EHR Updates

EPIC Upgrade – November 11, 2018

Posted on Oct 2, 2018 in EHR Updates | 0 comments

Please be aware of upcoming changes coming on November 11th.  A System Notice will be sent to the sent by email.  There will also be printed materials available in the Doctor’s Cafeteria and Surgery Lounge.  Highlights of the upgrades are below:

Emergency Department

  • Customize your ED Track Board
  • Hide Rarely Used Toolbar Buttons
  • ED Provider Charting – Finish Up Fast (complete charting from the track board and avoid In Basket Messages)
  • Receive Notifications for Specific Order Results
  • Delete SmartBlocks from Notes

Inpatient Changes

  • Documenting Transgender, Intersex, and Nonbinary Patients – more options for documentation
  • Better Support for Patient Preferred Names in EPIC
  • New Layout for Notes Activity
  • New Layout for Order Reconciliation
  • Preview the AVS during Discharge Medication Reconciliation
  • Turn Group of Orders into a User Order Panel
  • User SmartLists Give All Users the Power of the Smartlist Editor
  • Document and Visualize LDAs on an Avatar
  • See Trends in Wound Healing from the LDA Avatar

Anesthesia Optime

  • Quality Dashboards for medical directors in the OR
  • Updated Formatting for Viewing Labs
  • Review Imaging Results in Pre-procedure
  • Track Estimated Volumes for Orders in Non-Duplicable Infusion Groups
  • Anesthesia Record Report – New Format
  • Automatically Record Stopped Actions for Intraprocedure Blood Boluses
  • Document Meds for Anesthesia Procedures in Notes – You can now enter medications in your procedure notes
  • Surgeon Scorecard Dashboard – to track performance for core surgical metrics over the previous month

Patty Fitzgibbons
EHR Physician Liaison, ABSMC

 

OUT OF OFFICE OR ON VACATION? HOW TO PLACE MEDICAL RECORDS DEFICIENCIES ON HOLD FOR VACATION

Posted on Sep 5, 2018 in EHR Updates | 0 comments

In order to place a hold on any potential medical records deficiencies, you have 3 options:

  1. Call the Local HIM/Medical Records Department, Chart Completion Team Summit: 510-869-6545, option 2 (Summit Campus only)
  2. Call or email the S3 physician line (Summit and/or Alta Bates Campus) 855-398-1641, Option 1, or email S3Chart CompletionTeam@Sutterhealth.org
  3. Call or email the HIM Manager (Summit and/or Alta Bates Campus) Summit: 510-869-8741, or Email Stinnal@sutterhealth.org

When providers are away from the office, they can also add an Out of Office alert in EPIC. HIM must still be contacted to place chart deficiencies on hold.

Placing an Out of Office, Out of Contact alert in EPIC:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Order Reconciliation

Posted on Sep 5, 2018 in EHR Updates | 0 comments

SURGEONS/PROCEDURALISTS

Please don’t forget to do Order Reconciliation for Inpatients, Outpatients with Overnight Stay, and Observation

Below is a brief outline of the steps to be taken. For more In-depth training, contact the EHR Physician Liaison, Patty Fitzgibbons, at 510-325-9618 or via email at fitzgip@sutterhealth.org.  If you need immediate help and the liaison is unavailable, please contact the Help Desk at ext. 6747.

Instructions:

  1. Click on the Periop or PeriProc activity tab on the left side of your screen.
  2. Select the Post-Op to Floor tab
  3. Select Order Reconciliation
  4. 1. Review Current Orders (it is helpful to sort by Order Set)

 

 

 

2. Review Prior to Admission Medications (add/modify list if needed)3. Reorder Prior to Admission Medications (Select either Order, Replace, Don’t Order or Discontinue)

 

 

 

 

4. New Orders: Enter your Post Op Order Set + any Additional Orders

 

 

 

 

 

 

5. Review and Sign Double check that you have not discontinued orders that are needed on the floor. Be sure that you have continued orders that you want to remain on the floor. Sign – Will be initiated by receiving unit

Manage Orders – Haiku Push Notification for Lab Results

Posted on Aug 1, 2018 in EHR Updates | 0 comments

EPIC/Haiku now provides the ability to send a Haiku push notification to a physician indicating that a lab has been resulted. 

This includes lab and radiology orders.

 

 

Physician Orders for Life-Sustaining Treatment (ePOLST)

Posted on Mar 2, 2018 in EHR Updates | 0 comments

Order Reconciliation and MAR Hold

Posted on Mar 2, 2018 in EHR Updates | 0 comments

MAR Hold places active inpatient medication orders on hold when the patient transfers to the OR, Cath Lab or Interventional Radiology Departments.

MAR Hold supports Order Reconciliation by allowing the provider to review existing orders prior to the patient’s transfer for post procedural care.

Orders remain on hold until Order Reconciliation is completed by the Surgeon/Proceduralist.

Once the surgeon/proceduralist completes Order Reconciliation, the nurse receiving the patient for post procedural care can release the orders.

*Note New Office Location for Patty Fitzgibbons: Enter through the main entrance at 350 Hawthorne Ave. Just beyond the Admissions desks on the right side of the lobby, you will see a hallway. Your physician badge will provide entry.  My office is in Rm 1755.

If you are unsure of the process for Order Reconciliation, please contact Patty Fitzgibbons, EHR Physician Liaison, for training.  510-325-9618