Document Quick Links: WHAT IS MOIS - QC Medical Clinic
Contents
1. mm E Page 11 of 23 MOIS ICCIS HOW TO Physician Locum Start Up Guide Switch Workspace User Account X Available User Accounts User s Workspace PAICE BAILE Y DARCI STEPHENS TAMARA O w Selected User Cancel Acknowledge Measures Current Workspace PEARS DORI Show Acknowledgements mal Include Records All Recods Hot Checked 0 Checked Checked Since ma Created Fatient Age Collected Test Name Value Units Flag Status Check IA M FOR ACKNOWLEDGEMENT 15 01 29 BEAN JIM 15 01 29 ABC ELD AUTO a e112 15 01 29 BEAN JIM 15 15 07 29 WBC 13 F 16 01 29 BOND JAMES ROBERT fo 15 01 25 BLOOD PRESSURE SYSTOLIC DIASTI 135 86 mm Hg E 15 01 29 KEANE DOLLY 15 01 29 HEIGHT E Share Your Workspace Click on the Workspace Module Click on Share My Workspace to open your User Account Workspace Management settings Under Sharing Workspace With select New to add a new line Use the dropdown under User Account to find the name of the person who needs to share your workspace OR whose workspace you need to share i e the person you are covering for e Select Apply Changes e Note Workspaces must be shared both ways i e Joe shares with Bill Bill must also share with Joe e Note If a provider did not share their workspace prior to leaving an administrator can share their workspace with you 23Mar2015 version2 x northern health Page 12 of 23 the nor2. Cancelled E Do Not Auto Generate a Call List amp 8 Group Bookings Waiting List Scroll lt Provider Lists HR MN Code Mode Chart First Name Last Name Visit Reason Diag 1 Feel AS DS TM AP TK MG BS _ Resource fj Resource Lists 09 00 R DE 3 49 ANNE ANDREWS cough m x A DJ i J1 Ca Reservation Blocks 09 15 R DE 3 180 SLEEPING BEAUTY 1 month baby check n m Poe el ee Eig 09 39R DE 83 BROOM HILDA Divers Medical wilil f4 Pia At el PE es es LSS Seas Se 10 30 R DE 3 135 PAUL MCCABE WT amp 3BP 2 as t 1 G Provider Shifts 11 30 A DE 3 94 MABLE PEABODY fell bee i ae Piet ed edd 11 45 R DE 3 203 EARL BROWN Fix i Pi etet ef edi gt 14 0 5 DE 3 89 JON ARBUCKLE allergyshot o me mew Be Bode Description 16 0 7T DE 2 186 DAFFY DUCK INRadust a ative In Room Seen Start Discharged No Show Rebooked Cancelled S Patient Chart F Workspace EJ Billing B Administration ti Co a oo 1 The view of your daybook can change toggle between view types Scheduler Provider Biller e The Provider view is shown above e The columns will show in a different order and some don t show at all in different views 23Mar2015 version2 x northern health Page 5 of 23 the northern way of caring MOIS ICCIS HOW TO Physician Locum Start Up Guide 2 Use the Today button to look a
3. s schedule to open their Encounter Window e Select Action from the toolbar a drop down will appear S_ ZACKARY ZEHR 52 YEAR OLD M chart no 243 encounter no 10001458 Save Chart Views tio Print Selected Text Utilities Close FIRST ZACKARY Create Order for a Consultation Ctrl f Dob 1962 03 15 FHN BC 88655 SSS Cel 000 555 3434 Date 2015 0 5 PEEP ee Service General Note Provider BILL E Teate Order tor Image Requisition Sa oe Create Order for Procedure Requisition Viet Code R Create Order for Misc Requisition Visit Reason SORE Print Label e Select the type of service request from the list e g Create Order for Lab Requisition e An Add Attachment window will pop up e Double click the form name to select the desired requisition form from the list 23Mar2015 version2 x northern health Page 9 of 23 the northern way of caring MOIS ICCIS HOW TO Physician Locum Start Up Guide Attach Form Letter Attach File Select Form 7 Letter Masimum Items in rour Recent List RECENT og 2 MILLS MEMORIAL HOSPITAL NUCLESR MEDICINE IMAGING REQUISITION FORM HH FREG IMG TESTING 123 LETTER OUTPATIENT DIETICISN REFERRAL FORM HH REFERRAL 1 MILLS MEMORIAL HOSPITAL CT NH FREQ LAB M MEMJHLSC HOS ELLAL M SA MEUILINE Mala a FEL e The form will pop up pre filled with the patient s demographics the Desktop Provider s name and MSP practitione
4. CAP 250MG JOICAO4 AMOXICILLIN 0 19 e The searchable list source can be changed between All CDIC only or NP only 23Mar2015 version2 X northern health Page 15 of 23 the northern way of caring MOIS ICCIS HOW TO Physician Locum Start Up Guide fom to Ko toes Source ALL Save on Close Code List e Select the item to be prescribed added to the Long Term Med list e Fill in the Dose Frequency by clicking on the ellipses A new window will pop up Extended Medication Dose Wizard FIRST EARL MIDDLE LAST BROWN DoB 1960 08 11 SEX M CDIC DIN 00865567 Order Date 2015 02 10 Brand Name AMOXICILLIN 250 MG CAPSULE Generic Name AMOXICILLIN 250 MG CAPSULE Multi step Dose Instructions Do Not Substitute Note Do Not Adapt PRN when necessary Reset Dose Repeat x Dose fs Dose Dose Units Route Frequency i CAP TID New Delete gt ORAL Dispense Amount 10 DAY This part only shows in Prescriptions Save Save Clase Cancel e Select Save Close e Select Print Rx to print the prescription e The patient s allergies will pop up If no allergies are listed the patient may have allergies that are not entered correctly into their chart _ Pharmacokinetics and Allergies Adverse Reactions for Current Patient Current Patient Char 203 Patient EARL BROWN DoB 19
