PATIENT ENCOUNTER ORDERS TAB


The Orders tab in the Patient Module is used for physician orders and OASIS for patients that require them. It also displays Services Requested information for patients that do not require orders and OASIS as well as Diagnosis Codes for Paraprofessional Services.  Prior to activating your patient, the following screen is what you will see on the orders tab.  

The Certification From allows you to filter the orders to a specified date.  Enter the date and click "Search".  

EDIT CERTIFICATION DATES  (Top)

Once the patient has been activated, you can edit the certification dates by clicking on "Edit Certification Dates".  Once an order has been added, you will no longer have this option.  This is used in situations when the patient refuses to be admitted on a certain day and has to be moved to another day.  NOTE: Make sure to edit the cert dates prior to adding any more orders or you will not have the option to change it. 

Change Certification From Date to the correct date and click "Save" when you are finished. 

Once the 485 has been aded, you will see the Cert From and Cert To dates. Cert From and Cert To dates indicates the time frame for the order.  Any new order after the 485 will have a Cert From date starting with the start date for the order through the end of the Cert To date.  

ADD CERTIFICATION  (Top)

If for some reason your 485 got deleted and you needed to add it back, you can do so by clicking on the "Add Certification" Link.  Click here to learn more about Add Certification.

VIEW ORDERS  (Top)

The "View Orders" link, brings up a list of all the current frequency orders that you have. 

Preview

Click here to learn more about the Therapy Utilization Check link.

The status indicates what state the order is in.  

If you click on the drop down to the right of the specific status, you will be able to see the history of the status.  Click "Close" to return to the orders tab.

ORDERS INFO  (Top)

You now have a new column labeled "Info" within the Orders section of the Orders tab that provides you with additional information for that order (i.e., discipline(s) that appear on that order, Clinical Update used as a Case Communication as well as comments/description that appear in an interim order).   Orders that show disciplines include your primary order for the certification period as well as any interim orders you create for additions/changes to services.  You can view orders that have this new column by going to Patients > Patient Encounters > Find/Select Patient > Orders Tab.

This column will only display 2-3 disciplines that appear on the order.  If you have more than 2-3 disciplines, you can hover over the information to see all disciplines that documented on that order or you can drag the column bar to make it larger.   You can also hover over this column that has other information to view all the information for that column (i.e., comments).

When an order is first created is it in an initiated status.  Once the associate goes into the edit pencil she has two options:

  • Save and Close OR
  • Approve OR Send for Approval (Based on your agency settings)  If the associate has the ability to approve orders, she will approve the order.  If someone approves the associates orders, she will "send for approval". 

Once the order has been sent for approval, the associate responsible for approving orders will need to click on the edit pencil and add their approval signature to approve the order.  When the order has been approved you will then have the option to send to physician either by email, fax, or print and mail.

The order ID is used to identify orders.  You will find the order ID at the bottom of every page of a printed order.  The order ID is also found when hovering over a visit on the schedule to indicate what order the frequency generated from.  

 

To print a copy of the order, click the Printer Icon.

EDITING THE 485 / CARE PLAN   (Top)

The edit pencil allows you to make changes to the order prior to approving it.  Everything within a 485 is generally populated from your service note assessment except in the case of your Transition Patient's.  Click here to learn more about the Editing the 485.