POP350 - Chapter 2 Flowsheets Flashcards
Learn basics of Healthy Planet
What are the two important things that analytics registries do within Epic?
- Define a general patient population.
- Define a specific patient popluation.
- Collect relevant data about a general population
- Collect relevant data about a specific population.
2 and 4
T of F
Analytics registries are the tool within Epic that you set up to identify specific patient populations and aggregate data about that population.
True
T or F
Care Managers use Reporting Workbench to review information about high risk patients.
True
During a phone call with a patient a Care Manager might do which of the following:
- Review patient information
- Record symptoms the patient may be experiencing
- Documents the session
- Add herself to the patient’s Care Team
1 and 2
2 and 4
All of the above
All of the above
Data scientists and developers at Epic use patient data from across the Epic community to develop statistical models predicting specific events.
This is the term for:
- Risk or Care Scores
- Cognitive Computing Models
- Risk Averse Modeling
- Global Warming
- Cognitive Computing Models
Models developed by other organizations or published in the medical literature are called:
- Cognitive Computing Models
- Care Training Models
- Risk or Care Scores
- Risk Training Models
- Risk or Care Scores
Which of the following is true:
- Only Risk Scores are incorporated into clinician’s workflows and reporting tools.
- Only Coginitive Computing models are incorporated into clinician’s workflows and reporting tools.
- Neither Risk Scores or Cognitive Computing Models are used in clinician’s workflows.
- Both Risk Scores and Cognitive Computing Models are incorporated into clinician’s workflows and reporting tools.
- Both Risk Scores and Cognitive Computing Models are incorporated into clinician’s workflows and reporting tools
During case creation, you can do which of the following:
- Assign only specific users to the case
- Assign only a pool to the case.
- Assign specific users or a pool to the case.
- Cases cannot be assigned in this way.
- Assign specific users or a pool to the case.
T or F
When a clinician adds herself to a case she also needs to add herself to the patient’s care team.
False. The system automatically adds a clinician to the patient’s care team when she adds herself to a case.
Which of the following is true concerning review dates?
- The next review date always applies to everyone assigned to the case
- Each person assigned to the case can be assigned their own next review dates.
- Each person assigned to the case can be assigned their own next review dates.
When a case is created, the system automatically creates an _______ of ____ for the case.
Episode of Care
T or F
Outreach encounters are sometimes linked to the episode of care.
False. Outreach encounters are always linked to the episode of care.
A forward-facing summary of a patient’s current treatment and plans is called a:
- Short-term action plan of care.
- Medium-term decision spreadsheet
- Longitudinal plan of care
- None of the above
- Longitudinal plan of care.
T or F
LPOC is used mainly by doctor’s so Care Managers rarely see/use the LPOC.
False. The LPOC is the default view (for Care Managers) of the patient’s chart in patient outreach encounters.
T or F
The LPOC can be shared with a patient via the AVS in MyChart
True.
Other clinicians can find the LPOC by which of the following ways:
- Chart Review > Help Desk Reports
- Chart Review > Patient Care > Patiet Reports
- Chart Review > Snapshot
- Chart Review > Care Management Reports
- Chart Review > Snapshot
T or F
The LPOC can contain data from other organizations
True. Care Everywhere allows this.
T or F
There is no way to distinguish outside data from internal data
False. The Care Everywhere symbol is used to indicate outside data in the chart.
Including external data in the longitudinal plan of care is part of Epic’s design philosophy called _____ ________.
Happy Together.
Which of the following statements is true?
- Happy together allows you to see only clinical data from outside sources.
- Happy Together allows you to see only imaging data from outside sources.
- Happy Together allows you to see clinical data and images from outside organizations.
- Happy Together allows you to see clinical data and simple images like x-rays.
- Happy Together allows you to see clinical data and images from outside organizations.
SDOH stands for ______ ____________ of ______
Social Determinants of Health
Social and environmental factors that affect patient’s health status are called ____________.
Social Determinants of Health.
End users can customize the list of activities available to them on a:
- Per patient basis
- Per episode basis
- Per encounter-type basis
- Per visit type basis
- Per encounter-type basis.
T or F
A patient-centric approach allows a Care Manager to focus on the care of the patient related to the patient’s most serious condtion.
