Market Education

Medical Orders and Medication Management in TIER

Most behavioral health organizations utilize a variety of medical orders to treat conditions and needs of individuals served. The medical orders process and related forms in TIER® Workflow have been carefully designed to facilitate and document the organization’s medical orders including general orders, laboratory orders, treatment protocols and special treatment procedures. Authorized staff can create various types of orders. The general face sheet for Orders is included below:

The organization is encouraged to formalize its order management system based on national standards and practice guidelines as well as organization practice approaches. Procedures or guidelines for each type of order should be established to guide the order process. TIER® supports full automation of all orders used by the organization. In addition, several orders are included with TIER® Workflow.

The following is a general order form that can be used for orders such as admissions, special diets, behavioral management interventions, consultations, referrals etc.

Similarly, various laboratory orders can be generated such as routine tests or microbiology tests. An example of an order is below:

TIER® workflow also includes a complete order management system for use of special procedures such as restraint or seclusion. Each element of the special procedures process can be documented from initial orders to debriefings.

The behavioral advance directive, which is completed with the patient at time of admission, can be carried forward to the actual order if a procedure is implemented. In this manner, staff is reminded of the alternative interventions agreed upon at admission.

The medical order process also includes use of protocols. For example, substance abuse detoxification protocols are included. Similar protocols can be added for inpatient or residential psychiatric treatment. A copy of a detox protocol is below: