Click on the steps in the graphic below to view additional information and complete the BPMH in the patient's chart.
Open the patient’s chart.
Click your role below:
Click
Orders from the Menu in the
patient's chart.
The Orders page
displays.
Click
the Document Medication by Hx
button.
The Document Medication by Hx
window opens. Medications that were documented in a previous admission
display here. If this is the patient's first admission, the Document Medication by Hx window
will be blank.
Click the Handoff Tool Workflow tab.
Click the Home Medications component.
Click the Complete History button.
The Document Medication by Hx window opens.
Medications that were documented in a previous admission will display
here. If this is a first admission, this screen will be blank.
Provider (Inpatient)Provider (Inpatient)
Click the Admission Workflow tab.
Click the Home Medications component.
Click the Complete History button
or the Meds History Status button.
The Document Medication by Hx window opens.
Medications that were documented in a previous admission will display
here. If this is a first admission, this screen will be blank.
Provider (Ambulatory)Provider (Ambulatory)
Begin
by selecting Home Medications 
component
from the Provider View menu
in PowerChart.
Click
to navigate
to the Document Medication by Hx screen.
Before adding home medications, review the Reconciliation Status of the medications.
The exclamation mark icon 
indicates that the BPMH (Meds History) has not yet been completed.
A green checkmark icon 
indicates that the BPMH has been completed on this encounter.
An in progress icon 
indicates that someone has begun to complete the BPMH.
When the patient is unable to participate in an interview (for example, due to low level of consciousness), and there is no other person who can be interviewed to verify the medication on the PharmaNet profile, BPMH and Admission MedRec may be postponed and completed retroactively after the patient has already been admitted to an inpatient bed.
To proceed with entering the Admission Medication Orders PowerPlan without completing the BPMH and MedRec at admission, providers can review the patient’s PharmaNet profile, either through Excelleris or the Cerner External Rx History – View functionality, and decide what medications they want to order right away.
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NOTE: The VCH-PHC-PHSA MedRec policy sets a target that BPMH and MedRec at admission are done within 24 hours from time of decision to admit, therefore providing flexibility for cases when it’s not possible to complete the BPMH and MedRec right away as the patient is admitted. |
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WARNING: Please do NOT perform a PARTIAL medication history with “placeholder” information (i.e. the first medication on PharmaNet) if unable to verify the BPMH, as this will falsely indicate that BPMH has been done, which will fail to flag anybody else to complete it, and cause problems for both Admission and Discharge MedRec. |
When the Document Meds by Hx screen is blank, with no medication history from previous encounters:
Select the Unable to Obtain Information check box at the top of the screen to indicate that there are no available sources of medication information. This will leave the BPMH blank and incomplete, as a reminder to complete it as soon as the patient or family can participate in verification.
Next see Step 2 to open the PharmaNet Profile.
Best Possible Medication History Overview
Step One: Open CST Cerner BPMH (Document Medications) Page
Step Two: Import PharmaNet Profile Medications (Pharmacy, Nursing, and Provider)
Step Three: Update CST Cerner Using the PharmaNet Profile (Pharmacy, Nursing, and Provider)
Document No Known Home_Medications in BPMH
Modify Medications on BPMH_List
Remove Medications from the BPMH_List
Document Medications not found on PharmaNet in CST Cerner BPMH
Unable to Verify Medication History
Remove Duplicate Entries from the Best Possible Medication History (BPMH)
PharmaNet Integration Additional Information
PharmaNet FAQ/Troubleshooting Tips
Medication Reconciliation Overview
Ambulatory Medication Reconciliation
Admission Medication Reconciliation
Transfer Medication Reconciliation
Discharge Medication Reconciliation
Medication Reconciliation Icons
Provider
Nurse
Pharmacists
Pharmacy Technicians
Last Updated: January 11, 2021
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