Lesson 7

Question 1

Richard is a middle-aged man with chronic conditions including diabetes, hypertension, and hyperlipidemia. He has an appointment today in EMC Family Medicine with Dr. Pat for a diabetes follow-up and to get advice
on his back pain and bunions on his feet.
1. What information might Dr. Pat want to review before seeing Richard?
2. During the visit, what previous information might a patient like Richard ask about?
3. Imagine that time passes and Richard is seeing a specialist for his bunions. What might that specialist want to review?

Answer 1

• Previous progress notes, date of last follow-up, lab results, weight, meds, etc.
• Weight and blood pressure over time, etc.
• Progress notes from visits with Dr. Pat regarding the foot pain

Question 2

You want to view all visits that Dr. Ness had with Sally for which the encounter diagnoses was sinusitis.

Part I: Where should you do this? (Select one.)
A) Chart Review, Encounters tab
B) Chart Review, SnapShot tab
C) Synopsis

Part II: True or False: It is possible to filter on diagnosis and provider.

Answer 2

A) Chart Review, Encounters tab

True

Question 3

Richard calls to inquire about his most recent TSH lab test. Which of the following is the least number of steps to get that information?
(Select one.)
A) Use Synopsis.
B) Use Results Review.
C) Use the Lab tab in Chart Review to view an order report.

Answer 3

C) Use the Lab tab in Chart Review to view an order report.

Question 4

With Chart Search, you can: (Select one.)
A) Look up patient’s charts by name or birth-date.
B) Summon information in a patient’s chart that appears in one spot.
C) Filter on encounters on the Encounters tab.

Answer 4

B) Summon information in a patient’s chart that appears in one spot.

Question 5

In SnapShot, a nurse sees five buttons at the top.

True or False: The nurse has only those five reports available.

Answer 5

False

Question 6

Dr. Mica wants to see if changes in diabetic medications over the past two years have affected Richard’s A1c test levels. Which review tool can show this information? (Select one.)
A) Synopsis
B) Results Review
C) Chart Review

Answer 6

A) Synopsis

Question 7

Which of the following is/are possible in a Synopsis patient spotlight?
(Choose all that apply.)
A) One spotlight can be assigned to multiple patients.
B) A spotlight created for a patient is available across all Synopsis views for only that patient.
C) A user who creates a spotlight can share it with other users.

Answer 7

B) A spotlight created for a patient is available across all Synopsis views for only that patient.

Question 8

Define SnapShot

Answer 8

Use SnapShot to review key patient demographic and clinical information, such as the patient’s problem list and current medications list. It also serves as a hub to
go to other activities because many of the SnapShot section headings are links.

Activity or report that shows a quick overview of patient data, such as the problem list, medications, allergies, and comments. Users might have access to SnapShot as a stand-alone activity, a SnapShot tab in the Chart Review activity, or SnapShot reports in the Patient Summary activity.

Question 9

Define Chart Review

Answer 9

Activity where you can review reports about a patient’s encounters, labs, imaging orders, procedures, medications, and more.

Chart Review (also sometimes named Review) is an activity in which users can see a patient’s past encounters, lab results, notes, and other parts of a patient’s history. They can also apply filters to quickly find information.

Question 10

Define Chart Search

Answer 10

A tool that appears as a text box in the upper-right corner of Hyperspace. It allows you to search through a patient’s chart for any occurrence of a term. It can also open all activities and tools contained within the Epic button menu.

Question 11

Define Synopsis

Answer 11

Synopsis can display a large amount of varying types of clinical data in one view, tracked over time. For example, you can analyze information about vitals,
medications, labs, procedures, and other data relating to patient care in one Synopsis view. Specialty-based Synopsis views are often based on a health problem.

An activity from which a large amount of patient data can be seen at once, including vitals, medications, procedures, etc. It can be configured to show different time frames or to graph the information for easier use.

Question 12

Define Results Review

Answer 12

Results Review displays results in groupings specified by your organization. Use it to quickly access all types of results (as opposed to only labs, for example),
choose to “view all” or hand-select what to view, narrow the focus to abnormal or flagged results, and easily view the details of a single result.

The Results Review activity shows a summary of a patient’s results organized into groups. Clinicians can select a single result to view more details or view results over different time intervals.

Question 13

Define Growth Chart

Answer 13

Growth Chart is an activity in which a patient’s recorded values for height and weight are used to plot values on various types of growth charts. Clinicians use growth charts for seeing pediatric patients’ annual visits or visits for which there is concern about weight or growth.

Question 14

Why does a clinician want to use Chart Search?

Answer 14

Clinicians use it to review “hand-selected” items in the chart. For example, specialists use it before a consult visit to read the primary care provider’s progress notes for a referred patient, in order to know about past assessments and treatments.

Question 15

Why does a clinician want to use SnapShot?

Answer 15

Clinicians use it for a quick, specialty-based patient overview (“10,000-foot view”).

Question 16

Why does a clinician want to use Chart Review?

Answer 16

Use it to review “hand-selected” items in the chart. For example, specialists use it before a consult visit to read the primary care provider’s progress notes for a referred patient, in order to know about past assessments and treatments.

Question 17

Why does a clinician want to use Results Review?

Answer 17

Clinicians use it to view a variety of results over an extended period of time and to specifically choose what collection of result data to view.

Clinicians can select a single result to view more details or view results over different time intervals.

Question 18

Why does a clinician want to use Synopsis?

Answer 18

Clinicians use it to view different types of patient information in one place, especially when looking for trending or the effect of treatments. For example, you could see whether a certain medication had affected a patient’s blood pressure over time.

Question 19

Why does a clinician want to use Growth Chart?

Answer 19

Clinicians use growth charts for seeing pediatric patients’ annual visits or visits for which there is concern about weight or growth.

Question 20

When to use Chart Review’s Encounters tab versus Notes tab

Answer 20

Encounters Tab:
The reports on the Encounters tab include all relevant documentation from office visits, phone calls, consults, hospital admissions, etc. including all notes.
Notes Tab:
This tab shows all types of notes, including progress notes, H&P (history and physical) notes, and clinical notes from hospital stays.

Question 21

Why do administrators set up default filters on tabs in Chart Review?

Answer 21

To be able to access information about a patient a lot quicker.