It’s Not About The Box Improving Care at Group Health with People, Process and Technology

March 30, 2006

Eastside Primary Care QIST: Photos from Day 2

Filed under: Eastside Primary Care,QISTs — admin @ 4:47 am


The Quality Improvement Support Team will be at Eastside Primary Care for two weeks. This is one of our largest QIST’s to date. Attached below is the newsletter from Day 1.

Epcnewsletter Day1

Update: Expiring Standing Orders Report

Filed under: MyEpic — admin @ 4:14 am

The CIS Team has been working with Epic Systems, Inc., to restore notification of expiring standing orders. It is most likely at this point that we will transition to new functionality we received in the upgrade, which will send an in basket message to providers to notify them of expiring orders and allow them to extend the orders within the in basket itself. They will no longer need to cut and paste to get this done.

I have communicated with another Epic client who uses this approach successfully. They noted that they are not yet able to send these messages to a pool, or extend multiple orders at once. In our situation, this looks to be an improvement in any event.

There is no estimated time on this functionality being restored. We will provide an update here.

March 29, 2006

Northgate Eye Care: Newsletter Day 3 and Day 4

Filed under: Eye Care,QISTs — admin @ 12:53 am

Newsletter Day3 Newsletter Day4

These are the final newsletters from the QIST event at Northgate Eye Care. There were several valuable changes made to EpicCare here. One of my favorites is the new “No Previous Surgery” and “No Significant Past Illness” that practitioners can now put in the Past Medical History and Past Surgical History. Many people were asking for this.

March 28, 2006

Article: Kaiser survey of factors affecting acceptance of alerts

Filed under: Quality / Affordability — admin @ 6:49 am

An article produced by our colleagues at Kaiser Permanente (click here to see) discusses factors that affect clinician acceptance and use of alerts in an electronic medical record. They found that by and large, their clinicians surveyed had positive feelings about the use of alerts in practice.

Some interesting findings:

  • Acceptance of alerts was more likely if the patient was elderly, had many medications, or many chronic conditions
  • 84% of clinicians surveyed said they were behind schedule by more than 20 minutes, some, most, or all of the time
  • Women clinicians reported being behind more than 60 minutes 40% more often than their male counterparts
  • There was an association between “being behind” and not accepting alert suggestions
  • There was an association between “being behind” and not having access to an exam room computer (Kaiser did not initially install Epic with exam room computers). Physicians reported being less behind in their day when they had access to an exam room device

See what you think…

Ambulatory View of Medications after ED/UC Visit

Filed under: Rollout — admin @ 5:00 am

Download file

Ambulatory View of Medications after ED/UC Visit

Overview of differences in medication types between ambulatory and ED/UC:
•The new ED/UC Epic module has different functionality for ordering medications that are administered during the patient’s visit (inpatient) versus medications that the patient will take at home (discharge).
•All inpatient medications are discontinued automatically upon discharge from the ED/UC.

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