EHR Updates

EHR Upgrades

Posted on Jun 5, 2017 in EHR Updates | 0 comments

  • Leave of Absence (LOA) (to transfer a patient to another campus, when then patient is expected to return to the sending facility)
  • Order Context (new function to add clarifying contextual information when associating orders to release with procedures)
  • ICU Liberation – ABCDEF Bundle (new bundle in the VS/Vent report and ICU Summary Report)
  • Haiku/Canto Secure Chat (Functionality in EPIC Haiku to send secure messages) NOTE: At this time there will be no change to SPOK, which will continue to be offered to providers as an option.

For assistance, contact your EHR Physician Liaison, Patty Fitzgibbons, at 510-325-9618

EHR Upgrades

Posted on May 2, 2017 in EHR Updates | 0 comments

    • Leave of Absence (LOA) – went live 4/11 (to transfer a patient to another campus, when then patient is expected to return to the sending facility)
    • Order Context – went live 4/11 (new function to add clarifying contextual information when associating orders to release with procedures)
    • ICU Liberation – ABCDEF Bundle – went live 4/11 (new bundle in the VS/Vent report and ICU Summary Report)
    • Haiku/Canto Secure Chat – live 4/26 (Functionality in EPIC Haiku to send secure messages) NOTE: At this time there will be no change to SPOK, which will continue to be offered to providers as an option.

From Patty Fitzgibbons, EHR Physician Liaison

EHR Upgrade Alert!

Posted on Apr 7, 2017 in EHR Updates | 0 comments

Our next EPIC Upgrade will take place on April 11, 2017. Below are a few highlights.  Training materials will be available closer to the release date.  For additional details, please contact Patty Fitzgibbons, EHR Physician Liaison, at 510-325-9618.

    • Leave of Absence (LOA) (to transfer a patient to another campus, when then patient is expected to return to the sending facility)
    • Order Context (new function to add clarifying contextual information when associating orders to release with procedures)
    • Linked Orders (orders follow one another sequentially using Or, And, and Followed by logic)
    • ICU Liberation – ABCDEF Bundle (new bundle in the VS/Vent report and ICU Summary Report)

From Patty Fitzgibbons, EHR Physician Liaison

EHR Upgrade Alert!

Posted on Mar 7, 2017 in EHR Updates | 0 comments

Our next EPIC Upgrade will take place on April 11, 2017.  Below are a few highlights.  Training materials will be available closer to the release date.  For additional details, please contact Patty Fitzgibbons, EHR Physician Liaison, at 510-325-9618.

  • Leave of Absence (LOA) Functionality for patients going from one Sutter facility to another for the purpose of having an outpatient procedure, when the patient will be returning to the original location.
  • Modifications to the Discharge to SNF workflow
  • ICU Liberation Bundle
  • Adding Affiliate Metadata to patient notes

From Patty Fitzgibbons
Physician Liaison

EHR Tips

Posted on Feb 8, 2017 in EHR Updates | 0 comments

Smart Links: Below are a few useful Smart Links, including a new Smart Link for imaging!

  • .RISRSLTIMPONLY – pulls in Radiology impressions (without narrative) for past 48 hours; great for Progress Notes!
  • .PROBLAR – pulls in Active and Resolved Hospital Problems; especially useful for your Discharge Summaries; Refreshable!
  • .PROBLA – pulls in Active and Resolved Hospital Problems; especially useful for your Discharge Summaries; NOT refreshable

Reports in the Summary Activity

Here are some popular Reports that are available. Click the Summary Activity Tab and then click the magnifying glass in the report field. A list of reports will appear.

  • Overview Report
  • Diabetes management
  • Fever/antibiotics
  • Functional status
  • Blood Admin report
  • Sepsis Overview
  • MAR

 

Popular Order Sets

  • IR PARACENTESIS/THORACENTESIS [8071]
  • GEN SUBCUTANEOUS INSULIN [8925]
  • HOSP SEPSIS MODULAR SH IP [10971]If you need assistance to update your Smart Phrases, Order Sets, or to wrench in these reports, please call your EHR Physician Liaison, Patty Fitzgibbons, at 510-325-9618.

From Patty Fitzgibbons
EHR Physician Liaison

Tips for your Preoperative H&P

Posted on Feb 8, 2017 in EHR Updates | 0 comments

For those performing surgeries and procedures, please review the following regarding your H&P’s. One of the many important points to remember is that if your patient is receiving anesthesia other than local anesthesia, an interval H&P is needed after your patient is “checked-in / admitted” for a procedure whenever the H&P is done within 30 days.  This includes H&Ps that may have been done in your office only hours before.

~H&P completed after check in / admission, no interval update is required.

~Inpatient and Outpatient procedures: H&P within 30 days:

  • H&P update / Interval note must be completed and documented within 24 hours after admission but always prior to surgery for an operation or procedure requiring anesthesia, other than local.
  • H&P update / Interval note should state the words like “re-examined, re-assessed, reviewed” patient, no changes. Update must be signed, dated and timed.
  • It is recommended that the H&P update / Interval note be documented directly into EPIC. If entering directly into EPIC the following navigators tools are available for your use.
    • Access the Preop tab within the Periop navigator. There is an activity that says “H&P interval notes”, click on the button that says “add interval”.
    • A template is available called “General H&P update note”. Template can be reached through your note navigator.

~All H&P’s must:

  • Include date, time and signature.
  • If using your office H&P do not use white out to change dates and do not obliterate by writing over the old date of H&P.
  • Do not use signature stamps.
  • Documentation in the body of the H&P must coincide with the H&P dates.
  • H&P performed more than 30 days prior to admission does not comply with timeliness requirements and a new H&P must be performed.

~Entering H&P directly in EPIC?

  • Ensure H&P is entered on the correct surgical encounter.

Alisa Stinn, RHIT
Client Location Lead / Health Information Manager
Alta Bates Summit Medical Center-Oakland Campus
stinnal@sutterhealth.org
(Office) 510-869-8741
(Cell) 510-381-5181
(Fax)  510-869-8856