So there is a HUGE update with the Medication Profile as many have noticed. I think it’s OK, there’s a little progress, but many users may view this more of a setback even a headache for some. And I think many may even want to put the old way back
For one, the Medication Profile is now relying on the clinician more for medication accuracy, which I think is not bad, but it now becomes difficult from a QA perspective or maybe even both. One thing for sure the data entry process is NOT smooth…
- The option to delete is no longer available after clinician signs > QA needs this as many errors can occur and we can double check with the nurse to clarify.
- The option to delete the discontinued med(s) also goes away > QA continues to needs this as this DC list of meds can be ongoing and accumulating a long list. It just seems that we need to be able to delete any med active or discontinued.
- Medication, dosage, frequency, and route seem to be all in one continuous line > Honestly, time is everything and reading it out like how it is now is just not efficient its harder and makes errors easier to hide, columns are easily visualized, straight down the line.
- Activating a med goes to today’s date even after editing to another date that is in the past, this forces the clinician to do the med profile on the day and unable to document the med at a later date, although it is ideal to do this and document the same day, but this does not happen in the real world and actual documenting comes later, so there’s just too much playing around with dates > Please make it easier for dates of these meds (Period).
- Physician name column? > I’m not sure why its there, it’s a good idea for patient’s with multiple doctors maybe, I know, but honestly it doesn’t need its own column and now for every med? Maybe if there was a column for Notes or Other Comments. Physician name per medication is not required on the 485 or plan of care either. Medication profile should be easy enough to generate enough basic info onto the home health plan of care (485) and that’s it really, even the date of the medication is not required on the plan of care. Keep it simple.
- When activating the medication and setting the med as Unchanged always populates to Changed.
- A column for D/C Through Date for every med now? > I don’t think this necessary may only be useful for antibiotics, but still D/C Through Date can just be typed out under the med’s frequency if really needed to be known, there’s enough room there, right? Otherwise, this info can typed into a Notes or Other Comments column, if there was one (could relate to other “miscellaneous” info as in 5).
- Automatically brings up the check interactions when wanting to sign, I understand the process of course, but many clinicians are like, “What’s this now?” > At least prompt the user that checking med interactions is required or make it an option before signing med profile or something.
- On the OASIS when check for errors always prompts that the med profile was not signed and may have been, but it’s always there after check for errors.
- Working on the med profile from the OASIS it does not show the frequency of the medication. > We need it there.
Overall, nothing is better than keeping it simple. Clinicians, QA’s, DON’s, Admins are already busy enough with the many requirements that are regulated upon us onto this industry. And we can NOT waste any time especially on our EMR software that is supposed to make our jobs easier for us. Medication Profile should be easy enough, basic enough to be able to input data by the clinician, identify any errors by the QA, and then lastly, accurately transfer this data onto the 485/Plan of Care or Physician’s order, and that’s it.