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MSU HealthTeamMichigan State University
WHAT’S NEW IN 9.2
MSU HealthTeamMichigan State University
PRIMARY FEATURES
• THE LOG IN PROCESS• NEW LOOK• THE DESKTOP• THE PATIENT CHART• IN A CHART UPDATE• HELP
MSU HealthTeamMichigan State University
THE LOGIN PROCESS
MSU HealthTeamMichigan State University
New Name/Login Screen
User ID and Password remain the same
MSU HealthTeamMichigan State University
Location of Care stays blank until the user’s ID and Password
have been authenticated
New Name/Login Screen
MSU HealthTeamMichigan State University
New Name/Login Screen
Persons who work in multiple HT locations will need to make sure that the correct location is
selected at the start of each session
MSU HealthTeamMichigan State University
YOUR DESKTOP
MSU HealthTeamMichigan State University
Appointment Preference
Double-click on an appointment on your Desktop Summary to
go directly to the patient’s chart
MSU HealthTeamMichigan State University
Appointment Preference
This feature is only available on the Desktop Summary tab –
not from within an appointment book
MSU HealthTeamMichigan State University
Care Alerts on the Desktop
Displayed along with your Flags, Care Alerts offer extra functionality
MSU HealthTeamMichigan State University
What is a Care Alert?
A Care Alert is a care-related note about a specific patient and is attached to that patient’s chart
MSU HealthTeamMichigan State University
Care Alerts on the Desktop
A Care Alert can be prioritized as normal, important, or urgent
MSU HealthTeamMichigan State University
Care Alerts on the Desktop
A Care Alert can also be assigned a Start Date and/or an Expiration Date
MSU HealthTeamMichigan State University
Care Alerts on the Desktop
You can Hide a Care Alert, which removes it fromyour Desktop, but keeps it visible in the patient’s chart
MSU HealthTeamMichigan State University
Care Alerts: Hide vs. Remove
Hide a Care Alert to remove it from your Desktop, but preserve it in the patient’s chart
Remove a Care Alert to actually delete it from your Desktop and the patient’s chart
MSU HealthTeamMichigan State University
Restoring Hidden Care Alerts
• To restore hidden Care Alerts, go to the Alerts/Flags tab of your Desktop, then click the Organize button
• Check View removed alerts/flags, then click OK
MSU HealthTeamMichigan State University
The Chart’s Most Recent List
Click the Chart button’s dropdown arrow to see the 10most recent charts in which you have been working
MSU HealthTeamMichigan State University
THE PATIENT CHART
MSU HealthTeamMichigan State University
No Known Medications
If it has been documented that the patient has no known medications, it is displayed as such on the Summary tab
MSU HealthTeamMichigan State University
No Known Medications
“No known medications” also displays prominently across
the Patient’s Medications tab, when applicable
MSU HealthTeamMichigan State University
Medications
Medications prescribed by a non-HealthTeam clinician and
recorded as historic can be displayed accordingly
MSU HealthTeamMichigan State University
Medications
* Entered By
* Signed By
* Authorized By
Comments help
convey details of
the prescription
MSU HealthTeamMichigan State University
Care Alerts in the Chart
Care Alerts are displayed on the Summary tab of the patient’s chart
MSU HealthTeamMichigan State University
Care Alert Display
Hover over a Care Alert displayed on a different tab to see the full content of that Alert
MSU HealthTeamMichigan State University
Care Alert Display
Click directly on the Alert display to open the View Alerts/Flags window for
more viewing and editing options
MSU HealthTeamMichigan State University
Care Alert Pop Ups
A Care Alert can be set to Popup when the patient’s chart is accessed
MSU HealthTeamMichigan State University
The Alerts/Flags Tab
The Alerts/Flags tab displays:
* Allergies & Adverse Reactions
* Directives
* Care Alerts & Flags
MSU HealthTeamMichigan State University
The Alerts/Flags Tab
Click Organize to access additional
options for displayingAlerts & Flags
MSU HealthTeamMichigan State University
Creating a Care Alert
1.In the patient’s chart, click the New button on the Centricity toolbar
2.Choose either to send the Alert to a specific Location or User(s)
MSU HealthTeamMichigan State University
Creating a Care Alert
3.Set the Priority appropriate for this instance
MSU HealthTeamMichigan State University
Creating a Care Alert
4.Select the Type, either Flag, Care Alert, or Popup
MSU HealthTeamMichigan State University
Creating a Care Alert
5.Enter a Start and/or Expiration date, if applicable
6.Attach to either the Patient’s Chart, Registration, or Appointments
MSU HealthTeamMichigan State University
Creating a Care Alert
7.(Optional) Modify the Subject line
8.Type the content in the Message field, then
9.Click Send
MSU HealthTeamMichigan State University
A Care Alert Caution
Popup Care Alerts can be useful, but
they should not be over-used, or users
may become desensitized to all
Popups and miss something critical
about a patient’s medical care.
