How To – GSAA

KPHC Fall 2025 Updates

On August 23, 2025

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.

Discharge from ER

By Viet Tran

On August 12, 2024

In How To

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

Activity / Work / Caregiver Letter

By Viet Tran

On August 12, 2024

In How To

In the search bar type in “Work”

2) Next, choose “Activity Rx” under Workspace Activities

3) Choose the appropriate letter type “Work” or “Caregiver”

4) Click on the appropriate diagnosis and fill in the “From” and “To” fields with the amount of days you would like the patient to be off for.

5) Click on “Preview, Print, & Sign” then click Sign Only.

ACAH Insurance Column

By Viet Tran

On July 2, 2024

In Announcements, How To

How to add ACAH Insurance column to your list:

Click on Edit List -> Properties

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

Medications in the Management of Delirium

By Viet Tran

On May 24, 2024

In Education, How To, Protocols

Medication	Usual Dosage	Special Considerations
Haloperidol	0.5 to 1mg q4h PO/IM/ IV prn	Best evidence in treating delirium, can cause akathisia as high potency, Needs telemetry if using IV
Olanzapine	2.5mg QHS or BID and 1.25 mg q6hrs PRN	Can be deliriogenic. Good for sedation
Quetiapine	12.5mg to 25 mg QHS PO plus 12.5mg q6h PRN	Sedating, anticholinergic. Worse for QTc. Best for Parkinson’s. LBD
Risperidone	0.5 mg BID and 0.25mg q8hrs prn	High potency, can cause akathisia
Valproic Acid	250mg BID, can increase to 500mg BID if well tolerated	Check VPA level 5th day (trough), Check LFTs, NH3
Gabapentin	100-300mg TID, scheduled or PRN	Check renal function before starting. Good for anxiety as well
Trazodone	12.5mg BID, titrating up to 25mg BID to TID, standing or PRN for sedation	Use only for sedation. Can be deliriogenic

Cardiology Workflow for Transfers for Inpatient Cath

By Viet Tran

On May 1, 2024

In How To, Protocols

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.

Transfer between SLN / FRE

By Viet Tran

On April 23, 2024

In Announcements, How To, Protocols

Admitting Provider

Patient evaluated and requires hospitalization
If Unstable
- Perform H&P and Admit orders
Is Stable
- 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)

Medication Ordering for Non-KP Pharmacy

By Viet Tran

On February 16, 2024

In How To

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.

Regional Transfer Center

By Viet Tran

On January 4, 2024

In How To, Protocols

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.

E-Prescribe for DC to SNF

By Viet Tran

On October 16, 2023

In How To

Workflow for Sure Scripts

Confirm with PCC the name of the accepting SNF facility.
Open a note and use the smartphrase .SNFPHARMACYFINDERNCAL, then click F2 to select service area, GSAA, then select the accepting SNF facility.
In the discharge navigator, go to ‘Reconcile Orders’, then select the 2nd option, ‘Write Home Health, Hospice, DME, Home IV’ section to place and sign orders (NOT sign and held)
Enter your order for controlled medication as usual, with sig and amount.
Go to right lower part of the screen to change the discharge pharmacy
Select ‘All’ option, enter the name and city for the pharmacy, then confirm and select the correct corresponding pharmacy for accepting SNF facility
Confirm that the pharmacy name has been changed, then click ‘Sign Orders’
To confirm receipt of the prescription by the pharmacy, go to ‘Review’ à ‘Meds’, select the controlled medication. In the preview detail window, it should show ‘Receipt confirmed by pharmacy’
-Workflow for non-controlled medication remains the same for the time being. They are placed, signed/held in the first part, ‘Reconcile and Write Discharge Orders’, of the discharge navigator. Just make sure that the ‘SNF’ option is used for the Rx Fill Mode, in the Discharge Info tab.