E-DISCHARGE MEDICATION MODULE Last updated: 2/9/151

Last updated: 2/9/15 1

E-DISCHARGE MEDICATION MODULE


GETTING ORIENTED

Shows most recent Home Med List

Displays all med lists within San Francisco Health Network (SFHN)e.g. eCW, Jail Health Services, Laguna Honda

Create a complete Discharge Med List using Home & Inpatient med lists

Send electronic or print paper rx’s

Find formulary & insurance info


SEND PRESCRIPTIONS

To Retail or Discharge Pharm.

DISCHARGE MED LISTImported to Discharge docs

CREATE HOME MEDICATION LISTRequired For Every Admit

STEPS

4Last updated: 2/9/15

SEND PRESCRIPTIONS



HOME MEDICATION LISTRequired For Every Admit

STEP 1: Collect Home Meds

• Done By Provider or Med Rec Techs

• Cannot start any discharge process until home meds are collected


SEND PRESCRIPTIONS




To Request Home Med collection from Med Rec TechsSelect “Home Med Request” under Collect Home MedsAllow 24 hr turnaround time

STEP 1: Collect Home Meds


SEND PRESCRIPTIONS




Accuracy Counts!Used by all KEY STAKEHOLDERS

STEP 2

Discharge Meds

Patient’s Instructions

Outpatient Providers

Home Health Worker

ePDP


Step 1: MUST select Eligibility Benefits to enable e-prescribing. You cannot e-rx later if this step is missed. [choose any available option and then click complete]

Step 2: Select Reconcile Discharge.

STEP 2: Create Discharge Med List

1.

2.


Step 3: Address all Home Meds

Tips Any Home Medication stopped (X), will be automatically

noted in the Patient Discharge Instructions

Med with a GREEN arrow cannot be e-prescribed later. (telling the patient “take your home supply”)


Step 4: Address all In-house Meds

Click X to stop any medication

Tip

Med with a BLUE arrow indicates either a home med with changes to directions OR a new medication. [quantity to dispense and refills should be filled in]


This creates your discharge med list.

Meds listed here = ALL meds the patient should take upon discharge

This list is imported to the ePDP and patient discharge instructions


Add any new meds


Be mindful of tablet strength (325mg) vs. Dose (650mg)

To Prescribe a med, Select the med name

Then fill out additional Rx information


Always….Always…Always***HIT THE E-RX BUTTON*** when available

Failure to hit eRX button will prevent you from e-prescribing a prescription !!!


Select Rx destination. Each row is an Rx with unique destination.

TIPSFGH Discharge Pharmacy can be chosen by MDs without DEA license, i.e. interns

Retail Pharmacy Only DEA licensed providers can send eRX to Retail pharmacy. (ask Attending or R3 to send prescriptions)


Select Paper Rx for:1. Any controlled medication

TIP: schedule II meds, e.g. oxycodone, requires a secure script in addition to entering in discharge med list

2. All Supplies (e.g. ‘test strips’) TIP: supplies to any RETAIL (non-discharge) pharmacy must also be called in OR paper faxed

3. To hand a physical prescription to patient


To remove a med from Discharge List, select the med, then the

Remove button


Save all work if navigating away from this page **or it will be lost**


Complete the Discharge List after all meds are addressed


Clinical Checking will identify potential interactions

Click here to address the issue


Select appropriate choice or free-text reply, then hit Update


Green Triangle indicates issue is resolved.


****WARNING: hit COMPLETE or WORK WILL BE LOST**


The GRAY screen indicates your work is saved. (If you navigated away without saving/completing,

you do NOT see this screen)


SEND PRESCRIPTIONS

To Retail and/or Discharge Pharm.



STEP 3

Final step• Remember: interns cannot e-Rx

to Retail Pharmacy (get attending/R3)

• Even if not Rx’ing, discharge list should contain ALL meds patient takes upon discharge


Select send e-prescriptions


Prescriptions ready to send will have both an icon and a quantity


You can change quantity/destination by selecting the medication then adjusting

in Med Detail pane below**then hit UPDATE PRESCRIPTION*

Or just hit Clear to de-select the medication


Red Triangle indicates a problem with rx


Here, problem is Rx #2 has no destination.

Note: Retail Pharmacy grayed out. Why?


Because no Retail Pharmacy was selected. Use the Change

button to select one.


No problems are present, (note Retail pharmacy selected).

Ready to send Rx!


Icons indicate meds queued up to prescribed

Electronically

Or

Printed


Hit Complete


Acknowledgement Pop-up. Click OK.

No acknowledgement = No Rx sent


1) Pagerbox window opens. Use this to send D/C info to discharge pharmacy. ***very useful to reduce calls for clarifications** (e.g. – changed lasix dose

2) Notice Gray screen indicates successful completion


Issues That AriseISSUE RESOLUTION

I can’t select a destination to send my Rx!

• Did you (or person who entered med) hit gray e-Rx button and do an Eligibility Request?

• Perform those functions, remove med in question, re-add it

My med says “free-text medication” and I can’t prescribe it

• Try removing medication from discharge list, then using the “Search for New Med” tab rather than using Home or In-House med list

• Pagerbox Superuser to make aware of issue: 443-5794• Last resort: keep free-text medication on DC med list, call in

rx to pharmacy verbally

I can’t add a med due to invalid frequency

• Use a frequency from the drop-down list OR• Use the ‘alt dose’ field to write out sig free-hand

I’m an intern/resident but not enrolled to e-Rx to Discharge Pharmacy

1. Text Page 443-5794 (superuser) or page 327-0739 OR2. Email: [email protected] with the following: name, year CHN #, NPI# department, and DEA (if you have it)

mailto:[email protected]


Problems?1. Ask your Chief Resident2. Discharge Pharmacy has the Med Rec

Support pager/phone #3. Last line: Superuser 443-5794 (business

hours only

All help info and powerpoints available at:http://tiny.ucsf.edu/edischarge

Documents

E-DISCHARGE MEDICATION MODULE Last updated: 2/9/151