CRIS for Physicians

This web page is for Prescribers at the NIH Clinical Center who have questions or seek information about the most effective ways to use CRIS.

Spotlight: Copy and Paste in CRIS/SCM

On February 3, 2009, the Medical Executive Committee (MEC) passed policy MAS M09-1, Utilization of Copy Functionality for Documentation within CRIS:

• Providers are responsible for adhering to the policy which can be found at http://internal.cc.nih.gov/policies/PDF/M09-1.pdf .
• DCRI cannot guarantee copy and paste functionality will work smoothly within CRIS. It is highly dependent upon the operating system/workstation or Citrix client in use.
• To copy information a user can right click and select either copy from the short cut menu or “Ctrl” “C” on the keyboard
• To paste information a user can right click and select paste from the shortcut menu. If this does not work use “Ctrl” “V” on the keyboard.
• A user can copy information from a structured note (SN) in SCM and paste it into the following:
  1. A free text note in SCM
  2. A Word document
  3. A specific observations in SCM; however there is limited by the number of characters available for that field.
• For Excel spreadsheet:  if you copy from SCM to an excel spreadsheet on the desktop some of the content is lost/ missing data due to formatting issues.

Reminder, per policy:

• Providers are responsible for the complete content of their documentation, whether the content is original, copied, pasted, imported, or reused.
• If any information is imported or reused from a prior note, the provider is responsible for its accuracy and medical necessity.
• If the provider uses information from a prior note, he/she must reference the date of the original note.

Spotlight: Mandatory  Progress Notes in CRIS

The Medical Executive Committee voted recently to require that all progress note documentation be completed in CRIS effective March 1st, 2009 (rather than handwritten or typed outside of CRIS).

CRIS currently provides several different progress note templates in both free text and structured note formats which may be utilized to document in patients’ medical records.

If you have any questions regarding CRIS progress note documentation or have a need for a new/modified template specific to your program, please contact Tricia Coffey in the Medical Record Department via email (tcoffey@cc.nih.gov) or on 301-594-7410. Ms. Coffey can assist with coordinating training for you/your colleagues if necessary.

Spotlight: Tamper-Resistant Prescriptions at NIH
 
BEGINNING OCTOBER 1, 2008

To comply with the new CMS law, all take-home prescriptions written as ‘Not Required for Study’ or using the ‘Take Home Prescription Blank’, under the Take Home session type, will print on tamper-resistant paper in the Outpatient Pharmacy.  Order form details .

You will no longer need to print/reprint the prescription to the location at which the patient is located; the prescription will print directly in the Pharmacy.

SIGNATURE & SIGNATURE FORM

Your electronically scanned signature will print on the paper prescription if it is on file.  If your signature is not on file, you will have to come to the Pharmacy to sign the prescription.

Your Credentialing Coordinator will contact you to have your signature put on file. Additionally, if needed, access a copy of the signature form .  Follow the instructions to complete and submit the form. 

CONTROLLED SUBSTANCES

NEW - All controlled substances will be filled by the Outpatient Pharmacy and therefore the patient will not receive a paper prescription.

WHAT WILL NOT CHANGE - Prescriptions for Schedule II Controlled Substances will continue to require a signed requisition form before the medication is dispensed to the patient.

ORDERS PLACED ‘ON BEHALF OF’ A PRESCRIBER

Take Home medication orders, ‘Not Required for Study’ or ‘Take Home Prescription Blank’ orders (not filled by the NIH Pharmacy) entered ‘On Behalf of’ a prescriber will no longer be permitted.

WHY CHANGE TO TAMPER-RESISTANT PRESCRIPTIONS?

This change for Outpatient Pharmacy prescriptions is being implemented as an outcome of the Centers for Medicare and Medicaid Services (CMS) law to fight Medicaid fraud and abuse which will be fully enforced starting October 1, 2008.  All written prescriptions for outpatient medications prescribed for a Medicaid beneficiary must be written on tamper-resistant paper. We have extended the use of this form for all take home prescriptions filled off campus.

For QUESTIONS, feel free to contact one of the following:

DCRI / CRIS Support: 301-496-8400

            Office of Credentialing Services / Joe Hendery: 
             301-496-5937: Pharmacy: 301-496-6552


Spotlight: Prescriber On-Line Training

Prescriber CRIS training is available online.  Advantages of this new format include:

• 24 hour access to course material
• Remote access (outside of DCRI Classroom and/or NIH campus )
• Optional completion prior to arrival at NIH
• Enhanced online tutorials
• Self-paced

For more information, refer to Spotlight for Physicians or the CIO Newsletter-April 2008 Special Edition  on this website.

CRIS Prescriber Online Training

Spotlight: Signature Manager

Did you know you could sign multiple orders for multiple patients at one time in CRIS?
Learn more.

Spotlight: ATV System (Admission, Travel, and Voucher)   

The traditional "Form 54" used in MIS is being replaced with a new web-based system known as ATV that functions independently of CRIS. The system will help standardize the enrollment of patients in protocols. Key points to know:

• Access is password protected and corresponds to your regular network ID and password
• Protocol status and consents will be confirmed and maintained by Medical Records (i.e., providers can?t add or modify patient protocols directly in CRIS)
• Protocols and status will be viewable in CRIS on the Patient Info tab under ?Health Issues?
• For more info on the ATV system, go to http://cris.cc.nih.gov/news/form54.html

For details on CRIS access, go to http://cris.cc.nih.gov/access.html

CRIS online training tutorials are available at http://cris.cc.nih.gov/cristraining/cbt.html.
To practice using CRIS with fictitious patients, go to   https://cccasper.cc.nih.gov/Citrix/scd/default.htm

• Select CRIS Training
• For Prescribers: Name: prescriber01   Password: aaaaaa
• For other Staff: Name: chart01   Password: aaaaaa