5. DR Action J esktop Provider Patient Chart Rx Prescription EARL BROWN 54 YR OLD M Chart 203 S Patient Summa Delete Record Save Undo Rech Dupicate f Atachment Prt Rx _ 5 f Demographic FIRST EARL MIDDLE LAST BROWN DoB 1960 08 11 Active ENCH NO ENCOUNTER a few eS Encounters Lo e jes Print Maintenance Help foe Measures i thin Order CDIC Medication Dose Frequency Amount M i Procedures 2015 02 10 00865567 AMOXICILLIN 250 MG CAPSULE 1 CAP ORAL TID 10 DAY f f Interventions 2 A E E few 6 Family History 2 i Allergy 7 Intolerances bf Reaction Risks Bee fr Events geco Gay Widin EE ivi rei re Prescriptions iy Social HIStory m e n either folder search for medications by e Using the white search boxes to show only items that match the text add an to indicate any letter combination can follow the text Otherwise items with the text anywhere in word will be shown e Put any character in the F field to pull only formulary items e Search by Generic or Brand Name _ Advanced Lookup Service f AMO F Generic Name Brand Name ATC Code ATC Name Cost LCA BE AMOXICILLIN AMOC IN TRIHYDRATE 250 MG CPSU ES CS LL LE AMOXICILLIN AMOXICILLIN 125 MG 5 ML SUSPENSION NU AMOXI SUS 125 5ML JO1C404 AMOXICILLIN 0 04 AMOXICILLIN AMOXICILLIN 250 MG 5 ML SUSPENSION NU AMOX SUS 250MG 5ML JO1C404 AMOXICILLIN 0 06 AMOXICILLIN 250 MG CAPSULE NU AMOXI
6. Start Up Guide MOIS Hot Keys Navigation Keys encounters CTT ALT 4 Patient Chart Measure Billing Invoices ad 2 Bill MSP Will bill the selected encounter record Encounters folder Daybook Encounter Detail window 3 Health Maintenance Review Will open the Health Maintenance Review whenever a Patient s Chart is opened 4 Create Task Opens the Create New Task window This option is available from the Patient Chart module 5 Create Messages Opens the Create New Message window This option is available from most MOIS screens 6 Available in the Patient Chart module Demographics folder only 7 When a MOIS screen has multiple horizontal tabs use CTRL the number of the tab to navigate to that tab without using the mouse i e Patient Detail in Demographics is the second tab for hotkey CTRL 2 Revised August 2014 Page 19 of 23 the northern way of caring X northern health 23Mar2015 version2 MOIS ICCIS HOW TO Physician Locum Start Up Guide Consistent Data Entry The Consistent Data Entry Guidelines for data entry help to ensure that information is entered into the correct location in the electronic system so that those using the system can quickly and easily find the correct information when it is needed Being able to rely on an electronic medical record for accurate data means better safer patient care a goal that is always at the forefront of our work Copies of this document should be p
7. amp Encounters Measures Imaging Consults Procedures Interventions w Family History oe Allergy Intolerance ae Social History en Documents Health Issues hf Conditions gt Risks for Condi o he Needs for Care Care Plan i gt Preferences gt Reaction Risks 84 ZACKARY ZEHR 52 YEAR OLDM chart no 243 encounter no 10001323 Save ChartViews Action Print Selected Text Utilities Close CD Order Detail FIRST ZACKARY MIDDLE WILLIAM LAST ZEHR DoB 1962 03 15 Order Information Order Date 2014 11 24 Code 71516 Order By BILL DR Description OSTEOARTHROSIS KNEE Order Type CONSULTATION Detail Information Referred To DREYER Hendrik Andre af Facility Payor MSP Facility Ref Copies To Facility Loc Transcribed Referral Text Dr Hendrik Andre Dreyer 205 2155 10 Ave Prince George BC V2M 5J6 PHONE 250 563 9227 FAX 250 563 9224 Enter Referral Text here e To navigate to the next screen select Print e Here you can choose to include different aspects of the patient chart in the service request o Note All tabs say 0 until you choose an item from the tab The number will change to reflect how many items you ve added to your letter 23Mar2015 version2 x northern health the northern way of caring Priority ROUTINE Appointment Booking Patient Notified Page 8 of 23 MOIS ICCIS HO
8. e Inthe white search boxes you can search by Last Name First Name Middle Name Date of Birth Home Phone Number Chart Number Insurance Number PHN short note or Chart Location to find exact matches e You can also type directly in the list e g typing Mouse M and hitting enter takes you to the area of master patient list by Mickey Mouse It will show all names above and below the search characters e Best practice is to search first by PHN then DOB followed by Name 23Mar2015 version2 X northern health Page 13 of 23 the northern way of caring MOIS ICCIS HOW TO Physician Locum Start Up Guide Patient Chart List Last Name First Name Middle Name DoB Home Chart No Alias Insurance By Note Chart Loc gt ADAMS DILBERT 9770 05 01 250 569 4589 889 902959634 BC thisisatest ADAMS GILBERT 1945 02 02 250 555 6666 146 BERT 90564561231 BC SANDSPIT ANDREWS ANNE T9650 06 23 2RN ABB AAG Ag SN4AAIVPAFA A Cathy s mother e Alternatively you can click on Go To Chart from any module in MOIS It prompts the same master patient list which can be searched as above Go To Chart _ _ Long Term Meds amp Prescriptions There are two folders for recording and managing patient medications Long Term Meds and Prescriptions Most medications should be entered in the Long Term Medications folder It is a best possible medication history that documents regul
9. four weeks prior to the index day were identified and analysed 4 course of amoxicillin clayulanate increased the risk of overanticoagulation even after adjustment for potential confounding factors particularly in patients ee ee ee ee et a oe oe eae ee ee ee ee mee 6 Pe eee mei Sat eee ae Se See BEN ee ee eee ee een ee ne ee net md m Peery Drugs 02162822 metFORMIN 02123274 perindopril Reaction Moderate Drug Interaction 2of2 MONITOR Limited data suggest that ACE inhibitors may potentiate the hypoglycaemic effects of oral antidiabetic drugs including metformin The mechanism is unknown Symptomatic and sometimes severe hypoglycaemia has occurred MANAGEMENT Close monitoring for the development of hypoglycaemia is recommended if ACE inhibitors are coadministered with metformin particularly in patients with advanced age and or renal impairment Dosage adjustments may be required if an interaction is suspected Patients should be apprised of the signs and symptoms of hypoglycaemia e g headache dizziness drowsiness nausea hunger tremor weakness sweating palpitations how to treat it and to contact their doctor if it occurs Patients should be observed for loss of glycaemic control when ACE inhibitors are withdrawn Print Anyway Cancel Print e Select Print Anyway to print the prescription or Cancel Print to change your selection e Orif no interactions simply select Print F2 to print the prescription MA
