Title: MEDITECH Community Wide Scheduling for Respiratory Therapy
1MEDITECH Community Wide Schedulingfor
Respiratory Therapy
2 3Introduction
- MEDITECH Toolbar
- The toolbar icons are located on a strip to the
right of the main MEDITECH desktop. You can use
the mouse to click on these icons, and some of
these icons have a corresponding function key on
the keyboard that will accomplish the same task. -
4Lesson 1 Process Appointments Routines
- LESSON 1 Process Appointments
- Routines
- Overview of Process Appointment Routines
-
- The Process Patient Appointments and Process
Department Appointments routines have similar
screens and many functions in common. Both deal
with the same type of information, only from a
different point of view. The Process Patient
Appointments Routine deals with appointments for
a single patient, while the Process Department
Appointments Routine deals with all the
appointments for a department. - Choose the Process Patient Appointments Routine
when you want to - Schedule, view, or edit an appointment or
appointment set for a patient - Register or pre-register a patient, enter a
patient questionnaire, capture basic patient
data, or edit pre-existing patient information - Switch an account number for a visit to another
visit
5Lesson 1 Process Appointments Routines
- Buttons on the Process Patient Appointment Screen
- Cancellation Reasons Press F9 to see a list of
Cancellation Reasons. - Appointment Button
- For the patient you identified, search for and
book - appointments / appointment sets
- Display Button
- Allows you to display patient appointments or
reservations/meetings that meet search criteria
that you define.
6Lesson 1 Process Appointments Routines
- Buttons on the Process Patient Appointment Screen
- Edit Button
- Allows you to edit appointment
- Options Button Menu
- Choose one of the following options to apply to
the highlighted or selected appointments
(depending on your access group) - Duplicate - allows you to duplicate an
appointment to another date/time - Hardcopy - prints the basic appointment
information on the screen - Reschedule Set - reschedule a past appointment
set to a future date - Switch Acct - places two or more visits on the
same account number so that multiple bills are
not created. (If a patient has two different
visits on the same day with separate account
numbers, you can print them under one account.)
7Lesson 1 Process Appointments Routines
- Buttons on the Process Patient Appointment Screen
- Set Button
- For the patient you identified, search for and
book - appointment sets
- View Button
- Allows you to view, but not edit, information
for the highlighted appointment (for example -
date, time, resources)
8Lesson 1 Process Appointments Routines
- Identify a patient by entering a full or partial
name and using the Master Patient Index (MPI)
Search Routine - The Master Patient Index (MPI) Search allows you
to identify patients in our Medical Records Index
databases using the patient's name, sex, and date
of birth as search criteria. - After you enter a patient's name in the Patient
Field, the Sex and Birthdate prompts appear on
the screen. - After you enter your response, the system uses
the information you enter, along with a Soundex
version of the name, to match the entered patient
to existing patients in the MPI.
9Lesson 1 Process Appointments Routines
10Lesson 1 Process Appointments Routines
- On this screen, you can do one of the following.
- To view additional information about a patient on
the list, select that patient. If the patient's
information matches the information for the
patient you are searching, you can confirm your
choice. After the confirmation, the patient's
name and related information appear in the
routine from which you started the MPI Search. - To bypass the Master Patient Index Search screen
and to continue to the next search level, click
on the Next Search button.
11Lesson 1 Process Appointments Routines
- If you do find the patient you are looking,
double click on patient name, the Confirmation
screen appears. - You can do one of the following.
- To identify this patient, click on the Yes button
- To continue the MPI Search, click on the No
button. The Lookup for the next search level
appears.
