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Last Post 01/24/2017 6:56 AM by  JonA
Patient charges for synthetic grafts
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JonA
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01/20/2017 9:34 AM

    Synthetic grafts are charged by the square cm.  We purchase by EA which has a dimension, for example, 6 cm x 16 cm.  For anyone running an interface between Lawson and their EMR, how is the supply cost converted to the patient charge?

    Jon Athey - Supply Chain Analyst - Materials Management - MidMichigan Health
    Red
    Content Manager, Supply Chain
    Sutter Health
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    01/20/2017 10:07 AM
    Jon,
    I am not stating this as "best practice", simply as our way around the issue...
    In the Item Master, we use the User Field 5 (the lower one) to house the calculated cost of the item at the Stock UoM and the date of the calculation. For skin substitutes, and myriad other items, this calculates to the EA. If the Unit of Use (UoU) is lower than the Stock UoM, we populate User Field 4 with the designated UoM (completely non-ANSI standard) and the conversion of the UoU to the Stock UoM. So, as an example for a 6x16cm skin substitute...

    User Field 4: SQCM-96
    User Field 5: 1250.0000-20170120

    Of course, this means you will need to incorporate these fields (or something similar) into your interface processes.
    Hope that helps,
    Red
    Michelle Wetzel
    Lawson Procurement Systems Specialist
    Carle Foundation Hospital
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    01/20/2017 10:12 AM
    Jon,

    We do something similar to what Red. We use user field 1 and 2 from the lower set of 5. In user field 1 we put the UOM on the contract for anything going through the interface. In user field 2 we put the conversion.

    Example 1: something actually coming as each
    User Field 1: EA
    User Field 2: 1

    Example 2: something like the mesh
    User Field 1: EA
    User Field 2: 96

    This tells the interface to pull the price from the vendor agreement line and divide it by user field 2 for the each price that is sent.

    So basically...you have to jury rig something.

    Michelle
    brupp
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    UC Health
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    01/20/2017 11:02 AM
    Jon - we're in the same boat. With robotics for example, that can be charged 10 times, this is what the user fields would look like:
    Last Epic Calculated Cost Update 11/21/2016
    Epic Calculated Cost Flag R (Y = reprocessed, not using at this time)
    Epic Calculated Cost Percentage .1
    Epic Calculated Cost 270.00 (This field auto populates after the interface runs)

    Good Luck,
    Beth
    JonA
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    01/24/2017 6:56 AM
    Thank you everyone. Very helpful.
    Jon Athey - Supply Chain Analyst - Materials Management - MidMichigan Health
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