Electronic Health Record Downtime Guidelines

Tasks/Activities:

▪ All tasks/activities are reconciled by the caregiver and/or receiving nurse.

Provider Notes:

▪ ED Providers will use dictation or paper forms in place of electronic notes during downtime ▪ Inpatient Providers will use paper progress notes during downtime.

Physical Therapy:

▪ Staff will document in the EHR under daily note indicating that downtime occurred specifying date/time patient seen and include a note saying, “See downtime scanned documentation. ”

Care Coordination:

Recovery of Documentation:

o Care Coordination: CM Assessment, Discharge Planning and Care Manager note must be updated when Cerner Downtime is complete.

Respiratory Therapy:

Recovery of documentation:

▪ All treatments/therapies documented on a downtime form will be scanned into the EHR by the receiving unit • Changes to ventilator settings done during downtime (see Appendix A)

Copies of treatments/therapies may be sent to the RT department by the Respiratory Therapist for departmental use.

Test Results

▪ Verify all results during downtime period populate the EHR.

Admission / Discharge / Transfer Information

▪ Nursing or support personnel are to enter the ADT orders into the EHR to track correct service codes and locations (making sure to back date/time the order) for each ADT order on paper. ▪ Patient Financial Services updates ADT information in MS4 when EHR operational.

4

IT INTEGRATED HEALTH SOLUTIONS EDUCATION MANAGEMENT TEAM | NEED HELP? CALL 602.747.4444 OPTION 3