12Lesson 1 Process Appointments Routines
- The amount of information you enter at the
Patient prompt and at the Sex and Birthdate
prompt determines the search level where the MPI
search begins. For example, if you enter the full
name, sex and birth date, the search starts at
the NAME, SEX, DOB level. If you enter the last
name, first initial, sex and birth date, the
search starts at the LAST NAME, 1st INITIAL, SEX,
DOB level. - The more information you enter, the more
selective the MPI search becomes. If, for
example, you enter the patient's full name and
sex, but not the birth date, the search still
begins at the NAME, SEX, DOB level, but finds all
patients with the same Soundex last name, first
name and sex, regardless of birth date. - If you do not enter at least some of the
information required by a search level during the
MPI search, the search skips that level. For
example, if you enter only a last name, without a
sex or birth date, the system starts the search
at the LAST NAME ONLY level. Here, it finds all
patients with the same Soundex last name,
regardless of sex or birthdate. - Similarly, if you do not specify a birthdate, the
search skips the DOB ONLY level. -
-
13Lesson 1 Process Appointments Routines
- The MPI search goes through several levels in the
order. At each level, the system displays
patients whose data matches that of the patient
entered (based on that level's criteria). - After going through all the search levels, you
will be prompted to enter a possible maiden name
or a name of Other Family member if known - If you do not know this information, press F12 or
- If you complete the MPI search without
identifying the patient, you will be prompted to
continue by either entering a new patient into
the system or editing the incorrect name and
starting the MPI Search again or stop searching
or finding a visit. -
-
14Lesson 1 Process Appointments Routines
- If you are certain that the patient is not in the
System, you can create a New Patient. - When you click OK you will taken to the following
screen -
-
15Lesson 1 Process Appointments Routines
- This screen is designed to capture or to allow
you to edit the following basic information for
new patients - Patient account number (If this is a new visit,
NEW is displayed instead of the account number.) - Patient's name, date of birth, sex, and age (Age
is automatically calculated when the date of
birth is entered.) - Primary care physician
- Home and work addresses and phone numbers
- Social Security number
- Insurances
- Reason for visit
- If some or all of this data already exists in the
MRI database, it appears in the appropriate
fields. You may then edit and update it, if
necessary. - For completely new patients (that is, with no
prior visits (accounts) in MRI), you must enter
at least the patient's name, age, and sex. The
system then creates an account number for the new
patient and stores this basic information in the
ADM database. - Once you have captured as much information as
possible, you can Save this information by
pressing the F12 key or clicking on the -
16Lesson 1 Process Appointments Routines
- If you have not captured any Insurance
information, you will be reminded that -
- Click on the Yes button and proceed
- When you click on the Yes button, you will return
to the Process Patient Appointments Screen
17Lesson 1 Process Appointments Routines
- You will return to the Process Patient
Appointments Screen. - Patient Section
- Displays basic information for the current
patient - Unit Displays the patients permanent MPI /
MRI or Medical Record number (only if the
patient has been here before if they havent
been here before it will be blank)
18Lesson 1 Process Appointments Routines
- Appointment Details Section cont.
- Status - appointment status
- Booked appointment has assigned date, time, and
location - Attended patient has been registered and has
appeared for the scheduled appointment - No Show patient does not appear for scheduled
appointment - Cancelled appointment cancelled
- Account - visit number
- PT Type - combination of patient status and
patient type
19Lesson 1 Process Appointments Routines
- Appointment Details Section cont.
- Selected____of____
- Indicates the number of appointments onscreen
that have been selected for processing. - More Patient Information
- Patients primary insurance, Social Security
number, and Home Phone number. Inpatient Rm/Bed
is not applicable to Outpatient appointments. - Appointment Resources
- Displays the resources for the highlighted
appointment (such as the rooms and/or techs)
20Lesson 2 Process Department Appointments Routines
- LESSON 2 Process Department Appointments Routines
- We use this routine to primarily check the
workload and schedule for an entire department - To identify a department, you can either enter
the MNEMONIC of the department or look up a list
of available departments using the F9 Function
Key - The buttons for this routine operate the same as
for Patient Appointments, so please refer to
pages 22-28.
