Order Code Setup to reduce clicks

Overview

In order to streamline the physician workflow, there are several options within the Order Code Setup that can reduce the clicks for physicians during order entry. Below are the recommended build steps.

Define Default Quantity Unit

When defined, this populates the dose unit in the Order Entry details and makes the value read-only. When not defaulted, the drop-down list box will include the list from the Dose Unit dictionary.

Dose field.png

To improve physician satisfaction, we recommend using the strength unit of the product when the medication selected is a single-ingredient solid-form medication (i.e., Simvastatin 40 MG ORAL TAB, Quantity Unit = mg). Some additional forms and recommended quantity units are below:

Defined with the CWS Dictionary Update form, this dictionary is in the Order Entry Client Information file and is #21004. The following fields are available:

Medication Form or Route	Recommended Quantity Unit
Single Ingredient Solid Form	Should match the strength unit within the order code setup (i.e., mg, mcg, units)
Multi-Ingredient	Should match the dosage form within the order code setup (i.e., Tablet or Tab)
Solution (ophthalmic)	Drop
Solution (injectable)	Milliliter (mL) or Milligram (MG)
Powder for Solution	Milliliter (mL)
Inhalation (includes powder, solution, etc)	Puff
Cream, ointment, suppository	Each
Transdermal Patch	Patch

Rx Icon.png When an external pharmacy has been enabled, the system will ignore the default quantity unit defined in Order Code Setup and require the user to select from the defined list of dose unit options. This allows organizations who have some units or programs that go to an internal pharmacy using RxConnect to use existing defaults while those units or programs going to an external pharmacy will use system standard defaults.

Define Preferred Frequencies

When defined, this moves the preferred frequencies to the top of the drop-down list box and bolds them for easy reference for the physician. The remainder of the frequencies are there for the smaller percentage of orders that may require it.

Preferred Frequencies.png

Define Default Dispense Quantity

When defined, this presents the user with a default dispense quantity unit when sending to an external pharmacy. This reduces the burden on the physician and is highly recommended when this configuration has been enabled. This field has been defined as part of the File Import for the order code and can be updated utilizing that tool. For detailed instructions on how to define this, please contact your Netsmart consulting representative.
The user logged in must be able to auto-launch into OrderConnect via single sign on to access the Default Dispense Quantity Unit drop-down within Order Code Setup.

Define External Pharmacy Output Option

When an external pharmacy has been defined for a unit or program, every inpatient order will be sent to the external pharmacy. However, within Order Code Setup, an organization can choose to override that default and send an order to either the backup pharmacy defined or to not send to any pharmacy. This field has been defined as part of the File Import for the order code and can be updated utilizing that tool. For detailed instructions on how to define this, please contact your Netsmart consulting representative.

External Pharmacy Output Option.png

Additional Options

Additional preferences for defaults that may benefit the physician experience include the following:

Order Code Option	Pro/Con
Default Reason Code	Pro: For those medications or orders that are always placed for a specific reason, this reduces the amount of information that a physician has to enter. Con: If there is more than one reason that the medication or order is placed, defaulting a value may stop the physician from updating and result in the wrong reason being communicated to the rest of the care team.
Default Frequency Code	Pro: For those medications or orders that are always placed for a frequency, this reduces the amount of information that a physician has to enter. Con: If there is more than one reason that the medication or order is placed, defaulting a value may stop the physician from updating and result in the wrong frequency being communicated to the rest of the care team. If a medication, this may result in an under dose or overdose.
Default Duration	Pro: For those medications or orders that are always placed for a specific duration, this reduces the amount of information that a physician has to enter. Con: If the duration varies depending on the client condition, defaulting a value may stop the physician from updating and the client is either kept on a therapy longer than intended or removed from therapy before the expected results are achieved.
Default New One Time order to duration of 1 day	Pro: If the standard clinical practice for the medication or order is that a one-time order for this orderable is completed within 24 hours, this will reduce the amount of information that a physician has to enter. Con: If the standard clinical practice for the medication or order is that there may be a delay prior to administration, defaulting the order to a 24-hour duration may result in the order being discontinued prior to it being completed.