Click here for printable version.

Feb. 23, 2022

CMIO Update
I Need Your Feedback

During my first month as your new CMIO, I’ve had the opportunity to start visiting our campuses, walk a few inpatient floors, meet with senior leaders and chat with many of you. As I mentioned in last month’s Physician Connect, I want to hear from you — whether it’s an idea or suggestion that only impacts a few or a larger-scale observation impacting many. I want to leverage your valuable input to create strategies that will make a difference, help you work more comfortably — not just faster — and help you get your time back with both your patients at work and your families at home.

I personally welcome your feedback on ways we can improve, and I encourage you to click the button below and relay your ideas or suggestions. Please encourage your colleagues to do the same.

Click here to send Dr. Dale your feedback.
 

I look forward to hearing from you and thank you for everything you do for our patients and Houston Methodist.

Jordan Dale, MD
Chief Medical Information Officer

 

In This Issue

 

All Providers

  • New Update: 21st Century Cures Act Results Release
  • Use New TAPS Patient Safety Reporting System Instead of PSN
  • Two Ways to Resolve Smart Ribbon Issues
  • Easier CareSense Pathway Enrollment for Heart Failure and Sepsis
  • March 6 Epic Update Information
  • Upcoming Changes to Phone Dictation Line for Medical Records

ED, SPG/PCG Providers

  • New BPA: Previous Monoclonal Antibody Administration

OB Providers 

  • New Cumulative Blood Loss BPA
 

Good to Know

 

For All Providers
New Update: 21st Century Cures Act Results Release

After receiving your valuable feedback, starting Monday, Feb. 28, you’ll now have the option to manually release imaging results when you’re concerned there’s a possibility for patient harm. When you select manual release, the auto-release will be deferred to 10 days post finalization, unless you release them sooner.

As a reminder, results now auto-release as follows:

  • Non-sensitive lab results: Auto-release after 24 hours post finalization.
  • COVID-19 test results: Instant auto-release post finalization.
  • Imaging studies:
    • Auto-release 24 hours after post finalization.
    • Includes the ability to defer auto-release for 10 days if you suspect the possibility of patient harm and need the additional time to discuss further with the patient.
      • Note: Ordering provider can manually release the results any time prior to the 10 days. 
  • Bedside bring your own device (BYOD) on MyChart mobile app:
    • Auto-releases after 24 hours post finalization.
    • Instant auto-release at finalization for BMP and CBC.
      • For MyChart Bedside: There’s a subset of labs currently visible that will continue to be available immediately after finalization.
  • Sensitive lab results:
    • Auto-release after 24 hours post finalization.
    • Includes the ability to defer auto-release for 10 days if you suspect the possibility of patient harm and need the additional time to discuss further with the patient.
      • Note: Ordering provider can manually release the results any time prior to the 10 days. 
  • Pathology results: Aren’t available to be released to MyChart, due to technology limitations.

If you opt to manually release an image or sensitive lab result, be sure to release the results after discussing them with your patient, so they can access. Otherwise, they'll auto-release 10 days from finalization.

For more information on 21st Century Cures Act requirements, visit this website.

 

For All Providers
Use TAPS Patient Safety Reporting System Instead of PSN

Use the new Transparency and Accountability in Patient Safety (TAPS) system to report potential safety issues instead of PSN. TAPS is a safe place to report any patient safety issues or concerns without documenting to the patient’s medical record. Use TAPS to report issues like:

  • Unexpected outcomes
  • Malfunctioning equipment or medical devices
  • Difficulty with other physicians, clinicians and/or staff

To access this sleek new tool, go to our HM intranet site and click the TAPS/Patient Safety Report link under the Medical/Clinical Tools section. Note: You must be logged in to the HM network to access the intranet site.

For more information, watch this video.

 

Providers Using Smart Ribbon
Two Ways to Resolve Smart Ribbon Issues

To quickly resolve an IllumiCare Smart Ribbon issue, follow these steps:

  • If you can’t access your Smart Ribbon, contact the Physician Service Desk, 832.667.5555, press option one.
  • If you have issues while working with the Smart Ribbon or have a question/concern about data displaying in one of the apps, submit a request to IllumiCare via the Smart Ribbon. An IllumiCare representative will contact you to resolve.
    • Instructions:
      • Click the lightbulb icon.
      • Click Feedback & support.
      • Complete the requested information.
 

To find out more about a Smart Ribbon app:

  • Click the ? in the top, right corner of any Smart Ribbon app. This will take you to a webpage that provides information on using that app.

For videos and FAQs about Smart Ribbon's apps, go to this website.

 

Key Updates

 

For ED, SPG/PCG and EpicCare Link Providers
New BPA: Previous Monoclonal Antibody Administration
Effective Thursday, Feb. 24

Starting Thursday, Feb. 24, when you place a Monoclonal Antibody Therapy (mAB) order for a patient who’s had mAB therapy within the last 90 days, you’ll receive a BestPractice Advisory (BPA). This will help ensure you’re complying with the monoclonal antibody therapy emergency use authorization and will also help reduce the volume of pharmacist reviews.

     

    To remove the order, simply click to remove. If you need to continue with the mAB Therapy order:

    • ED, SPG/PCG: Select Keep, Dismiss and sign the order.
    • EpicCare Link: Click Continue with no changes.

    To see screenshots reflecting this change, click here.

