[MCOH-EH] [External] EPIC

[Sparhawk, Dana P MD]

We transitioned to Epic almost two years ago at our 15,000 employee hospital system.  We had numerous meetings during the build, as well as since "go live".  We have successfully adopted Epic for our physician visits in our Employee/Occupational health clinic as per the parameters that Melanie discusses.

HOWEVER, despite numerous meetings with Epic and IT, we have yet to come up with a process to utilize Epic for our nurse driven visits/PPE's/BBP exposures/immunization documentation that is in any way efficient and won't shut us down due to the time it would take to register and document.

We tried utilizing Epic for our flu campaign this year with use of our Caraflow scanners.  This was of limited success.  Although we eventually were able to get documentation in the charts, there still was not enough detail pulled into the chart that we could then print out documentation of receiving the flu shot.  More importantly, we were unable to generate the needed compliance reports.

Unfortunately, for us, paper has worked better than Epic for everything except physician visits.  We continue to work with our IT and Epic folks and will report whatever progress we make.

One final comment, it still drives me crazy that we can't list occupation in the record without having to go through several fields to find the screen.  From our very first build-out meeting I requested this be made an automatic field on the nurses screen where they entered CC, vitals, meds.  This never happened.


Dana Sparhawk, MD, MPH, FACOEM
Director, Lifespan Employee and Occupational Health Services
Clinical Assistant Professor, Alpert Medical School, Brown University
Grads Dorm, Rhode Island Hospital
593 Eddy Street
Providence, RI  02903
(401) 444-7412

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Swift, Melanie
Sent: Tuesday, January 17, 2017 7:06 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] [External] EPIC

We are in the build phase but have not implemented yet. So far we have learned some useful functionality:

*        You can designate "sensitive encounters" when the appointment is made, which places everything associated with that visit (appointment information, notes, vitals, labs, orders) visible to only your access group.

*        You can designate "sensitive notes" which would keep a specific note hidden but not the entire encounter.

*        Some chart elements are tied to the patient rather than the encounter and cannot be hidden from certain users. This includes medications, problem list, demographics.

*        Employees can be designated with a patient type that will trigger a pop-up box before anyone - inside emp/occ health or outside it - can access that record. The viewer must give their reason for accessing ("break the glass" feature.) This can be configured by dept/area to some degree and can be easily audited.

Melanie Swift, MD
Director, Vanderbilt Occupational Health Clinic
http://occupationalhealth.vanderbilt.edu

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Giovannetti, Mary
Sent: Tuesday, January 17, 2017 1:51 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] [External] EPIC

When we investigated last year there was no employee health or occ health module, no means to track OSHA logs or lost work time or do sharps logs. No way to segregate the records so that the hospital employees could not see the workers comp records.
Perhaps there is progress now

Mary C Giovannetti, MSN, APRN, BC-FNP
Manager/Nurse Practitioner | Employee Health

[cid:image001.png at 01CFD7E5.AFEE0CD0]

853 North Church St, Suite 400 | Spartanburg, SC 29303
o: 864-560-6514 | f: 864-560-6509
e: mgiovannetti at srhs.com<mailto:mgiovannetti at srhs.com> | w: SpartanburgRegional.com<http://www.spartanburgregional.com/>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thrasher, Terri
Sent: Tuesday, January 17, 2017 2:43 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] [External] EPIC

Be aware: [This message came from outside of Spartanburg Regional Network]

I am told they do have something to build but we are not allowed to use it because its connected to patients.

From: MCOH-EH [mailto:mcoh-eh-bounces+terri.thrasher=cchmc.org at mylist.net] On Behalf Of Sampson, Deborah
Sent: Tuesday, January 17, 2017 2:04 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] [External] EPIC

They do not when I spoke to them 3 months ago they said they were working on it and they 'could build it'. But that is what they said a year ago too and no word on cost.
Deb
Deborah A. Sampson, PhD, APRN, COHN-S, FAANP
Director
Employee Health and Wellness Services
Southern New Hampshire Health   P.O.Box 2014   8 Prospect Street   Nashua, NH 03060
p(603) 281-8583  f (603) 577-5665
deborah.sampson at snhhealth.org<mailto:deborah.sampson at snhhealth.org>

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Lovelace, Connie A.
Sent: Tuesday, January 17, 2017 1:32 PM
To: 'MCOH/EH'
Subject: [External] [MCOH-EH] EPIC

Hi,

Does anyone know if EPIC has an occupational health component?

Connie Lovelace, RN, COHN
Clinical Operations Manager/Worker's Compensation Manager
Bon Secours Virginia Health System |
Employee Wellness Services
8565 Magellan Parkway, Suite 900 | Richmond, VA | 23227
W: 804-627-5146 | F: 804-627-5145 |
connie_lovelace at bshsi.org<mailto:connie_lovelace at bshsi.org>
[Description: cid:image018.jpg at 01D21E48.CB574B20]
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