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VMC Healthlink Inpatient Non-Surgical Bridge Training

VMC Healthlink Inpatient Non-Surgical Bridge Training.

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VMC Healthlink Inpatient Non-Surgical Bridge Training

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  1. VMC Healthlink Inpatient Non-Surgical Bridge Training This power-point presentation will highlight similarities and some key differences between the EPIC Inpatient Health Record at Stanford and at VMC (known as HealthLink at VMC). This is not intended to be a complete guide to the use of EPIC at either site. Created April 2013 Intended for VMC affiliated physicians. Please do not distribute to non-VMC affiliates. Better Heath for All

  2. Rounding Navigator VMC does not use a Rounding Navigator. The Care Team section within Stanford’s Rounding Navigator can be accessed using the Treatment Team link in the Overview Report. Stanford VMC Edit the Treatment Team at VMC by clicking the Treatment Team link in the Overview Report

  3. Treatment Teams at VMC • Every patient should have a primary Treatment Team designated. Consults should also be designated as Treatment Teams. • Doing so will populate System Lists and ensure every member of the team can view the same list of patients • It is not critical to add every MD individually to the Treatment Team. Pagers are not integrated in Healthlink. Nurses will still use Amion to determine how to page a Treatment Team

  4. System Lists at VMC VMC Patients are added to the Treatment Team list based on MDs specifying the Treatment Team (both consults and primary teams). When the patient is discharged they drop off the system list. New Consults are added to the Consult System List based on a consult order. When the initial consult note is completed, they drop off the consult system list.

  5. Note-writing VMC does not yet have all of the note types available at Stanford. Examples: Consult Follow up, IP Transfer Summary, Tertiary Survey VMC Stanford

  6. Note Types to use at VMC Consult follow up  Use Consult Note Type IP Transfer Summary  Use Progress Note

  7. Sign Out Report at VMC In the Patient List Activity select the Report for Sign Off Report in the bottom pane. The Patient Care Coordination Note is your “one liner” and is edited in the Problem List activity. Use the “Comment” hyperlink to add comments for the night float such as, “Check CBC at midnight.”

  8. Printing the Sign Out To print the sign out use the button at the top of the patient list for Patient Report and select “Sign Off” from the list. The button at the top of the list for “Sign Out Rpt” is not recommended.

  9. Transfers At VMC the sending team completes order reconciliation. If a patient is transferred to a new team or from the PACU back to a non-surgical team, the sending team completes order reconciliation.

  10. Meaningful Use One of the criteria for Meaningful Use is to document that patients with a new diagnosis of CVA have been assessed for rehab. A SmartList is included in the adult discharge summaries for this purpose. Please do not delete it.

  11. What remains on paper? • Consents and any other forms with patient/family signature: VMC is not using electronic signature yet • Controlled prescriptions upon discharge • Pathology and cytology specimens still need a paper requisition completed

  12. Co-signing Resident Notes (attendings) • Each note must have an Attestation Statement indicating that you have supervised the resident. Open their note using the “edit” button and then add the appropriate “dot phrase” at the end of their note. • .attestPRESENT = Attending saw the patient • .attestNOTPRESENT = Attending did not see the patient but supervised via discussion

  13. Professional Charging (Attendings) All Professional Charges should be submitted in Healthlink, not on paper charge tickets. This includes admissions, rounding, discharges, and all procedures (bedside, OR, GI, Cath) Charging is submitted via the Charging Navigator

  14. Professional Charging (Attendings) If the charge you need is not listed, use the Search box to type the name or number of the service you need.

  15. Professional Charging (Attendings) After selecting a charge, a pop up window will appear where you can associate the charge to a diagnoses from the problem list. If necessary, you can change the date of service.

  16. How to get help… • Your log in and password for Healthlink are the same as your Windows account. If you password has been inactivated, call the HelpDesk at 5-5300 • Remote access is available. Call HelpDesk at 5-5300 for information. If possible, periodically log in to keep your account active.

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