Epic Upgrade November 10, 2022
Below are upgrade key slides of interest worth reviewing in the attached PowerPoint slide deck:
Epic Upgrade Overview
Inpatient & Ambulatory
Epic Newsletter - New!!
- Slide 5
- Subscribe to the Epic Newsletter.
Reprinting Orders
- Slide 11
Default eSignature method is “Click/Tap” to Sign – Hot Topic!
- Slide 12
- Review the blog post here.
Witness Signature for Consents is No Longer required- Hot Topic!
- Slide 13
- Note: Telephone consents continue to require a witness.
Ambulatory Only
Privacy for the Schedule
- Slide 10
Automatic Printing of LabCorp/Quest Requisitions Discontinued – Deferred to 1/2023
- Slide 14 [removed]
New Fall Risk Flag & Post Fall Flowsheet
- Slide 15 & 16
Additional Recent Updates:
Inpatient: Priority Levels for Imaging Orders
- To ensure patient care needs are met, use of the Priority field for imaging orders.
- Below are guidelines for when to use each priority:
- STAT: For exams with a potential for critical results that could result in harm.
- ASAP: For exams that require earlier decision-making and for discharge. Prioritized over other inpatient exams.
- Routine: For exams that can wait for the next inpatient availability.
- Review the blog post here.
Inpatient: Methadone for Home Use Workflow [Effective 11/10/2022]
- A new methadone order set was created as a bridge to ongoing treatment, to improve discharge outcomes in the hospital and/or ED, and to facilitate the DEA exemption, which allows for the dispensing of up to 3 days of methadone for opioid use disorder.
- Eligible patients must be actively enrolled in an opioid treatment program or be formally accepted in an opioid treatment program that is inaccessible at the time of discharge.
- Review Dispensing Methadone for Opioid Use Disorder and organization specific workflows at JHH and JHBMC.
Inpatient: Comfort Care in ICUs
- The JHH-BMC Adult Comfort Care Focused order set includes orders for a continuous opioid infusion for comfort care at end of life in the ICU.
- These orders reflect evidence-based best practice, and may require a change from usual practice for some clinicians.
- Please review the Comfort Care Order Set Communication prepared by Dr. David Wu, Director, JHBMC Palliative Care Program, for important information about opiate use for comfort care.
Ambulatory: SmartList Error in Notes
- ISSUE: Since the 8/4/22 upgrade, SmartLists contained within SmartTexts stopped responding to keyboard strokes under certain conditions [e.g. pressing Enter or F2 doesn't function].
- FIX: Users should click outside of the SmartList, so that affected SmartLists respond to keyboard strokes. There is no date as to when this issue will be permanently resolved.
- Review the blog post here.
Ambulatory: Fix for Anti-Coag New INR Results Entry Error Message
- ISSUE: When results are entered in the "New POCT" or "New External" fields of the Anticoagulation Tracking, an error message appears.
- FIX: Enter any text in the Lab Description field after documenting a lab or authorizing provider & before accepting the value in the INR Entry window.
- NOTE: Clinicians can enter a ‘period’ or a ‘–‘ rather than text, if preferred.
- Review the blog post here.
-Juliet Allen, MSN, RN, Business Solutions Analyst, Health IT Optimization & User Wellbeing
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For more Epic Upgrade Tips, click here.
