Configuring Epic Business Continuity Access: 5 Critical Downtime Reports

Specialist Dane Patten is a veteran Epic contractor and expert with a deep understanding of the Epic procedural information structure. He has a decade of experience in radiology and cardiology-specific IT systems.

Offering your departments with documented medication administration will assist them determine what medication( s) can be used during the upcoming procedure. This will greatly assist with client safety and potentially assist prevent expensive medication conflicts. For instance, a MAR report showing that a patient has just recently been offered contrast can assist a technologist in identifying whether a costly treatment radiopharmaceutical must be administered.

To finest prepare your BCA setup during uptime an analyst need to understand each report type and how the info output impacts clinical workflow, so that during downtime, just need-to-know information is delivered.

When altering many reports en masse, keep in mind to make use of Epics export/import performance. Carry out Chronicles searches to separate the reports you want to export, make your adjustments to many report records, then import. As an example, prevent carrying out tiresome display output column adjustments one report at a time by exporting and importing several modifications at when.
To that point, having a strong understanding of column construct is a critical ability in the BCA analysts tool kit. Numerous times a column can display the designated details “practically right,” but developing a brand-new column that can display the information perfectly will minimize noise on the report output.
Consider how your reports must be arranged. A Schedule Orders Report, for example, is typically sorted by Priority so technologists can see stat exams initially. That said, execute several levels of arranging in your reports to satisfy your departments requirements.
If the report output is too prolonged, it will dissuade your departments from printing it out, and the report may be underutilized. If this happens, create multiple copies of each report record that key off specific days– Today, Tomorrow, Two Days Out, etc. These settings ought to be caught both in the report title and in the report filter.
Report outputs should be evaluated thoroughly. Rather than troubling your departments by accessing their BCA workstation physically or essentially, think about configuring your own workstation record as a BCA workstation and configure it to receive BCA reports. Update your reports as wanted and utilize the BCA Configuration energy to produce a brand-new report output to see your modifications.
As constantly, adhere with your local change control practices where relevant.

Depending on department volumes and the number of screen columns included, this report output can be lengthy. Design your report to optimize the quantity of horizontal realty per visit by limiting the number of rows, then fine-tuning column widths per row. (For example, “accession number” should not use up half a row!) Additionally, be cognizant of oversaturating a department with scientific details that isnt pertinent to the scan type.

The output ought to display the total procedure as signed/finalized by the responsible company from your department. For instance, if a protocol is finalized with recommending a various order be performed or a specific contrast administered, that ought to stand apart.

An analyst ought to comprehend what is very important for each department. Does the department requirement to know a clients BMI prior to scanning, pregnancy/OBGYN status, or metallic implants? Think about consisting of these values in your reports display screen output.

Consider producing an LRP report consisting of Epic-released or customized print groups that display protocol details if your site utilizes Epic for protocolling studies prior to the appointment. This report normally will show one clients procedure history per 1-2 pages.

You can minimize this worry by evaluating your Business Continuity Access (BCA) setup. You must prepare to provide reports to your departments or service lines that are both succinct and clinically relevant to the consumers. Legendary offers recommendations on certain kinds of reports to think about, and this short article will seek to state on those recommendations.

Recent Order Sets.

Perform Chronicles searches to isolate the reports you want to export, make your changes to various report records, then import. If the report output is too lengthy, it will prevent your departments from printing it out, and the report might be underutilized. These settings need to be recorded both in the report title and in the report filter.
Rather than troubling your departments by accessing their BCA workstation physically or virtually, consider configuring your own workstation record as a BCA workstation and configure it to get BCA reports. Update your reports as desired and utilize the BCA Configuration utility to create a brand-new report output to view your changes.

Set Up Orders Report (SOR).

Downtime in Epic happens for many reasons, planned or unplanned. Whether your organization needs the most recent Special Update, or your server room is suddenly flooded, tension in your clinical practice will run a bit greater when Epic is down. This stress and anxiety can lead to mistakes or avoidable service desk calls.

This report is an important component of an effective BCA setup. It ought to paint a complete scientific photo of the arranged appointments for the configured date range.

The objective of this report is to offer your procedural departments whatever they require to understand rapidly to begin scanning stat tests, as well as to equip them for preparing inpatient exams as time permits. Most importantly, consider what your department needs per scan type for patient safety concerns. Include columns that information the purchasing company and/or ordering departments phone or pager number for quicker turn-around time when concerns require addressed.

To optimize the effectiveness of this report, communicate with your procedural departments to comprehend the maximum historic date range that would be pertinent to the treatments carried out.

Here are some crucial report types to consider mapping to your procedural locations.

Procedure Report.

While the report types above are explicitly-listed in the BCA Configuration activity, an LRP will require to be connected to among the other readily available report types.

Other Considerations.

Throughout a downtime, the last thing your departments desire to believe about is all the various orders in their preferred order sets. These can be lengthy and cumbersome if your end users are trying to remember orders from memory or from a reference binder. Instead, partner with your Orders team to write a report to display the last-X order sets made use of.

In addition, if your departments wish to have a more total scientific history depending upon client class, you can produce different SORs that pull orders put in the ED and your inpatient areas. Each of these reports can then utilize customized display screen outputs pertinent for the client class.

If you require support with configuring your procedural locations BCA setup, reach out to Healthcare IT Leaders and we will put you in touch with among our experts!

Department Appointment Report (DAR).

Having this details provided via the BCA workstation is very important due to the fact that your clinicians can ultimately invest less time at the computer system or reviewing reports and more time at the bedside or getting ready for the approaching exam.

Medication Administration Report (MAR).