r/EpicEMR

Hello. I am relatively new to Epic. I am wondering if it is possible to make a smart phrase for my notes. I would like the assessment and plan section to use a smart link to auto-populate the visit diagnoses. I am able to get this, but the system will not let me type under each diagnosis. For example, if a pt has HTN, HLD, Diabetes, I would like the diagnoses to auto-populate but then be able to directly type under each one.

Please someone more epic savy than me help lol

The limited capability of Haiku is getting increasingly frustrating with the number of things forcing me to log into a computer.

Hi guys, I'm still receiving notifications about patient arrivals and code blues from my old hospital on my phone. I've deleted the configuration from my old hospital. Anyone been through something similar? I'm really tired of getting all of these notifs.

My org is realizing how fucked they are because they didn’t make anyone sign an agreement that they would stay after implementation. Now that everyone is certified and we are a few months into build, they are offering a $1500 bonus as a thank you for all our hard work.

But wait! There’s a catch! (There’s always a catch). They want us to sign an agreement to stay at the org if we want our bonus. Talk about a carrot on a string.

My question for you all is, is $1500 worth stay at and org? Did you get a bonus? How much of a bonus did you get?

Hi everyone, I'm a resident trying to optimize the dispo planning section of my program's inpatient prog note for a QI project. I was wondering if theres a way to implement a hard stop into a template/smartphrase so that when that section is copied forward when the note is, it "resets" and creates stop that must be addressed prior to signing a note?

I did an outpatient procedure and did appropriate procedure billing however I am not able to lock the encounter because it's asking for level of service. Presumably front desk registered it as a regular clinic visit. They say they changed it now to procedure visit but It's still asking for level of service charge.

Anyone knows how I can fix this?

It has been notified but lord knows they are busy.

I recently found out that I have access to Epic UserWeb through my employer. I currently work in the research department at a hospital, where I handle medical coding and clinical trial billing. My goal is to transition into an Epic Analyst role. Where should I start, and how can I make the most of my access to UserWeb? What resources, training, or learning paths would you recommend for someone with my background who wants to become an Epic Analyst?

For those who have migrated onto an Epic Connect model where your IT operation becomes a part of a bigger system with multiple affiliates, what have you seen happened to the existing EHR analysts when the bigger system already has the IT team to do all the build and maintenance for the affiliates once live? Have you seen all the existing analysts be laid off at the affiliate or are they repurposed in some way?

Any insight would be much appreciated!

I was hired in March for a BI developer position with no health tech or IT experience, I do have a masters degree in Health informatics and have some experience with SQL and other programming languages. I struggled to pass the epic certifications and finally managed to pass them after several attempts. I had to have a meeting with our VP and she expressed her concern about me working with the Epic team.

She was like if you struggle to pass the exams now it is a fast paced environment, I’m not sure if you will be able to make it. I asked for an opportunity and she said she’ll think about it and get back to me by next week.

I am nervous, I feel like the only reason it took me long was they had given me a strict deadline to pass the exams and I ended up getting an anxiety attack during one of the exams.

My question - people with epic GL implementation are you able to provide me with some information about how stressful the process is?

Go-live has been a disaster.

I’d like to ask some questions. For reference, it is week 4 post go-live and we have seen little progress since the end of the first week.

What should we expect from EPIC at this point?

Should we still be experiencing critical issues?

Should we still need daily meetings?

Is it common to still have 100s of tickets going in each week?

We had one win this week. And it was getting 3 site locations for a PCR swab listed all together as one option instead of having to choose just one location when all 3 are required. This took 3 weeks to complete.

We are still overriding sooo much in the MAR.

Can anyone offer advice? Will this get better? Is this what it’s like for all go-lives? Are we overreacting?

Please help! Thank you!

My Epic analyst has built a state reportables dashboard that pulls in out patients and community visits. This is not conducive to efficient workflow and when I have discussed it I am told it’s an Epic limitation. Conversely I don’t get all alerts in a timely manner and I have concerns that this places us at risk. Discussions with my analyst do not get anywhere so sad to be treated this way and put at safety risk.

