Overview

Way to Health is a platform used to power a range of programs in the realms of connected health, remote patient monitoring, and patient engagement. Most of our clinical programs use text messaging, but we also use surveys, connected devices, and other data sources.

This document is intended as a high-level overview of Way to Health’s Epic integration features, aimed at clinical or IT decision makers. Epic’s Third-Party App Setup and Support Guide on Galaxy also has useful high-level information. For technical audiences, Epic Integration: Technical details for Epic analysts contains further in-depth information as well as the full Epic Implementation guide.

Different programs, different integration needs

Different Way to Health programs will have different workflows and integration needs. For example, Heart Safe Motherhood (a postpartum BP monitoring program) requires a way to enroll patients, start them in the program post-discharge, and send BPs received from the patient back to the medical record. Coloprep (a text program to improve colonoscopy prep) does not require manual enrollment, but instead uses an HL7 scheduling feed to enroll patients and trigger the text messages at the right time.

Your Way to Health implementation lead will guide your clinical, operational, and IT teams in deciding which features are needed for the specific program(s) you are implementing.

Setup once, use for multiple programs

Way to Health’s Epic integration requires a one-time setup before it can be used for any number of programs. For example, once the embed is available, health systems can begin enrolling and monitoring patients in as many W2H programs as they’d like with no additional IT setup. Similarly, once an outbound ADT feed is established, this can be used by any number of programs to start the intervention after discharge. This applies to all of the features described below except for flowsheets and In Basket messaging, which are typically configured for a specific program or care team and therefore require program-specific customization.

Use Cases and features

Epic embed: Enrolling and monitoring patients

The primary way clinical users interact with most Way to Health programs is through our EHR-embedded view from within a patient chart. It’s up to you and your health system to determine which menus the Way to Health link appears in. At Penn Medicine, it is available to all users from the “additional activities” menu or from the search, and some users modify their workspace (the “wrench” tool) to put the Way to Health link in their tab bar on every patient chart.

Once clicked, the link opens a Way to Health tab in a sidebar of the patient chart.

The first time someone loads the embedded view they are prompted to create an account or link their existing Way to Health account if they have one. (Any given user will only see this screen once.)

Once the user has access to w2h, they will see all Way to Health programs linked to your EHR.

The Programs tab shows a list of any programs the patient is currently enrolled in, plus any programs they are eligible to be enrolled in. Each program can configure whether any user with the access to the EHR can enroll patients, or if they need to be explicitly granted access.

Requesting Access sends an email to any Project Managers set up for the project requesting approval. Once access is approved (or denied) the user is sent an email at an address they specify.

The Enroll button opens a screen gathering whatever information a program needs to enroll the patient. All information is pre-populated from the patient’s demographics data retrieved from the EHR. (In this instance, the patient did not have a textable phone number, so the field was blank.)

The Inbox section shows all text messages (both manual and automated) between Way to Health and the patient, and allows staff to directly text the patient as well.

For programs collecting blood pressures or other structured data, the Data Snapshot can be a useful way of viewing the BP data at a glance.

Flowsheet

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

Automated enrollment

File transfer

HL7 ADT feed

HL7 scheduling feed (OpTime or Cadence)

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.

Most Way to Health programs send messages using the Staff Message message type - this requires no additional EHR build. We can also send messages using a custom message type. The Implementation Guide contains instructions for setting that up if desired.

We can also send escalations to pagers, cell phones, or by email. (We do not include patient identifiers in escalation messages to pagers or cell phones unless an exception is approved by your privacy office.)

Escalations can also be monitored or managed in Way to Health’s Triage View.

SDEs

Smart Forms and Smart Phrases

Some of our health system customers use Smart Forms to drive some of the enrollment or tracking process. Some programs have set up Smart Phrases to pull flowsheet data sent from Way to Health into clinical notes. If you’re interested in using these tools, we can connect you with the IT staff or physician builders who set these up.

Implementation process

Build and testing for a connected health program

Your Way to Health Implementation Lead will work with you to gather requirements, build, and test a new connected health program. For multisite programs (e.g. a program launching at Penn followed by other locations), the program typically will be tested at the first site and will require much less testing at the subsequent sites (mostly covering any site-specific tweaks that may have been made).

Testing for Epic integration

We will provide a test script for each Epic integration feature described above (embed, flowsheet, SDE, etc.). For the embed and In Basket, the test script only needs to be run once for Way to Health. Flowsheet and SDE test scripts may differ slightly for each program.

These test scripts can also be used as part of testing for Epic upgrades when warranted (primarily when Nova release notes indicate that things are changing in the affected areas).

Support, program changes, and shutdown

During the EHR setup process as well as during the setup of any connected health programs, there will be an assigned technical and project management point person.

Once a program is live, any issues or program changes (including shutdown requests) should be submitted through our help desk located at http://support.waytohealth.org .

Way to Health's Epic Integration features