MEDITECH
Order Entry
functionality brief

The Order Entry functionality in MEDITECH's Enterprise Medical Record product provides clinicians fast, accurate entry of orders along with immediate access to patient information and test results. The functionality links patients’ locations to clinical departments in a powerful information network by reducing the time required to:
    • Identify a patient
    • Enter, edit, and cancel patient orders
    • Enter groups of orders from multiple departments as a set with one entry
    • Enter series orders
    • Enter and track the status, request date, and service date of an order
    • Enter and retrieve clinical data
    • Capture costs and charges of procedures
    • Generate reports and statistics for nursing areas and ancillary departments
    • Retrieve information from archival storage.

Highlights:
   • Streamlines ordering by providing staff single-screen access
   • Separates patient care functions from ancillary department functions
   • Allows users to enter series of orders, and facilitates the entry of multiple orders for all departments
   • Automatically checks for duplicate procedures at the time of ordering
   • Gives staff immediate access to clinical, administrative, and dietary information
   • Automatically passes patient costs to the organization's financial system
   • Provides electronic signature capabilities.

Standard Features

The functionality allows diagnoses to be entered for procedures. Medical Necessity checks can be required for procedures and tests entered in the Order Entry functionality. These checks evaluate the following fields:
• Patient status
• Patient insurance
• Alt codes for the tests and procedures.

Single-Screen Access
The functionality offers convenient, single-screen access to multiple functions. This allows order entry staff, from one screen, to:
• Enter an unlimited number of orders from different departments
• Enter an unlimited amount of order sets, series orders, and clinical interventions
• Access all patients at a location
• Enter, amend, cancel, print, or verify orders
• View clinical results and reports
• Enter patient payments for services rendered.

Ancillary departments can also process orders from one screen, with the ability to enter orders, amend orders, edit the status of an order, reprint orders, and enter charges and credits.

Organization-Defined Functions
The functionality separates patient care functions from ancillary department functions. Organization-defined screens allow an organization to:
• Individualize the requisitions for each department and procedure
• Tailor each procedure to suit an organization's needs, ultimately streamlining the ordering process
• Record patient administrative and order information for quick and easy on-line reference
• Display information in an easy-to-understand format, with pre-defined instructions and documentation.

Accurate, Efficient Order Entry
The functionality is accessible from any location with Internet access. Users quickly access information about medical conditions and care via the hospital's Web site or intranet. Features include:
• Series order capabilities, with user-defined limits
• Ordering screens to facilitate the entry of multiple orders for all departments
• Checking for duplicate procedures during the ordering process based on organization-defined limits
• Lists of verified, unverified, incomplete, cancelled, uncharged, and overdue orders
• Prompts for required information to guarantee accuracy
• Ability to review patient orders by order date or service date
• Ability to amend, cancel, print or validate orders
• Lists of patients' daily orders itemizing all tests and treatments
• Lists of occupied and available beds for each location
• Routines for ordering location supplies and maintenance requests
• Dietary data, easily viewed and updated
• Dietary reports detailing patients' diet histories, current diets, and restrictive diets
• Meal counts, meal labels, and nourishment labels
• Features to limit ordering access to specific departments based on user passwords
• Sophisticated security features, including audit trails.

Instantly Accessible Patient Data
The functionality stores administrative, clinical, and dietary data, allowing staff to review and update the data instantly.
• Staff has instant access to current data such as diagnoses, patient condition, visitor permissions, allergies, test results, and current diet
• Users can review and update orders to check priority, service date, and status
• Users can review all orders entered for a patient or location on a specific date
• Patient tracking available via the temporary location feature.

Patient Costs Transmitted throughout the Network
The functionality transmits patient costs to a health care organization's financial system. Each facility has control of costs, allowing it to:
• Determine at what status an order is charged
• Set a charge for each test or treatment
• Determine which charges can be edited
• Print lists of patient charges
• Generate reports listing daily patient charges
• Enter patient payments for services rendered or enter non-patient revenues via the Cashier's Option, instantly generating a preliminary notice of charges.

On-Line Reports and Statistics
Reports and statistics help management maintain accurate records, detect patient care trends, and analyze future requirements.

Electronic Signature
Any user can enter clinical orders, even if the user lacks authority to sign them. As a result, ward clerks can enter verbal or phone orders, and interns can enter orders that require physician signature. Many health care organizations' policies require that such an order be signed by an authorized provider within 24 or 48 hours of entry.

Rules-Based Logic
Within the functionality, rules can be set up to check query information from an order screen. User-defined rules direct care providers to the next logical step in a given procedure as well as flag dangerous or unusual values. This information may include a patient's age, sex, location, etc. The system evaluates the rule based on these factors.

To alert a user of an unacceptable response, the rule can include a data field, which displays an error message but does not allow a user to file new values, or a warning message that allows filing. With rules-based logic, your organization saves time and resources by eliminating unnecessary workload (such as duplicate testing) while improving the quality of patient care. Maintaining a logical flow of information also reduces the number of mistakes that can be made.

For more information about us, contact a MEDITECH Marketing Representative.

MEDITECH
Medical Information Technology, Inc.
MEDITECH Circle
Westwood, MA 02090
781-821-3000
www.meditech.com