ASCEND -- RELEASE NOTES:

 

Version 5.5.20 (09/23/2008) BETA VERSION - View All Updates

You will be installing ALL prior releases that have been posted since your current program version.  Therefore, use the View All Updates link to review ALL of the releases that may affect you.

Items are grouped by Enhancements, then Fixes,  sorted by Functional Area.

Please let us know how you like the new format of the Release Notes.

The Enhancements include the following Functional Areas.  Click on a link to jump to that area.

FUNCTION CSR# DESCRIPTION
Billing 2434 Prior Authorization Notes field added to the columns on the Prior Authorization tab.

Any Notes added to the Prior Authorization screen will be displayed in the list.

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Clinical 2446 New Clinical Documents - Added 'Synagis Tracking' to the list.

Choose Synagis Tracking, and the following Questions can be answered and saved.
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Codes 2258 HCPC Screen - Improved Searching
Search By Code or Description

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Codes 2370 Enabled archiving of individual SIG Codes
There is now an Archive checkbox that you can check (or un-check) on the Sig Code screen.
There is also a Show Archived checkbox that you can check to display the Archived sig codes.

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Facilities 2448 Facility Zip Code has been increased to 10 characters to accommodate Zip+4
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Inventory 1319 Options / Inventory: Change Label "Strength # decimals" to "Strength Precision"
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Inventory 2306 Enable Billing Units and NDC Quantity for Inpatient use.

A new field was added to Inventory: NDC Quantity

The Charges Report was enhanced to report NDC, NDC Quantity and Units.

Note:  The field in Inventory: NDC Quantity is not the same as what prints in the Charges Report NDC Quantity.  The Charges Report NDC Quantity is a calculation based on the Order Quantity.

The value in the Inventory: NDC Quantity field will be used to calculate the NDC Quantity reported on the Charges Not Transmitted and Charges Transmitted reports. 

The Inventory NDC Quantity can be used to adjust the First DataBank package size for items that pharmacy unit doses and/or for multi-dose vials.   It is similar to the AWP

Report NDC Quantity = Order Item Quantity * Doses  / Formulary NDC Quantity * Package Size (If ML, GM)

Note: NDC Quantity does not consider the Inventory fields Billing Multiplier or AWP Divider

Please contact your Hann's On Software Customer Service Representative to discuss this new feature.

Labels-Forms 2407, 2462 New Outpatient Category for printing qty per dose X doses = total dispensed

A new Category called "Outpatient Oral Prescription" will print the dose on the label in a different manner than if the Category were "Outpatient Prescription".

For an Oral Prescription, the description that prints on the label should be the Inventory strength and not the dose strength.

Example:  One Dose = 2 Tablets
Inventory Strength = 325 MG
Dose Strength =2 x 325 MG = 650 MG

If the Order Type = Outpatient Oral Prescription, the label will show:
325 MG
Instructions:  Take 2 tablets....

If the Order Type = Outpatient Prescription, the label will show:
Dose Strength =2 x 325 MG = 650 MG


To add or modify the Order Type Category, go to Utilities / Order Types.  Add a new type, or edit an existing type.  Change the category to Outpatient Oral Prescription.
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Order 2426 Set cursor to beginning of date field if date field is blank.
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If the date field is blank, no matter where you click your mouse, your cursor will be at the beginning of the field.
If the date field is not blank, your cursor will stay at the place you clicked it.
Order 2427 Order Entry - Pull Prior Auth automatically in order when selecting Therapy
On an Order, when you select the Therapy, if the Prior Auth has been linked on the Patient Profile to the Therapy, the system will automatically pull in the Authorization Number to the Order.

Enter a Prior Auth.
Enter a Therapy, and select the Prior Auth:
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On the Order Entry Screen, choose the Therapy, the Prior Auth linked to the Therapy automatically comes in:
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Order 2421 Create option to control when/if to prompt for updating the order description
In Utilities / Options / Order Entry Screen, there is a new "Option description"

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Your choices are:
Prompt to update with item change (DEFAULT)
Always update with item change
Do not update with item change

Prompt to update with item change : If, for example, you change the dose of a 325 MG item from 1 to 2, the system will prompt you, asking if it should change the description from 325 MG to 650 MG.
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If you say Yes, it will change it, if you say No, it will not:

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Always update with item change:  The system will no longer prompt you, it's as if you said "Yes" to the prompt, and will change the description.

Do not update with item change:  The system will no longer prompt you, it's as if you said "No" to the prompt, and will NOT change the description.
Order 2443 Order Entry on a Discharged Patient
If a patient is Discharged, the software will now provide a message if a New Order is attempted.
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If there is more than one admission for the patient, this message appears.
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Say Yes to continue entering the new order.  Say No, if do not.
Order 2314 Enable selecting SIG Codes from a list during Order Entry

When in the Physician's Orders text box, use CTRL-S and a select window appears with the codes and the code's description. Once you select the code, you will be returned to the next position in the text box after the newly inserted code. Translating does not occur until you leave the control.

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Use Ctrl-S to bring up the list.  Scroll through the list, or type the first letter of the Sig Code, to find the code you want to use.  Then, click OK.
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That Sig Code will be entered in the Physician's Order.
Order 1294 Option to save order as common order / copy paste function

Select any order on a patient's profile.  Under the Order menu, or by Right clicking on the order, click "Copy".  You may now Paste this order on the same patient profile, on a different patient profile, or, in a Common Order.

To Paste in a Common Order, go to Utilities / Common Orders.  Select the Common Order Group that you want this order to be a part of.  Click on the Paste button:

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A prompt will appear to name the Common Order
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Click OK, the order will open to allow you to edit it before saving it.  If the pasted order was copied from an patient's order, you may want to edit or remove the Doctor.

