[MCOH-EH] OHS EHR programs
Robert K. McLellan
Robert.K.McLellan at dartmouth.edu
Mon Oct 3 06:59:23 PDT 2022
Eileen Storey worked on a project to convince the ONC to include Industry and Occupation coded data fields as a requirement in certified Electronic Medical Records used for general medical practice. It worked! I and O will is included as a requirement in the USCDI (interoperability requirements) V3. There is a long history behind this effort which holds promise to revolutionize the relationship between occupational medicine, primary care and other specialties. Those interested in the details can purchase the session at AOHC 2022 on this topic. Search for McLellan as the faculty. Or, you can await an article that a few of us are writing to be published in JOEM later this year. We are planning a 2 part article, the first part will address I and O in the general medical record. The second part will address current and future efforts for these general medical records to have robust occupational medicine modules. This latter will include a compendium of the functions we all would want in an occ med EMR.
Bob McLellan
From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Hodgson, Michael - OSHA via MCOH-EH
Sent: Saturday, October 1, 2022 4:50 PM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: Hodgson, Michael - OSHA <Hodgson.Michael at dol.gov>; McKenna, Patrick <Patrick.McKenna at nationwidechildrens.org>
Subject: Re: [MCOH-EH] OHS EHR programs
Hm
Wasn’t Eileen Storey, then at NIOSH, working with the Office of the National Coordinator to develop something like that?
From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf Of Cockrum, MD David S
Sent: Friday, September 30, 2022 2:34 PM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: McKenna, Patrick <Patrick.McKenna at nationwidechildrens.org<mailto:Patrick.McKenna at nationwidechildrens.org>>
Subject: Re: [MCOH-EH] OHS EHR programs
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With Miriam’s comments about setting up a list-serve, I wonder if ACOEM has ever taken on the task of building a standard for Occ Med (all asepcts, including MCOH) software? I was in the early talks with Epic as they began to consider options. A group of docs was online all shouting out different things. It seems that ACOEM could publish a standard against which any Occ Med software could be judged. Or am I just naïve?
David
DAVID
COCKRUM
,
MD
Physician
Faith Regional Physician Services
Occupational Medicine
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From: MCOH-EH <mcoh-eh-bounces+dcockrum=frhs.org at mylist.net<mailto:mcoh-eh-bounces+dcockrum=frhs.org at mylist.net>> On Behalf Of Miriam Alexander
Sent: Wednesday, September 28, 2022 7:25 PM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: McKenna, Patrick <Patrick.McKenna at nationwidechildrens.org<mailto:Patrick.McKenna at nationwidechildrens.org>>
Subject: Re: [MCOH-EH] OHS EHR programs
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We use ReadySet as well and come hell or high water we're going to make it work. It sounds as if we have wrung much more functionality out of it than some of you. I had done extensive research when we were looking and do feel that it meets the needs of a multi-clinic academic health center the best. For those of you who know me, I push and push until I get what I want. I've done this somewhat with Cority but would love to get an email list serve together of other occ doc users so that we can all pressure them to do even more. We all have essentially the same needs from an EMR but without one voice its easier for them not to meet our needs.. We are able to successfully get ReadySet to meet more of our needs than some of you seem to have. We are able to run our OSHA reports, we do injury care for our employees successfully though its clunky, we are able to do the majority of our surveillance exams and we successfully do our Return to Work encounters both occ and non-occ.
Anyone interested in a sub group of ReadySet users? I do think that if we join forces we can move the platform more and more to our needs. We have been able to get them to do some customization and we have successfully gotten our labs both through labcorps and Cerner through our internal labs. We also are able to get our first report of injury to our TPA etc etc.......... The product certainly is clunky and clearly not designed by real end users of an employee EMR but i do believe we can make them, make it better. BTW: I have no idea how to set up a list-serve or an email group but Patrick maybe you do? DIdn't your residency teach you :)
On Wed, Sep 28, 2022 at 5:18 PM Denece O Kesler <DKesler at salud.unm.edu<mailto:DKesler at salud.unm.edu>> wrote:
We use Cority's ReadySet as well, and I believe we run into issues similar to what Dr. McKenna notes. I was very frustrated that before we purchased it we were told that we could customize all of our forms—such as for different surveillance exams—and then were told that is not possible.
