It is the second in a series of versions that, in addition to new functionality, also contains the modification necessary to demonstrate Meaningful Use of a certified EHR.
There are four critical aspects in achieving Meaningful Use, and these already exist in the current WebCIS version:
- Electronic Prescribing from WebCIS.
- Maintaining an up-to-date problem list in WebCIS.
- Maintaining an active medication list in WebCIS.
- Maintaining an active allergy list in WebCIS.
This new version contains many tools that have to do with the requirements for meaningful use but will not be visible to the average user on this initial release. As an example, this version has the capability to electronically send the discharge summary and/or a standard health summary record (containing current meds, problems, labs, procedures etc.) to the patient (or another facility) by secure EMAIL and in the near future to our electronic “patient portal” named “myUNCHEALTHLINK" that is currently in pilot testing for clinical data and in production for billing data and scheduling requests.
The “Meaningful Use Executive Committee” will soon decide guidelines regarding who will be responsible for the operational aspects including workflow issues for “meaningful use” of the tools within the EMR. This group, after input from our caregivers, will make decisions such as who will be responsible for sending the electronic information in the module described above to the requesting patient (i.e. nursing staff, Medical Information Management or other personnel). Once such decisions are made and education is provided, we will “turn on” these new “hidden” areas of WebCIS.
The following new functions will be active and visible in this new version:
- Ability to print in PDF format the “patient instruction” section of the discharge summary.
- Provide a button at the far right of each problem on the problem list that will allow for printing of specific educational information at a laymans’ level for that problem in either English or Spanish. This material will be automatically retrieved from MedLine Plus and will encompass most problems as long as they are coded when initially put into the problem list (which by our current process on the inpatient side is almost always the case). Once printed the user will be asked if they gave this to the patient (Y/N) in order to be able to report this meaningful use measure.
- Provide a button at the far right of certain lab test results that will allow for printing of specific educational information at a laymans’ level for that lab test in either English or Spanish. Unlike the problem education materials, we have chosen a list of 50 labs (which can be expanded if requested by our staff) which will have this educational “button” available. Once printed the user will be asked if they gave this to the patient (Y/N) in order to be able to report this meaningful use measure.
- If a patient has Spanish as their “primary” language on the demographic screen (which is put in at registration), the patient education for medications which now only prints in English, will automatically print in Spanish.
- An icon indicating that the patient requires ISOLATION will be present (similar to our flight risk, bacterial resistant organisms, and others) at the bottom of all screens if appropriate.
- The Hospital Service for a patient will now be displayed on all Rounds Reports
- Additional data will be available for capture n the OB/GYN triage note to satisfy EMTALA federal statutes.
- Approximately 30+ “bugs” have been fixed.
- Several other modules affecting specific groups of users (such as pharmacy students, Medical Information Management, New Born Nursery and others) will be present.
Please note that a new version of e-CHART is being released this week as well with many changes affecting our nursing staff. The nursing staff will be receiving a separate communication outlining this new version. As always please do not hesitate to contact Robert Berger at firstname.lastname@example.org for comments or questions regarding this new version of WebCIS or any of our electronic clinical systems.