Flu shot
Flu Shot Clinic Workflow
Option 1
Step 1 - Staff navigates from schedule to Clinical Desktop to add V04.81 to patient's problem list, if it does not already exist
Step 2 - Staff Clicks on Order Beaker (Immunizations can be set as the preferred navigation in v11.1.7) and verifies that V04.81 is checked
Step 3 - Search for and select injection
Step 4 - Click New Free Text Sig and type in "per protocol" under the yellow field and select ordering provider
Step 5 - Click the Record Admin tab at the top of the page
Step 6 - Fill in yellow fields and VIS Info
Step 7 - Charges automatically drop to the encounter form (if set up to do so)
Step 8 - Staff navigates to the encounter form, clicks diagnosis tab and selects V04.81
Step 9 - Click on Encounter Form tab and validate information, then click Submit
Set Up
The Order Beaker preference setting can be at a user level to navigate to the immunization tab when clicked.
Clinical Staff can be set to have all charges reviewed prior to submission to Practice Management System - TWuser Admin -> (Select user) -> Preferences -> CW Create Review Enc Form Task = Always
Orderable Item can be set to charge upon completion with appropriate CPT codes.
Option 2
Step 1 - Patient arrives and is entered on schedule in Practice Management system on generic shot or nurse schedule and marked arrived
Step 2 - Staff single clicks on patient from schedule
Step 3 - Staff clicks on Order button from the floating toolbar - personalize setting = Rx/Order-Immunization
Step 4- Staff searches for and selects medication administered
Step 5- Click new Free Text Sig and type "Per Standing Order" under the yellow field and select ordering provider (this only has to be done the first time); accept the default of Health Maintenance for the linked diagnosis.
Step 6- Click the Record Admin tab at the top of the page
Step 7- Complete yellow fields, consent, VIS info and click OK and Commit
Step 9 - Go to the chares on the VTB and select appropriate medication and administration charges - or build exploding sets that contain all diagnosis and CPT codes necessary
Step 10 - Link diagnosis code to the charge code
Step 11 - Navigate to the Encounter Form Summary and change provider information
Step 12 - Validate Encounter form and submit
Set Up
Set the following preference to Not Required - Preferences -> Meds -> Immunization Order Authorization Required
Create sub-groups and/or exploding sets
Clinical Staff can be set to have all charges reviewed prior to submission to Practice Management System - TWuser Admin -> (Select user) -> Preferences -> CW Create Review Enc Form Task = Always
Option 3
Step 1 - Patient arrives and is entered on schedule in practice management on a generic shot schedule; and marked arrived
Step 2 - Staff single clicks on patient from schedule
Step 3 - Staff clicks on Orders button on the floating toolbar
Step 4 - Search for and select medication administered
Step 5 - Click New Free Text Sig and type "Per Standing Order" under the yellow field (you only have to do this part once per user as the new sig saves to the user's profile for the next time) and select appropriate ordering provider
Step 6 - Click the Record Admin tab at top of page
Step 7 - Fill in yellow fields, consent, and VIS info click Ok and Commit
Step 8 - Go to the Charges on the VTB and select appropriate exploding set
Step 9 - Click on the Encounter form and change provider information
Step 10 - Validate Encounter form and submit
Set Up
Build exploding sets with ICD9 and CPT codes linked.