2023-02-02 Release 138

Features

We’ve Moved! 

ControlCheck is fully up and running at our new URL controlcheck.ControlCheck.com.

Updated URLs for All Environments

There is an automatic redirect workflow in place that takes you from the old URL to the new one so that customers have a seamless experience when accessing the application.

Please update your bookmarked/saved URLs to the new ones ASAP ❗

1. Prod – https://controlcheck.ControlCheck.com/login

Ability to Calculate Full Package Waste Across Multiple Transactions

Integrated Waste

ControlCheck knows that waste transactions are a major vulnerability in the fight against controlled substance diversion. We offer a suite of Medication Intelligence reports, such as the Full Package Waste IRIS Report, that can highlight suspicious wasting activity. One use case we looked to incorporate into our Analytics was the integrated waste practice. This is a workflow in which a single drug dose could be fully wasted across more than one waste transaction, creating the potential to miss a user that might be really good at covering up their tracks and not creating any documentation discrepancies. Integrated waste is a very common and acceptable practice in the hospital so customers have to rely on ControlCheck’s ability to detect anomalous behaviors in all of their data, not just within the documentation discrepancies, because auditors don’t have time to sift through Closed-ControlCheck summaries looking for a user’s potentially suspicious wasting behaviors.

In the example below, the user dispensed the 2 mg for the patient and simultaneously wasted part of the dose, 0.75 mg. This is commonly referred to as an integrated waste transaction. About five mins later, the user subsequently wastes the remaining 1.25 mg of the dose – which means they ultimately ended up wasting a full package of this HYDROmorphone liquid. This is the type of case that was previously not included in the Full Package Waste report because neither waste event on the summary was a full package size.

With this release, we are excited to support this use case in IRIS and empower customers to review waste scenarios like the one above with the click of a few buttons.

Navigate to Analyze → View User Analytics. Click into the Full Package Waste report from the top menu or from a user’s Detailed Risk Score Analysis.

Click on the user to review transactions for and click Investigate Data to see more details.

Review the event summaries that counted towards that user’s Full Package Waste score.

 The new logic has two main validations: are there two or more waste events by the same user on an event summary that sum to one or more full packages, and if yes, does that summary have any admin events on it; if the summary has an admin event, then ControlCheck will not sum full packages across waste events for that summary.

Additional Notes on Full Package Waste

One or more full packages wastes on a single transaction will continue to be included in the Full Package Waste Report. If an event summary contains at least one admin event, then ControlCheck will not sum the packages wasted across the waste events.

Excessive Waste Cutoff setting is still only applied at the event level; e.g. a hospital has their Excessive Cutoff set to 5 in ControlCheck so if a user has a single transaction that wastes 5 or more full packages, then that single event will be excluded from the final Full Package Waste count for that user.

Check out an upcoming release for an exciting enhancement to support the download counts and event summary details for full package waste data from ControlCheck for all users in a given time frame!

Updates to Package Sizes for Infusions Medications

Based on analysis of close rates for infusion meds in Patient Care auditing, we made a change to how we process infusion medications in the application.

Hospitals’ source system medication identifiers can continue to be mapped to infusion medications with a package size of 1 unit. The Package Information field will be pre-filled with a value of 1 unit. Manager users can set another scalar for the package size but the UoM must be units. Users will see a tooltip about this preference if they hover over the question mark icon.

This change is intended to streamline infusion auditing so that you can easily see when a bag was dispensed and when the infusion rate was documented at the patient's bedside. If no rate was documented in the electronic medical record, then ControlCheck will leave that as an open variance for you to review.

With this release, all medications mapped as infusions will have their Package Size automatically updated to 1 unit and the Preferred UoM set to unit.

Shift Analysis Enhancements

ControlCheck is ready to begin beta testing with your Kronos or Time and Attendance data! In this release, we have some key enhancements and fixes to make beta testing a smooth experience for our customers. We added a Date Range picker to the report so that you can drill into a specific time frame when viewing the Shift Analysis report.

The Shift Analysis v2 IRIS report empowers ControlCheck users to see when a user is creating controlled substance activity when they are not clocked in for work. Read more about the value this report provides and how to interact with it at the page below.

Shift Analysis in IRIS Analytics

Added Wholesaler Multiplier to the Manager Formulary

Manager users can now view the Wholesaler Multiplier for the medications in their ControlCheck Formulary from the Mapped Medications tab. This new column replaces the PF column that displayed a Yes/No message about whether a medication was preservative free (PF) or not. We display the PF distinction within the med name throughout the app so we decided to swap that column out for Wholesaler Multiplier so that the necessary information for medications is included in the whole med mapping workflow.

Updates & Fixes

• Enhancements to back-end queries for optimized system performance.
• Fixed an issue with merging patient records created from two or more different source files. There were two bugs that would cause issues with successfully merging patient records together so sometimes ControlCheck users would see a variance split out because the system was not correctly registering them as the same patient.
• Fixed an issue with the User Snooze workflow that would un-snooze a user after the login session ended. The expected behavior is that if a ControlCheck user snoozes a user, then that user is snoozed for all ControlCheck users for 30 days.
• Fixed display issues with the new Shift Analysis v2 report that incorporates time and attendance data.
• Fixed a minor issue with spacing between the Audit States of medications on the Manager Formulary page.
• Fixed an issue with the display of medication names and identifiers in the Med Mapper workflow. Names and identifiers that were too long were being cut off and not fully visible. This fix increases the size of the box displaying that information so that it is visible.

Features & Bug Fixes

Release 139 - Week of 02-14-23

• A fix to address an issue with event summaries totals for infusion meds being incorrectly calculated when there is more than one admin event on the summary.
• A fix to address ongoing issues with merging patient records together to ensure that false variances are not created.
• A fix to address an issue with the Assignment filter not working as expected after an event summary is edited with the filter active.
• A fix to address an issue with misaligned data elements on the Pharmacy Audit table.
• Enhancements to user name and ID matching to ensure the right users are associated to Patient Care and Pharmacy events.
• Updates to the ControlCheck Notifications to reflect rebranding changes.
• Updates to the Summary and Detailed Transactions CSV Reports available throughout the app to consolidate user role information into one column and improve download speed.

Release 140 - Week of 02-28-23

• Enhancements to the Med Trends IRIS Report to include Open, Closed-Reconciled, and Closed-Unreconciled event summaries. Today the report only includes Closed-ControlCheck event summaries.
• Enhancements to the Investigate Data page for Full Package Waste data to be able to view a count of full packages wasted per user per waste transaction on an event summary card.
• Enhancements to the Summary and Detailed Transactions CSV Reports available throughout the app to be able to view a count of full packages wasted per user per waste transaction.
• Additional to User Role Types will be available for user Mapping in ControlCheck.