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For programs collecting discrete data such as blood pressures, we can send that data back to the EHR to be filed in a flowsheet. ( The Implementation
<Screenshot from a pt chart>
Automated enrollment
File transfer
<File transfer - we can work with you to do daily CSV file transfer>
HL7 ADT feed
<also useful for silencing>Guide and Epic Integration: Technical details for Epic analysts include details on what type of flowsheets we can send data to, and the technical approaches and requirements.
Automated enrollment
For some programs, the ideal enrollment workflow is for clinicians to manually enroll a patient in a Way to Health program. This enrollment step can include consenting the patient, educating them on e.g. how to take and send in their blood pressures, and so on. For other programs, automation is critical - no one can possibly manually enroll 5000 patients in an outreach programs. Sometimes, the right approach is a hybrid - enroll the patient manually while they’re in the hospital, and have the automation start the program as soon as they go home.
We have a variety of automation tools at our disposal, and will work with you to set up whatever makes most sense for your clinical workflows and IT resources.
File transfer
Often, the simplest way to automate enrollment is with a daily transfer of a flat (CSV) file. Your IT teams will need to set up something to automatically generate this file and transfer it to a location where we can pick it up and process it.
HL7 ADT feed
The ADT (Admission, Discharge, Transfer) feed can be used to trigger initiation of a post-acute program after a patient is discharged.
HL7 scheduling feed (OpTime or Cadence)
The HL7 appointment scheduling feed can be used to trigger pre-appointment or post-appointment patient messaging
The HL7 surgical case scheduling feed can be used to trigger pre-procedure or post-procedure patient messaging, and can be used (together with the ADT feed) to trigger programs after discharge from a surgical hospitalization.
Silencing messaging during admissions
For long-term (chronic) programs, patients might receive months of messaging checking up on them, asking them to report pain scores or blood pressures, and so on. Sending these messages while a patient is readmitted makes no sense. The HL7 ADT feed can be used to inform Way to Health when a patient enters and leaves the hospital, and Way to Health can silence messaging during that time period.
In Basket
Our primary recommended way of sending escalations is via In Basket message to a pool. Some of our clinical teams will choose to use existing pools they use for communicating amongst themselves; others will create new pools specific to Way to Health programs.
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Escalations can also be monitored or managed in Way to Health’s Triage View.
SDEs
<Available out of the box: program status>
<Also available: other SDE writes at various points in the intervention>SmartDataElements can be a useful way to capture patient-level info in the EHR. They can be pulled into RWB reports, used to show flags at various places in the chart (e.g. the story board), used in analytics, and more.
Out of the box, we can update an Epic SDE with a value showing the patient’s status in a Way to Health program. (The values we send are customizable - for example, we could send Pending when their enrollment is started, Active when they start receiving daily messages, and Finished when the program ends.
Additionally, we can set up custom automation to send other SDE values. For example, we have some programs where we send structured data into SDEs which are used to prepopulate a note.
Smart Forms and Smart Phrases
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