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7.0Notification Configuration (NOT)


Select the Notification Configuration (NOT) option on the RPMS-EHR Configuration Master Menu to display the following:

Notification Configuration

DET Determine Recipients

DIS Display Notifications a User Can Receive

ERA Erase Notifications

FLG Flag Orderable Items to Send Notifications

FWD Forward Notifications ...

PAR Notification Parameters ...

PRC Enable/Disable Notifications

REC Display Patient Alerts and Alert Recipients

SYS Enable/Disable Notification System

UNV Set Delays for Unverified Orders ...

URG Set Urgency for Notifications
Select Notification Configuration Option:

7.1Determine Recipients (DET)


Select the Determine Recipients (DET) option on the Notification Configuration menu to display a debugging tool that creates a simulated notification recipient list, without sending the alert. The application prompts you for information about recipients, patient, and notification, with the option to enter an order number and/or a recipient. Output can be directed to a device. This option is intended to serve as a tool to help determine if and why a user did or did not receive a particular notification.

NOTE: If team lists, patient-provider relationships (e.g., Attending and Primary), and/or parameter values have changed between the moment when the original notification was triggered and when this option is triggered, the outcome of the recipient list might be different.

7.2Display Notifications a User Can Receive (DIS)


Select the Display Notifications a User Can Receive (DIS) option on the Notification Configuration menu to show a debugging tool that produces a list of all OE/RR alerts for a specified patient for the specified date range. You can also get a detailed listing on specific alerts attached to the patient record. The detailed report shows each recipient and gives dates and times of key actions concerning the alert (such as first displayed, processed, deleted, etc.) As the system processes each notification, it determines if and why the user will receive the notification.

7.3Erase Notifications (ERA)


Select the Erase Notifications (ERA) option on the Notification Configuration menu to display the following:

Erase Notifications


1. Erase all notifications for a User

2. Erase all notifications for a Patient

3. Erase all instances of a notification (regardless of Patient or User)

4. Erase specific notifications for a User

5. Edit Erase All Notifications parameter for a User
Select Erase option:

If you select 1, this will purge all existing alerts/notifications for a recipient/user.


7.4Flag Orderable items to Send Notifications (FLG)


Select the Flag Orderable items to Send Notifications (FLG) option on the Notification Configuration menu to display the following:

Flag ORDERABLE ITEMS to send Notifications


1. Flag INPATIENT orders/results/expiring orders.

2. Flag OUTPATIENT orders/results/expiring orders.

3. Flag Lab tests for Threshold Exceeded alerts.

Select “1” to flag INPT orders/results.

Select “2” to flag OUTPT orders/results.

Select “3” to set Lab Thresholds.


7.5Forward Notifications (FWD)


Select the Forward Notifications (FWD) option on the Notification Configuration menu to display the following:

Forward Notifications

BCK Forward Unprocessed Notification to Backup

SUP Forward Unprocessed Notification to Supervisor

SUR Forward Unprocessed Notification to Surrogates
Select Forward Notifications Option:

This option lets you set the number of days to hold a notification before forwarding it to the recipient’s supervisor, surrogate, or a backup reviewer. The maximum is 30 days.

For example, if a notification has a value of 14 for this option, it will be forwarded to the supervisor of each recipient who hasn’t processed the notification after 14 days. The Kernel Alert Utility determines the recipients who have not processed the notification and who their supervisors are. Kernel identifies the supervisor as the service chief of the user’s service. The notification will not be forwarded to supervisors of recipients who have processed the alert within 14 days.

If not indicated or zero, the notification will not be forwarded. Forwarding of unprocessed alerts is triggered by the option XQALERT DELETE OLD. This Kernel option should be run periodically. In addition to forwarding alerts, it cleans up old alerts greater than 14 days old.

