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| # | Location | File | Last Modified |
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| 1 | OneVA_Pharmacy_CAS_MPDU_Build-2_CIF_Package.zip\OneVA_Pharmacy_CAS_MPDU_Build-2_CIF_Package\OneVA_Pharmacy_CAS_MPDU_Build-2_Documentation | CAS_MPDU_Build_2_Requirements_User_Stories.docx | Fri Jan 19 20:31:29 2018 UTC |
| 2 | OneVA_Pharmacy_CAS_MPDU_Build-2_CIF_Package.zip\OneVA_Pharmacy_CAS_MPDU_Build-2_CIF_Package\OneVA_Pharmacy_CAS_MPDU_Build-2_Documentation | CAS_MPDU_Build_2_Requirements_User_Stories.docx | Fri Feb 16 20:30:59 2018 UTC |
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| 1 | Sub-Epic 1 .0 Miscell aneous Ite ms | |
| 2 | 1.0.1.01 | Prevent u se of titr ation/main tenance fu nctionalit y for all controlled substance s in VistA - Approve d | |
| 3 | User Story : | |
| 4 | As a pharm acist, I n eed VistA to prevent the use o f the titr ation/main tenance fu nctionalit y on all c ontrolled substance prescripti ons so tha t it is co nsistent b etween EPC S Rx's and Paper Rx' s. | |
| 5 | Acceptance Criteria: | |
| 6 | When proce ssing a ti tration/ma intenance prescripti on, I want the syste m to block titration /maintenan ce prescri ption if t he drug is a control led substa nce. | |
| 7 | Notes: | |
| 8 | The curren t software looks for the digit al signatu re and sho uld be cha nged to lo ok for the CS proper ty of the drug. | |
| 9 | General Bu siness Rul e: Looking for the C S property of a drug means -- first chec k NDF CS F ederal Sch edule, the n also che ck local d rug DEA Sp ecial Hdlg field. | |
| 10 | RTM User S tory: | |
| 11 | As a pharm acist, I n eed the sy stem to pr event the use of the titration /maintenan ce functio nality on all contro lled subst ance presc riptions, so that it is consis tent betwe en Electro nic Prescr iptions fo r Controll ed Substan ces (EPCS) prescript ions and p aper presc riptions | |
| 12 | ||
| 13 | 1.0.1.02 | Restrict Kernel Key “PSDRPH” allocation from bein g set up a s un-audit able - App roved | |
| 14 | User Story : | |
| 15 | As a user responsibl e for allo cating the Kernel Ke y “PSDRPH” , I want t o be requi red to all ocate the key throug h an audit able path so that I am not in violation of DEA reg ulations. | |
| 16 | Acceptance Criteria: | |
| 17 | If I selec t to alloc ate the PS DRPH Key f rom the “X UKEYALL Al location o f Security Keys” fun ction, I w ant to rec eive the f ollowing e rror messa ge “The PS DRPH key c annot be a llocated / de-alloca ted by thi s option. Please us e the opti on 'Alloca te/De-Allo cate of PS DRPH Key'. " | |
| 18 | If I selec t to de-al locate the PSDRPH Ke y from the “XUKEYDEA LL De-Allo cation of Security K eys” funct ion, I wan t to recei ve the fol lowing err or message “The PSDR PH key can not be all ocated / d e-allocate d by this option. P lease use the option 'Allocate /De-Alloca te of PSDR PH Key'." | |
| 19 | Notes: | |
| 20 | This key i s used to identify p harmacist allowed to act on co ntrolled s ubstances. DEA requ ires that tracking o f the perm ission is audited. This is a kernel cha nge, canno t be given via the r egular pat h and can only be gi ven throug h the audi table path way which is the XU EPCS PSDRP H KEY Allo cate/De-Al locate. | |
| 21 | ||
| 22 | The pharma cy applica tion provi der must e stablish a nd impleme nt a list of auditab le events. The audit able event s must, at a minimum , include the follow ing: | |
| 23 | ||
| 24 | (4) Any se tting of o r change t o logical access con trols rela ted to the dispensin g of contr olled subs tance pres criptions. | |
| 25 | ||
| 26 | RTM User S tory: | |
| 27 | As a user, I need th e Kernel k ey allocat ion of PSD RPH to onl y be permi tted throu gh a pathw ay that is audited, so that it cannot be allocated in a mann er that is untrackab le | |
| 28 | ||
| 29 | 1.0.1.03| Kernel key allocatio n to honor key deleg ation - Ap proved | |
| 30 | User Story : | |
| 31 | As a user who is not a license d pharmaci st but is responsibl e for assi gning perm issions fo r the PSDR PH Key, I want the a bility to manage the permissio ns for the PSDRPH Ke y using th e XU EPCS PSDRPH Key Allocate/ De-Allocat e without having the permissio ns myself so that I am not in violation of VA poli cies or DE A regulati ons. | |
| 32 | Acceptance Criteria: | |
| 33 | I want the ability t o assign p ermissions for the P SDRPH Key without ha ving the p ermissions myself wh en using X U EPCS PSD RPH KEY Al locate/De- Allocate. | |
| 34 | I can assi gn permiss ions relat ed to the PSDRPH key if I have been DELE GATED this key's aut hority. | |
| 35 | I can assi gn permiss ions relat ed to the PSDRPH key if have b een ALLOCA TED this k ey's autho rity (I ho ld it myse lf). | |
| 36 | I can assi gn permiss ions relat ed to the PSDRPH key if I hold XUMGR key (meaning I have the keys to t he VistA S ecurity Ke y kingdom) . | |
| 37 | Notes: | |
| 38 | Key alloca tion– give the user a key allo cation all ows the us er to do t he things the key un locks | |
| 39 | ||
| 40 | Key delega tion – aut horizing s omeone to do provide key alloc ation but they canno t do the p ermission themselves . | |
| 41 | RTM User S tory: | |
| 42 | As a user, I need th e XU EPCS PSDRPH Key Allocate/ De-Allocat e of PSDRP H Key [XU EPCS PSDRP H KEY] key allocatio n of PSDRP H to honor key deleg ation, so that it is consisten t with all other key managemen t tools. | |
| 43 | ||
| 44 | 1.0.1.04| Orphan XU EPCS PSDRP H Key Allo cate/De-Al locate - A pproved | |
| 45 | User Story : | |
| 46 | As a user responsibl e for allo cating the Kernel Ke y “PSDRPH” , I need t he XU EPCS PSDRPH Al locate/De- Allocate K ey functio n separate d from all other ker nel key fu nctions so that we c an limit w ho has acc ess to giv e or remov e this key . | |
| 47 | Acceptance Criteria: | |
| 48 | I want the XU EPCS P SDRPH Allo cate/De-Al locate Key moved to its own se parate men u. | |
| 49 | I want the limiting factor to be the exi stence of the option on the us er’s secon dary menu list. | |
| 50 | Notes: | |
| 51 | ||
| 52 | RTM User S tory: | |
| 53 | As a user, I need [X U EPCS PSD RPH KEY] t o be orpha ned from a ny Kernel menus that it exists on, so th at it is a lways expl icitly ass igned to t he users t hat will b e using it . | |
| 54 | ||
| 55 | Sub-Epic 1 .1: Manage Controlle d Substanc e Regulati ons | |
| 56 | 1.1.1: Man age provid er access privileges for contr olled subs tances | |
| 57 | No Stories – All und er DEA num ber sub-ep ic | |
| 58 | 1.1.2: Man age provid er Drug En forcement Agency Num bers (DEA# s) | |
| 59 | 1.1.2.01 | Create ne w DEA # Fi le - Appro ved | |
| 60 | User Story | |
| 61 | As a VA Ph armacist, I need det ailed info rmation fo r provider DEA numbe rs stored in VistA s o the info rmation ca n be used to provide security controls r elated to the prescr ibing and dispensing of contro lled subst ances in b oth EPCS a nd VistA. | |
| 62 | Acceptance Criteria: | |
| 63 | I want a r ecord crea ted for ea ch unique DEA number . | |
| 64 | I want the following associate d attribut es stored with the D EA number: | |
| 65 | DEA Number (required field) | |
| 66 | Detox Numb er | |
| 67 | If the DEA provider has detox privileges associate d with the ir DEA num ber, I wan t this fie ld to auto matically populate t he Detox n umber with a “X” in place of t he first l etter. (No te: Detox number (pr operty of DEA # reco rd), can b e derived from busin ess type/s ubtype, st ored expli citly, cou ld be in p attern of XA####### where the digits are the same as the par ent DEA# o r could be in the pa ttern of V X########. There is no validat ion of the two alpha character s for the Detox numb er within the system .) | |
| 68 | Expiration Date (req uired fiel d) | |
| 69 | Use for In patient Or ders – Y/N | |
| 70 | Default (“ Yes” for V A Provider s, “No” fo r non-VA P roviders) | |
| 71 | Name (Prov ider or In stitution) | |
| 72 | Address1 | |
| 73 | Address2 | |
| 74 | Address3 | |
| 75 | City, Stat e, and Zip | |
| 76 | Business T ype | |
| 77 | Business S ubtype | |
| 78 | Institutio n or Indiv idual (der ived from Business T ype and Su btype) | |
| 79 | Drug Sched ule Author izations | |
| 80 | Schedule I I - Y/N | |
| 81 | Schedule I In -Y/N | |
| 82 | Schedule I II - Y/N | |
| 83 | Schedule I IIn -Y/N | |
| 84 | Schedule I V - Y/N | |
| 85 | Schedule V - Y/N | |
| 86 | Last Updat ed By (las t, first n ame) | |
| 87 | Last Updat ed Date/Ti me (file m an date) | |
| 88 | Last Updat ed by DOJ (date/Time ) (Note: t his is the last time the recor d was upda ted with i nformation from the DOJ file.) | |
| 89 | Notes: | |
| 90 | Currently a copy of the DOJ fi le is uplo aded this file to a CDW. | |
| 91 | RTM User S tory: | |
| 92 | As a user of the Ele ctronic Pr escription s for Cont rolled Sub stances (E PCS) appli cation (Da ta Entry f or Provide rs), I nee d to be ab le to vali date the e ntry of a DEA number against t he Control led Substa nce Active database of registr ants, so t hat I can process th is in one step witho ut having to use ext ernal vali dation via the DEA d atabase. | |
| 93 | ||
| 94 | 1.1.2.02 | Populate DEA # file (Initial) from DOJ File - App roved | |
| 95 | User Story : | |
| 96 | As a Pharm acy System s Manager, I want th e DEA file to pull i nformation associate d with DEA numbers f rom the DO J file, so that I ha ve an up-t o-date lis t of provi der DEA nu mber infor mation for validatin g a provid er’s abili ty to pres cribe cont rol substa nce medica tions. | |
| 97 | Acceptance Criteria: | |
| 98 | I want DEA number in formation pulled fro m the DOJ file for e ach DEA nu mber curre ntly in th e new pers on file fo r provider s. | |
| 99 | I want a r ecord crea ted from t he DOJ DEA number in formation for each u nique DEA number new DEA file. | |
| 100 | I want the following fields po pulated. | |
| 101 | DEA Number | |
| 102 | Detox Numb er | |
| 103 | Expiration Date | |
| 104 | Name (Prov ider or In stitution) | |
| 105 | Address1 | |
| 106 | Address2 | |
| 107 | Address3 | |
| 108 | City, Stat e, and Zip | |
| 109 | Business T ype | |
| 110 | Business S ubtype | |
| 111 | Drug Sched ule Author izations | |
| 112 | Schedule I I - Y/N | |
| 113 | Schedule I In -Y/N | |
| 114 | Schedule I II - Y/N | |
| 115 | Schedule I IIn -Y/N | |
| 116 | Schedule I V - Y/N | |
| 117 | Schedule V - Y/N | |
| 118 | Notes: | |
| 119 | ||
| 120 | RTM User S tory: | |
| 121 | As a user of the Ele ctronic Pr escription s for Cont rolled Sub stances (E PCS) appli cation (Da ta Entry f or Provide rs), I nee d to be ab le to vali date the e ntry of a DEA number against t he Control led Substa nce Active database of registr ants, so t hat I can process th is in one step witho ut having to use ext ernal vali dation via the DEA d atabase. | |
| 122 | ||
| 123 | 1.1.2.03 | Make DEA # number i nformation available for updat es to the DEA file f rom DOJ fi le – Appro ved | |
| 124 | User Story : | |
| 125 | As a Pharm acy System s Manager, I want up -to-date D EA number informatio n availabl e on a dai ly basis s o that I h ave the mo st up-to-d ate list o f provider DEA numbe r informat ion so tha t any chan ges in pro vider priv ileges are up-to-dat e. | |
| 126 | Acceptance Criteria: | |
| 127 | I want up- to-date DE A number i nformation available from the DOJ file d aily. (Not e: This ma y be a man ual proces s) | |
