SLHS myStLuke’s Student Access Training Program

April 23rd, 2012

Shannon Devine

Training Opportunities

SLHS has determined that all users of any Epic application implemented within St. Luke’s Health System will be required to complete formal, training and pass a proficiency examination

Training will be provided by Certified and Credentialed TrainersCourse assignments are based on the unique role of the employee

Users of the myStLuke’s application include, but are not limited to:PhysiciansStudentsContracted StaffRNs, LPNs, MAsUnit Clerks, Charge Nurses In-Patient RegistrarsAmbulatory Front Desk staff (Scheduling, Registration, Co-Pay collection)Hospital Outpatient DepartmentsRevenue Cycle Staff (Claims, Billing, Insurance Follow-Up, Customer Service)Managers, Supervisors

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SLHS Student Access - Outpatient

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Nurse PractitionerRecord H & P, progress notes, phone call notes & orders to pharmacies for refills

Co-signed by supervising NP Student will dictate"pt. is seen in conjunction with name of NP"

View access: lab and imaging results Record registration and scheduling informationEnter vitals, prescription refills & telephone messages Co-signed by supervising physician

Record evaluation and daily progress notes

Supervising therapist co-signs by hitti ng the “complete” button

Document education training and interventions No co-signing but checked by supervisor

Pharmacy Record Pharmacy Progress Note

Must be approved and signed by supervising pharmacist prior to being placed in chart

Nurse/Medical Assistant

Occupational Therapy/Physical Therapy

myStLuke’s Medical Students, Clinical Pharmacist Students Not in ACC, Nurse Practitioner, Occupational and Physical Therapy Students- Pre-Classroom Online Modules - Ambulatory

myStLuke’s online modules are accessed through the St. Luke’s Learning Management System, SumTotal

Prior to attending classroom training all Medical, Non-ACC Clinical Pharmacists, Nurse Practitioner, Occupational Therapy and Physical Therapy students will complete the following online modules:

E-Learning: GEN001 E-Learning TutorialE-Learning: GEN005 Overview of Hyperspace for Clinical ApplicationsE-Learning: AMB001 Office Visit Demonstration E-Learning: CLN005 Reviewing Past Visits and ResultsE-Learning: AMB006 Placing OrdersE-Learning: AMB029 Facility-Administered MedicationsE-Learning: AMB050 Surescripts - Payer E-Learning: AMB055 Surescripts – RetailE-Learning: MYC001 Overview of MyChart Patient PortalE-Learning: MYC003 Activating Patients for MyChart

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myStLuke’s Medical Students, Clinical Pharmacist Students Not in ACC, Nurse Practitioners, Occupational and Physical Therapy Students Classroom Training Outline - Ambulatory

Class Duration: 6 hours (5.5 hours classroom, .5 hours exam) Welcome Course Objectives and Outline Today’s Patient

Open an encounter from the schedule Navigate Hyperspace Efficiently Review Nursing Information Verify and update Allergies Verify and update Medications Using a SmartSet during a visit Refer to a Specialist Write a Progress Note What Charges are Triggered and How Entering Charges into Charge Capture Review a Patient’s Chart Work with Allergies and Medications Work with History Manage a Patient’s Problem List Manage Orders Release Orders Review Multi-Problem Visits Work with SmartTools Advanced Beneficiary Notification Anticoagulation Encounter Physician Sport Physical Secure or Log Off workstation

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myStLuke’s Nursing Students, Clinical Pharmacist Students in ACC and Medical Assistant Students-Pre-Classroom Online Modules - Ambulatory

myStLuke’s online modules are accessed through the St. Luke’s Learning Management System, SumTotal

Prior to attending classroom training all Nursing, ACC Clinical Pharmacist and Medical Assistant students will complete the following online modules:

E-Learning: GEN001 E-Learning Tutorial E-Learning: GEN005 Overview of Hyperspace for Clinical ApplicationsE-Learning: AMB001 Office Visit DemonstrationE-Learning: AMB029 Facility Administered MedicationsE-Learning: CLN005 Reviewing Past Visits and ResultsE-Learning: AMB029 Facility-Administered Medications E-Learning: MYC001 Overview of MyChart Patient Portal

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myStLuke’s Nursing Students, Clinical Pharmacist Students in ACC and Medical Assistant Students Classroom Training Outline -Ambulatory

Class Duration: 6 hours (5.5 hours classroom, .5 hours exam) Welcome Course Objectives and Outline Overview of the Schedule Customizing the Schedule Rooming the Patient Placing Orders: Ordering Point of Care Tests Resulting Point of Care Tests Review Patient History Document History of Present Illness Document Patient Reported Immunizations Order Immunizations Document Administration of Immunizations Change a Provider on the Schedule Release a Standing Order Close the Encounter Document a Medication Administration Finalize Visit Documentation Recording that a Clinician Disclosed Information Overview of MyChart Patient Portal Sign up a Patient for My Chart Proxy Access for My Chart

Continued on next page…

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myStLuke’s Nursing Students, Clinical Pharmacist Students in ACC and Medical Assistant Students Classroom Training Outline- Ambulatory-cont.

Enroll a Patient in Anticoagulation Therapy Document an Anticoagulation Encounter Document a Call to an Anticoagulation Therapy Patient View and Filter an Existing Report Follow Up with Patients Entering a Pre-Authorizations from the Referrals Workqueue Entering a Procedure Order Pre-Authorization Entering a Specialty Referral Pre-Authorization What Charges are Triggered and How Entering Charges into Charge Capture Provider Definition of Terms Verify Providers Secure or Log Off workstation

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myStLuke’s Student Exam

The myStLuke’s Proficiency Exam for Students:Will be required for all Students requesting access to myStLuke’s EpicWill be a 30 minute examWill require a passing minimum score of 85%Will be open book/open systemWill be available through the St. Luke’s Learning Management System,

SumTotal

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myStLuke’s Access for Medical Students

Students will have most of the same functionality that non-students haveExample:

Medical Students, Clinical Pharmacist Students not in Anticoagulation clinics, Nurse Practitioner Students, Occupational and Physical Therapy Students will:

Have orders signed by the supervising physician or Nurse Practitioner Have progress notes co-signed by supervising physician Not have access to In-Basket

Nursing Students, Clinical Pharmacist Students in Anticoagulation clinics and Medical Assistant Students will:

View lab and imaging results Record Registration and scheduling information Enter vitals, prescription refills and telephone messages Not have access to In-Basket

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myStLuke’s Student Training Schedule

Medical, Clinical Pharmacist not in ACC, Nurse Practitioner, Occupational and Physical Therapy Student training:

Will occur every Monday

Nursing, Clinical Pharmacist in ACC and Medical Assistant Student training: Will occur monthly based on the rotation schedule established by St. Luke’s Student Services.

All myStLuke’s Student training: Currently will be scheduled in:

o Treasure Valleyo Wood River Valley

Based on the current Medical Student rotation schedule, initial myStLuke’s Medical Student and other student training will begin as part of the Wave 3 training cycle

o The Wave 3 training cycle schedule begins between 7/9/12 and 7/16/12.

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Next Steps

Finalize and obtain approval of myStLuke’s Medical Student training program

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