21Lesson 2 Process Department Appointments Routines
- Department Section
- Displays Department MNEMONIC and description of
department - Appointment Details Section
22Lesson 3 Process Resource and Appt Book Schedules
- LESSON 3 Process Resource Schedules and Appt
Book Schedules Routines - Objectives
- You will learn
- About the Process Resource Schedule and Appt Book
Schedules Routines - When to use either Routines
- How to view Resource Schedules
- Overview of Process Resource Schedule Routine
-
-
- This routine allows you to view a calendar
showing appointments for each resource. You can
display daily schedules for each resource and
apply various functions to the schedules For
example you can
23Lesson 3 Process Resource and Appt Book Schedules
- When you enter either of the process schedules
routines a calendar appears with the date cursor
on today's date. - The yellow screen is used to display the details
for the highlighted days schedule for this
resource - To move the date cursor
- forward one day, press or back one day, press
. - forward one week, press or back one week, press
. - forward four weeks, press ltShiftgt or back four
weeks, press ltShiftgt. - To identify a resource, you can either enter the
MNEMONIC of the resources or look up a list of
available resources using the F9 Function Key
24Lesson 3 Process Resource and Appt Book Schedules
- Resource Section
- Displays Resource Mnemonic and description of
resource - Calendar Section
- When you enter a resource in the Process Resource
Schedule Routine, small graphs appear on the
calendar. The graphs represent time available
for scheduling this resources appointments. - If there is not graph for the day on the
calendar, this can mean one of the following - the entire day has been excluded from the
resources schedule (e.g. weekends or holidays) - the schedule has not yet been compiled to this
date (Dictionary setting talk with Information
Systems or a Super User about this)
25Lesson 3 Process Resource and Appt Book Schedules
- Yellow Section
- When you enter a resource in the Process Resource
Schedule Routine, the yellow screen fills in with
schedule information - The yellow screen displays the details for the
highlighted days schedule for the resource - From Time
- Thru Time
- Booked Appointments
- Available for which resource
- Appt Type Mnemonic
- Patient Name
26Lesson 3 Process Resource and Appt Book Schedules
- Buttons on the Process Resource Schedule Screen
- Appointment Button
- Takes you to the Process Department Appointments
Screen and brings up the appointments for the
department that the resource resides in - Book Button
- Allows you to book a patient appointment that
involves the resource whose appointment list is
highlighted - Edit Button
- Allows you to edit a resources schedule for the
highlighted day
27Lesson 5 Scheduling Patient Appointments
- Scheduling an Appointment
- After you have identified a patient on the
Process Patient Appointments Screen, you continue
the appointment scheduling process shown in the
figure below. -
- If previous visits (accounts) exist for the
patient, a Patient Visits Lookup screen appears,
listing all future patient visits.
28Lesson 5 Scheduling Patient Appointments
- Schedule Booked Appointments
- When you Click the Appointment Button at the top
of you will be able to schedule an appointment - Select Appointment to schedule booked
appointments - You will be asked if you want to create a New
Visit or Look for a Visit? Click the New Visit
button - You will be now taken to the Schedule Patient
Appointment Screen - The top half of the screen displays patient
demographics - The lower half is where the patient appointment
information will populate
29Lesson 5 Scheduling Patient Appointments
- Schedule Patient Appointment Screen
- After the Schedule Appointment screen appears,
you can - Enter an appointment type
- View upcoming appointments
30Lesson 5 Scheduling Patient Appointments
- Schedule Patient Appointment Screen
- Search for appointment slots using one of the
four modes - Automatically searching for the earliest time
slot - Automatically searching for all available slots
in a time period range
31Lesson 5 Scheduling Patient Appointments
- Schedule Patient Appointment Screen
- To enter a patient appointment, you need to go to
the Type field in the Appointment section of the
screen
32Lesson 5 Scheduling Patient Appointments
- Schedule Patient Appointment Screen
- The following Lookup screen will show up.
33Lesson 5 Scheduling Patient Appointments
- Schedule Patient Appointment Screen
- Select the Appointment type by double-clicking
the highlighted appointment - The Appointment will appear in the Appointment
section of the Schedule Patient Appointment
Screen - If there are Scheduler and Patient Instructions
associated with the Appointment, you will be
prompted to
34Lesson 5 Scheduling Patient Appointments
- Schedule Patient Appointment Screen
- If there are any specific questions that need to
be asked prior to booking this appointment, these
questions will appear here as well. - To return to the Schedule Patient Appointment
Screen, press the F12 key or click on the
35Lesson 5 Scheduling Patient Appointments
- Searching for and Booking and Appointment
36Lesson 5 Scheduling Patient Appointments
- Automatic Search for First Available Slot
- To find the earliest time slot, enter Y at the
Find Earliest Time Slot? prompt on the Schedule
Appointment Screen and follow these steps - 1) If there are suitable time slots in the
resources' schedules, the date and time of the
first available slot appear in the Date, and Time
prompts. - 2) Tab over to the Ordering Prov field and enter
the first three letters of the Doctors last name
and the first two letters of their first name or
press the F9 button.
