EHR Questions?

Hospital Based Questions:

  • On-Site Support M-F 8:00am - 4pm
    • Direct Line 414.585.6288
  • Also available via Vocera:
    • Request "EHR Support"
      • CSM-M Vocera: 414.585.1995
      • CSM-O Vocera: 262.243.6707

Clinic Based Questions:

 

Hospital EHR Medical Staff Newsletters

For questions, comments, or suggestions regarding the EHR or this newsletter, please contact Dr. Suzanne Wilkerson directly:

Suzanne Wilkerson, MD
Medical Director Hospital Clinical Informatics
Phone: 414.326.2519  |  Pager: 414.557.6860
suzanne.wilkerson@ascension.org

2020 Newsletters

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March 2020

 March EHR Newsletter

 

Topics this edition

Page

DME - critical update regarding order placement

1

Tips for an Accurate Discharge Medication List

2

New - Staph Aureus Bacteremia PowerPlan, 3.4.20 

3

SHRI transition to Provider electronic documentation, 3.2.20

3

ECG Interpretation Smart Template, available now

3

Electronic Prescribing of Controlled Substances, Summer 2020

6

Local EHR Support

6

2019 Newsletters

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September 2019

 September EHR Newsletter

Topics this edition
Page
Cerner Upgrade, effective 9.24.19
1
2
Documentation and Discharge of Patients to Skilled Nursing Facilities, effective 10.1.19
2
Diabetes Education in Hospital and Post Discharge Planning
3
Citrix update may be required for Cerner Access on personal devices
4
Local EHR Support
4

July 2019

July 2019 EHR Newsletter

Topics this edition
Page
PowerNote Warfarin Auto text (dot phrase)
1
2
Enhancement of Discharge Summary PowerNote
2
2
Indwelling Urinary Catheter – Enhanced Alert, effective 8.6.19
3
Discharge/Depart Process for patients boarded in Emergency Department location
4
Local EHR Support
4

April 2019

 April 2019 EHR Newsletter

Topics this edition
Page
1
Changes to Consult Wound Ostomy Continence RN order
1
(formerly PICC Line Insertion Pre/Post – RN PICC Team), update Effective 4.16.19
2
Local EHR Support
3

March 2019

 March 2019 EHR Newsletter

Topics this edition
Page
Urinary Catheter Order Enhancement, Effective 3.12.19
1
2
Insulin Prescriptions
3
Communicable Disease Statement in PowerNote, effective 3.6.19
5
Reminder – ordering a lab Stat and recurrent
5
Local EHR Support
6

January 2019

January 2019 EHR Newsletter

Topics this edition
Page
Echocardiogram (Transthoracic) order change
1
2
New Potassium & Magnesium Supplementation Subphase 
2
New Skin/Soft Tissue Infection/Cellulitis Subphases
3
Reminder - Outside Records MPage
3
Reminder – Avoiding duplicate lab orders
3
Local EHR Support
3

 

2018 Newsletters

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November 2018

November 2018 EHR Newsletter

Topics this edition
Page
 
 
1
eRx destination on Depart Medication List, Effective 12.10.18
2
Local EHR Support
2

October 2018

October 2018 EHR Newsletter

Topics this edition
Page
 
 
Tips and Tricks – “Add On” Lab Order
1
Dietician Consult Alert, Effective 10.29.18
2
2
Urine Culture Clinical Decision Support, effective 10.29.18
3
Future Orders listed in Patient Discharge Summary, Effective 10.29.18
4
New Discontinue Video EEG Monitoring Order
4
5
New Sedation Assessment Scale for Opioid Administration, Effective 10.30.18
5
Local EHR Support
6

September 2018

 September EHR Newsletter

Topics this edition
Page
Home Oxygen and DME Order Enhancements, Effective 10.1.18
1
Outpatient Blood Product Transfusion Orders, Effective 10.4.18
1
Documenting Procedure History in the Postoperative Procedure Note
1
Medicare requires nebulizer medication Rx to have ICD10 Diagnosis code
2
Sleep Navigator
2
eRx Acetaminophen-Oxycodone combination
2
Erroneous cancellation of Problems on Problem List
3
Medication List on Patient Discharge contains Indication
3
Quick Pick Folder Available for Admission and other Standard PowerPlans
4
Local EHR Support
4