| 128 | For subseq uent updat es of DEA # records in the DEA file, I w ant up-to- date DEA n umber info rmation fr om the DOJ file: | |
| 129 | I want the following fields av ailable fr om the DOJ file into the DEA f ile. | |
| 130 | Expiration Date | |
| 131 | Name (Prov ider or In stitution) | |
| 132 | Address1 | |
| 133 | Address2 | |
| 134 | Address3 | |
| 135 | City, Stat e, and Zip | |
| 136 | Business T ype | |
| 137 | Business S ubtype | |
| 138 | Drug Sched ule Author izations | |
| 139 | Schedule I I - Y/N | |
| 140 | Schedule I In -Y/N | |
| 141 | Schedule I II - Y/N | |
| 142 | Schedule I IIn -Y/N | |
| 143 | Schedule I V - Y/N | |
| 144 | Schedule V - Y/N | |
| 145 | Notes: | |
| 146 | ||
| 147 | RTM User S tory: | |
| 148 | N/A | |
| 149 | ||
| 150 | 1.1.2.04 | Update Ne w Person F ile to rem ove (hide) old field s in VistA - Approve d | |
| 151 | User Story : | |
| 152 | As a Pharm acy System s Manager, I want th e current DEA number informati on in the provider a dd/edit op tions hidd en from vi ew so that it is ina ccessible to end use rs but ava ilable in the databa se for his torical pu rposes aft er the imp lementatio n of the n ew DEA num ber record s. | |
| 153 | Acceptance Criteria: | |
| 154 | I want the following existing fields hid den from o nscreen di splay: | |
| 155 | Prescriber DEA # (fi eld 53.2) | |
| 156 | Prescriber DEA expir ation date (field 74 7.44) | |
| 157 | Prescriber Detox/Mai nt # (fiel d 53.11) | |
| 158 | Notes: | |
| 159 | ||
| 160 | RTM User S tory: | |
| 161 | N/A | |
| 162 | ||
| 163 | 1.1.2.05 | Update Ne w Person F ile to rem ove (hide) old field s in EPCS GUI - Appr oved | |
| 164 | User Story : | |
| 165 | As a Pharm acy System s Manager, I want th e current DEA number informati on in the EPCS GUI p rofiles hi dden from view so th at it is i naccessibl e to end u sers but a vailable i n the data base for h istorical purposes a fter the i mplementat ion of the new DEA n umber reco rds. | |
| 166 | Acceptance Criteria: | |
| 167 | I want the following existing fields hid den from o nscreen di splay: | |
| 168 | Prescriber DEA # | |
| 169 | Prescriber DEA expir ation date | |
| 170 | Prescriber Detox/Mai nt # | |
| 171 | DEA Drug S chedule au thorizatio ns | |
| 172 | All Schedu les | |
| 173 | Schedule I I Narcotic | |
| 174 | Schedule I I Non-Narc otic | |
| 175 | Schedule I II Narcoti c | |
| 176 | Schedule I II Non-Nar cotic | |
| 177 | Schedule I V | |
| 178 | Schedule V | |
| 179 | Notes: | |
| 180 | Fields sho uld not be deactivat ed as a st op gap to ensure tha t any prog rams curre ntly using these fie lds that a re not par t of this project do not resul t any inte rruption i n patient care. | |
| 181 | ||
| 182 | Need to co nsider a l ong-term p lan to dea ctivate or archive t hese field s. | |
| 183 | ||
| 184 | This story may not b e necessar y dependin g upon the need to r eplace the screen vs . editing it. | |
| 185 | ||
| 186 | RTM User S tory: | |
| 187 | N/A | |
| 188 | ||
| 189 | 1.1.2.06 | Allow Mul tiple DEA Numbers to be associ ated to a Provider A dd/Edit Op tions in V istA - App roved | |
| 190 | User Story : | |
| 191 | As a VA ph armacist, I need the provider profile up dated to s upport mul tiple DEA numbers pe r provider so that I can ensur e the most appropria te DEA num ber is ass ociated wi th control led substa nces presc riptions f or provide rs that ma y work in either mul tiple stat es or faci lities. | |
| 192 | Acceptance Criteria: | |
| 193 | I want the ability t o add mult iple DEA n umbers to providers’ profiles. | |
| 194 | I want to add as man y DEA numb ers to a p rovider pr ofile as I need with out limit. | |
| 195 | I want eac h DEA numb er associa ted with a provider profile to have the following attributes : | |
| 196 | DEA Number | |
| 197 | Detox Numb er (if app licable) | |
| 198 | Institutio n or Indiv idual (der ived from Business T ype and Su btype) | |
| 199 | External I nstitution ? Y/N | |
| 200 | Address1 | |
| 201 | Address2 | |
| 202 | Address3 | |
| 203 | City | |
| 204 | State | |
| 205 | Zip | |
| 206 | Expiration Date | |
| 207 | Drug Sched ule Author izations | |
| 208 | Schedule I I - Y/N | |
| 209 | Schedule I In -Y/N | |
| 210 | Schedule I II - Y/N | |
| 211 | Schedule I IIn -Y/N | |
| 212 | Schedule I V - Y/N | |
| 213 | Schedule V - Y/N | |
| 214 | Notes: | |
| 215 | ||
| 216 | RTM User S tory | |
| 217 | As a syste m, we need to be abl e to assoc iate more than one D EA number with a pro vider, so that we ca n accurate ly represe nt the DEA numbers u sed by pro viders wit h multiple practices in neighb oring stat es. | |
| 218 | ||
| 219 | 1.1.2.07 | Allow Mul tiple DEA Numbers to Provider Profiles i n EPCS GUI - Approve d | |
| 220 | User Story : | |
| 221 | As a VA re presentati ve that cr edentials providers and/or upd ates DEA n umber info rmation, I need the provider p rofile upd ated to su pport mult iple DEA n umbers per provider so that I can ensure the most appropriat e DEA numb er is asso ciated wit h controll ed substan ces prescr iptions fo r provider s that may work in e ither mult iple state s or facil ities. | |
| 222 | Acceptance Criteria: | |
| 223 | I want the ability t o add mult iple DEA n umbers to providers’ profiles. | |
| 224 | I want to add as man y DEA numb ers to a p rovider pr ofile as I need with out limit. | |
| 225 | I want eac h DEA numb er associa ted with a provider profile to have the following attributes : | |
| 226 | DEA Number | |
| 227 | Detox Numb er (if app licable) | |
| 228 | Use for In patient Or ders – Y/N | |
| 229 | If only on e DEA # on profile, default to “Y” | |
| 230 | Detox Numb er Y/N (de rived from Business Type and S ubtype) | |
| 231 | Institutio n or Indiv idual (der ived from Business T ype and Su btype) | |
| 232 | External I nstitution ? Y/N | |
| 233 | Address1 | |
| 234 | Address2 | |
| 235 | Address3 | |
| 236 | City | |
| 237 | State | |
| 238 | Zip | |
| 239 | Expiration Date | |
| 240 | Drug Sched ule Author izations | |
| 241 | Schedule I I - Y/N | |
| 242 | Schedule I In -Y/N | |
| 243 | Schedule I II - Y/N | |
| 244 | Schedule I IIn -Y/N | |
| 245 | Schedule I V - Y/N | |
| 246 | Schedule V - Y/N | |
| 247 | Notes: | |
| 248 | ||
| 249 | RTM User S tory | |
| 250 | As a pharm acist, I n eed to be able to pr operly rec ord that a provider has multip le valid D EA numbers such as t wo DEA num bers one f or each of fice in mu ltiple sta tes or a r esident th at rotates between V A care and universit y care, so that I ca n accurate ly represe nt which D EA number is being u sed to wri te a presc ription. | |
| 251 | ||
| 252 | 1.1.2.08 | Migrate E xisting DE A # inform ation from New Perso n File int o DEA file - Approve d | |
| 253 | User Story : | |
| 254 | As a VA ph armacist, I need one -time auto mated proc ess that c ompares th e existing DEA numbe r informat ion stored as part o f the prov ider profi le against the new D EA file to automatic ally popul ate the fi rst DEA re cord on ex isting pro viders so that I am not requir ed to manu ally updat e all the existing p roviders i n VistA up on impleme ntation of the new D EA number file. | |
| 255 | Acceptance Criteria: | |
| 256 | I want eac h provider profile c hecked for the exist ence of a DEA number . | |
| 257 | If the pro vider prof ile has a DEA number associate d with the profile, I want the number co mpared to the DEA fi le. | |
| 258 | If DEA num ber is an individual DEA numbe r, then co mpare prov ider name in profile to the pr ovider nam e in the D EA file. | |
| 259 | If the pro vider name matches, then popul ate the fi rst new DE A number w ith the DE A number f rom the DE A file. | |
| 260 | If they do not match , log an e xception, and move t o next rec ord. | |
| 261 | If the DE A number i s an insti tution DEA , then do not popula te the DEA number wi th the DEA number fr om the DEA file, log an except ion and mo ve to next record. | |
| 262 | If DEA num ber associ ated with the provid er is not in the DEA file, log an except ion and mo ve to next record. | |
| 263 | If provide r profile has no DEA informati on associa ted with i t, move to next reco rd. | |
| 264 | Notes: | |
| 265 | ||
| 266 | RTM User S tory: | |
| 267 | N/A | |
| 268 | ||
| 269 | 1.1.2.09 | Add DEA n umber info rmation fo r Non-VA P roviders - Approved | |
| 270 | User Story : | |
| 271 | As a VA Ph armacist, I want to add DEA nu mber(s) fo r non-VA p roviders u sing VistA so that I can dispe nse contro lled subst ance presc riptions w ritten by non-VA pro viders. | |
| 272 | Acceptance Criteria: | |
| 273 | When addin g a DEA nu mber on a provider p rofile, I want the a bility to enter a DE A number. | |
| 274 | I want to be require d to enter the DEA n umber in t he followi ng format: 9 charac ters start ing with t wo upper c ase letter s followed by 7 numb ers, i.e. AA#######. | |
| 275 | I want the system to validate the follow ing: | |
| 276 | The first character is either a "A", "B” , “F”, or “G”. | |
| 277 | The number entered i s the requ ired lengt h. | |
| 278 | The second character matches t he first l etter of t he provide r’s last n ame. | |
| 279 | The number s entered match the check digi t algorith m “The las t digit of the total must equa l the chec k digit (t he last di git of the DEA numbe r). | |
| 280 | Example: DEA # AS12 34563 | |
| 281 | 1 + 3 + 5 = 9 2 + 4 + 6 = 12 x 2 = 24 9 + 24 = 33 | |
| 282 | (33#10) =$ E("AS12345 63",9) | |
| 283 | If the sec ond charac ter does n ot match t he provide r’s last n ame, provi de the fol lowing war ning messa ge but all ow me to p roceed: “T he DEA num ber doesn’ t match pr ovider’s l ast name. Please ver ify the in formation. ” | |
| 284 | If the DEA number is in the in correct fo rmat or th e check di git match fails, I w ant the fo llowing er ror messag e displaye d and to b e prevente d from con tinuing: “ DEA number is invali d. Please check the number en tered.” | |
| 285 | Upon enter ing the DE A number, I want the system to automatic ally searc h for a ma tching DEA number. | |
| 286 | If the DEA number is found, I want the f ollowing D EA # infor mation dis played for confirmat ion: First Name, Las t Name, Ad dress 1, A ddress 2, Address 3, City, Sta te, and Zi p. | |
| 287 | I want to be require d to confi rm the inf ormation p resented i s correct. | |
| 288 | If I confi rm it is c orrect, th en I want the inform ation asso ciated to the provid er profile . | |
| 289 | If I cance l, I want the abilit y to reent er the DEA number. | |
| 290 | If the DEA number ty pe is “Ind ividual”, I want to be prevent ed from ad ding to a provider p rofile if it is asso ciated wit h another provider. | |
| 291 | I want to receive an error mes sage stati ng “Provid er DEA num ber is alr eady assoc iated to a nother pro file. Plea se check t he number entered.” | |
| 292 | If the DEA number I enter is n ot found i n the DEA file, I wa nt to rece ive the fo llowing me ssage pres ented on s creen “DEA number no t found. Please ent er the pro vider’s DE A # inform ation.” | |
| 293 | If the DEA number ty pe is “Ins titution” and “Exter nal”, I wa nt to be a llowed to use the DE A number r egardless if it is a ssociated with anoth er provide r. | |
| 294 | Upon findi ng a match ing indivi dual DEA n umber, I w ant the fo llowing DE A number l inked to t he provide r profile. | |
