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Xeris Manual - Hospice Pharmacia

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<strong>Xeris</strong> Reference <strong>Manual</strong><br />

© 2005 <strong>Hospice</strong> <strong>Pharmacia</strong>, a division of excelleRx<br />

Version 2.1


updated 08/1/2005<br />

© Copyright 2005. <strong>Xeris</strong>, Predictive Pharmacotherapy Outcomes System (PPOS), ComfortPak, Medication Use Guidelines (MUGs), PMTM and all<br />

<strong>Xeris</strong> products and their respective logos are Trademarks of excelleRx, Inc. All rights reserved. No part of the information contained herein may be<br />

reproduced, duplicated, or copied without permission. Please inquire if you are not sure. PPOS and <strong>Xeris</strong> are Patent Pending.


Table of Contents<br />

Chapter 1 – Introduction............................................................................................... 3<br />

What is <strong>Xeris</strong>?.........................................................................................................................................3<br />

<strong>Xeris</strong> Version 2.1 ....................................................................................................................................3<br />

Training...................................................................................................................................................3<br />

Chapter 2 - Basics......................................................................................................... 4<br />

System Requirements ............................................................................................................................ 4<br />

<strong>Hospice</strong> <strong>Pharmacia</strong> Website .................................................................................................................. 4<br />

Logging In ...............................................................................................................................................5<br />

EULA ......................................................................................................................................................5<br />

Password ................................................................................................................................................6<br />

Logging Out ............................................................................................................................................6<br />

Problems.................................................................................................................................................7<br />

Security...................................................................................................................................................7<br />

Chapter 3 - Overview..................................................................................................... 8<br />

Welcome Page .......................................................................................................................................8<br />

Toolbar....................................................................................................................................................8<br />

<strong>Hospice</strong> Announcements........................................................................................................................ 9<br />

<strong>Hospice</strong> <strong>Pharmacia</strong> Announcements ..................................................................................................... 9<br />

Patient Hot List .......................................................................................................................................9<br />

Dashboard ............................................................................................................................................10<br />

Navigation Icons ...................................................................................................................................10<br />

Screen Management Icons...................................................................................................................11<br />

Functional Icons....................................................................................................................................11<br />

Prescription Medication Icons .................................................................................................................12<br />

Chapter 4 – Census..................................................................................................... 13<br />

Things to Remember ............................................................................................................................13<br />

Search for a Patient..............................................................................................................................13<br />

Adding Patients.....................................................................................................................................14<br />

Physician Assignment ..........................................................................................................................16<br />

Nurse assignment.................................................................................................................................18<br />

Modify Patient Information....................................................................................................................18<br />

Status Changes ....................................................................................................................................18<br />

Group/team Changes ...........................................................................................................................18<br />

Coverage History..................................................................................................................................19<br />

Chapter 5 – Clinical..................................................................................................... 20<br />

Add Diagnosis.......................................................................................................................................20<br />

Add Allergy ...........................................................................................................................................21<br />

View and Modify Diagnosis ..................................................................................................................22<br />

View and Modify Allergy .......................................................................................................................23


Assessments ........................................................................................................................................24<br />

Chapter 6 – Medications ............................................................................................. 26<br />

Recent Requests ..................................................................................................................................26<br />

Active Medications................................................................................................................................27<br />

New Medications ..................................................................................................................................28<br />

Requesting Refills.................................................................................................................................30<br />

Specify Coverage .................................................................................................................................31<br />

Inactive Medications .............................................................................................................................31<br />

Discontinued Medications.....................................................................................................................31<br />

Chapter 7 – Tools ........................................................................................................ 32<br />

Medication Use Guidelines...................................................................................................................32<br />

Patient Information Leaflets..................................................................................................................32<br />

Opioid Conversion Calculator...............................................................................................................33<br />

Find a Pharmacy...................................................................................................................................34<br />

Education Materials ..............................................................................................................................34<br />

Contact HP ...........................................................................................................................................35<br />

Chapter 8 – Reports .................................................................................................... 36<br />

Using <strong>Xeris</strong> Reports..............................................................................................................................36<br />

Batch Reports.......................................................................................................................................36<br />

Organizational Aggregate Reports .......................................................................................................37<br />

Patient Reports.....................................................................................................................................37<br />

Chapter 9 – Administration ........................................................................................ 39<br />

Modify your <strong>Xeris</strong> Account....................................................................................................................39<br />

Administer <strong>Xeris</strong> Accounts for your <strong>Hospice</strong> ........................................................................................41<br />

Creating New User Accounts ...............................................................................................................42<br />

Administer <strong>Xeris</strong> Announcements for your <strong>Hospice</strong>.............................................................................45<br />

Chapter 10 – Collaborative Practice .......................................................................... 46<br />

About Collaborative Practice ................................................................................................................46<br />

Collaborative Protocols.........................................................................................................................46<br />

Clinical Assessments............................................................................................................................46<br />

Collaborative Reports ...........................................................................................................................46<br />

Table of Figures .......................................................................................................... 47<br />

Index............................................................................................................................. 49


CHAPTER 1 – INTRODUCTION<br />

Chapter 1 – Introduction<br />

About <strong>Xeris</strong><br />

What is <strong>Xeris</strong>?<br />

<strong>Xeris</strong>, derived from the Greek word meaning “to know”, is an internet-enabled suite of tools developed by<br />

<strong>Hospice</strong> <strong>Pharmacia</strong> (HP), a division of excelleRx, to assist hospice partners with medication management.<br />

<strong>Hospice</strong> administrators, nurses and other staff consider <strong>Xeris</strong> on-line tools an efficient way of keeping secure,<br />

accurate, comprehensive patient information in accordance with the Health Insurance Portability and<br />

Accountability Act (HIPAA). For more information about the various <strong>Xeris</strong> modules, please visit HP’s website at<br />

http://www.hospicepharmacia.com/about<strong>Xeris</strong>.asp.<br />

<strong>Xeris</strong> Version 2.1<br />

The newest release of <strong>Xeris</strong> has been specifically designed to assist nurses, hospice administrators and<br />

hospice support staff in the process of managing pharmacotherapy for a hospice patient. Using this web portal,<br />

an authorized hospice employee can easily view information about a patient, manage patient census, view<br />

medication lists, request refills, track shipments, locate a network pharmacy and perform a number of other<br />

activities.<br />

Features which are being introduced in Version 2.1 will be flagged with “ New in version 2.1”<br />

Training<br />

If you would like to participate in a training demonstration, please check <strong>Hospice</strong> <strong>Pharmacia</strong>’s website at<br />

www.hospicepharamcia.com and click National Conference Calls to view the list of and register for upcoming<br />

events.<br />

XERIS REFERENCE MANUAL<br />

PAGE 3


CHAPTER 2 - BASICS<br />

Chapter 2 - Basics<br />

How to connect to <strong>Xeris</strong><br />

System Requirements<br />

In order to use <strong>Xeris</strong>, your computer must have the following minimum requirements (higher settings are also<br />

acceptable):<br />

Internet access using either Microsoft Internet Explorer 5.0 or Netscape Navigator 6.0<br />

A color monitor with 800x600 pixel screen resolution<br />

56K modem<br />

<strong>Hospice</strong> <strong>Pharmacia</strong> Website<br />

HP’s website is accessed by pointing your internet browser to http://www.hospicepharmacia.com. This site<br />

provides much useful information about HP and allows you to login to <strong>Xeris</strong>.<br />

You may want to consider making this site one of your favorites and creating a desktop shortcut to allow quick<br />

access when returning.<br />

Figure 1 - HP home page<br />

XERIS REFERENCE MANUAL<br />

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CHAPTER 2 - BASICS<br />

Logging In<br />

In the upper left of the screen, you will see two boxes under the <strong>Xeris</strong> Login heading. Type your Login ID<br />

(UserID) and your Password into the text boxes provided, then click the Log In button. You will enter the<br />

secure portion of our website and receive connection to your records.<br />

Figure 2 - <strong>Xeris</strong> Log In<br />

EULA<br />

The first time you log in to <strong>Xeris</strong>, you will be asked to read and accept the <strong>Xeris</strong> End User License Agreement.<br />

