Tuesday June 7, 2022 - Wave 3 is live on Epic!!

To Our Wave 3 Colleagues:

Welcome to Your First Week on Epic!

This newsletter will be your source for the most up-to-date "Live Site" Epic information, workflow updates, and tips sheets to be shared at staff meetings and huddles.

Epic Top 10 Issues

The Executive Committee's "Epic Top 10 at Noon" Go-Live issues and daily status report, as of 12 pm today, are available in the link above.

NOTE: Live sites may experience some unexpected hiccups

during the Wave 3 Go-Live period as we stabilize the Epic system.

Thank you in advance for your patience.

Wave 3 Epic Updates 

Diabetic Diet Name Changes

Please be advised that as of the Epic Wave 3 Go-Live (June 4):

• Calorie-controlled diets are replaced with Consistent CHO diets.
• The No Concentrated Sweets diet is omitted.
• There are no automatic snacks for patients with Consistent CHO diets.
• If your patient requires an evening snack or between-meal snack an order must be placed in Epic.

Spotlight on High Impact Workflow:

Discharge Process

Discharge Process

Today, we will take a closer look at the Discharge Process High Impact Workflow in Epic, and review the differences in the process between SCM and Epic.  

Overview of What Is Changing:

• Medication reconciliation is a provider-only responsibility in Epic.
• Nursing no longer has access to perform medication reconciliation with a provider via telephone.
• There are hard-stops in Epic during the discharge process that nursing needs to know about.
• The After Visit Summary (AVS) in Epic replaces the blank Discharge Instructions in SCM.
• Patient expiration (death) is now documented in the discharge process in Epic. 

How it Works:

In Epic, the following  must be completed to print the After Visit Summary (AVS):

• Discharge Med Rec (Completed by the provider)
• Discharge Order (Entered by the provider)
• Travel and Exposure Screening
• Vaccinations (If ordered, vaccinations must be given)
• Interpreter Use (If an interpreter is used, must be documented)
• NJ Caregiver

In addition to the hard stops listed above, all items in the Discharge Req Doc must be completed in order to print the AVS including:

• Care Planning
• Medication Infusion Volumes
• Four Eyes Skin Assessment
• MyChart Signup Discussed
• NJ UTF (if applicable)
• IP Patient Education
• Blood Transfusion Volume (if applicable)
• Note: There is some variation between specialty units such as NICU, L&D/Postpartum, and Psych. To understand more about those variants, access the playground and practice these discharge workflows by specialty. 

Overriding the AVS Hard Stops

Nurse managers can override the AVS hard stops if documentation is appropriately completed but not identified by Epic.

• This can be done by printing the AVS in a normal fashion as the nurse manager.
• This is monitored to identify misuse and trends in system breaks.

Discharging a Patient as Deceased

In the event you are discharging an expired patient, there is a dedicated Provider Navigator and Nursing Navigator where all required documentation elements are kept.

• Note that the discharge date and time must match the expiration date and time.
• Epic will not auto-populate the discharge date and time for you.
• If a patient expires while admitted, the deceased date and time must be documented before discharging from the census.
• This is entered by providers in a "Discharged as Deceased" tab in the Discharge Navigator.
• You cannot discharge a deceased patient in the future.
• You cannot discharge a patient before their admission date/time.

Learn More

Interested in learning more about the Discharge Process workflow in Epic? 

Learning Home Dashboard

Check out these Tip Sheets:

• IVs and LDAs
• Patient Expiration Workflow
• Patient Pass – Discharge Education

Press F1 to access your Learning Home Dashboard! 

NetLearning

View a video demonstration of the Discharge workflow. 

• Locate and assign the video demonstration to yourself using the "Learning Opportunities (Enroll)" button in NetLearning.
• To locate the recording for this change, search for "Change Management" and select the appropriate demonstration. 

Click here to access NetLearning

Reminders, Tips, & Tricks

Mark Patients for Merge

• Users who discover potential duplicate records can use the "Mark Patients for Merge" activity in Epic to notify data integrity staff conveniently and efficiently. This activity allows the records in question to appear in the "Patients Marked for Merge" Workqueue for data integrity specialists to review.
• For awareness: If a merge is confirmed to be appropriate, admitted patient's charts will not be merged until post-discharge to ensure data integrity.

Click here to view the Mark Patients for Merge Tip Sheet.

Recent Tip Sheets

This section will provide a list of the newest training tip sheets and videos. Check this every day to keep informed and guide you through your daily workflow.

The following new tip sheets are available: 

For a complete list of Tip Sheets, press F1 to access your Learning Home Dashboard.

How to "Get Help" With Epic

We have developed this handy one-page "Go-Live Help at a Glance" guide that will give you all the information you need to access help with Epic: 

Good Humor

Please submit your medical humor to DL-Epic-Communications.

• Confirm in the email if you would like your name featured as the submitter in a future Epic Advisor Newsletter.
• JPG/PNG image files and text jokes will be considered.

Medical Humor Community Guidelines -- Keep it:

• Clean (e.g., no curse words or overtly sexual content)
• Considerate (e.g., no marginalizing nor disparaging content)
• Corny
• Silly
• Hilarious

For more information about

Wave 3 Implementation,

visit our website at 

www.EpicTogetherNJ.org