1. CPRS Reports and Nature of Orders

2. Learning Objectives: Generate Unsigned Orders Search
Discuss the HIM Role in Searching for Unsigned Orders.
Compare and Contrast the use of Written, Policy, Verbal, and Telephone “Nature of Order”.

3. Unsigned Orders Search
Unsigned orders reports
Running a report for all unsigned orders:
Select EHR MAIN MENU Option: cprs CPRS Manager Menu
CL Clinician Menu ...
NM Nurse Menu ...
WC Ward Clerk Menu ...
PE CPRS Configuration (Clin Coord) ...
IR CPRS Configuration (IRM) ...
Select CPRS Manager Menu Option: pe CPRS Configuration (Clin Coord)

4. Unsigned Orders Search
Select one of the following:
AL Allocate OE/RR Security Keys
KK Check for Multiple Keys
DC Edit DC Reasons
GP GUI Parameters ...
GA GUI Access - Tabs, RPL
MI Miscellaneous Parameters
NO Notification Mgmt Menu ...
OC Order Checking Mgmt Menu ...
MM Order Menu Management ...
LI Patient List Mgmt Menu ...
FP Print Formats
PR Print/Report Parameters ...
RE Release/Cancel Delayed Orders
US Unsigned orders search
EX Set Unsigned Orders View on Exit
NA Search orders by Nature or Status
DO Event Delayed Orders Menu ...
PM Performance Monitor Report
Select US – Unsigned orders search

5. Unsigned Orders Search
Select one of the following:
Released/Unsigned
Unsigned
Unsigned/Unreleased
Enter the type of orders to search: 3 Unsigned/Unreleased

6. Unsigned Orders Search
Select one of the following:
Service/Section
Provider
Patient
Location
Entered By
Division
Enter the sort criteria: 2 Provider
Would you like a specific Provider? NO//
Enter a starting date: t-200 (APR 10, 2006)
Enter an ending date: t (OCT 27, 2006)
Print summary only ? NO//
DEVICE: HOME// VT

7. Unsigned Orders Search

8. HIM Role in Searching for Unsigned Orders
HIM is responsible for monitoring unsigned orders.
HIM shall run unsigned orders list at least weekly.
Providers with unsigned orders should be contacted immediately.

9. Written, Policy, Verbal, and Telephone “Nature of Order”.
Verbal/Telephone Order – Orders that are either spoken aloud or spoken over the telephone
Entering verbal/telephone orders in EHR – When the selection of verbal or telephone order is made within the EHR, the order is released and a notification is sent to the Provider for signature

10. Written, Policy, Verbal, and Telephone “Nature of Order”.
Policy Orders – also known as standing orders, protocols, etc…
CMS approves the use of policy orders. However, the policy order must be documented in the medical record and signed by the Provider.
In EHR, if Policy Order is selected, the order is released. However, a notification is not sent to the Provider for signature.
A note must be created with an object that imports all policy orders into the note. The note creator should then assign the responsible Provider as an additional signer.
Note: The above method is being used successfully at Cherokee Nation. The TIU object we use is not a standard object. We had it created.

11. Discussion and Questions