The Alert Management Tool option is used to setup the Backup Reviewer, Supervisor, and Surrogate relationships. Below is where you perform is action (you might have contact your Site Manager to get access to this):





Figure 7 10: Alert Management Options

7.6Notification Parameters (PAR)


Select the Notification Parameters (PAR) option on the Notification Configuration menu to display the following:

Notification Parameters

ALL Set Show All Notifications

BUL Send Flagged Orders Bulletin

DEL Set Deletion Parameters

EMC Providers that Require an E&M Code

PRG Set Purging Interval

PRI Priority Threshold for Popup Alerts

PRV Set Provider Recipients

RCD Set Default Recipient Devices

RCP Set Default Recipients

SRT Notification Sort Column


Select Notification Parameters Option:

7.6.1Set Show All Notifications (ALL)


Select the Set Show All Notifications (ALL) option on the Notification Parameters menu to display the following:

Set Show All Notifications


Show All Notifications may be set for the following:


10 User USR (choose from NEW PERSON)

90 Division DIV (DEMO HOSPITAL)

100 System SYS (DEMO.CIAINFORMATICS.COM)
Enter selection: 90 Division DEMO HOSPITAL
------- Setting Show All Notifications for Division: DEMO HOSPITAL --------

Value:


If set to YES, the default setting for displaying notifications in the EHR is ‘all patients’. If set to NO, the default setting is ‘selected patients only’.

7.6.2Send Flagged Orders Bulletin (BUL)


Do not use this option unless your site actively uses RPMS Mailman.

Select the Send Flagged Orders Bulletin (BUL) option on the Notification Parameters menu to display the following:

Send Flagged Orders Bulletin
Send Flagged Orders Bulletin may be set for the following:
1 User USR [choose from NEW PERSON]

2 Service SRV [choose from SERVICE/SECTION]

3 Division DIV [DEMO INDIAN HOSPITAL]

4 System SYS [DEMO.OKLAHOMA.IHS.GOV]


Enter selection: 3 Division DEMO INDIAN HOSPITAL
-- Setting Send Flagged Orders Bulletin for Division: DEMO INDIAN HOSPITAL --

Value: ??


'Yes' indicates a MailMan bulletin will be sent to the order's Current

Provider (usually the Ordering Provider) when the order is flagged for

clarification. This parameter has no effect on the Flagged Orders

notification which is also triggered when an order is flagged for

clarification.

Value:

7.6.3Set Deletion Parameters (DEL)


Select the Set Deletion Parameters (DEL) option on the Notification Parameters menu to display the following:

Set Deletion Parameters


Delete Mechanism may be set for the following:
1 Division DIV [DEMO INDIAN HOSPITAL]

2 System SYS [DEMO.OKLAHOMA.IHS.GOV]


Enter selection: 2 System DEMO.OKLAHOMA.IHS.GOV
-------- Setting Delete Mechanism for System: DEMO.OKLAHOMA.IHS.GOV --------

Select Notification: NEW SERVICE CONSULT/REQUEST

Are you adding NEW SERVICE CONSULT/REQUEST as a new Notification? Yes// YES
Notification: NEW SERVICE CONSULT/REQUEST// NEW SERVICE CONSULT/REQUEST NEW

SERVICE CONSULT/REQUEST

Value: ??
Set of codes used to determine how a notification will be deleted at a

site. Codes include: I (Individual Recipient): delete the notification

for an individual recipient when a) that individual completes the

follow-up action on notifications with associated follow-up action, b)

that individual reviews notifications without follow-up actions. A (All

Recipients): delete the notification for all recipients when a) any

recipient completes the follow-up action on notifications with follow-up

actions, b) any recipient reviews notifications without follow-up

actions.
Value:

Use this option to set parameters that determine deletion conditions for a notification.


7.6.4Providers that Require an E&M Code (EMC)


Select the Providers that Require an E&M Code (EMC) option on the Notification Parameters menu to display the following:

Providers that Require an E&M Code


Provider requires E&M code may be set for the following:
10 User USR (choose from NEW PERSON)

50 Class CLS (choose from USR CLASS)


Enter selection: 10 User NEW PERSON

Select NEW PERSON NAME: ZIPPER,KIMBERLY KZ CLINICAL COORDINATOR


------- Setting Provider requires E&M code? for User: ZIPPER,KIMBERLY -------

Value??
Indicates whether or not a primary provider requires an E&M code for billing purposes.


