Many providers have desired the ability to order multiple items with one click within Allscripts EEHR. Starting in v11.4.1, this functionality will now be available! Stage 2 Meaningful Use (MU)- Core 1-Computerized Order Entry (CPOE) includes medications (like it does in Stage 1) however it will also require a percentage of labs and imaging studies. Allscripts has enhanced the order entry functionality to assist providers in meeting this MU Core item by increasing order entry adoption and also improving the end-user experience.
Using a new prenatal visit as an example of what I’m referring to —-providers often order a series of tests (typically called a prenatal panel) and would like to have the ability to order them all with one click. A prenatal panel can consist of a CBC, Chemistry panel, ABO grouping, and STD panel. Currently, this requires the user to select each test separately within the ACI since each test is an individual order. The new functionality will allow the end user to order multiple items with one click as listed above and includes spanning over different orderable items categories ( Medications, Labs, Imaging, Follow Ups).
Starting in v11.4.1, the user could define an Order Group that can be inclusive of multiple orders and tailored to that specific provider, assigned to a specialty, and isn’t necessarily problem based like Careguides/Quicksets.
What does it look like? I’m going to walk through a scenario of how a user on the front end can develop their own order group and then steps for people to begin to think what would work best for their organization as prep work for moving to v11.4.1.
Building the Order Group
1. In the ACI Window any orderable item that you’d like to be part of your order group first needs to be a personal favorite. It is likely that it already is however if not, you can search for the item under the appropriate classification (i.e. Lab/Diagnostic, Imaging, Rx etc) then right-click and click on Favorite item. See Diagram 1
2. To begin the Order group, right-click on any favorite item and select Organize Favorites (new feature in v11.4.1)- See Diagram 2
3. A new screen called Organize Favorites will open and allows you to edit an existing order group or build a new Order group. See Diagram 3
4. To build a new order group, click on New Order Group and type your desired name of the new order group. See Diagram 4
5. To add orderable items— simply highlight, drop and drag to the folder or you can highlight and click Move item and drop into the appropriate order group folder.
6. Once the order group is complete with all the potential orderables items it will display in the ACI denoted by a folder in front of it. See Diagram 5
Using the Order Group
1. To use the Order — begin in the ACI and best practice highlight the diagnosis or diagnoses to link to the order group then click the Order group. See Diagram 6
You will be able to click the Order Group folder from any tab that has orderable items in it. In the example above, you can expect to see a Prenatal- Nausea- Medium Risk under the Rx, Lab, Rad, Instruction, Follow up tabs in the ACI since there are orderable items in each category.
This is ONE click to have multiple orderable items ordered now using this new functionality across different order classifications (labs, imaging, etc).
This feature will streamline adoption and increase end user efficiency tremendously.
- How is this different from Careguides or Quicksets”?
a. First, Careguides/Quicksets are problem based. Order groups are not problem based and in fact can be anything the provider/specialty would like them to be. For example, you can build a routine annual exam visit or better yet- I often have providers state Careguides or Quick sets are great however if I have a complex patient that is being treated for Hypertension, Diabetes, Coronary Artery Disease- there are tests that overlap (i.e. Chemistry, Lipid, etc) and they get caught with needing the diagnosis linked to the order for billing but then they get prompted for duplicate checking screens (a configuration feature).
b. With order groups a provider can completely think outside the box. You could build something called Complex Patient Visit- 3 Chronic and include all of those orderable items desired so when all 3 problems are highlighted in the ACI and the order group selected- all the diagnosis would be tied to those items. Additionally, you’d want to be more inclusive versus exclusive in building your order group. As you can see in the Diagram 6, if a test wasn’t desired you could simply uncheck an orderable item if it didn’t apply for that patient and/or visit.
- Can this be built and automatically given to providers or specialties so our provider don’t have to build their own?
a. Yes. A system analyst/provider could build the desired Order Groups under their profile then using SSMT you can extract and either load to another user or specialty. See Diagram 7
What can you do now?
One suggestion would be to begin to capture what order groups a particular provider or specialty would like built and begin to capture the naming convention and/or orderable items for each group. Perhaps there are even more decisions your organization has related to Order Groups such as- how many will be pre-built to assist in adoption/end user experience versus training the providers to build themselves.
This new feature in v11.4.1 will greatly improve the order entry process for the end users.
Allscripts-v11.4.1 Functionality Overview- Client Connect
Stage 2 Core Measure 01- Computerized Order Entry_Draft- Client Connect