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Medicine Matters

Sharing successes, challenges and daily happenings in the Department of Medicine

Medicine Matters Home Patient Care Epic Tip of the Week: February 19, 2021

Epic Tip of the Week: February 19, 2021

Inpatient & Ambulatory: Information Blocking Rule => 21st Century Cures Act [Effective 3/25/21]

  • The new rule grants patients unrestricted access to electronic health information, including clinical notes and test results.
  • On Monday, 3/25/21, Johns Hopkins will proceed with sharing problem list diagnoses and full names of care team members.
    • When placing an order, the “Standard” button will be replaced with the defaulted “Immediate” button.
    • When selecting “Manual,” it will be necessary to provide the rationale for not allowing release; the result can still be released manually after it is finalized, if desired.
  • For more information about the 21st Century Cures Act and Information Blocking rules, follow the link located in the Epic Training Portal: 21st Century Cures Act Information

Inpatient & Ambulatory: Regulatory Concerns with Scanned Signatures

Providers should not create Smartphrases containing scanned images of their signatures into notes and letters. JHM Compliance has indicated that this practice can lead to misuse of the signature image, and it is not an approved practice.

Inpatient & Ambulatory: New Report to look up Secure Chat Messages & Group Chats

Inpatient: Post-Fall Documentation

  • A post-fall flowsheet replaces HERO documentation for fall event reporting for all JHHS affiliates.
    • The JHM IP FALL ASSESSMENT SmartText includes a SmartBlock for a fall-specific NoteWriter. Alternatively, use Smartphrase .POSTFALLASSESSMENT to complete documentation.
    • Complete any wildcards (***) and SmartTools in the template [#2], and click the SmartBlock, IP Post-Fall Assessment [#3] at the top of the note.
    • If "yes" is selected to question "First to witness patient fall?” [#4] click on the ‘Open Fall Event Reporting’ link to the post-fall flowsheet.
    • Complete the NoteWriter form [#5] which satisfies reporting requirements for the National Database of Nursing Quality Indicators (NDNQI).

Screenshots of the above can be found here.

COVID-19 Epic Training Portal link

Epic Training Portal link

For more Epic Tips of the Week, click here.


Kelsey Bennett