10. tabs to record information from the visit e Progress Note s free text area templates to start notes are also available by clicking in the blank space and pressing F4 e Additional notes for the same visit can be added by selecting New Note e g a patient is seen by a student and a physician 2 separate notes for the same encounter e There is acreator and author for each progress note the creator has 7 days to edit and the author has 28 days to edit after the note is created e Measurements to enter values from the visit e g BP weight smoking status graphing calculator and templates also available e Detail Coding to enter billing information e Encounter Summary shows a read only view of all items associated with the visit e Encounter Forms access forms for chronic disease management visits WCB pain management and others 4 Important Toolbar options e Save F2 is the Save quick key throughout MOIS e Chart Views Drop down allows you to easily navigate to a section of the current patient s chart e E g view previous Encounters Measures Health Conditions Medications etc e Action Create an external service request create tasks messages within MOIS print a patient label e Utilities Access spell check Health Maintenance Review Create a Service Request Referral Note This section will need to be edited for CDX EMR to EMR Referrals e Click on the Scheduler Module e Double clic
11. 60 08 11 Sex M Insurance BC 123456789 Most Recent Measures Allergies Adverse Reactions HEIGHT 165 Cms 2014 08 20 Substance Reactions NO KNOWN DRUG ALLERGY WEIGHT 3Kg 2015 01 29 GFR No record e Select X to close the Pharmacokinetics and Allergies pop up 23Mar2015 version2 X northern health Page 16 of 23 the northern way of caring MOIS ICCIS HOW TO Physician Locum Start Up Guide e Select the items to include Select Medications to Print xs 203 Patient EARL BROWN DoB 1960 08 11 Sex M Insurance BC 123456789 Include Order EDIE Medication Dose Frequency Amount 2015 02 10 00865567 AMOXICILLIN 250 MG CAPSULE 1 CAP ORAL TID 10 DAY E 2015 02 10 02123274 COVERSYL 2MG TAB 1 tab daily 2015 02 10 02162822 METFORMIN HYDROCHLORIDE 500 MG TABLET 1 CAP ORAL DAILY 1 MONTH gt iv 2050210 02344041 WARFARIN SODIUM 2 5MG TABLET Ta aly e Drug Interaction Results will pop up if applicable CD Drug Interaction Results Current Patient 203 Patient EARL BROWN DoB 1960 08 11 Sex M Insurance BC 123456789 Show All Interactions Drug Interactions O Reaction Risks Interactions There are 2 results Drugs 02344041 warfarin 00865567 amoxicillin Reaction Moderate Drug Interaction 1 of 2 MONITOR Penicillns may occasionally potentiate the risk of bleeding in patients treated with oral anticoagulants The exact mechanism of interaction is unknown but may involve penicillin inhibition of
12. 8 29 50 N A m 2014 09 10 30 150 to 1500 7014 08 20 1 0 to 2 2014 08 28 1 Oto 0 2014 09 10 110 10 to 101 2014 09 10 27 5 H 18 5 to 25 GOAL lt 20 2010 08 20 2015 01 29 1278 80 N A GOAL lt 150 90 E 2014 12 30 NONREACTIVE N A NOT COMPLETED NOT COMPLETED ANTICOAGULANT THERAPY LONG TERM INR PPP 2015 01 30 3 6 N A From anywhere in the Patient Chart Module Hold the Ctrl key and type H the Health Maintenance Review for the open patient chart will pop up The Health Maintenance Review can also be accessed from most folders by going to Utilities and selecting Health Maintenance Review from the drop down _ MOIS PRACTICE Record Modules Views Action Patient Chart 84 Patient Summary Demographic Encounters Measures Imaging Sy Consults Print Maintenance Help Lock MOIS Switch User Paste Patient Text Health Maintenance Review Flow Sheet Review Ctrl H APPENDIX Hot Keys Hot Keys are shortcut keys either to navigate to areas of the chart or to quickly complete a task The full list is given below Please note that some hot keys might change depending on what module is active The most up to date copies will state August 2014 on the bottom left 23Mar2015 version2 x northern health Page 18 of 23 the northern way of caring MOIS ICCIS HOW TO Physician Locum
13. MOIS ICCIS HOW TO Physician Locum Start Up Guide Document Quick Links WHAT IS MOIS ccccccccececccceeeceeeeeeeeeeeeeceeeeeeeeeeeeeeenenenensneneenecenenenensnenenenenenenenenenensnss 1 ACCESSING MOIS FROM YOUR DESKTOP cccccscececececececececccecucecucucuceeueueueeeuees 2 SIGNING IN THE FIRST TIME ccecececcecececcaceccccacececucecececececeaceneauaceneaeaceneceaceneaeaueneatsnenss 2 FORGOT YOUR PASSWORD c ccceccccecccceccaceccacececcenceneaceneacenecueaeeneacenecuecesueaeeneaueneaneceeneas 3 SET DEFAULT DESKTOP PROVIDER cccccecececcececcccceccccacececeaceceaeaceneaeaceneauacentacauenectsnenss 3 MOIS MODULES enn 4 GENERAL TIPS ccccececccccccecececececcacacacucececeaeeacaceceneaeaeaeuceteneauauatsceteneaeauatsceseneaeanenseenens 4 SCHEDULER MODULE ccccecececececececececececececeneneneneneneuenenenenenenenenenenenenenenenenenenenenenenenens 5 View Your Schedule 1 2 0 cccccccecececcccccccccccececsnececeatecensusueaeaetensnsuecetceauensusseneenensnenss 5 Document an Encounter Progress Notes CtC ccccccssccseeccseecseessuseceesauesseseseesaes 6 Create a Service Request Referral cccccccccseccnseeccseeccsnsccsscesscssescesusessnsessnsesseeees 7 Create a Service Request Order Lab Requisition cccccccscccseecseeecsecssnessnseeeessneees 9 WORKSPACE MODULE cececcecccceccececccceccacecuccaceneaceneaueceeneatentatecesneaeeneauecesueatsneanensass 11 Vow YoUr VV OG CC os
