Review roles. By default, roles related to new functionality are disabled (with some exceptions).
In previous versions there were some Configuration areas that did not have specific permissions tied to them so by enabling one area, another area might have gotten enabled unintentionally. All those areas now have an individual permission. If you see a an area in configuration that becomes disabled with the release, simply go into the Role and include that permission.
Add the permissions based on the functions performed by your staff.
New roles available in 4.54:
- Configuration/Document setup/Output Manager – My Output Manager Settings – allows you to control if a user has permissions to modify and save Output Manager settings as their own. By default this permission will be ENABLED since this function has been available to all users in all previous versions. If you would like to limit a user’s ability to “Save as my settings”, you can disable the option from the role.
- Configuration/Document setup/Printers
- Configuration/Document setup/Tools
- Configuration/Organizational Structure
- Modify Defaults
- Modify Preferences
- Configuration/Service and profile contents
- Activate Account Numbers
- Configure Syndromic Surveillance
- Lab Result Printing
- Configuration/Tasks/Failed fax notification recipients
- Document/Global Document search – provides access to the new feature of searching across all service documents
If you need to update/upload signatures for your providers or staff, this process can now be
easily handled by the super-users.
New options are available in Output Manager configurations. If any of the below apply to you, please ensure you update your settings for more streamlined workflow.
- Generate Syndromic Surveillance – can be configured to automatically generate the file from OM
- Generate Immunizations – can be configured to automatically generate the file from OM
without having to manually trigger the generation.
- New area was added for External Documents – you can now configure imported or scanned
documents tied to the service to follow the same actions as other service documents, including signing, printing, sending for review/signature, faxing or including in the export of service documents.
Setup of the Output Manager has also been made easier by options to right click/copy and some UI improvements on the selection of users (easily add/remove multiple users)
Show an indication that there is a recent Update Request, if it was processed within This configuration will provide a visual indication on patient appointments s easier for the staff to know whether the patient has filled out a Portal Update request prior to coming in for the appointment. By default, the timeframe is set to 2 weeks.
Be sure to educate your Check-in staff on the meaning of the portal icons on the appointments so they can route the patients accordingly.
Procedure overview – new placeholders
Two new placeholders are now available for all GI Procedures: Starting instrument and Estimated Blood Loss. If you would like to add them to your procedure overview narratives, you can do so from Configurations/Narratives.
“Additional notes” placeholder is now available for all double procedure narratives. You can add it to those where it was missing previously by going to Configurations/Narratives.
PIF – consent wording
The wording of the “consent to share data” section can now be configured, so if you would like to add more clarity or guidance to this section for the patients to better understand its purpose, you can do so from PIF configuration.
Keep in mind with this release, the selection on this section will impact whether the patient’s data will be included in a Syndromic Surveillance file (if you are participating in Syndromic Surveillance reporting).
If you choose to report to your state’s Public Health registry, gGastro now has the ability to handle most of the variations in communication type and file format and submit a continuous feed of messages (generated for each patient encounter). To set up the Syndromic surveillance interface you will need to obtain details from your Public Health registry. Please review the release notes for details on how to set up the configuration and connectivity options.
EGD/EUS and EUS Upper
These two new service types have been added as standard gGastro services with new types of findings and maps. If you were using a customized EGD/EUS Upper or EUS Upper, you will need to ensure that you switch to the new standard service types. This may imply:
- Updating the Scheduler Activities to map to the new service types
- Updating default service codes for the new service types
Two very important changes to your Portal workflows should be evaluated.
1. Portal update status is now shown on the patient appointments and PIF. This allows your staff to quickly see if the patient has already sent a portal update request that is pending or was
recently updated, and may save significant amount of time.
2. To help you meet your Meaningful Use goals for online access to patient information, it is now
possible to indicate if you provided portal access instructions to a patient on paper. This can
come in very handy for patients who either do not have an email address, or refuse to provide
one. After providing the portal access instructions, you can check the “Instructions provided”
checkbox either on the Check out screen or on the Portal tab in patient demographics. These
patients will now be counted in the numerator for measure 170.314(e)(1).
ICD-10 in Procedures
ICD-10 implementation has been completed for the findings and impressions generated in procedures. There are no special steps to perform as the integration is automated.
A few workflow considerations that you may want to share/educate your staff.
1. ICD-10 codes will now display in procedures/checkout and on all visit and procedure documents.
2. You can now search by ICD-10 codes or by “missing ICD-10 codes” in Advanced Search
Colonoscopy type and Risk assessment now automatically populate in the GIQuIC and Quality Reporting popup based on the documentation of these two fields in Procedure Overview. You can instruct your clinicians that they do not have to make duplicate selections anymore.
Meaningful Use reports drill down
A very powerful tool has been introduced for your Meaningful Use compliance. You can now view the detailed list of patients for each measure, see who did not make it to the numerator, directly access their charts from the report and make the necessary corrections/documentation of the information when applicable.