MSU HealthTeamMichigan State University
Disabling Pop Ups
At some point you may turn off the Popup functionality, intentionally or inadvertently, by
checking Disable popup care alerts
MSU HealthTeamMichigan State University
Disabling Pop Ups
Disabling Popups is not recommended, as Popups are meant to bring special attention to specific
aspects of a patient’s condition and medical care
MSU HealthTeamMichigan State University
Restoring Pop Ups
To reactivate disabled Popups, go to Options | Display… and check Restore warning message dialogs
MSU HealthTeamMichigan State University
The History Tab
History views are a helpful alternative to flowsheets for displaying narrative text in the patient’s chart
MSU HealthTeamMichigan State University
IN A CHART UPDATE
MSU HealthTeamMichigan State University
Directives Reviewed
Record that the patient’s Directives have been reviewed during an update
MSU HealthTeamMichigan State University
New Directive Options
The Directives’ Description dropdown list
has been significantly expanded
MSU HealthTeamMichigan State University
Recording No Known Meds
Record in a chart update that the patient has no known medications
MSU HealthTeamMichigan State University
Medications Reviewed
Record that the patient’s medication list has been reviewed during an update
MSU HealthTeamMichigan State University
The Medications Window
The patient's active Problems are displayed in the New, Update, and
Change Medications windows
MSU HealthTeamMichigan State University
Search for a Medication
Search for a medication by: * Brand Name * Generic Name, or * Keyword
MSU HealthTeamMichigan State University
Medication Search Methods
When searching by Brand Name or Generic Name, the Search methods include: * beginning with * containing, and * ending with
MSU HealthTeamMichigan State University
Medication Handouts
Print a patient handout of the medication selected in the Find Medication window
MSU HealthTeamMichigan State University
Handout Print Options
When printing a medication handout, you can choose a small or large font, English or
Spanish language, and to record printing the handout in the patient’s chart
MSU HealthTeamMichigan State University
Dosing Calculator
Having selected a medication in the New or Update Medication window, click the Dosing Calculator button to access
this feature
MSU HealthTeamMichigan State University
The Monograph Utility
Select a medication, then click the Monograph button to view
reference information about that medication, such as precautions,
contraindications, etc.
MSU HealthTeamMichigan State University
Searching for a Pharmacy
When searching for a pharmacy, you can choose to search Mail-order or Retail establishments
MSU HealthTeamMichigan State University
Historic Medications
To record medications prescribed to a patient by a
non-HT clinician, set Authorized By: to “Provider, Non-MSU”
MSU HealthTeamMichigan State University
Prescription Refills
When refilling prescriptions, the system checks for interactions
and adverse reactions, then displays the corresponding icon
MSU HealthTeamMichigan State University
Prescription Refills
Hover over the icon to see a list of warnings, or click on the icon to see details of the interaction
MSU HealthTeamMichigan State University
Updating Problems
The person who entered a problem and the one responsible for that problem is displayed in the Update
Problems window
MSU HealthTeamMichigan State University
Search for a Problem
Search for a Problem by: * Code (CPT or ICD-9) * Description, or * Keyword
MSU HealthTeamMichigan State University
Problem Search Methods
When searching by Code or Description, the Search method options include: * beginning with * containing, and * ending with
When searching by Code or Description, the Search method options include: * beginning with * containing, and * ending with
MSU HealthTeamMichigan State University
Drug to Disease Interaction
Centricity EMR 9.2 checks for drug to disease interactions when a new medication or problem is added to a patient chart
MSU HealthTeamMichigan State University
Drug to Disease Interaction
Click the Drug interactions icon to see details of drug to disease
interactions
MSU HealthTeamMichigan State University
Drug to Disease Interaction
The system checks for drug to disease interactions when a new medication or problem is added to the patient chart
A critical allergy, absolute contraindication, or severe drug interaction/precaution
A noncritical allergy, potential contraindication, or moderate drug interaction/precaution
A low severity drug interaction, use with caution contraindication, or other information message
MSU HealthTeamMichigan State University
Drug to Disease Interaction
Levels of Contraindications
Absolute Contraindications: those posing a
substantial risk of injury; the prescribed drug should not
be given in the presence of the stated condition
Potential Contraindications: those which may present
clinical risks when certain conditions are met
Use with Caution Contraindications: Additional
caution and monitoring for safe and effective use in the
stated condition is warranted
MSU HealthTeamMichigan State University
Getting Help
MSU HealthTeamMichigan State University
Centricity EMR 9.2 Help
Get general assistance at Help | Help Topics
Read about new 9.2 features in Help | What’s New
MSU HealthTeamMichigan State University
Help at the HealthTeam
Health Information Technology(517) 355-6531
Training materialshttp://www.emr.msu.edu/
Submit a service requesthttp://www.hit.msu.edu/