TAB 32. Electronic Medical Record

Transcription

1 TAB 32 Electronic Medical Record

2 EHR Training for LSU Rotations All LSU house officers are required to fulfill EHR training for each rotation site at which they will practice. It is the primary responsibility of the program coordinator to organize this training, but the GME office provides assistance. See the requirements for EHR training at three major training sites below. Interim LSU Hospital: EPIC medical record system o Training dates: (1) Orientation at beginning of academic year; (2) first week of each month; (3) third week of each month See schedule attached This schedule also applies to Visiting Residents and Visiting Fellows! o Please note: Training at Ochsner can be verified and counted by ILH. Contact the Pelican training office (HCSDEHRTraining@lsuhsc.edu) and/or Vicki Harkin (vharki@lsuhsc.edu) with questions. o House officers who have completed EPIC training elsewhere should do the following: Notify their LSU program coordinator Ask their previous institution for training certificate or transcript to confirm modules of training. NOTE: Training in EPIC versions earlier than EPIC 2010, or who trained in EPIC as medical students, WILL HAVE to train in EPIC at LSUHSC or ILH, as those modules of EPIC are not accepted here. Ochsner Hospitals: EPIC medical record system o Training dates: first two days of each month o Please note: Training at ILH can be verified and counted by Ochsner hospitals. Contact Ochsner staff (Jefferson Highway: Esther Catalanotto, ecatalanotto@ochsner.org; Kenner: EPIC Training office, EPICTraining@ochsner.org) and/or Vicki Harkin (vharki@lsuhsc.edu) with questions. Our Lady of the Lake (OLOL): Utilize PowerChart (inpatient), FirstNet (ED), SurgiNet (surgery), and SAAnesthesia (Anesthesia) o Training dates: first business day of resident s rotation month. o Typical class times are listed below. These time/locations may be subject to change, but all changes will be communicated to house officers via prior to the start of their rotation:

3 PowerChart: 7:30am 11:30am FirstNet: 12:30pm-4:30pm SurgiNet: 7:30 11:30am included at end of PowerChart class SAAnesthesia: 4 hour course in morning or afternoon pending availability of trainers o Residents and their coordinator will receive an at least 2 weeks in advance from OLOL GME Services Coordinator with training information and dates. o Refresher courses also available for residents returning to OLOL for the second time in an academic year.

4 PELICAN POST-GO LIVE TRAINING AT ILH 2014 Physicians 1rst & 3rd Week of the Month Monday Tuesday Wednesday Thursday Friday AMB EHR 7-noon AMB Specialty EHR 1-3pm Inpatient EHR 7AM-1:00PM INP 204 As needed As needed As needed Surgeon EHR 7-noon Anesthesia EHR 8AM-4PM ASAP EHR 8AM-4PM 501/502 EHR 2-5pm 503 EHR 3-5pm 504 EHR 8-10am; 3-5pm While it cannot be guaranteed, Anesthesia, ED, and Gratis Physicians may request alternative training dates with at least 2 weeks advance notice, when submitting the PELICAN Training Request form. Please refer to ILH Physician s Course Catalog for additional information.

5 PELICAN/EPIC TRAINING REQUEST FORM Completion & submission of this form is critical to ensuring class(es) is/are scheduled for you based on the training schedule & your projected start date. Please refer to the ILH Physician s Course Catalog for more information. First & Last Name; Last 4 of SS#: Contact Personal/Work: Business Manager: Department/Clinic: Job Title/Role/Specialty: Start Date: Please select ALL that apply from the following list: Ambulatory/Outpatient: OB Oncology Ophthalmology Inpatient: OpTime (Surgery): Hospitalist Interventional Radiology The following 3 classes are scheduled based on need. Refer to the Post-Go Live Training Schedule to determine when these classes would be available based on your start date at ILH (alternative dates may be arranged with at least 2 weeks notice). Anesthesia Emergency Department Gratis If you have prior EPIC training, please list the class(es)/application(s) below, as well as at what facility. Please use the back of this form or additional paper if you require additional space. Upon verification of prior training, you may qualify to complete a 2-hr EPIC Experienced Physician class. EPIC Courses Completed Name of Facility Fax or completed form to: ; HCSDEHRTraining@lsuhsc.edu Please Note: It takes approximately 24-48hrs for PELICAN account activation based upon the last day of PELICAN class(es) you complete. Please plan your first day to report to work at ILH accordingly.

6 OLOL Graduate Medical Education Office Resident Orientation & Computer Training The OLOL GME Office provides orientation and computer training for all residents and fellows rotating at OLOL. The OLOL GME Office schedules orientation and computer training based upon the most recent resident rotation schedule the office has on file for each program. House officers will not be scheduled for training and will not receive their ID Badge, Username, etc. if they have an incomplete application. Basic orientation and computer training occurs on the first business day of the month of the house officer s rotation. Sessions begin at 7:30am or 12:30pm depending on the house officer s assigned rotation. Classes are NOT held on weekends or holidays. Residents/Fellows are contacted via at least 2 weeks in advance by the OLOL GME Services Coordinator who provides the date/time/location of the house officer s assigned orientation and computer training session. The GME Services Coordinator also copies the house officer s program coordinator on these s to ensure that the message is received. It is very important that all house officers check their prior to their scheduled OLOL rotation to receive this important and timesensitive information. Completion of orientation and computer training is mandatory for all house officers to begin rotations at OLOL. Overview of Resident Orientation Residents are provided the following for their OLOL rotations: - ID Badge, - Username - Dictation #, - Institutional DEA # suffix **for residents spending at least 3 months at OLOL The following items are reviewed with residents. Additional materials specific to each resident s specialty and rotation may be provided by the attending faculty and clinic staff. Helpful Information for Residents/Fellows flyer o ID Badge/Parking Card o Resident Lounges/Call Rooms o OLOLRMC Team Member Pocketbook Reference o Computer Access and Troubleshooting o Access to Meals & Additional Dining Options o Access to OLOL Policies & Procedures o Important OLOL Phone Numbers OLOL Resident/Fellow Parking Maps