14. OCTOR oo000 00001 Y COACH 1 00001 Y DA HOWSER Y DUNLOP KRISTA Y EMERGENCY 00001 T FSJ UPC 00005 Y HARVEY THOMMASEN 00005 00005 Y LAKES DISTRICT CLINIC Y MCCOY LEONARD NCC1701 NCC1701 Ti MOIS TEST DA 00006 00001 Y PEREIRA KATHY T PRIMARY CARE TEAM 1 PG Y TEAM MOIS TEST DA m TEST RESIDENTS Y WALKIN 00004 00001 T WORTHINGTON ROBBIN Y BELLE DR 00005 00001 N SHABAKA TAWFIK N 2014 11 05 System User Name e The Desktop Provider can be changed at any time by left clicking in the Desktop Provider field in the top right of the screen a window will pop up and you can select a new provider name from that list CJ MOIS PRACTICE Record Modules Views Action Utilities Print Maintenance Help a Desktop Proder BILL DR m 23Mar2015 version2 X northern health Page 3 of 23 the northern way of caring MOIS ICCIS HOW TO Physician Locum Start Up Guide MOIS MODULES MOIS contains the following modules to enable increased patient care and manage work flow Patient Chart Workspace Scheduler Billing Administration Data Exchange Reports Modules are shown on the bottom left of the MOIS screen Note Some modules may not show on your MOIS account Access to each module is role dependent I MOIS PRACTICE lolol amp Record Modules Views Action Utilities Print Maintenance Help Desktop Provider BILL DR Patient Chart Patient Summary E Patient Summary Delete Chat T
15. R Medication Administration Record Information regarding this folder will be added when it is available Health Maintenance Review Cirl H The Health Maintenance Review commonly referred to as the Ctrl H is patient age sex and condition specific summary as of the details in their chart at that moment Common measures and interventions are shown along with their most recent date value the normal range if applicable and the patient specific goals for each measure if applicable and added to their Care Plan 23Mar2015 version2 x northern health Page 17 of 23 the northern way of caring The Ctrl H looks like this MOIS ICCIS HOW TO Physician Locum Start Up Guide wJ Health Maintenance Review As Of 2015 02 05 z Patient EARL BROWN Dob 1960 08 11 Insurance BC 123456789 Alias SMITH Gender M Chart 203 Flow Sheet Age 54 SEX MALE GENERAL AND AGE SEX SPECIFIC SCREENING SCREENING CHOLESTEROL Not Found SCREENING CHOL HDL RATIO Not Found SCREENING FASTING GLUCOSE Not Found OCCULT BLD STL IMM MCNC COLONOSCOPY Was Done 2014 05 06 PHYSICAL ACTIVITY MINUTES PER WEEK ALCOHOLIC DRINKS PER DRINKING DAY CIGARETTES SMOKED CURRENT PACK DAY WAIST CIRCUMFERENCE BODY MASS INDEX VACCINATION TETANUS DIPHTHERIA BLOOD PRESSURE SYSTOLIC DIASTOLIC EX SMOKER For 3 Year s HIV 1 0 2 AB SERPL QL INCENTIVE CLAIM HISTORY 14050 250 INCENTIVE FOR FULL SERVIC 14033 R250 ANNUAL COMPLEX CARE MANA 2014 0
16. W TO Physician Locum Start Up Guide CD Referral Report Patient Chart 243 Name L F M ZEHR ZACKARY wW Insurance BC 7886554213 OO DOB 1962 03 15 Sex M CONSULTATION 2014 11 24 Code 71516 OSTEOARTHROSIS KNEE Dr Hendrik Andre Dreyer 205 2155 10 Ave gt Aae EE tia P aa Encounter 0 Document 0 Messages 0 Tasks 0 Other Procedure 0 Measure 2 Intervention 0 Image 0 Consult 0 Admission 0 Measure List Include Detail Date Code Description Value Abnormal LOINC Code Att 7 2014 11 24 1948 HEIGHT 190 3137 7 E CE RCE OTA E EAE Ee IE a 2014 11 24 39957 ALCOHOL DRINKS PER WEEK 2014 11 24 34494 CIGARETTES SMOKED CURRENT PACK DAY 5 8663 7 2014 11 24 39959 PHYSICAL ACTIVITY MINUTES PER WEEK 30 2014 11 24 34683 OXYGEN SATURATION 94 8841 9 2014 11 24 34738 HEART RATE 85 8893 0 2014 11 24 1950 BLOOD PRESSURE SYSTOLIC DIASTOLIC 145 85 2014 11 24 951 BODY MASS INDEX 5 yt Lie F 2014 11 24 35158 RESPIRATORY RATE 24 9279 1 Print Report Only Print Cancel e To create the report select Print e The service request is sent this is usually via printing and faxing the final copy e The service request remains part of the patient chart it can be accessed via the Orders folder Create a Service Request Order Lab Requisition e Click on the Scheduler Module e Double click on a patient name in today
17. ace fe Workspace Summary B G My Basket p amp Measures foe eS Consults el Procedures eS Documents iy Facility Admissions be f Progress Note hef Orders r Task List Action Utilities Print Maintenance Help Acknowledge Me sures Show Acknowledgements Qe Created Patient FOR ACKNOWLEDGEMENT 15 01 29 ANDREWS ANNE 15 01 29 BELFRY BATSON D 15 01 29 BROWN EARL 15 01 29 BROWN EARL i h A bet T HA Desktop Provider BILLLDA Current Workspace KEIL JOY save Reres changew s den Chat Create Task Creste Message Reassionltems Pint Close window Mie Records All Records Not Checked Checked Checked Since Age Collected Test Name Value Units Flag Status Check IR M 64 15 01 29 BLOOD PRESSURE SYSTOLIC DIAST 118 76 mm Hg Fj 74 15 01 26 ECG normal v 54 54 15 01 29 WEIGHT 79 15 01 293 BLOOD PRESSURE SYSTOLIC DIAST 128 80 e Tochange workspaces select Change W S e A prompt listing the available workspaces pops up click on the correct name and choose Selected User to switch to their workspace Workspaces must be shared in order to show on this list e Results can now be acknowledged from their workspace your username is associated with the acknowledgement even if results are checked in another user s workspace 23Mar2015 version2 X northern health the northern way of caring 7 7 1775 ce ee A E a a
