Thread by @RThienprayoon

Next up: FR201a- An epic step forward- a universal #pedpc navigator in the EHR with @conradw4, Alice Bass & Kat Thomas #hapc23

Actual cartoon of Conrad and Alice at work creating a #pedpc workflow in Epic. #hapc23

“If we could make the EHR better it would make me feel so much more well.” - @conradw4

“We thought it would take a year and we were certainly wrong.”
On building the navigator in epic.
#hapc23

The local epic team @nationwidekids took what was available in foundation (eg available to all who use epic) to tailor what they asked for. - Alice Bass (this is not a real pt) #hapc23

They built the navigator with metrics required for @PalliativeQual
Building the foundation for #pedpcqi
#hapc33

They streamlined everything they need into the navigator; saves the team tons of time in the am in what used to be taken for chart review. @conradw4 #hapc23

There is a psychosocial and spiritual screen- “you can hover to discover” aspects of the child’s personality, what a good day looks like, etc. This piece gets basics for if SW or chaplain isn’t there on first visit. #pedpc #hapc #hapc23

This section has lots of text boxes to document specific pieces of #pedpc consult. This exists at the pt level too so crosses encounters. #pedpc #hapc #hapc23

Does it pull into the note?
Duh.
Of course it does!!!!
Alice, Conrad and Kat would not let you down! #hapc23 #hapc #pedpc

Sorry guys messed up my thread again.
#blametwitter

Barriers- this is a huge practice shift. People who don’t like change may struggle a while.
There is a learning curve.
Prep the team!
#hapc23

You need to be able to describe to your IS counterparts what you need.
Help them understand the why behind this tool.

They are already on v2.0!
V1.0 is available on epic though now. #hapc23

They are adding the ambulatory navigator too.
They are adding out the interdisciplinary piece- many can edit simultaneously and see others work.
PCQC @PalliativeQual reporting will be integrated
#hapc23

Qs- can more than one persons nav contribution flow into note?
A- yes
Q- will code status orders flow into nav, can non-pal teams click on code and see what we are documenting re: goals
A- room for growth but possible, Alice is thinking about this
#hapc23 #pedpc

There is thought of letting people add PROs through my chart to flow into this. So much potential! ESP for @PalliativeQual
#pedpc #hapc23