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Are there any offices out there that are owned by a hospital where hospital departments (OB, ED, Radiology, etc.) have access to Centricity to look up patient info, print orders, etc.?
Posted : October 3, 2013 5:49 am
Yes, we're in that scenario. Hospital staff can have access, but it is not automatic and each department needs to get approved. For years, you couldn't give signons away, but now everyone...
Most users are "Hospital Read Only"
Labor & Delivery Nurses - Print/view prenatal summaries. L&D makes it more difficult to do extended EMR downtime (ex: Upgrades/Quarterly/Windows Updates) since someone always delivering off-hours. Consider options for access (redundancy or PDF) during EMR downtime.
Hospitalists - have access but don't always login.
Floor Nurses - some nurses login all the time; others rarely
ED Doctors/Nurses - normally view EMR data from native inpatient system app, which has been previously pushed, rather than logging directly into EMR. Some practices add discharge/admit info to the EMR Chart for their admit patients in addition to the hospital dictations.
Radiology, PT, etc. who want Orders, just get Orders relevant to them pushed electronically. They generally don't get access to the full Chart. Goal is to exchange those CCDs, since that meets most of Radiology's needs.
Usual reasons for yes/no are balancing whether the department really should see a full Chart, whether they just need a piece and licenses, all balanced to the clinical benefits.
Posted : October 4, 2013 5:40 am
Topic starter
Thanks for the info... couple more questions. Who audits for appropriate access for those hospital departments? I wish it could be broken down so certain departments (rad/lab) could only see orders and print what they need. Just about the same departments you mentioned have access to the out-pt EMR and can see everything.. view only. Do your patient know that all of those hospital departments have access to their out-pt EMR?
Posted : October 6, 2013 11:17 pm
Our Comliance office audits for appropriate access. I audit for 'lack-of-use' in terms of terminating accounts. We've starting rolling out Single-Signon in the hospitals and figure that will increase usage.
Nothing specific is presented to the patient aside from normal HIPAA templates, although all outpatient sites are branded with affiliation to the larger health system. This is similar to where outpatient practices have read-access to the hospital record.
It would be much simpler if our Rad/Lab accepted an Order HL7 since realistically, they do not need access to a full Chart. We've done customization extracting Orders to work around that. We've also played with Kryptiq's ACM Partner Chart Access module testing how departments would request a CCD from EMR as an alternative to full access. The EMR-Link folks also could setup hospital orders if you work with them.
I agree that an Orders-only permission within EMR would be great as an alternative.
Posted : October 6, 2013 11:59 pm
