More exercises Flashcards
True or False: When building a criteria that evaluates a patient’s orders, you MUST use the Medications field on the Medications ﴾Include﴿ form to list all possible medications that can trigger this BPA.
False.
There can be hundreds of medication records for any given generic drug like aspirin or warfarin.
Moreover, builders must manually maintain the list of medication records included in the Medications field over time. If a new form or strength of a medication comes on the market, builders would need to add this new strength or form to the list.
It’s usually more efficient to use medication groupers, generic medications, pharmaceutical class, or pharmaceutical subclass to group large amounts of medications together. These items are maintained by your third‐party medication vendor and will be automatically kept up to date with new medications
Most medication records in Epic represent a unique combination of what? Choose only ONE
answer.
A. Drug and form
B. Drug, dose, and form
C. Drug, strength, and form
D. Drug, strength, form, and package size
c
Generic Medication, Pharmaceutical class, and Pharmaceutical subclass are all options you can use to group multiple medication records together in one criteria record. These are all items within medication records that are maintained and updated by whom?
Choose only ONE answer.
A. Your third‐party medication vendor
B. Your organization’s Willow team
C. Your organization’s Orders team
A
. In general, when should you release criteria records when you’re building a BPA and why? Choose only ONE answer.
A. You should only ever release criteria records when you’re completely finished building them. If you release them before then, they might appear to users.
B. You should release your records as soon as you build them. If they’re not released, you can’t add anything to the forms.
C. You should release records when you first build them because they’re only used to find patients. They won’t cause a BPA to fire until they’re linked to a released base record.
Answer: C. In most cases, it’s fine to release criteria immediately
True or False: Like medications, you can enter a list of diagnosis records directly into a criteria record.
False. If you want a BPA to evaluate a patient’s diagnosis, you must use a diagnosis grouper
Within the Diagnosis ﴾EDG﴿ master file there are two main types of records.
The first type, ___ diagnoses represent individual ICD codes and tend to have lengthy names.
To make these easier to look up, there are also ____ diagnoses. These records are more clinician‐friendly and map back to the first type of record for coding purposes
code
term
A provider adds a term diagnosis to a patient’s Problem List. You’ve built a grouper record that lists ICD codes. The term diagnosis maps back to one of those ICD codes.
Will the grouper record include the term diagnosis? Why or why not?
Yes. When you create a diagnosis grouper using ICD codes, that grouper includes both code and term diagnosis records that map back to the listed codes
When building a diagnosis grouper, you have the option to create a Categories, Concept, General, or ICD Codes grouper. Which type﴾s﴿ is/are preferred for diagnosis groupers?
Concept and ICD Codes groupers are better options than General groupers for diagnosis records.
Since a single ICD code can include hundreds of term diagnoses, it’s not reasonable to list all term diagnoses in a general grouper. Whether you should use a concept or an ICD grouper depends largely on your goal for the BPA. Categories groupers are reserved for building specific Bugsy infection control tools
A “concept,” in terms of diagnosis groupers, most commonly refers to which of the following? Choose only ONE answer.
A. Custom SmartData elements your organization has built and assigned to diagnosis records
B. SNOMED codes which are mapped to diagnoses by your third‐party vendor
C. SNOMED codes you have mapped to diagnosis records manually
D. ICD codes imported from your third‐party vendor
Answer: B. Concept (HLX) records can come from a couple of sources. In building SmartForm records, your organization may build some of their own. However, in terms of diagnosis criteria, Concept groupers are built from SNOMED concepts
Mix and match
BPA appears in discharge navigator
Important
BPA TEXT
Color
Suggested order
Order selected by default
000000000000
A order set, B single order, C importance level, D Triggers, E Frequency, F Unformatted display text
C
F
C
B
E
You’re testing a BPA you built and it is not firing as expected. Which of the following could be the issue? Choose ALL answers that apply.
A. You forgot to release your base record.
B. The logic between your attached criteria is incorrect
C. You’re missing a Trigger.
Answer: A, B, and C.
A. is correct because a BPA will not trigger if the base record is not released.
B. is correct because the linking logic determines what criteria a patient must meet in order for the base to trigger. 1 OR 2 will fire more frequently than 1 AND 2.
C. is correct because without a Trigger, this BPA will not fire ever
System definition defines expanded BPA with importance level: critical and High Importance
the BPA ‘s base record: default view in navigator =Collapsed
A user opens a patient chart, the patient meets the criteria of this BPA, and the BPA is triggered in the IP Admission navigator. True or False: This BPA will appear expanded by default in the IP Admission navigator.
False. In this example, according to System Definitions configuration, BPAs assigned the importance levels of Critical and High Priority will be expanded by default. If you leave Default View in Navigator blank in a BPA base record and assign that base an importance level of Critical or High Priority, that BPA would appear expanded by default in navigators. However, you can override the Expand navigator BPAs with importance levels (System Definitions field) by setting a base record’s Default View in Navigator to Collapsed
