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Medicine Matters

Sharing successes, challenges and daily happenings in the Department of Medicine

Medicine Matters Home Patient Care Epic Tips: April 28, 2023

Epic Tips: April 28, 2023

Inpatient & Ambulatory:

Procedure eConsent Updates [Effective May, 1, 2023] Important Change!!

  • Key Points:
    • The newly harmonized JHM Informed Consent Policy will go live.
    • Witness signature requirement is removed, except when obtaining a consent by telephone.
    • Electronic signatures can be obtained by using a mouse, signature pad, or computer generated via MyChart.
    • Paper consents are still available for use.
  • New Consent templates include:
    • Procedural Consent (in-Office) – For procedures performed during a clinic visit.
    • Procedural Consent (ED) – For procedures performed in the ED.
    • Procedural Consent (OR/Invasive – Panel 1) – For all other surgical/invasive procedures. Formerly labeled New Procedural Consent (Non-ED).
    • Procedural Consent (OR/Invasive – Panel 2) – For combo cases when consenting for procedures performed by the secondary service.
  • Review the blog post and check out the E-Consent Workflow.

Having Trouble with Dragon?

  • If your cursor is moving around, your dictation box opens unexpectedly, text is populating the dictation box or wrong field, remember to first “Anchor Speech Focus”:
    • Click on Flame icon => Options => General => Click “Anchor Speech Focus…” OR
    • Verbally say “Anchor Speech Focus” OR Ctrl + Alt + A
      • A lock symbol displays on the microphone indicator
    • Dictation Tip: Turn on the microphone with the cursor in the document to be dictated

-Turn your microphone off when navigating the chart

Unsigned/Unpended Orders are Deleted when Tapping-Out Warning!!

  • Remember to ‘Sign’ or ‘Save Work’ before Tapping-Out or your orders are deleted.
  • This will also occur if you leave your workstation idle for 15 minutes.
  • Alternatively, use your mouse to close charts or log out of Epic to prevent loss of work.
    • You will receive a prompt asking if you would like to Discard, Save Work, or Go Back.
  • Review the blog post here.

Epic is hosting free “Efficiency Hour” Webinars [May 16, 2023 thru June 5, 2023]

  • 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.

  • 0 AMA PRA Category 1 credit and 0.1 CEUs from UPCEA through the University of Wisconsin.
  • See and choose one of several opportunities to attend the topics below:
    • Inpatient:
      • Provider Review Workflows
      • Provider Notes and Orders
    • Outpatient:
      • Reviewing Patient Information
      • Ordering and Preference lists
      • Managing Your In Basket
      • Documentation/Notes


Chaperone Documentation for Non-GYN-OB Practices [Effective May 1, 2023]

  • A new “Chaperone Present” column can be added to the multiprovider schedule which pulls in the Chaperone information documented in the Rooming tab.
  • If the name of the Chaperone is not documented, the provider receives a warning when signing the visit.
  • Review the tip sheet and blog post here.

Targeted Patient Outreach to Help Close Care Gaps!

  • The first “Monthly Annual Wellness Campaign” targets patients overdue for their annual wellness visits.
    • Displays in the Snapshot, This Visit [sidebar], Health Maintenance, and Longitudinal Plan of Care reports.
    • View in the Current Campaign column in the My Panel Metric Drilldown report of the Amb Physician Default Dashboard.
  • Review the tip sheet and blog post here.

Non-Urgent Medical Advice Disclaimer Displays in MyChart [Effective May 4, 2023]

  • Patients will see a disclaimer to call 911 for immediate assistance to prevent inappropriate urgent messaging, especially during evenings and weekends when offices are closed.
  • Review the blog post here.

-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