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The following is being sent to you on behalf of Dr. Eric Alper,
Vice President/Chief Clinical Informatics Officer. There are
several important updates, best practices and tips in this issue of
Insight — please spend some time reviewing.
Epic 2018 - New Functionality Highlights
Upcoming Changes
To Know & How Tos
Inpatient and Emergency Providers
Ambulatory Providers
Stupid Stuff We Have Fixed/Eliminated
Epic 2018 - New Functionality Highlights
• General Highlights o Dashboards: Enjoy the overhauled layout
and design of dashboards. They now contain even more
information.
o Step 1: Click on the dashboard icon to review your dashboards.
Data about your area and your patients should be assembled in your
default dashboard.
o Step 2: To view additional dashboards, click on the down
arrow
o Step 3: Search for the name or the topic of your desired
dashboard in field
o Step 4: Click “Show Catalog” to view the selection of
available dashboards
Jan. 9, 2019
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o Step 5: Hover over any dashboard to additional details
o Step 6: Press the play button to view the dashboard
o Step 7: Star the dashboard to add it to your favorites
• Inpatient Highlights o Restart Meds from Another Admission:
This tab will become visible if the patient is coming from
another Epic institution. Within this tab, you will be able to
see and pull orders directly from the other institution.
o Easier Ordering: Orders and Order Sets are now searchable
within the same Manage Orders activity.
a) Stay on “Manage Orders” within your right-hand sidebar
activity.
b) Type in name of Order Set
c) Available Order Sets will display in the Order and Order Set
window
• Ambulatory Highlights o Multiple Pharmacies: You can easily
send prescriptions to different pharmacies from the Sign
Orders activity in the Visit Task Bar, which saves you time and
offers flexibility for your patients. Click the pharmacy
hyperlink
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Click the “Send to Multiple Pharmacies” button at the bottom of
the Pharmacy Search window
Associate medications with the pharmacies and select Accept
Upcoming Changes
• Ambulatory - Fix for Problem List Hover Issue: A fix from Epic
will be coming soon to address the current issue of accidently
resolving a problem from the problem list when the intention was to
mark it as a visit diagnosis. The fix will ensure that the pop up
always appears to the left of the “Resolved” column.
• Secure Chat: Epic Secure Chat is secure text messaging that
can be used on mobile devices (Haiku, Canto, Rover) and in
Hyperspace. Secure Chat can be used instead of standard text
messaging or paging because it offers secure, two-way, HIPAA
compliant communication with read receipt. This has been piloted
with great success at University 5 East with the inpatient
pediatrics team since November 12, 2018. The anticipated system
wide go-live date is January 22, 2019. See here for additional
details and for webinars.
TO KNOW & HOW TOs
TOPIC BRIEF DESCRIPTION REFERENCE MATERIAL
Anatomical Diagrams Available in Haiku
It is now possible to draw and annotate diagrams directly within
Haiku. • Open a patient in Haiku and click the photo next to the
patient’s name
https://www.ummhcepiccentral.org/implementation/secure-chat
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• Click “Diagram Annotation”
• Search for and select the diagram that you’d like to annotate,
choose your pen, and draw.
Email Reminder for In Basket Items
For infrequent users of In Basket, you can set up rules to
receive email alerts when you receive certain types of In Basket
messages. 1. Open the In Basket 2. Click Settings 3. Click the
Reminder Email tab 4. Type in the desired email, types of messages
to receive a message about, and the number of days outstanding
before the message is sent
INPATIENT AND EMERGENCY PROVIDERS
TOPIC BRIEF DESCRIPTION REFERENCE MATERIAL
Find Inpatient Notes Without Associated Charges
The Inpatient Note Charge Reconciliation Report will help ensure
that all the care you provide is properly billed. Run the report to
identify inpatient notes written or cosigned by you that do not
have associated charges. From the report, you can open Charge
Capture and submit charges or jump into the encounter and review
documentation to refresh your
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memory. You can also save a customized version of the report to
only search for certain types of notes or during specific periods
of time. For more information, please refer to this Job Aid.
