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PowerChart: View Only

Accessing eCentral

eCentral consists of multiple domains: Production, Build, Train, and Cert. The Production domain contains real patient data and is the permanent medical record. Other domains are copies of the Production domain used for testing new construction and training.

Access to Cerner Applications within CWH Network

1. 2. 3. At CWH and WVMC, use the eCentral desktop shortcut . If no desktop shortcut is available, type ecentral.cwhnt.rmc in your browser address bar. Access requires a username and password. Your username is your CWHassigned alphanumeric code. Your password is selfselected. For username or password assistance, contact the CWH IT Help Desk, 509.662.1515 Ext. 2276.

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Access to Cerner Applications via Web Interface

A web interface portal provides an alternative access point for remote users outside the CWH network. 1. Enter https://ecentral.cwhs.com into your Internet browser address bar. Access requires a username and password. Your username is your CWHassigned alphanumeric code. Your password is selfselected. For username or password assistance, contact the CWH IT Help Desk, 509.662.1515 Ext. 2276. An instruction guide explains technical requirements, including Citrix requirements. (Click Guide for Remote Access to eCentral link near bottom of page.)

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eCentral Change Password Option Not Recommended

You have the option of changing your eCentral password. However, if you use this option to change your password while working remotely, the next time you attempt to log in Imprivata OneSign will need to relearn your password.

Applications Folder

Access the PowerChart application via the shortcut on the Applications Folder. Note the title: PowerChart P0112. The letter P indicates you have selected the Production Domain.

Exiting the Application

Log out when you have finished. Exit the application by clicking the Exit button (the door) in your tool bar near the top of screen. The Exit Application will display the first time you exit. The default is set at "Exit and Shut Down the Application". Leave this as your default, check "Don't ask me again", then yes.

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PowerChart: View Only

The patient chart view is analogous to a paper chart. It is made up of different pages or views where users can view patient information such as allergies, medications, documents and orders.

Please note these privileges do not include the print option.

Organizer View

The Power Chart Organizer (PAL) will appear with a Timeframe Selection window. Choose the desired time/shift view. Generally, you will choose your work shift. Click OK.

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When you log in, the Establish relationship window will appear. You must select the relationship that indicates your reason for viewing the chart. For example, if you are a remote user from an outlying office you will see the choice of office staff.

1. To search for a specific patient from the PowerChart Organizer, click the binoculars icon.

The Encounter Search Window appears. On the left, type in known information i.e. last name, first name, DOB, SSN, or FIN # of the patient you are searching for.

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2. A list of patients matching that specific last name will appear in the upper window. Highlight the appropriate name. 3. Specific encounters appear in the lower window. Select the appropriate encounter in the lower window. 4. Click OK to open the patients' chart.

Patient Chart View

After opening the patient's chart, the Patient Summary displays. This summary page provides a quick view of patient care information and results. The Navigation Menu displays on the left. side of the window and lists the chart sections. You can quickly navigate to any section in the Patient Chart from the menu. Clicking the chart component name opens that component.

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Results Review Component

Clicking on the Results Review Component will open to the flowsheets to view a patient's results. Flowsheet views display all clinical information recorded for a person including results like vital signs, assessments, labs, and microbiology. The flowsheet is divided into two major sections. The left section is the Results Review Navigator, an electronic index of chart contents. The right section is the Results Display that provides a view of events (tests, procedures, and documentation).

Changing the View in Results Review

The most common views are available by clicking on the tabs (i.e. Recent Results, Vital Signs, Lab, Microbiology). Users can change the flowsheet view to additional predefined views within the system by selecting the dropdown box next to the Flowsheet option. Clinicians can also use the Table, Group and List views to change the manner in which the flowsheet displays the same information to aid in trending and viewing data in an alternate fashion. The Table view is the standard flowsheet viewing method and is displayed above in the example Flowsheet. The Group view allows clinicians to see the trend in data in a vertical manner by displaying the vertical axis as the result date/time and the horizontal axis as the charted value.

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The list view can be used to easily see all the results that were charted at a specific time together, rather than being divided into the normal groupings of results.

Result Review can be altered by changing the search criteria as well, Right click on the Blue Banner bar, select Change Search Criteria.

A pop up box will appear with options to select Result Lookup by Clinical range, Posting range, Result count or Admission date to current date. The other option is to search by date and time with the; From: specific date and time To: specific date and time. Click Ok once option has been selected.

Viewing Allergies

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Allergies can be viewed in 2 ways. First, Allergies display in the Demographic Banner of the patient's chart. You can hover your mouse over the allergies to see more allergy details. You can also double click the allergies in the Banner to open allergy details.

The second way to view Allergies is from the Allergies tab in the navigation bar. Click Allergies.

Form Browser

Use Form Browser to view the complete details of any charting completed using PowerForms (electronic documentation templates). The user can see the charted information in its entirety and is better able to view related items.

