[MCOH-EH] [EXTERNAL] Re: EMR Question

[Swift, Melanie D., M.D.]

Charlie, it entirely depends on what you want it to accomplish.

If you just need to document medical office visits where there is a provider-patient relationship, it works great. (stop moaning everyone – really it can) It is especially facile for doing surveillance exams where you may want every practitioner to document in a structured way, such as for a surveillance physical exam. You can create order sets for things like your labs and Xrays.

However, if you want to use it for occupational population management it is not built for that purpose. Things EPIC can’t do (well) include:

·         Tracking groups of employees who need certain exams/tests and monitoring compliance with completion.

·         Track anything for employees who do not have a medical record.

·         Maintain current employee rosters automatically

·         Compliance reporting (you can report numerator information, but not denominator information)

·         Managing work restrictions over the course of an injury. (You can create a form that can be completed at each visit. Clunky, not tied to prior restrictions, not tracked together for that specific injury.)

·         Tracking time on work restrictions or leave from work/FMLA.

·         Ordering tests for routine things we generally do by protocol for large numbers of employees. E.g. for every MMR given, every varicella Ab drawn, etc you have to individually order that for each employee/patient. You can’t just have standing orders for a flu vaccine, for instance. You can have nurses order things on a protocol, but a provider has to ultimately click something to sign off on that for each individual thing that is done.

·         Sequestering occupational things from the main medical record. There is a work-around with making things more difficult to get to, but has to be specially programmed for labs and I don’t even know if it’s possible for things like PFTs and radiology.

So if you are working for the employer, you need an employer tracking program with a different mission from the medical record.

Rumor has it that Kaiser Permanente has built an “occupational EPIC” program but I do not know if it accomplishes the tracking needed by the employer. Anybody know?

Melanie

Melanie Swift, MD
Senior Associate Consultant
Assistant Professor of Medicine
Division of Preventive, Occupational, and Aerospace Medicine
Phone 507.284.2560
_______________________________
Mayo Clinic
200 First Street SW
Rochester, MN 55905
www.mayoclinic.org<http://www.mayoclinic.org/>



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Charles Hackett
Sent: Wednesday, August 29, 2018 7:02 AM
To: MCOH/EH
Subject: [EXTERNAL] Re: [MCOH-EH] EMR Question

Does anyone use Epic for their occupational medicine EMR?
We are under pressure to try and use it because of the investment our organization (Lifespan) has put into it.
My look is that it wont work for our needs.
Thanks
Charlie Hackett

On Tue, Aug 28, 2018 at 3:50 PM Hanson, Lauree M <Lauree.Hanson at allina.com<mailto:Lauree.Hanson at allina.com>> wrote:
Our Employee Health recording is through OHM. But our clinics and hospitals use EPIC/Excellian.

Lauree
Lauree Hanson, RN, BSN, OHN
Nurse Clinician • Occupational Health Nurse • Employee Occupational Health
Phone: 651-241-4739 • Fax: 941-257-8039   • mailto:lauree.hanson at allina.com
[Description: C:\Users\A076848\Documents\5-logos_brand\1-logos\Logos for Internal Templates\AllinaHealth_H-RGB_2in.png]



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>] On Behalf Of Allen-Hardy, Blythe
Sent: Tuesday, August 28, 2018 3:46 PM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] EMR Question

I used it at Dow Chemical. Loved it. Very user friendly. I am not aware of any hospitals that use it but many corporations do.

[Description: https://secure1.mhhs.org/branding/CORPORATE_DOWNLOADS/USER_TEMPLATES/SYSTEM/email_signature/MHH_ESIGLogo.jpg]

Blythe Allen-Hardy, MD, FACOEM
Medical Director, Employee Health
Texas Medical Center
6411 Fannin, JB500
Houston, Texas, 77030
W: 713-704-2792
C: 720-840-9593
F: 713-704-6350
Blythe.allen-hardy at memorialhermann.org<mailto:Blythe.allen-hardy at memorialhermann.org>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Leibu, Rachel
Sent: Tuesday, August 28, 2018 2:40 PM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [EXTERNAL] [MCOH-EH] EMR Question

Hi Everyone,

Does anyone have experience with using this EMR:  Enterprise Health (WebChart)?  Is it able to meet the needs for your medical centers?

Rachel Leibu, MD, MBA, MS
Director Occupational Medicine Services
Atlantic Health System
973-971-5440

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