Epic Tips: July 8, 2022

Inpatient: Anticoagulant/Antiplatelet/Thrombolytic Report & SmartPhrase [Effective 6/12/2022]

  • The report shows active and recent administrations of anticoagulants/antiplatelets/thrombolytics and VTE prophylaxis contraindications at the point of ordering. See screenshot here.
  • Type “.vte” [VTERXCONTRAINDICATIONETX] in your note to pull pharmacologic contraindications from the VTE Risk Assessment. See screenshot here.
  • Review the blog post here.

Inpatient: Fix to DC Summary SmartText

The “JHM AD DC Summary” only displays procedures completed during the current Admission and no longer shows procedures from prior Admissions and future procedures.

Ambulatory: Preference List update to Opioid Medication Order

  • The default duration has been reduced from 7 days to 5 days.
  • The default quantity remains at 12 capsules or tablets.
  • This change does not affect Oncology and Pain providers, and Personal Preference Lists.

Ambulatory: New Diabetes Mellitus eConsult – free to patients thanks to the funding from the Maryland HSCRC’s Baltimore Diabetes Regional Partnership

  • An eConsult is an internal Provider-to-Provider consultation initiated by any provider who submits a specific question to a specialist for chart review and a recommendation.
  • eConsults streamline communication between clinicians, increase access to specialty care, and decrease the cost of care for the patient and the health system.
  • Examples of appropriate clinical questions for a Diabetes eConsult are to assist with:
    • Prescribing initial antihyperglycemic medication vs sequential non-insulin add-on therapy?
    • Basal insulin therapy, addition of bolus insulin, and insulin titration?
    • Diagnosis and management of diabetes-related complications?
    • Confirmation of diagnosis of type 2 diabetes (vs. alternative types of diabetes)?
  • Order an “Ambulatory Referral to Diabetes Services/Education” [REF20] to refer any newly diagnosed patients or patients with uncontrolled diabetes.
  • Unlike the other eConsult specialties, the Diabetes Mellitus eConsult fees will be waived and the service will be free to the patients for the foreseeable future.
  • Learn more about eConsults, including the current availability per specialty.
  • Review the blog post and eConsult workflow tip sheet here.

Ambulatory: Telemedicine Hot Topics – States of Emergency Telehealth Services Updates [Data as of 7/6/2022]

  • The National Public Health Emergency [PHE] has been extended to July 15, 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 with no expiration date.
    • New York: Expired.
    • Pennsylvania: Licensure waiver extension to 10/31/2022.
    • Virginia: New law for established pts seen in-person w/in last 12 mo. by an approved provider role in same specialty.
    • Washington, D.C.: licensure waiver extension to August 10, 2022 for established patients. Unvaccinated and/or Unlicensed providers must request an exception to perform telemedicine via the 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.

-Juliet Allen, MSN, RN, Business Solutions Analyst, Health IT Optimization & User Wellbeing

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