At our hospital we have Epic for clinical documentation and Agility for EH functions.
Epic is used for WC evals. It is under the break-the-glass protection, but is relatively easy for other specialists to access our records, for example when I send an injury to Ortho, they can review my notes
if they wish (with the audit trail).
For COVID, I made the choice to use Epic for the clinical aspects of testing and clinical clearance. Our lab needed us to enter the lab orders in Epic, so there was a need to respond to the results. I document
a “RTW” assessment but keep it focused on their clinical status (are symptoms resolved, etc). There is a mention of “refer to Agility for employment-related actions” but otherwise I don’t specifically discuss employment stuff in Epic. It’s not a perfect solution,
but I felt it would be useful for the employees to have clinical documentation in case they seek care after COVID recovery.
We double-document quite a bit, unfortunately. Our off work tracking is in Agility, and we make quick templated notes about symptom presentation, test results, and work status. It’s a bit of clicking, but
allows us to be more specific to employment concerns in Agility while keeping the clinical aspects in Epic.
As someone mentioned, Epic is working on an Occ Health module, but they are a few years away from launching it. I have been able to listen in on some of the early discussions, but so far no actual programming
activities have been initiated. Along with the privacy issues mentioned, Epic is going to have to make the records searchable by employer (e.g. pulling a list of all hospital employees compliant with vaccination) before it will ever be truly useful for Occ
Health.
David
|
From: MCOH-EH <mcoh-eh-bounces@mylist.net>
On Behalf Of Brown, Michael L via MCOH-EH
Sent: Tuesday, January 25, 2022 10:45 AM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: Brown, Michael L <Michael.Brown@fmolhs.org>
Subject: Re: [MCOH-EH] [EXTERNAL] Re: EMRs for large medical center occupational health
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I totally understand the employee health issues.
EPIC on the other hand; Occupational Medicine especially Workers comp visits, Do you keep this on paper or do you use your EMR ie, Epic or do you keep that separate?
Michael Brown, APRN, FNP-C
Manager St Francis Occumed/Employee Health
2600 Tower Drive Suite 304
Monroe, LA 71201
318-966-6320 office
318-966-6325 direct line
318-348-0770 cell phone
From: MCOH-EH <mcoh-eh-bounces+michael.brown=fmolhs.org@mylist.net>
On Behalf Of Hodgson, Michael - OSHA via MCOH-EH
Sent: Monday, January 24, 2022 5:33 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: Hodgson, Michael - OSHA <Hodgson.Michael@dol.gov>
Subject: Re: [MCOH-EH] [EXTERNAL] Re: EMRs for large medical center occupational health
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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 this email is phishing, use the Report Phishing button on your toolbar to report it.
Such a great comment, about the HIPAA / OCR issue. Has anyone been fined by HHS for the HIPAA violation? Does HHS know about this issue?
From: MCOH-EH <mcoh-eh-bounces@mylist.net>
On Behalf Of Tara Dockery
Sent: Monday, January 24, 2022 1:33 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] [EXTERNAL] Re: EMRs for large medical center occupational health
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We use EPIC – got it in 2017, They tried to tell someone it would work for break the glass for employee health, but at that time we all knew better, so had to go with an outside EH software.
We also had issues with it with the Lawson HR software, and have since had to change that as well..
For EH software my favorite two were Meditrax and Agility
Our Experience with EPIC, training and support is very lackluster, so if they tell you they will help and train you with the application please take it with a grain of salt. I know some have
found a way to use it, but remember the HIPAA piece for people to not be able to see in Employees charts…
Tara
Tara Lee Dockery, IP, MT(ASCP), BS
|
Infection Preventionist and Employee Health
Ocean Beach Hospital and Medical Clinics
174 1st Ave North
| P.O. Box H
| Ilwaco
|WA
| 98624
Phone: 360.642.6307 | Cell : 509-760-7397
| Fax: 360-642-6309
|tdockery@oceanbeachhospital.com
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Kumar, Bindu, MD
Sent: Monday, January 24, 2022 6:22 AM
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] [EXTERNAL] Re: EMRs for large medical center occupational health
CAUTION: This email originated from outside your organization. Exercise caution when opening attachments or clicking links, especially from unknown senders.
I would be interested to hear how those who use EPIC, are finding it for Occ Health. I understand they have been developing this application so looking for feedback.
Bindu Kumar MD
System Medical Director, Employee Health and Safety
Associate Medical Director
Urgent Care, Occupational and Travel Health
Main Line Health
From: MCOH-EH <mcoh-eh-bounces@mylist.net>
On Behalf Of Sally Foster-Chang
Sent: Saturday, January 22, 2022 12:51 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: [EXTERNAL] Re: [MCOH-EH] EMRs for large medical center occupational health
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When I was looking for a new system for a nationally based system, the Enterprise Health seemed to have the most appropriate options and the most intuitive structure ( based on SOAP notes), and the fewest
data entry redundancies.
Sarah Foster-Chang, DNP, ANP-BC, COHN-S, CME
On Fri, Jan 21, 2022 at 3:51 PM Kessler, Ellen <Ellen.Kessler@inova.org> wrote:
I know that this topic has been covered before and I have reviewed the responses. However, I am interested in learning about large multihospital employee health care experience with EMRs –specifically Cority and Enterprise Health.
Thanks
Ellen R. Kessler, MD, MPH, FACP, FACOEM
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