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Medicine Matters Home Patient Care Epic Tips: March 3, 2023

Epic Tips: March 3, 2023

Inpatient & Ambulatory: Volunteer for the Epic Upgrade Pilot

  • Consider becoming a Pilot Super User! The next Epic Upgrade will go live on June 1, 2023.
  • Provide valuable feedback and identify issues to improve workflows before go-live.
  • NOTE: Users will be able to toggle between their current view and the upgrade view.
  • To volunteer, contact Juliet Allen at [email protected] OR complete and submit the Sign-Up
  • Detailed instructions will be provided after access is granted.
  • For more information review the Epic – Hyperdrive Basics tip sheet.

Inpatient & Ambulatory: LibreView Glucose Monitoring

  • LibreView, a third party vendor integrated with Epic, provides glucose patterns and trends for patients with diabetes.
  • Patients are enrolled when a provider enters and signs a LibreView order [search for synonym ‘CGM’].
  • Continuous Glucose Monitoring [CGM] data can be reviewed in the SnapShot, Summary & Sidebar reports, and in Synopsis, Chart Review, and Results Review.
  • Data can be pulled into notes using SmartLINKS with 14, 30, and 90-day lookback timeframes.
    • LASTCGM14D
    • LASTCGM30D
    • LASTCGM90D
  • Review the blog post here and the LibreView Glucometric and ACG Results Guide for more information.

Ambulatory: In Basket “Quick Tips to Save You Clicks”

Ambulatory: Telephone/Refill Encounter Updates

  • In response to clinician feedback, the Call Intake and Take Action tabs of the Telephone/Refill encounter default to a dual pane view.
  • Clinicians have the option to change to a single pane view by clicking the wrench to rearrange their navigators.
  • Review the blog post here.

Ambulatory: Anticoagulation Navigator Updates [Effective March 9, 2023]

  • Anticoagulation has its own navigator tab, separate from the Rooming navigator.
  • Additional tabs can be found in “More” Activities. Click the wrench to customize.
  • Review the blog post here.

Ambulatory: Health Maintenance Topic [HMT] Changes

  • Providers can manually add HMTs from a drop-down menu.
  • The ‘Discontinue’ button has been removed from the Address Topic field, although ‘Add a Completion’ and ‘Postpone’ are selectable.
  • NOTE: If a topic is not relevant to a patient, select the “Not a Candidate for” modifier. This excludes the patient from related Plans and the patient will no longer display as “due.”
  • Review the blog post here.

Inpatient: New Death by Neurologic Criteria Policy

  • To ensure compliance with the new JHHS Death by Neurological Criteria policy, the following Epic SmartTools should be used by clinicians authorized to document these assessments.
  • NOTE: Personal SmartPhrases that begin with “BRAINDEATH” should not be used to document on adult patients unless they have been updated to the new .DEATHBYNEUROCRITERIA SmartPhrase format.

Patient Age

Tool Type Tool Name Tool Resource
Adult SmartPhrase .DEATHBYNEUROCRITERIA Adult Blog Post
Pediatric SmartText JHH-ACH Pediatric Death by Neurologic Criteria Death Note Pending Pediatric Tip Sheet

Inpatient: AgileMD Guidelines for CHF

  • A new evidence-based clinical care pathway for the inpatient management of congestive heart failure is available for all JHM hospitals in the Guidelines-AgileMD activity in Epic.
  • These guidelines provide order-entry support and evidence-based pathways for Admission, Diuresis, Guideline Directed Medical Therapy (GDMT), and Discharge of patients with CHF.
  • Use the JHM General Adult CHF Discharge order set which includes follow-up recommendations in the discharge AVS.
  • Fore more information review the CHF – Guidelines AgileMD Activity tip sheet.

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

Epic Training Portal link  

For more Epic Upgrade Tips, click here


Kelsey Bennett