Value:

This creates a notification in the Notifications window when a visit WITH A NOTE is completed and no E&M code is documented.


7.6.5Set Purging Interval (PRG)


Select the Set Purging Interval (PRG) option on the Notification Parameters menu to display the following:

Set Purging Interval

Grace Period Before Deletion may be set for the following:
1 Division DIV (DEMO HOSPITAL)

2 System SYS (DEMO.CIAINFORMATICS.COM)

3 Package PKG (ORDER ENTRY/RESULTS REPORTING)
Enter selection: 2 System DEMO.CIAINFORMATICS.COM
- Setting Grace Period Before Deletion for System: DEMO.CIAINFORMATICS.COM –

Select Notification:

You can select a notification from a list, if necessary. Then you can enter the number of days to archive the specified notification. The default is 30 days. You enter a maximum of 100,000 days (about 200 years). This value is passed to the Kernel Alert Utility where the actual archiving and deletion of alerts/notifications occurs.

7.6.6Priority Threshold for Popup Alerts (PRI)


Select the Priority Threshold for Popup Alerts (PRI) option on the Notification Parameters menu to display the following:

Priority Threshold for Popup Alerts


Priority threshold for Popup Alert may be set for the following:
10 User USR [choose from NEW PERSON]

90 Division DIV [DEMO INDIAN HOSPITAL]

100 System SYS [DEMO.OKLAHOMA.IHS.GOV]
Enter selection: 90 Division DEMO INDIAN HOSPITAL
Setting Priority threshold for Popup Alert for Division: DEMO INDIAN HOSPITAL

Priority: ??


This is the alert priority threshold at or above which a popup alert will be

displayed when an alert of that or greater priority is received. Possible

values are:
0 None

1 High


2 Medium

3 Low
Priority:


7.6.7Set Provider Recipients (PRV)


Select the Set Provider Recipients (PRV) option on the Notification Parameters menu to display the following:

Set Provider Recipients

Provider Recipients may be set for the following:
1 Division DIV (DEMO HOSPITAL)

2 System SYS (DEMO.CIAINFORMATICS.COM)

3 Package PKG (ORDER ENTRY/RESULTS REPORTING)
Enter selection: 2 System DEMO.CIAINFORMATICS.COM
------ Setting Provider Recipients for System: DEMO.CIAINFORMATICS.COM -----

Select Notification: critical lab results (aCTION)

Are you adding CRITICAL LAB RESULTS (ACTION) as new notification? Yes// YES

CRITICAL LAB RESULTS (ACTION)// CRITICAL LAB RESULTS (ACTION)

CRITICAL LAB RESULTS (ACTION)

Value:??
Set of codes indicating default provider recipients of a notification by

their title or relationship to the patient. Notifications can be set up

with any or all of the following codes:


P (Primary Provider): deliver notification to the patient's Primary

Provider.

A (Attending Physician): deliver notification to the patient's Attending

Physician.

T (Patient Care Team): deliver notification to the patient's primary

care Team.

O (Ordering Provider): deliver notification to the provider

who placed the order which trigger the notification.

M (PCMM Team): deliver notification to users/providers linked to the

patient via PCMM Team Position assignments.

E (Entering User): deliver notification to the user/provider who entered

the order's most recent activity.

R (PCMM Primary Care Practitioner): deliver notification to the

patient's PCMM Primary Care Practitioner.

S (PCMM Associate Provider): deliver notification to the patient's PCMM

Associate Provider.

D (IHS Primary Care Provider): deliver notification to the patient's

Primary Care Provider.

I (IHS Primary Team): deliver notification to the patient's Primary

Team.


G (IHS Designated Providers): deliver notification to all of the patient's

Designated Providers.


The providers, physicians and teams must be set up properly and accurately

for the correct individuals to receive the notification.


Value:

This option lets you set any one or combination of a set of codes indicating default (provider) recipients of a notification by their title or relationship to the patient. Notifications can be set up with any or all of the following codes:



  • P (Primary Provider): deliver notification to the patient’s Primary Provider.