37Lesson 5 Scheduling Patient Appointments
- Automatic Search for First Available Slot
- 5) If you find a suitable slot, press F12 or
click on enter Y at the Book Appointment? prompt
which appears next, and book the slot just found.
38Lesson 5 Scheduling Patient Appointments
- Automatic Search for First Available Slot
- 5) You will get an onscreen confirmation of the
booking - 6) Click the OK button to return to the screen
from which you started (Process Patient
Appointment, Process Department Appointment)
displaying the appointment - With this find-the-earliest-time-slot method,
there is no choice of slots. The scheduler simply
presents the earliest available time slot that
fulfills the criteria and this is accepted or
rejected. Often this simple, straight-forward
method is sufficient. - However, if you need to find additional slots,
use the Automatic Search for All Available Slots
39Lesson 5 Scheduling Patient Appointments
- Automatic Search for Any Available Slot
- If the automatic search for first available slot
is not suitable, you may want to try to search
automatically for any available slot based on the
search criteria you set - If you want to initiate an automatic search for
all available time slots, - Press ltEntergt to bypass the Find Earliest Time
Slot? prompt and go to the Date prompt. - At the Date prompt, press F9 or click .
A pop-up search choice window appears, allowing
you to choose between automatic or manual
searching. - Click on the Automatic button.
-
40Lesson 5 Scheduling Patient Appointments
- Automatic Search for Any Available Slot
- The following Search Criteria Screen appears
-
- Enter your criteria to narrow your search for
appointment slots and press F12 button. The
system responds with a "Searching" message. - After a pause for searching and screen painting,
the Search for Appointment Slot Screen appears
next with the first available day highlighted on
the calendar.
41Lesson 5 Scheduling Patient Appointments
- Automatic Search for Any Available Slot
- Choose among the available appointment times.
Highlight the most suitable date and press F12 to
display the appointment date and time on the
Schedule Patient Appointment Screen - Press F12 or click on the to begin
the booking process - If your search parameters can not find any
available dates or times, you will get a warning
message that states - No available dates found on or after ltdategt
because ltresource groupgt on line ltxgt is
unavailable when other resources are available.
View details? - If automatic searching does not yield a suitable
time slot, you can always exit back to the
Schedule Appointment Screen, press at
the Date prompt, and choose Manual from the
Search Choice pop-up. This allows you to search
the books for the resource(s) involved to find a
suitable time slot.
42Lesson 5 Scheduling Patient Appointments
- Finding and Booking an Appointment Manually
- If the automatic search for a suitable time slot
is not successful, you may want to try searching
manually. This process involves choosing the most
important resource group, if several are
required, (that is, the one most critical for the
appointment) and manually examining the schedule
for that resource group. This is similar to
looking through the pages of a resource's
appointment book. - To begin the manual search process, do the
following - 1) Press the F9 key or click on the at
the Date or Time prompt to get the Search Choice
pop-up. - 2) Click on the Manual button
- 3) If more than one resource group is involved in
this appointment, you must choose the resource
group whose books you want to search. A list of
resource groups appears. Highlight one of them
and press Enter.
43Lesson 5 Scheduling Patient Appointments
- Finding and Booking an Appointment Manually
-
- 4) The Process Appointment Book Schedule screen
appears. - 5) Highlight a suitable time slot and Click the
Book icon. The Schedule Patient Appointment
Screen reappears with the newly booked
appointment date/time displayed at the Date and
Time Prompts. - 6) Book the appointment.
44Lesson 5 Scheduling Patient Appointments
- Entering a Date and Time without Searching
-
- If you must set an appointment at a particular
date and time, you may do so by simply entering
that date and time at the Date and Time prompts
on the Schedule Appointment Screen. - If you need to view a calendar to choose the
date, you can Press the F9 key or click on the
at the Date or Time prompt to get the
Search Choice pop-up. - Click on the Calendar button to see the calendar
- To select a certain date, click on the date
45Lesson 5 Scheduling Patient Appointments
- Booking an Appointment Set
-
- When you click on the Set Button in the Process
Patient Appointment Screen, the system asks you
if the Appointment Set is for a New Visit or
Existing Visit. Click on the New Visit Button - You will be taken to the Scheduling Patient Data
for any edits to the patients demographic
information. - If you do not want to make any edits, press the
F12 key or click on the - You will be taken to the Schedule Appointment Set
Screen -
-
46Lesson 5 Scheduling Patient Appointments
- Booking an Appointment Set
-
-
-
- You will see the appointments defined in this
set as well as their duration's.
