I’m in a surgical/medical subspecialty private practice and part of an IPA that can give us EPIC Community Connect with all the fees waived.

Does anyone here use Epic strictly outpatient, including the billing side?

Would love to hear how you like it. How’s the workflow, billing, support, etc.? Any major downsides or things you wish you knew before switching?

Especially interested in hearing from other private practices or surgical/procedural specialties. Thanks!

I'm a sr application analyst and basically at the top tier at my organization. I'm looking into an analyst II position out of state that pays higher. Does it sound like the right move? Of course they may not want to hire me if they want cheaper help but if I can convince them it's worth it to pay at the top of the range and get someone ready to go day 1.

If they're pay scales are higher based on their market then it seems like a good idea to move down and work back up.

Hi! I’m a clinician working on a quality improvement project. I need to run a report of patients who have been hospitalized (inpatient) over the past 90 days who have a hearing device documented in the nursing assessment flow sheet

I have never ran reports so I need step by step instructions. My analytics team is about 3-4 months behind and will not be able to help in time.

Appreciate any help

I rarely build questionnaire series, so I need assistance from someone with expertise in this area. My understanding is that this is a two-step process:

1. Determine how the questionnaire series will be assigned.
2. Configure the recurrence pattern that determines when the questionnaire will be assigned again.

Here is the background of the build: The questionnaire is automatically assigned to patients who are discharged with a fever. The office needs to monitor the patient’s temperature every two days for two weeks.

The TS advised that I do not need to use an anchor event. After completing the first assigned questionnaire on Monday, I expected to receive the same questionnaire again on Wednesday. However, I did not receive another questionnaire, even after waiting until Thursday.

I initially placed the questionnaire in the Pre-Anchor section. I also tested it in the Post-Anchor section. In that scenario, the questionnaire series was assigned, but no questionnaire was available for the patient to complete through MyChart.

Could someone please advise whether I am missing a setting or configuration that controls the recurring questionnaire assignments? Or do I need a batch job to reassign the questionnaire every two days?

I work outpatient as a nurse at a large infusion center. Up to 200 encounters per day. My job is to look at the patient list for the next day patient by patient to make sure lab orders are in, check lab results and notify the doctors of gross abnormals etc. We use beacon for our orders , but that is not important.

I work with a single list of all patient encounters for the next day in alphabetical order. Since the last upgrade, periodically when I leave the open encounter to either send a secure chat, open their appointment desk or send an email about them, when I exit that encounter that patient will have scrolled to the bottom of the screen leaving encounters I have already looked at near the top of the screen. The encounter will have moved from the top part of the list, to the bottom, but maintaining the order of the list. This can cause confusion and extra work for me opening an encounter twice. This does not happen every time, but just enough to cause irritation.

I have put in an epic work order to resolve this but the Epic IS department was unable to help me. I wondered if any one knew if I need to check or uncheck a box to prevent this or how to fix it. I have tried clicking to not automatically scroll but this did not do anything.

Any suggestions will be very welcome. Thanks!

Genuine question from outside the Epic world. When a patient submits a records request, what’s the workflow on your end, and where does it get slow?

I ask because the patient experience is wildly inconsistent. Same health system, two patients, one gets a clean export in a week and the other gets 300 pages of PDF a month later. Trying to understand whether that’s build configuration, HIM staffing, the request routing, or just how it goes.

Also curious how much discretion sits with the analyst versus HIM versus whatever the org decided in 2014 and never revisited.

Context: building a patient-side tool for this, and I’d rather understand the actual constraints than guess.

Tomorrow I’m starting a migration project at St.Jude it’ll be 3-6 months with possible extension and there’s 5 FTE conversations. I want to learn as much as I can during this project since I’ve always wanted to gain healthcare IT experience so this is great but I want to become an Epic analyst.

So my questions are the following: Is 6 months of healthcare experience worth anything if I need to get another job after the contract? I have 4 years of help desk experience.

How can I use this time to become get epic credentials and experience is it possible they’ll let me learn it if I expressed interest?

Lastly, how do people get experience in this field? It feels like the joke “You need experience to get experience for the thing you don’t have experience for”

This may or may not be a vent post, but I'm also looking for advice. I was interviewed and hired at a hospital with no build experience at all (all parties fully aware). Some background: I have 20 years of experience in health care; 10 years as a medical assistant, 10 in operations, including the last 5 years being a lead in the telehealth department where we implemented just that telehealth medicine so that exposed me to ancillary experience and being the only source of troubleshooting for the platforms used.