For patient injury or return to work evaluation encounters, we use our Health System's electronic medical record - Cerner - with a firewall.
Denece
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From: MCOH-EH <mcoh-eh-bounces+dkesler=salud.unm.edu at mylist.net<mailto:salud.unm.edu at mylist.net>> on behalf of McKenna, Patrick via MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Sent: Tuesday, September 27, 2022 7:47 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net> <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: McKenna, Patrick <Patrick.McKenna at nationwidechildrens.org<mailto:Patrick.McKenna at nationwidechildrens.org>>
Subject: [MCOH-EH] OHS EHR programs
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Hi Wendy,
We here at Nationwide Children’s would certainly be interested in seeing the spreadsheet of replies.
We currently use Cority’s ReadySet EHR and it is OK. It seems to handle most of the routine MC employee health functions just fine and provides a separate system for housing employee health records. We’ve recently run into challenges with running reports. There can be unpredictable delays, sometimes reports can be run in minutes, sometimes it takes hours. The same thing has happened with mass email notifications that go out through the system. Our flu vaccine campaign notifications took several days to go out to all of our members. Cority’s IS support has not been particularly helpful, basically just tell us that they know that there is a problem and they are working on it, but no guarantees it won’t continue/happen again. We have also run into problems with doing any kind of customization to the platform. When we’ve asked to enhance the WC injury documentation, add templated notes, add WC forms, they’ve basically told us they can’t do it. Currently we are trying to set up a unidirectional lab feed from our drug testing lab to report urine drug screen results. They told us it would take about 20 hours of IT work to make it happen, they’ve now been working on it for approximately three months and it does not seem to be any closer to completion…
Several other systems in the region have transitioned to Enterprise Health, and we are exploring that possibility as well. Would love to get a timeline on when Epic plans to have an Occ Health module available as that is what the hospital uses for everything else, just need to ensure that it allows for a separate system so that staff are not able to access each other’s employee health records.
Thank you for compiling all of this!
Patrick
Patrick McKenna, DO MPH FACOEM
Employee Health Medical Director
Nationwide Children’s Hospital
700 Children’s Drive Room A1034
Columbus, OH 43205-2664
Office: 614-355-4135
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Hello Folks,
I am making a spreadsheet of the replies and am happy to distribute it to the list if that's of help to you!
Can I broaden the question and ask: Who's using an EHR and do you like or dislike? Please include "home-grown" EHRs and the platform it was built on if you know it.
Thanks!
Wendy
Stanford
On Fri, Sep 23, 2022 at 11:25 PM Enass Awad <umhaneen at gmail.com<mailto:umhaneen at gmail.com<mailto:umhaneen at gmail.com%3cmailto:umhaneen at gmail.com>>> wrote:
I am very interested in this discussion as I am new to our clinic and we just got approved to start transitioning to EPIC .
Currently the clinic uses Agility for both EHS and WC and it?s not the most efficient system .
I also am wondering if anyone is using both Agility for EHS and Epic for WC , can share their experience.
Thanks ,
Enass Arahman, MD,MPH,FACOEM
Medical Director , Employee Health Services
UC Davis Health
Sacramento , CA
On Thu, Sep 22, 2022 at 20:34 wendy thanassi <wendy.thanassi at gmail.com<mailto:wendy.thanassi at gmail.com<mailto:wendy.thanassi at gmail.com%3cmailto:wendy.thanassi at gmail.com>>> wrote:
Hello,
I'm in a quandary having spent WAYYY too many years of my life suffocated by paper medical records and handicapped by the lack of adequate report methods....
Would you please tell me what OHS EHR programs you're using AND IF YOU LIKE OR DON"T LIKE ... AND... IF YOU BUILT SOMETHING IN EPIC, how many years did it take and does it work yet?
I am most interested in:
Cority/Axion Ready-Set
Enterprise Health
or homegrown EPIC
We just heard that
* Brown is going to Enterprise
* Stanford U uses Enterprise
* UCLA is 3 years into a bifurcated (WC / EHS) Epic build, in progress
* St. Luke's uses UL's OHM program (not happy)
Feel free to reply to me directly if you don't think the answers are useful to others.
Thanks!
Wendy Thanassi
Stanford (yep, new job!)
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