Laboratory Radiology Pathology Dictation

Transcription

1 Web portals EMR Overview Electronic Medical Records, University of Colorado Hospital (UCH), June 2010 CT Lin MD Jonathan Pell MD Provider Portal: MedXplore also Clinical Workstation Patient Portal Interactive systems Inpatient: Physician Portal and Care Manager Rad Images Emergency OR & PeriOp GI proced CV proced Oncology Transplant OB Gyn Psych Outpatient: Touchworks Feeder systems Registration Laboratory Radiology Pathology Dictation MedXplore: is VIEW-only. It is the broadest access to electronic patient data at UCH. Includes all data from Clinical Workstation, which goes back to 1995, includes data from Touchworks, most department systems (see below), all dictations, lab, rad, path. ALSO has EKG images, and lists of problems, meds, allergies from Care Manager, Touchworks, Perioperative, Oncology, Emergency. It also allows the ability to make a personalized patient list, and access is available wherever you have access to a web browser. *On-campus, for Clinicians, MedXplore *Off-campus, : for Employees, MedXplore Clinical Workstation: view-only like MedXplore, available only on-campus, NO EKG, NO problems, meds, allergy lists. Horizon Physician Portal: Inpatient system for physicians to view all nursing and inpatient ancillary service charting including vital signs, nursing notes, ancillary service notes, medications. Includes data from most other department systems including lab, radiology with its own PACS viewer, micro. Includes the housewide physician signouts, ability to print rounding reports and meds lists for patients transferred within the hospital. Care Manager: inpatient system for nursing and pharmacy. Nursing documentation, vital signs, I/O, ICU monitor data, administered medications, lab and rad results, order management (no order entry). For physicians; printable MD Progress Notes, Med Recon Transfer Report Patient Portal: patient online tools; includes My Doctors Office (online communication between patient-clinic), My Medical Record (patient access to test results), CEO- (patient satisfaction surveys), Visit reminders (for upcoming visits), Advance Check-in (completing forms prior to visits). Radiology Images on PACS: Picture ArChiving System. Available at PACS workstations (hiresolution dual monitor setup) in limited locations and also on all PC s through the start menu or AppsWeb2 on Favorites. Touchworks: outpatient interactive system deployed in 23 of 40 clinics including all of primary care, as of June Outpatient clinic notes, e-prescriptions, orders, referrals, test result management. All notes also viewable in MedXplore, Clinical Workstation. Departmental systems: Emergency: Picis (residents have view-only access). Peri-op: OR Centricity for pre-, intra-, and post-operative documentation. GI procedures: Provalent, Cardiovascular procedures: Lumedx. Oncology: IMPAC (chemotherapy orders). Transplant clinic documentation database. OB/Gyn: Obix (labor deck, well-baby nursery). Psychiatry: CRIS. Departmental System reports not available in MedXplore: OR and peri-operative, OB/GYN, Psych Dictation: Quicksign. For Admission History/Physicals, Discharge summaries, Operative reports, Clinic notes for clinics not on Touchworks. Residents dictate into telephone, attendings edit and sign reports in Quicksign. Hub.uch.edu home page for all campus UCH PCs. Pager#s, physician directory, on-call schedule, more. Medical References: PubMed, UpToDate, more: Denison Library: Patient education: Denison Library link: Micromedex: Patient ed: CareNotes (1000+ pages of UCH patient ed) Still on paper: inpatient progress notes & orders. The legal medical record is a combination of paper and MedXplore. Single Sign-on: we are gradually deploying a one-password access to common applications that will remember passwords for major systems. access: webmail.ucdenver.edu Off-campus access: patient data accessible via MedXplore. All residents should have access to: MedXplore/Clinical Workstation, Physician Portal/Care Manager, PACS, Single Sign-on, Dictation line. Some residents will be trained as needed on Touchworks, Obix, CRIS, PICIS UCH Help Desk ( ). For all EMR and clinical systems questions, and PCs owned by UCH. HSC Help Desk ( HELP). For all PC s owned by University of Colorado Denver School of Medicine. PASSWORD SHARING with others (e.g. medical students) is FORBIDDEN. Severe consequences.

2 Intern Orientation Electronic Medical Records, University of Colorado Hospital (UCH), June 2010 CT Lin MD Jonathan Pell MD

3 Help Desk UCH Help Desk ( ). For all EMR and clinical systems questions, and PCs owned by UCH. HSC Help Desk ( HELP). For all PC s owned by University of Colorado Denver School of Medicine.

4 Web portals EMR Overview Electronic Medical Records, University of Colorado Hospital (UCH), July 2009 CT Lin MD Jonathan Pell MD Provider Portal: MedXplore also Clinical Workstation Patient Portal Interactive systems Inpatient: Physician Portal and Care Manager Rad Images Emergency OR & PeriOp GI proced CV proced Oncology Transplant OB Gyn Psych Outpatient: Touchworks Feeder systems Registration Laboratory Radiology Pathology Dictation MedXplore Clinical Workstation Horizon Physician Portal Care Manager Patient Portal Radiology Images on PACS Touchworks Dictation: Quicksign Hub.uch.edu-Pager#s, physician directory, on-call schedule, more. Medical References: PubMed, UpToDate, and more at Health Sciences Library access: webmail.ucdenver.edu Picis-Ibex Pulsecheck OR Centricity Provalent Lumedx IMPAC Transplant Obix CRIS

5 PASSWORD SHARING is FORBIDDEN. Severe consequences. PASSWORD SHARING is FORBIDDEN. Severe consequences. PASSWORD SHARING is FORBIDDEN. Severe consequences.

6 Log In Screen

7 Single Sign-on One click access to applications (remembers your password)

8 PACS viewer

9 Link to clinician specific resources

10 Literature resources to Uptodate, PubMed search, and Journals by name Clinical Applications Text Paging, On Call schedule and Resident Pager List

11 Password is UCO for University of Colorado AMION on call schedule

12 Admitting a Patient at UCH

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14 ED PulseCheck-ibex

15 Accessing the Patients Electronic Medical Record (EMR)

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17 Clinical Workstation (CW)

18 PACS Viewer

19 Care Manager (CM)

20 Physician Portal

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22 Review PulseCheck-ibex in the Emergency Department MedXplore and Clinical Workstation for the majority of EMR patient information needs Physician Portal for active in hospital patient information Sign-out on the Physician Portal

23 Coming Soon Fully integrated Electronic Medical Record Currently building with resident involvement Will add functionality of Computerized Provider Order Entry (COPE) All in hospital Documentation (Notes) will be electronic

24 Web portals EMR Overview Provider Portal: MedXplore also Clinical Workstation Patient Portal Interactive systems Inpatient: Physician Portal and Care Manager Rad Images Emergency OR & PeriOp GI proced CV proced Oncology Transplant OB Gyn Psych Outpatient: Touchworks Feeder systems Registration Laboratory Radiology Pathology Dictation Epicare Ambulatory to be rolled out in February 2011 Epicare Inpatient to be rolled out in September 2011

25 ??Questions?? Can I check up on my patients while I m skiing? Can I check my Facebook while I m in the hospital? Does my Iphone have an App for this? Can I get wifi in the hospital? Are we done yet?