[MCOH-EH] [External] EPIC

[Shea, Joann]

We have repeatedly asked our EPIC team to build an Occupational Health module, but our EPIC team said it is not on the future plans at this time.


*         We are in the process of building interfaces to move our vaccinations and titers  from Agility (Our database for EHS/OH) to EPIC as most of our employees are seen at our 17 primary care clinics and this is important info the the physicians.

*         We also do a "mini-reg" for all new employees so that they will have an EPIC MRN number so we can transfer this information using identifiers other than socials.  We will be interfacing with EPIC to transfer all employees EPIC  MRN into Agility in the next month or two.

*         Our EHS has  an acute care clinic for employees so we are in the process of building an Employee Health department in EPIC so they can chart their acute care visits.  The only downside is that we pull reports on communicable illness, so the ARNPs will have to at least log a visit in Agility with the dx so we can pull reports by cost center.

*         EPIC team is looking at setting up cost centers in EPIC for us so we can pull reports in the future on our acute illness visits.

*         We already use EPIC for our disease mgt program using an EPIC  Employee Wellness department.  Our DM nurse charts her visits, progress, labs, etc in EPIC so the PCP can view and see how they are doing.

*         We have an interface with our WC TPA so they can input financials on individual claims into Agility so we can pull reports.  Not sure how this will work with EPIC.

*         EPIC team did not want to do a build for the auto generated OSHA log or Sharps Injury Log or all our codes we use to track injuries.  We drill down our injuries in detail  (i.e. injured back moving patient from bed to commode on 9A).  We have location codes, patient handling codes, work activity codes, etc.

*         We are not that worried about confidentiality as our compliance team does frequent audits and identifies unauthorized utilization quickly.    They have many "flags"  such as employees accessing charts on a different unit, family member, etc.  I'm sure we can set up parameters for employee chart access.    Employee are disciplined and some terminated for accessing an EPIC chart they are not authorized to view.


Great topic...I'm very interested in how others are utilizing EPIC for their EHS/Occupational Health.  Maybe if there are enough of us to pressure EPIC, they will start a build for us.


[TGH_employee health serv-color]
JoAnn Shea, ARNP, MS, COHN-S
Director, Employee Health & Wellness
Work: 813-844-7692    Cell:  813-789-3441    FAX;  813-844-8144    Email:  jshea at tgh.org


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<https://urldefense.proofpoint.com/v2/url?u=http-3A__occupationalhealth.vanderbilt.edu&d=DwMFAg&c=WxSiHUljzaZa6AO7gfNF1nsjLMo-cFTcJAt_xkKy0sg&r=i5vd-CpfKk0L54XwZivpPw&m=MK0hJN8gcQcfFef7_Gy_QNtZJ8dDOd4I5_gCrUOJqMw&s=97fzs828x1IfwZJ4VgBBcFCzrBMwv7N7vEePk10f7Og&e=>

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<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.spartanburgregional.com_&d=DwMFAg&c=WxSiHUljzaZa6AO7gfNF1nsjLMo-cFTcJAt_xkKy0sg&r=i5vd-CpfKk0L54XwZivpPw&m=MK0hJN8gcQcfFef7_Gy_QNtZJ8dDOd4I5_gCrUOJqMw&s=2ovk66aHRoON-ADM-zeECgmg__MS7xnIH69WzjIxM1U&e=>

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)
 P  Please consider the environment before printing this e-mail
The information in this communication is intended to be confidential for the individual(s) and/or entity to which it is addressed.  It may contain information of a Privileged 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 email or by phone at (804) 281-8395, and permanently delete the original email, attachment(s), and any copies.



________________________________________________________________________________________________________
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.
________________________________________________________________________________________________________
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://mylist.net/archives/mcoh-eh/attachments/20170123/477c97ef/attachment-0001.html>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.png
Type: image/png
Size: 14456 bytes
Desc: image001.png
URL: <http://mylist.net/archives/mcoh-eh/attachments/20170123/477c97ef/attachment-0002.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image002.png
Type: image/png
Size: 10221 bytes
Desc: image002.png
URL: <http://mylist.net/archives/mcoh-eh/attachments/20170123/477c97ef/attachment-0003.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image003.jpg
Type: image/jpeg
Size: 4966 bytes
Desc: image003.jpg
URL: <http://mylist.net/archives/mcoh-eh/attachments/20170123/477c97ef/attachment-0002.jpg>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image004.jpg
Type: image/jpeg
Size: 2910 bytes
Desc: image004.jpg
URL: <http://mylist.net/archives/mcoh-eh/attachments/20170123/477c97ef/attachment-0003.jpg>