Cardiology StaffVersion February 2020

Upgrade September 20, 2020

Table of Contents

• Storyboard

• Invasive Lab Manager Updates

• Scheduler Updates

• Cross Role Updates

• Good to Know Changes

Storyboard

Benefits of Storyboard

• Provides easy access to a patient's story, no matter where you are in

their chart.

• Allows access pertinent details quickly, and the ability to dive deeper

in the chart when necessary.

• Adapts content to your job role and setting, yet follows the same

general display pattern.

Transition from

Header to Storyboard(common sections)

Chart Search

Transition from

Header to

Storyboard(common sections)

New Cardiology Specific Sections

7

The Storyboard shows cardiology procedural information to help you quickly

review relevant information at a glance.

• Hover to discover additional details.

• Click to launch navigators and activities.

Clinic Storyboard

A default version of the Storyboard displays when opening the patient’s

chart in the following scenarios:

• Ambulatory encounters (Office and Clinic visits)

• Telephone encounters

• Emergency visits

This default version also displays when accessing a chart using the

Patient Look-Up activity.

Open Chart: Activities on Top

To maximize use of widescreen monitors, activity tabs display across the top of the workspace.

Storyboard will display along the left side to the workspace, allowing users quick access to the

patient’s story.

Simplify Activity• Many users will get the auto-simplify workspace window the first time they access a

workspace with Storyboard.

• It is based on your use of Epic, that is collected over a certain period of time.

• The Simplify Activity will appear periodically.

***The user can opt to not take the

auto changes by clicking on the

wrench to go to the customize

activity window and selecting

“Undo Auto-Optimization”

• The system automatically simplifies activity tabs

Auto Activity Simplification

• First Storyboard Usage- the system

automatically simplifies activity tabs.

• Low usage activities are moved to the More

or Rarely Used menus

• Option to undo the automatic changes

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Storyboard Icons

• Because FYI flag info is

available in the Storyboard now,

the FYI activity no longer

appears in your activity menu,

saving you some room.

• You will continue to have

access to FYI flags via Chart

Review or the More Activity.

• When you click a difficult airway icon in

Storyboard, a report opens showing

previous anesthesia encounters with a

documented difficult airway complication.

• You can use this section to get a more

complete understanding of the patient's

airway complications.

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Show Relevant Providers for

Appointments in Storyboard

A prefix now appears to

show the appointment

provider type.

A cardiologist with a prefix

of "Cardio:" appears for a

procedural appointment.

Clinicians can click the new folder icon in

Storyboard to access the Reconcile Outside

Information activity.

*This icon appears only when a patient has information from outside

sources to reconcile.

The Care Everywhere icon in Storyboard,

which gives access to Care Everywhere

workflows, is gray and blue.

This icon stands out less in Storyboard

because it is a notification about outside

information rather than an alert that needs

immediate action.

Click the new folder icon in Storyboard to access the

Reconcile Outside Information activity. *

When you document a surgical case, you can now look at the Storyboard to see how at risk an

adult patient is for developing a surgical site infection.

See a Patient's SSI Risk Score in

Storyboard

Cross-Role Updates

When you review procedural or surgical information for a patient, Storyboard

now indicates when a case has more procedures than those that are listed in

Storyboard by showing a count of the total number of procedures. Hover to see

information about additional procedures.

See How Many Procedures Are

Part of a Case

Cross-Role Updates

When hovering over a patient’s demographic information in Storyboard, you

now see an updated hover bubble with additional patient information, including:

• Marital status

• Address

• Employer

• Confidential name, if applicable

Review Additional Demographic Information in

Clinical Storyboards

Essential Updates

When you click the Start Review button at the bottom of Storyboard and mark

the chart as reviewed, the button caption changes to Reviewed. Hovering over

the button now shows you information about who has most recently marked the

different sections of a patient's chart as reviewed.

See Who Reviewed the Chart and When in

Storyboard

Essential Updates

The HCA statuses that appear now have slightly different meanings:

• HCA: Pending now means that patient or proxy has named a health

care agent in MyChart, and that nomination is under review.

• HCA: Needs Review now means that a patient has no active health

care agents, and their capacity to make their own decisions requires

review.

.

Receive More Accurate Health Care Agent

Statuses in Storyboard

Essential Updates

As before, when a user approves any pending

health care agents and the patient's capacity

to make decisions has been reviewed, the

patient has a status of either

HCA: Active or HCA: Not Active, depending on

whether the health care agent is actively

making decisions for the patient

Because most clinicians don't review socioeconomic history in every encounter, the report that

appears when you click Start Review in Storyboard no longer includes the Socioeconomic

History section. You can still review this information in the Social Determinants topic in the

History activity.

