[MCOH-EH] EMR Question

Shea, Joann jshea at tgh.org
Wed Oct 17 05:51:32 PDT 2018

I agree with Melanie.  We have asked EPIC to build an Occupational Health database and sent them our “must haves” which include what is written below by Melanie..  They sent back a response that essentially said “No, we are going to pursue development of occupational health modules at this time.”   EPIC, at this point, cannot pull our reports by cost center or occupation or trend specific diseases.    We pull very detailed Safe Patient Handling and Workers Comp reports and our data base auto generates our annual OSHA log and Needlestick report.  We can customize our codes to provide the information we need to identify trends  (i.e. back injuries due to repositioning, moving pt from bed to bedside commode, not calling the Lift Team, related to a certain type of bed or piece of equipment.  We also have custom codes for ADA interactive meeting,  drug diversion interventions, BBP exposures, communicable diseases, wellness programs, etc.

That being said, we also run an acute care clinic and other programs that we need interaction with EPIC documents.   For example, we coordinate a WELL Weight program with our Bariatric Center.    Team members come to EHS for their initial intake and we created order sets in EPIC for the labs, weight, BMI so the Bariatric Center has access.   We also created a virtual “Employee Wellness” department in EPIC  so our disease mgt nurses can chart progress, labs, weights, etc  in EPIC so our primary care clinic doctors have access to initiatives our wellness team/nurses have started.

We are working on moving our acute care clinic charting over to EPIC.  In fact, our new compliance officer is telling us that she wants us to separate acute care from all occupational health functions now.  EHS was given authority to “mini-reg” team members who don’t have an EPIC chart.

I am all for transitioning our Occupational Health program to EPIC if they can build a program that allows customization, trends injury/illnesses/other services we provide  by occupation, age, cost center, etc and auto generates regulatory reports.

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

From: MCOH-EH [mailto:mcoh-eh-bounces+jshea=tgh.org at mylist.net]On Behalf Of Swift, Melanie D., M.D. via MCOH-EH
Sent: Wednesday, August 29, 2018 12:05 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Cc: Swift, Melanie D., M.D. <Swift.Melanie at mayo.edu>
Subject: Re: [MCOH-EH] Re: EMR Question

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 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

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

************************************************************************************************************************************************************************************************************************************************* Morristown Medical Center, the flagship hospital of Atlantic Health System, has been building healthier communities since it was founded 126 years ago. Morristown Medical Center was named one of ‘America’s Best 50 Hospitals’ for the third consecutive year by Healthgrades, a consumer-rankings group. The distinction places Morristown in the top one percent of hospitals in the nation for clinical performance. It was one of only 29 hospitals in the nation to be recognized as a Top Teaching Hospital by Leapfrog, and highest-ranking hospital in New Jersey, in both Cardiology & Heart Surgery and Orthopedics by U.S. News & World Report. In 2017, Morristown was the only hospital in New Jersey and one of just 12 hospitals in the country to receive three of the most sought-after industry honors: America’s 50 Best Hospitals by Healthgrades, an “A” safety grade by Leapfrog and five stars from the Center for Medicare and Medicaid Services. Designated a Level I Regional Trauma Center by the American College of Surgeons and a Level II by the state, Morristown is a Magnet Hospital for Excellence in Nursing Service, the highest level of recognition by the American Nurses Credentialing Center for facilities that provide acute care services. The Gagnon Cardiovascular Institute offers patients a complete spectrum of heart and vascular care, home to the largest cardiac surgery program in the state. The Carol G. Simon Cancer Center is the only program in the state to receive the 2016 Outstanding Achievement Award from the American College of Surgeons Commission on Cancer. *************************************************************************************************************************************************************************************************************************************************

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