False.
A patient-centric approach focuses on all the patient’s necessary care at once.
In the Call Initiation activity the care manager can do which of the following?
- Update the patient care team
- Specify if he wants to receive automatic notifications for lab results or hospitalizations.
- Sign the patient up for MyChart
- Edit the patient care coordination note.
- All of the above.
1, 2, 4
- Update the patient care team
- Specify if he wants to receive automatic notifications for lab results or hospitalizations
- Edit the patient care coordination note
Which is the correct path for Call Documentation?
- Contacts > Call Initiation > Outgoing Call
- Call Initiation > Contacts > Outgoing Call
- Outgoing Call > Contacts > Call Initiation
- Contacs > Outgoing Call > Call Intiation
- Call Initiation > Contacts > Outgoing Call
T or F
Care Team Members are automaticall notified of a new Hospital Admission.
False. The care manager must be added to the patient’s care team and the Admissions Notification has to be set to Yes.
To find high-risk patients, care managers run a _________ _________ report from their _________
Reporting Workbench
dashboard
T or F
Case Types can determine how often a case should be reviewed.
True
When a care manager creates a case the system automatically creates an _______ of ____.
Episode of Care
Which of the following is not an example of discrete data?
Database Record
Free Text Comments
Outreach Topic
Free Text Comments
The ____ __________ _________ is designed to be the one place where care managers can see relevant information pertaining to the patient.
Care Management Navigator
The Care Management Navigator promotes a _______ _______ approach
Patient-centered
The main tools built into the Care Manager’s navigator to capture discrete data are:
(Pick One) A. Sub-navigators B. Questionnaires C. Widgets D. Flowsheets
Answer: Flowsheets
Which of the following are true about assessments?
A. They are usually completed with the patient.
B. Assessment data is important for reporting and analytics.
C. Assessments can be general.
D. Assesments are never condition specific.
A, B, and C are true.
Different assessments appear for the care manager to complete based on the ________ _________ of the patient.
registry membership
SDOH stands for:
Social Determinants of Health
Name the ten clinically validated assessments that Epic has integrated into the system.
Alcohol Use Depression Financial Resource Strain Food Insecurity Intimate Partner Violence Physical Activity Social Connections Stress Tobacco Use Transportation Needs
The PHQ9 is used to document which of the following:
A. Intimate partner violence
B. Tobacco Use
C. Depression
D. Exercise
C. Depression
__________ are one of the most commonly used documentation tools in Epic.
Flowsheets
Which of the following providers and staff might use flowsheets?
A. Physicians B. Care Managers C. Support Staff D. Nurses E. All of the above F. None of the above
E. All of the above
T or F
Data entered into a flowsheet is usually free text.
False. It is discrete data.
T or F
Discrete data from flowsheets can populate other activities for clinical and reporting purposes.
True
T or F
Flowsheet setup only allows the user to view the current flowsheet data.
False. A profile setting can be put in place that allows the user to view previous encounters so the user can compare old and new values.
Flowsheets are made up of three distinct parts. What are they?
Template
Row
Group
The master file for a Flowsheet Row is:
FLO
The master file for a Flowsheet Group is:
FLO
The master file for a Flowsheet Template is:
FLT
T or F
Flowsheet Groups and Rows are both built in the FLO master file.
True
T or F
Flowsheet Groups are assigned a type that dictates what information can be entered.
T
T or F
Flowsheet Rows are assigned a template that dictates what information can be entered.
False. Like groups, Flowsheet Rows are assigned a type that dictates what information can be entered.
Where are flowsheets built?
- Hyperspace
- Text
- Madison, Wisconsin
Hyperspace
Flowsheets are composed of:
A. Rows B. Rows and columns C. Data D. Rows, columns and data E. None of the above
Rows
T or F
Each row in a flowsheet allows up to 5 specific types of data entry.
False. Each row allows one specific type of data.
Information filed in flowsheets is specific to the _____.
Visit
T or F
Flowsheets can record only one set of readings during a visit
False. Flowsheets can be set up to record multiple readings during a single visit.
