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04/24/20 jh Fix for Planned Discharge Reconciliation behavior for Documented (historical, scroll) home meds
April 24, 2020

From: "Joseph Ho" <joseph.ho@hhsys.org>
To: "Pharmacists" <grp_allpharm@hhsys.org>
Sent: Friday, April 24, 2020 1:35:52 PM
Subject: Fix for Planned Discharge Reconciliation behavior for Documented (historical, scroll) home meds 

Hey everyone,

Previously, from Discharge Reconciliation if you Stop/Discontinued a Documented home medication (non-prescription, scroll) and then clickedPlan, the medication was immediately end stated/discontinued instead of being left in a planned discontinue like it should. As a consequence, providers who subsequently entered the Planned Discharge Reconciliation no longer saw the Documented home medication at all.  This partly defeated the purpose of someone planning a Discharge reconciliation for review by an attending or other provider, and many of our staff (e.g. UABresidents) did not realize this was happening.

We have now fixed this behavior in Production:

Now, on Discharge reconciliation if you Stop/Discontinue a Documented home medication (scroll) and click Plan:

Instead of being immediately discontinued, the documented home medication is placed in a Pending Proposed Discontinue state:

And it isn’t until someone clicks Sign that the documented home medication is actually discontinued and disappears from reconciliation:

The trail of who planned the discontinue of a documented home medication and signed it can be reviewed from Order History via the Medication History Snapshot

The implications of this fix is great for pharmacy, as it opens the ability for pharmacists to more freely plan discharge reconciliation including discharge prescriptions ahead of time on behalf of providers.

Please let me know if you have any questions about Discharge Reconciliation, this fix, or Prescribing in Cerner.  By popular demand, we are working on a Cerner training video inservice to cover Transitions of care for pharmacists.