     

    OB Providers
    New Cumulative Blood Loss BPA
    Effective Monday, Feb. 28

    Starting Monday, Feb. 28, when a patient has a cumulative blood loss of >= 1,000 ml, you’ll receive the following BPA. This is to remind you to add postpartum hemorrhage to the Discharge Summary, necessary for appropriate coding and submission to Texas Alliance for Innovation on Maternal Health (AIM).

    When this BPA displays, you can either:

    • Document at that time by clicking Accept and link to the Discharge Summary note.
    • If you disagree with the blood loss volume, click Error In Calculation.
     

    All HMH Providers
    Easier CareSense Pathway Enrollment for Heart Failure and Sepsis Patients
    Sepsis: Effective Monday, March 14 at HMH
    Heart Failure: Effective Monday, March 28 at HMH

    Sepsis and Heart Failure CareSense Pathways will soon have an easier enrollment process. Instead of manually enrolling sepsis or heart failure patients in CareSense, you can do it with one click. This will make the process easier and increase enrollment. Note: This option will only present for discharging patients, identified as meeting sepsis or heart failure criteria. The final decision to enroll a patient is at the provider’s discretion.

    Starting Monday, March 14 at HMH, when discharging a sepsis patient in Epic:

    • Click Yes under the Add patient to Communication/Education Pathway for Sepsis? question.
    • If the patient isn't discharging home or you're opting not to enroll them in CareSense, click No. 

    Starting Monday, March 28 at HMH, when discharging a heart failure patient in Epic:

    • Click Yes under the Add patient to Communication/Education Pathway for Heart Failure? question.
    • If the patient isn't discharging home or you're opting not to enroll them in CareSense, click No. 

    This feature is slated to launch at all other campuses on April 11 (sepsis) and April 25 (heart failure). 

    To see screenshots, click here.

     

    All Providers
    Epic Update Now Sunday, March 6 

    The next Epic Update has been rescheduled for Sunday, March 6. To make sure you’re prepared, be sure to review your Update Companion. You can click the applicable links below or log in to Epic, and press F1 to go to the Epic Learning Home. Note: Your Update Companion will reflect a Feb. 13 date. That’s the most current version.

    Update Companion links by role:

    • All Providers (Epic Mobile)
    • Ambulatory

      • Ambulatory providers can also watch this video, highlighting top changes.

    • Anesthesia
    • Cardiology
    • ED MD
    • Inpatient Surgeon, MD, APP
    • Obstetrics
    • Oncology
    • Radiology
      • Radiologists can also attend this Update Briefing, highlighting top changes:
        • 1-1:30 p.m. Monday,
          Feb. 28          .
        • Click here to join the meeting.
     

    All Providers
    Haiku/Canto 9.9 Required Before March 6 Epic Update

    To continue accessing Haiku/Canto after the March 6 Epic Update, make sure you’re using Haiku/Canto 9.9 or later. Prior versions won’t be supported after the update.

    For instructions, read the Update Haiku/Canto to the Latest Version tip sheet.

     
     

    All Providers
    Some Epic Personalization Features Unavailable
    5 a.m. Wednesday, March 2 to 3:30 a.m. Sunday, March 6

    Some Epic personalization features will be unavailable, and no changes or enhancements will be made from 5 a.m. Wednesday, March 2 to 3:30 a.m. Sunday, March 6.

    You’ll still be able to work in Epic as usual, but you won't be able to do the following:

    • Apply filters in Chart Review.
    • Create, edit and share NoteWriter macros, SmartPhrases and SmartLinks.
    • Create and edit In Basket QuickActions.
     

    All Providers
    Epic Downtime
    2-3:30 a.m. Sunday, March 6

    In preparation for the Update, Epic will experience a planned downtime from
    2-3:30 a.m. Sunday, March 6. During the downtime, access Epic Read-Only.

    Note: Data in Epic Read-Only is current until the downtime begins. You can’t document or place orders in Epic
    Read-Only    . For more details, review the Planned Downtime Instructions.

     
     

    Providers Dictating Medical Records via Phone Dictation Line
    Upcoming Changes to Phone Dictation Line for Medical Records
    Effective Sunday, March 6

    Starting Sunday, March 6, the phone dictation line for medical records will switch to a new platform with our current system vendor, DeliverHealth. Note: This system is separate from dictation into Epic. Most of your current features and functionality will remain the same, with two notable exceptions.

    • To access the system, there’s a new 1-800 number you can dial, 833.569.2243. You may also continue to use 713.441.4211.
    • To end dictation, press 8, instead
      of 5. You will receive a confirmation number and can press * to have your confirmation number repeated.
     

    For additional instructions on using the phone dictation line, please review this tip sheet.

     

    Reminders

     
     
     

    Inpatient Providers
    In-Person, Instructor-Led Epic Refresher Course
    Now Available

    Learn more.
     
     
     

    Inpatient Providers
    IP Text Messaging Pilot a Success – Now Launching Systemwide

    Learn more.
     
     
     

    Neonatologists
    Use New Neonatal Lab Test for Band Count

    Learn more.
     

    Ways to Reach IT

     

    Physician Service Desk:

    • 832.667.5555
      • Press 1 for Epic/clinical workflows.
      • Press 2 for all other issues, such as computer/printer and
        non-clinical applications.
    • itsupport@houstonmethodist.org 

    IT Website for Physicians:

    • it.houstonmethodist.org/physicians/

    Telemedicine Resources and Training:

    • it.houstonmethodist.org/telemedicine-training
     
     

    Houston Methodist IT
    6565 Fannin Street, Houston, TX 77054

    © 2022 Houston Methodist. This material contains confidential and copyrighted information of Epic Systems Corporation.

    Unsubscribe