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This Week's Q&A
 

Question:
I want to use voice recognition software to do my dictation in Epic. Can I just buy my own copy and install it?

Answer:

Please, no. Save your money and your time. The Epic team is not able to support any questions or issues you may have with a non-network version of Dragon, and we cannot be certain the personal install of Dragon won't create software conflicts on your PC. We do not recommend and cannot support individual installs of Dragon on PC's.

The Epic team is working on setting up Dragon for widespread use by those who want it. We have a pilot planned for this winter with further rollout once we have the training and support worked out.(Source: Dr. Mike Geist

  

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PHMG in NBC News
Dexter Provider in Spotlight
PHMG's Mary Fey, family nurse practitioner in Dexter, was featured in the first story in NBC's series exploring the shortage of health care providers.

 Read NBC News article
PeaceHealth Physicians & Providers,

Dr. Howard Graman
We've heard you! Over the past month, we've received a growing amount of feedback on our new Epic system from providers and teams in the Oregon West Network (OWN).

Last week, Dr. Karen Sharpe and Kathleen Porter, from our PHMG System Executive Team, led a multi-disciplinary group of providers, medical assistants, nurses, managers, Epic educators and workflow experts in a three-day process to understand and quickly resolve some of the problems being experienced. Following are the key processes that were discussed:
  • rooming and huddles
  • patient scheduling
  • medication refills
  • referrals
  • PatientConnection
  • InBasket/Encounter types  
Nearly 50 providers and other caregivers engaged in this "rapid process improvement" (RPI) effort. What emerged is a robust, shared implementation plan developed with collaboration by frontline teams and system staff.

Fixes will take the form of additional education, job aids, support tools, workflow and system adjustments, and will be rolled out in OWN through the end of September. Key elements are being embedded in Epic education for future go-lives as well so that other networks benefit from this early work in Oregon.

The goal with this plan has been to support the most efficient ways for clinics to deliver high quality care while enhancing our caregivers' personal job satisfaction with clear and appropriate workload-sharing.

Thanks to everyone who devoted time and energy to this work. I'm continually impressed by our group's team spirit and willingness to make things better for their own patients and clinics as well as for those elsewhere in PeaceHealth.

We expect to use this rapid, focused approach more frequently. Such an openness to continued learning will serve us well.

If you have questions
or input on the RPI in Oregon, please talk to your clinic manager or contact Dr. Sharpe.

Marijuana Policy
PeaceHealth Updates Policy
Though there has been much discussion on marijuana laws across the country, federal law categorizes marijuana as an illegal substance and there have been no changes in the more global landscape.  As more information becomes available on related state laws, there are more questions from our patients about what that might mean in their care.  PeaceHealth has a system-wide policy that continues to address the role of the provider in the care of patients who may choose to use medical marijuana as a part of their pain management plan.

Here is a brief review of the policy requirements:

1. Physician providers may discuss with and advise qualifying patients about the potential
medical benefits and risks of using marijuana for the medical conditions being treated.

2. Physician providers may sign physician statements for qualifying patients on the form
provided by the applicable State about the patient's diagnoses and his/her medical opinion as
to the potential benefits of medical marijuana.

3. Providers may not write a prescription for or otherwise "order" medical marijuana.

4. Marijuana may not be used in any PeaceHealth facility or property, including PeaceHealth owned-vehicles, by patients, visitors or employees.

Please contact Terri Morris-Nichols with questions. 
 
Test Orders & Results in Epic
Best Practice Recommendations
Studies have shown that up to 7 percent of test results are not followed up on.  We've come a long way from the stacks of paper results which were easily misfiled.  In fact one of the advantages of moving to Epic is the ability to order all tests electronically.  This allows an alert to be generated to your inbox at 30 days if for some reason the patient fails to get the test done or the results do not come back to your inbox, providing a measure of safety to prevent lost or missing test results.  However, clinicians should still adhere to the following best practice recommendations to further promote patient safety and timely receipt of test results in Epic:

1.    Place all lab and imaging test orders electronically - don't use paper orders!
2.    Give the patient the NO NEWS MAY NOT BE GOOD NEWS brochure at the time of all Pap-smear collections.
3.    Ensure that the "specimen collection task" button is pushed for all clinic-collected specimens.
4.    Remind patients to call the office if they have not heard back about the results of tests they have had done within a specified interval.  

If you ordered a test in Epic, and cannot find the result in Epic, please report it through our incident command center: (541) 341-3200.

Questions?
Stephanie L. Jackson MD, FHM, System Patient Safety Officer, (541) 228-6425 sjackson@peacehealth.org
Mary Backus, Manager Epic Applications, (541) 335-2621 MBackus22@peacehealth.org

Need NO NEWS MAY NOT BE GOOD NEWS brochures?
Tim Strickland, Director of Communications, (360) 729-1483 TStrickland@peacehealth.org
PeaceHealth Medical Group
1115 SE 164th Ave., 2nd Floor | Vancouver, WA 98683  
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