Meditech: Imaging and Therapeutic Services (ITS) · PDF fileThis material is the intellectual property of Kootenai Health. Do not download, share or redistribute without prior permission.

This material is the intellectual property of Kootenai Health. Do not download, share or redistribute without prior permission. With questions about any projects or services, please contact the 24/7 Kootenai Health Information Technology Help Desk. By Phone: 855-554-4440 (toll free) or 208-625-5555; By Email: [email protected]

Page 1

Meditech: Imaging and Therapeutic Services (ITS) Manual

Introduction

Imaging and Therapeutic Services (ITS) contain patient reports for Imaging, HIM, or any ancillary area.

Reports could be created directly in ITS by the transcriptionist.

Reports could be uploaded from another vendor system via an interface and then processed in ITS.

This manual covers the following:

Signing into Meditech

Entering, Editing, and Completing Orders

Processing Reports

Processing History

Viewing or Printing a Report's Audit Trail

Meditech Helpful Hints

Starting Meditech

The modules in which you perform work are accessed through the Meditech program. This section explains how you log in to Meditech and select the correct database to work in. Be aware that Meditech automatically logs out when there is no activity in the program for a specified amount of time, i.e., no modules loaded, data selected, or information added.

When you log into Meditech, the page that displays contains only the features and functions you have access.

Locate the compass Meditech 6.0 icon on the desktop. Double clicking on this icon will bring up a Citrix login window.

If you do not see the Meditech icon on your desktop, click on the Windows Start button, Programs, and navigate to the Meditech program.


Page 2

Figure 1: This is the North Idaho Health Information Services Logon Page

Type your User Name, and press the Tab key.

Your user name is first name,period,last name in small letters (Example – sally.jones)

o Type your Password, and press the Enter key.

At this time, your password must be a minimum of 8 characters. You may select any 8 characters.

You do not have to mix upper case, lower case, and numbers.

It will expire every 90 days.

It will also remember the last 6 passwords, so you will not be able to alternate between 2 different passwords.

All 4 North Idaho, KMC, Benewah, Boundary, and Bonners sites are using the same guidelines.

These restrictions are subject to change by the Steering Committee.


Page 3

Figure 2: Click once on Meditech CS – KOM to log into the Live environment.


Page 4

Figure 3: This is what the Meditech 6.0 Main Desktop for Imaging will look like.


Page 5

Using Technologist Desktop

Figure 4: After selecting Technologist Desktop from the Main Desktop you will see this screen. This is your worklist of patients that you currently have access to.

Functions

Worklist /

Preferences

Find Patient

New Order

Modify Order

View Detail

Record Exam

Charge/Credit

Copies To

Laboratory

Images

Patient Data

Record Inquiry

Schedule

History

Change Department

Change Site

EMR


Page 6

Worklist and Preferences

Figure 5: Preferences will allow you to change what you see on your worklist. You can search by Status, Date ranges, Providers, Techs, etc. Any changes made to your preferences will be saved under your login, not the computer that you are working on.

Figure 6: The following items can be adjusted under the Orders Tab:


Page 7

Figure 7: The following items can be adjusted under the Order Tracking Tab:


Page 8

Figure 8: The following items can be adjusted under the Follow-Ups Tab:


Page 9

To Create a New Order

Figure 9: Select New Order from desktop

Enter Order Status by typing status, or by using the F9 Lookup or drop down arrow.

L = Logged (Ordered)

T = Taken (Taken)

C = Complete (Complete)

Enter patient by choosing patient name, medical record number, or account number. Refer to Find Patient section for options for searching for a patient in Meditech. You may search for a patient by

Last Name

Partial Name

KM Number

Account Number

Confirm Ordering Provider is correct (To change, enter physician mnemonic or use the F9 look up)


Page 10

Enter Category by typing mnemonic or the F9 look up.

Use F9 Lookup or drop down arrow to choose procedure or type mnemonic.

Answer the required questions and click Save.

Modify Order

Figure 10: Select Modify Order from the desktop. Click on the appropriate field and modify the information. Any prior entry must be deleted, and the field must be blank in order to use the F9 Lookup or drop down arrow.


Page 11

Record Exam

Figure 11: Choose exam and then Select Record Exam:

Change the Status to Taken by typing:

1. “T”

2. F9 Lookup

3. drop down arrow

Enter Start and End date and times

Enter tech mnemonic or use the F9 Lookup or drop down arrow

Enter supply charges in the Material field if appropriate

The workload function is not used at this time


Page 12

Copies

Figure 12: Select Copies to from the desktop

Enter a provider by typing d space and then the provider mnemonic

Answer Y or N to Report, Questionnaire, or Letter options

Click Save or use the F12 key Laboratory

Lab sections can be accessed through the EMR functions. Images

Images can be launched from this function key.