Scroll through the text to read the entire agreement, and then click the Accept button.<br />

Figure 3 - End User License Agreement<br />

XERIS REFERENCE MANUAL<br />

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CHAPTER 2 - BASICS<br />

Password<br />

At your first log in to <strong>Xeris</strong>, or if your password has been reset, you will be asked to create a new password.<br />

Type in your newly selected password two times, following the rules listed on the screen. Enter the last 4 digits<br />

of your SSN to be used as a unique identifier. Click the Update hyperlink to save your new password.<br />

Figure 4 - Change Password<br />

You will receive a screen indicating that your new password has been updated and will be effective for 45 days.<br />

Click the Go to <strong>Xeris</strong> hyperlink to begin using <strong>Xeris</strong>.<br />

Figure 5 - Password Updated<br />

If your hospice has elected to use PINs you will need to establish a personal PIN number. Your PIN is used to<br />

verify your identification when you call into <strong>Hospice</strong> <strong>Pharmacia</strong>.<br />

Logging Out<br />

When you have completed your <strong>Xeris</strong> activities, please be sure to click the LogOut hyperlink in the upper right<br />

of the screen to close out your session and prevent unauthorized access.<br />

Figure 6 - <strong>Xeris</strong> Log Out<br />

If you forget to log out, or if you have an open session with no activity for twenty (20) minutes, you will<br />

automatically be logged out by <strong>Xeris</strong>.<br />

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CHAPTER 2 - BASICS<br />

Problems<br />

If you forget your Login ID and/or password, contact your <strong>Xeris</strong> <strong>Hospice</strong> Administrator who will be able to reset<br />

your password. If you have continued problems, you may contact us via email at <strong>Xeris</strong>pw@excelleRx.com or<br />

by calling <strong>Xeris</strong> Administration Support at (215) 282-1651.<br />

Security<br />

<strong>Xeris</strong> utilizes 128-bit Secure Socket Layer (SSL) technology to insure that all information about your patients<br />

remains secure. Secure screens are indicated by the presence of the lock icon in the lower right of your internet<br />

session window.<br />

Figure 7 - SSL Lock<br />

Note: Please be aware of HIPAA patient privacy regulations when displaying patient information on<br />

your computer screens. Do not view sensitive information in a public area and do not leave<br />

open web sessions unattended.<br />

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CHAPTER 3 - OVERVIEW<br />

Chapter 3 - Overview<br />

The <strong>Xeris</strong> home page, toolbar and icons<br />

Welcome Page<br />

The Welcome page is displayed after a successful login. The top of the page shows your name and <strong>Xeris</strong> role.<br />

Your role, selected by your <strong>Xeris</strong> <strong>Hospice</strong> Administrator, will determine which functions you can access within<br />

<strong>Xeris</strong>. Some of the functions described in this manual may not be available to you in your assigned role.<br />

Figure 8 - Welcome Page<br />

Toolbar<br />

The left side of the Welcome page is called the Toolbar. Each icon shown will provide quick navigation to other<br />

sections of <strong>Xeris</strong>. Refer to the Navigation Icons section in this chapter for more detail.<br />

Hold your mouse over an icon to get a pop-up description; known as a Tool Tip, of the icon’s purpose. Click the<br />

double arrows icon<br />

icon. Click the double arrows icon<br />

in the upper left of the screen to expand the Toolbar to display a description of each<br />

again to return the Toolbar to its original width and hide the descriptions.<br />

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CHAPTER 3 - OVERVIEW<br />

Figure 9 - Toolbar<br />

<strong>Hospice</strong> Announcements<br />

Look here for important news specific to your hospice prepared by your <strong>Xeris</strong> <strong>Hospice</strong> Administrator.<br />

Figure 10 - <strong>Hospice</strong> Announcements<br />

<strong>Hospice</strong> <strong>Pharmacia</strong> Announcements<br />

Look here for important news from HP.<br />

Figure 11 - HP Announcements<br />

Patient Hot List<br />

The Hot List gives you a quick snapshot of your patients whose last recorded symptom assessment scores<br />

were greater than six (6). Click on the different symptoms view a list of patients with scores greater than six (6)<br />

for those assessments.<br />

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CHAPTER 3 - OVERVIEW<br />

Figure 12 - Patient Hot List<br />

An alternate view of your patients’ scores can be obtained by clicking the View Charts hyperlink for any of the<br />

symptoms. You will receive a pie chart of all your patients’ recorded scores (from 1 to 10) and a count for each<br />

score. Click the View Hot List hyperlink to return to the list view.<br />

Dashboard<br />

The Dashboard gives you a quick snapshot of key demographics for your hospice.<br />

Figure 13 - Dashboard<br />

Navigation Icons<br />

Navigation icons are used to jump to another part of <strong>Xeris</strong> or open a new internet browser window to perform an<br />

additional function without losing your place in <strong>Xeris</strong>.<br />

Home – returns to Welcome page from another section of <strong>Xeris</strong><br />

Find Patients –a list of recently viewed patients, search for patients, add a new patient<br />

Medication Use Guidelines – access an electronic version of the MUGs<br />

Conversion Calculator – online version of HP’s opioid conversion calculator<br />

Find a Pharmacy – locate a pharmacy in the HPRxCard Network<br />

Patient Info Leaflets – access HP’s hospice-specific patient information leaflets<br />

Report Options – generate <strong>Xeris</strong> reports across a group of patients<br />

Communication Tools – a quick way to contact HP and excelleRx<br />

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CHAPTER 3 - OVERVIEW<br />

Education Materials – online CNE programs<br />

Patient Reports – generate <strong>Xeris</strong> reports for a single patient<br />

Administer User Accounts – add, change and delete <strong>Xeris</strong> accounts within your hospice<br />

My User Profile – modify your <strong>Xeris</strong> user information<br />

New in version 2.1<br />

Clinical Pharmacology – access to drug information, drug products, patient education leaflets and<br />

clinical tools<br />

<strong>Xeris</strong> Help – videos containing step by step instructions on the correct way to complete different<br />

processes of <strong>Xeris</strong> applications<br />

Screen Management Icons<br />

Screen management icons are used to alter the way your screen appears in <strong>Xeris</strong>. You can customize your<br />

view to minimize scrolling or maximize display of detail.<br />

Functional Icons<br />

Expand section – expand the detail of a given section<br />

Hide section – hide the detail of a given section<br />

Functional icons are used to perform actions in <strong>Xeris</strong>.<br />

Select – select a patient from a list and open patient profile<br />

Pencil – open item for editing<br />

Glasses – open item to view more detail<br />

– Discontinue item<br />

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CHAPTER 3 - OVERVIEW<br />

Prescription Medication Icons<br />

Prescription Medication Icons are located next to an ordered medication and are used to indicate where that<br />

medication lies within the Medication Use Guidelines.<br />

MUG – Medications that are listed in the MUG’s and are included in the hospice’s per diem.<br />

Non-MUG – Medications not listed in the MUGs. These meds are billed outside the per diem to the<br />

hospice.<br />

MUG-R – Medications that are listed in the MUGs, but are not included in the per diem for this<br />

particular patient. These meds are billed outside the per diem to the hospice.<br />

Oncology – Medications not listed in the MUGs. These meds are billed outside the per diem to the<br />

hospice.<br />

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CHAPTER 4 – CENSUS<br />

Chapter 4 – Census<br />

Managing demographic and location information about your patients<br />

Things to Remember<br />

Timely and accurate entry of admissions, discharges, deaths and location changes are essential to ensuring<br />

that your patients receive the appropriate level of service and that per diem billing accounts are correct. Key<br />

points to remember include:<br />

• New patient status – referral vs. active<br />

Entry of referral patients supports a speedy admission process. When a referral patient is admitted,<br />

only a verification of existing data and a quick status change are needed. Patients in referral status will<br />

not appear on per diem billing reports, nor will they have activated HPRxCards.<br />