| 295 | Notes: | |
| 296 | Already Ch ecks for i nstitution al DEA #s associated with more than one provider, needs to b e updated to allow i nstitution s to be as sociated w ith multip le provide rs. | |
| 297 | RTM User S tory: | |
| 298 | 1) As a us er, I need to be abl e to manag e the priv ileged sch edules for a provide r that is not expect ed to sign on to CPR S, such as a CHOICE or Fee Bas is provide r, so that I can upd ate their privileges in VistA without ne eding to u se the Ele ctronic Pr escription s for Cont rolled Sub stances (E PCS) graph ical user interface (GUI). | |
| 299 | 2) As a ph armacist, I need to be able to record th e proper D EA number of a Non-V A provider that is u sing a fac ility-assi gned DEA n umber and individual ly assigne d suffix, so that I can proper ly dispens e these ot herwise le gally writ ten prescr iptions. | |
| 300 | 3) As a us er, I need to be abl e to manag e the deto x number f or a provi der that i s not expe cted to si gn on to C PRS, such as a CHOIC E or Fee B asis provi der, so th at I can u pdate thei r privileg es in Vist A without needing to use the E lectronic Prescripti ons for Co ntrolled S ubstances (EPCS). | |
| 301 | ||
| 302 | 1.1.2.10 | Add DEA n umber info rmation fo r VA Provi ders - App roved | |
| 303 | User Story : | |
| 304 | As a VA re presentati ve that cr edentials providers and/or upd ates DEA n umber info rmation, I want to a dd DEA num ber(s) for VA provid ers using the EPCS G UI so that pharmacy can dispen se control led substa nce prescr iptions wr itten by V A provider s. | |
| 305 | Acceptance Criteria: | |
| 306 | When addin g a DEA nu mber on a provider p rofile, I want the a bility to enter a DE A number. | |
| 307 | I want to be require d to enter the DEA n umber in t he followi ng format: 9 charac ters start ing with t wo upper c ase letter s followed by 7 numb ers, i.e. AA#######. | |
| 308 | I want the system to validate the follow ing: | |
| 309 | The first character is either a "A", "B” , “F”, or “G”. | |
| 310 | The number entered i s the requ ired lengt h. | |
| 311 | The second character matches t he first l etter of t he provide r’s last n ame. | |
| 312 | The number s entered match the check digi t algorith m “The las t digit of the total must equa l the chec k digit (t he last di git of the DEA numbe r). | |
| 313 | Example: DEA # AS12 34563 | |
| 314 | 1 + 3 + 5 = 9 2 + 4 + 6 = 12 x 2 = 24 9 + 24 = 33 | |
| 315 | (33#10) =$ E("AS12345 63",9) | |
| 316 | If the sec ond charac ter does n ot match t he provide r’s last n ame, provi de the fol lowing war ning messa ge but all ow me to p roceed: “T he DEA num ber doesn’ t match pr ovider’s l ast name. Please ver ify the in formation. ” | |
| 317 | If the DEA number is in the in correct fo rmat or th e check di git match fails, I w ant the fo llowing er ror messag e displaye d and to b e prevente d from con tinuing: “ DEA number is invali d. Please check the number en tered.” | |
| 318 | Upon enter ing the DE A number, I want the system to automatic ally searc h for a ma tching DEA number. | |
| 319 | If the DEA number is found, I want the f ollowing D EA # infor mation dis played for confirmat ion: First Name, Las t Name, Ad dress 1, A ddress 2, Address 3, City, Sta te, and Zi p. | |
| 320 | I want to be require d to confi rm the inf ormation p resented i s correct. | |
| 321 | If I confi rm it is c orrect, th en I want the inform ation asso ciated to the provid er profile . | |
| 322 | If I cance l, I want the abilit y to reent er the DEA number. | |
| 323 | If the DEA number ty pe is “Ind ividual”, I want to be prevent ed from ad ding to a provider p rofile if it is asso ciated wit h another provider. | |
| 324 | I want to receive an error mes sage stati ng “Provid er DEA num ber is alr eady assoc iated to a nother pro file. Plea se check t he number entered.” | |
| 325 | If the DEA number I enter is n ot found i n the DEA file, I wa nt to rece ive the fo llowing me ssage pres ented on s creen “DEA number no t found. Please ent er the pro vider’s DE A # inform ation.” | |
| 326 | Upon findi ng a match ing indivi dual DEA n umber, I w ant the fo llowing DE A number l inked to t he provide r profile. | |
| 327 | If the pro vider has more than one DEA nu mber, I wa nt the abi lity to se t the DEA number to “Y” or “N” for inpat ient order s. | |
| 328 | If I only have one D EA number, prevent m e from set ting “Inpa tient Orde rs” to “N” . | |
| 329 | Notes: | |
| 330 | Already ch ecks dupli cate DEAs but will n eed to be edited to look at ne w DEA func tionality, needs to be tweaked to allow duplicate institutio ns. | |
| 331 | RTM User s tory: | |
| 332 | As a user of the Ele ctronic Pr escription s for Cont rolled Sub stances (E PCS) appli cation (Da ta Entry f or Provide rs), I nee d to be ab le to vali date the e ntry of a DEA number against t he Control led Substa nce Active database of registr ants, so t hat I can process th is in one step witho ut having to use ext ernal vali dation via the DEA d atabase. | |
| 333 | ||
| 334 | 1.1.2.11 | Edit DEA number inf ormation f rom Non-VA Providers Profile i n VistA - Approved | |
| 335 | User Story : | |
| 336 | As a VA re presentati ve that cr edentials providers and/or upd ates DEA n umber info rmation, I need to u pdate spec ific infor mation rel ated to a DEA number in the DE A number f ile using the non-VA provider profile in VistA so that I ens ure the mo st up-to-d ate inform ation is a vailable. | |
| 337 | Acceptance Criteria: | |
| 338 | I want the ability t o edit the following fields as sociated w ith a DEA number: | |
| 339 | Detox Numb er | |
| 340 | Expiration Date | |
| 341 | Drug Sched ule Author izations | |
| 342 | Schedule I I - Y/N | |
| 343 | Schedule I In -Y/N | |
| 344 | Schedule I II - Y/N | |
| 345 | Schedule I IIn -Y/N | |
| 346 | Schedule I V - Y/N | |
| 347 | Schedule V - Y/N | |
| 348 | Upon savin g my chang es, I want the DEA n umber file updated t o reflect my changes . | |
| 349 | Notes: | |
| 350 | Considerat ions on ed iting DEA file infor mation rel ated to ov erwriting when DOJ f ile update s the reco rd. | |
| 351 | RTM User S tory | |
| 352 | N/A | |
| 353 | ||
| 354 | 1.1.2.12 | Edit DEA number inf ormation f rom Non-VA Providers Profile i n the EPCS GUI - App roved | |
| 355 | User Story : | |
| 356 | As a VA re presentati ve that cr edentials providers and/or upd ates DEA n umber info rmation , I need to update spe cific info rmation re lated to a DEA numbe r in the D EA number file using the non-V A provider profile i n the EPCS GUI so th at I ensur e the most up-to-dat e informat ion is ava ilable. | |
| 357 | Acceptance Criteria: | |
| 358 | I want the ability t o edit the following fields as sociated w ith a DEA number: | |
| 359 | Detox Numb er | |
| 360 | Expiration Date | |
| 361 | Drug Sched ule Author izations | |
| 362 | Schedule I I - Y/N | |
| 363 | Schedule I In -Y/N | |
| 364 | Schedule I II - Y/N | |
| 365 | Schedule I IIn -Y/N | |
| 366 | Schedule I V - Y/N | |
| 367 | Schedule V - Y/N | |
| 368 | Upon savin g my chang es, I want the DEA n umber file updated t o reflect my changes . | |
| 369 | Notes: | |
| 370 | ||
| 371 | RTM User S tory | |
| 372 | N/A | |
| 373 | ||
| 374 | 1.1.2.13 | Remove DE A number i nformation from Non- VA Provide rs Profile in VistA - Approved | |
| 375 | User Story : | |
| 376 | As a VA re presentati ve that cr edentials providers and/or upd ates DEA n umber info rmation, I need the ability to remove a DEA number from a no n-VA provi der profil e so that I can remo ve DEA num bers enter ed in erro r. | |
| 377 | Acceptance Criteria: | |
| 378 | I want the ability t o remove a DEA numbe r from a p rovider’s profile. | |
| 379 | Upon attem pting to r emove a DE A number: | |
| 380 | I want the following informati onal messa ge display ed: “Remov ing the DE A number d oes not af fect previ ously writ ten prescr iptions.” | |
| 381 | If I am re moving the only DEA number on a provider profile a nd there i s no VA #, I want th e followin g warning message di splayed “T his is the only DEA number on file for t his provid er. The pr ovider wil l no longe r be able to prescri be control led substa nces at th e VA via C PRS or pap er prescri ptions.” | |
| 382 | If I am re moving the VA number and there are no DE A numbers present, I want the following warning me ssage disp layed “Rem oving the VA number does not a ffect prev iously wri tten presc riptions. There are no DEA#'s on file f or this pr ovider. T he provide r will no longer be able to pr escribe co ntrolled s ubstances at the VA via CPRS o r paper pr escription s.” | |
| 383 | Upon remov ing a DEA number, I want any a ttributes related to the DEA N umber remo ved from t he provide r’s profil e. | |
| 384 | Notes: | |
| 385 | ||
| 386 | RTM User S tory | |
| 387 | N/A | |
| 388 | ||
| 389 | 1.1.2.14 | Remove DE A number i nformation from Prov ider Profi le in the EPCS GUI - Approved | |
| 390 | User Story : | |
| 391 | As a VA re presentati ve that cr edentials providers and/or upd ates DEA n umber info rmation, I need the ability to remove a DEA number from a pr ovider pro file so th at I can r emove DEA numbers en tered in e rror. | |
| 392 | Acceptance Criteria: | |
| 393 | I want the ability t o remove a DEA numbe r from a p rovider’s profile. | |
| 394 | Upon attem pting to r emove a DE A number: | |
| 395 | I want the following message d isplayed: “Removing the DEA nu mber does not affect previousl y written prescripti ons.” | |
| 396 | If I am re moving the only DEA number and there is no VA # on a provide r profile, I want th e followin g warning message di splayed “T his is the only DEA number on file for t his provid er. The pr ovider wil l no longe r be able to prescri be control led substa nces at th e VA.” | |
| 397 | Upon remov ing a DEA number, I want any a ttributes related to the DEA N umber remo ved from t he provide r’s profil e. | |
| 398 | Note: | |
| 399 | ||
| 400 | RTM User S tory | |
| 401 | N/A | |
| 402 | ||
| 403 | 1.1.2.15 | DEA Numbe r Technica l Descript ion - Appr oved | |
| 404 | User Story : | |
| 405 | As a VA Ph armacist, I want a t echnical d escription associate d with DEA number fi eld that s tates the possible v alues for the first letter of a valid DE A number s o that the informati on is avai lable to e nd-users. | |
| 406 | Acceptance Criteria: | |
| 407 | I want the following displayed via the “ HELP-PROMP T:” field for the #. 01 field o f the DEA file, whic h -ill als o be point ed-to from the NEW P ERSON (#20 0) file. “Enter the DEA numbe r in the f ormat of 2 letters f ollowed by 7 numbers .” | |
| 408 | I want the following text disp layed in t he “DESCRI PTION:” fi eld of the #.01 fiel d in the D EA file “T his field is used to enter the providers ’ Drug Enf orcement A dministrat ion (DEA) number. E nter the D EA number as two upp er case le tters foll owed by 7 digits. e .g., AA123 4567.” | |
| 409 | I want the following text disp layed in t he “TECHNI CAL DESCR: ” field: | |
| 410 | “This is t he algorit hm for the DEA numbe r checking . | |
| 411 | ||
| 412 | The first letter for practitio ners (phys icians, de ntists, ve terinarian s, pharmac ies etc.) is either an "A", "B ”, “F”, or “G”. | |
| 413 | ||
