the “Other” buttons on the encounter form tabs. • ORWPCE Exclude Immunizations • ORWPCE Exclude Skin Tests • ORWPCE Exclude Patient Education • ORWPCE Exclude Health Factors • ORWPCE Exclude Exams • Entity Levels: • User, Location, Service, Division, System, Package • Option: • Parameter Edit • Settings: • Select Sequence, Exclusion item

  28. CLINICAL REMINDERS PARAMETERS Presented by: Jeanie Scott NVS - Clin 2, Albany OIFO Slides by Joy Pasternock

  29. ORQQPX REMINDER FOLDERS • This parameter is used and set by the CPRS GUI. • Each letter represents a reminder folder that is visible in the reminder tree. • Entity Levels: • User, Service, Division, System, Package • Option: • Parameter Edit • Settings: • Visible Folders - D=Due, A=Applicable, N=Not Applicable, E=Evaluated, O=Other. • Visible Reminder Folders: DANEO//

  30. ORQQPX REMINDER FOLDERS Notes Tab Cover Sheet Availabe Reminders Icon

  31. ORQQPX DEFAULT LOCATIONS • Returns a list of default (preferences) outside locations for display in a reminder dialog, using the additional prompt PXRM OUTSIDE LOCATION. • Enter a text default location, or a pointer to the INSTITUTION FILE (#4). Uses the internal entry in file 4. • Entity Levels: • User, Service, Division, System, Package • Option: • Parameter Edit • Settings: • Select Sequence, Enter free text entry, or the IEN in file 4.

  32. ORQQPX REMINDER TEXT AT CURSOR • Allows text generated by a reminder dialog, when processing a reminder, to be inserted at the current cursor location instead of at the bottom of the note. • Insert Reminder Dialog Generated Text at Cursor Location. • Entity Levels: • User, Service, Division, System • Option: • Parameter Edit

  33. ORQQPX REMINDER TEXT AT CURSOR = NO

  34. ORQQPX REMINDER TEXT AT CURSOR = YES

  35. ORQQPX NEW REMINDER PARAMS • Indicates if the New Cover Sheet reminders should be used in place of ORRQPX SEARCH ITEMS • The available reminders as well as the reminder drawer will no longer hold the reminders that were set in ORRQPX SEARCH ITEMS • Uses ORQQPX COVER SHEET REMINDERS or ORQQPX COVER SHEET REM CLASSES which uses the GUI to set these 2 parameters. • Entity Levels: • User, Service, Division, System, Package • Option: • Parameter Edit (yes/no)

  36. ORQQPX COVER SHEET REMINDERS • Intended for CACs, not users. CAC must have PXRM CPRS CONFIGURATION MENU in their menu pathway • Settings done in the GUI and displayed in this parameter. Do NOT edit any settings in XPAR MENU TOOLS. Edit via the GUI EDIT COVER SHEET REMINDER LIST under Available Reminders. • Cover Sheet Reminder Info: • This parameter is cumulative, so sequence ranges should be assigned. • Entity Levels: • User, Location, Service, Division, System, Package • Option: • GUI EDIT COVER SHEET REMINDER LIST/PXRM CPRS CONFIGURATION MENU

  37. ORQQPX COVER SHEET REM CLASSES • This parameter works in conjunction with the ORQQPX COVER SHEET REMINDERS parameter, acting as another level to the cumulative parameter of User Class, inserted between the User and Location Levels. • Do NOT Edit the settings in XPAR MENU TOOLS. Do all editing via the GUI option EDIT COVER SHEET REMINDER LIST under AVAILABLE REMINDERS.

  38. ORQQPX COVER SHEET REMINDERS Display Sequence Value ---------------- ----- 10 NR500044 20 NR500030 30 NR34

  39. TIU/CONSULTS PARAMETERS Presented by: Jeanie Scott NVS - Clin 2, Albany OIFO Slides by Anne Rega

  40. TIU FIELD EDITOR CLASS • Determines who has the authority to edit Template Fields. • Based on ASU user classes. • Entity levels: • User, Service,Division,System,Package • Option • CAC Parameter editor

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