Note – HP executes periodic purges of referral patients who have been in the <strong>Xeris</strong> database for 15<br />

days or more and have not been admitted.<br />

Patients entered as active or changed from referral to active will activate the per diem billing process<br />

and the HPRxCard.<br />

• Organization –group/team<br />

When entering a new patient or when transferring a patient between home care and a facility, it is<br />

important to select the appropriate group/team name. The codes in the pull-down box will determine a<br />

patient categorization (e.g., if HP services your LTC and/or IPU patients, you will see group/team codes<br />

with an LTC or IPU suffix, no suffix indicates homecare).<br />

Your choices may also represent different teams within your hospice (e.g. North or South, Green or<br />

Blue). If you are unsure of how to interpret your selections, please contact your <strong>Xeris</strong> <strong>Hospice</strong><br />

Administrator for an explanation.<br />

Search for a Patient<br />

To find a patient, click the Find Patient icon in the toolbar. Enter your search criteria in one of the text boxes<br />

(described below) and click the Search hyperlink.<br />

• Name – hints for entering a name are shown by holding the mouse over the light bulb icon .<br />

Note – If you are having difficulty locating a patient, try typing fewer characters of the name to allow<br />

for spelling variations<br />

• Social – enter the 9-digit social security number of the patient (hyphens optional)<br />

• MR – Medical Record number (optional—only used for hospices who store this number in <strong>Xeris</strong>)<br />

• Phone – enter the 10-digit phone number of the patient (hyphens, parentheses and spaces optional)<br />

Figure 14 - Find Patient Search Criteria<br />

You will receive an alphabetized list of active patients (shown in green), referral patients (shown in tan) and<br />

discharged patients (shown in blue) who are associated with your hospice and group/team and who match your<br />

search criteria.<br />

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CHAPTER 4 – CENSUS<br />

If you wish to expand the search to include deceased patients, click the deceased check box, then click the<br />

Search hyperlink again. The deceased patients will be included in the results list (shown in red).<br />

If the list cannot be displayed on a single page, [Back] and [Next] hyperlinks will be provided to skip to other<br />

pages.<br />

To open the profile for a patient in the list, click the Select icon<br />

found, the patient’s profile will be automatically opened.<br />

. If a single patient matching your criteria is<br />

Adding Patients<br />

To add a new active or referral patient, click the Find Patient icon<br />

Patient hyperlink.<br />

in the toolbar, then click the Add New<br />

Note - Search the <strong>Xeris</strong> system prior to adding a new patient to see if the patient already exists in<br />

<strong>Xeris</strong> as an active or referral patient previously entered by another person in your hospice,<br />

by an HP representative or by an electronic <strong>Xeris</strong>Connect interface from your hospice<br />

management system. This will save not only your data entry time, but will avoid costly<br />

errors from duplicate patient records.<br />

Figure 15 - Add New Patient<br />

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PAGE 14


CHAPTER 4 – CENSUS<br />

On the Add/Edit Patient Information screen, fill in the text boxes.<br />

Note – Required fields are marked with a red asterisk (*)<br />

Figure 16 - Add New Patient Demographics<br />

The Name should be the patient’s full name. Separate with a comma if you type the last name first.<br />

Figure 17 - Patient Name<br />

The Status pull-down list lets you select whether the patient is being entered as a Referral, to be admitted at<br />

a future date, or if the patient is Active, admitted to hospice.<br />

The Organization Name will default to your hospice name. If you have privileges for multiple organizations,<br />

you must select a name from a pull-down list.<br />

The Organization Group/Team pull-down list lets you select a patient category and/or team assignment.<br />

Refer to the Things to Remember section in this chapter.<br />

The Admit Date pull-down appears after selecting a patient status of active. <strong>Xeris</strong> will default the admit date<br />

to the current date or you may select a date within a 10-day range surrounding the current date. If you<br />

need to admit a patient outside the date range, you must contact a HP representative to perform the<br />

admission.<br />

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CHAPTER 4 – CENSUS<br />

The Primary/Attending Physician is required for active patients. A pull-down list of physicians will be<br />

supplied. If the physician you need to associate with the patient is not in the list, refer to the Physician and<br />

Nurse assignments section in this chapter.<br />

There are additional physicians that can be added to the patient to help clarify which doctor performs which<br />

task. These are optional fields and can be entered similar to the Primary/Attending physician.<br />

The Address (Street, City, State and Zip Code) must be entered accurately to ensure the best possible<br />

delivery of prescriptions using HP’s national courier service. A second, optional line for the Street address<br />

can be used.<br />

Note: If you are unsure of the patient’s zip code, you may type the city and state, and then click the<br />

zip code icon<br />

to obtain a display of zip code(s) from the USPS.<br />

Note: If you have chosen a Group/Team assignment ending with an "LTC" suffix, a drop<br />

down list of available facilities for your hospice will appear. After choosing the<br />

patient's correct facility, the address, phone number, and pharmacy fields will be<br />

automatically populated with the information that HP has on file. If the facility is not<br />

available in the drop down list or the pharmacy is incorrect, please notify an HP<br />

technician immediately with the correct information.<br />

The Phone is required. As some patients do not have telephone service, we do recommend that you enter<br />

the patient’s phone number to assist with customer service issues, delivery questions and patient searches.<br />

The telephone number may be entered without parentheses, hyphens or spaces and <strong>Xeris</strong> will format the<br />

number.<br />

The SSN is required to uniquely identify your patient for billing purposes. The social security number may<br />

be entered without hyphens or spaces and <strong>Xeris</strong> will format the number.<br />

The Birth Date may be entered without slashes and <strong>Xeris</strong> will format the number.<br />

The Gender can be selected from the pull-down list.<br />

The Race is required to assist HP’s Predictive Pharmacotherapy Outcomes System (PPOS). Studies<br />

have shown that different ethnicities have different metabolic reactions to some medications and knowing<br />

your patient’s race can assist us in providing the appropriate medication to your patient.<br />

The Complementary Therapy boxes can be checked if you wish to record this information.<br />

The Comments box allows you to share information about your patient with HP and other <strong>Xeris</strong> users.<br />

When you have completed filling in the form, click the Save hyperlink to create a patient record in <strong>Xeris</strong>. You<br />

will receive a confirmation screen. If information is incomplete, <strong>Xeris</strong> will return you to the form and show you<br />

which information is incorrect or missing.<br />

Figure 18 - Patient Confirmation<br />

Physician Assignment<br />

To chagne the physician assigned to a patient, select the pencil icon in the upper left corner ( - edit patient<br />

information). Then select the Change link. If you are assigning a physician to the patient for the first time, start<br />

with the Change link step.<br />

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CHAPTER 4 – CENSUS<br />

Once again you must select Change link.<br />

Figure 19 - New Physician<br />

Type in the physicians name and search. If you do not find the desired physician, select the Search All Doctors<br />

link.<br />

Figure 20 - Search all doctors<br />

If you still do not find the desired physician, select the Add New Link.<br />

Figure 21 - Add new physician<br />

Type the desired physician name as Lastname, Firstname or Lastname, FirstInitial. Select the state or type in<br />

the zipcode, if known. Select the search link.<br />

Figure 22 - Add physician<br />

Select the arrow next to the appropriate physician, add the correct phone number and fax if available, and select<br />

save. This physician is now available to add to the patient demographics.<br />

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CHAPTER 4 – CENSUS<br />

Nurse assignment<br />

After creating a new patient record, you will have the option to select a primary nurse for the patient. Select the<br />

name of the patient’s primary nurse from the pull-down list and click the Save hyperlink. If Nurse’s name does<br />

not appear in drop down list, select “”, type in nurses name, then click Save.<br />

Figure 23 - Add Nurse<br />

Modify Patient Information<br />

To modify demographic information about your patient including physician or nurse assignment, open the<br />

patient’s profile and click the pencil icon to the left of patient’s name. Type your changes and click the Save<br />

hyperlink.<br />

Status Changes<br />

The status change icon<br />

HP service, for example:<br />

to the left of the patient’s name in the profile screen is used to change the status of<br />

Referral to Active<br />

Active to Deceased<br />

Active to Discharged (either discharge from hospice or to a facility not serviced by HP)<br />

