[MCOH-EH] [External] EPIC

[Erika Sweet]

Did you run sharing of Employee Health records with patient records with legal?  OSHA and EEOC make it very clear that there should be a separation between health info obtained as an employee and health info as an individual patient.


According to a recently released opinion letter by the DOL's Equal Employment Opportunity Commission (EEOC), employers must ensure that strict confidentiality and separation is provided to personnel records containing personal medical information, and that occupational health information must not be intermingled in an electronic health record (EHR) of an individual patient.



Erika Sweet, RN, MSN, NP, CHON-S
Director of Employee Health Services
Los Angeles County Department of Health Services
Office (310) 222.2360
FAX (310) 222.5326


From: MCOH-EH [mailto:mcoh-eh-bounces+esweet=dhs.lacounty.gov at mylist.net] On Behalf Of Davis, Sue
Sent: Wednesday, January 18, 2017 1:56 PM
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] [External] EPIC

We are using Cerner as our EMR for Employee Health.  We ended up using a one lifetime encounter for our EH visits and our WC creates a new encounter for each injury/illness based on DOI.  WC then discharges them when the case is closed, although she does have the ability to re-open it, if needed.

We are able to share information on immunizations throughout the system, so for flu, if you got it at the MD's office we could see it and if EH adm the vaccine, the MD's office can see it.

We just started in July and we've learned a lot about Cerner's capability and limitations - can't do surveys of staff, can't upload information (i.e. flu shots, had to all be charted individually).

Good luck.


Thank you,
Sue Davis MS, BSN, RN, CVRN - BC, NE-BC, CCRN-K
Service Leader, Learning Center & Employee Health
Methodist Health System
8601 West Dodge Road, Suite 18, Omaha, NE 68114
Phone:  (402) 354-5694
Learning Center Fax: (402) 354-5466
Employee Health Fax: (402) 354-8819
sue.davis at nmhs.org<mailto:sue.davis at nmhs.org>
Making life easier, one day at a time :)

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Swift, Melanie
Sent: Tuesday, January 17, 2017 6:06 PM
To: MCOH/EH
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://secure-web.cisco.com/19W_zyyTB74XGWM5mJZNUEFk5tMc8QNt8umZLiNNH3kGLoVoQcuUvD_Xuuv-C09WSf9TQYkFM3HunSAFi1_XKQ95Wgp73WspuTO2VWmHDUHgNdmSLeIjwjKTDHndInuHWlpfZ2XwChvcnxtsyRLB4L5POYv6Al1tM-eMGhC9z12tOEbWfSJec4UrJQt4vWHCas5dN6nh0HiwL1lgz_bZhxzSKYEuPe1rqJMvy4aX6FJv-ZIYcHqRcu_zoNJqbZye5OQhQ0LcqK-wPQ7pfiBDBZlJyRsKT5dCZCjwYiR0QBHbF3Xgyo1mAmUJSH8nmD49EIy_-eUJvzXH-yuMKzu_6IUCggeOKWevgOXqNzm6m5Z4WChUJQovEOpvljfxE4q8MgMglYY6qu8nYiNMVr-lxBQ/http%3A%2F%2Fwww.spartanburgregional.com%2F>

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>

[cid:image002.png at 01D12056.31ABE440]



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]
Good Help to Those in Need(r)
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________________________________________________________________________________________________________
The information in this communication is intended to be confidential to the Individual(s) and/or Entity to whom it is addressed.
It may contain information of a Privileged and/or Confidential nature, which is subject to Federal and/or State privacy regulations.
In the event that you are not the intended recipient or the agent of the intended recipient, do not copy or use the information
contained within this communication, or allow it to be read, copied or utilized in any manner, by any other person(s). Should
this communication be received in error, please notify the sender immediately either by response e-mail or by phone,
and permanently delete the original e-mail, attachment(s), and any copies.
________________________________________________________________________________________________________

This message and any included attachments are from Nebraska Methodist Health System and its affiliates and are intended only for the addressee. The message may contain privileged, confidential and/or proprietary information intended only for the person(s) named. Unauthorized forwarding, printing, copying, distribution, or use of such information is strictly prohibited and may be unlawful. If you are not the addressee, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call Nebraska Methodist Health System and its affiliates in Omaha, Nebraska, U.S.A at (402)354-2280.
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