Sunquest and Epic POC question
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At my hospital we use sunquest in the lab and the rest of the hospital uses Epic. When the staff uses POC kits such as Strep A, Flu, UA and such they put the results in Epic and for some reason we get the requisitions sent to the lab and we generate a sunquest order for it and than we put in the results through sunquest duplicating the results already that are in Epic. Does anyone else do this and if so can you tell me why we would do this. I am new to POC and it does not make any sense to me.
Thanks
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Hi Orly,
When the staff use POC kits and put results into EPIC, are they using enter/edit or are they putting the results into a nursing note?
This seems really extreme. Do you bill for POCT, because there would be potential for double billing with this system.
All our interfaced results go into our LIS, Sunquest. The manual test results are entered into Epic by the nursing staff. We do not duplicate that process. We have quite enough to do without that added step,
That being said, we don't have a good handle on the volumes for manual testing, since it's all in Epic and we can't pull any reports from either Sunquest or Telcor. We are hoping to implement WebMRE with Telcor next year, so we will be able to capture those results in our LIS and use the results for population health management. So if it's being done so that results are in Sunquest, I can understand the duplication. It still seems like a non-value-added process, however,
As a previous Epic orders analyst that seems like overkill. As Peggy said, they should be using Enter/Edit results so the results are in a discreet format. The epic result and order report (what you see on the screen) can be configured to contain all required elements. Reports can be pulled for result review if necessary. The clinical coordinators in our outpatient practices routinely audit poc results to ensure everything is entered and appropriate charges dropped.
Good Morning,
Although we have
Beaker (LIS for EPIC) manual POC testing (urine preg, strep, fecal occult blood and manual urinalysis) that is performed in our offices does not go through Beaker. An order is generated in EPIC and then the performer of the test enters
the results (enter/edit) into EPIC. We had each test built in EPIC. I also have an Ambulatory report that I pull from EPIC that gives me volumes and test results, so if someone ran a bloody urine or entered something incorrectly we can address.
We also have the internal QC for each test built in the test result.
Hope this helps,
Patty
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Hi Patty,
We also have enter/edit in EPIC for manual test entry. I would be interested in the reports you are pulling.
Thanks,
Dawn
We also use Epic Ambulatory Enter/Edit for our clinic POCT results - auto and manual UA, strep, urine hCG, HemoCue Hgb, Accu-Chek glucose, FOB by DRE, PPMP tests, hA1C, Adenovirus, PT/INR. We had to configure Pediatric clinic nurse access to result in Beaker in order to result Lead so those results would electronically transmit to the PA and NY DOH. I am looking into a project to interface our Clinitek and DCA Vantage analyzers in the clinics to EPIC. If anyone has experience with this and has some tips/suggestions I would be grateful. I also get from EPIC a weekly detailed result report and a monthly total volume report. I think it is accurate. I have inherited the program so i am still learning everything.
I would be interested in how you're pulling results from Epic for manual testing.
We use the Nova meters manual entry. Can manual entry the result and internal QC.
The patient armband can be scanned and the lot number of the kit as well.
The data then comes into Telcor and result to EMR/ IHIS
I get an automated monthly report out of Epic called a BI Report through ARCanalytics that lists all if my manual entry POC tests and results. You should be able to request your report writers built that for you.
Yes, my report was built by our reporting team and if memory serves me the results report is pulled from the order. I just requested the report by naming the parameters I wanted
included and they built it. I usually pull it every couple weeks.
Good Luck,
Patty
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Thanks for the info, I appreciate it!
We also have all our manual tests entered via the Nova glucometer. When the test is resulted in MTE (manual test entry) and downloaded, an order is created in SQ, resulted and sent to EPIC.
Kathy we have a function called Dashboard that allows us to pull manual tests performed by the cpt code.
Adonica
Do y'all perform Chem 10 or upH for MTE? If so, how do your operators perform QC? Is it on a paper log, electronic form, in the glucometer?