Lesson 10 Flashcards
True or False: Only registration and scheduling staff can run queries for outside records.
False
The Documents tab in the Care Everywhere activity is similar to: (Select one.) A) Labs tab in Chart Review B) SnapShot tab in Chart Review C) Encounters tab in Chart Review D) Notes activity
C) Encounters tab in Chart Review
True or False: On the Care Everywhere activity’s Lab Results tab, the data shows only outside lab data.
True
In the \_\_\_\_\_\_\_\_\_\_\_\_\_ activity, you can file medications from a patient’s outside chart into his local chart. (Select one.) A) Request Outside Records B) Care Everywhere C) Reconcile Outside Information D) None of the above
C) Reconcile Outside Information
Define Care Everywhere (CE)
Care Everywhere (CE), Epic’s interoperability platform, is used for exchanging patient data with other healthcare institutions that use an EMR. Organizations are using CE to exchange over 1.25 million patient records daily with other healthcare providers and government agencies such as the Department of Veteran Affairs, the Social Security Administration, and the Department of Defense. Information can be exchanged directly between standards-compliant EHR systems or with the help of Health Information Exchanges (HIEs) and Health Information Service Providers (HISPs).
Define Request Outside Records activity
A Care Everywhere query is a request to view a patient’s “outside” records. Care Everywhere can be configured to automatically query when any of these
events occur when a patient is checked in for a scheduled or walk-in appointment; a patient is arrived to the ED; an ED event or action occurs for a patient; or a patient is admitted to an inpatient stay. Epic recommends that queries occur as soon as possible, for example, during check-in. Regardless, your clinical staff should know how to run a query.
Define Care Everywhere actvivity
If Care Everywhere information is already available when you open a patient’s chart, this activity will appear as part of your tabs on the left.
For example, if front desk staff had already performed the query, we could access this information here.
After submitting a query, the View Chart button brings you here as well, as you just saw.
Define Reconcile Outside Information activity
Clinicians can incorporate information from the following outside sources in the Reconcile Outside Information activity:
- Other organizations. The activity can show allergies, medications, problems, and immunizations received from other organizations and
immunizations from registries that your organization interfaces with.
- Patients using MyChart or Lucy. The activity can show allergies, medications, and problems that patients enter using either application.
- Pharmacies and pharmacy benefit managers using e-prescribing. The
activity can show medication dispense history information from pharmacies and pharmacy benefit managers that are part of the Surescripts
Network.
After your organization receives the patient’s information, physicians can review it and reconcile discrete allergies, medications, problems, and immunizations in CE documents with information in the patient’s local Epic chart.
Distinguish the purposes of the Care Everywhere and Reconcile Outside Information activities
A Care Everywhere query is a request to view a patient’s outside records. Ideally done prior to the patient being seen. Queries are typically done by non-clinical support staff, such as front desk or registration staff. Clinical staff should know how to run a query, if necessary.
When data is available for you to reconcile, links to the Reconcile Outside Info activity appear in several places:
- Care Everywhere > Summary tab
- Reports (SnapShot, sidebar)
- Rooming activity
- Various other activities (Allergies, Medications, -Problems, Immunizations)
When you click a link to reconcile information, we’re taken to the Reconcile Outside Info activity, where we can start updating the patient’s information.
The information that is displayed in the Reconcile Outside Info activity can come from a number of sources including Care Everywhere, MyChart patient-entered information, Surescripts, or state immunization registries.
Distinguish the purposes of the Summary and Documents tabs in the Care Everywhere activity
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The benefit of reconciling outside information
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In the Reconcile Outside Information activity, which four types of information can be copied from the outside chart to the local patient chart?
Allergies, medications, problems, and immunizations
True or False: The lab results in the Care Everywhere activity are a combination of outside and local results for this patient.
False (only outside)
Which is the first step in the process of requesting outside records?
A) Use the Reconcile Outside Info activity
B) Perform a query (Request Outside Info activity)
C) Review outside documents (Care Everywhere activity)
B) Perform a query (Request Outside Info activity)
