80TECH24Q0023 Enclosure 8 - Active Astronaut Annual PEX Data Workflows (00003).pdf

FMC Active Astronaut Annual PEX Data Workflows

• Multi-step process

• Multiple FMC Team Members provide input

• FMC Admin

• FMC Nurse

• Clinic Lab Techs

• Clinic EMTs

• Ultrasound Tech

• X-ray/DXA Tech

• Endocrinologist/Outside Consultants

• Optometrist

• Audiologist

• Medical Records Staff

• Data Entry Staff

• FMC Physician

RFQ 80TECH24Q0023 (00003)Enclosure 8

FMC Admin

• FMC Admin

1. Identifies which individuals in a given month need annual exams (runs an EMR Birth Month Report)

2. Identifies which exam clearances the individual needs

• Aircrew

• Diver/Suited Subject

• Flight Controller

• Multilateral Space Medicine Board (ISS mission assignment)

3. Identifies which medical evaluations are needed for the required clearances

4. Works with Astronaut Office Astronaut Schedule Admin to schedule astronaut for required evaluations (via Outlook)

5. Schedules required evaluations in EMR calendar (for benefit of Clinic staff)

6. Insures astronaut’s EMR chart is functional

7. Insures astronaut has active JSC Clinic Portal account, and that the account is linked to their EMR chart

8. Sends astronaut required medical history forms

Step 1: Run birth month report to see who needs exams

You can see that the test patient, Jane Doe, needs an active astronaut exam in August

Step 2: Review the Excel Tracking sheet for the individual

Multiple steps required to fill in details for scheduled evaluationsStep 6: Place evaluations on EMR Calendar

Used by Clinic staff for patient management

Step 7: Register patient for required medical certifications

This Encounter form also insures linking of EMR Chart to Employee Medical Clearance Notification System (EMCNS) The FMC Admin uses this EMR Encounter Form to enter data into these specific Obs Terms

Step 8: Send the Astronaut the email to get them access to the JSC Clinic Portal This letter pulls data from Obs Terms

FMC Nurse Pre-Visit

Step 5: Enters required test orders

FMC Nurse At Part 1 Visit

Step 5: Complete Tuberculosis Screening Review Obs Terms

Part 1 Testing

Required evaluations performed at Part 1

• ECG

• Cycle Ergometry

• Audiometry

• Labs

• Eye Exam

• Fundoscopy

• DXA

• Echocardiogram

• Carotid Ultrasound/CIMT

• Mammography

• Well Woman Exam

• Dental Exam

Patient (Active Astronaut) Vision Exam

Many Obs Terms associated with annual Vision Exam