Locked Deficiencies

If you see the icon below (the pencil with the red line through it) it signifies that the Deficiency has been locked and you will be unable to edit or sign that deficiency.

MPF LOCK

To prevent a deficiency from locking:

  • Sign off on all deficiencies in one sitting.

-OR-

  • If opting to edit and or sign a deficiency at a later time click on the Tasklist button to exit the deficiency processing window. Clicking on the Tasklist button will properly log you off the Deficiencies processing page and will prevent the locking of that deficiency.

MPF LOCK3

Please contact the Physician Support Liaisons at (815)759-4330 for any questions or concerns.

MPF Tips & Tricks

Changing default sort order in MPF

Some users may see a new default sort order. This default sort order can be changed to match a familiar paper chart as shown below by following the steps on this page.

MPF sort order

Switching between Encounter# and Document Type Viewing

To view documents from a specific visit, click on “Encounter#”.

To view documents for all visits (i.e. all H&P’s that have been dictated on a patient or medical imaging studies that have been conducted), click on “Document Type”.

Viewingdocs

A physician also has the option of picking “Encounter# (DocType-Subtitle-Doctate)”. This view will show the dictating physician without having to click into the note.

encounter

Signing Deficiencies

To invoke the “Process All” function that was available in HPF, double click on the first deficiency. After the pin is entered, deficiencies will pop up one by one for authentication.

signing

Main

HPF Downtime

HPF will be DOWN from:

 

Sunday, November 2, 4:00pm

to

Monday, November 3, 7:00am

(15 Hours)

Purpose: Horizon Patient Folder (HPF) is being upgraded to McKesson Patient Folder (MPF).

Transcribed History and Physicals, Progress Notes and Consults will be auto-printed on nursing units through the weekend for availability during the MPF upgrade downtime.

For information about MPF click here.

Ebola Awareness

At this week’s Open Forums, you’ll hear information about Centegra’s preparation for the possible event that we encounter a patient suspected of having the Ebola virus. Centegra Health System is prepared. Key leaders are regularly meeting to ensure best practices are in place that align with the current recommendations from the Centers for Disease Control and Prevention (CDC).

Centegra takes this threat seriously. Our teams are working with the McHenry County Department of Health, Illinois Department of Health and other local agencies to ensure our response is well coordinated with our community partners. Please talk to your leader about your department’s role in our process.

Immediate isolation will be implemented for patients who have traveled to high-risk areas in Africa in the last 21 days and present with the following symptoms:

  • A fever of 100.5 or higher
  • Flu-like symptoms

All Associates and Physicians will wear Personal Protective Equipment (PPE) until Ebola is ruled out. Patients who call our facilities with these complaints will be triaged and directed through the Centegra Hospital-McHenry Emergency Department for instructions prior to arrival at the hospital.

Key contacts for more information:
CH-McHenry: Karen Van Buren, RN, Infection Preventionist 815-759-4574
CH-Woodstock: Cindy Schweder, RN, CIC, Infection Preventionist 815-334-3916
CPC and Centegra Immediate Care: Basia Scherbaum, RN, MSN 815-337-1985
Media Inquiries: Michelle Green, Senior PR Coordinator 847-341-0274

Click Here

Editing Doses on Active Medications

Please REFRAIN from using the “edit” button to change a DOSE on an active medication. When a provider edits a dose on an active medication pharmacy is unable to profile that medication. If a dose must be changed on an active medication please DISCONTINUE the medication and place a new order with the desired dose.

Editing Meds 1*Click to enlarge the image

Editing Meds 2*Click to enlarge the image

Psychiatry & Behavioral Health Consultations

Due to changes in the availability of our consulting psychiatry team we are implementing a modification in how psychiatry and behavioral health consultations are addressed on the medical floors at CHM and CHW. Starting November 1, 2014 psychiatrist coverage for consultations at CHM and CHW will be available Mondays through Fridays. For weekend and holiday coverage such consultations will be referred to the Centegra Behavioral Health Crisis Service for evaluation. A psychiatrist will always be available telephonically to provide support to the crisis workers; similarly, a psychiatrist will always be available via telephone to provide support to all Centegra Health System Medical Staff physicians/providers to address clinical matters on patients hospitalized at a Centegra facility. A call list will be sent out and the Care Coordination team, Crisis associates and operators will always know which psychiatrist is on-call.

We recognize this is a change from how things have been handled and look forward to collaborating with you to work through issues as they may arise. Crisis workers are not able to order laboratory/imaging studies or medications; this will require the cooperation of the ordering physician, again with support from the psychiatrist. The crisis associates will be able to evaluate risk/perform safety assessments, recommend aftercare and disposition options (including psychiatric hospitalization) and even assist with capacity determinations. If you feel that psychiatric medications are indicated call the on-call psychiatrist.

As a reminder, psychiatric consultation is appropriate for psychosis, altered mental status that is not clearing after thorough work-up for and treating organic causes, mania and patients with mental illnesses who are unstable. Patients being treated for acute alcohol withdrawal syndrome should not require a consultation if the available withdrawal protocol is initiated and followed appropriately. Please call with questions to help clarify how the psychiatrist can assist you:

Paul Berkowitz, MD
480.285.8284
pberkowitz@centegra.com

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Certificate of Death Worksheet

Please review the pdf below on how to properly fill out a Certificate of Death:

Certificate of Death Worksheet

Highlights:

Box 24-Cause of Death: Disease or Injury

  • Part 1:

    NOT mechanism
    NOT cardiopulmonary arrest or unknown

  • Part 2:

    Contributing Factors

  • Box 29:Manner

    • MDs can only certify if NATURAL death

    Box 30-36

    • ONLY completed by Coroner