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.