r/EpicEMR

In my role I need to create lots of unique slicer dicer reports for specific projects I'm working on. I want to create a 'Group' for each project to save sessions to. However, there is no option to 'Create New Group' from the Save As menu, only select existing groups. The only way I've found to create a group, is from the 'Load' menu, but once you have six groups, they fill the whole screen and the box to 'Create New Group' disappears.

Is there something I'm missing?

Good morning! I'm a home health physical therapist working for a hospital system that uses Epic. Currently we document on a laptop using Remote Client, as well as supplementing documentation on Rover with an iPhone. Also accessing Hyperdrive once in a while for additional chart review. We are in the process of transitioning to eventually using exclusively only Rover to document on an iPad. We've been told that we are one of the first systems to try to do that, does anyone know if that's true? Is Rover commonly used exclusively in a lot of systems as a primary source for documentation for Med A Home Health? I'm part of a test group with an iPad, we just got an update that adds OASIS functionality. I've been trying to use it the last couple days, without going in to too many details, it is NOT ready for prime time yet, in my opinion our build has a long long way to go. Just wanting to know if this is uncharted territory or if other places using Epic have figured this out how to do this efficiently already.

Hi everyone!

Just looking for a little bit of input about my situation. For starters, I have been an RN for 3 years (ER, NICU, cardiac rehab & occupational health). In nursing, I feel like I have been struggling to find my "calling." I am an introverted person (great for nursing, right?), who loves spending their time playing PC videogames and hiking. I thoroughly enjoy the computer/tech side of nursing (making dot phrases in Epic, creating macros, reconfiguring my setup). I'm also working on my masters in informatics.

I am considering two different positions: 1. Epic Analyst Cupid RN 2. Cath Lab RN. What would be the better position to take? My primary motivator is happiness, not pay. Have any Cath Lab RNs (or any other specialty for that matter) transitioned to an Epic Analyst (Cupid) Role? Any regrets? No regrets? I don't know any Epic Analyst RNs because it feels like such a niche role, so I am looking for any and all input. Thank you so much 😄

Having a patient that requires more privacy should not result in that patient receiving different care, delayed care, and a misuse of resources.

I am a patient that has set up break the glass on my account. My reason is that I am a patient and I am transgender and I struggle with psychological issues and addiction issues. I am not ashamed of being transgender and I’m not ashamed of my other issues but I want to minimize the risk of my medical record being viewed by inappropriate people.

I have run into continuous problems since setting up the privacy screening on my account.

(1) many staff have never encountered the break the glass pop-up. I often am instructing them on what to do when they encounter the break the glass pop-up.

(2) At my hospital, it is a small community and we are piggy-backing off the epic license of a larger hospital system. This means the login for our local hospital networks is different from the login for epic. So I often have to instruct the staff member that they need to use their Epic password, not their hospital password.

It is common for them to receive a “too many attempts” type notice. Because they try the hospital password and not the epic password.

I have also been told “there is no password” because the staff member thinks that there must be a “global” password.

(3) because the staff member that I encounter cannot open my chart, they then work with their supervisor for a “work around” to give me help. I recognize that this is them trying to help me, but this results in me getting help that is outside of the standard of care or hospital protocol/policies. I do not want to be treated differently because I want privacy.

(4) this has also resulted in a delay in care. Because what usually happens is that the supervisor will say that they will reach out to my provider for clarification.

Most of the time, if they can simply open my chart, they will have access to enough information to address my concern. But because they are so inept at accessing my chart, they decide to reach out to my provider. This delays my care. (And usually it is not urgent, but it is a delay nonetheless).

(5) this then results in a misuse of resources. Because the provider (the MD/DO/APP) is having to respond to simple issues, the hospital is now wasting the provider’s time. I have experience in a quality department of a hospital, so I know hospitals actively track the use of their providers time. So responding to a question because the clinic staff cannot see the patient’s full chart is not a reasonable use of the provider’s time.

I’m just so frustrated that my desire for privacy is fumbled so much by my healthcare organization.

I needed to vent.

I will work on this…. But I just needed to vent.

Any recommendations will be taken 🙏🏼🙏🏼

How do we see our own metrics in the In Basket? And can I compare them to my coworkers' metrics?

I'm at wits end. I've been on Epic since about 2000ish. I have also used the VA system, Athena, and Centricity. Aside from that I'm versed in C#, JavaScript, and have written apps for Android phones, and have several successful websites which have been profitable for 15 years. That's my background. Oh. I'm an MD.