Entering No Charge Level of Service
Some encounters with a patient might require you to document no
level of service, but this was previously difficult to find in
Charge Capture. All inpatient billable notes now contain “no
charge” as an option for your selection in the Charge Capture
navigator. For more information, please refer to this Job Aid.
AMBULATORY PROVIDERS
TOPIC BRIEF DESCRIPTION REFERENCE MATERIAL
Can Document on MAR up to 96 Hours
Users can now document on a medication administration up to 96
hours past the time of ordering, which is a change from the
previously allotted 72 hours.
Updated Certain Orders Overdue Timeframe
The number of days until orders are considered overdue for
Imaging, Pathology, Neurology, Referral, PET and Vascular
Ultrasound has been extended form 30 days to 45 days.
New Tobacco Cessation SmartSet
A new Ambulatory Tobacco Cessation SmartSet is available for
documentation of tobacco cessation counseling, charging for
counseling, and ordering of tobacco cessation medications. “Plan”
Activity -> SmartSets -> Search for “Tobacco”
Billing Provider Required for Clinical Support Visits
Due to issues with billing claims, a billing provider is now
required on all charges that are entered in Clinical Support
Visits.
HCC Refresh BPA A new Best Practice Advisory (BPA) is now being
used in primary care departments. For Medicare Advantage patients,
if a chronic condition has not been addressed in that calendar
year, a BPA will fire in a face to face encounter for providers to
“refresh” or address the chronic condition during that encounter.
This information is also displayed in the sidebar UMMACO quality
report.
https://ournet1.umassmemorial.org/Administrative/Departments/Information%20Services/IS%20Training%20Documents/Epic%20Tip%20Sheets/Orders/Inpatient%20Hospital%20Based%20Clinical_Providers_Identify%20Notes%20Without%20Associated%20Charges_10.2018_v1.pdfhttps://ournet1.umassmemorial.org/Administrative/Departments/Information%20Services/IS%20Training%20Documents/Epic%20Tip%20Sheets/Orders/Entering%20No%20Charge%20Level%20of%20Service.pdf
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myChart Instant Activation
Prompting patients to sign up for myChart got simpler with the
upgrade. All setup can now be completed from a smartphone and
without the need of any activation codes.
• When a patient who doesn’t already have myChart checks in for
an appointment, your front desk staff can send an activation email.
While waiting to be roomed, the patient can easily create a myChart
account by: 1) check email 2) click link within email 3) create
username and password.
While around 100,000 patients have enrolled in myChart so far,
this still represents the bottom quartile of Epic customers and a
small percentage of our active patients. Please encourage your
patients to enroll in myChart as it improves their patient
experience at UMMHC.
Changes Made to Improve Quality, Safety and Our Users Experience
(Stupid Stuff That We Have Fixed/Eliminated):
• The alert that we have been using to remind people to
discontinue telemetry has been ineffective. It was one of the
alerts that was firing most often. As a result, that reminder has
been disabled.
• Previously, there were two orderable procedures for Celiac
Disease Comprehensive Reflex Panel. One for patients 0-3 years and
one for patients 3 years and older. There is now just one orderable
procedure (LAB31264) for any age with logic imbedded in Epic to
determine the correct test to order.
• When a patient is an inpatient, if they have active recurrent
clinic administered medications (e.g. B12 injection every month),
these will no longer appear on the active medication summary report
while the patient is in the hospital.
• When you click on the Code Status or Advance Directive link in
the header, links to the advance directives now appear toward the
top of the window that appears.
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GOT A QUESTION?
• Call the Epic Support Center at 508-334-EPIC (4-3742) from 7
a.m. – 9 p.m.
• E-mail [email protected]
• Visit IS/Epic Central at ummhcepiccentral.org
mailto:[email protected]?subject=Question
