Down Time Reference

NextGen (NG) Down

/ Star Down / SunQuest (SQ)
Down / PowerChart (PC) Down / Orders Interface Down / ADT Interface Down

Implications

/ / No account will be created in STAR and will not display in SunQuest. / Account will have been created in STAR, however there will be no way for the phlebotomist to receive the order, print labels, or create a batch. / Orders can be placed in NextGen, but will not come across into PowerChart, and therefore will not come into SunQuest. / Orders queue up in NextGen. / If order cannot match visit, it will go in as a Future order in Powerchart. Jim will stop orders interface.
Phleb. will not find an account.

Office Staff

/ 1. Completes manual lab forms or uses pre-printed requisition.
2. If no phlebotomist is in office, the office staff will draw blood/hand-label it/process it.
Phlebotomist duties in STAR and SunQuest will be transferred to MMC Lab CSR staff. / 1. Order in NextGen and give requisition to phlebotomist. / 1. Follow normal process. / 1. Place order in NextGen and give requisition to phleb. / 1.Follow normal process / 1.Follow normal process

Phlebotomist

/ 1. Manually registers patient in STAR as PAB/EMR.
2. Manually orders labs in SunQuest.
3. Process & batch. / 1. Wait until STAR is back up. In meantime, draw patient’s labs, hand-label specimens, process blood. / 1. Draw the patient, hand-label specimens, process blood.
2. If SunQuest still not up by time courier arrives, phleb should send specimens with the requisition to Munson Lab. / 1. Phleb. should wait 10 min. and check to see if PowerChart is up yet.
2. If not, manually register pt. in STAR as a PAB/EMR, then manually order labs in SunQuest.
3. Process and batch. / 1. Phleb. manually registers pt. in STAR as PAB/EMR and enters order into SunQuest.
2. Process and batch. / 1. Phleb. manually registers in STAR as PAB/EMR and orders in SunQuest.
2. Process and batch.

MMC Lab

/ No process change. / No process change. / 1. CSR’s will have to hold on to specimens until SunQuest comes back on line.
2. They will receive order, label specimens, take them to analyzers.
3. Only use down labels for Stats or if SQ is down for 24 hrs. / No process change. / No process change. / No process change.
When system is back up / 1. If lab is a Future order, go into NextGen, click SUBMIT to send orders to PowerChart.
2. If lab is a Today order, do not put order back in. / 1. STAR is back up, the account is created and the orders will display in SunQuest. Receive in SunQuest, label specimens and batch as normal. / 1. SunQuest is back up, phleb or CSR (depending upon who has samples)
will receive order, label specimens, batch as normal. / 1. PC is back up, PC might send through the NextGen orders and create duplicates to those that were placed manually.
2. Med Tech’s should notice the duplicates on their pending logs.
3. Duplicate orders should be canceled in SunQuest, and the duplicate account they are on should be NSR’ed. / 1. Interface is back up it will send orders to PowerChart and requisition prints for phleb.
2. When notification of orders is back up, phleb. will call PDSS and ask to NSR account, will cancel order in SunQuest as a duplicate. / 1. Interface is back up, Future order created in Powerchart can be captured with a custom Cerner lab report so that it can be canceled as a duplicate.

Notify the Help Desk 56053 for any application downtime.