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Medicine Matters

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

Medicine Matters Home Patient Care Epic Tips: September 17, 2021

Epic Tips: September 17, 2021

Inpatient & Ambulatory: Updates to the Home Care Smart Set

  • The new Adult Home Care PCA Orders include opioid PCA-[hydromorphone, morphine and fentanyl] orders. You no longer need to hand write paper prescriptions.
  • Click the Adult Home Care PCA Orders hyperlink, select one of 3 drug panels, and complete the Patient Sig.
    • IV fluid orders need to be placed if a “bolus [demand] dose” has been selected.
    • Review the blog post here.

Ambulatory: Mark your Calendars for the Next Epic Efficiency Series Webinar:

“Getting Started with Haiku and Dragon”

  • When: Wednesday, September 22, 2021, 12:00 PM-1:00 PM
  • Where: Zoom => “Join with computer audio” using the link below:
  • Qualifies for ONE AMA PRA Category 1 credit(s) TM
    Note: CME credit is available for live viewing only. Sessions are recorded and posted on the Mastery Training tile of the Epic Training Portal.

Ambulatory: Epic is hosting free “Efficiency Hour” webinars

  • These are efficiency sessions offered by Epic in Verona, WI (not specific to Johns Hopkins Medicine). They have been very well reviewed by prior attendees.
  • CME credit is available through the University of Wisconsin.
  • View their website and choose one of several opportunities to attend on the dates below:

Ambulatory: New Follow-Up in My Primary Care Clinic/Practice” order [followup06]

  • PCPs: A new Follow-Up in My Primary Care Clinic/Practice order [followup06] is now available and is the order that should be used by primary care providers.
    • The questions and answers have been refined and tailored to primary care.
    • This order makes more scheduling tickets available in MyChart, helping patients and proxies schedule on their own.
    • Start using the Follow-Up in My Primary Care Clinic/Practice order [followup06] and stop using the Follow-Up in My Clinic [followup01] order now!
    • Review the blog post here and the PCP tip sheet here.
  • SPECIALISTS: All other users should continue to use the Follow-Up in My Clinic order [followup01]. Review the general tip sheet here.
  • PCPs and specialists should make personalized preference list versions of the appropriate Follow Up order.
    • PCPs have an until 9/21/21 to copy/paste preference list details from the old order to the new one.
    • Saved preference list versions of the Follow-Up in My Clinic [followup01] order will be deleted for PCPs from Epic on 9/21/21.
  • Everyone: use a follow up order with every patient that you expect to return to see you in the future.
    This will:

    • Allow patients and proxies to self-schedule most of their follow up appointment directly in MyChart.
    • Improve patient adherence with requested returns by clearly communicating to them and support staff what you want.
    • Save you time by quickly noting when you want the patient to return.
    • Help your cross-covering colleagues who may be seeing your patients for you and may not know when you wanted to see the patient again.
    • Remind yourself when and why you want the patient to return when you are reviewing the chart in the future.
  • Bonus Tip: Pull your follow-up orders into your progress note by using this SmartPhrase: .FOLLOWUPORDERS

Ambulatory: New Adult Diabetes Synopsis report available in all Family Medicine, Internal Medicine and Adult Endocrine departments

  • This report emphasizes diabetes-specific test results & medications.
  • All synopsis reports allow you to filter, highlight and graph data of interest.
  • Use the wrench to permanently add this report to your Synopsis toolbar.
  • Review the blog post here.

Ambulatory: Telemedicine Hot Topics – States of Emergency Telehealth Services Expiring [Data as of 9/3/21, 5 PM]

  • The National Public Health Emergency [PHE] has been extended until ~10/19/21. Emergency orders/states of emergency have expired in many states, affecting provider’s ability to perform telemedicine visits for out-of-state patients:
    • Delaware, Florida, Maryland, and New York: all expired.
    • New Jersey: emergency licenses expired 6/30/21; Temporary licenses extended to 9/30/2021
    • Pennsylvania: expires on 9/30/21
    • Washington, D.C.: The licensure waiver is extended to 9/23/21
  • Refer to legal FAQs for information related to individual state waivers and licensing requirements.
  • Direct general questions to JHM Telemedicine or legal-specific questions to Telemedicine Legal.

COVID-19 Epic Training Portal link

For more Epic Tips of the Week, click here.


Kelsey Bennett