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

[Philip Harber]

Melanie: You can fix the *ehr--> her *annoyance ( and general--> Gen.
,respirator --> respiratory,...) problem in the *Word options Autoformat/
autocorrect.*
(i apology for changing focus of this discussion thread)

[image: image.png]

*Philip Harber MD MPH*

email:  philharber at gmail.com or pharber at email.arizona.edu

Office Phone: 520-626-1263

----------------------------------



On Wed, May 19, 2021 at 9:09 AM Swift, Melanie D., M.D., M.P.H. via MCOH-EH
<mcoh-eh at mylist.net> wrote:

> Darn autocorrect ALWAYS changes my “EHR" to “HER”. Drives me crazy.
>
> (admittedly it’s a short drive)
>
> Apologies.
>
>
>
> *Melanie*
>
>
>
> *From:* MCOH-EH <mcoh-eh-bounces at mylist.net> *On Behalf Of *Swift,
> Melanie D., M.D., M.P.H. via MCOH-EH
> *Sent:* Tuesday, May 18, 2021 8:46 AM
> *To:* 'MCOH-EH' <mcoh-eh at mylist.net>
> *Cc:* Swift, Melanie D., M.D., M.P.H. <Swift.Melanie at mayo.edu>
> *Subject:* [EXTERNAL] 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
>
>
>
> Sent from Mail <https://go.microsoft.com/fwlink/?LinkId=550986> for
> Windows 10
>
>
>
> *From: *Tara Dockery <tdockery at oceanbeachhospital.com>
> *Sent: *Monday, May 17, 2021 4:23 PM
> *To: *MCOH-EH <mcoh-eh at mylist.net>
> *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
> <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*
>
> <image738252.png>
>
> *(402) 844 8300* <(402)%20844%208300>
>
> <image601760.png>
>
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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
>
>
>
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>
> 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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> ---------------------------------------
> The MCOH-EH List has always been moderated by members of the ACOEM Medical
> Center Occupational Health Section. It is currently moderated by Joe
> Fanucchi MD FACOEM.
> List membership is free, but only subscribers may post to the list.
> To post send messages to: mcoh-eh at mylist.net
> To become a subscriber, or to change your subscription options (turn off
> email while you're on vacation, etc):   http://www.mcoh-eh.net
> MediTrax / Occupational Health Systems, Inc. provides financial support to
> ensure the list remains a free resource for the occupational health
> community.
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