Discharged to Active (re-admission)<br />

Click the status change icon, you’ll be asked to select an effective date, the per diem billing and the HPRxCard<br />

will be activated or terminated according to the patient’s new status. Click the Update hyperlink to save the new<br />

status.<br />

Group/team Changes<br />

The transfer icon to the left of the patient’s name in the profile screen is used to change the group/team<br />

assignment from one HP service to another, for example:<br />

Red team to Blue team<br />

Home care to LTC or IPU facility serviced by HP<br />

LTC or IPU facility serviced by HP to home care<br />

Note: If your patient is being transferred to an LTC facility serviced by HP, a drop down list of<br />

available facilities for your hospice will appear. After choosing the patient's correct<br />

facility, the address, phone number, and pharmacy fields will be automatically<br />

populated with the information that HP has on file. If the facility is not available in<br />

the drop down list or the pharmacy is incorrect, please notify an HP technician<br />

immediately with the correct information.<br />

You will need to enter the name of the person authorizing the transfer, and then click the Update hyperlink to<br />

save the new group/team assignment. This change will automatically update the per diem billing accounts for<br />

that patient.<br />

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CHAPTER 4 – CENSUS<br />

Coverage History<br />

A history of status and group/team changes can be viewed for a patient by clicking the Coverage History<br />

hyperlink in the upper right of the patient’s profile screen.<br />

Figure 24 - Coverage History<br />

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CHAPTER 5 – CLINICAL<br />

Chapter 5 – Clinical<br />

Managing diagnosis, allergy and symptom information about your patients<br />

Add Diagnosis<br />

Newly added patients will have a warning message stating that a diagnosis has not been added for the patient. .<br />

Click the Add New hyperlink to begin the process.<br />

Figure 25 - Add New Diagnosis<br />

You must select whether you wish to search by ICD-9 code or by a term, by clicking on one of the buttons. To<br />

search by term, type all or part of the medical condition name into the text box, select whether you want to<br />

search for a diagnosis that starts with your text or contains your text and click the Search hyperlink.<br />

Figure 26 - Diagnosis Term Search<br />

You will receive a list of medical condition descriptions matching your search criteria. Click the ICD-9 hyperlink<br />

next to the description that matches your patient’s condition.<br />

Figure 27 - Diagnosis Term Search Results<br />

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CHAPTER 5 – CLINICAL<br />

You will receive a list of one or more ICD-9 codes for that description. Click the Select hyperlink for the code<br />

that matches your patient’s diagnosis.<br />

Figure 28 - Select ICD-9 Code<br />

In the final step you must verify that this is the patient’s primary hospice diagnosis. Selecting this box creates<br />

the patient’s coverage code category (CAF, HRT, LUNG, OTHR) utilized in the MUGs.<br />

The onset date is not needed for new patients, but becomes more important if your patient develops new<br />

symptoms while on service. Click the date in the calendar to select an onset date.<br />

Click the Update hyperlink to save the patient’s diagnosis information.<br />

After entering the primary diagnosis, additional diagnosis codes should be added to the patient’s profile to reflect<br />

secondary diagnoses or concomitant disease states.<br />

Figure 29 - Diagnosis Detail<br />

Add Allergy<br />

Newly added patients will have a warning message stating that allergies have not been added for the patient. to<br />

be added. Click the Add New hyperlink to begin the process.<br />

Figure 30 - Add Allergy<br />

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CHAPTER 5 – CLINICAL<br />

Click the Select button to select from a pull-down list of common allergies.<br />

Note – If the patient has no known allergies, select that entry from the pull-down list to record that<br />

the allergies have been assessed.<br />

Figure 31 - Allergy Select<br />

After an allergy has been selected, you will be asked to select a severity and a reaction from the pull-down lists.<br />

Click the Update hyperlink to save the patient’s allergy information. Additional allergies may be added to the<br />

patient’s profile.<br />

Figure 32 - Allergy Severity and Reaction<br />

View and Modify Diagnosis<br />

The patient profile screen shows the patient’s primary diagnosis and associated ICD-9 code.<br />

Figure 33 - View Diagnoses<br />

Click the<br />

box to view a list of all diagnoses; the patient’s primary terminal hospice diagnosis will be<br />

displayed in a bold font. Click the<br />

button when you are done viewing the list.<br />

Figure 34 - Diagnosis List<br />

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CHAPTER 5 – CLINICAL<br />

To modify information about the patients primary diagnosis, click the diagnosis description hyperlink next to Add<br />

New, then type the necessary changes and click the Update hyperlink. To modify other diagnoses click the<br />

then click on the pencil next to the desired diagnoses.<br />

Figure 35 - Edit Diagnosis<br />

View and Modify Allergy<br />

The patient profile screen shows the patient’s allergies.<br />

Figure 36 - View Allergies<br />

Click the box to view a list of all allergies with their severity and reaction. Click the button<br />

when you are done viewing the list.<br />

Figure 37 - Allergy List<br />

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CHAPTER 5 – CLINICAL<br />

To modify information about an allergy, click the allergy description hyperlink next to Add New, then type the<br />

necessary changes and click the Update hyperlink.<br />

Figure 38 - Edit Allergy<br />

Assessments<br />

To record a new clinical assessment, click the Add New hyperlink on the patient’s profile.<br />

Figure 39 - Add New Assessment<br />

The assessment date will default to the current date or you may select a different date by clicking the date in the<br />

calendar. You may enter (optional) a name, nurse, physician, vital signs, height, weight or comments for this<br />

assessment. Click the Add Symptom Management Issues hyperlink.<br />

Figure 40 - Add Assessment<br />

Select BRIEF from the pull-down list and click the appropriate buttons to record your patient’s pain, constipation,<br />

nausea/vomiting and interaction. Click the Update hyperlink to record your selections.<br />

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CHAPTER 5 – CLINICAL<br />

Figure 41 - Brief Assessment<br />

Review your choices and click the Save Complete (Mod) hyperlink to save your assessment.<br />

Figure 42 - Save Assessment<br />

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CHAPTER 6 – MEDICATIONS<br />

Chapter 6 – Medications<br />

View and maintain medication lists, request refills<br />

Recent Requests<br />

The recent requests list shows new prescriptions or refill requests from the last thirty (30) days. Click on the<br />

glasses icon to the right of the status to view the shipping information. Click on the plus icon to the left of<br />

the request number to view a list of prescriptions in the request. Click on the minus icon to hide the list. Click<br />

on the glasses icon<br />

to the left of the Rx# to view details about the prescription.<br />

Figure 43 - Recent Requests<br />

Click the FedEx icon to launch a new window to the FedEx website to view tracking information. This<br />

screen can also be used to email tracking information. When you are through with the FedEx site, close the<br />

browser window; your <strong>Xeris</strong> session will still be active in another window.<br />

Figure 44 - FedEx Tracking<br />

To look beyond the (30) day list visible, you may click on the Recent Request Icon.<br />

Figure 45 - Recent Request<br />

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CHAPTER 6 – MEDICATIONS<br />

You may then change the number of days to the value which you wish to view and click Refresh Days.<br />

Figure 46 - Refresh Days<br />

Active Medications<br />

A list of active medications is shown when a patient’s profile is opened. If the display for a patient has been<br />

changed to the InActive View or Discontinued View (current view indicated by the darker green bar), click the<br />

bar to return to the Active View. The Active Medication View represents a substantial<br />

improvement to the presentation of medications for hospice use. The new Active Medication view in <strong>Xeris</strong> 2.1<br />

and the corresponding Active Medication Reports give a simplified, but complete presentation of the patient's<br />

active medications. This is accomplished by combining Dispensed and Profiled medications and by eliminating<br />

redundant medications. Consequently, each Active Medication is presented only once, even if there have been<br />

multiple prescriptions for that medication. Furthermore, each medication is moved to the Inactive Medication<br />

section after its expiration or stop date.<br />

The list shows all active medications for the patient, grouped by diagnosis or indication with the corresponding<br />

ICD-9 code.<br />

MUG – Medications that are listed in the MUG’s and are included in the hospice’s per diem.<br />

