SPECIAL EDITION
volume 2
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** Epic Wave 3 **
RWJBH-Rutgers Medical Group/ RWJ University Hospitals – New Brunswick, Hamilton, and Rahway / Bristol-Myers Squibb Children’s Hospital / CINJ Infusion Center / CINJ Physician Practice
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Top 10 Inpatient Provider Change Readiness Topics
As we transition to Epic, ten topics require inpatient provider awareness at Go-Live.
These Special Edition newsletters, covering 1-3 points each, further outline the information for easy reference.
Previously Released Topics:
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Topic 3. Order Set Familiarity
Background:
All Order Sets are revised and updated in Epic to ensure best practice and reduce care variation. Epic is a unified system where each order set is shared across all live sites.
Our Order Set build process includes:
- Collation of existing order sets from Heritage EMRs
- Input of order sets into Zynx Knowledge Analyzer to verify the best evidence and identify gaps
- Selection of the Heritage order set with the highest inclusion of best practices for a foundation
- Update and build to final order sets through the appropriate Epic Workgroup and specialty providers
- Input and signoff by appropriate system wide committees and leadership
- Epic Workgroups include:
- 43 Clinical and Operational Advisory committees aligning with Epic Modules
- Representation from ALL RWJBH/Rutgers Sites honoring our care models below (right-click to view image)
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Order Set Workflow:
If needed, please see the web-based training on Order Set Workflows
Requests for Changes:
Favorites can be personalized from existing order set choices, but additions or changes to order sets must be requested and approved to maintain best-practice integrity.
Over 300 built into Epic, with a priority on the highest utilized.
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- If you have a concern about an existing order set or have a need for a new order set, please open an incident ticket by using the "Get Help" button in Epic.
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E-Consent Benefits
As a High-Reliability Organization, we are working toward zero instances of missing/incomplete consents. Electronic consents give us the best ability to achieve this goal.
Benefits include:
- Electronic Time Out Checklist - completed consents viewable to ALL
- Standardization
- Decision Support and Inter-disciplinary integration
- Blood Transfusion
- Interpreter needs
- Patient Engagement
- Telehealth and MyChart dynamic integration
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RWJBH-Rutgers Guiding Principles for Consents
- ONLY a Competent Performing Provider may sign the consent form
- Attending Surgeons for OR cases
- All Providers competent to perform Procedures
- Residents/Fellows ONLY when deemed competent for specific procedures such as a central line / LP (under direct or indirect supervision of their Attending)
- Supporting Provider (not deemed the Competent Performer)
- When provider/resident is NOT independently competent, they MAY NOT sign the consent
- The resident/fellow should continue to contribute to the informed consent process and spend time with the patient under the attending’s direction
- However, if a Competent Performing Provider has signed and thus validating consent was given, but the patient wants to sign later:
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The supporting provider can obtain the “asynchronous signature” from the patient ONLY IF the patient has no further questions related to informed consent.
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Full Electronic Consent Process Scope
- Required when the consent is obtained on hospital grounds, including the ED.
- Not required when consent is performed pre-hospital in outside offices
- Paper consent can still be used outside the hospital and scanned into Epic hyperspace until Ambulatory e-consent workflows are established.
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Epic Together's Guiding Principles:
Patient Safety & Quality, Patient Engagement; Clinician & Staff Satisfaction;
Frequent and Transparent Communication; Research & Education;
Project Approach – Configuration not customization; Optimize Financial Systems
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RWJBH-Rutgers Medical Leadership Team
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Dr. Joshua Bershad
EVP, Physician Services;
Clinical Assistant Professor of Medicine Rutgers Robert Wood Johnson Medical School
Cell: 973-202-0900
Dr. Frank Sonnenberg
Chief Medical Informatics Officer, RWJBarnabas-Rutgers Medical Group; Professor of Medicine, Rutgers Robert Wood Johnson Medical School
Cell: 908-313-6563
Dr. Carol Ash, DO, MHCDS, MBA, FACHE, CPHQ, CHCQM-PHYADV
Chief Medical Officer
Robert Wood Johnson University Hospital Rahway
Phone: 732-499-6134
Cell: 732-857-6535
Dr. Seth D. Rosenbaum, MD, MMM
SVP, Chief Medical Officer Robert Wood Johnson University Hospital Hamilton;
Clinical Assistant Professor, Department of Medicine, Rutgers-Robert Wood Johnson Medical School
Phone: 609-584-2865
Cell: 609-508-7951
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Dr. Sal Moffa
Phone: 908-685-2816
Cell: 609-238-5248
Dr. Stephen O’Mahony
SVP & Chief Health Information Officer, RWJBarnabas Health;
Clinical Associate Professor of Medicine, Rutgers New Jersey Medical School
Phone: 973-322-4231
Cell: 203-820-6519
Sheraz Siddiqui, MD
Chief of Hospital Medicine
Robert Wood Johnson University Hospital
Associate Professor, Department of Family Medicine and Community Health
Rutgers-Robert Wood Johnson Medical School
Cell: 732-986-3577
Dr. Deborah L. Toppmeyer
Professor of Medicine, Robert Wood Johnson Medical School; Chief Medical Officer, Chief, Division of Medical Oncology, Director, The Stacy Goldstein Breast Center
Rutgers Cancer Institute of New Jersey
Rutgers, The State University of New Jersey
Phone: 732-235-9692
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