Mosaic Messaging 12/12 – Improved workflows, warnings, scoring, and orders

Hey all!

Now is the winter of our content as the ASAP team works on improvements and optimizations.

1) Expired Patient Workflow – Thanks to Drs. Nelson and Levy for working with us on this workflow, streamlining it.

It all starts with the dispo tab and marking the patient ‘Expired’. This will be a brief overview …

This opens two sections that need to be filled.

The Preliminary Cause of Death section is opened by clicking on the title (see the little gray arrow after the title)

This form can be brought into your ED note with the smartphrase .edattdeathnotice 

Patient expiration flowsheet now cascades open sections depending on responses. I know it is hard to see but, for example, the determination of whether the ME is going to take jurisdiction or not opens up sections.

There will still be a paper flowsheet to help walk you through this process as well!

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2) Accidental EPS double consults – sometimes we accidentally consult our psych colleagues twice which interferes with them tracking their metrics.

Moving forward, if you try to place a second consult order, you’ll be given a warning that maybe you shouldn’t

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3) Consultants accidentally  placing active orders – similarly, if our subspecialty colleagues try to place active orders on patients in the ED, they will be faced with a similar warning telling them that the patient is an ED patient and orders should be in a held status. (The Admission order is the one exception so no worries there.)

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4) EKG charges – this is a peek behind the curtain but we will now be automatically dropping charges for our EKG interpretations in the background. Of note, the bill is generated by filling out some required fields so make sure to do that !

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5) Scoring tools – a reminder that you should all have a tab for scoring tools (unless you wrenched it out)

If you head there, you can use the tools to calculate a score. But more importantly you can see scores that have been obtained. If you are tracking HASS scores or here GCS scores, you will see them all there. They should also be being brought into your note automatically.

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6) Patient status column – we have been dealing with some bugs in the status column and the colors that you should be seeing (remember mauves and yellows, etc).

If you are seeing things change or that the colors are not progressing as you would anticipate, please let us know!

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Thanks for your continued work and help here. This week we also changed CT head searchable orders (thanks Levy), CT spine orders on Trauma orderser (thanks Conor!), amylase orders (thanks Capraro), and have submitted other changes.

Your EPIC team,

AJC, JKC, and MBH