Non-MUG – Medications not listed in the MUGs. These meds are billed outside the per diem to the<br />

hospice.<br />

MUG-R – Medications that are listed in the MUGs, but are not included in the per diem for this<br />

particular patient. These meds are billed outside the per diem to the hospice.<br />

Oncology – Medications not listed in the MUGs. These meds are billed outside the per diem to the<br />

hospice.<br />

Figure 47 - Active Medications<br />

The HP icon<br />

appears next to each medication that has been hospice authorized for an LTC patient.<br />

Note – This does not indicate MUG or non-MUG classification,<br />

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CHAPTER 6 – MEDICATIONS<br />

Click on the glasses icon<br />

to view more detail about the prescription including dispensing history.<br />

Figure 48 - Prescription Detail<br />

Click on the X icon to discontinue a medication. You will be asked to select a detailed reason for the<br />

change. Click the Discontinue hyperlink to move the medication to the Discontinued list.<br />

Figure 49 - Discontinue Medication<br />

New Medications<br />

To profile a new medication for the patient, click the Add New hyperlink.<br />

Note – Entry of a profiled medication tells HP that the patient is known to be taking a given<br />

medication. A prescription can be created for your patient during a Pharmaceutical Care<br />

encounter.<br />

Enter all or part of a medication name (either brand or generic); select whether you want to search for a<br />

medication that starts with your text or contains your text and click the Search hyperlink.<br />

Figure 50 - Add New Medication<br />

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CHAPTER 6 – MEDICATIONS<br />

Your search will return one or more medications matching your search criteria. Click on the check mark next to<br />

the correct medication, strength and dosage form.<br />

Figure 51 - Medication search results<br />

A list of strengths and dosage forms for that medication will be displayed. Click on the correct medication,<br />

strength and dosage form.<br />

Figure 52 - Medication Strengths and Dosage Forms<br />

A list of one or more common diagnoses/indications for this medication may be displayed. Select one of these<br />

by clicking the check icon . Alternatively, you may search for an indication (diagnosis) by entering text in the<br />

Indication box and click the Search hyperlink.<br />

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CHAPTER 6 – MEDICATIONS<br />

Figure 53 - Select Diagnosis<br />

You can enter the directions using sig codes. Click the Translate Sig Codes hyperlink to translate. Or you<br />

may click the Free Text button and type in the directions. The start date will default to current date; it may be<br />

changed by retyping the date or by clicking the calendar icon<br />

profiled medication.<br />

. Click the Update hyperlink to save the<br />

Figure 54 - Select Directions<br />

Requesting Refills<br />

Medications eligible for refill have a check box next to the medication name in the Active Medications view.<br />

Check one or more boxes and click the Request Refills hyperlink in the upper right corner of the medications<br />

list. A new request will be placed at the top of your Recent Requests list. Click the glasses icon to view<br />

more detail about the prescription in the request. Click the X icon to cancel a single medication from the<br />

request. Click the Submit Request hyperlink to submit the request to HP for processing.<br />

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CHAPTER 6 – MEDICATIONS<br />

Figure 55 - Refill Request<br />

Select a shipping method from the pull-down box and click the Request Refills hyperlink to complete the<br />

submission of your request. You will receive a message in red indicating that your medications have been<br />

successfully ordered.<br />

Figure 56 - Submit Request<br />

Specify Coverage<br />

You may mark which medications are related or not related to the patient’s terminal diagnosis by clicking the<br />

Specify Coverage hyperlink in the Active Medications list. Each medication will be shown with a pull-down list<br />

to designate whether you wish to categorize the medication as Related or Not Related. You may leave any<br />

medication as Not Specified. Click the Save hyperlink to record your changes which will be displayed on the<br />

Active Medications list and report.<br />

Note – Use of this optional function is for hospice categorization of medications only. This is<br />

separate and distinct from MUG or non-MUG classifications and has no bearing on HP<br />

billing.<br />

Inactive Medications<br />

A list of inactive medications is shown when a patient’s profile is opened and the<br />

bar is<br />

clicked. The list shows all inactive medications for the patient, grouped by diagnosis or indication with the<br />

corresponding ICD-9. Click the glasses icon to view more detail about the prescription history.<br />

Discontinued Medications<br />

A list of discontinued medications is shown when a patient’s profile is opened and the<br />

bar is clicked. The list shows all discontinued medications for the patient, grouped<br />

by diagnosis or indication with the corresponding ICD-9. Click the glasses icon to view more detail about<br />

the prescription history, including details about why the medication was discontinued.<br />

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CHAPTER 7 – TOOLS<br />

Chapter 7 – Tools<br />

View electronic MUGs and Patient Leaflets; Perform opioid conversion<br />

calculations; Find a network pharmacy; Receive education; Contact HP<br />

Medication Use Guidelines<br />

In addition to the spiral-bound Medication Use Guideline (MUG) manuals, HP offers an electronic version of the<br />

MUGs to <strong>Xeris</strong> users using the Portable Document Format (PDF) from Adobe®.<br />

Note – You may download a free Adobe® Reader® at:<br />

http://www.adobe.com/products/acrobat/readermain.html<br />

click the<br />

icon<br />

Click the MUG icon in the <strong>Xeris</strong> toolbar to launch a new window with an electronic copy of the MUGs.<br />

There are many icons available to assist you in locating the page(s) you wish. Hold your mouse over an icon to<br />

obtain a pop-up Tool Tip explaining the icon’s function. Some frequently used icons are:<br />

– allows you to jump to (l-r) first page, previous page, next page or last page<br />

– provides a Find and Find Next function for text searches<br />

– allows you to print one or more pages of the manual<br />

A Table of Contents for the manual can be viewed by clicking the Bookmarks tab<br />

. Click the plus<br />

icon or the minus icon to expand or hide the detailed list of chapter names within the manual. Click on<br />

any chapter name to jump to that part of the manual. When you are through reviewing the MUGs, close the<br />

browser window; your <strong>Xeris</strong> session will still be active in another window.<br />

Figure 57 – Medication Use Guideline Bookmarks<br />

Patient Information Leaflets<br />

Click the PILs icon in the <strong>Xeris</strong> toolbar to launch a new window with list of Patient Information Leaflets<br />

(PILs) titles. Click on a title to view the hospice-specific PIL. You may print the PILs using your internet<br />

browser’s printing capability. When you are through with the PILs, click the CLOSE hyperlink; your <strong>Xeris</strong><br />

session will still be active in another window.<br />

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CHAPTER 7 – TOOLS<br />

Figure 58 - Patient Information Leaflets<br />

Opioid Conversion Calculator<br />

Click the calculator icon in the <strong>Xeris</strong> toolbar to launch a new window with the Opioid Conversion<br />

Calculator. In the Convert From section, select a route, medication, dosage and # of times taken in 24 hours<br />

from the pull-down lists. Click the Add Additional Meds hyperlink if you wish to convert the patient from<br />

multiple medications to a single new opioid. In the Convert To section, select a route, medication and frequency,<br />

then click the Submit hyperlink. You will receive directions for the medication you are looking to convert to for<br />

the patient. When you are through with the calculator, click the CLOSE hyperlink; your <strong>Xeris</strong> session will still be<br />

active in another window.<br />

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CHAPTER 7 – TOOLS<br />

Figure 59 - Opioid Conversion Calculator<br />

Find a Pharmacy<br />

Click the find a pharmacy icon in the <strong>Xeris</strong> toolbar to launch a new window with the Find a Pharmacy<br />

search function. You can search on state and county by filling in the boxes in the green search section and click<br />

the<br />

button, or you can search on a particular zipcode by filling in the box in the blue search section<br />

and click the button. Check the box to refine the search to only those pharmacies that have<br />

previously processed HPRxCard prescriptions. When you are through with the pharmacy search, close the<br />

browser window; your <strong>Xeris</strong> session will still be active in another window.<br />

Figure 60 - Find a Pharmacy<br />

Education Materials<br />

Click the book icon in the <strong>Xeris</strong> toolbar to launch a new window to access accredited CNE programs<br />

offered by the excelleRx Institute.<br />

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CHAPTER 7 – TOOLS<br />

Contact HP<br />

Click the communication icon in the <strong>Xeris</strong> toolbar to launch a new window with the HP communication<br />

options. The first four (4) options are hyperlinks that will initiate an email message and, in accordance with<br />

