Inpatient & Ambulatory: 21st Century Cures Act - 2nd Phase [Effective October 4, 2022]
- The second phase of the federal regulation requiring patients’ unrestricted access to their electronic health information begins October 6, 2022.
- Johns Hopkins Medicine [JHM] Key Dates:
- On October 4, 2022, JHM will begin releasing more parts of the legal medical record to MyChart.
- Most patients and their proxies will have access to download their full medical record.
- After October 10, 2022, [date to be announced] Radiology images will go-live.
- On October 4, 2022, JHM will begin releasing more parts of the legal medical record to MyChart.
- For more information, click the 21st Century Cures Act
- Additional Helpful Resources:
- The Release Summary and guidelines for Blocking Flowsheet and Other Data.
- Additional Helpful Resources:
Inpatient & Ambulatory: Epic is hosting free “Efficiency Hour” Webinars
- These are 1-hour 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.
- See https://www.epicearth.com/home/efficiencyhour and choose one of several opportunities to attend on the dates below:
Inpatient & Ambulatory: Block Care Team from MyChart View – Addressing Workplace Violence
- The “MyChart Care Team Blocked” FYI flag hides care team names and photos from MyChart and MyChart Bedside when a patient threatens harm to staff, providers, or any JHM entity.
- After informing a supervisor or manager, any provider or staff can add or remove the FYI flag, although users are required to document a reason for placing the flag.
- NOTE: This flag will not block staff/provider names from displaying in notes, AVS or secure messaging. Patients/proxies for whom care teams are blocked can still message clinicians via MyChart.
- Review the blog post here.
Ambulatory: COVID-19 Immunization Scheduling Rules - Novavax EUA, bivalent boosters, & CDSi 4.32
- Updates include:
- Patients aged 12 years and older are eligible for the Novavax
- All patients, aged 12 years and older, appear in Health Maintenance as due for a bivalent booster eight weeks after their last dose, even if they completed their primary series and received one or more monovalent booster doses.
- ***Monovalent mRNA COVID-19 vaccines are no longer authorized as a booster for any patients aged 12 years and older.
- Continue to order Monovalent Pfizer as a single booster for patients aged 5 to 11 years on the Pfizer or Mixed Product series.
- The end age for the first dose of Pfizer [6 months to 4 years old] changed from 6 years to 5 years.
- The end age for the first dose of Moderna [6 months to 5 years old] changed from 7 years to 6 years.
- Review the blog post here.
Ambulatory: Potential Changes to CareFirst/BlueCard of BlueCross Blue Shield Coverage
- Johns Hopkins Medicine [JHM] is renegotiating a new contract with CareFirst.
- If an agreement is not reached by December 5, 2022, JHM and JHU providers will be considered “out of network” for our patients, caregivers, faculty, and staff.
- Until negotiations are finalized, please continue to provide the highest quality of clinical care to our patients.
- Here is the How to Handle CareFirst Questions Sent Via In-Basket tip sheet for review.
- Follow-up communication will be forthcoming.
- For additional information and resources click here.
Ambulatory: Telemedicine Hot Topics – States of Emergency Telehealth Services Updates [9/28/2022]
- The Office of Telemedicine launches new training portal for quick access to training videos, tip sheets, and other resources to assist providers and patients.
- Cisco Lunch and Learn Drop-in Sessions to increase efficiency:
| Date | Time | Zoom Link |
| 10/5/2022 | 12:00 – 1:00pm | https://jhjhm.zoom.us/j/97780254528 |
| 10/19/2022 | 12:00 – 1:00pm | https://jhjhm.zoom.us/j/97780254528 |
- 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
COVID-19 Epic Training Portal link
For more Epic Tips of the Week, click here