I’ve worked for a hospital pharmacy for about 18 months doing payment reconciliation. My job is essentially matching insurance payments, EFTs, checks, adjustments, etc. against the bank and posting them correctly.
Two weeks before our Epic go-live, my boss quit.
I was sent to the wrong Epic training (hospital billing instead of pharmacy), passed those classes, then we went live. Since day one I’ve been asking one question:
How do we reconcile checks and EFTs that contain both legacy-system claims and Epic claims?
Nobody can answer.
Accounting says they don’t know the systems. Epic says talk to leadership. Leadership says get more Epic training. My director is overwhelmed. My former boss is gone.
On June 23, leadership held a meeting because I kept asking these questions. The meeting included our Corporate Controller, Senior Accountant, and two upper management leaders. I left the meeting without an answer to the workflow questions I’d been asking since June 8. I was essentially told to investigate historical balances, continue posting, and develop my own process after Epic training.
Meanwhile, accounting is telling me to:
investigate historical account balances that predate my employment,
fix legacy Insurance Holding balances before fiscal year end,
and post everything by June 30.
The problem is there is no documented workflow for handling mixed-system payments. I even attached a $92,000 EFT to leadership and asked them to walk me through exactly how they wanted it handled because it contains claims from both systems. Nobody has been been able to answer.
Even another experienced employee who has worked here for years is asking me the same questions because neither of us knows the approved process.
This feels way above my role. I’m one reconciliation specialist who’s been here 18 months, yet I feel like I’m being expected to figure out an organization-wide workflow during a major software transition while also being held responsible for historical issues that existed before I was hired.
Am I crazy for thinking this is an implementation and management problem rather than something one employee should be expected to solve? Or is this normal during an Epic transition?
Sorry for the lengthy post, i shortened it as much as I could.

Is it possible to have lab orders canceled after they have been released?

Alternatively, can the expiration date for the orders be updated after the orders were released?

I had inappropriate labs ordered, and for reasons that are not necessary (and to avoid a long story) I will not be doing those labs. I have a few medical conditions that require regular lab work (every 90-120 days), so I don’t want to have to tell the check-in staff every time that “I am here to do these labs but not those labs.”

I had called the clinic to note the problem with the order and the staff member told me that they couldn’t cancel the order, so my only option is to wait until the order expires. I asked what the expiration date for the lab was, and the staff member told me that there was no expiration date. So what am I supposed to do? 🤷🏻‍♂️

Additional question: I know that lab orders most likely have a default or automatic expiration date regardless of whether the provider enters an expiration date, is that default expiration different per office or healthcare system or is it pretty standard? And if relevant, what is that default timeline for an order to be active? 6 weeks? 90 days?

Thanks for your help!

Requested self study proficiency from Epic training team thinking I only needed my manager approval. Turns out I was wrong! The head of IS was emailed by epic and she CC’d my manager. I hope this doesn’t cause issues. He’s currently on vacay. I’m dreading his return 😩

Hi 👋🏼

I recently moved and got a new PCP. Our first and second encounters went horribly. I will spare the details because it is irrelevant to my question here. But all I will say is he was dismissive of all my concerns & his bedside manner was so poor that I truly want nothing to do with him.

I filed an official grievance against the old PCP. I don’t expect much to come from it except to serve as formal documentation of my bad experience. I also decided to change PCPs which was simple enough, the new PCP and the old PCP work in the same department/office; given my insurance, my medical conditions and my location it is too difficult to change offices. So this part is what it is.

The outstanding issue is that the old PCP had written a new prescription, gave me a referral to get my first mammogram, and wrote me a few lab orders.

Here’s my objective: I don’t want the lab and mammogram results to go back to the old PCP. I don’t want the refill requests to go to the old PCP.

I know that results and refill requests typically go to the ordering provider (and the current PCP, I think, if they are different people).

Here are the questions:

• In Epic, is there any way for me to block the old PCP from viewing my records?

• Can I use HIPAA to achieve that goal?

•What options do I have to ensure that the old PCP will not (by system default) receive or review any more aspects of my care (records/results/communications) so I can prevent him from contacting me?

• If this is possible, which department (or what type of job title) should I be reaching out to so I can set this up?

I had a phone screening interview last week with a recruiter. I am not Epic certified, but have just under 10 years of adjacent experience. Before the hospital is willing to sponsor me, they told me to take the Sphinx exam.

I took the Sphinx exam last Wednesday, June 17 (today is June 24). I don't think I did bad, but maybe good enough to proceed, but who really knows with these things

I haven't heard back yet, it's been a week. I know a lot of folks are out on vacation because of the Juneteenth long weekend and I haven't seen the recruiter online on Linkedln (I've been checking daily, maybe every few hours).

I'm guessing the following and have the following question:

1. Recruiter is on vacation
2. They'll review sphinx scores and coordinate interviews in batches rather than individually
3. I did horribly and they ghosted (application status is still under review).
4. How long does it take for the Sphinx scores to be released and recruiters to get back to a candidate?

Any helptul comments are appreciated, thank you guys.

Nurse Informaticist here, new to the job. Slowly starting to introduce myself to people onsite and our therapy manager throws me a curve ball: is there a way to see her dashboard retroactively? PT/OT/SLP numbers fluctuate throughout the day with ADTs, so she wants to see the highest number per day to assist with staffing. Is there a way to do this? I tried playing around with reports in SD but the average monthly/weekly numbers "weren't sufficient."