HIPAA regulations, cannot contain secure patient information:<br />

General Information – email info@excelleRx.com to request information about <strong>Xeris</strong>, <strong>Hospice</strong><br />

<strong>Pharmacia</strong> or excelleRx<br />

<strong>Xeris</strong>Support – email support@excelleRx.com for <strong>Xeris</strong> technical support<br />

Comments – email <strong>Xeris</strong>@excelleRx.com to offer comments or suggestions about <strong>Xeris</strong><br />

The Quality Assurance Form is in the secure portion of <strong>Xeris</strong> and may contain information about a patient. Fill<br />

in the form and click the Submit Form hyperlink. When you are through with the communications screen, click<br />

the CLOSE hyperlink; your <strong>Xeris</strong> session will still be active in another window.<br />

LTC Facility/Pharmacy Change Form - is used to send the information for a new facility the<br />

hospice is contracted with, any changes for an existing facility (name change) or pharmacy<br />

change<br />

LTC Pharmacy Billing Form - is used to relay any patient billing issues<br />

Figure 61 - Communication Options<br />

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CHAPTER 8 – REPORTS<br />

Chapter 8 – Reports<br />

Clinical, Administrative, Billing or Patient Specific Reports<br />

Using <strong>Xeris</strong> Reports<br />

Although each <strong>Xeris</strong> report is unique, there are common functions used in developing your selection criteria and<br />

manipulating the results.<br />

Many <strong>Xeris</strong> reports require you to choose a date or range of dates as your selection criteria. A calendar (or a<br />

pair of calendars representing To and From dates) is displayed with the current date highlighted. You may click<br />

on a different date within the month or click a month’s name in the upper left and right corners to select a date<br />

from another month.<br />

Figure 62 - Report Date Selection<br />

Reports displayed with an Adobe® icon<br />

in the MUGs section of the Tools chapter.<br />

can be navigated and printed using the Adobe® features outlined<br />

Some frequently used icons are:<br />

– allows you to jump to (l-r) first page, previous page, next page or last page<br />

and displays the current page number in the center<br />

– allows you to print one or more pages of the report<br />

Note – If you have difficulty viewing Reports, you may need to download and install the Adobe<br />

Acrobat Reader-in on your computer. If you are using a corporate computer (not for<br />

personal use) you may need to contact your system administrator to install the plug-in. Our<br />

technical support staff can assist with any problems or questions via email at<br />

support@excelleRx.com or call (215) 282-1636<br />

Batch Reports<br />

These reports can be generated for a set of patients (all patients in your hospice, all patients in a group/team or<br />

patients assigned to you as the primary nurse). Click the Report Options icon in the toolbar to get a list of<br />

batch reports that can be generated for a set of patients. Click the hyperlink for the report you wish to generate.<br />

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CHAPTER 8 – REPORTS<br />

Figure 63 - Report Options<br />

Note – Your <strong>Xeris</strong> <strong>Hospice</strong> Administrator must assign privileges to your account to access the<br />

Clinical, Administrative or Billing report groups.<br />

Organizational Aggregate Reports<br />

The Organizational Aggregate Reports allows you to run reports from multiple offices or organizations.<br />

Figure 64 - Organizational Aggregate Reports<br />

Note – This functionality is only available to <strong>Xeris</strong> users with access to multiple organizations.<br />

Patient Reports<br />

While in a patient profile you may click the Patient Reports icon in the toolbar to get a list of reports that can<br />

be generated for a single patient. Click the hyperlink for the report you wish to generate.<br />

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CHAPTER 8 – REPORTS<br />

Figure 65 - Patient Reports<br />

Note – The Patient Reports icon will appear in the toolbar only when a patient profile is open.<br />

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CHPATER 9 - ADMINISTRATION<br />

Chapter 9 – Administration<br />

View or modify <strong>Xeris</strong> account information; Publish announcements<br />

Modify your <strong>Xeris</strong> Account<br />

Click the My User Profile icon in the toolbar to view your <strong>Xeris</strong> user profile. Click the Edit My<br />

Profile hyperlink to receive a new screen to allow modifications.<br />

Figure 66 - My <strong>Xeris</strong> User Profile<br />

Click the Edit hyperlink next to your User ID to change your <strong>Xeris</strong> login user id. Click the Edit hyperlink<br />

next to your email address to change your email address. Click the Change Password hyperlink to<br />

change your password. All other changes must be made by your <strong>Xeris</strong> <strong>Hospice</strong> Administrator.<br />

Figure 67 - Edit My Profile<br />

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CHPATER 9 - ADMINISTRATION<br />

After changing you password click update.<br />

Figure 68 - Change Password<br />

To change your Login ID, click Edit next to the display of your Login ID. The display will change to a<br />

text box. Type in your changes and click Save.<br />

Figure 69 - Change Login ID<br />

If your hospice has elected to use PINs, you can change your PIN by clicking on the XXXX (Note: for<br />

security purposes, your current PIN will be displayed as X’s).<br />

If you do not currently have a PIN, or if you have had your PIN reset by you XHA, leave the Old PIN<br />

text box empty; otherwise enter your existing PIN in the Old PIN text box. Enter your new PIN in the<br />

New PIN and Confirm boxes and click Save (Note: your PIN must be unique in your hospice<br />

organization; if <strong>Xeris</strong> detects duplicate you will be prompted to select a new PIN).<br />

Figure 70 - Change PIN<br />

To change your Email address, click Edit next to the display of your Email. The display will change to a<br />

text box. Type in your changes and click Save.<br />

Click Exit to return to <strong>Xeris</strong>.<br />

Figure 71 - Change Email<br />

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CHPATER 9 - ADMINISTRATION<br />

Administer <strong>Xeris</strong> Accounts for your <strong>Hospice</strong><br />

Note – This functionality is only available to <strong>Xeris</strong> users with <strong>Xeris</strong> <strong>Hospice</strong> Administrator<br />

privileges.<br />

Click the Administer User Accounts icon<br />

your hospice.<br />

in the toolbar to view and modify <strong>Xeris</strong> user profiles for<br />

Figure 72 - <strong>Xeris</strong> User List<br />

The Show Added Today List hyperlink is a convenient way to display recently added passcodes<br />

when you are doing bulk maintenance. Click the glasses icon to open an individual <strong>Xeris</strong> user for<br />

detailed viewing, modification of user demographics, roles or privileges.<br />

Figure 73 - Edit User<br />

Click the Print User List hyperlink to generate a report of authorized users for your hospice. Click the<br />

Add New User(s) hyperlink to create new <strong>Xeris</strong> accounts. Fill in the person’s full name, email address<br />

and select a role from the pull-down list. Click the Add User hyperlink to record the changes<br />

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CHPATER 9 - ADMINISTRATION<br />

Figure 74 - Add New User<br />

• To reset a user’s forgotten passcode, click the Reset User Account hyperlink. A one-timeonly<br />

password will be displayed and the user must establish a new password upon next<br />

successful login.<br />

• To deactivate a user’s account, click the Inactivate User Account hyperlink . It is important to<br />

deactivate account for hospice personnel who have left the organization.<br />

• To reset a users forgotten PIN, click Reset User PIN. The next time that user logs in they may<br />

establish a new PIN without having to enter their old PIN.<br />

• To modify a user’s name or email address, click Edit in the User Demographics section.<br />

• To change a user’s role or organization privileges, click Edit in the User Roles and Privileges<br />

section (a more detailed description of each is in the New User Accounts guide below)<br />

• Click Edit in the User Options section to change the following settings (a more detailed<br />

description of each is in the New User Accounts guide below)<br />

• User Administration<br />

• Content Management<br />

• Outcome Reports<br />

• PIN – Enabled<br />

• Click Edit in the Report Options section to change the following settings (a more detailed<br />

description of each is in the New User Accounts guide below)<br />

• Clinical Reports<br />

• Administrative Reports<br />

• Billing Reports<br />

• Organizational Reports<br />

Creating New User Accounts<br />

To avoid creating duplicate <strong>Xeris</strong> accounts for a single user, it is recommended that you user the<br />