Socioeconomic History Removed from Storyboard

Start Review

Essential Updates

Provider Storyboards Show MAR ActionsDifferent icons now appear for MAR actions when clinicians Hover over a patient's active

medications in Storyboard.

• A filled square represents given administrations, an empty square

represents administrations that were documented as not given

• An X represents administrations documented with stopped and paused

actions.

Invasive Lab Manager Updates

Find information about canceled, rescheduled, and add-on cases more

efficiently with new OR RW Canceled Cases reports, which include more detail

and filtering options than the old Canceled Cases report that they replaced. To

open the reports, click <Canceled Cases> from the <toolbar>, and select the

report you want to run.

Improved Reporting on Canceled Cases

Invasive Lab Manager Updates

Cardiology Manager Updates

See a more accurate picture of door-to-intervention times on the Primary PCI Metrics dashboard.

These metrics now filter out times greater than 24 hours.

Door-to-Intervention Times Are Now More

Accurate

Cardiology Manager Updates

Scheduler Updates

A warning now appears if you try to schedule a provider for a time that they're

marked as unavailable by the clinic.

See Providers' Unavailable Times for a Clinic

Scheduler Updates

The colors you use to identify whether a slot is full are now more aesthetically pleasing.

Updated Colors for Appointment Slots on the Schedule

Scheduler Updates

In the General Information form in Case Entry, the Procedures section is now merged with the

General Info section.

All the same information you documented before in the Procedures section now appears in the

General Info section, in a more streamlined layout that requires less scrolling.

Merged Case Entry Sections

Scheduler Updates

Invasive Staff

Similar patient names in the Status Board now appear in bold and italics, the same

way as they do in Patient Lists and other activities. An icon also appears next to similar

patient names to make them easier to spot.

Spot Similar Names in the Status Board

Invasive Staff Updates

Document the date and time that you discover a complication in new Date Found

and Time Found fields in the Complications Tracking navigator. This information is

used in ACC-NCDR registries.

Track the Date and Time of a Complication

You can also select the Procedure where a complication occurred using a button

instead of a drop-down list.

Invasive Staff Updates

Cardiology Nurse Updates

Edit patient instructions right from the AVS preview by clicking Edit AVS. To add clarifying

instructions below a physician's instructions, Click to add instructions in the Additional

Instructions section.

Edit Patient Instructions in the AVS Preview

Cardiology Nurse Updates

To prevent care gaps and improve patient safety, it's important that medication interaction warnings

begin appearing for patients as soon as positive pregnancy test results are documented, regardless

of whether a clinician has updated the patient's OB/Gyn status yet.

Medication Alerts Appear for Patients with

Positive Pregnancy Tests

Cardiology Nurse Updates

The positive pregnancy test will also create a Best Practice Advisory if the OBGYN status is not updated

Cross Role Updates

Shortcuts to Activities in Patient Lists

Access your most used activities directly through the Patient List tray.

COVID-19 Testing Status/History in Storyboard

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COVID-19 Testing Status/History in Storyboard

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Set Your Availability in Secure Chat

• Set your availability in Secure Chat

to Available, Busy, or Not Available

to let your colleagues know whether

you're around to answer a chat

message, or whether they should

talk to someone else.

• Choose from the menu, or click the

gear icon to open a more detailed

Chat Settings screen, where you

can specify an away message, and

auto-forward your messages to a

colleague (auto-forward also now

available on your mobile apps).

Secure Chat

You can now copy text from chat messages and paste it elsewhere, both in Hyperspace

and on mobile devices.

To copy text on a mobile device, tap the text and hold for a moment just like you do in

other phone apps.

To copy text in Hyperspace, select the text, right-click it, and select Copy Message, or

press CTRL+C.

Copy and Paste in Secure Chat

Reconcile Orders on the Fly

Use when Discharge Medication Reconciliation is Complete, and you are placing new orders. Note: This does not apply to Discharge Readmit or Surgical Discharge Navigators.

When discharge medication reconciliation is already done for a patient, you can quickly reconcile new orders you place in Manage Orders.

Click Don't Prescribe At Discharge to reconcile the orders with one click.

If you need to document a different reconciliation decision, Click Reconcile After Signing to open the medication reconciliation navigator when you're done in Manage Orders.

In discharge medication reconciliation, the newly unreconciled order is highlighted.

