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HH 100 > The Structure of EpicCare Home Health > Flashcards

The Structure of EpicCare Home Health Flashcards

0
Q

Hyperspace

A

architecture that hosts all Epic’s applications

When patient admitted:

  • document demographic/clinical info
  • HH visits can be scheduled - Cadence
  • other tools POC Review / PPS Review
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1
Q

Three components

A
  1. Hyperspace
  2. Remote Client
  3. Server
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2
Q

Server

A

All applications

  • store data/retrieve data
  • info doc in Hyperspace/ Remote Client
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3
Q

Remote Client

A

HH laptop application

  • users must synchronize
  • transfer updated patient, IB, schedule data fr. laptop to server & vice versa
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4
Q

Typical Patient Care Cycle

A
  1. Admission & Registration
  2. Episode Creation
  3. Certification Periods & Home Visits
  4. Discharging the Patient
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5
Q

Admission and Registration

A

Every pt receiving HC must first be registered and admitted

Two Types of patients

  1. pts who are referred by MD w/in organization
  2. pts referred by an outside MD no access to Epic
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6
Q

Episode Creation

A

All HH patients have an episode created

Entire time a patient spends in HH care for a specific problem constitutes one episode

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7
Q

Episode

A
  • HH episode of clincal care
  • Certification period
  • Centers for Medicare and Medicaid Services (CMS) episode certification period
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8
Q

Certification Periods and Home Visits

A
  • episode can contain one or more certification periods
  • billing periods
  • recertification period has a 60-day duration
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9
Q

Discharging the Patient

A

Remote Client end users create a Discharge Assessment

  1. Close any open HH visits
  2. Remove pt from Remote Client
  3. Discharge pt from your agency
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10
Q

OASIS

A

Outcome and Assessment Information Set

  • your agency must fill out OASIS data every 60 days to recertify
  • assessments comprised of M-Codes
  • all assessments linked to certification periods
  • Start of Care assessment: require creation of new certification periods
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11
Q

Assessments (6)

A
  1. Start of Care (SOC)
  2. Transfer
  3. Resumption of Care (ROC)
  4. Recertification
  5. Significant Change in Condition (SCIC)
  6. Discharge
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12
Q

Start of Care Assessment

A
  • first assessment created for a patient
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13
Q

M-Codes (OASIS items)

A
  • contain fields to enter data correspond to CMS
    1. Patients name
    2. Who
    3. Date
    4. Reason - dx
    5. ADLs
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14
Q

Patient Care Plan

A
  • care plan represents the strategy being used to treat a patient
  • patient’s anticipated visits, problems, goals, treatments in the Care Plan task
  • one care plan can cover multiple certification periods/created for entire episode
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15
Q

Plan of Care (POC)

A
  • for every certification period, you will have corresponding Plan of Care
  • written order of treatment
  • signed by the physician
  • pulls data from the assessment, care plan, meds and durable medication equipment (DME)
  • Epic uses the 485 format
16
Q

Care Plan

A
  • umbrella over
  1. patient’s Plan of Care
  2. any collected assessment information
17
Q

Introduction to Hyperspace (Activities - modules)

A
  1. HH Intake
  2. Verbal Order Information Summary
  3. Plan of Care Review
  • used by end users in other Epic applications: IB, Chart Review, SnapShot, reporting/scheduling activities
18
Q

Getting Started with Hyperspace

A

architecture that hosts Epic’s integrated suite of products

  1. Register
  2. Schedule
  3. Document
  4. Bill
19
Q

Your Startup Activities - Foundation System

A

Cannot exit startup activities:

  1. Schedule
  2. Dashboards
  3. In Basket
20
Q

Hyperspace Toolbar

A
  • offers a way to get to most commonly used functions for particular role
  • each option on toolbar has icon
21
Q

Epic Button

A
  • tools used less frequently

- to reduce number of buttons on Hyperspace toolbar

22
Q

Patient Workspace and Activities

A
  • open pt’s scheduled appt
  • double click on appt slot on schedule
    New 2014: widescreen view (multi-column screen layout)
23
Q

Default activity for nurse

A

Rooming activity

- offers a table of contents

24
Q

Activity Toolbars

A
  • work in different activities while in patient’s workspace

- each offers activity-specific options

25
Q

Securing

A
  • bookmarking
  • only applies to Hyperspace
  • does not apply to Remote Client
26
Q

How do you open and use a SmartList

A
  • icon of 3 post its
27
Q

What does a wild card look like

A
  • 3 asterisks
28
Q

Few more steps to complete a workflow (3)

A
  1. associating the order with a dx
  2. documenting your notes
  3. closing the encounter

HH 100 (3 decks)

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