You can also Copy a Common Order, and Paste it to a new Common Order.  Select the Order to copy, click Copy.  Then, click Paste.
Order 2377 Common Orders - Allow Dose per Kg to be set and saved

Now, when you edit or create a new common order, you can set the Dose Per Kg.  That Dose Per Kg will carry over to Order Entry screen.

The value is set in the Common Order, when adding a new ingredient, or editing an existing ingredient:
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Order 2379 Order Entry - Enhancements to Patient Weight Management

An order based on Dose Per Kg will automatically fill in the patient weight from the patient profile.

For an Outpatient order, if the order is refilled, and the patient weight has changed, and the change is entered on the order ingredient screen, that new weight is saved to the patient profile.

The patient weight is entered in the TPN section near the bottom of the Order Item Selection screen (after you double-click on the ingredient, or select an ingredient and click Edit).

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Entering a new weight here will update the Patient Profile weight.

Note:  If you change the Dosing Weight on the Order Item Selection screen, and you want the Dose per Kg to remain the same - you need to manually enter the Dose per Kg.  Otherwise, the program will recalculate the Dose per Kg to correspond to the new weight.

Example:  Dose Per Kg = 15 MG, Weight = 6 kg, patient's Dose = 90 MG

If you change the Dosing Weight = 7 kg, click OK, the system will recalculate the Dose Per Kg = 12.837 MG, to keep the Dose the same, at 90 MG.

If your intention is to change the dose, and keep the Dose Per Kg the same, you must click into the Dose Per Kg field and change it to 15 (even if it presently says 15).  That way, the system will recalculate the dose to be 105 MG.



If the "Add a Dose" button is used, and the patient weight is changed there, it will also be saved to the patient profile.

The "Add a Dose" button is found on the Scheduling Tab of the order.
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Changing the Patient Weight in this screen, will also change the weight on the Patient Profile.
Reports 2387 MAR - add text to print at bottom of every page

The bottom of the MAR report has the following look:

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If you require some text to print at the bottom of the form, there is a new option, go to Utilities / Options / MAR tab, at the bottom of the screen, you will see Page Footer Text.  Fill in the text you want to print.  It will print above the line above the word Comments: 

Here is an example.  On the Utilities / Options / Mar tab, I entered the following Page Footer Text:

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Now, the MAR footer looks like this:

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Reports 1125, 2225 MAR - New Options to include or exclude fields
Under Utilities / Options / MAR Tab, you can include or exclude some fields.  Check the box to include, do not check to exclude.  The fields are:
AHFS Therapeutic Class - from the AHFS Class from First Databank
The following fields come from the Order:
Comments
Mix Instructions
Nurse Instructions
Physician Orders


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The AHFS Code now prints on the MAR:

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Reports 2409 MAR reports - New Filter to Print specific Sections

MAR Sections are defined under Utilities / Options / MAR.  Order Types are then assigned to print in specific sections, in Utilities / Order Types.

The new filter for the MAR Report allows you to choose to print one or more sections.  The default is to print all sections.

One application for this feature is to print a Respiratory Therapy MAR separate from the rest of the MAR.  That way, the Respiratory Therapy MAR's page numbering is inclusive, it starts at Page 1 and has a Last Page.

Choose the filter : MAR Section
Choose the Section you want to print.  In this example it is Respiratory Therapy.  Click the Add button.
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You can then Save this version of the MAR Report with a descriptive name and Comments / Notes:

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Reports 1599 Modify the Charges Report to report NDC - NDC Quantity and Units

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Reports 2450 Data Views now exports column headings.
System 2396 Order description needs to be blank on certain common orders.

Common Orders that use the Dose Per Kg field instead of a quantity, need to be able to have a blank order description since the order description defaults with the strength/per fields but those fields are unknown until we have a patient weight.

You can create a Common Order that uses the Dose Per Kg field.  The program will generate an Order Description, that you must manually delete the Order Description from the Common order template.  Click OK to save.
Update 2418 Client install defaults to RelayHealth Production Port.

When a new client is installed, the STransTCP.INI file is now configured with the Production port. 

Note:  In the past, it was configured with a test port which required the facility to switch the port to a production port before transmitting live claims.
     
    FIXES
    The following issues have been fixed:
     
Billing 2285 Secondary Insurance does not pull into claim automatically - or update when chgd.
Billing 2429 Creating Co-Pay claim or Secondary Claim does not update the Insurance ID
Inventory 2391 Inventory.BillingUnits - AWPMultiplier - NDCQuantity = 0.0
Labels-Forms 2283 Forms e.g. Delivery Receipt - Drug Educ..prints more copies than requested
Labels-Forms 2444 Factor Label does not show correct label size
Labels-Forms 2406 Printing of forms prints more than requested
Labels-Forms 2458 Compound Sheet generates a runtime error
Order 2440 Common Order templates should not have Verified By or Status
Order 2453 Order Item Selection screen extremely slow to come up
Order 2303 Rewrite of a DC'd order: Message and DC date preservation
Order 2399 Error message when trying to change billed status on particular order.
Order 2400 OrderChanges: OrdersScheduleTimesRef stored as OrderRef
Order 2425 Order Entry - Outpatients - Enable different vial size order entry calculations
Order 2385 Rewrite from Menu of an Active order does not DC Order
Patient 2398 Utilities - Referral - Notes entered appear on all referrals - but do not save
Reports 2302 Reports - Inventory Adjustments and Transfers is not printing lot number
Reports 2454 Duplicate entries of report show in <ALL REPORTS>