| 414 | The second letter sh ould be th e first le tter of th e practiti oner's las t name. S ometimes t his does n ot match i f the regi strant cha nged their name or t he DEA did not get i t correct the first time. | |
| 415 | ||
| 416 | The check digit algo rithm is a s follows: | |
| 417 | AS1234563 | |
| 418 | ||
| 419 | 1 + 3 + 5 = 92 + 4 + 6 = 12 x 2 = 249 + 24 = 33 | |
| 420 | ||
| 421 | The last d igit of th e total mu st equal t he check d igit (the last digit of the DE A number). | |
| 422 | (33#10)= $E("AS1234 563",9)” | |
| 423 | Notes: | |
| 424 | This will be a new t echnical d escription for the n ew DEA Fil e. | |
| 425 | RTM User S tory: | |
| 426 | As a user, I need th e technica l descript ion for th e DEA numb er field ( #53.2) in the electr onic syste m (NEW PER SON file ( #200)) to correctly explain th e possible values fo r the firs t letter o f a valid DEA, so th at I can t ell whethe r the valu e I am try ing to ent er is appr opriate. ( Note: for traceabili ty purpose s only, th is story i s no longe r valid du e to the i mplementat ion of the new DEA f ile.) | |
| 427 | ||
| 428 | 1.1.2.16 | On-Screen Rx DEA # Display (b ug fix) - Approved | |
| 429 | User Story : | |
| 430 | As a VA Ph armacist v iewing a p rescriptio n in VistA , I need t he DEA num ber displa yed on scr een to be the DEA nu mber assoc iated with the presc ription so that the on-screen display ma tches the prescripti on record preventing confusion . | |
| 431 | Acceptance Criteria: | |
| 432 | I want Vis tA to pull the DEA n umber from the presc ription re cord inste ad of from the provi der inform ation for the on-scr een displa y. | |
| 433 | Notes: | |
| 434 | Bug fix –W hen viewin g a prescr iption in VistA it d isplays th e DEA numb er from th e provider single va lue DEA nu mber prope rty but th e VistA st ores the c orrect DEA number us ed for the prescript ion in the prescript ion record . | |
| 435 | RTM User S tory: | |
| 436 | As pharmac ist, I nee d the syst em to disp lay the pr escribers DEA number that was used when signing a controlled substance prescript ion, so th at later c hanges to the prescr ibers DEA number do not appear to have a ltered his torical re cords. | |
| 437 | ||
| 438 | 1.1.2.17 | Confirm D EA number informatio n updates on provide r profile. – Approv ed | |
| 439 | User Story : | |
| 440 | As a VA re presentati ve that cr edentials providers and/or upd ates DEA n umber info rmation, I want to c onfirm upd ates to pr oviders’ D EA number schedule p ermissions upon acce ssing the provider p rofile so that I can decide wh ether Vist A retains changes ma de by a us er in Vist A when the DOJ file updates th e DEA file . | |
| 441 | Acceptance Criteria: | |
| 442 | If there w ere update s to the D EA record in the DOJ file sinc e the last time I ac cessed the provider profile, I want a me ssage with response options di splayed. | |
| 443 | I want the text of t he message to state “There is updated DE A registra nt informa tion. Plea se review and confir m the chan ge(s) belo w. | |
| 444 | ||
| 445 | Expiration Date: <da te> ---> < date> | |
| 446 | Drug Sched ule Author izations: | |
| 447 | Schedule I I: <Y/N> - --> <Y/N> | |
| 448 | Schedule I In: <Y/N> ---> <Y/N> | |
| 449 | Schedule I II: <Y/N> ---> <Y/N> | |
| 450 | Schedule I IIn: <Y/N> ---> <Y/N > | |
| 451 | Schedule I V: <Y/N> - --> <Y/N> | |
| 452 | Schedule V : <Y/N> -- -> <Y/N>” | |
| 453 | ||
| 454 | I want a v isual indi cator with the field (s) that h ave change (s). | |
| 455 | If there a re no chan ges to fie ld, I want to skip t he process of accept ing/reject ing the ch ange for t hat field. | |
| 456 | I want to be require d to accep t or rejec t the chan ge(s) for each field that has changes. | |
| 457 | If I accep t the chan ges, I wan t the upda tes from t he DOJ fil e saved to the corre sponding r ecord in t he DEA fil e. | |
| 458 | If I rejec t the chan ges, I wan t the upda tes discar ded and th e existing data reta ined. | |
| 459 | Notes: | |
| 460 | ||
| 461 | RTM User S tory: | |
| 462 | N/A | |
| 463 | ||
| 464 | 1.1.2.18 | DEA # Mig ration Exc eption Log - Approve d | |
| 465 | User Story : | |
| 466 | As a VA re presentati ve that cr edentials providers and/or upd ates DEA n umber info rmation, I want an e xception l og created when the migration process co mpletes fo r records that were unable to migrate so that I ca n use the report to research a nd resolve issues ma nually. | |
| 467 | Acceptance Criteria: | |
| 468 | I want the report to include t he followi ng informa tion for e ach except ion logged : | |
| 469 | Providers First and Last Name | |
| 470 | DUZ (file 200 intern al entry n umber, #.0 1) | |
| 471 | MAIL CODE (#28) | |
| 472 | INITIALS ( #1) | |
| 473 | TITLE (#8) | |
| 474 | REMARKS (# 53.9) | |
| 475 | National P rovider Id entifier ( NPI), if k nown | |
| 476 | DEA number (old) ass ociated wi th Provide r Profile (new perso n file) | |
| 477 | Exception (what happ ened) | |
| 478 | I want the ability t o access t his file f or X days after the initial cr eation. | |
| 479 | Notes: | |
| 480 | ||
| 481 | RTM User S tory: | |
| 482 | N/A | |
| 483 | ||
| 484 | 1.1.3: All ow the use of VA#(s) | |
| 485 | 1.1.3.01 | Auto-sele ction of I nstitution al DEA num ber when u sing VA # - Approved | |
| 486 | User Story : | |
| 487 | As a provi der using a VA numbe r as my au thority to write con trolled su bstance me dication o rders, I w ant the in stitutiona l DEA numb er to be s elected ba sed on the ordering location a ssigned to medicatio n orders t hat I am w riting, in stead of u sing the D EA number associated to the lo cation of my CPRS lo g on so th at the cor rect DEA n umber-VA n umber comb ination is associate d with med ication or der. | |
| 488 | Acceptance Criteria: | |
| 489 | I want the system up dated to s top using the locati on associa ted with m y CPRS log on when I am using VA number in place o f a DEA nu mber. | |
| 490 | If I am us ing a VA n umber in p lace of a DEA number , I want t he institu tional DEA number fo r the loca tion the c ontrolled substance order is b eing writt en for aut omatically associate d with the order. | |
| 491 | For exampl e: The pro vider writ es a contr olled subs tance medi cation ord er for a p atient at the Joliet , Illinois CBOC whil e logged i n from the Hines VA Hospital. The system should us e the inst itutional DEA number for Jolie t. | |
| 492 | Notes: | |
| 493 | Is this fo r inpatien t only? It’s for o utpatient Rx’s (main focus of most EPCS stuff) | |
| 494 | RTM User S tory: | |
| 495 | As a provi der using a VA numbe r as my au thority to prescribe controlle d substanc es, I want the syste m to selec t the inst itutional DEA number to be ass igned with my prescr iptions ba sed on the ordering location o f the pres cription i nstead of based on m y CPRS log in, so tha t the pref ix of the DEA number -VA number combinati on is more accuratel y reflecti ve of the registrati on for whe re the pre scription is being w ritten. | |
| 496 | ||
| 497 | 1.1.4: Ena ble electr onic third -party bil ling for c ontrolled substances | |
| 498 | 1.1.4.01 | Enhance D igitally S igned Cont rol Substa nce Orders Report to include E lectronic Claims Man agement En gine Numbe r (ECME) - Approved | |
| 499 | User Story : | |
| 500 | As a VA Ph armacist, I need the Digitally Signed Co ntrol Subs tance Orde rs Report to include the ECME number so that I can demonstra te complia nce with D EA regulat ions relat ed to thir d-party in surance bi lling. | |
| 501 | Acceptance Criteria: | |
| 502 | I want the Digitally Signed Co ntrol Subs tance Orde rs Report updated to include t he ECME nu mber | |
| 503 | If the num ber is not available , please l eave the f ield blank . | |
| 504 | Notes: | |
| 505 | Reports | |
| 506 | RTM User S tory: | |
| 507 | As a pharm acist mana ging contr olled subs tance pres criptions that are b illed to t hird-party insurance , I need t he report Digitally Signed Con trolled Su bstance Or ders Repor t (PSD DIG ITALLY SIG NED ORDERS ) to inclu de the Ele ctronic Cl aims Manag ement Engi ne number (ECME) (wh en present ) in addit ion to the already-p resent pre scription number, so that I ca n demonstr ate to ins urance aud itors that VA Electr onic Presc riptions f or Control led Substa nces (EPCS ) prescrip tions are DEA-compli ant and co ntain the patient ad dress info rmation on them. | |
| 508 | ||
| 509 | 1.1.5: Ele ctronic ca pture of a ll informa tion requi red to fil l prescrip tions for controlled substance s. | |
| 510 | 1.1.5.01 | Prevent i ssuance of controlle d substanc e prescrip tions for patients w ithout a Z ip Code re corded in their regi stration/d emographic s - Approv ed | |
| 511 | User Story : | |
| 512 | As a presc riber of c ontrolled substances , I want t o be preve nted from issuing co ntrolled s ubstance p rescriptio ns that ar e missing the zip co de for the patient’s address s o that I a m complian t with DEA regulatio n 21 CFR 1 306.05(a) requiring a patient’ s address. | |
| 513 | Acceptance Criteria: | |
| 514 | I want to be prevent ed from is suing elec tronic pre scriptions for contr olled subs tances. | |
| 515 | If I attem pt to subm it the pre scription for a pati ent withou t a known zip code ( address), I want to receive th e followin g error me ssage “Con trolled su bstance pr escription s require a patient address. Please con tact admin istrative support to update pa tient addr ess inform ation.” | |
| 516 | Notes: | |
| 517 | RTM User S tory: | |
| 518 | As a presc riber, I n eed the sy stem to en sure that the record of a pati ent for wh om I am wr iting a co ntrolled s ubstance p rescriptio n has a va lid and co mplete hom e address so that my prescript ion is com pliant wit h DEA regu lations re quiring th e patient address as listed in 21 CFR 13 06.05(a). | |
| 519 | ||
| 520 | 1.1.5.02 | Prevent d ispensing of control led substa nce prescr iptions fo r patients without a Zip Code recorded i n their re gistration /demograph ics - Appr oved | |
| 521 | User Story : | |
| 522 | As a VA Ph armacist, I want to be prevent ed from di spensing c ontrolled substance prescripti ons that a re missing the zip c ode for th e patient’ s address so that I am complia nt with DE A regulati on 21 CFR 1306.05(a) requiring a patient ’s address . | |
| 523 | Acceptance Criteria: | |
| 524 | I want to be prevent ed from di spensing e lectronic prescripti ons for co ntrolled s ubstances. | |
| 525 | If I attem pt to veri fy the pre scription for a pati ent withou t a known zip code ( address), I want to receive th e followin g error me ssage “Con trolled su bstance pr escription s require a patient address. Please upd ate patien t address informatio n.” | |
| 526 | ||
| 527 | 1.1.5.03 | Allow lea ding zeros in prescr iption qua ntity - Ap proved | |
| 528 | User Story : | |
| 529 | As a pharm acist, I n eed the sy stem to al low leadin g zero in fractional quantity prescripti ons so tha t I can re duce confu sion and e nsure the accurate q uantity is dispensed on outpat ient medic ations. | |
| 530 | Acceptance Criteria: | |
| 531 | I want the ability t o enter th e leading zero in th e quantity before th e decimal, i.e. 0.5 for ½. ( For clarif ication, c urrent sys tem requir es entry a s ‘.5’ (ze ro-point-f ive) which may be di fficult to distingui sh from ‘5 ’ (five), a ten-fold differenc e. | |