May 2018

 May 2018 EHR Newsletter

Topics this edition
Page
CPOE - Post Discharge Future Orders, Effective 5.29.18
1
New Acetaminophen Overdose PowerPlans, Effective 5.29.19
5
New Patient Status Change orders and alerts, Effective 5.29.18
6
New Order – Consult Neurointerventional Physician, Effective 5.21.18
6
Mallampati Score documentation added to Moderate Sedation PowerNote, Effective 5.29.18
7
Laboratory Utilization Alert – HSV Culture, Effective 5.24.18
7
Hospital Workflow Mpage, Effective 5.29.19
7
Venue Menu – Change in Placement of links for Orders and PowerNote, Effective 5.29.18
9
Local EHR Support
9

April 2018

 April 2018 EHR Newsletter

Topics this edition
ePrescribe and Removal of Electronic Signature on Printed Prescriptions, Effective 5.8.18
Patient List – Column Customization Option, Effective 5.8.18
HOPE (ePDMP) Alert – Update
In-House Support

March 2018

 March 2018 EHR Newsletter

Topics this edition include
Flow Sheet Abnormal Results Color Changes, Available now
Quick Sign On Computers – Remember to Sign Off
Changes to Patient List Columns, Effective 3.6.18
In-House Support

January 2018

 January 2018 EHR Newsletter

Topics this edition
Enhancement – Microbiology Viewer, Effective 2.6.18
Regulatory Reminder Tips and Tricks – Restraint Orders
Regulatory Reminder Tips and Tricks – Unsigned Orders
Enhancement Reminder  - Blood Bank Overview
Pharmacy Controlled Use PowerForm – Fentanyl Patch, Effective 2.6.17
Enhancement – Social History Sexual Orientation and Gender Identity, Effective 2.6.18
Outside Records – new support email for unmatched patients
In-House Support – Update regarding staffing change

2017 Newsletters

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December 2017

December 2017 EHR Newsletter

Topics this edition include
Alert – Therapeutic Duplication, 12.12.17
Alert – Missing Patient Status Order, 12.12.17
Update - External Records Access to Wheaton Epic
Code Status order enhancement, 12.12.17
PowerNote enhancement for “Restraint/Seclusion-Violent Behavior” template, 12.12.17
In-House Support – Update regarding staffing change

October 2017

October 2017 EHR Newsletter

Attached is the Hospital EHR Medical Staff Newsletter for October. 

It has one very important topic: Order/PowerPlan Changes to support TJC medication order compliance, Week of 10.30.17
 
It is critical that you thoroughly review this information as soon as possible as changes will be implemented in the EHR next week.
 
While these changes are meant to limit the manual work needed to comply with CSM policy and TJC guidelines, there will possibly be a learning curve for some. Default instructions for adhoc order sentences, PRN subphases, and PowerPlans were developed in cooperation with pharmacy, nursing, and physician staff. Ordering providers are always responsible for reviewing orders and adjusting based on a patient’s clinical situation and needs.
 
The design changes have been extremely extensive involving hundreds of PowerPlans and thousands of orders.  As always, if you find any of the new orders or PowerPlans are creating workflow issues, or it appears there has been a design error, do not hesitate to let me know so we can make necessary improvements accordingly.

September 2017

September 2017 EHR Newsletter

Attached is the Hospital EHR Medical Staff Newsletter for September.  Please carefully review both the newsletter and other attachments.

Topics this edition
External Records Access to Wheaton Epic, 10.3.17
Documents Folder Changes, 10.10.17
New Implant Scanning & Documentation Process, 9.26.17
In-House Support Reminder

August 2017

August 2017 EHR Newsletter

Topics this month

Titratable Infusion Order enhancements, 9.6.17
Code Status (Resuscitation) order enhancement, 9.6.17
Reminder - Pre-procedure H+P, Regulatory and Policy Requirements
External Records Access to Wheaton Epic – September (exact date TBD pending final testing)
PRBC Transfusion Order and Alert Enhancements, 9.7.17
Reminder - Pre-procedure H+P, Regulatory and Policy Requirements
Reminder - Resaving Favorite PowerPlans
Caution – Starting PowerNote Documentation early
In-House Support Reminder

