1. Lifespan Information Services Get to know us: –Reid Coleman, M. D., Medical Director, IS –Steve Reinert, Research Support, Phys. Liaison

2. The Medical Page ( http://intra.lifespan.org/Medical ) Department Sites/Residency Programs Medical Knowledge Links –OVID –UpToDate –MDConsult –Harrison’s Online –MicroMedex and more...

3. The Medical Page ( http://intra.lifespan.org/Medical ) Lifespan Library web site Brown’s Medical Connections page Patient Results & CPOE via LifeLinks Clinical systems Training Center e-prescribing with On Call Data Ambulatory clinic referrals Lifespan enforces a browsing policy of… –see IS Policy MIS-204

4. LifeLinks: Patient Results Browser 6-digit logon ID; see Handbook for password Orders and Results –Lab, x-ray, Pathology, Micro, EKG, Meds... Text Reports –Discharge Summaries, Op notes, Consults... CPOE (POM) live on most units Radiology images via PACS Download Rounds Report to PDAs –Need Palm OS 3.5 or higher, working IR port, 1 MB free memory; training provided by Technology Center.

5. On Call Data: e-prescribing Direct transmission of prescriptions to patient’s preferred pharmacy Fill refills in seconds. Secure, searchable records for every script sent. Build “favorite” lists of drugs and pharmacies for expedited script writing. Enhance patient safety (drug:drug, drug:supple- ment, drug:allergy & duplicate-script checking) and reduce pharmacy call-backs. Live now in Adult Medical Primary Care, Neurology, Ophthalmology, and more…

6. Ambulatory Patient Referrals Create, update, monitor and electronically “send” referrals to other RIH Ambulatory Clinics. Easily accessed on the Lifespan Intranet. Timely and up to date information on the patient’s referral status Provides interested clinicians,quick and easy access to referral information, when needed. Reduces the amount of time and effort spent on faxing, placing phone calls and sending letters to initiate, or follow-up on patient referrals.

7. Medhost ED Management System Used by the RIH Adult and Pediatric EDs for patient tracking and order management Touch-screen system for ease of use Tracks patients throughout their ED visit Full disposition features with auto-learning provider preferences Quick-and-easy order selection and searches Drug interaction checking Lab and Radiology orders interface to ancillary departments. Real-time lab/radiology status and results.

8. M edhost-Patient Tracking Locator information: Per zone: Which patients are in which beds. Unoccupied beds Which physician is treating the patient. Which patient has not been seen by a clinician. Indicators for orders placed on the patient. (e.g. test tube icon for lab orders) Across zones: How many patients in the waiting rooms, in Radiology, in CT room, or coming inbound to the Emergency Room.

9. Medhost- Order Management Order Features: Able to view current orders and their status (e.g. ordered, canceled, returned) View lab results by selecting the results button. Icon adjacent to order name indicates the type of order. (e.g. pill icon for medications, bone icon for Radiology, test tube icon for lab orders) Physician can enter order via search, or by selecting an orderset. Triage nurse is able to enter orders using protocol ordersets.

10. Web-based Signout Web-based application that facilitates the communication of patient information from one resident to another. Replaces previously-used paper processes. Automatically loads medications and laboratory data. Log-in using lifespan email user name and password. Log-in determines individual census, which is modified by residents. Format, design and functionality designed by residents Departments will provide individual instruction on use.

11. Microsoft Outlook email Email address for Mary Smith= msmith@lifespan.org (“msmith” is your network username) See Handbook for passwords and log-on instructions. MUST submit signed system access and confidentiality forms to activate! Outlook features (email, calendars, etc) are down-loadable to PDAs.

12. Remote Access via ASAP asap.lifespan.org Access to Lifespan network from any Internet-connected computer. email and all tools on the Lifespan intranet, including medical knowledge and data. ASAP access will not be enabled until your signed System Access and Confidentiality forms are received by IS. Protect ePHI; always log off!

13. The Lifespan Information Technology Center Use of Center’s shared facilities: PCs, Macs, printers, scanners… Scanning/OCR/CD-burning/VHS>DVD Poster session preparations Training in Clinical Downloads to PDAs Instructional videos and books

14. Getting Help Information Services Staff The IS Help Desk: dial 46381 The Information Technology Center 43811 Contact your Chief Resident HIPPA: Chris Logan 44426 POM Help Line 641-4836 (Dr. Coleman)

15. Non-standard email addresses Call Help Desk (46381) with sign-on problems