| 532 | If I enter “.5”, I w ant the sy stem to ad d the lead ing zero f or me. | |
| 533 | I want the leading z ero displa yed on scr een. | |
| 534 | I want the system to record th e fraction al quantit y with the leading z ero. | |
| 535 | I want the leading z ero in the quantity to print o n the pres cription l abel. | |
| 536 | Notes: | |
| 537 | CQ21580 | |
| 538 | RTM User S tory: | |
| 539 | As a pharm acist, I n eed the sy stem to al low leadin g zeros in fractiona l quantity prescript ions so th at I can a ccurately finish ord ers and di spense out patient me dications. | |
| 540 | ||
| 541 | 1.1.5.04 | Prevent e dits of re stricted f ields on C ontrolled Substance Prescripti ons - Appr oved | |
| 542 | User Story : | |
| 543 | As a pharm acist edit ing a pres cription o rder on a controlled substance , I want t o be preve nted from updating r estricted fields whe n I select one or mo re fields to update so that I do not ina dvertently update a field that is not su pposed to be edited on a contr olled subs tance pres cription c ausing me to be in v iolation o f DEA regu lations. | |
| 544 | Acceptance Criteria: | |
| 545 | When editi ng a contr olled subs tance pres cription, I want to be prevent ed from ed iting a re stricted f ield. | |
| 546 | If my sele ction incl udes field s that are not edita ble, I wan t to recei ve the fol lowing mes sage “The selection includes f ields that are not e ditable fo r controll ed substan ces. Thes e fields w ill be ski pped." | |
| 547 | If I selec t multiple fields to edit, I o nly want t o be allow ed to edit the field s that are unrestric ted regard less of wh ich field I select f irst. | |
| 548 | Notes: | |
| 549 | This is fu nctioning correctly when the p harmacist selects on ly one fie ld to edit or if the first fie ld selecte d is restr icted. Ho wever, if the first field sele cted when selecting multiple i s editable then all fields sel ected are editable, this is in correct be havior. | |
| 550 | RTM User S tory: | |
| 551 | As a pharm acist, I n eed the sy stem to en sure that any unedit able field s (e.g., O rderable I tem, Dose, Provider, Refills) are part o f the mult iple field s of a pen ding Sched ule II-V o rder being edited, s o that edi ting field by field is not all owable, bu t will sto p when the first une ditable fi eld is enc ountered | |
| 552 | ||
| 553 | 1.1.5.05 | Prevent f ree text S IG codes f rom being used when writing co ntrolled s ubstance p rescriptio ns - Appr oved | |
| 554 | User Story : | |
| 555 | As a provi der writin g a contro lled subst ance presc ription, I want to b e prevente d from usi ng free te xt SIG cod e entries (frequency schedules ) so that there is n ot a delay in my pat ient recei ving the p rescriptio n because I am requi red to rew rite the p rescriptio n. | |
| 556 | Acceptance Criteria: | |
| 557 | I want to be prevent ed from us ing free t ext SIG co des entrie s when wri ting contr olled subs tance pres criptions. | |
| 558 | Notes: | |
| 559 | Evaluate C PRS concer ns | |
| 560 | RTM User S tory: | |
| 561 | As a provi der writin g outpatie nt control led substa nce prescr iptions, I need to b e limited when selec ting the S CHEDULE fo r the pres cription t o just tho se standar d administ ration SCH EDULES (Vi stA file n umber 51.1 ) that are presented by CPRS, so that I cannot ina dvertently use a fre e text sch edule whic h will req uire editi ng by the finishing pharmacist . | |
| 562 | ||
| 563 | Sub-Epic 1 .2: Repor t/Auditing | |
| 564 | 1.2.1 | Ma nagement o f logical access con trols over provider prescripti ve authori ty | |
| 565 | 1.2.1.01 | DEA Expir ation Date Report - Approved | |
| 566 | User Story : | |
| 567 | As a VA re presentati ve that cr edentials providers and/or upd ates DEA n umber info rmation, I need a ne w report t hat lists DEA # Expi ration inf ormation f or provide rs so that I can pro actively c ontact pro viders to let them k now the ex piration s tatus of t heir DEA # . | |
| 568 | Acceptance Criteria: | |
| 569 | I want a n ew report titled “DE A Expirati on Date Re port” | |
| 570 | I want the report av ailable fr om the “eP CS DEA Uti lity Funct ions” opti on | |
| 571 | I want to be require d to input the follo wing selec tion crite ria: | |
| 572 | CPRS Syste m Access { Active, DI SUSERed, o r Both} | |
| 573 | Expiration Date Stat us {EXPIRE D, NO EXP DATE, <30- DAYS, <90- DAYS} | |
| 574 | I want the report ou tput to in clude prov ider DEA # informati on based o n the sele ctions ent ered. | |
| 575 | I want the report he ader to in clude: | |
| 576 | Report Tit le | |
| 577 | Criteria S elected | |
| 578 | CPRS Syste m Access { Active, DI SUSERed, o r Both} | |
| 579 | Expiration Date Stat us {EXPIRE D, NO EXP DATE, <30- DAYS, <90- DAYS} | |
| 580 | Date/time run (MON D D, YYYY@00 :00) | |
| 581 | Page Numbe r | |
| 582 | I want the report to display t he followi ng fields: | |
| 583 | Terminatio n Date | |
| 584 | If no term ination da te, I want the field left blan k. | |
| 585 | Name | |
| 586 | DEA # | |
| 587 | DEA Expira tion Date | |
| 588 | If no expi ration dat e, I want the field left blank . | |
| 589 | DETOX/MAIN TENANCE ID (200;53.1 1 - curren t) (8991.9 , .03 new) | |
| 590 | If no DETO X/MAINTENA NCE ID, I want the f ield left blank. | |
| 591 | LAST SIGN- ON DATE/TI ME (200;20 2) | |
| 592 | TITLE (200 ;8) | |
| 593 | SERVICE/SE CTION (200 ;29) | |
| 594 | REMARKS FI ELD (200;5 3.9) | |
| 595 | I want the primary s ort to be by Termina tion Date ascending. | |
| 596 | I want the secondary sort to b e by Name alphabetic al ascendi ng. | |
| 597 | I want the ability t o print th e report. | |
| 598 | Notes: | |
| 599 | Print the report to a screen, to a print er, or to an email. | |
| 600 | ||
| 601 | This is a single rep ort to rep lace the 4 existing reports: | |
| 602 | 1 Print DEA Expiration Date Null | |
| 603 | 2 Print DISU SER DEA Ex piration D ate Null | |
| 604 | 3 Print DEA Expiration Date Expi res 30 day s | |
| 605 | 4 Print DISU SER DEA Ex piration D ate Expire s 30 days | |
| 606 | ||
| 607 | and 4 new ly request ed reports : | |
| 608 | Print DEA Expiration Date Pass ed | |
| 609 | Print DISU SER DEA Ex piration D ate Passed | |
| 610 | Print DEA Expiration Date Expi res 90 day s | |
| 611 | Print DISU SER DEA Ex piration D ate Expire s 90 days | |
| 612 | ||
| 613 | RTM User S tory: | |
| 614 | As user su pporting t he records of author ized CHOIC E provider s, I need two new re ports for users with a past ex piration d ate on fil e (and sor ted by div ision), so that I ca n proactiv ely identi fy prescri bers that need infor mation upd ated befor e their pr escription s can be f illed. | |
| 615 | ||
| 616 | 1.2.1.02 | Remove DE A Expirati on Reports - Approve d | |
| 617 | User Story : | |
| 618 | As a VA Ph armacy Man ager, I wa nt the exi sting DEA Expiration Reports r emoved upo n creation of the ne w single D EA Expirat ion Date R eport so t hat confus ion as to which repo rt to sele ct is elim inated and the repor t menu is accurate. | |
| 619 | Acceptance Criteria: | |
| 620 | I want the following reports r emoved fro m the “ePC S DEA Util ity Functi ons” | |
| 621 | Print DEA Expiration Date Null | |
| 622 | Print DISU SER DEA Ex piration D ate Null | |
| 623 | Print DEA Expiration Date Expi res 30 day s | |
| 624 | Print DISU SER DEA Ex piration D ate Expire s 30 days | |
| 625 | I want the following reports r emoved the system. | |
| 626 | Print DEA Expiration Date Null | |
| 627 | Print DISU SER DEA Ex piration D ate Null | |
| 628 | Print DEA Expiration Date Expi res 30 day s | |
| 629 | Print DISU SER DEA Ex piration D ate Expire s 30 days | |
| 630 | Notes: | |
| 631 | Remove 4 o ptions fro m menu | |
| 632 | Delete 4 o ptions | |
| 633 | ||
| 634 | RTM User S tory: | |
| 635 | N/A | |
| 636 | ||
| 637 | 1.2.1.03 | Modify t he Changes to DEA Pr escribing Privileges Report [X U EPCS LOG ICAL ACCES S] - Appro ved | |
| 638 | User Story : | |
| 639 | As a VA em ployee, I need the C hanges to DEA Prescr ibing Priv ileges Rep ort [XU EP CS LOGICAL ACCESS] m odified to support m ultiple de livery opt ions so th at I can e nsure the appropriat e people h ave access to the re port when they need it. | |
| 640 | Acceptance Criteria: | |
| 641 | I want the following modificat ions to th e XU EPCS LOGICAL AC CESS repor t: | |
| 642 | I want the ability t o run the report on demand. | |
| 643 | When I run the repor t on deman d, I want the abilit y to print the repor t. | |
| 644 | I want the ability t o email th e report w hen run au tomaticall y or on de mand. | |
| 645 | I want the report to be delive rable to d evice, ema il, or bot h. | |
| 646 | If no valu e for repo rt device or email g roup, deli ver by ema il to hold ers of PSD MGR key. | |
| 647 | When the r eport is r un automat ically, I want it se nt to prin ter define d by XUEPC S LOGICAL ACCESS REP ORT DEVICE | |
| 648 | When the r eport is r un automat ically, I want it se nt to the email addr ess define d byXU EPC S LOGICAL ACCESS REP ORT EMAIL GROUP. | |
| 649 | I want the report ou tput separ ated by di vision. | |
| 650 | I want pro viders wit h multiple divisions (as defin ed in file 200) to a ppear in t he report section fo r each of their divi sions. | |
| 651 | I want an indicator that the d ata is dup licated th roughout t he report. | |
| 652 | Notes: | |
| 653 | The report currently runs auto matically every 24 h ours DO NO T remove t his functi onality. | |
| 654 | Questions: | |
| 655 | To Jim: pa rameter at the syste m level ca n they liv e with it? | |
| 656 | RTM User S tory: | |
| 657 | As a VA em ployee, I need repor ts to trac k/audit lo gical acce ss control s given to prescribe rs of cont rolled sub stances an d to pharm acists dis pensing co ntrolled s ubstances, so that I can compl y with DEA regulatio ns governi ng Electro nic Prescr iptions fo r Controll ed Substan ces (EPCS) . | |
| 658 | As a user, I need th e audit re ports for Electronic Prescript ions for C ontrolled Substances (EPCS) to be delive red as an email or a s a hard c opy, so th at I can f it it into my workfl ow. | |
| 659 | As a user, I need th e audit re ports for Electronic Prescript ions for C ontrolled Substances (EPCS) to be delive red daily whether th ere is any new infor mation or not so tha t I always know that the repor t task is running co rrectly. | |
| 660 | ||
| 661 | 1.2.1.04 | Modify th e Allocati on Audit o f PSDRPH K ey Report [XU EPCS P SDRPH AUDI T] - Appro ved | |
| 662 | User Story : | |
| 663 | As a VA em ployee, I need the A llocation Audit of P SDRPH Key Report [XU EPCS PSDR PH AUDIT] modified t o support delivery o ptions so that I can ensure th e appropri ate people have acce ss to the report whe n they nee d it. | |
| 664 | Acceptance Criteria: | |
| 665 | I want the following modificat ions to th e XU EPCS PSDRPH AUD IT report: | |
| 666 | I want to rename the report “X U EPCS PHA RMACIST AC CESS REPOR T” | |
| 667 | I want the ability t o run the report on demand. | |
| 668 | When I run the repor t on deman d, I want the abilit y to print the repor t. | |
| 669 | I want the ability t o email th e report w hen run au tomaticall y or on de mand. | |
| 670 | I want the report to be delive rable to d evice, ema il, or bot h. | |
| 671 | If no valu e for repo rt device or email g roup, deli ver by ema il to hold ers of PSD MGR key. | |