18. ar medications and natural health products that are expected to be taken over a mid to long term In some cases it should be used even for what some would consider a short term medication e g a prescription for antibiotics to be taken with a COPD exacerbation plan About Long Term Medications e They will print on the clinical summary and referrals e The list has the Reviewed functionality i e users check Review this updates the date beside the folder name indicating when the most recent medication review occurred e Both current and discontinued items are listed o End dates should be added for items that are no longer required items should not be deleted e When entering Long Term Medications for the first time they must be renewed first before printing About Prescriptions e Record any short term one time trial sample medications and natural health products prescribed Includes documentation of every product ordered Items prescribed as a short term or trial will be recorded here ltems renewed from long term meds will also be recorded here Medications recorded in this folder can be duplicated but not renewed note duplicated is copied exactly to a new line with the current date ltems in Prescriptions will not be sent with referral letters nor listed on the clinical summary e Items in the Prescription folder can easily be added to the Long Term Medication list From the Patient Chart Module navigate to the correc
19. attachment Double click to view it Scheduler View patients booked for the day Enter a Progress Note Double click the patient s name to open the Encounter Window amp type a progress note Create a Service Request Consult Referral Lab or X ray Requisition Open the Encounter Window select Action from the Toolbar select Create Order for amp O b k S V View a patient s previous encounters Open the Encounter Window select Chart Views from the Toolbar select Encounters or other chart area Create a Prescription Open the Encounter Window select Chart Views from the Toolbar select Prescriptions or Long Term Meds Find a Patient In Demographics choose the ellipses beside Chart No or click in the name Space and press F4 always search using PHN Date of Birth Name Do not add a new patient MOIS without first searching by each of these fields Or Select Go To Chart on the bottom left corner from any screen Patient Chart Navigate the Patient Chart Select the appropriate folder name in the menu on the left of the screen Workspace View and acknowledge patient results labs consults etc manage tasks and messages Note The user s Current Workspace is shown on the right above the toolbar Change Workspaces Select the Measures folder under My Basket select Change W S from the Toolbar clic
20. ea Of Demographic Chart No Current Status Date ih Encounters Measures Name F M L Insurance e Number Dep 00 p Imaging Birth Date Gender e Service Provider Expand All Collapse All Inthelast 60 days Required in the next 90 days B Interventions Date Description Detail Hyperlink pe Family History Allergy Intolerances Reaction Risks bef Events E Long Term Meds ah Prescriptions E Social History Documents 5 Health Issues Conditions Risks for Conditions in fy Needs for Care r Care Plan f Preferences B Goals f Planned Actions MODULES Ready Go To Chart Task Item Msg Item User JOKEIL Site ID prac v02 16 23 b140905 General Tips O The ellipses indicates there is a list associated with the field Click the three dot symbol or click in the space beside and use F4 to prompt the selection list F2 Save Ctrl T Enters today s date Calendar Left click on the date field and use F4 to prompt a month view calendar Ctrl H Prompts a patient specific Health Maintenance Review See the appendix for a complete list of Hot Keys 23Mar2015 version2 x northern health Page 4 of 23 the northern way of caring MOIS ICCIS HOW TO Physician Locum Start Up Guide Scheduler Module The Scheduler Module allows you to e View your schedule for current past and future appointments e Manage patient appointmen
21. k on a patient name in today s schedule to open their Encounter Window e Select Action from the toolbar a drop down will appear 23Mar2015 version2 X northern health Page 7 of 23 the northern way of caring MOIS ICCIS HOW TO Physician Locum Start Up Guide C MOIS PRACTICE Record Modules Views Patient Chart 84 Patient Summary E Demographic Encounters Measures Imaging Interventions Family History B f Allergy Intolerances Reaction Risks A m Action Utilities Print Maintenance Help Desktop Provider BILL DR Encounter ZACKARY ZEHR 52 YR OLDM Chart 243 s ZACKARY ZEHR 52 YEAR OLD M chart no 243 encounter no 10001323 Save Chart Views Action Print Selected Text Utilities Close FIRST ZACKARY Create Order for a Consultation Ctrl R Create Order for Lab Requisition 2014 1 Create Order for Image Requisition Provider BILL D Ser Loc Create Order for Procedure Requisition Visit Code A Create Order for Misc Requisition Print Label Ctrl L Visit Reason KNEE f o DoB 1962 03 15 Cel 000 555 3434 ises Fees e Select the type of service request from the list e g Create Order for a Consultation e An Order Detail window will pop up fill in the information as appropriate r CJ MOIS PRACTICE Record Modules Views Patient Chart 84 Patient Summary eS Demographic
22. k on the correct name from the pop up and choose Selected User to view their workspace Workspace My Workspace Go back to your own workspace by selecting Change W S from the Toolbar then choosing My Workspace 23Mar2015 version2 X northern health Page 23 of 23 the northern way of caring
