Medication List Tool
Provider Implementation
Phase I
By the end of this presentation, you will be able to:

State the rationale for replacing PAML and Meds Editor with the new Med List Tool (MLT) in Provider
History and Physical forms and Inpatient Nursing Admission History.

Describe the key features of the Med List Tool and the associated workflow.
One Med List Project Goals
1) Create one source of truth
for patient’s medications
2) All members of the care
team access and edit the
same list
3) Processes, tools, and
expectations for the med
list management are
standardized across VUMC
Implementation Timeline
Aug 19, 2014
March 2014
June 2014
July 15, 2014
VPH- MLT for All Users
(Provider H&P,
Discharge Wizard,
Nursing Admit Hx, and
Admission process)
Inpatient Nursing
(VCH, VUH & EDs)
Nursing Admission
History StarForm
(replacing PAML)
Provider Phase I
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
MLT embedded in
H&P StarForms
Adult
History and Physical (Internal Medicine)
Trauma History and Physical
History and Physical (Cardiology)
History and Physical (MICU)
History and Physical (Interventional Radiology)
Burn Team Admission History and Physical
History and Physical (EGS)
History and Physical (Geriatrics)
History and Physical (Neuro Interventional Surgery)
History and Physical (ECT)
History and Physical (RGS)
1.
2.
3.
4.
5.
Provider Phase II
MLT embedded in ED H&P,
ED Discharge Application
& HEO Discharge Process
for ALL services
Pediatric
History and Physical (Pediatrics)
History and Physical (PCCU)
History and Physical (Pediatric Hematology and
Oncology)
History and Physical (Pediatric Cardiology)
History and Physical (Pediatric Neurology EMU)
TBA- Provider Phase III
4 Ways to Access the Med List Tool
1. History and Physical Form
3. HEO/ WIZ- Upper Left window
*The MLT will be embedded in the body of the H&P StarForm.
*The MLT will NOT be embedded in any H&Ps that are StarNotes.
Will say
MLT on
the 15th
4. HEO/ Wiz- type MLT
2. StarPanel Actions Menu
Open the Med List Tool
Click Edit to open the
MLT in a new window.
Note the Status of the Medication List
•
Patient Summary Medication List as of date/time- MLT has not been initiated this admission/ encounter.
•
In Progress – MLT has been opened but not submitted
•
Obtained by – a nurse has submitted the MLT for provider review
•
Finalized by – a provider has reviewed and completed the MLT
•
Unable to Obtain/Reason – an unsuccessful attempt was made to collect the medication list
Review the Medication List
Left column pulls previous VUMC medication list
from Patient Summary (PSS) – such as from
clinic visit or last hospitalization.
NON EDITABLE
In the future, medication lists from non-VUMC
hospitals & clinics will be imported for review.
Right column is the “SCRATCH PAD,” which is an
EDITABLE version of the VUMC List.
EDIT to reflect meds patient currently takes at home.
If the nurse has collected a medication history, the
edits are displayed. Provider reviews, edits as needed,
and selects “Send to Pt Summary”.
Revise the Medication List
Delete
Edit
View details
Add medication
information. Include
indication and last
dose in comments.
Make a mistake?
Use the UNDO icon
Send to Patient Summary
(Saves the finalized medication list)
After reviewing and editing the
medication list, Click “Send to
Pt. Summary” to save the list.
The updated list will display
• in the MLT
• Pt Summary
• and as a PDF in All Docs
The MLT must be “Sent to Pt
Summary” before the H&P
can be saved as “Complete”.
***
A reminder will display if the
MLT is not completed.
The Updated Med List
After selecting “Send to Pt. Summary”
the updated list will display in:
The Med List Tool status will
change to “Finalized”
indicating a provider has
reviewed /saved the list and
the medication list will
update in the H&P StarForm
The Pre-Encounter
Meds (Finalized) PDF
will display in the
All Docs view
• Med List Tool with finalized status
• Medication section of H&P (if MLT
updated from within H&P)
• Pt Summary
• All Docs as a PDF
The Patient Summary
status will reflect the
updated medication list
Incomplete or No Medications
Select Unable to Obtain and
denote the reason that obtaining a
medication history is not possible
Select Complete and then No Current
Medications if the patient does not have any
home medications.
• This button will only be available when
the scratch pad has no meds listed or all
meds have been deleted
Complete
Effective Tuesday, July 15, 2014
Changes apply to all inpatient providers for VCH and
VUH using the StarForm H&P.
**Excluding OB and NICU/NBN
• If you have questions or need assistance:
Call the Help Desk at 343-4357 (3-HELP)