| 672 | When the r eport is r un automat ically, I want it se nt to prin ter define d by XUEPC S PHARMACI ST ACCESS REPORT DEV ICE. | |
| 673 | When the r eport is r un automat ically, I want it se nt to the email addr ess define d by XUEPC S PHARMACI ST ACCESS REPORT EMA IL GROUP. | |
| 674 | I want the report ou tput separ ated by di vision. | |
| 675 | I want pha rmacists w ith multip le divisio ns (as def ined in fi le 200) to appear in the repor t section for each o f their di visions. | |
| 676 | I want an indicator that the d ata is dup licated th roughout t he report. | |
| 677 | Notes: | |
| 678 | The report currently runs auto matically every 24 h ours DO NO T remove t his functi onality. | |
| 679 | ||
| 680 | G and h ar e candidat es for de- scoping if needed. | |
| 681 | RTM User S tory: | |
| 682 | Same as 1. 2.1.03 | |
| 683 | ||
| 684 | 1.2.1.05 | Create Re port Deliv ery Parame ters - App roved | |
| 685 | User Story : | |
| 686 | As a user, I need th e ability to configu re the del ivery loca tion(s) of the XU EP CS LOGICAL ACCESS RE PORT and X UEPCS PHAR MACIST ACC ESS REPORT so that t he report is deliver ed the app ropriate d evice and/ or individ uals. | |
| 687 | Acceptance Criteria: | |
| 688 | I want the ability t o define t he printer for the d elivery of the XUEPC S LOGICAL ACCESS REP ORT. | |
| 689 | I want the parameter named “XU EPCS LOGIC AL ACCESS REPORT DEV ICE.” | |
| 690 | I want the ability t o define t he email a ddress for delivery of the XUE PCS LOGICA L ACCESS R EPORT. | |
| 691 | I want the parameter named “XU EPCS LOGIC AL ACCESS REPORT EMA IL GROUP.” | |
| 692 | I want th e ability to define the printe r for the delivery o f the XUEP CS PHARMAC IST ACCESS REPORT. | |
| 693 | I want the parameter named “XU EPCS PHARM ACIST ACCE SS REPORT DEVICE.” | |
| 694 | I want the ability t o define t he email a ddress for delivery of the XU EPCS PHARM ACIST ACCE SS REPORT | |
| 695 | I want the parameter named “XU EPCS PHARM ACIST ACCE SS REPORT EMAIL GROU P.” | |
| 696 | I want to access the se paramet ers from a new optio n on the E PCS DEA Ut ility Func tions menu . | |
| 697 | Notes: | |
| 698 | These are new parame ters | |
| 699 | ||
| 700 | RTM User S tory: | |
| 701 | As a user, I need th e delivery of the au dit report for provi der logica l access t o be deliv ered to a separate d estination than the report for pharmacis t PSDRPH k ey, so tha t differen t people c an be resp onsible fo r each rep ort. | |
| 702 | ||
| 703 | 1.2.1.06 | Create XU EPCS PHARM ACIST ACCE SS REPORT Delivery P arameters | |
| 704 | User Story : | |
| 705 | As a user, I need th e ability to configu re the del ivery loca tion(s) of the XUEPC S PHARMACI ST ACCESS REPORT so that the r eport is d elivered t he appropr iate devic e and/or i ndividuals . | |
| 706 | Acceptance Criteria: | |
| 707 | I want the ability t o define t he printer for the d elivery of the XUEPC S PHARMACI ST ACCESS REPORT. | |
| 708 | I want the parameter named “XU EPCS PHARM ACIST ACCE SS REPORT DEVICE.” | |
| 709 | I want the ability t o define t he email a ddress for delivery of the XU EPCS PHARM ACIST ACCE SS REPORT | |
| 710 | I want the parameter named “XU EPCS PHARM ACIST ACCE SS REPORT EMAIL GROU P.” | |
| 711 | I want to access the se paramet ers from a new optio n on the E PCS DEA Ut ility Func tions menu . | |
| 712 | Notes: | |
| 713 | These are new parame ters | |
| 714 | ||
| 715 | RTM User S tory: | |
| 716 | ||
| 717 | ||
| 718 | 1.2.1.07 | Modify PS D DEA SUBO XONE Repor t to corre ct patient count log ic. - App roved | |
| 719 | User Story : | |
| 720 | As a provi der, I nee d the exis ting PSD D EA SUBOXON E report m odified to correct t he logic t hat counts patients that were dispensed Suboxone s o that eac h patient is only co unted once per presc ribing pro vider to a ccount for patients who may ne ed multipl e strength s of Subox one to mak e up the c orrect dos age dispen sed. | |
| 721 | Acceptance Criteria: | |
| 722 | I want the PSD DEA S UBOXONE re port modif ied to onl y count ea ch patient once per prescribin g provider . | |
| 723 | Notes: | |
| 724 | Currently, it genera tes a repo rt broken down to th e patient and dispen se drug le vel. That is incorr ect when y ou have a patient th at might n eed two st rengths of Suboxone to dispens e their pr escription . They sh ould be co unted as 1 patient. | |
| 725 | ||
| 726 | Same patie nt, same p rovider co unts as on e | |
| 727 | Rx #1234 Joe Vete ran Bu prenorphin e 2mg/Nal oxone 0.5m g Dr. S mithRx #12 35 Joe Veteran Buprenor phine 8mg /Naloxone 2mg Dr. Smith | |
| 728 | ||
| 729 | RTM User S tory: | |
| 730 | As a provi der, I nee d to gener ate a repo rt of my p atients th at counts the unique patients to whom I have presc ribed Subo xone, so t hat I can comply wit h the requ irements o f the DATA 2000 Act | |
| 731 | ||
| 732 | 1.2.2 | Cr eation of filtered r eports tha t contain facility s pecific pr ovider’s i nformation | |
| 733 | 1.2.3 | Ab ility to p rint repor ts | |
| 734 | 1.2.4 | Ab ility to e -mail repo rts | |
| 735 | 1.2.4.01 | Modify th e text of the email sent from PSOHLEXP r outine for Expiring Facility D EA Number - Approved | |
| 736 | User Story : | |
| 737 | As a VA re presentati ve respons ible for i nstitution al DEA num ber inform ation, I w ant the cu rrent emai l sent, us ing the “^ PSOHLEXP” routine, w hen an ins titutional DEA numbe r is about to expire modified so that I have the i nformation I need to take acti on. | |
| 738 | Acceptance Criteria: | |
| 739 | I want the subject o f the emai l updated to state, “An Instit utional DE A Number i s about to reach its Expiratio n Date”. | |
| 740 | I want the text of t he email u pdated to state: | |
| 741 | ||
| 742 | “The insti tutional ( facility) DEA Number for <faci lity name> (Institut ion File # 4 IEN = <# 4 IEN>) wi ll expire on MM/DD/Y YYY. | |
| 743 | ||
| 744 | Please upd ate the in stitutiona l DEA expi ration dat e using op tion | |
| 745 | Edit Facil ity DEA# a nd Expirat ion Date [ XU EPCS ED IT DEA# AN D XDATE].” | |
| 746 | Notes: Old : | |
| 747 | Subj: 6047 :Instituti onal DEA E xpiration Date is ab out to exp ire [#316 3964] | |
| 748 | 08/30/16@1 5:34 3 li nes | |
| 749 | From: POST MASTER,HIN ES - COMPU TER OPERAT OR (Master of its Do main) | |
| 750 | In 'IN' ba sket. Pa ge 1 *New * | |
| 751 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 752 | ||
| 753 | Please upd ate Instit utional DE A Certific ation Date . Will exp ire on 8/3 1/16. | |
| 754 | ||
| 755 | ||
| 756 | Enter mess age action (in IN ba sket): Ign ore// | |
| 757 | ||
| 758 | New: Mock Up Below | |
| 759 | Subj: An I nstitution al DEA Num ber is abo ut to reac h its Expi ration Dat e [#668102 95] | |
| 760 | 10/01/13@0 0:07 3 lin es | |
| 761 | From: POST MASTER - P OSTMASTER In 'WASTE' basket. Page 1 | |
| 762 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 763 | ||
| 764 | The instit utional (f acility) D EA Number for | |
| 765 | JOLIET CBO C (Institu tion File #4 IEN = 6 047) | |
| 766 | will expir e on 08/31 /16. | |
| 767 | ||
| 768 | Please upd ate the in stitutiona l DEA expi ration dat e using op tion | |
| 769 | Edit Facil ity DEA# a nd Expirat ion Date [ XU EPCS ED IT DEA# AN D XDATE]. | |
| 770 | ||
| 771 | Enter mess age action (in WASTE basket): Ignore// | |
| 772 | RTM User S tory: | |
| 773 | As a user, I need th e automate d email th at warns m e of an ex piring fac ility DEA number to tell me th e institut ion name i n addition to the in stitution Internal E ntry Numbe r (IEN) th at it alre ady shows, so that I can more easily kno w which en try to upd ate using option XU EPCS EDIT DEA# AND X DATE. | |
| 774 | ||
| 775 | 1.2.5 | Co ntrol deli very of au dit report s to appro priate ind ividuals a nd groups | |
| 776 | 1.2.5.01 | Notify Pr ovider of DEA Number Pending E xpiration – hold | |
| 777 | User Story : | |
| 778 | ||
| 779 | Acceptance Criteria: | |
| 780 | ||
| 781 | Notes: | |
| 782 | Possibly h andled wit h a patch -low prior ity | |
| 783 | ||
| 784 | Rob’s comm ents: | |
| 785 | “If you’l l recall, this one i s only nec essary for MPDU to a ddress if your patch comes out sooner th an OR*3*43 1. If OR4 31 gets re leased, th is story w ill be wit hdrawn.” | |
| 786 | ||
| 787 | Questions: | |
| 788 | Are provid er email a ddresses s tored as p art of the provider profile? | |
| 789 | What happe ns for non -VA provid ers? Shoul d they be excluded f rom this p rocess? | |
| 790 | This isn’ t really a report bu t a proces s, that be ing said…s hould this be moved to another sub-epic? Unless yo u see this as a resu lt of a re port being run. | |
| 791 | ||
| 792 | ||
| 793 | RTM User S tory: | |
| 794 | As a provi der, I nee d a notifi cation tha t my perso nal DEA nu mber is ex piring, so that I am prompted to renew i t with the DEA befor e it expir es. | |
| 795 | ||
| 796 | Sub-Epic 1 .3: Manage ment of co ntrolled s ubstance w orkflows | |
| 797 | 1.3.1 – Ma nagement o f validati ons or reg istrations of provid er DEA #s | |
| 798 | 1.3.1.01| Verify pro vider cont rolled sub stance sch edule perm issions fo r inpatien t orders - Approved | |
| 799 | User Story : | |
| 800 | As a VA ph armacist e ntering in patient me dication o rders of c ontrolled substances I want to be preven ted from e ntering or ders for s chedules t he provide r is unaut horized to prescribe based on the provid er’s profi le so that I am not in violati on of DEA regulation s. | |
| 801 | Acceptance Criteria: | |
| 802 | When enter ing an inp atient ord er, I want to receiv e an error message i f I select a control led substa nce with a schedule the prescr iber is no t authoriz ed to pres cribe. | |
| 803 | I want the error to state “Pro vider not authorized to write Federal Sc hedule XX prescripti ons. Pleas e contact the provid er.” | |
| 804 | Notes: | |
| 805 | Backdoor i npatient i s where th e current deficiency is for th is request | |
| 806 | RTM User S tory: | |
| 807 | As a pharm acist work ing in the inpatient setting, I need the system to check the controlle d substanc e privileg es of the prescriber at the in dividual s chedule le vel when e ntering a controlled substance medicatio n order, s o that it is consist ent with t he entry o f orders t hrough CPR S and in O utpatient Pharmacy. | |
| 808 | ||
| 809 | 1.3.1.02| Require VA Provider select DEA # for Out patient Co ntrolled S ubstance P rescriptio ns - Appro ved | |
| 810 | User Story : | |
| 811 | As a VA Pr ovider, us ing CPRS t o prescrib e controll ed substan ce medicat ions, who has multip le DEA #s associated with my p rovider pr ofile, I w ant to be able to se lect a DEA # from th e DEA #s a ssociated with my pr ovider pro file so th at I can e nsure that I associa te the pre scription to the cor rect DEA # . | |
| 812 | Acceptance Criteria: | |
| 813 | When presc ribing a c ontrolled substance medication , I want t o be requi red to ass ociate one of my DEA #s to the prescript ion. | |
| 814 | If I have multiple D EA #s, I w ant to be required t o select a DEA # (no default). | |
| 815 | If any one of my DEA #s is exp ired, I wa nt to be p revented f rom select ing an exp ired DEA # . | |
| 816 | I only wan t to see e xpired DEA #s that e xpired wit hin the la st year. | |
| 817 | If I only have one D EA #, I wa nt it to d efault to that DEA n umber. | |
