Transcript 2007-epiccare-upgrade-changes

2006-2007 EpicCare Upgrade
Overview of Changes this Year
Information as of January 2, 2007:
Updates To Visit Navigator
Changes To Medications Activity
Improvements in Chart Review
Streamlined Best Practice Alerts
Updates To In Basket
Format of Presentation
After the 2006
EpicCare
Upgrade, your
workstation will
appear like this:
blue background
For training and
demonstration
purposes in the
Epic
development
region, our
pictures will
appear like this:
gray background
Snapshot View
• New look and feel to Snapshot
• SmartTool enabled Family Comments
Problem List
• New check box for Full Comment details
• Expand (+) and collapse (-) for problem list comments
• Problems sorted by most recent date, unless prioritized
History Section: Audit Trail
Obstetrics History Tab
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New check box to indicate if patient is Currently Pregnant,
Added Abortion count to Pregnancy History,
Added horizontal text box below pregnancy grid
Pregnancies can now be sorted by history date,
In a multiple birth situation you can now have separate dates
Medications Activity
• Active Medication column is now called Taking, plus red check
marks indicate medications the patient is currently taking
• Taking column used to be Active column
• As of now tab replaces Encounter and Current tabs
Chart Review
• Selected tab is a different color than the rest of the tabs
• Arrows on both ends of the tabs.
• New Quick Filters activity permits you to create multiple custom
filters for each Chart Review tab
Chart Review Filtering
New Quick Filters Activity To create multiple
filters and save data with specific criteria use
two new buttons added to filter panel: Save
and Accept
Save: selected filter by naming filter (e.g., MH)
Accept: click accept to save filter on Chart
Review Tab
Chief Complaint
• Enhanced Record Lookup for searching in the Reason for Visit.
• Use multiple keywords that are full or partial words
• Use names or synonyms
Visit Navigator
•Table of contents and Navigator header more compact
•Headers appear with blue backgrounds (yellow for Best Practice
Alerts), to visually separate
Visit Navigator
• Close Section button has moved to the left of the screen.
• Previous F7 and Next F8 take the place of the back and next buttons.
• Arrows available in corner for moving to and from different sections
OB Vitals
• 3 Fields added to Cervical Exam frame: Dilation, Effacement, & Station.
• Previous OB Vitals Flowsheet displays
• You can now enter free text in the FHR fields on the OB Vitals SmartForm
and OB Vitals navigator section
0 to 10
0 to 100
-5 to +5
OB SmartForm
Initial EDD and Revised EDD on OB Information and Dating Information
can be edited from Chart Review instead of an open encounter
Doc Flowsheet Toolbar
• New Buttons: File, Compact, Last Filed, Go to Date, Values By
• Last Filed Values column
Order Entry
• Improved overall appearance and usability of dx Association Window
• New Red Stop Sign appears next to order in diagnosis association
window if dx is required
Order Entry
• Radiology Orders: Full Detail screen display changes - when placing
radiology orders the Full Detail screen defaults to the Required section
instead of Questions.
• Our apologies, this is an unintentional error and is only temporary. It will
be fixed soon.
Improved SmartText Searches
SmartText searching requires clicking ENTER key on keyboard for
completion matching.
For example, to search for gi related items, type gi + ENTER (on
keyboard)
Best Practice Alerts
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Brighter and more noticeable
Check box instead of hyperlink to SmartSets,
Can choose more than 1 SmartSet at a time
If selecting more than 1 SmartSets, all will open in same window
BPA shows provider name and date/time stamp
BPA SmartSets
All SmartSets selected appear in the same window
New Ped SmartLinks
New SmartLinks for Growth Chart Data from Previous Encounter
.LHCFA (head circumf) .LSFA (stature for age/growth .LWFA (wt/age growth)
.LWFL (wt/recumb lgth) .LWFS (wt for stature)
.LBMIFA (bmi/growth)
New Labs SmartLinks
.GETLABS (new help formula for retrieving labs)
.THISVISIT (pulls in labs that were done for most recent visit)
Follow-up: CC Chart Routing
• A more defined section in follow-up to attach routing comments when
sending a chart (max chars = 1024)
• Can assign priority to these messages
• New hyperlink to view Routing History of chart
Follow-up Section: Routing
Individual recipients can now be
added to buddy lists by checking
a new box in the Build My
Recipient List
Add My List/Add Recips button is now
disabled if you do not have any custom
recipient lists defined
TE Navigator: Redesigned
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More intuitive, with 3 expandable subsections
Count of orders in header,
Reorder button larger and turns maroon if marked for refill,
Full Detail and Dx are now buttons
Episodes of Care
When you select the Go to Episode link from the Visit Navigator, you
get you get a new activity called "Episode of Care" and it looks
significantly different.
Episodes of Care
Select New Episode to create a new Episode of Care
To link to a visit, select
the Link/Unlink Visits
button
In Basket Toolbar
Visual Improvements to the In Basket: In Basket icons fit better on the
screen and there is less scrolling to the More button
Old
New
In Basket Functionality
• In Baskets remain attached between logins
• Resize button in right corner
• The Send Msg button is now the New Msg button.
In Basket Pools
• Select All button will place checkmarks in all of the Pools,
• Select None will remove them.
ED/UC
Diagnosis and Dx association will also appear
in orders section of ED Visit Navigator
Additional Order
Details hyperlink
replaces the Full
Detail button.
This link expands
to a significant
amount of data
for the order (see
next slide).
ED/UC
Click Additional Order Details
Much of this information previously appeared in the former Full Detail
screen. It is the same information presented differently.
ED/UC
Visual Changes to the MAR Activity Options for Refresh, Report, MAR
Note, Legend, Add Meds and Disc Meds now appear as icons at the top
ED/UC
Visual Changes to the MAR New Add Meds button allows you to add a
med or lab. This button takes you to an Order Entry screen.
ED/UC
Improvements to Documentation Flowsheets New Table of Contents
added that allows for quick and easy navigation in flowsheet templates. TOC
appears on left side of activity and includes all of the flowsheet group.
TOC also allows
you to hide groups
that appear in the
flowsheet. A check
box appears next to
the template name.
Un-check box to
hide a group.
ED/UC
Visual Improvements to ED Notes ED notes now display most current
note first followed by notes thereafter. There is a table to select a note to
review with a view window below
New
Old
ED/UC
Discharge Instructions the SmartText button should be used in place of
the Go to References/Attachments hyperlink to view encounter matched
Discharge Instructions.
ED/UC
Enhancements to the Disposition and Follow up Navigator Section
making it easier and more efficient to use
ED/UC
New Undo ED Discharge/Dismiss Button click on it to display new Undo
Discharge window. This window displays a list of patients who were recently
discharged or dismissed from ED.
EpicCare Upgrade
coming January 14, 2007!