July 2017

July EHR Newsletter_2nd Edition

2nd Edition Topics
 
 ‘Copy and Paste’ in EHR – use caution 
Nuance eScription Update 
PowerNote Correct Functionality Enhancement, 7.31.17 
“History and Physical Update” - New PowerNote Template, 7.24.17 
Restraint Orders Reminder
In-House Support Reminder
 
 
Topics this month
 
Unsigned Order Alert, Update
Auto-Text Functionality Enhancement, effective 7.11.17
PowerNote Template Enhancement, Moderate Sedation Pre-Assessment H+P, effective 7.10.17
Nuance eScription Update

In-House Support Reminder

June 2017

June EHR Newsletter

Topics this month
 
Unsigned Order Alert, 6.5.17
Controlled Substance Rx and the WI HOPE (Heroin, Opiate, Prevention, and Education) Law Alert, 6.6.17
In-House Support

April 2017

April EHR Newsletter

Topics this month

C. difficile testing, EHR Clinical Decision Support, Enhancement Effective 5.1.17
Quality Document Committee (QDC)

In-House Support

March 2017

March EHR Newsletter

Topics this month
 
C. difficile testing, EHR Clinical Decision Support, Effective 4.4.17
Controlled Substance Rx and the WI HOPE (Heroin, Opiate, Prevention, and Education) Law
Lab Recurrent Frequency Orders – duration requirement, Effective 4.4.17
Medical Unit Name Changes, Effective 3.28.17
Blood Bank Summary Page, Available 4.11.17
Blood Culture PowerPlan - Guidance, Effective 4.4.17
Vascular Imaging Ultrasound Order Name Changes, Effective 3.30.17
Reminder - TORB/VORB and avoidance of duplicate orders
In-House Support

 

January 2017

January EHR Newsletter

Topics this month
 
Patient Status Orders – Reminder and Order name change
PowerNote Enhancement – Quick link to Pathology Results
Perioperative Tracking Access (Effective 1.30.17)
Antibiotic Stewardship Alert:  Antibiotic Orders Without a Defined Stop Date (Effective 1.30.17)
Quick Pick Search for Diagnoses - Reminder
New “Medication Waste” Order (Effective 1.1.17)
In-House Support

November 2016

November EHR Newsletter

Topics this November
  • Denial Management and Patient Status/Admission Orders, 12.5.16
  • Culture Results Smart Template, 12.5.16
  • Plan for Enhanced Reciprocal EHR access between Wheaton and CSM
  • PowerNote Tip – use of underscore and F3 in pre-completed notes
  • In-House Support Reminder

 

October 2016

October EHR Newsletter

Topics this September

  • Diagnosis Type
  • Restricted Medication Powerforms
  • In-House Support Reminder

September 2016

September EHR Newsletter

Topics this September

  • In-House Support Reminder
  • Planned PowerPlans expire at 90 days – Reminder
  • Forwarding PowerNote documents – Reminder to use “Review”
  • Lab Utilization Alerts – 3 new additions
  • PowerNote Change: Copy/Forward of Chief Complaint will be unavailable
  • Lactic Acid Reflex order – Change
  • Diagnoses and Problems - Quick Search (Time saving tip!)

July 2016

July EHR Newsletter

Topics this July 

  • Full access to ECG Images starting 7.11.16
  • Tips/Tricks – Autotext in Depart Follow-up “comments” section
  • Laboratory Utilization Committee – Alert Updates for 7.11.16
  • Discharge Neonatal DME prescriptions, available 7.11.16
  • Radiology Orders – reason for exam field, reminder alert starting 7.11.16
  • In-House Support Reminder

June 2016

June EHR Newsletter

Topics this month

  • Tool Bar Link Improvements
  • Tips/Tricks - Identifying Erroneous Information in PowerNote
  • Autopopulation of PowerNotes – Take Caution
  • How to Correct PowerNote with Wrong Note Type, Title, or Date of Service
  • Urinalysis Orders - Reminder
  • In-House Support Reminder

May 2016

May EHR Newsletter

Topics this month

  • In-House Support Reminder
  • Hospital Progress Note Changes, 5.17.16
  • Stop Date/Time on prescriptions
  • Pain Management Protocol, 5.9.16
  • Undue Exposure to Radiation Initiative and Alert, 5.17.16
  • Downtime EHR May 16, 12:30-4:30 AM
  • EHR Maintenance and Sepsis Alert, 5.25.16
  • Tool Bar Link Improvements