Search function to verify that the user does not already have a <strong>Xeris</strong> account prior to creating a new<br />

one.<br />

Click the Add New User(s) hyperlink to create a new <strong>Xeris</strong> passcode.<br />

• Type the user’s full name as either “First Last” separated by a space or “Last, First”<br />

separated by a comma. Do not use special characters (e.g. *-,’…etc.) and do not<br />

enter titles or middle initials.<br />

• Enter the user’s email address.<br />

• Select a User Role from the pull-down box:<br />

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CHPATER 9 - ADMINISTRATION<br />

• Clinical users have full <strong>Xeris</strong> privileges to maintain patient demographic, census,<br />

profile and clinical information, including requesting refills.<br />

• Census users have privileges to maintain patient demographic, census and<br />

profile information, but are not able to request refills using <strong>Xeris</strong> via the internet or<br />

the telephone system.<br />

Note: Both Clinical and Census users can have access to multiple organizations and may<br />

be assigned any, all or none of the Additional or Reporting options described below on an<br />

individual basis.<br />

Figure 75 - Add New Users<br />

If you have responsibility for multiple organizations, you may choose to assign a new user to one or<br />

more organizations. Click on an organization or hold down the Ctrl key to highlight more than one<br />

organization.<br />

Note: A user’s PIN must be unique within all offices to which they are assigned. When expanding an<br />

existing user’s privileges to include additional office(s), <strong>Xeris</strong> checks that user’s PIN within all offices<br />

and alerts the XHA of any duplication. The XHA must then reset that user’s PIN and the user will need<br />

to create a new PIN during their next <strong>Xeris</strong> session.<br />

Figure 76 - Select Office<br />

To assign Additional <strong>Xeris</strong> User Options, check one or more of the checkboxes:<br />

• Content Management users can prepare hospice announcements to be displayed on the<br />

<strong>Xeris</strong> Welcome page.<br />

• User Administration allows the user to add, change and delete <strong>Xeris</strong> accounts for other<br />

hospice employees.<br />

• PIN Enabled User settings are only applicable to those hospices that have elected to use<br />

PINs. Note to XHAs of PIN-enabled hospices - the default and recommended setting for a<br />

Clinical user is PIN-enabled and for a Census user is NOT PIN-enabled, however these<br />

settings may be modified on an individual basis.<br />

Figure 77 - Additional <strong>Xeris</strong> User Options<br />

To assign Report Options, check one or more of the checkboxes:<br />

• Clinical Reports gives access to a menu of reports showing pharmacotherapy profile<br />

information to assist clinical staff with managing their patients.<br />

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CHPATER 9 - ADMINISTRATION<br />

• Administrative Reports gives access to a menu of specific and general summary reports to<br />

assist administrative staff in managing census and expenses.<br />

• Billing Reports gives access to invoice summary and supporting data for HP billing of per<br />

diem charges, dispensed medications and other ancillary fees for monthly billing periods.<br />

• Collaborative Reports are only available to those hospices participating in a Collaborative<br />

Practice Model, giving access to a menu of reports showing detailed encounter<br />

information about assessments and plans of care.<br />

• Organizational Aggregate Reports (formerly known as Summary Reports) are only<br />

available to users with access to multiple organizations, providing a menu of summary<br />

versions of Administrative Reports across multiple organizations.<br />

• Note – all <strong>Xeris</strong> users have access to patient-specific reports.<br />

Figure 78 - Patient-Specific Reports<br />

When all choices have been made, click Add User to save the changes. You will receive a screen with<br />

the new user’s Login ID and a temporary Password. This information must be printed or recorded<br />

immediately as it is only displayed once and cannot be retrieved later. This password is temporary and<br />

will only be used for the individual’s first login, at which time they will be prompted to select their own<br />

secure password for HIPAA reasons. You may want to provide your new <strong>Xeris</strong> users with a copy of the<br />

<strong>Xeris</strong> User Info document that explains Windows settings for HIPAA, how to log in for the first time and<br />

how to modify <strong>Xeris</strong> account settings.<br />

Figure 79 - User Account Conformation<br />

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CHAPTER 9 – ADMINISTRATION<br />

Administer <strong>Xeris</strong> Announcements for your <strong>Hospice</strong><br />

Click the Add New hyperlink in the hospice announcements section of your <strong>Xeris</strong> homepage to create a new<br />

announcement. Click the edit icon<br />

to modify an existing announcement.<br />

To format text for display, the announcements must be created with HTML markups.<br />

To make a string of text appear in a bold font, type before the string and after the string.<br />

To make a string of text appear in an italic font, type before the string and after the string:<br />

To break to the next line, type <br />

For example, enter the following text in the description box, enter an expiration date and click the Update<br />

hyperlink…<br />

Figure 80 - Sample Announcement Input<br />

… to generate this message on the <strong>Xeris</strong> Welcome page for your hospice:<br />

Figure 81 - Sample Announcement Output<br />

XERIS REFERENCE MANUAL<br />

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CHAPTER 10 – COLLABORATIVE PRACTICE<br />

Chapter 10 – Collaborative Practice<br />

For hospice partners participating in Collaborative Practice with HP<br />

About Collaborative Practice<br />

<strong>Hospice</strong>-specific, pharmacist-driven Collaborative Practice Protocol management is available for hospices that<br />

subscribe to the collaborative model. A major benefit of working under collaborative practice is the reduced time<br />

to care plan implementation by obtaining referral sources’ approval to prescribe under protocol. In the <strong>Hospice</strong><br />

Collaborative Practice System (HCPS), the prescriber adopts the protocols as the Prescriber Care Plan and the<br />

multidisciplinary care team follows the plan. The plan of care is communicated to the prescriber through routine<br />

feedback reporting using <strong>Xeris</strong>. For more information about this exciting program, contact HP by email at<br />

info@excelleRx.com or by calling (215) 282-1602.<br />

Collaborative Protocols<br />

The toolbar for hospice partners participating in HCPS will contain an icon of the hospice’s logo as a link to the<br />

hospice’s online book of protocols. Click on any symptom in the bookmark list to review or print the flowchart for<br />

that symptom.<br />

Clinical Assessments<br />

Clinical assessments for patients served by a hospice partner participating in HCPS are more robust and<br />

tailored to the protocols jointly established.<br />

Collaborative Reports<br />

<strong>Hospice</strong> partners participating in HCPS have access to additional reports.<br />

Figure 82 - Collaborative Practice Reports<br />

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Table of Figures<br />

Figure 1 - HP home page........................................................................................................................................................4<br />

Figure 2 - <strong>Xeris</strong> Log In ............................................................................................................................................................5<br />

Figure 3 - End User License Agreement.................................................................................................................................5<br />

Figure 4 - Change Password ..................................................................................................................................................6<br />

Figure 5 - Password Updated .................................................................................................................................................6<br />

Figure 6 - <strong>Xeris</strong> Log Out..........................................................................................................................................................6<br />

Figure 7 - SSL Lock ................................................................................................................................................................7<br />

Figure 8 - Welcome Page .......................................................................................................................................................8<br />

Figure 9 - Toolbar ...................................................................................................................................................................9<br />

Figure 10 - <strong>Hospice</strong> Announcements......................................................................................................................................9<br />

Figure 11 - HP Announcements..............................................................................................................................................9<br />

Figure 12 - Patient Hot List ...................................................................................................................................................10<br />

Figure 13 - Dashboard ..........................................................................................................................................................10<br />

Figure 14 - Find Patient Search Criteria ...............................................................................................................................13<br />

Figure 15 - Add New Patient.................................................................................................................................................14<br />

Figure 16 - Add New Patient Demographics.........................................................................................................................15<br />

Figure 17 - Patient Name......................................................................................................................................................15<br />

Figure 18 - Patient Confirmation ...........................................................................................................................................16<br />

Figure 19 - New Physician ....................................................................................................................................................17<br />

Figure 20 - Search all doctors...............................................................................................................................................17<br />

Figure 21 - Add new physician..............................................................................................................................................17<br />

