Here is an alternative way to edit discharged medications directly from the “discharge navigator.”
Please refer to the attached pictures for more information. Here are the steps:
1. Once discharge orders are released (indicated by the red sign) and you need to edit medications 2. Click on “Write Home Health, Hospice, DME, Home IV or Outside Referral orders” 3. Click the small down arrow to expand (see picture) 4. This will take you to the discharge navigator, where you can use the “pencil” icon to edit home or newly prescribed medications.
Features that were delayed on the previous KPHC will now be released on 9/2/2025. There will be downtime between 1am-2:30am that day. Please refer to downtime procedure protocol here.
Notable updates:
Order Again in Chart Review
When selecting an existing lab, procedure, or imaging order in a clinical encounter, click Order Again from the toolbar or right-click menu to create and place a new order with the same details or with details from your preference list. Orders placed in an inpatient context is reorderable only if it is from the same inpatient admission as the current encounter.
Reorder Orders from the Results Review Activity
You can now quickly reorder tests and procedures while reviewing results in the Results Review activity.
Create Custom Views in Results Review
If you often filter Results Review to see only results that are relevant for reviewing a certain diagnosis or plan of care, save that filtered view so you can use it again in the future with just a click. Views can be useful when you want to quickly narrow your view to just the results you care about when you’re reviewing a specific diagnosis, or when you want to exclude certain commonly resulted components to help you focus on detailed trends in other results. In addition to creating and using your own personal views, you can use views shared by your peers
Remove People from a Chart Chat Conversation
Removed participants are notified and can be added back using the normal process or they can return themselves to the conversation later using Rejoin. Note: Either way they will have access to all messages including those that occurred when they were not in the chat.
Go to Discharge Navigator and click on “Reconcile Orders.” Click on the “Click Here” button below “Reconcile and Write Discharge orders”
2. Click on the appropriate Rx fill mode. Default will be San Leandro Pharmacy.
3. Reconcile patient’s medications. Continue any outpatient meds or order any new inpatient medications here.
4. If patient is picking up medication at a different pharmacy, click on “KP SLN DISCHARGE” and search for the appropriate pharmacy in the pop-up window. Otherwise, click on “Sign & Hold Orders”
5. Next click on “Write Discharge Instructions.” Use the dotphrase “.gsaadci”. Fill in all dropdown menus and prompts.
6. Finally click on “Order to Discharge” and write Discharge orders
2. Search for ACAH, highlight the caption “ACAH Insurance” and then click on “Add Column”
3. Patients with a green light have eligible insurance and should be considered for referral; they will still need other screenings to determine eligibility to program. Patients with a red light do not have eligible insurance and are not eligible for the program
1. Write a discharge summary (but use transfer summary template (see picture below); this is still in question per Eric Au’s email but Parv Kaur (HIM liaison) will clarify with medical records. For now, we should write a DC summary note
2. Ensure there is an order for NPO after midnight
3.Sign ambulance form (only done at Fremont)
4. Use “INTERFACILITY CARDIAC TRANSPORT ORDERS” order-set (see attachment 2). This order set includes the LOA order and cardiologist will click on the 4th option “Transport to another facility on a Leave of Absence-Returning” this will hold the bed for 4 hours (see attachment 3). Also click “yes” on medication reconciliation. We should not be writing a separate discharge order.
Nurse supervisor at SCL/SF will contact FRE/SLN supervisor if patient is staying or being discharged from receiving facility so our bed can be released.
Complete H&P, place admit orders, complete transfer summary using .GSAATransfersummary in hospital course of DC summ portion. Place transfer orders
Transferring Provider
Evaluate patient prior to transfer and ensure stable for transfer. Update transfer summary at time of discharge (if patient no transferred until the next day must be updated at time of transfer)
Receiving Provider
Go to Direct Admission Navigator
Choose option under “Patient is in a Hospital floor or ICU Bed”
Select “Restart from Previous Admission”
Review orders and complete admit order
File H&P note and use .GSAAINTERVALHANDP. Reference the name of the admitting physician who completed the full H and P and transferring physician from prior encounter. Copy the prior H and P into your note.
Interval H&P Requirements
Patient must be examined at time of arrival to the receiving facility. Labs/imaging from the last time patient seen must be reviewed and any changes in physical exam or assessment/plan should be documented.
Guidance
• Please do not copy orders for transfers between SLN and FRE
• Please be mindful of duplicate orders if copying orders for other facilities (ensure no repeat imaging-ct head etc order, transfer orders continued)
For medications that need to be sent to non-KP pharmacy and have already been released by RN, see below for how to reorder and change pharmacy. 1) Click on Ancillary Order Encounter
2) Click on reorder button for any medications that need to be ordered
3) Associate diagnosis to medications then choose the appropriate pharmacy. Sign orders.
For any patient that needs transfer for higher level or specific care…please call 855-327-0509 to initiate the process. This service team operates 24/7, and will coordinate all aspects of care to streamline the transfer. This replaces the prior method of PCC/House Supervisor initiated transfers. If you forget the number, it can be found on ClinConnect under “All KP Patient Transfer Center”. Cortext can be subsequently used for follow-up communication or to confirm ETAs, after the initial request via phone.