47Lesson 5 Scheduling Patient Appointments
- Booking an Appointment Set
- After you have made any necessary edits to the
appointments within the set, you can - Enter scheduling comments on the Schedule
Appointment Set screen - View, print, and answer required queries on the
instructions on the Scheduler/Patient
Instructions screen - Narrow your search by entering criteria on the
Search for Appointment screen - View the first possible date and a list of
possible times on the Search for Appointment Set
screen
48Lesson 5 Scheduling Patient Appointments
- Booking an Appointment Series
- After you book an appointment or an appointment
set for a recurring outpatient (patient type
RCR), the system asks if you want to create a
series of similar appointments for the patient.
If you enter Y, the Book an Appointment Series
screen appears allowing you to set up a series of
appointments like the one you just booked. - The Book an Appointment Series screen appears
first with information about the appointment you
just booked. You then enter the frequency and
either the total number of appointments or the
final date for the series. You cannot enter both
a quantity of appointments (Qty prompt) and a
final date (Thru Date prompt). You may enter more
than one frequency for the appointment series
(for example, EVERY TUE and EVERY THU).
49Lesson 5 Scheduling Patient Appointments
- Booking an Appointment Series
- The system then searches for time slots for the
appointments. If it finds the right quantity of
time slots at the same time of day as the
appointment or appointment set you're copying,
information for the new appointment series
appears at the bottom of the screen. Press the
F12 button to accept. - If the time slot for one appointment in the
series is not available, the system informs you
that it is not available and asks if you want to
try another time. A choice screen appears where
you can choose to exit the routine,attempt to
overbook for the same time, continue your search
with the next date, or try to find other times
for that date. Any times that are found appear
in the time slot fields at the bottom of the
screen. - If the automatic search finds no slots, you can
try to edit the frequency and run the search
again, (for example, try EVERY MON and EVERY WED
instead of EVERY TUE and EVERY THU). Also, you
can manually book one or more of the appointments
in the series by entering a date and time at the
Date and Time prompts on the Schedule Appointment
Screen.
50Lesson 4 Editing Patient Appointments
- LESSON 4 Editing Patient Appointments
- Objectives
- You will learn how to
- Edit single Patient Appointments
- Edit multiple Patient Appointments
- Enter a Reschedule Reason
- Edit an Appointment within a Set
- Cancel Patient Appointments
- Switching Account Numbers
- Overview of the Edit Appointment Function
- The Edit function in the Process Patient and
Department routines allows you to edit most of
the filed information for pre-existing
appointments. You cannot edit patient information
such as name, account number, unit number,
patient type, appointment type, and facility.
When editing single or multiple appointments, the
Edit Appointment screen appears for patient and
department appointments.
51Lesson 4 Editing Patient Appointments
- Editing Appointment Date and Time
- To edit a single appointment, select it on the
Appointment Process screen and click on the Edit
Button. - The Edit Appointment screen appears
52Lesson 4 Editing Patient Appointments
- Editing Appointment Date and Time
- 3) Press F9 or click on the at the New
Date or New Time prompt and select Manual from
the popup menu. The system branches to the
Process Book Appointment Book Schedule Routine.
Use this method if entering a date and time or
the automatic search method does not work. - If one or more resources are not available, a
PROBLEMS popup screen appears, listing which
resources are unavailable or overbooked and when. - Editing Multiple Appointments
- To edit multiple appointments, select them on
the Appointment Process screen and click on the
Edit Button. The screen displays information
about the first appointment. The screen for the
next appointment automatically appears after you
edit and file each appointment. If you exit from
the routine while you are editing appointments, a
choice screen appears. You can do any of the
following - Stop and exit from the routine.
- Return to the previous appointment.
- Repeat the same action on the current
appointment. -
-
53Lesson 4 Editing Patient Appointments
- Enter a Reschedule Reason
- When you enter a new date and time, you must
enter a reason for doing so at the Resched Reason
prompt before you can file the edited
appointment. - Editing an Appointment within a Set
- Usually, with a predefined appointment set, you
do not want to edit the order of the appointments
in the set. You may want to edit individual
appointments, however, especially the resources
used. - The Edit Appointment Screen appears when you
choose to edit an appointment within a set. This
screen is a modified version of the Schedule
Appointment Screen and has the same title even
though you cannot use it to actually find and
book a time slot. It displays only the
information you can edit about the appointment.