| 818 | If the onl y DEA # on file is e xpired, I want to re ceive the following error mess age: | |
| 819 | ||
| 820 | “Order for controlle d substanc e could no t be compl eted. Prov ider’s DEA # expired on <date [SEP 20, 2 016]>. Pro vider is i neligible to sign th e order. | |
| 821 | ||
| 822 | Click RETR Y to selec t another provider. | |
| 823 | Click CANC EL to canc el the cur rent order .” | |
| 824 | ||
| 825 | If the cor rect DEA n umber is n ot availab le for sel ection, I want to be able to c ancel the prescripti on entry p rocess. | |
| 826 | Notes: | |
| 827 | It is the responsibi lity of th e provider to indica te which D EA number is to be u sed for a controlled substance prescript ion. | |
| 828 | ||
| 829 | If the DEA number is not in th e system, it is up t o the prov ider to co ntact the appropriat e person t o get the DEA number added. | |
| 830 | RTM Story: | |
| 831 | N/A | |
| 832 | ||
| 833 | 1.3.1.03 | Require s election o f DEA numb er for Out patient Co ntrolled S ubstance P rescriptio ns (Paper Rx) - Appr oved | |
| 834 | User Story : | |
| 835 | As a VA Ph armacist u sing VistA to enter prescripti ons for co ntrolled s ubstance m edications , I want t o be able to select a DEA # fr om the DEA #s associ ated with the provid er’s profi le so that I can ens ure that I associate the presc ription to the corre ct DEA #. | |
| 836 | Acceptance Criteria: | |
| 837 | When enter ing a cont rolled sub stance med ication pr escription , I want t o be requi red to ass ociate one of the pr ovider’s D EA #s to t he prescri ption. | |
| 838 | If there a re multipl e DEA #s, I want to be require d to selec t a DEA # (no defaul t). | |
| 839 | If there i s only one DEA #, I want it to default t o that DEA number. | |
| 840 | If anyone of the pro vider’s DE A #s is ex pired, I w ant to be prevented from selec ting an ex pired DEA #. | |
| 841 | If the onl y DEA # on file is e xpired, I want to re ceive the following error mess age: “Prov ider must have a cur rent DEA# or VA# to write pres criptions for this d rug.” | |
| 842 | If the cor rect DEA n umber is n ot availab le for sel ection, I want to be able to c ancel the prescripti on entry p rocess. | |
| 843 | Notes: | |
| 844 | It is the responsibi lity of th e provider to indica te which D EA number is to be u sed for a controlled substance prescript ion, on pa per prescr iptions th is would b e on the a ctual pres cription. | |
| 845 | If the DEA number is not in th e system, it is up t o the user to get th e DEA numb er added t o the prof ile. | |
| 846 | ||
| 847 | Show state associate d with DEA # for thi s process | |
| 848 | Need to re search “li mited fede ral use, e tc.” wher e in file and any co nsistency vs. incons istency | |
| 849 | ||
| 850 | Need addit ional note s | |
| 851 | DEA number s that exp ired do no t show | |
| 852 | Concern ab out defaul t of only remaining in this in stance | |
| 853 | Need to de termine if we need s tories to handle Cop y & Renew | |
| 854 | RTM Story: | |
| 855 | N/A | |
| 856 | ||
| 857 | 1.3.1.04 | Prevent p rovider fr om electro nically pr escribing controlled substance schedules the provi der is not authorize d to presc ribe. - Ap proved | |
| 858 | User Story : | |
| 859 | As a provi der using CPRS to wr ite prescr iptions, I want to b e prevente d from pre scribing c ontrolled substance schedules that I am not author ized to pr escribe so I am comp liant with DEA regul ations. | |
| 860 | Acceptance Criteria: | |
| 861 | When enter ing an ele ctronic pr escription , I want t o receive an error m essage if I select a controlle d substanc e with a s chedule th at I am no t authoriz ed to pres cribe. | |
| 862 | I want the error to state: | |
| 863 | ||
| 864 | “Order for controlle d substanc e could no t be compl eted. Prov ider is no t authoriz ed to pres cribe medi cations in Federal S chedule <X X [ 2 | 2N | 3 | 3N | 4 | 5]>. | |
| 865 | ||
| 866 | Click RETR Y to selec t another provider. | |
| 867 | Click CANC EL to canc el the cur rent order .” | |
| 868 | Notes: | |
| 869 | Current co de: absenc e of PS3 n ode on fil e 200 allo ws the pre scriber to be treate d as autho rized for the schedu le of the drug being ordered. | |
| 870 | ||
| 871 | Requested code: don' t accept a bsence of PS3 node a s meaning anything - schedules must be e xplicitly defined Y or N on PS 3 node. | |
| 872 | ||
| 873 | Only check the DEA n umber that the provi der is usi ng not the entire li st. | |
| 874 | ||
| 875 | 1.3.1.4 .. . TEST CAS E ... Once this stor y is deliv ered, then test opti on OR EPCS USERS PAR AMETER to ensure tha t it does not honor the grandf athering a nymore | |
| 876 | ||
| 877 | RTM Story: | |
| 878 | As a clini cian, I ne ed the sys tem to enf orce my ab ility to p rescribe c ontrolled substances to be lim ited to th ose schedu les that a re explici tly identi fied in my profile, so that I am unable to prescri be outside of my per mitted sco pe. | |
| 879 | ||
| 880 | 1.3.1.05 | Verify Pr ovider is authorized to prescr ibe a spec ific contr olled subs tance sche dule when pharmacist attemptin g to finis h orders ( Paper Rx) in an outp atient set ting. – Ap proved | |
| 881 | User Story : | |
| 882 | As a VA ph armacist w orking in an outpati ent settin g, I only want to be able to f inish cont rolled sub stance sch edules ord ers that t he prescri bing provi der is aut horized to prescribe in their profile so that I am not in vi olation of DEA regul ations. | |
| 883 | Acceptance Criteria: | |
| 884 | When enter ing a pres cription o rder, I wa nt to rece ive an err or message if I sele ct a contr olled subs tance with a schedul e the pres criber is not author ized to pr escribe. | |
| 885 | I want the error to state “Pro vider not authorized to write Federal Sc hedule <XX [ 2 | 2N | 3 | 3N | 4 | 5]>. prescript ions. Plea se contact the provi der.” | |
| 886 | Notes: | |
| 887 | Same notes as above | |
| 888 | RTM Story: | |
| 889 | As a pharm acist, I n eed the sy stem to en force the provider's ability t o prescrib e controll ed substan ces to be limited in all setti ngs to tho se schedul es that ar e explicit ly identif ied in the provider’ s profile, so that I am unable to dispen se a presc ription/me dication o rder that was prescr ibed outsi de the pro vider's sc ope. | |
| 890 | ||
| 891 | 1.3.2– Man agement of Meds by M ail users | |
| 892 | 1.3.2.01 | Block war ning messa ge associa ted to pro viders wit hout CPRS accounts f or Meds by Mail user s - Approv ed | |
| 893 | User Story : | |
| 894 | As a Pharm acy System s Manager, I want to turn off the warnin g message confirmati on prompt associated with sele cting a pr ovider wit hout a CPR S account for Meds b y Mail sit es running VistA as their phar macy packa ge so that I can eli minate unn ecessary e rror/warni ng message s reducing message f atigue. | |
| 895 | Acceptance Criteria: | |
| 896 | I want a n ew system level para meter that allows me to turn o ff the war ning messa ge confirm ation prom pt display ed in the EPCS GUI w hen a Meds by Mail u ser select s a provid er without a CPRS ac count. | |
| 897 | Notes: | |
| 898 | This messa ge display s in the E PCS GUI | |
| 899 | Each VistA package h as a stati on number as its ide ntifier. | |
| 900 | RTM User S tory: | |
| 901 | As a Meds by Mail em ployee, I need the E lectronic Prescripti ons for Co ntrolled S ubstances (EPCS) gra phical use r interfac e (GUI) ap plication to know th at none of my provid ers sign o n to VistA and there fore not p rompt me f or the con firmation that I hav e selected the corre ct user ev ery time, so that I can more e fficiently use the p rogram. | |
| 902 | ||
| 903 | 1.3.3 – Ma nagement o f Outpatie nt Pharmac y digital signatures | |
| 904 | 1.3.3.01 | Send indi cator of d igital sig nature for controlle d substanc e prescrip tions to O utpatient Pharmacy A utomation System - A pproved | |
| 905 | User Story : | |
| 906 | As a VA Ph armacy use r, I want VistA to s end the Ou tpatient P harmacy Au tomation S ystem an i ndicator t hat a cont rolled sub stance pre scription is digital ly signed by the pro vider so i t is able to print o n the pres cription l abel enabl ing me to determine if a hard- copy of th e prescrip tion needs to be col lated with the medic ation. | |
| 907 | Acceptance Criteria: | |
| 908 | I want the data feed from Vist A, used to communica te with th e Outpatie nt Pharmac y Automati on system, to includ e an indic ator for d igitally s igned cont rolled sub stance pre scriptions . | |
| 909 | Notes: | |
| 910 | Add an ext ra field t o the exis ting HL7 I nterface ( OPAI) | |
| 911 | RTM User S tory: | |
| 912 | As a pharm acy user, I need to see the in dication o f whether a prescrip tion was d igitally s igned or n ot digital ly signed on a label generated by Outpat ient Pharm acy automa tion, so t hat I know whether t here is a hard-copy prescripti on to be c ollated wi th the med ication. | |
| 913 | ||
| 914 | 1.3.4 – Ma nagement o f provider logical a ccess cont rols to EP CS | |
| 915 | 1.3.4.01 | Manage do sage forms for pain use of bup renorphine -containin g products - Approve d | |
| 916 | User Story : | |
| 917 | As a VA Ph armacy Sys tems Manag er, I need the abili ty to mana ge (add, d elete) bup renorphine -containin g medicati on dosage forms appr oved for t he treatme nt of pain by the Fe deral Drug Administr ation (FDA ) so that providers without a Detox numb er can pre scribe the se medicat ions witho ut being s topped by CPRS and P harmacy Da ta Managem ent. | |
| 918 | Acceptance Criteria: | |
| 919 | I want a f unction th at allows me to mana ge the dos age forms allowed fo r prescrib ing bupren orphine-co ntaining m edications . | |
| 920 | I want the ability t o add one or more do sage forms to a list of formul ations app roved by t he FDA spe cifically for the tr eatment of pain. | |
| 921 | I want to be require d to only use existi ng dosage forms from the natio nal drug f ile. | |
| 922 | I want the ability t o remove o ne or more of the do sage forms from the list of al lowed dosa ge forms. | |
| 923 | I want the list prep opulated w ith the fo llowing do sage forms : | |
| 924 | Patch | |
| 925 | Film, Bucc al | |
| 926 | I want acc ess to thi s function limited t o users wh o have acc ess to the [PSS DOSA GES MANAGE MENT] Dosa ges. | |
| 927 | Notes: | |
| 928 | Adding to the curren t list | |
| 929 | DETOX^PSSO PKI | |
| 930 | Place the function o n the menu in AC #2 | |
| 931 | ||
| 932 | The pre-po pulation w ill be don e via post -install r outine | |
| 933 | RTM User S tory: | |
| 934 | N/A | |
| 935 | ||
| 936 | 1.3.4.02 | Allow Pro viders to order of b uprenorphi ne-contain ing produc ts with pe rmitted do sage forms - Approve d | |
| 937 | User Story : | |
| 938 | As a provi der, I nee d the abil ity to ord er bupreno rphine-con taining pr oducts for the treat ment of pa in without being req uired to p rovide a d etox numbe r so that I can pres cribe the medication s without being inap propriatel y stopped by CPRS an d Pharmacy Data Mana gement. | |
| 939 | Acceptance Criteria: | |
| 940 | As a provi der withou t a detox number, if I order a buprenorp hine-conta ining prod uct, I wan t the dosa ge form or dered chec ked agains t the dosa ge forms a llowed. | |
| 941 | If the dos age form i s permitte d for use without a detox numb er, I want to be all owed to co mplete the order. | |
