2006-2007 EpicCare Upgrade

1. 2006-2007 EpicCare Upgrade

2. 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

3. 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

4. Snapshot View • New look and feel to Snapshot • SmartTool enabled Family Comments

5. Problem List • New check box for Full Comment details • Expand (+) and collapse (-) for problem list comments • Problems sorted by most recent date, unless prioritized

6. History Section: Audit Trail

7. Obstetrics History Tab • 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

8. 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 tabreplaces Encounter and Current tabs

9. 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

10. 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

11. 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

12. Visit Navigator • Table of contents and Navigator header more compact • Headers appear with blue backgrounds (yellow for Best Practice Alerts), to visually separate

13. 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

14. 0 to 10 0 to 100 -5 to +5 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

15. OB SmartForm Initial EDD and Revised EDD on OB Information and Dating Information can be edited from Chart Review instead of an open encounter

16. Doc Flowsheet Toolbar • New Buttons: File, Compact, Last Filed, Go to Date, Values By • Last Filed Values column

17. 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

18. 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.

19. 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)

20. Best Practice Alerts • 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

21. BPA SmartSets All SmartSets selected appear in the same window

22. 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)

23. New Labs SmartLinks .GETLABS (new help formula for retrieving labs) .THISVISIT (pulls in labs that were done for most recent visit)

24. 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

25. 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

26. TE Navigator: Redesigned • 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

27. 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.

28. To link to a visit, select the Link/Unlink Visits button Episodes of Care Select New Episode to create a new Episode of Care

29. Old New 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

30. In Basket Functionality • In Baskets remain attached between logins • Resize button in right corner • The Send Msg button is now the New Msg button.

31. In Basket Pools • Select All button will place checkmarks in all of the Pools, • Select None will remove them.

32. 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).

33. ED/UC ClickAdditional Order Details Much of this information previously appeared in the former Full Detail screen. It is the same information presented differently.

34. 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

35. 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.

36. 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.

37. 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

38. 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.

39. ED/UC Enhancements to the Disposition and Follow up Navigator Section making it easier and more efficient to use

40. 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.

41. EpicCare Upgradecoming January 14, 2007!