It does not have Time and Date prompts like the
Schedule Appointment Screen, so you cannot use it
to book a new time slot. - This screen allows you to edit, for an
appointment within a set, - the resource group and resources needed
- the minutes after the start of the appointment
set that each resource is needed - the length of time that each resource is needed
- length of the appointment type and location
54Lesson 4 Editing Patient Appointments
- Switch Account Numbers
- When you make two different appointments for a
patient, two separate account numbers are
sometimes created. This means that two different
bills are created¾one for each account number. To
avoid this situation, it's desirable to put both
of these appointments on the same account (visit)
number, so they are billed together. - To deal with this situation, the Process Patient
Appointments Routine provides a selection on the
Options menu, The Switch Account function
allows you to move an appointment from one
account number to another. The Process Department
Appointments Routine does not provide this
option. To change the account number associated
with an appointment - 1) On the Process Patient Appointment Screen,
select the appointment(s) for which you want to
change the account number. - 2) Click the Options Button and choose Switch
Acct from the pull-down menu. The Patient
Visits Lookup Screen appears. There are three
options for switching account numbers - Creating a New Account Number
- 1) Click the Options Button and select Switch
Acct from the pull down menu. - 2) Press ESC to make the Patient Visits Lookup
Window disappear. - 3) Click Yes at the Switch appointment(s) to a
new visit? Prompt. The Switch Acct Number Window
appears. - 4) Enter the patient type you want associated
with the new account. The system assigns a new
account number. -
55Lesson 4 Editing Patient Appointments
- Switch Account Numbers
- Switching Back to a Former Account Number
- After the original change is filed, click the
Options Button to go to the Patient Visits
Lookup. The former account numbers are displayed - Choose the appropriate patient account number.
- The account gets changed back to its former
number. - Changing an Existing Account Number
- Select the account number from the Patient
Visits Lookup that you want to use as the new
account number and press Enter - The account numbers on the process screen for
the highlighted appointments change to the
account number chosen. -
56Lesson 5 Transferring Appointments Editing
Resource Schedules
- LESSON 5 Transferring Appointments Editing
Resource Schedules - Objectives
- You will learn how to
- Transfer appointments from one resource to
another - Edit Resource Schedules
- Transfer Appointments
- Sometimes you need to transfer appointments from
one resource to another. This might happen, for
example, if a provider calls in sick and asks
that another provider in the department take his
or her appointments for the day. - In the Process Department Appointments and
Process Appointment Book routines, you can use
the Transfer option. - To Transfer an Appointment from One Resource to
Another - 1) Highlight an appointment or check several
appointments to transfer. - 2) Click the Options Button at the top of the
screen. The Options menu appears. - 3) Select the Transfer option.
57Lesson 5 Transferring Appointments Editing
Resource Schedules
- Transfer Appointments
- 4) Enter a resource from which you are
transferring and a resource to which you are
transferring the appointment. To transfer the
appointment to any available resource in the
group, enter ANY. - 5) If you enter ANY, you can also enter a default
resource to overbook, if all other resources are
booked at the appointment's time.
58Lesson 5 Transferring Appointments Editing
Resource Schedules
- Transfer Appointments
- 6) Press the F12 or Click to file. The
system responds Transferring and displays the
new resource in the Appt Resources field on the
Process Department Appointment Screen. A warning
appears if the new resource is unavailable. -
-
59Lesson 5 Transferring Appointments Editing
Resource Schedules
- Edit Resource Schedules
- The Edit function in the Process Resource
Schedules routines allows you to change
resource's schedule for the highlighted calendar
date. For example, if a staff member is sick, you
could edit a basic schedule. - When you select the Edit Function for a
resource, the Edit Resource Screen appears
60Lesson 5 Transferring Appointments Editing
Resource Schedules
- Edit Resource Schedules
-
- For the highlighted calendar date, you can make
the following edits to the resource's basic
schedule - Beginning and ending time for each time slot in
the day (at the From and Thru prompts) - Maximum number of appointments in each time slot