If an update or change is needed in the patient’s ALC status, document on the ALC Assessment again, this time using the section called ALC Track Change:
The Recall function can be used to pull in the information from the first section. Edit responses as needed to document the updated ALC data.
When Yes is selected for the last query in this section, click Save and Exit which triggers a link to place an order called ALC Update/Track Change.
When Yes is selected for the last query in this section, click Save and Exit which triggers a link to place an order called ALC Update/Track Change.
submit the order
The queries documented in the ALC Track Change section above will automatically populate into this order.
Once the ALC Update/Track Change order is submitted, a green flag will display in the ALC Update/Track column. The ALC Order column will be empty (because the status of this order was changed to complete and will only display in this column when the status is active).
= ALC Update/Track Change order status is ordered
5. If the ALC status needs to be discontinued, document on the ALC Assessment again, this time using the section called ALC Discontinuation:
When Yes is selected for the last query in this section, click Save and Exit which triggers a link to place an order called ALC Discontinuation.
Submit order
-The queries documented in the ALC Discontinuation section will automatically populate into this order.
Note: Once the ALC Discontinuation order is submitted, the patient will fall off the ALC Tracker.
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6. If the patient’s status warrants the physician placing a new order for ALC Designation, a red flag will display on the status board.
= ALC Designation order status is active
Document on the ALC Assessment again, this time using the section called ALC Re-designation:
-When Yes is selected for the last query in this section, the user will click Save and Exit which triggers a link to place an order called Alternate Level of Care.
-Follow the instructions from step 2 to submit the order.
-The queries documented in the ALC Re-designation section above will automatically populate into this order.
-Once the ALC order is submitted, the red flag will change to a green flag. The ALC Re-designation date will populate the Status Board and the ALC Order column will display the date of the new ALC order:
= ALC Designation order status is active
= ALC order status is ordered
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7. As in step 3, go to Orders to change the status of the ALC Designation order to Stop.
On the ALC Tracker, the red flag will disappear since the ALC Designation order from the physician is no longer active.
= ALC order status is ordered
Note in the example above, the new ALC Order date and the previous ALC Discontinuation Date both display on the ALC Tracker.
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ALC Tracker Quick Instructions:
New ALC Designation order:
1. The Provider will place an order for ALC Designation. This will cause a red flag indicator to populate the ALC Desig/Redesig column.
2. From the worklist, select the ALC Assessment to document. Only the ALC Designation section should be completed.
Click Save and Exit which triggers a link to place an order called Alternate Level of Care.
Click Ok. Select Routine on the Order that displays. Click Submit.
3. In Orders, change the status of the ALC Designation order to Stop.
Click on the status “Active”, select Therapeutic Intervention as the Source, and click OK.
Click Stop, enter Stop Reason as “Order Change”, and click OK. This changes the status to “Stop Req”. Remember to click Submit.
This will cause the ALC Assessment status to change to Complete on the worklist.
Update or change ALC status:
4. If an update or change is needed in the patient’s ALC status, document on the ALC Assessment again, this time using the section called ALC Track Change.
The Recall function can be used to document the information from the first section and responses should be adjusted as needed.
Click Save and Exit which triggers a link to place an order called ALC Update/Track Change.
Click Ok. Enter Provider (MRP) and Source (Therapeutic Intervention). Click Submit.
ALC Discontinuation:
5. If the ALC status needs to be discontinued, document on the ALC Assessment again, this time using the section called ALC Discontinuation.
Click Save and Exit which triggers a link to place an order called ALC Discontinuation.
Click Ok. Enter Provider (MRP) and Source (Therapeutic Intervention). Click Submit.
ALC Re-designation:
6. If the patient’s status warrants the physician placing a new order for ALC Designation, a red flag will display on the status board.
Document on the ALC Assessment again, this time using the section called ALC Re-designation.
Click Save and Exit which triggers a link to place an order called Alternate Level of Care.
Click Ok. Enter Provider (MRP) and Source (Therapeutic Intervention). Click Submit.
7. As in step 3, go to Orders to change the status of the ALC Designation order to Stop.