  • A (Attending Physician): deliver notification to the patient’s Attending Physician.

  • T (Patient Care Team): deliver notification to the patient’s Primary Care Team.

  • O (Ordering Provider): deliver notification to the provider who placed the order that triggered the notification.

  • M (PCMM Team): deliver notification to users/providers linked to the patient via PCMM Team Position assignments. NOT USED IN THE EHR

  • E (Entering User): deliver notification to the user/provider that entered the order's most recent activity.

  • R (PCMM Primary Care Practitioner): deliver notification to the patient’s PCMM Primary Care Practitioner. NOT USED IN THE EHR

  • S (PCMM Associate Provider): deliver notification to the patient’s PCMM Associate Provider. NOT USED IN THE EHR

  • D (IHS Primary Care Provider: deliver notification to the patient’s Primary Team

  • I (Patient Care Team): deliver notification to the patient’s primary care Team.

  • G (IHS Designated Providers): deliver notification to the patient’s Designated Providers.

The providers, physicians, and teams must be set up properly and accurately for the correct individuals to receive the notification.

7.6.8Set Default Recipient Devices (RCD)


Select the Set Default Recipient Devices (RCD) option on the Notification Parameters menu to display the following:

Set Default Recipient Devices


Notification Regular Recipient Devices may be set for the following:
1 Division DIV [DEMO INDIAN HOSPITAL]

2 System SYS [DEMO.OKLAHOMA.IHS.GOV]


Enter selection: 2 System DEMO.OKLAHOMA.IHS.GOV
Setting Notification Regular Recipient Devices for System: DEMO.OKLAHOMA.IHS.G

OV


Select Notification: NEW SERVICE CONSULT/REQUEST

Are you adding NEW SERVICE CONSULT/REQUEST as a new Notification? Yes// YES


Notification: NEW SERVICE CONSULT/REQUEST// NEW SERVICE CONSULT/REQUEST NEW

SERVICE CONSULT/REQUEST

Value: ?

Answer with DEVICE NAME, or LOCAL SYNONYM, or $I, or VOLUME SET(CPU), or

SIGN-ON/SYSTEM DEVICE, or FORM CURRENTLY MOUNTED

Do you want the entire DEVICE List?


7.6.9Set Default Recipients (RCP)


Select the Set Default Recipients (RCP) option on the Notification Parameters menu to display the following:

Set Default Recipients


Notification Regular Recipients may be set for the following:
1 User USR [choose from NEW PERSON]

2 Team (OE/RR) OTL [choose from OE/RR LIST]


Enter selection: 1 User NEW PERSON

Select NEW PERSON NAME: demo DEMO,DOCTOR


------- Setting Notification Regular Recipients for User: DEMO,DOCTOR -------

Select Notification: NEW SERVICE CONSULT/REQUEST

Are you adding NEW SERVICE CONSULT/REQUEST as a new Notification? Yes// YES
Notification: NEW SERVICE CONSULT/REQUEST// NEW SERVICE CONSULT/REQUEST NEW

SERVICE CONSULT/REQUEST

Value: ?
Enter 'yes' if this person or team should always receive the notification.
Value:

7.6.10Notification Sort Column (SRT)


Select the Notification Sort Column (SRT) option on the Notification Parameters menu to display the following:

Notification Sort Column


Notification Sort Method may be set for the following:
100 User USR [choose from NEW PERSON]

200 Division DIV [DEMO INDIAN HOSPITAL]

400 System SYS [DEMO.OKLAHOMA.IHS.GOV]
Enter selection: 200 Division DEMO INDIAN HOSPITAL
---- Setting Notification Sort Method for Division: DEMO INDIAN HOSPITAL ----

Value: ?
Sort method for notification display as P:Patient, T:Type, U:Urgency.


Select one of the following:
P Patient

T Type


U Urgency
Value:

The Value determines the sorting method when notifications are displayed. Methods include: by Patient, by Type (notification name), and by Urgency. Within these sort methods, notifications are presented inverse chronological order.


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