April 2016

April EHR Newsletter

Topics this month
  • Sepsis Enhancements and Sepsis Risk Alert, 4.11.16
  • Lactic Acid Lab order alert, 4.11.16
  • Lab Clinical Decision Support Alerts – Coagulation tests, 4.11.16
  • Proper Use of Lab Order Collection Priority Choices (including recurrent frequency labs)
  • Echo reports
  • eRx Defect
  • In-House Support Reminder

March 2016

March EHR Newsletter

Topics this month
  • Insulin Sliding Scale Prescriptions @ Discharge, 3.9.16DME ordering process
  • Tips and Tricks – Adding Diagnoses and Problems with “Quick Search” and “Favorites”
  • In-House Support

February 2016

February EHR Newsletter

Topics this month

  • Sepsis, Lactic Acid, and the EHR
  • EHR Single-Sign-On remote access URL change, 2.18.16
  • Downtime for EHR Upgrade, 2.17.16 @ 23:30 until 2.18.16 @ 05:00
  • Easier PowerNote Corrections – Wrong Note Type or Date, 2.18.16
  • Medication Reconciliation – Icon Change, 2.18.16
  • Lab Utilization Alerts – CMP and BNP, 2.22.16
  • In-House Support Reminder

December 2015

December EHR Newsletter

Topics this month

  • VTE – prophylaxis and treatment
  • DME ordering process
  • UpToDate
  • In-House Support

November 2015

November EHR Newsletter

Topics this month
  • Multimedia Manager Tab
  • NPO order(s) enhancement (Effective 11/8/15)
  • Multimedia Manager Tab
  • Hospital Documentation – Wrong Note Type and/or Wrong Encounter
  • Sepsis Workflow and HER
  • Improved Cerner EHR Remote Access for PCs, Macs, Smart Phones, and Tablets
  • In-House Support

October 2015

October EHR Newsletter

Topics this month

  • "Progress Note" document type change to "Progress Note – Provider"
  • Reminder – Proper Order Process for Cardiac Monitoring
  • Hospital Discharge to Horizon Home Hospice, new Medication folder
  • In-House Support
  • Microbiology Report Results from Flowsheet

September 2015

September EHR Newsletter

Topics this month

  • ICD10 Related Updates
  • What to expect on/after 10.1.15
  • PowerNote
  • Documentation Queries – CDI Query vs. Coding Query  
  • Expansion of Electronic Coding Queries beyond hospitalists and ED, 9.8.15
  • Informational Updates
  • Change to Lab Order Detail
  • PowerNote Update – “Hospital Progress Note” template
  • Holding Future Medication order, 9.16.15
  • In-house Support Reminder

August 2015

August EHR Newsletter

Topics this month
  • Critical Updates
  • PathNet Migration for lab, August 16th (see also additional attachments)
  • ICD10 PTE (Physician Transition Early), August 25th
  • Patient Discharge Medication List Changes, September 1st
Informational Updates
  • Ascension contract changes - Lexicomp replacing Micromedex
  • Improved access to UpToDate, August 25th
  • Procedure List – Invision interface inactivation
  • Primary Care Provider in Banner Bar
  • In-house Support Reminder

March 2015

March EHR Newsletter

Topics this month
  • Improved Cerner EHR Remote Access for PCs, Macs, Smart Phones, and Tablets, available now.
  • Enhanced Process for Ordering Home Oxygen, effective 3-26-15
  • Enhanced Discharge Summary and Death Summary PowerNote Templates, effective 3-26-15
  • Hospital MVD (Managed Virtual Desktop) Update, Pilot starts 3-30-15
  • Survey Results
  • In-house Support Reminder

February 2015

February EHR Newsletter

Topics this month

  • Survey
  • Discharge Order Changes – Good News!
  • Reminder – Accurate Depart Follow-up information critical to a safe patient discharge
  • PowerNote Mandate Reminder
  • History and Physical Update with autotext available 2-10-15
  • Enhanced User Access to EHR from home
  • Enhanced User Access to EHR in the hospital with MVD (Managed Virtual Desktop)
  • Password Changes
  • In House Real Time Support Reminder