Flowsheets can be accessed by which of the following ways:
A. Going to the Chart Review screen and selecting the Flowsheet tab.
B. Going to the Flowsheet Activity
C. Clicking the Flowsheet name in the navigator
B and C
Data collected in flowsheets can be retrieved and reviewed using which of the following tools:
A. Print Groups B. Reporting Workbench Reports C. Clarity Reports D. A and B E. B and C F. A, B, and C
F. A, B, and C
T or F
Review Flowsheets display data from the same flowsheets across multiple visits.
True
T or F
Review flowsheets can only display data from the same flowsheets across multiple related visits (as in an Episode of Care)
False. Review Flowsheets can even display data from unrelated visits.
T or F
When specific flowsheet rows are used by more than one type of provider the system will only show the information entered by the same type(s) of providers.
False. All data from all providers is displayed side-by-side when reviewed.
_________ allows rows to be expanded based on values entered into the flowsheet rows.
Cascading
A flowsheet is the right tool if (pick one):
A. Including the data elsewhere in the chart is desirable
B. You want Note text to be automatically generated as you document values.
C. You need to capture Patient-level data.
A. Including the data elsewhere in the chart is desirable.
SmartForm or Flowsheet:
You need to capture Patient-level data.
SmartForm
SmartForm or Flowsheet
You need to track the data easily across encounters for reporting
Flowsheet
SmartForm or Flowsheet
You want/need more flexible formatting options
SmartForm
SmartForm or Flowsheet
You want note text to be automatically generated as you document values
SmartForm
SmartForm or Flowsheet
The data should appear in tables for data entry or in outgoing letters
Flowsheet
Flowsheets capture which type of data?
A. Patient-level data B. Visit-level data C. Department-level data D. A and B E. B and C
B. Visit-Level data
In which field do you define the data format?
A. Data field
B. Value type field
C. Generic info field
D. Either A or B
B. The Value type field is where you define the data format.
T or F
The “allow copy forward” setting allows users to copy forward previous documentation into another flowsheet row for that encounter.
True
T or F
Flowsheet Data can be copied across encounters if the “allow copy forward” setting is marked Yes
False. The “cross encounter” setting must be set to yes to allow flowsheet data to copy across encounters.
Two useful fields for flowsheets that will be used in a navigator are:
A. Sync on exit
B. Display all list choices in Navigator
C. Show all data modes
D. Show abbreviation
B. Display all list choices in Navigator
D. Show abbreviation
T or F
The “show abbreviation” setting controls what appears on the buttons and can be thought of as “show ONLY abbreviation” because there are no other choices when this setting is selected.
True
T or F
The “display all list choices in Navigator” setting allows one line of buttons with the rest appearing under the magnifying glass.
False. All buttons will show if this field is enabled.
T or F
Flowsheet records are available for use only after they have been released.
False. Flowsheet records are available for use even though they are not released.
Which of the following are true?
A. Buttons are automatically sized based on the length of the word/choice being selected.
B. Buttons are all the same width
C. There is a setting that allows for sizing the button width based on the choice.
C. There is a setting. It’s “size the button width to each choice”
For a Custom Formula to work properly you must use _______ to delimit your row IDs.
- Parentheses
- Brackets
- Braces
- Roman Numerals
- Braces
T or F
In a custom formula row, you should separate numeric operators and variables with a space.
False. Do not use spaces in Custom formulas. Braces, no Spaces!
Which one of the following allows less clutter and more streamlined documentation:
A. Standard Documentation Flowsheet
B. Cascading Documentation Flowsheet
C. Streamlined Documentation Flowsheet
D. Modified Documentation Flowsheet
B. Cascading Documentation Flowsheet
“Start Removed” refers to what?
A. Removing a flowsheet from a Navigator if the user does not have the proper security setting(s).
B. Removing a flowsheet from the flowsheet activity when the provider is pre-charting.
C. Hiding a flowsheet row when a flowsheet is first opened and allowing the row to “cascade”.
C. Hiding a flowsheet row when a flowsheet is first opened and allowing the row to “cascade”.
If you use a custom list for cascading and a value also has an abbreviation, which item does the logic look at when deciding to cascade?
A. The actual value
B. The abbreviation
C. Neither item. This is set at a higher level.
B. The abbreviation
