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Problem

Use of Personal Order Sets is undeniably a very powerful tool that can have a significant positive impact on customer (user) satisfaction, streamlining the order entry process and decreasing turn around of order communications. Inevitably medication formulary items change, laboratory tests are modified and all of the services and procedures at every enterprise eventually evolve. This evolution requires that the personal order sets be modified to reflect the changing practices and procedures of the enterprise. In addition to this ongoing maintenance, most facilities have orders that by policy are not permitted in order sets. These orders may include expensive medications, expensive laboratory tests, experimental or research items or items that require the patient to meet stringent criteria before they are eligible for use. Since placing such "restricted" items into order sets encourages their use, policing order sets becomes a very time consuming priority to effectively reflect the enterprise's ordering policies. 

The investment in resources for manually maintaining and policing the order sets required by the Information Systems department may be prohibitive factor in introducing the Personal Order Set feature. The POS Maintenance Tool permits facilities to take advantage of the POS functions at a fraction of the maintenance investment (in terms of analyst time and productivity) historically required to support this feature. 

Solution

The UYS Personal Order Set Maintenance Tool replaces the need for the Information Systems Analysts to manually monitor and update each order set by providing a comprehensive tool that empowers analysts to make changes to all the order sets and orders within the sets with a single request. So, for example, replacing a particular laboratory test within ALL the Personal Order Sets can be accomplished with the Tool in about the same time that traditionally was required of an analyst to replace the order in a single set. In addition, the Tool is an effective POS monitoring mechanism. It can be scheduled to run routinely to search for, report on or even delete orders that by policy are not permitted within order sets. Using the same technology that permits external systems to update patient records using interface transactions, the POS Maintenance Tool provides Information Systems with a powerful tool for maintaining the POS. 

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