Epic Tips: February 4, 2022

Ambulatory: AMB Referral to GI [REF25] no longer Satisfies Colonoscopy HM Topic

  • If you are specifically looking to satisfy the Colonoscopy HM topic, you should directly order Colonoscopy
    • Placing an order for Colonoscopy will change the HM status to “Order placed this encounter.”
    • Referral to GI [REF25] could be for multiple reasons other than colon cancer screening, so this will no longer satisfy the Colonoscopy HM topic.

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 2/1/2022, Noon]

  • The National Public Health Emergency [PHE] has been extended to April 16, 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 3/1/2022
    • 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: Contraindications Required for Adult VTE Risk Assessment

  • Documentation of contraindications to pharmacologic and mechanical VTE prevention measures are required for patients assessed as Low Risk in the Adult Medicine VTE Risk Assessment
  • If unable to complete an assessment click on the “Pend for Chart Review” button.

Inpatient: Discharge Instructions Visible to Patient prior to Discharge

  • Discharge instructions are immediately visible In MyChart when entered in the following sections:
    • Activity Instructions
    • Patient Ed Attach
    • Add Additional Instructions
  • NOTE: Pending a permanent resolution, providers should create draft instructions elsewhere and, when finalized, copy/paste into these fields.
  • Review the blog post

Inpatient & Ambulatory: Surescripts Down – What happened and What you should do…

  • What happened:
    • The Surescripts interface [the tool that transmits electronic prescription messages to pharmacies] was not working for several hours last week.
    • Error messages were sent to your E-Prescribing Errors folder.
  • What was the resolution and what you should do:
    • Non-controlled substance prescriptions that failed were successfully retriggered to the pharmacies.
    • Controlled substance prescriptions were not able to be retriggered. Prescribers will need to electronically resend any failed controlled substance prescriptions found in your E-Prescribing Error folder, if not already completed.
    • Pharmacies may call about receiving duplicates. Please closely review the patient’s med list and confirm the correct orders were placed.
  • How to identify a failed transmission message: see screenshot here.
  • How to identify a successful transmission message: see screenshot here.

COVID-19 Epic Training Portal link

For more Epic Tips of the Week, click here.