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Rearrange Information in Patient Lists, Patient Summary, and

Summary Sidebar Reports

• Rearrange content in Patient Lists Reports, Patient

Summary Reports, and Summary sidebar Reports so that

the information you use the most is closer to the top.

• Click the Wrench to modify Report Layout.

• Alert-based print groups, e.g. banners, BPAs, and other

print groups that show critical information, are already

located at the top of reports.

• To keep important information visible, these alert-based

print groups are in a locked position

• Also New: **Use Magnifying Glass icons to Zoom In or Out

on various reports throughout Hyperspace• Click the Wrench to modify Report

Layout.

Sign And Held Orders Task

• To Improve Signed & Held Ordering Workflows –

• Inpatient nurses will now get a task on their Brain and

Worklists for Signed & Held Phase of Care orders

• The nurse will click “Done” after reviewing and releasing if

appropriate

• Task appears every 12 hours as long as there are still

Signed & Held Orders

Submit a Help Desk Ticket from Epic

• Select the Help Desk button in Epic

to enter an Epic Incident, or Epic

Request without leaving Epic.

• If the issue is urgent, the Service

Desk should be used (call the Help

Desk)

• This button can be utilized for Epic

related issues, instead of navigating

to the ServiceNow page, emailing

the Service Desk, or calling the

Service Desk.

• Whenever you submit a Help Desk

ticket, specify a contact person and

phone number for follow-up.

Top Search Results for Orders at top

• To help you save time when

searching for orders, frequent search

results are boosted to the top with the

light bulb icon.

• These are suggested based on your

own orders and searches as well as

departmental data.

• Hover over the light bulb icon to see

why an order is a top result.

Good to Know Updates

Use the wrench to personalize the Order mode buttons on the Providers

window. From the Personalization window that appears, add or remove buttons

and drag and drop to rearrange them.

Personalize Order Mode Buttons on the Providers

Window

Cross-Role Updates

Color-Coding for Implants Updated to Align

with Industry Standards

Cross-Role Updates

Inform technologists that the following color-coding scheme now indicates whether an

implant is safe for an MRI procedure in screening form reports and Chart Review or

Study History reports that show past screening forms:

•Red: Indicates implants that are unsafe for MRI procedures

•Yellow: Indicates implants that are considered MRI conditional

•Green: Indicates implants that are safe for MRI procedures

If you don't know a patient's MRN, you can now use log or case numbers to look

up the patient's record. In the Patient Lookup window's Name/MRN field, type

"log." followed by the log ID or "case." followed by the case ID.

Quickly Look Up Patients Using

Case or Log IDs

Good to Know Changes

You might notice a few visual updates to the In-Basket recipient fields when you send your next message.

You have all the same options for selecting recipients in a clean form that's more consistent with the look and

feel of other Hyperspace activities.

The recipient buttons are replaced with in line labels to save space on the screen and improve the visual flow

of the fields.

To open the recipient selection window, click the magnifying glass in the recipient field or use the shortcut

Alt+Shift+F.

A New Look for In Basket Recipient Routing

Good to Know Updates

Copied recipients are now listed on the line below the sender and main recipient

of an In Basket message instead of right-aligned so that it's easier to see

everything in one glance.

I Cc You: Copied Recipients Moved Below the

Address Line

Good to Know Updates

You can now press the equal sign (=) to pull up the most recently used

SmartTool from SmartText Lookup and the SmartText toolbar in Hyperspace.

Quickly Find Your Most Recently Used

SmartTool

Good to Know Updates

The double arrow icon to expand or collapse a section is now on the right side

instead of next to the section header.

Expand/Collapse Icon Moves to the Right

Good to Know Updates

A new user identifier and way to access user settings now appear in

Hyperspace's upper right corner. Click the photo or initials to access User

Settings, and switch the photo or initials color from the Look and Feel tab.

A Visual User Identifier in the Hyperspace

Toolbar

Good to Know Updates

Access the It's Possible and What's New landing pages from Hyperspace

(search: It's Possible or What's New) to review tips and tricks without opening

the pertinent activity.

Jump to It's Possible and What's New

from Chart Search

Essential Updates

Questions?

• Giordanok@mlhs.org

• 484-596-3552

• Q&A Zoom sessions, check your email

• Upgrade materials can be found on the LHD, Epic Training Website and

Super champs website (SharePoint)

• Hands on Practice in the playground prior to Sept 20th or use the the

toggle option prior to upgrade, no need to wait. (tip sheet located on the

LHD)