Page 13

Patient Data

Figure 14: On the Patient Data page, you can find the patient’s height and weight, and their allergies.


Page 14

Record Inquiry

Figure 15: This feature can be used to track incoming and outgoing imaging studies. The information that you will record may differ by facility, please check with your manager.


Page 15

Schedule

You can link to the Community Wide Scheduling (CWS) module. Your access determines what you can do within CWS.

History

Figure 16: You can view all of a patient’s previous Imaging history by choosing a patient from the worklist & clicking History, or click the History function, and choose “Any Patient” and then typing in a patient’s name.


Page 16

Change Department

Figure 17: All of the Imaging Modalities are located under XX.IMAG. (KM, SP, OC, SM). You will only need to use this feature if you need to change to a different department outside of Imaging. Then enter a new department by typing in the mnemonic, use the F9 Lookup, or the drop down arrows. Click Save or F12.

Change Site

Figure 18: You can change your site by clicking Change Site on the desktop. Enter a new site by typing the mnemonic, using the F9 Lookup or drop down arrow. This only applies to Kootenai Health. The information bar above the patient information identifies where you are logged in to. In this example, you are logged in under KMC’s access, and using the KM.IMAG functions.


Page 17


Page 18

Using the Receptionist Desktop

Figure 19: Select Receptionist Desktop from the Main Desktop. The Receptionist Desktop includes the options of Arrival Time, Reports, and Print Documents in addition to all of the options available on the Technologist Desktop.


Page 19

Functions


Page 20

Worklist / Preferences

Find Patient

New Order

Modify Order

Questionnaire

Copies To

Arrival Time

Schedule

Follow-Up

Reports

History

Print Documents

Change Dept

Change Site

EMR

Using the File Clerk Desktop

Figure 20: Select File Clerk Desktop from the Main Desktop. The File Clerk Desktop is used for Checking in and out films or CDs.


Page 21

Proccess By Patient:

Enter Patient Name & choose the account

Click Create List at the bottom of the screen

Click Sign Out on the right side of the screen

Type D <space> and the last name of the provider & press F9. You will see nothing is found. Click the name button on the right side of the screen.

Choose the correct provider.

The number of days & the Library will default in for you.

Previously loaned out records will default into the Record Field.

Enter down to a blank line in the Record Field and type e<space> and free text in what you want to check out.

SAVE

Process By Recipient:

From the File Clerk Worklist Click the Process by Recipient tab at the top of the screen.


Page 22

Type D<space> and the last name of the provider and F9. You will see nothing is found. Click the name button on the right side of the screen.

Choose the correct provider.

Click Create List at the bottom of the screen

Click Sign Out on the right side of the screen

999 days will default in

“Use Default Days & Comment” = Y

Enter through the date fields

Enter patient name & choose the account

Free Text the Record you are checking out.

Enter through the date fields and enter a comment

SAVE

Reports and Lists

Figure 20: The Report and List feature will allow you to print daily logs and other departmental reports.


Page 23

Choose Reports and Lists from the Main Desktop

Choose the name of the report you are looking for

Fill in the appropriate fields to narrow your search, then click OK.

You may Preview, or Print your report, then select OK. Statistics and Searches

Figure 21: To search for statistical information, use the Diagnostic Imaging options.


Page 24

EMR (Electronic Medical Record)

Figure 22: Click EMR from the desktop (You can view the patient you are highlighted on from the worklist or find another patient)

This warning is just to confirm that you really do want to enter this

patient’s record.


Page 25

Meditech Helpful Hints: Help:

The question mark key (?) at the bottom of the screen indicates there may be help available in Meditech. Help is field specific and brings up different information. . Some fields may have Help information and not have Docum information.

Recall Function:

Spacebar + Enter is the Recall Function.

In the Print-on Prompt, Spacebar + Enter will recall the printer last used in the same application at that computer.

In the patient field, Spacebar + Enter will recall the patient last used in the same Meditech session. Selecting/Deselecting Multiple Reports:

You can select more than one report to work on at a time. To select more than one, place a check mark next to all the reports you want to work on.

To select or deselect all of the reports click the check mark at the top left side of the desktop.

To select individual reports, place a check mark next to the report you want