23. link e Online the site on OurNH is currently being updated NH specific documentation will be found here e Information regarding this website will be added when it is available e For technical issues contact ITS Service Desk e by email servicedesk northernhealth ca e by phone 1 888 558 4357 PRINT amp POST PROVIDER START UP QUICK REFERENCE The following reference sheet is a quick reminder for the main items mentioned in this manual Print amp Post as needed 23Mar2015 version2 x northern health Page 22 of 23 the northern way of caring MOIS ICCIS HOW TO Physician Locum Start Up Guide PROVIDER START UP QUICK REFERENCE For Physician new or locum Nurse Practitioner Resident Medical Student Northern Health MOIS Username jsmith Username jsmith Password XXXXXXXX Password aaaaaaaa Note Usernames should match your password for MOIS does not correspond to your NH password i e updating your NH password does not change your MOIS password and vice versa The ellipses indicates there is a list associated with the field Click the three dot symbol or click in the space beside and use F4 to prompt the selection list F2 Save Ctrl T Enters today s date Calendar Left click on the date field and use F4 to prompt a month view calendar Ctrl H Prompts a patient specific Health Maintenance Review Accounts General Tips A number below the paperclip indicates there is an
24. n WHAT IS MOIS e The Medical Office Information System or more simply MOIS is an Electronic Medical Record EMR designed for managing data and used as a tool to provide quality patient care e Key functionality of MOIS includes documentation of patient medical records scheduling billing evidence based patient review auditing clinical calculators and other reporting e Northern Health carefully selected MOIS as the standard EMR to be used in their clinics e Each clinic has their own instance of MOIS i e the patient list and information in the Masset instance differs from the patient list and information in the Valemount instance 23Mar2015 version2 X northern health Page 1 of 23 the northern way of caring MOIS ICCIS HOW TO Physician Locum Start Up Guide ACCESSING MOIS FROM YOUR DESKTOP i e Locate the Citrix icon on your desktop taskbar Note You may need to expand what icons are shown on your taskbar e Select MOIS from your Citrix program list 1 20 PM Be evapo Signing in the First Time e A logon screen will appear CD MOIS Logon Eg CREATED BY M O S Appiled AIHS 2 16 23 Spring 2014 Suite 200 1110 6th Avenue Prince George Build 140905 British Columbia V2L 3M6 cA ee OFFICE 250 564 2644 FAX 250 564 2655 arms reserved UserName jokeil Password Change Password e Your User Name will auto populate with your Windows user name i e N
25. ng for from the dropdown list by Alias Document an Encounter Progress Notes etc e Double click on a patient name in today s schedule to open their Encounter Window e The Encounter Window looks like this 23Mar2015 version2 X northern health Page 6 of 23 the northern way of caring MOIS ICCIS HOW TO Physician Locum Start Up Guide i MOIS PRACTICE R 43 THELMA KEANE 42 YEAR OLD F chart no 6l encounter no 10001357 loal a BA Save Chart Views Action PrintSelected Text Utilities Close FIRST THELMA MIDDLE LAST KEANE Dob 1972 10 12 F 1 PHN 9930861738 00 Home 250 563 7645 Work Cell Date 2 2014 1204 10 00 Slots 6 Times Diagnoses Fees Service General Note Provide SILL DR Arrived 05 55 Ser Lac ma In Roorm 09 69 Visit Code F Seer 10 02 Visit Reason pap Discharge Appt Status S na 3 Progress Note s Measurements If i A Te a j Encounter Forms l Note 1 of Author MOIS TEST DR ama E Complete Created By lt iofi B FREE TEXT HERE or Click in this blank space and hit F4 to see Progress Note Templates 1 The patient s demographic information is shown on the top of the Encounter Window always check to ensure you are working in the correct patient s chart 2 Date and time of the patient s booked visit 3 Navigation
26. orthern Health user name e Enter your temporary Password you will be prompted to change your password at this time CJ Change Password Change Password Current User JOKEIL Curent Password E Mew Password o Confim Password OOOO User To Choose New Password On Next Login 23Mar2015 version2 x northern health Page 2 of 23 the northern way of caring MOIS ICCIS HOW TO Physician Locum Start Up Guide e Your New Password must fit the following criteria e Minimum 8 characters e Contain at least one capital letter e Contain at least one number e Select Change Forgot_Your Password e Contact your site manager site administrator they can re set your account and give you a new temporary password e You will be prompted to change your password the next time you sign in Set Default Desktop Provider e The Desktop Provider name fills into requisition forms and other areas of the program it is important to ensure the correct Desktop Provider is displayed when you are logged in e f prompted on your initial sign in select your name from the list of providers and choose Save as My Default e Note Medical students should select the provider they are working with gt Please Select a Desktop Provider Registered Provider List TESTER WORKSPACE Name Practition No PayeeNo PaymentType Active Service End ALICE DR 00003 00001 Y gt BILL DRA CNC D
27. osted in the clinic you are working in for easy reference These guidelines include the most up to date placement for CDX documents as well as CIX and Excelleris results that are downloaded directly into the patient chart These interfaces rely on accurate patient data to ensure information is matched to the correct patient chart The most up to date copies will state Version2 on the bottom left 23Mar2015 version2 X northern health Page 20 of 23 the northern way of caring MOIS ICCIS HOW TO Physician Locum Start Up Guide Needs for Core Needs that can be addressed by care E g Sochoeconomic deprivation A Downloaded through CIX Excelleris CDX Clinical Document Exchange Page 21 of 23 Y NE northern health the northern way of caring 23Mar2015 version2 MOIS ICCIS HOW TO Physician Locum Start Up Guide Where to go for Help e From any Module in MOIS select Help from the toolbar Find the User Manual here O i sey ueneeresgeeeneeeene tojtak Record Modules Views Action Utilities Print Maintenande Desktop Provider BILL DR Patient Chart Patient Summary User Manual ve Patient Summary a Delete Chart Stet be te Search Tear Off oe a Chart No ol ant Status Date i heasres Name F M L nsurance Number Dep 00 Imaging Birth Date 2 Provider am l Expand All Collapse All 60 days Required in the next 90 days rocedures a i Interventions Date Description Detail Hyper