7 Graduate Medical Education Policies and Procedures o House Staff Scope of Practice Policy o House Staff Participation in Surgical Procedures Policy o Incomplete/Delinquent Medical Records Process Policy o Computerized Physician Order Entry (Mandatory CPOE) o Non-employee Post-Exposure Policy & Procedure Patient Safety & Event Reporting Process at OLOL OLOL Dress & Appearance Standards Policy Ethical and Religious Directives Resident Dictation Process Remote access instructions Directions to Resident Workrooms Quality Measures Pocket Guide & Information Sheets Resident Housing (if applicable) In addition to the overview of the orientation packet, all residents are required to complete 3-4 electronic orientation modules within the first 2 weeks of rotations at OLOL. Electronic Learning Module (ELM) Online Orientation Module Requirement o OLOL Mission & Ethics o OLOL Guidelines for Documentation o OLOL Culture of Safety and Event Reporting o Surgical Resident Orientation * specific to new residents rotating on surgical specialties Computer Training Following review of the orientation packet, residents are provided computer training in the application that will be utilized during their rotations at OLOL. The following training sessions are offered: 1) PowerChart (for inpatient rotations) 2) FirstNet (for ED rotations) 3) SurgiNet (brief add-on training to PowerChart for surgery residents ) 4) SAAnesthesia (a separate software utilized by Anesthesia house officers and faculty) Training Schedule Computer training in each of the above sessions is provided to residents assigned to rotations at OLOL on the first business day of their rotation month. All residents rotating at OLOL for the first time in the current academic year are required to attend assigned orientation and training classes. Residents are contacted via in advance by the OLOL GME Services Coordinator who provides the date/time/location of the resident s assigned orientation and computer training session. Typical class times are listed below. These time/locations may be subject to change, but all changes will be communicated to house officers via prior to the start of their rotation:

8 - PowerChart: 7:30am 11:30am - FirstNet: 12:30pm-4:30pm - SurgiNet: 7:30 11:30am included at end of PowerChart class - SAAnesthesia: 4 hour course in morning or afternoon pending availability of I.S.trainers The details of the material covered in each course are listed below: PowerChart (usually 4 hours) Lake MD LILA Patient Chart Overview o Announcement Tool o Home Screen Overview o Creating a Patient List o InBox/Viewing Pane o Patient Search o Automated Progress Notes o Basic Patient Chart Overview o CPOE (Computerized Provider Order Entry)/ PowerPlans o Lab defaults and graphing o Radiology reports, images o PowerNotes documentation and filters o Document/Scan/Import o MAR Summary o Problems/Diagnosis o I&O/IView o Allergies o Inpatient Summary o Insurance/Facesheet o MD tab o Patient Info tab o ulearn Medication Reconciliation Admit, Transfer, Discharge Depart Process Mobile Access FirstNet (usually 4 hours) LakeMD LILA Tracking Shell Overview Provider Check In Patient Chart Overview o PowerNote/I&O o Results Review

9 o Document/Scan/Import o Lab defaults and graphing o Radiology reports, images o Patient Information o Insurance PowerNote o Reason for Visit o PowerNote Overview o Selecting Terms o Symbols o Macros o CPOE (Computerized Provider Order Entry)/ PowerPlans o Adding Diagnosis o Discharge Meds as Rx o Patient Education o Follow-Up o Sign/Save/Request Endorsement o InBox Orders Tab set home folders/favorites Medication Reconciliation Depart Process SAAnesthesia (usually 4 hours) o Open application o Screen navigation and views o Select a case o Create a Blank Record o Associate a Record to a Case o Associating Devices to a Case o Start a Macro, Edit an existing Macro, Create a New Macro o Document Medications (Add New, Modify, Remove, Additional Dose) o Record Intake and Output (Add New, Modify, Removed, Additional Fluids) o Working with monitored values o Adding Personnel to the Case o Suspend and Finalize the Case o Manage Alerts o Access the Patient Chart o Unlocking a Record Charting a medication on the MAR PowerNote o PowerNote Overview o Selecting Terms o Symbols o Macros o Adding Diagnosis o Sign/Save/Request Endorsement o InBox

10 o Correct or Modify existing PowerNotes o Saving Anesthesia PowerNotes as Favorites Documentation PowerNote List Filters set up Orders Tab set home folders/favorites CPOE (Computerized Provider Order Entry)/ PowerPlans for Anesthesia House Officers returning to OLOL for the second time in the academic year may request a refresher course. With advance notice, the GME Services Coordinator can schedule a refresher course with an I.S.Trainer. CPOE (Computerized Provider Order Entry)/PowerPlans Refresher (usually 1 hour) Refresh on Order Entry Refresh on PowerPlan usage Favorites and Setting Home Folders application review of PowerChart or FirstNet is NOT covered only the ordering component