Figure 22 - Add physician .....................................................................................................................................................17<br />

Figure 23 - Add Nurse...........................................................................................................................................................18<br />

Figure 24 - Coverage History................................................................................................................................................19<br />

Figure 25 - Add New Diagnosis ............................................................................................................................................20<br />

Figure 26 - Diagnosis Term Search ......................................................................................................................................20<br />

Figure 27 - Diagnosis Term Search Results .........................................................................................................................20<br />

Figure 28 - Select ICD-9 Code..............................................................................................................................................21<br />

Figure 29 - Diagnosis Detail..................................................................................................................................................21<br />

Figure 30 - Add Allergy .........................................................................................................................................................21<br />

Figure 31 - Allergy Select......................................................................................................................................................22<br />

Figure 32 - Allergy Severity and Reaction ............................................................................................................................22<br />

Figure 33 - View Diagnoses..................................................................................................................................................22<br />

Figure 34 - Diagnosis List .....................................................................................................................................................22<br />

Figure 35 - Edit Diagnosis.....................................................................................................................................................23<br />

Figure 36 - View Allergies .....................................................................................................................................................23<br />

Figure 37 - Allergy List ..........................................................................................................................................................23<br />

Figure 38 - Edit Allergy .........................................................................................................................................................24<br />

Figure 39 - Add New Assessment ........................................................................................................................................24<br />

Figure 40 - Add Assessment.................................................................................................................................................24<br />

Figure 41 - Brief Assessment................................................................................................................................................25<br />

Figure 42 - Save Assessment...............................................................................................................................................25<br />

Figure 43 - Recent Requests ................................................................................................................................................26<br />

Figure 44 - FedEx Tracking ..................................................................................................................................................26<br />

Figure 45 - Recent Request..................................................................................................................................................26<br />

Figure 46 - Refresh Days......................................................................................................................................................27<br />

XERIS REFERENCE MANUAL<br />

PAGE 47


Figure 47 - Active Medications..............................................................................................................................................27<br />

Figure 48 - Prescription Detail ..............................................................................................................................................28<br />

Figure 49 - Discontinue Medication ......................................................................................................................................28<br />

Figure 50 - Add New Medication...........................................................................................................................................28<br />

Figure 51 - Medication search results...................................................................................................................................29<br />

Figure 52 - Medication Strengths and Dosage Forms ..........................................................................................................29<br />

Figure 53 - Select Diagnosis.................................................................................................................................................30<br />

Figure 54 - Select Directions.................................................................................................................................................30<br />

Figure 55 - Refill Request .....................................................................................................................................................31<br />

Figure 56 - Submit Request ..................................................................................................................................................31<br />

Figure 57 – Medication Use Guideline Bookmarks...............................................................................................................32<br />

Figure 58 - Patient Information Leaflets................................................................................................................................33<br />

Figure 59 - Opioid Conversion Calculator.............................................................................................................................34<br />

Figure 60 - Find a Pharmacy ................................................................................................................................................34<br />

Figure 61 - Communication Options .....................................................................................................................................35<br />

Figure 62 - Report Date Selection ........................................................................................................................................36<br />

Figure 63 - Report Options ...................................................................................................................................................37<br />

Figure 64 - Organizational Aggregate Reports .....................................................................................................................37<br />

Figure 65 - Patient Reports...................................................................................................................................................38<br />

Figure 66 - My <strong>Xeris</strong> User Profile..........................................................................................................................................39<br />

Figure 67 - Edit My Profile ....................................................................................................................................................39<br />

Figure 68 - Change Password ..............................................................................................................................................40<br />

Figure 69 - Change Login ID.................................................................................................................................................40<br />

Figure 70 - Change PIN ........................................................................................................................................................40<br />

Figure 71 - Change Email .....................................................................................................................................................40<br />

Figure 72 - <strong>Xeris</strong> User List ....................................................................................................................................................41<br />

Figure 73 - Edit User.............................................................................................................................................................41<br />

Figure 74 - Add New User ....................................................................................................................................................42<br />

Figure 75 - Add New Users...................................................................................................................................................43<br />

Figure 76 - Select Office .......................................................................................................................................................43<br />

Figure 77 - Additional <strong>Xeris</strong> User Options.............................................................................................................................43<br />

Figure 78 - Patient-Specific Reports .....................................................................................................................................44<br />

Figure 79 - User Account Conformation ...............................................................................................................................44<br />

Figure 80 - Sample Announcement Input .............................................................................................................................45<br />

Figure 81 - Sample Announcement Output ..........................................................................................................................45<br />

Figure 82 - Collaborative Practice Reports ...........................................................................................................................46<br />

XERIS REFERENCE MANUAL<br />

PAGE 48


Index<br />

admin<br />

announcements, 45<br />

deactivate user, 42<br />

new user, 41<br />

reset passcode, 42<br />

user list, 41<br />

user maintenance, 41<br />

Adobe®<br />

bookmarks, 32<br />

icons, 32<br />

page navigation, 32<br />

PDF, 32<br />

print, 32<br />

search text, 32<br />

allergy<br />

brief list, 23<br />

common (list), 22<br />

detail list, 23<br />

edit, 24<br />

new, 21<br />

reaction, 22<br />

severity, 22<br />

announcements<br />

hospice, 9, 45<br />

HP, 9<br />

HTML markup, 45<br />

assessment<br />

new, 24<br />

view, 9<br />

collaborative practice<br />

HCPS, 46<br />

diagnosis<br />

coverage code, 21<br />

edit, 23<br />

ICD-9, 20, 21<br />

list, 22<br />

new, 20<br />

onset date, 21<br />

primary, 21, 22<br />

HIPAA, 3, 7, 35<br />

hot list<br />

chart view, 10<br />

list view, 10<br />

icons<br />

functional, 11<br />

navigational, 8, 10<br />

screen management, 11<br />

tool tip, 8<br />

logging in<br />

first time, 6<br />

login id, 5<br />

password, 5, 39<br />

problems, 7<br />

profile, 39<br />

terminating session, 6<br />

timeout, 6<br />

LTC<br />

admission, 16<br />

authorized medication, 27<br />

transfer, 18<br />

medications<br />

active, 27<br />

diagnosis/indication, 29<br />

directions/sig, 30<br />

discontinued, 28, 31<br />

inactive, 31<br />

new, 28<br />

prescription detail, 28<br />

profiled, 28<br />

recent requests, 26<br />

refills, 30<br />

related, 31<br />

search, 28<br />

shipping information, 26<br />

shipping method, 31<br />

specify coverage, 31<br />

tracking, 26<br />

view, 27<br />

password<br />

change, 39<br />

new, 6<br />

patient<br />

address, 16<br />

admit date, 15<br />

assessment, 24<br />

comments, 16<br />

complementary therapy, 16<br />

confirmation, 16<br />

coverage history, 19<br />

date of birth, 16<br />

find, 13<br />

gender, 16<br />

group/team, 13, 15<br />

information leaflet, 32<br />

list, 13<br />

modify, 18<br />

name, 15<br />

new, 14<br />

phone, 16<br />

primary nurse, 18<br />

race, 16<br />

referral status, 13<br />

social security number, 16<br />

status, 15, 18<br />

transfer, 13, 18<br />

physican<br />

consulting/covering, 16<br />

primary/attending, 15<br />

referring/admitting, 16<br />

reports<br />

administrative, 36<br />

Adobe®, 36<br />

batch, 36<br />

billing, 36<br />

clinical, 36<br />

date range, 36<br />

patient, 37<br />

tools<br />

communications, 35<br />

conversion calculator, 33<br />

education materials, 34<br />

find a pharmacy, 34<br />

MUGs, 32<br />

PILs, 32<br />

website<br />

excelleRx Institute, 3<br />

HP, 3, 4<br />

welcome page<br />

dashboard, 10<br />

hot list, 9<br />

icons, 8<br />

overview, 8<br />

toolbar, 8<br />

<strong>Xeris</strong><br />

defined, 3<br />

end user license agreement, 5<br />

security, 7<br />

system requirements, 4<br />

training, 3<br />

version 2.1, 3, 11, 27<br />

49

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