Epic Tips: January 21, 2022

Ambulatory: Closing Erroneous Encounters

  • Close your erroneous encounters by following one of these two workflows:
    • When no note/documentation has been entered:
      • Remove existing Reason for Visit [Chief Complaint] in the Visit Info. section of the Rooming tab.
      • Add “Erroneous Encounter [ERROR]” and click Sign Encounter.
    • When erroneously documented information has been entered:
      • Enter and favorite the Erroneous Encounter SmartSet in the Plan tab [this automatically adds the error Diagnosis, Reason for Visit, Note, and Level of Service].
      • Remove all erroneously documented information from the encounter [i.e. your note].
      • Add the ‘.err’ SmartPhrase in place of your note and Sign the encounter.
    • Review the blog post here as well as the tip sheet.

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

  • Give yourself the give of time: Quick Hits to Save Time
  • When: Wednesday, February 10, 2022, 12:00 PM-1:00 PM
  • Where: Zoom => “Join with computer audio” using the link: https://jhjhm.zoom.us/j/4107356227
  • 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: Telemedicine Hot Topics – States of Emergency Telehealth Services Updates [Data as of 1/20/2022, Noon]

  • The National Public Health Emergency [PHE] has been extended to mid-January 2022. Emergency orders/states of emergency have expired in many states, affecting providers’ ability to perform telemedicine visits for out-of-state patients:
    • New Jersey: licensure waiver extension until further notice
    • New York: licensure waiver extension to 1/25/2022
    • Pennsylvania: licensure waiver extension to 3/31/2022
    • Virginia: waiver to treat established patients to 2/11/2022
    • Washington, D.C.: licensure waiver extension to August 10, 2022. If you are not vaccinated against COVID-19 you must fill out attestation form here.
  • 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.

Inpatient: Telemedicine Hot Topics – Virtual Rounding and Teleconsultation

  • During the COVID pandemic, Inpatient telemedicine adds needed clinical services that would otherwise be unavailable, either due to a general lack of specialty availability or due to staffing shortages.
  • Review the full guidance here.

Inpatient: Updated COVID-19 Guidance

  • The following adult COVID-19 Inpatient Guidelines are available in Epic via the “Guidelines – Agile MD” activity:
    • COVID-19 Initial Workup and Admission Orders
    • COVID-19 VTE Prophylaxis and VTE Assessment
    • COVID-19 Treatment Recommendations
    • COVID-19 Labs & Monitoring
    • COVID-19 Discharge Recommendations
  • Navigating Agile can be found here and at Johns Hopkins AgileMD Guidelines.

Inpatient: Inpatient Notes Missing Charges

  • These reports no longer function when run from a dashboard. Instead, follow the steps below:
    • Using Chart Search [magnifier top right under Log out], enter ‘Reports’ [do not click enter].
    • Select ‘My Reports’ from the drop down. Click on the Library tab on the left.
    • Search for "note charge" and favorite those reports of interest.
    • Hover over the desired report, then click "Run" to the right of the report description
  • Review the Create Reports tip sheet here.
  • Click here for a screenshot.

Inpatient & Ambulatory: Chart Review - New Scanned Date Column in Media tab

  • ​The Scanned Date column displays recently scanned items and is positioned to the left in the Media tab.
  • The Encounter date column displays to the far right.
  • No date will display when scanning Patient level and eSign documents.
  • Click here for a screenshot.

COVID-19 Epic Training Portal link

For more Epic Tips of the Week, click here.