Physician Multidisciplinary Discharge Routine Training Guide
June 2015
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From the Inpatient Rounding List select Discharge to navigate
to the Discharge Desktop.
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Manage Patient Problems Create Discharge Orders Document
Discharge Instructions Create Referrals to Providers and Community
Resources Update and Reconcile Medications Physician Discharge
Desktop
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ADDING AND MANAGING PROBLEMS
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Managing the Problem List 1.Select Discharge from Clinical
Review or the Online Rounding List 2.Click blue EDIT box next to
Patient Problems
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Adding a Problem Start Typing patient problem by name(choices
will begin appearing), or Click ICD Code button and start typing
desired code. Name ICD 9
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CREATING A DISCHARGE ORDER
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1. Click Blue ADD Order button 1 2. Select appropriate
Discharge Order 2
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Follow current process to complete Discharge Order. Referrals
should be entered in the Follow Up/Referral box
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Capture of National Quality Measure Data If yes is selected on
the second page of the Discharge Order, confirming this is stroke
or AMI patient, these therapy questions will be answered. Click Ok
to submit Discharge Order
Document free text entries for Hospital Course and
Instructions. Instructions entered on this screen will carryover to
the instructions on the Discharge Order.
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Submitting and Signing PDoc 1.Select Submit 2.Select
Signed
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DISCHARGE MEDICATION RECONCILIATION
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On the former paper medication reconciliation process, Home
Meds and Inpatient Meds were displayed side by side on the
Discharge Med Rec document. The updated electronic format will
display as follows: Inpatient Medication will display first in blue
Home Meds will display under the Inpatient Medication in black
Medications ordered after the admission medication reconciliation
appear only once in blue during the discharge medication
reconciliation process. Inpatient Home New Inpt.
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To begin Discharge medication reconciliation select the red
Edit button next to Medications.
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1.Choose Continue (CONT) or Stop on the Home Medications (black
entries) 2.If continuing an Inpatient medication (blue entries): a)
Stop the home medication b) Select Convert (CONV) to continue the
medication at home 3. Select Submit to save the medication
reconciliation 3
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Converting an Inpatient Medication to a Home Medication
Converted Inpatient Medications require the following entries: Line
1 - Dose, Units, Route, Frequency, and Reason for Use Line 2
Quantity or Days Select Done
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Multiple physicians can act on a patients medication
reconciliation. Submitting a partially completed medication
reconciliation will generate this message. l Select Yes to leave
some medications unreconciled. a) unsure of the home status of a
medication at this time b) waiting for another physician to act on
medication c) will complete reconciliation at a later time Select
No to return to the medication reconciliation screen. ALL Home
Medications must be addressed prior to discharge.
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Completed Discharge Medication Reconciliation Medications EDIT
button changes from Red to Blue, signifying all Home Medications
have been acted upon. Medications are listed by actions taken: New
Prescriptions, Continued, and Stopped.