We treat employees in our clinic for acute care and work related injuries and order diagnostic testing (MRI, xrays, CT, ultrasounds, etc). Our Nurse practitioners chart in our EHS EMR, but order diagnostics
via our hospital EMR, EPIC, and view and release results in EPIC. They are credentialed by our MSO and are listed as providers in EPIC so have access to diagnostics they order.
For BBP exposures: we order via our EHS field in Sunquest (lab) and labs are maintained in EHS database, not EPIC.
We are allowed to access employee medical records in EPIC as appropriate for care (ED visits for work related injuries afterhours, source patient charts, employee diagnostics ordered by the EHS nurse practitioners,
etc). We have to “break the glass” on most employee records and our corporate compliance has a great auditing system. Any chart accessed by a co worker, family member, manager, etc must be justified to them in writing.
Our Disease Mgt nurse has an “Employee Wellness” department in EPIC and charts all her notes and follow up there so the PCP can access.
JoAnn Shea, ARNP, MS, COHN-S
Director, Employee Health & Wellness
Work: 813-844-7692 Cell: 813-789-3441 FAX; 813-844-8144 Email: jshea@tgh.org
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Palfrey, John
Sent: Tuesday, March 28, 2017 10:04 AM
To: 'mcoh-eh@mylist.net' <mcoh-eh@mylist.net>
Subject: [MCOH-EH] Please Post
Interested in knowing how other organizations handle Employee Health access to electronic medical records relating to treatment of employees for work-related injuries. For example, employee is injured at work and Employee Health orders
x-ray. Can Employee Health view radiologist’s report in employee’s EMR? How about when an employee has a blood-body fluid exposure and has initial labs ordered by the ER. Can Employee Health access those lab results in the EMR to determine appropriate follow-up?
Do other organizations require Employee Health to access records of medical testing for work-related injuries only through the Medical Records Department?
Thank you
John C. Palfrey, PA-C
Director, Occupational Health Services
774-552-6108
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