Medication Management on Epic
New Medications or Refills:
If a patient calls requesting a refill or you are prescribing a medication previously discussed with the patient/attending and you are not in clinic, you may e-prescribe the medication as instructed by this document: EHHOP Telephone Encounters and Place Orders.
If you recently had a patient encounter with the patient, you can also create an "Addendum." See specific instructions in the Historical Medications section, #1-3, #6-7.
Historical Medications:
Medications that patients receive by PDAP should still be listed in Epic but are classified as a 'historical medication' so they aren't accidentally prescribed. To make a medication historical:
Go to your patient's last EHHOP visit. If the encounter has been signed by someone already, just click "Create Addendum."
Navigate to the "Plan" on the left tab. Find the "Medication Management" section of the Plan. Find the medication you are making into a historical medication and press "Change" (the pencil sign). If this patient has not been prescribed this medication previously, click "+ ADD ORDER" on the bottom left corner of the screen and find the medication. You may need to search in "Database" to find it here. Do NOT click in "+ Patient Reported"!!
For Sig, put the instructions you told the patient (e.g. "22U in the morning and 20U in the evening") and then "Patient receives through PDAP. DO NOT FILL THIS MED. Contact EHHOP Pharmacy Team with any questions"
Keep scrolling down. For "Class" of medication, click "Historical Medication." (Dr. Meah and Dave usually fill out this part, but normally medications are under class "E-Prescribing."). Pend this medication.
Make sure you discontinue the original E-prescribed medication under the Visit Navigator "Medications" tab - can select something like "Alternate therapy" as reason for discontinuation.
Exit out of the encounter, sign the encounter if prompted.
Send a staff message to David Skovran, Dr. Meah, and the head TS to let them know where you've pended this historical medication to be signed.