[MCOH-EH] Hearing Conservation Program and Electronic Health Record

[Deborah a Sampson]

Excellent description of the needs and reflects the dilemma I identified when trying to determine EMR options. I am sure others had these same concerns. 

This would make for a great beginning article in health admin and HR newsletters…..Perhaps this has been done but I haven’t seen it.

Deb

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From: Swift, Melanie D., M.D., M.P.H.
Sent: Tuesday, May 18, 2021 9:46 AM
To: 'MCOH-EH'
Cc: Deborah a Sampson
Subject: RE: [MCOH-EH] Hearing Conservation Program and Electronic Health Record

Occupational health as an internal employer service has always been outside the scope of EPIC and really outside any traditional HER. Occ health involves tracking people based on a feed from an HR system to identify their department, job, and risks, and to track those who do and DON’T receive needed services. Internal Occ health also needs to link employees to supervisors, which no EMR could/should do, and needs to know when a job change occurs. 

Occupational medicine as a clinical specialty just needs a regular EMR like any specialty, and that’s what EPIC and other EMRs understand. If you are performing clinical services for another employer, performing their audiograms or doing their surveillance exams, you might need special visit templates or documentation tools, but so does orthopedics and ENT and every other specialty. When EMR people hear “we need an occupational health module” that is what they assume we are talking about.

It's also important that we clearly define what we’re doing – are we tracking services and compliance acting as the employer’s agent? Or are we providing clinical care as a contracted medical provider? If you are doing just the former, you need an occ health tracking system - no EMR will do that job. If you are doing just the latter, you need a regular EMR with some customized templates and tools. If you are doing BOTH as many of us are, then you most likely need to separate the functions into 2 systems. 

Melanie

From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Deborah a Sampson via MCOH-EH
Sent: Monday, May 17, 2021 3:28 PM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: Deborah a Sampson <da.sampson at yahoo.com>
Subject: [EXTERNAL] Re: [MCOH-EH] Hearing Conservation Program and Electronic Health Record

My experience mirrored Tara’s when I was directing employee health in a system that was migrating to Epic in 2018. It became quickly apparent that the Epic designers were not at all aware of the EHS/OccMed department in a health system. I blessedly retired from the health system before the migration so I do not know how this played out at that facility.

Deb Sampson

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From: Tara Dockery
Sent: Monday, May 17, 2021 4:23 PM
To: MCOH-EH
Subject: Re: [MCOH-EH] Hearing Conservation Program and Electronic Health Record

Phillip, when we got EPIC in 2017 they said they had one, then they said they didn’t, then they said they did and it wasn’t quite right yet. It involved some break the glass situation. In the end we went with an external program because it wasn’t really working out right for us. 

Tara

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Philip Adamo
Sent: Sunday, May 16, 2021 2:41 PM
To: MCOH-EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Hearing Conservation Program and Electronic Health Record

CAUTION: This email originated from outside your organization. Exercise caution when opening attachments or clicking links, especially from unknown senders.
I was not aware that Epic has a module for occ Med.

Philip Adamo MD
Dartmouth-Hitchcock 
Sent from my iPhone
Sorry for typos

On May 13, 2021, at 1:46 PM, Cockrum, MD David S <dcockrum at frhs.org> wrote:
 
You’re not going to find an integration with Epic – Epic currently doesn’t really support any Occupational Health clinical activities such as screening audiometry. They are in early development of a new Occ Med module, but best guess is that this is 2-3 years away.
 
If you are doing Occ Med for external companies other than your health care facility/system, I would encourage looking at dedicated Occ Med software. If you are only doing Employee Health for the medical facility, there is also dedicated software for this purpose that is not quite as robust as the Occ Med software. Lots of options out there.
 
David
 
DAVID​

COCKRUM
, 
MD


Physician
Faith Regional Physician Services
Occupational Medicine


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From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Zaw Maung
Sent: Tuesday, May 11, 2021 6:50 PM
To: MCOH-EH <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Hearing Conservation Program and Electronic Health Record
 
This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. If you suspect the content of this email is malicious, please report it using the Phish Alert button .
 
Hi all,  
 
Which audiometer does your institution use and which electronic health record does it integrate with? San Francisco General Hospital is transitioning into Epic and while our current audiometer integrates with our existing EHR (OHM), it will not do so for Epic. The option provided is a manual entry and STS calculations can be done via report generation, but it will take about a 24 hour lag for the report to be generated. 
 
We are looking into middleware software to bridge the gap as we transition to Epic and wondering if the group has some recommendation for audiometers and softwares and associated costs that we could look into.  
 
Thanks for your time!
 
Best,
 
Zaw Maung, MD, MPH
UCSF | zaw.maung at ucsf.edu
 
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