Center for Digital Health Innovation at UCSF

How to use CareWeb

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CareWeb (CWM) is a collaborative care tool• Facebook/Twitter/Pagerbox hybrid• Send messages ABOUT patients…• …that then wrap around the patient• Populates a patient “wall”:

• Viewable by all providers• Searchable by sender/recipient/patient/message

• Populates your “wall”: you can see your old messages

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Why use CareWeb?• REPLACES PAGERBOX• UNLIKE PAGERBOX (advantages):

• There’s a Mobile Client! Approximates SMS.• Can message nurses on their Wi-Fi (ASCOM) phones• Others on the team can view/leave/join the conversation

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Getting to CW: 3 ways• From MC computers: “CareWeb” on the LaunchPad

• From your phone—download the application• From your computer: bookmark this web page

https://medctr-ucsf.my.salesforce.com/apex/careweb

CREDENTIALS: what you use to log in to Epic

e.g. for Raman Khanna: KhannaR / (password)

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Single Sign on (Med Center computers only)• After the CW button, this pop-up log-in screen appears:• Epic Username (e.g., KhannaR) • Enter password TWICE• Click “OK”• The username/PW are entered

into MyAccess• You are logged into CareWeb• Single Sign on is saved. You never have to login again!*

• *From a Med Center computer that is

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CWM Home Screen

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Confirming your contact information• Is your discipline, service, and level of training correct?• Ensure the Enable boxes are checked• If applicable: is your pager # correct?• Nurses: set shift ASCOM/wi-fi #.

• Auto-deletes after 12 hours• Also note:

• Anyone can set your #

• Another nurse• Unit Clerk

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Sending Messages• Find a provider to page

• Type in “to providers”• Auto-completes

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Sending Messages• Find a patient

• Type in “about patient” box; OR,• Click envelope next to patient’s name:

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CWM “Wall”• Sender• Recipient• Patient

• Patient info

• Message• Time/date

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APeX connection & Privacy• If you put yourself on a patient’s Treatment team in APeX:

• Patient shows up in “My patients”• You show on their “Treatment Team”

• You can view patients for whom you are NOT on the TT as well, but these will show up in “Recently Viewed”

• Look at patients’ walls for the same reasons you might look in their chart!• And not otherwise!

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Privacy Concerns• Paging IS NOT HIPAA compliant because:

• Pagers aren’t encrypted• If you lose your pager, anyone can read it

• Pages themselves aren’t encrypted• Anyone can pluck these out of the air (illegally)

• Losing a pager is a bigger problem

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So:• Don’t type the patient’s name

• CWM already does this for you• CWM keeps it “safe” by using minimal identifiers

• Delete text messages as soon as you read them• If you can’t delete right away, do it after 24 hours• Take any other precautions you think necessary

• Minimize the total # of people on a given page• Most providers can see messages online anyway!

• If your pager is lost/stolen, call UC Police IMMEDIATELY!• If you lose your smartphone—call IT security!

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Summary• Use CWM for ALL messages

• NOT Pagerbox• NOT 2-way paging• NOT SMS

• Please let us know immediately if there are problems• Raman Khanna

• Cell: 937-206-6647• Pager: 415-443-6280• Email: 937-206-6647

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Thank You