28. platelet aggregation In one study defective platelet aggregation occurred with predictability in patients receiving penicillin G 24 million units day ampicillin 300 mg kg day and methicillin 300 mg kg day Other penicillins such as natcillin piperacillin and ticarcillin have also been found to affect platelet function and benzylpenicillin and carbenicillin have been reported to increase bleeding times and cause bleeding in the absence of an anticoagulant There have been case reports describing increases in prothrombin time and INA as well as spontaneous bruising and bleeding in anticoagulated patients following initiation or completion of penicillin therapy Although most cases have involved large intravenous doses of some penicillins e g carbenicillin penicillin G ticarcillin the interaction has also been reported with regular oral doses of amoxicillin and amoxicillin clayulanate In fact a case control study found amoxicillin clavulanate to be one of only two medications to significantly increase the risk of overanticoagulation in previously stable outpatients treated with phenprocoumon or acenocoumarol In that study 300 outpatients at a Netherlands anticoagulant clinic who presented with an INA value greater than or equal to 6 0 median value 6 8 were compared with 302 randomly selected matched controls with INA values within the target range median value 3 2 and changes in the use of 87 potentially interacting drugs or drug classes in the
29. r number MOIS Viewer ojo js File Edit View Document Comments Tools Window bd SOO TB Azoomm 1 31 O 9 OL BG STANDARD OUT PATIENT LABORATORY REQUISITION Wrinch Memorial Hospital 2510 Highway 62 Hazelton B C VOJ 1Y0 Phone 250 842 4607 Fax 250 842 4629 Hour Monday Friday 9 00AM 4 00PM LAB USE ONLY BILLABLE TO NAME OF PHYSICIAN amp MSP PRACTITIONER NUMBER mse WorkSafepc Patent Other S Ose foooo2 SURNAME OF PATIENT FIRST NAME 1 LOCUM FOR PHYSICIAN amp MSF PRACTIONER NUMBER ADDRESS CITY TOWN SP NUMBER TELEPHONE INCLUDE AREA CODE fewer Cw Ch paonon Cres Cv rasor reef DATE OF COLLECTION TIME OF COLLECTION NOTE PROVINCIAL GUIDELINES PROTOCOLS SHOULD BE CONSULTED FOR TESTS IN ITALICS www BCGuidelines ca HEMATOLOGY URINALYSIS URINE CULTURE HEPATITIS SEROLOGY Macroscopic gt microscopic if dipstick positive CD Acute viral hepatitis undefined etiology Macroscopic urine culture if pyuria or nitrate present Hepatitis A Hep A Ab IgM Hematology profile PT INR On Warfarin e Type directly onto this form boxes can be selected using a left click e Important o LOCUMS In order for results to be distributed electronically to the correct EMR be sure to enter the name of the provider you are covering for in the Locum For section o Additional provider names and in some cases the clinic name can be added in the Copy Result
30. s To section e Print amp Save the form 23Mar2015 version2 X northern health Page 10 of 23 the northern way of caring MOIS ICCIS HOW TO Physician Locum Start Up Guide Workspace Module The Workspace Module allows you to e View and acknowledge patient results that are downloaded through CIX CDX or manually entered Manage your task list Manage your messages Share your workspace and access the workspace of the provider s you are covering Manage your favourite medications list user specific View Your Workspace Click on the Workspace Module e Click on My Basket to see a summary of items that need to be Acknowledged or Reviewed e Note the name associated with the Current Workspace is displayed on the top right _ MOIS PRACTICE Record Modules Views Action Utilities Print Maintenance Help In Basket List Basket Summary KEIL JOY Desktop Providg Current Workspace KEIL JOY Workspace To To ltem Acknowledge Review Measures y Imaging 1 Consults 1 1 Documents 3 Procedures 2 12 12 jee E My Task List bef Sent Tasks E a Message Board bee ga Sent ltems Share My Workspace Favourites fee Medications e Select any of the folders under My Basket to view the items in the current workspace e Details associated with the highlighted results are shown at the bottom of the screen CD MOIS PRACTICE o amp Il ss Record Modules Views Worksp
31. t patient chart as above Or from the Encounter Note window select Chart View from the toolbar Select the Long Term Meds folder Complete the desired action using the Action drop down or the action buttons under the folder name 23Mar2015 version2 X northern health Page 14 of 23 the northern way of caring MOIS ICCIS HOW TO Physician Locum Start Up Guide CI MOIS PRACTICE Record Modules Views C Action Y tits Print Maintenance Help Desktop Provider BILL DR Patient Chart Long Term Medication 2015 02 10 EARL BROWN 54 YR OLD M ener 203 S Patent Summa Delete Record Save Undo Retesh f Dupicate Renew tachment Pim Review _ fee Demographic Lo e jes gt B f Encounters FIRST EARL MIDDLE LAST BROWN DoB 1960 08 11 Active ENC NO ENCOUNTER ems pe Measures S e Start End EDIE Medication Dose Frequency Indic M o Pisce ins 02123274 COVERSYL 2MG TAB Le E Interventions gt ameo 021282 METFORMIN HYDROCHLORIDE SIOMG TABLET TCAPORALOALY fen 6 Family History 2010 01 01 02344041 WARFARIN SODIUM 25MG TABLET T aa 2 a a Allergy Intolerances bo ie oe Reaction Risks e Select the Prescriptions folder e Complete the desired action using the Action drop down or the action buttons under the folder name Note the choices in Prescriptions are slightly different than in Long Term Meds CI MOIS PRACTICE Record Modules Views tilt Desktop Provider BILL