| 942 | If the dos age form i s not exem pted and r equires a detox numb er, I want to be blo cked from completing the order without m y attestat ion. | |
| 943 | Display th e followin g error me ssage: “Or der for co ntrolled s ubstance c ould not b e complete d. Provid er does no t have a v alid Detox ification/ Maintenanc e ID numbe r on recor d and is i neligible to sign th e order wi thout atte sting to a n off-labe l.” | |
| 944 | If I am bl ocked, I w ant the op tion to at test that I am presc ribing the medicatio n for an o ff-label u se. | |
| 945 | I want the following text asso ciated wit h the opti on for the attestati on “I atte st that th is prescri ption is b eing writt en for the treatment of pain o r other of f-label us e and is n ot subject to the re quirement of a Detox /Maintenan ce Number for use in the treat ment of su bstance ab use disord er as requ ired by DA TA 2000.” | |
| 946 | I want the attestati on recorde d as part of the con trolled su bstance or der. | |
| 947 | Notes: | |
| 948 | ||
| 949 | RTM User S tory: | |
| 950 | As a presc riber of b uprenorphi ne-contain ing produc ts that ar e Federal Drug Admin istration (FDA) appr oved in th e treatmen t of pain, I need th e system t o recogniz e the dosa ge forms t hat do not require m e to have an X-numbe r (detox/m aintenance number), so that I can prescr ibe the me dications without be ing inappr opriately stopped by CPRS and Pharmacy D ata Manage ment. | |
| 951 | ||
| 952 | 1.3.5 – No tification of expiri ng DEA#(s) to provid ers | |
| 953 | 1.3.5.01 | Site Leve l Paramete r for “Fai l Over” fu nctionalit y - Approv ed | |
| 954 | User Story : | |
| 955 | As a Pharm acy System s Manager, I want th e option t o turn off the exist ing expire d DEA numb er "fail o ver" funct ionality f or my site so that I can enfor ce the ren ewal of DE A registra tions whil e allowing other VA sites to m aintain th e "fail ov er" functi onality. | |
| 956 | Acceptance Criteria: | |
| 957 | I want a s ite level new parame ter that e nables me to prevent the use o f the "Fai l Over" fu nctionalit y at my si te. | |
| 958 | I want the parameter defaulted to allow the "Fail Over" func tionality. | |
| 959 | Upon choos ing to cha nge the pa rameter, I want to r eceive a w arning con firmation prompt pri or to allo wing me to save. | |
| 960 | I want the warning m essage to state "You are turni ng off the Expired D EA number fail over functional ity. Provi ders with expired DE A number w ill not be allowed t o prescrib e controll ed substan ces at thi s site. Pl ease confi rm this ch ange." | |
| 961 | Notes: | |
| 962 | FWIW, this is someth ing that n eeds to be coordinat ed with HP S Sustainm ent (Marce lo) becaus e it will impact the testing o f their pa tches - PS O*7*504, f or example . | |
| 963 | RTM User S tory: | |
| 964 | As a user, I need th e system t o offer a site param eter that determines whether a n expired DEA number will "fai l over" ca using the system to use the VA number in stead as a prescribe r’s author ization to prescribe controlle d substanc es, so tha t I can mo re strongl y enforce renewal of DEA regis trations a t the divi sion level . | |
| 965 | ||
| 966 | 1.3.6 – Ma nagement o f controll ed substan ce invento ry levels | |
| 967 | 1.3.6.01 | Allow inv entory upd ates for c ontrolled substances prescript ions retur ned to sto ck after b eing refil led again. – DESCOPE and Reuse | |
| 968 | User Story : | |
| 969 | As a pharm acy user, I want the inventory quantity updated to reflect p rescriptio ns not pic ked up wit hin the se t timefram e, returne d to stock , and requ ested agai n so that I can prop erly proce ss prescri ptions whi le maintai ning accur ate stock quantities without r equiring a work arou nd. | |
| 970 | ||
| 971 | Acceptance Criteria: | |
| 972 | For contro lled subst ance presc riptions p reviously returned t o stock th at I reque st to fill again, I want the t ransaction to post t he invento ry update (deduct th e quantity from stoc k) for the fill. | |
| 973 | Notes: Thi s is a sys tem defect . Currentl y the user needs to re-enter t he prescri ption to g et the qua ntity to u pdate. | |
| 974 | ||
| 975 | Example: | |
| 976 | Patient dr ops off re fill of a prescripti on for Per cocet 5/32 5mg for #2 0 quantity on 10/1/2 017. | |
| 977 | Pharmacist inputs pr escription and dispe nses the # 20 Percoce t on 10/1/ 2017. | |
| 978 | Inventory is reduced by #20 | |
| 979 | Prescripti on sits in pharmacy to be pick ed up. | |
| 980 | X days pas s and pres cription i s still in the pharm acy. | |
| 981 | The prescr iption per policy is returned to stock a fter X day s. | |
| 982 | Inventory is increas ed by #20 | |
| 983 | After the prescripti on is retu rned to st ock, the p atient com es into pi ck up pres cription. | |
| 984 | Pharmacist regenerat es fill an d dispense s #20 Perc ocet. | |
| 985 | Inventory is decreas ed by #20 (The defic iency is t hat invent ory is dec reased but VistA can ’t track i t correctl y.) | |
| 986 | RTM User S tory: | |
| 987 | As a user, I need th e Controll ed Substan ce package to let me correctly post inve ntory upda tes for a prescripti on where t he origina l fill was returned to stock a nd is now being fill ed again, so that th e inventor y levels a re correct ly managed and that I don't ha ve to re-e nter the p rescriptio n as a wor karound. | |
| 988 | ||
| 989 | Sub-Epic 1 .4: Sort p rescriptio n by suppl y items. | |
| 990 | – Selectiv ely Proces s Rxs for Supply Ite ms - NSR # 20160414 | |
| 991 | 1.4.1.01| Add new f ilter opti on for Sup plies for Complete O rders from OERR - Ap proved | |
| 992 | User Story : | |
| 993 | As a pharm acist or p harmacy te chnician r esponsible for proce ssing pres criptions, I need th e ability to select supply ord ers when u sing the C omplete Or ders from OERR so th at I can m ore effici ently proc ess the pe nding pres cription q ueue. | |
| 994 | Acceptance Criteria: | |
| 995 | I want a n ew option from the C omplete Or ders from OERR filte r selectio ns. | |
| 996 | I want the option la beled “'SU ' to proce ss supply orders”. | |
| 997 | When I sel ect ‘SU’ a nd I answe r “Yes” to question “Do you wa nt to see Medication Profile?” I want on ly patient s with Sup ply orders displayed . | |
| 998 | When I sel ect ‘SU’ a nd I answe r “No” to question “ Do you wan t to see M edication Profile?” I want onl y Supply o rders disp layed. | |
| 999 | Notes: | |
| 1000 | Supplies a re defined as 1) any XA***, 2) XX*** or 3) (DX*** with DEA c ontains S) . | |
| 1001 | ||
| 1002 | Mock Up | |
| 1003 | ||
| 1004 | Select By: (PA/RT/PR /CL/FL/CS/ E): | |
| 1005 | Enter 'PA' to proces s orders b y patients 'RT ' to proce ss orders by route ( mail/windo w) ' PR' to pro cess order s by prior ity 'CL' to pr ocess orde rs by clin ic ' FL' to pro cess flagg ed orders 'CS' to proces s digitall y signed C S orders | |
| 1006 | 'SU' to proces s supply o rders o r 'E' or ' ^' to exit | |
| 1007 | ||
| 1008 | Select one of the fo llowing: | |
| 1009 | PA PATIENT RT RO UTE PR PRIORI TY CL CLINIC FL FLAGGED CS CO NTROLLED S UBSTANCES SU SUPPLY | |
| 1010 | E EXIT | |
| 1011 | ||
| 1012 | RTM User S tory: | |
| 1013 | n/a | |
| 1014 | ||
| 1015 | 1.4.1.02 | Allow a s econdary f ilter opti on - Appro ved | |
| 1016 | User Story : | |
| 1017 | As a pharm acist fini shing orde rs, I need the abili ty to sele ct a secon dary filte r for Comp lete Order s from OER R so that I can furt her filter the order s I'm work ing on. | |
| 1018 | Acceptance Criteria: | |
| 1019 | If I have already ch osen a pri mary filte r, I want the option to choose one addit ional filt er. | |
| 1020 | I only wan t unselect ed options displayed for the s econdary f ilter. | |
| 1021 | If I decid e to not u se a secon dary filte r, I want the abilit y to conti nue withou t selectin g a second ary filter . | |
| 1022 | Notes: | |
| 1023 | ||
| 1024 | Mock up: | |
| 1025 | Select By: (PA/RT/PR /CL/FL/CS/ SU/E): | |
| 1026 | Enter prim ary filter 'PA' to p rocess ord ers by pat ients 'RT ' to proce ss orders by route ( mail/windo w) 'PR' t o process orders by priority 'CL' to pr ocess orde rs by clin ic 'FL' t o process flagged or ders 'CS' to proces s digitall y signed C S orders | |
| 1027 | 'SU' to p rocess Sup ply orders | |
| 1028 | or 'E' o r '^' to e xit | |
| 1029 | ||
| 1030 | Select one of the fo llowing: | |
| 1031 | PA PA TIENT RT RO UTE PR PRIO RITY CL CLI NIC FL FLAG GED CS CONT ROLLED SUB STANCES | |
| 1032 | SU SU PPLY E EXIT | |
| 1033 | ||
| 1034 | Select By: (PA/RT/PR /CL/FL/CS/ SU/E): CL CLIN IC | |
| 1035 | ||
| 1036 | ||
| 1037 | Primary Fi lter: 'CL' to proces s orders b y clinic | |
| 1038 | Select By: (PA/RT/PR /FL/CS/SU/ C/E): | |
| 1039 | Enter seco ndary filt er 'PA' to process o rders by p atients 'RT' to p rocess ord ers by rou te (mail/w indow) 'PR' to pr ocess orde rs by prio rity ) 'FL' to pr ocess flag ged orders 'CS' t o process digitally signed CS orders | |
| 1040 | 'SU' to process S upply orde rs | |
| 1041 | or ‘C’ to contin ue with on e filter | |
| 1042 | or 'E' or '^' to exit | |
| 1043 | ||
| 1044 | Select one of the fo llowing: | |
| 1045 | PA PA TIENT RT RO UTE PR PRIO RITY FL FLA GGED CS CON TROLLED SU BSTANCES | |
| 1046 | SU SU PPLY C Cont inue W/PRI MARY | |
| 1047 | E EXIT | |
| 1048 | ||
| 1049 | RTM User S tory: | |
| 1050 | As a pharm acist fini shing orde rs, I need to be abl e to selec t the CLIN IC SORT GR OUP for pr ocessing a fter choos ing to sor t prescrip tions by c ontrolled substance schedule, so that I can focus on the con trolled su bstance pr escription s written by the pro viders to whom I am assigned. | |
| 1051 | ||
| 1052 | 1.4.1.03 | Controlle d Substanc e Order Ma nagement - Approved | |
| 1053 | User Story : | |
| 1054 | As a pharm acist fini shing pres criptions, I need ad ditional o ption(s) f or selecti ng Non-Con trolled Su bstance me dications and Schedu le III-V m edications so that I can more efficientl y process the pendin g prescrip tion queue . | |
| 1055 | Acceptance Criteria: | |
| 1056 | When selec ting a sor t order, I want the following new option s: | |
| 1057 | NON-CS + I II-V | |
| 1058 | When I sel ect NON-CS + III-V, I only wan t orders t hat are fo r non-cont rolled sub stance med ications a nd Schedul e III-V co ntrolled s ubstances. | |
| 1059 | NON-CS ONL Y | |
| 1060 | When I sel ect NON-CS ONLY, I o nly want o rders that are for n on-control led substa nce medica tions. | |
| 1061 | Notes: | |
| 1062 | Select By: (PA/RT/PR /CL/FL/CS/ E): PATIEN T// CS CON TROLLED SU BSTANCES | |
| 1063 | Route: (W/ M/B/E): BO TH// | |
| 1064 | Select a s chedule(s) | |
| 1065 | Select one of the fo llowing: | |
| 1066 | ||
| 1067 | 1 SCHEDULE I I | |
| 1068 | 2 SCHEDULES III - V | |
| 1069 | 3 SCHEDULES II - V | |
| 1070 | 4 NON-CS + S CHEDULES I II-V | |
| 1071 | 5 NON-CS ONL Y | |
| 1072 | E EXIT | |
| 1073 | RTM User S tory: | |
| 1074 | As a pharm acist fini shing orde rs, I need to be abl e to selec t legend d rugs and c ontrolled substances C-III thr ough C-V ( the lower schedules of control led substa nces) whil e bypassin g pending orders for C-II medi cations, s o that I c an efficie ntly proce ss the pen ding presc ription qu eue. | |
| 1075 |
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