2What is hCare? HCA’s Electronic Health Record – hCare: Ties together a patient’s health information from multiple systems to provide one complete viewWhether the information comes from a hospital, doctor’s office, clinic, or lab, it will be presented in a structured, standardized formatOne of the core components of hCare includes the hCare Clinician PortalSpeaker Notes: CSGhCare is the name of HCA's electronic health record.It's more than the portal, it's the combination of all components that create an electronic health record.These components will roll out over time. The initial components lay the foundation for our comprehensive electronic health record.
3What is the Clinician Portal? Physician electronic access point for clinical informationIntegrated systemsSimplified sign-on—one username, one passwordSimplified Remote Access – no more tokensUser-friendly, intuitive interfaceAccess to complete patient listResources sectionClinical referencesTraining modulesFacility-specific informationAccessible from hospital, home, office, or while travelingSpeaker Notes: CSGThe portal is a viewer that pulls together clinical information for patients. It provides a user-friendly, intuitive interface for physicians, making clinical data accessible from within the hospital or remotely via simplified remote access.
4Access – the first step to providing a single point of entry to integrated, clinical patient data Intuitive, user-friendly interfaceOne sign-on for all integrated systems (e.g., MEDITECH, PACs, MUSE, CVIS)e-Signature capability via HPF tab in portal for completing unsigned orders and chartsAccessible from any internet-capable computer, if proper system requirements are metOrganized and standardized to reduce medical errorProvides inpatient management system
5The portal integrates facility-based clinical systems, providing physicians with one-stop shopping for clinical data.Dictated reports, vitals, labs, test resultsEKGsFetal monitoring stripsCardiology images (PACS) and reportsLabsRadiology images (PACS) and reports5
6Enhancements to the clinician portal 4/2 - North Sub & Spalding4/16 - Skyridge4/30 - Swedish5/14 - PSL6/4 - Rose6/18 - AuroraComing Soon!Enhancements to the clinician portal
7Electronic signature and record completion Clinician Portal-EnhancementsElectronic signature and record completionPost-discharge records available electronicallyThese new features are available via Horizon Patient Folder (HPF)—a new enabling technology supported by the Health Information Management Shared Services Initiative—and will be available from within the clinician portal.Speaker Notes: CSGThe clinician portal will also provide reference resources for physicians – including training modules for using the portal and facility and division-specific informationAnd because it's web-based, physicians will be able to access the portal via simplified remote access.
8Physician Access to Medical Records CurrentFuturePost Discharge Chart Completion& SignaturesPaper patient medical record and a variety of paper formsIn the HIM Department100% online via the hCare Clinician PortalAccessible by most PCs using an internet connectionReview PatientMedicalRecords ProcessPaper medical record and a variety of systems such as MEDITECH, MUSE, OB Link, hCare Clinician Portal, and MobilityPrior to Discharge:Patient medical records exist in paper form prior to dischargePost discharge: (after scanning at HSC)Complete medical record will be accessible only onlineAccess and review discharged patient medical records using the hCare Clinician PortalSpeaker Notes:The slide compares today’s world of Post Discharge record access to the future state after the implementation of the hCare Clinician Portal with HPF.Medical records today are accessed via the HIM department for record completion/deficiency management. The paper medical record is limited to one physician at a time. In the future state medical records are accessible using most PCs using an internet connection and multiple physicians can access the same medical record at the same time for improved deficiency management.Reviewing the paper medical record. The working chart will continue to be a paper document. However, electronic feeds of some data will enable physicians to view data on line and in the working chart.The paper post discharge medical record is sent to the HSC where paper only items are scanned and joined with the items/forms sent electronically during the patient visit. Once the record is scanned, etc it is available for view/review for all historical visits on line via the clinician portal.
9Screenshot: Managing incompletes Speaker Notes:This screen shot displays how incompletes are presented. Below is some detailed information about the data elements found on this screen. Details surrounding the management of incompletes/deficiencies is included as part of the education and training process for physicians.Detailed information about this screen.Once a physician selects the Incompletes tab from the top of the page. The list of incomplete records displays. *Please note this example displays a “Deficiencies” tab. The production system tab states “Incompletes”. The number to the right of the tab label identifies the number of deficiencies for this physician.Deficiencies are displayed in reverse date order and are color coded by status. Deficiency types are displayed at the top left and include the number associated with the type of deficiency. The number of days deficient are located to the right of the status.Black identifies the privileges are suspended.Red identifies that privileges are pending suspension.To begin processing deficiencies the physician will select “process all” to process all deficiencies.
10Screenshot: PIN entry for e-Signature Speaker Notes:This screen displays the PIN or e-Signature function. Detailed information about this function is below and a fully explanation provided as part of the training and education process.Detailed information:Once a physician selects process all. The PIN screen appears. *PIN entry is required only once per session.Upon clicking the “Ok” button the deficiency viewer opens where the physician will begin working their deficiencies.