Glossary (Epic Focused) *Epic Core Applications (EpicCare is the Prefix used in certifications) are the primary applications used for Clinical Care within the Epic EHR (Electronic Health Record). These applications include areas such as the Emergency Room, Nursing Documentation, Provider (Physicians and Nurse Practioners/Physician Assistants) Orders/Documentation and Ambulatory (Physician offices and clinics). * ASAP = name for the Emergency Department (ED) Epic application. The ED workflow is not intended for long term care. ASAP is used for trauma care and Emergency Room type visits. This application is used almost exclusively within the Emergency Department of a hospital or at times within an Urgent Care facility. Once a patient moves to another level of care (such as being admitted to the hospital or being sent home to follow up with a primary care or specialty clinic), other Epic applications will be utilized for that respective workflow. * EpicCare Inpatient (Clin Doc) = primarily used for patients who are admitted into the hospital for care. The documentation is centered around the workflow used by nurses and shared by the team caring for the patient within the hospital setting such as Respiratory Therapist. Often this application, is in part, supported by the IT team who are familiar with hospital workflows such as nurses or respiratory therapist. * Epic Orders (Orders) = this is the primary application utilized by Providers (Physicians, etc.) to direct others in the care of the patient. These ‘Orders’ may drive daily care such as Diet, Radiology (Xray), Labs needed, often the patients’ vital signs must be taken, etc. * EpicCare Ambulatory = the workflows for visits to an Ambulatory (such as a Doctors visit) within a clinic. EpicCare Ambulatory focuses on the Documentation/Orders used while a patient visits his or her doctor. For example, a nurse documents your vital signs and weight upon arriving for your visit, a physician documents your history and then orders your care such as lab work you may need or prescribing medication. This application may also be used for an Outpatient clinic which may have a geographical location in the hospital, but the patient is not a patient admitted for care. This may be referred to as an HOD (Hospital Outpatient Department). *Epic Ancillary Clinical Applications are the specialty driven Clinical applications within the Epic EHR. These applications include areas such as the Operating Room, Laboratory, Cancer or Cardiac care as examples. * Optime and Anesthesia = Optime is the terminology used for the Operating Room. Anesthesia is documentation used within the Operating Room by an Anesthesiologist or Anesthetist who sedates/puts you to sleep during a procedure/operation. Optime is used by the nurses/providers to document your preparation for surgery such as the History and Physical and Orders for medications before and after surgery. * Beacon = Epic application used for care of Cancer or Blood Disorder patients. This allows documentation by all clinical users and tracing of the patient through their care journey. This includes care which is regimented through treatment plans and chemotherapy treatments for Inpatient or Outpatients. * Beaker = Epic Application for everything LAB. This is the application which integrates with all the different machines used to evaluate specimens (blood, urine etc.) and provide a result. This often integrates with the Blood Bank and Clin Doc (Inpatient documentation) used within a facility (Epic does not have a specific Blood Bank module/application). * Clinical Case Management = often referred to simply as ‘Case Management’. This is often used to care for patients who need transition from one level of care to another. One example would be for a patient who needs rehab and needs care in a long-term care (nursing home) facility. This workflow ensures the continuum of care for the patient is followed to another facility or within a non-acute setting. * Cupid = Epic application which is used for Cardiac (Heart) Care – most often within a hospital setting with a focus in the Cath Lab area. This is an area which completes procedures such as Cardiac Catherization’s and has similarity to the Optime/Anesthesia application. * Epic Access Applications are the applications which support patient information such as name/age/insurance. These applications also include patient medical records known as the Health Information Management (HIM) department. * Prelude = Epic application used to input patient information such as demographics. When a patient arrives for a visit (whether emergent or within any area), he or she will be asked for their name, age, insurance etc. and this information is placed within Epic Prelude. This information feeds into all other applications for patient identification. * Grand Central/ADT = this is the application which supports a patients Admittance, Discharge and Transfer (ADT) throughout a visit. For example, when the Emergency Department (in ASAP) places an order for a patient to be admitted to Inpatient care/room, Grand Central will help ensure that room is available, etc. and the patient visible to the caregivers in the receiving area. * Cadence = Epic application which is centered around scheduling. For example, when a patient needs a visit to their doctor’s office, Cadence is used to determine the doctor’s hours available to schedule a patient visit. Cadence is also used for all things scheduling within a Hospital Outpatient area such as Radiology (Xray) and/or Lab. *Epic Resolute = the Epic applications used for billing of patients/insurance/payment within a Hospital system. * Resolute Hospital Billing and Claims (HB) is used to collect, review charges, bill insurance/patients for care by the Hospital (not including Provider charges). * Resolute Professional Billing and Claims (PB) is used for reviewing/collecting and billing professional (aka Physician/Physician Assistant/Nurse Practitioner) charges. This may be used for all areas yet is most often used within the Ambulatory setting. *Misc. Applications/Terminology = Epic applications/terminology which support workflows/analytics/regulatory requirements as below. * Haiku is the Mobile App used by Providers to view/act upon patient care from the providers cell phone. This includes both Android and I Phones. * Canto is the Mobile App used by providers to view/act upon patient care using IPad’s exclusively. * EpicCare Link – Epic application used by providers/offices who are not on a Healthcare Organizations ‘instance’ of Epic. For example, a doctor’s office (frequently a specialist such as an Orthopedist) who have privileges/see patients in a facility but are not ‘employed’ by that facility use EpicCare Link to view and act upon their patients from their offices. There are limitations of its use and not all Orders placed from an office using EpicCare Link are available to the provider. * Healthy Planet is the Epic Application used to focus analytics for patient populations. * MyChart is the Patient Portal for Epic. This meets regulations which require a patient to be able to access their medical records/see lab and Xray results and communicate with their provider from mobile devices etc. * Epic Training personnel consists of CT’s and PT’s. Credentialed Trainers (CT’s) focus upon ‘end user’ training such as day to day classroom training. Principal Trainers (PT’s) develop the curriculum and often work with the IT analyst to make changes in the curriculum as changes are made within Epic.