Form Browser Basics

The Form Browser window displays a directory tree that lists all the completed forms for the selected patient. Open a form to view the information in the same format used to capture it. An icon is displayed to the left of an occurrence. A red indicates a required field was not completed, and a blue icon indicates that required fields are completed.

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You can select the way the forms display on the tree. Options include form name, date, status, encounter date, and encounter form. If form or date is selected, the status (such as Authenticated, Verified, Modified, and so on) is displayed in parentheses. Below is an example of the form browser view after selecting "Form" from the Sort by: drop down arrow.

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Working with Form Browser Retrieving Forms

The Form Brower component displays a default time range. You can change the time range for the current session by completing the following steps: 1. Select the Form Browser component in the navigation bar. Completed forms for the selected patient are retrieved for a defaulted time span. 2. Rightclick the information bar where the time range is displayed and select Search Criteria, or select Search Criteria from the Options menu to open the Form Browser dialog box.

3. To view forms within a specific date range, select Date Range in the View Range group box, and then enter the From and To dates and times. Use the small up and down arrows to increase or decrease the date and time. The large down arrow opens a calendar on which the month and day can be selected.

4. To view all forms from admission to the current date, select Admission ­ Current in the View Range group box. 5. Click OK.

Viewing a Completed Form

To view information that has been entered for a patient as it was charted on a form, complete the following steps: 1. Select the Form Browser Component. A list of forms completed for this patient during the time range identified on the information bar displays. The tree may be sorted by date, form, status, encounter date, or encounter form by making a selection from the Sort By box. Doubleclick a folder to open and display occurrences of the form. Double click on the form occurrence, rightclick the form occurrence and select View, or select View from the Options menu to open the form. The completed form is displayed in the form

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viewer in a readonly format. If the form is subdivided into sections, a list of their names is displayed in the left panel. The first section displays. Use the arrows on the toolbar to navigate among the sections. 4. Click in the upper right corner to return to the previous window.

Viewing Document History

There is a rightclick context menu option that allows a user to view the documentation history of a form. To view a form's documentation history, complete the following steps: 1. 2. 3. Open the patient chart to the Form Browser Component. Doubleclick a folder to display occurrences of the form. Rightclick the form occurrence and select History from the context menu, or select History from the Options menu.

4. The Action List for <form name> dialog box opens, listing the name of the contributor, the name of the proxy (if any), and the date and time the action took place.

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Viewing Documentation

The Documentation section contains all textual documentation, including physician documentation, textual renditions of all PowerForms, free text notes, as well as all scanned and imported documents (i.e., handwritten forms or photos). This section is the legal form of all documentation within a patient's chart.

Select "Documentation" from the navigator menu of the patient's chart.

The documentation folders display. On the left of the documentation section is a menu of all available documentation to view. The available documentation can be sorted by type, by status (pending, authorized/verified, in progress, etc), by date completed, by author, or by the patient's encounter. Clicking on the radio button (round button) will automatically organize the documentation to your selection.

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To view individual documentation, complete the following steps: 1. Expand the menu choices to find the individual documents within the organizational folders. 2. Double left click on the documentation you want to view.

3. If you are unable to find the documentation you are looking for, perform a Right click on the blue time bar. A Document Lookup window will display, enabling you to change the date criteria (for example, to go back further in time).

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To view the color legend, click "Index" at the top of the page and then click "Color legend".

Refer to the color legend to identify the status of each document.

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Demographics

The Demographic component displays highlevel data about the patient. Three tabs are available: Patient Demographics, Visit List, and Patient Provider Relationship (PPR) Summary. The Patient Demographics tab is similar to a face sheet in a paper chart. It displays general patient information including data such as the name or alias of the patient along with address, phone number, and emergency contacts.

Visit List

The Visit List displays a summary of patient visits to CWH and the outpatient Dialysis Center. This window is separated into two sections by a horizontal splitter bar:

The top panel displays information related to the patient's visits including the admission and discharge date, facility, location, medical service, and visit type and reason. The visit within which the Visit List was accessed is considered as primary in the system. Any action performed on the patient chart, such as a new order, is associated with the selected visit. Select another visit by right clicking on the encounter and selecting change encounter from the menu or by double clicking the selected encounter. The bottom panel contains information specific to the selected visit. Some common types of information include the financial number, the admission date and time, and the reason for the visit.

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Patient Provider Relationship (PPR) Summary

The Patient Provider Relationship Summary displays a patient's relationships with multiple providers. Separate lists are provided for lifetime and visitspecific relationships. The default view displays all relationships. The user can filter the lists to display only their relationships or current active relationships.

Exiting the Application

Log out when you have finished. Exit the application by clicking the Exit button (the door) in your tool bar near the top of screen.

The first time you exit, the Exit Application will display. The default is set at "Exit and Shut Down the Application". Leave this as your default, check "Don't ask me again", then click yes.

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