Electronic Health Record ► What you should know What is hCare? HCA’s Electronic Health Record – hCare: ► ► Ties together a patient’s health information from multiple systems to provide one complete view Whether the information comes from a hospital, doctor’s office, clinic, or lab, it will be presented in a structured, standardized format One of the core components of hCare includes the hCare Clinician Portal 2 What is the Clinician Portal? ► Physician electronic access point for clinical information • Integrated systems • Simplified sign-on—one username, one password • Simplified Remote Access – no more tokens • User-friendly, intuitive interface ► Access to complete patient list ► Resources section • Clinical references • Training modules • Facility-specific information ► Accessible from hospital, home, office, or while traveling 3 Access – the first step to providing a single point of entry to integrated, clinical patient data • Intuitive, user-friendly interface • One 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 charts • Accessible from any internet-capable computer, if proper system requirements are met • Organized and standardized to reduce medical error • Provides inpatient management system 4 The portal integrates facility-based clinical systems, providing physicians with one-stop shopping for clinical data. • • • • • • Dictated reports, vitals, labs, test results EKGs Fetal monitoring strips Cardiology images (PACS) and reports Labs Radiology images (PACS) and reports 55 4/2 - North Sub & Spalding 4/16 - Skyridge 4/30 - Swedish 5/14 - PSL 6/4 - Rose 6/18 - Aurora Coming Soon! ► Enhancements to the clinician portal Clinician Portal-Enhancements ► Electronic signature and record completion ► Post-discharge records available electronically These 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. 7 Physician Access to Medical Records Current Post Discharge Chart Completion & Signatures Review Patient Medical Records Process Future Paper patient medical record and a variety of paper forms 100% online via the hCare Clinician Portal In the HIM Department Accessible by most PCs using an internet connection Paper medical record and a variety of systems such as MEDITECH, MUSE, OB Link, hCare Clinician Portal, and Mobility Prior to Discharge: Patient medical records exist in paper form prior to discharge Post discharge: (after scanning at HSC) Complete medical record will be accessible only online Access and review discharged patient medical records using the hCare 8 Clinician Portal Screenshot: Managing incompletes 9 Screenshot: PIN entry for e-Signature 10