For surgical providers, the following document reviews the process for placing admission orders, including changes from the 2020 updates to UChart.
Prep for Surgery
BPA Alert
An alert appears after a case request order is signed with the following conditions:
- Procedure on CMS Inpatient-only List
- Patient not admitted
- Patient does not have an Admit to Inpatient order
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The alert displays in the Best Practice section of all surgical navigators when entering orders connected with a surgical case.
The alert also displays when the chart is opened, during Order Entry and when filing to Doc Flowsheets by Physicians, Residents, APRNs, and Physician Assistants.
Please note: The order must be cosigned by attending surgeon within 48 hours of surgery.
Day of Surgery
On the day of surgery, several areas of the patient’s surgical chart contain additional information with regard to Admission orders:
Multi-Provider Schedule New columns appear on the provider Schedule indicating: |
Storyboard Auth/Cert status has been added to surgeon storyboard. |
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Procedure Pass Tasks
In the Pre-op Consult navigator, an Admit to Inpatient Procedure Pass task is added at case creation if case includes procedure on Inpatient-only List
The Task status is marked completed when order is entered
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Releasing Admission Order
The alert also appears on the day of surgery in the Manage Orders activity, when the Pre-op Nurse releases the Admit to Inpatient Order under the Signed & Held tab when the patient’s class is updated to Inpatient
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Co-Sign Admission Order
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- Attending surgeon cosigns admission order within 48 hours of surgery.
- The Admit as Inpatient Order appears in the Orders to Sign section of the post-op navigator.
Push Notification
Push notification to be sent to primary surgeon at documentation of in pre-procedure event if patient does not have admit to inpatient order.
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If entering Admit orders by select Accept in the BPA:
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If entering Admit orders in Post-Op navigator:
Post-Procedure Admission Order Types
Post-procedure admission order types includes 4 options for all UM locations:
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1. Admit as Inpatient
2. Extended Recovery
3. Admit as Observation
4. Non Medical Stay (Bedded Outpatient)
5. Transfer Order
These orders have updated fields and instructions to assist in selecting the appropriate admission type, and are composed of two parts:
1. Bed request (immediately active)
2. Class and accommodation order (signed and HELD, will be released by nurse in the appropriate treatment location)
Please Note: Providers should not change the phases of care settings that are defaulted in these orders.
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UChart Tip Sheet Last Updated 12/3/2020
If you require additional assistance, please contact the UChart Help Desk at 305-243-5999, Option 2 or UChartHD@med.miami.edu.
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