For the last two years Epic has been hardly useful. Downtime is nearly a daily event for at least 2 min to all day. Scroll lag is daily. So bad I can't even access portions of the middle of a long list (meds, problems etc) without bouncing from top to bottom and back. I have placed countless complaints about this to my healthcare corporate employer and I get the same response from my manager, "They know, they're working on it". This is a big system, 300 or so hospitals. Extremely big pile of capital and it just seems - they really don't care OR Epic can't, won't, fix it. I get zero feedback on any of it. My coworkers seem to think, "it is what it is" but I know, having worked in other industries (I'm 50 something) that this wouldn't be tolerated for a day much less a year. I couple this with increasingly absurd requests from management that seem like parody with regard to usage. On example is the care gaps. I'm told I need to fill them in. Well, where do I look to get the information Epic is requesting? In Epic. Yes for "last colonoscopy date" in care gaps, I have search for a colonoscopy report, find the completion date, cut that from Epic Procedures and then paste it back into Epic Care Gaps. It's so ridiculous I have come to the conclusion it's broken and nobody knows it. Execs just think everything is great and my coworkers say, "It is what it is". Meanwhile a slew of amazing AI systems are flooding the market that are so amazingly good, I'm literally paying out of pocket to use it as MY EMR, for my patients because, no... It's not twice the work.. it's zero work. I turn it on, tell it to patient, and it does its job. I'm NOT revealing the AI application as I'm not here to brand spout, or change minds or sour Epic. Honestly, I'm starting to think it's not Epic, but rather a grand FUBAR of an Epic distribution completely at the fault of 3rd party hires, Execs and modifications.. I DONT KNOW.

I literally thought about quitting today.. long and hard. Everything about my practice otherwise is great. Why do I have to be angered daily by these things? I don't. I really don't.

So my question. If you were in my shoes, any suggestions aside from quitting?

Hey y'all! I have a question about a consistent EPIC/MyChart scheduling issue that I'm hoping someone could help me with/give me some ideas about solving.

Many of my patients (newer patients and established patients) say that they cannot schedule with me through their MyChart accounts. Here's the issue: If patients have no upcoming appointments scheduled with me, then my name will not populate as one of their providers and they cannot schedule any future appointments with me (unless they call and speak with the scheduling department). Apparently my name does not populate as their provider at all, regardless of the type of appointment they are trying to schedule (e.g., in person versus telehealth) and regardless of the way that they’re accessing their mychart account (e.g., desktop/web, app). When my name doesn't populate, they assume that I have no availability and schedule with someone else or don't schedule at all.

However, if a patient does have an upcoming appointment scheduled with me, then my name will populate as their provider if they go to schedule and they can then schedule more future appointments with me.

I’ve even had patients show me their accounts during an appointment in an attempt to help troubleshoot and I can’t figure it out. I've discussed this with IT, have provided them with thorough explanations and screenshots, submitted help desk tickets, etc. and they haven't provided any possible insight or solutions. It’s extra confusing because this doesn't seem to be affecting every patient, but it seems to be a practice-wide issue, as I've heard other practitioners discussing the same thing.

So, what am I missing? I've made sure that I'm listed as a member of their care team, have provided follow up instructions for future appointments in the AVS, have signed all previous encounters, have billed their insurances for completed services/appointments, etc. Nothing is outstanding/incomplete.

Any ideas on why this might be happenings or how I can possibly solve this?

I work in healthcare where we implemented Health Clinical AI Agent. As a clinical analyst, the idea was great and it’s supposed to help our providers and save them time. However, as a patient, the first time I visited my provider using AI, I could definitely tell the difference in human interaction. She lost the warmth and sounded almost robotic being so aware that our conversation is being recorded for AI to capture. As someone who uses AI agent, the innovation excites me but being on the other side as a patient, it disappointed me.

As a physician, how do you like this AI agent? Does it limit your interaction with your patients? Does it really help you in the clinical settings?

I frequently get sent results for patients I have never seen and never had any contact with.

I am not sure if people mistake me for someone else or why this is happening.

There is no option to decline. I don’t want to click acknowledged as I am not reviewing these results or participating in this patients care.

I sometimes forward back to sender or whoever ordered the test. But this requires digging in the chart of this patient to see who ordered it and why.

It is incredibly time consuming.

Does anyone know ways around this? Like a simple decline and bounce back button I can click?

What does it mean whem pts name is italic & bold in schuled studies list?

Hey all — I’m pretty new to Epic, so sorry if I’m using the wrong terms.

I’m trying to understand how Epic usually handles patients who have an order / referral / service request, but no appointment has been scheduled yet.

Is there a standard workflow for this? For example, do people usually manage it through recalls, appointment requests, workqueues, referrals, or something else?

Also, is there any way to make this more automatic so these patients don’t just sit there unscheduled unless someone manually follows up?

I’m mainly trying to learn what the usual Epic pattern is here.

I am looking for insight from those of you who have a background in imaging. Particularly ultrasound, but really any of the imaging modalities. Have any of you transitioned from an imaging modality into Epic Ambulatory? I’m curious to know what your biggest challenges were? Did you enjoy going remote or do you regret it? Do you wish you could go back to your previous position? Do you feel ambulatory was a good module for you? Any insight is appreciated! Thank you all so much!

How many of you have had an upgrade pushed back less than a week before upgrade day through no fault of your own. A scenario such as another dept that is not epic related causing the entire upgrade to be postponed for three weeks with no specific explanation being given to analysts on the reasoning for the postponement besides users not being ready for a feature

Is there any accessibility options like for the font of hyperspace for dyslexic employees?

Does anyone have experience using this feature and find it useful for expediting build processes?