Re: Anyone using Epic in acute care?

[Guest guest]

Greetings,

I consult in clinical informatics with a specialty in nutrition and dietetics.

You are in a very rough spot as it appears you were sold a bill of goods. I'm

not clear about this " ADA build " . Haven't heard of it before. I know Epic

purchased a license to install the terminology into your database. However, in a

well-designed system, that should be virtually invisible to the RD. Chances are

they're marketing their nutrition stuff using the " ADA Build " to make folks

think you'd be happy out of the box.

What I " m seeing is that RDs are ill-prepared to participate in system design and

build. If you are told that you have to use the system " out of the box " , you are

doomed to have some serious problems with work flow and system use. You should

not have trouble fitting a system to your workflow at this point. At the very

beginning of this, years ago, someone should have talked to you about workflow,

how you work, what information you need to do your work, when you get that

information and where you get it.

I would highly recommend not using free text notes. At this point it's almost

impossible to use free text to demonstrate the worth of the RD; in other words,

we disappear. A well-designed structured note gives those of us who are behind

the scenes trying to show others what we do and (more importantly) the outcomes

of that work. If information isn't flowing from your fingertips, to keyboard, to

database, the information is lost.

Talk to your IT folks to find out how you can get in the line to rectify this.

Be happy to talk to you more off line.

Regards,

pam

Pam Charney, PhD, RD

Pamela Charney and Associates, LLC

consultants in nutrition informatics

Transforming Nutrition Care With Informatics

pcharney@...

http://www.linkedin.com/in/pamcharney

" Those who say it can't be done are usually interrupted by those doing it. " --

Baldwin

> Our facility just went live with Epic 3 weeks ago. They opted to use the ADA

build for Epic and we were wondering if anyone out there is using it. Have any

tips. We are having trouble fitting it to our work flow. Any responses would be

greatly appreciated. We spoke to one facility already who are not using the ADA

build and just writing clinical notes. Thanks!!!!

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