32. t the schedule for the current date e lt lt moves back 1 week at a time from the date shown e lt moved back 1 day at a time from the date shown e gt moves ahead 1 day ata time from the date shown e gt gt moves ahead 1 week at a time from the date shown 3 Each column in the daybook has a meaning e HR MN Hour Minute Code Visit Code e g R usually means it is a Regular visit Mode How the visit is carried out e g Direct Encounter with the Patient Length of the visit in blocks 1 5 min 2 10 min etc Chart Chart number of the booked patient First Name Last Name Legal name of the booked patient Visit Reason Why the patient is booked Diag 1 Diagnostic Code associated with the visit Fee 1 Fee Code associated with the visit AS Arrival Status of the patient See dropdown on above screen shot E g A Arrived DS Document Status I for Incomplete Progress Note C for Completed Saved TM Number of templates used in the visit RP Number of reports made from the visit e g WCB TK Number of tasks attached to the visit MG Number of messages attached to the visit BS Billing Status I for Incomplete B for Billed Resource Resources needed for the visit Site specific Room Room number for the visit M A down arrow will populate if a General Note is added in the Encounter Detail window U Number of attachments associated with the visit 4 Locums choose the name of the provider they are coveri
33. teo e E EEE E EENAA EEIE EO EE EEIEIEE 11 MUET WO DO eea DNA OS E E 12 PATIENT CHART MODULE cccececcccececccccceccccaceccaeaceceaeaceneeaceneeacentacseeneanstentansneneasens 13 FRANG AF AUEN rroia NN E NN E E ENNEN 13 Long Term Meds amp Prescriptions cccccccsccccsusccsusecsusecsusessusessusessusessusessusessusesansesas 14 MAR Medication Administration Record ccsccccssccseecsusecseecauessusesaeessuessuseseesaneees 17 Health Maintenance Revaw Ctrl H ccccccccecccseeccsescssnscessccsseesesessscesnsesseeseeeees 17 FP PE INU sce dese cece cesecesecucecuseducecussducususecusesusscucesesececesesedusesusesusesuseauresuseusesuswausesuswauses 18 HOT KEYS venta wsicancncusenecsonsuambeertnseseantnsesnsiemaceesisucwiecacnsiinsuenesinavenenteaeeuendxankuaeeonseentecseenes 18 CONSISTENT DATA ENTRY cccecececececcccccecececececcaucacacececeauacacsceceneneatacseeteceaeavanscsneneneass 20 WHERE TO GO FOR HE LP ccceccececcececccccccacececcacececcenecuecteneaceneaueceaueaeeneaseneanenesneaneneass 22 PRINT amp POST PROVIDER START UP QUICK REFERENCE csceceeeee 22 The intention of this Start Up Guide is to help you as a physician nurse practitioner resident or medical student get your day started quickly and easily even if this is the first time using the MOIS program Only the essentials are noted here As you become more comfortable with the program you may not need to reference this guide agai
34. thern way of caring MOIS ICCIS HOW TO Physician Locum Start Up Guide i User Account BB Ny bast ummag User Mame JOKEIL Full Name KEIL JOY y basket am Measures User Settings Workspace Management Frompt windows zm Consults Inbox Forwarding Am Procedures Stark Stop Forward to User Acknowledge Mine Note Documents it Facility Admissions m Progress Mote a Task List i My Task List i Sent Tasks A Message Board Start Stop User Account 2014 11 24 PEARS DORI Start Stop Se a rm 2014 11 24 2014 10 21 2014 10 21 Workspaces Shared With KEI Use PEA Pad STE Apple Changes Cancel Patient Chart Module The Patient Chart Module allows you to e Navigate the different folders of the patient s chart e View previous encounters lab results medications diagnoses patient specific care plan consults etc and add to these folders as needed e For examples of what is found in each section of the patient chart see the Consistent Data Entry document in the appendix a Provider Reference version should be posted in the exam rooms in the clinic Finding a Patient e Click on the Patient Chart Module e In either Patient Summary or Demographic folder click on the ellipses by Chart No or click in any Name space and press F4 a master patient list pops up
35. ts e Track patient appointment status Arrived In Room Seen Discharged No Show Cancelled or Rebooked e Quickly navigate to the patient encounter detail window where you enter your progress note View Your Schedule e Click on the Scheduler Module e Find your name and select Open Daybook CD MOIS PRACTICE Lo e jes Record Modules Views Action Utilities Print Maintenance Help Desktop Provider BILL DR Scheduler Provider Work Load e Provider Schedules Work Load Summary for Thursday December 04 2014 H Day Book oj Week View 1 Provider Provider of Appoints Hof Group Visits Total Time mins First Appoint Last Appoint Day View 1 Provider Open Daybook Day View 3 Providers ALICE DA Ar lAa ai BILL DR 10 175 9 00 16 00 Operipey eet esource Schedules e Your daybook looks like this _ MOIS PRACTICE Record Modules Views Action Utilities Print Maintenance Help Day Book Thursday Dec 04 2014 Appointment s 10 d 4 Date 20 Provider BILL DR MSP Loc Service Location Desktop Provider BILL Scheduler Hal Provider Schedules Day Book Week View 1 Provider Day View 1 Provider fy Day View 3 Providers _ fy Day View 8 Providers al Resource Schedules Day Book i Week View 1 Resource m Day View 3 Resources F Show Only Comment iew Type Scheduler Provider Create Call List
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