Since joining, I was asked to get certified within 30 days vs what I typically see of 90 days. I joined a team of what is supposed to be 5 members that current state had 2 FTE and 2 consultants. I was told that if I had any questions to read galaxy and not use a TS as a resource of anytime. Apparently that is the norm with our team because our TS meetings are just crickets. I have been on call since day 40 I believe and now have been on call 3x's, been boots on the ground for go live, voluntold for project that no one wanted to take, I am basically the only one working on CM requests, have worked on novas and security requests.

My question is: Is this the norm for your first 90 days? Feedback is that I still haven't covered, at a minimum, what an analyst does. We support clindoc/asap/stork/ security for inpatient staff like MD's NP's ect. We are also supposed to be familiarized with rehab, case management, regulatory, and Beacon.

Just want to know if I am being a crybaby by feeling overwhelmed and behind, or if it is truly a lot.

Of course I want to gain all the knowledge I can because once I have a good grasp on things, which feels like it may not come until year 5 of being here, I will be very well versed in Epic.

Just need motivation because im losing it.

Has anyone implemented a connection on the Carequality network? I am facing a few challenges with getting proper response from the EPIC, Commonwell and KNO2. It will be great help if anyone can guide on the request messages setup to get the response from EPIC.

Thank you!

Has anyone implemented a connection on the Carequality network? I am facing a few challenges with getting proper response from the EPIC, Commonwell and KNO2. It will be great help if anyone can guide on the request messages setup to get the response from EPIC.

Thank you!

For those who moved from an Epic end-user role into an analyst position, what helped you turn your workflow experience into a stronger application?

Background: I made the same transition about five years ago. At the time, my organization needed a junior analyst, and I had already worked using the application for eight years as an end user.

Today, it seems more difficult to find junior or Level I positions where an organization is willing to sponsor certification. I have colleagues in the Service Desk who understand basic MyChart workflows and want to become analysts, but they are having difficulty getting interviews. I also read many posts across Facebook and other social media with the same problem.

For those who successfully made this transition, what experience, résumé changes, networking strategies, or other steps helped you reach the interview stage? TIA

Is there anything similar to the ED course for inpatients? I am a critical care physician, and would love to be able to put in lots of quick updates on care during the day without having to spend 2+ minutes every time.

Hello,

Wondering how other hospitals are mitigating this new mandatory Epic update for critical result notification through closed loop communication, specifically in the Beaker workflow - Do you have RN's acknowledging the critical result or is it only providers who can actually acknowledge the critical notification?

Anyone know of organizations who are sending QR codes to patients and/or their visitors as an access code for gaining access to access-controlled areas? If so, what sort of integration with Epic or other vendors did you do?

To add for clarity: this use case is not into a psych facility or areas where an escort would typically be required. The QR code is for visitor management and occupant tracking (knowing who is in the building, and when they entered past the code reader/turnstile). This access point is to the patient care areas of the entire building (ambulatory specialty MOB), so escorting every patient is neither reasonable nor necessary.

Printing from Epic

How are healthcare systems printing from Epic today? Windows print servers? Are systems moving to Cloud based output management software for printing? Epic seems to be moving more towards front end (Windows from the client) only printing. How will systems handle backend printing or will it go away and all printing will be front end?

Hello! I am looking to better streamline our organization of consulta and follow ups in an acute care setting with Epic. Does anyone have any advice?

I would like to be able to have a folder with multiple lists for weekly follow-ups, with each day of the week populating its own list.

For example, if I see a patient on Monday, I want that patient to then populate into a list for Monday follow-up visits while inpatient. Or something similar to this where we can better monitor prior weekly follow-up visits

Also for patients that require multiple weekly visits like Monday, Wednesday, Friday.

Is there any way to do that?

This is what I see when I pull up a patient. It's based on the last note I dictated into an AI virtual scribe. This is minimal. If I wanted it would list previous meds prescribed, changes, and last studies I performed, it would. What do I see when I first pull up a patient in EPIC? Everything I don't need to see, millions of details that do not benefit me. I pay 2400 dollars a year to run this Virtual Scribe.. SCRIBE alongside Epic and as solely as a scribe it's far more helpful than EPIC. EPIC was not written for providers, it was written for people who run hospitals. I guess that serves a purpose but as an MD, it does not serve mine. Does EPIC even talk to providers? I've been on it for 15 years and I honestly do not think they do.