“We’re excited to bring the TeamHealth Smart Ribbon to our providers because it seamlessly delivers the right information at the right time which will drive improved patient care, improve hospitalists experience and deliver significant savings to our hospital partners and the overall healthcare systems.”
Since paper remains the most efficient way to quickly reference information and jot down notes, WHIRL gives users the ability to compress all relevant patient data from their EMR onto paper. This allows users to create fully customizable, printed rounding lists.
What is WHIRL?
- WHIRL gives users the ability to compress all relevant patient data from their EMR onto paper. This allows users to create fully customizable, printed rounding lists.
- What are the various WHIRL list features?
Below are some features within WHIRL Lists:
- Add new lists from your Epic Lists or Shared Epic Lists
- Edit existing lists that have been created within WHIRL
- Remove existing lists that have been created within WHIRL
- Generate existing lists that have been created within WHIRL
How can WHIRL lists be configured?WHIRL Lists may be configured as follows:
- Users can edit and choose which patient data attributes are displayed on their list and where it is displayed
- Users can edit and choose various attributes for meds, labs, procedures, studies, flowsheet rows, units, and rooms
- Users can choose whether to include lab fishbones on their list as well as additional service-based handoff and plan information
and many more!
How do I print my list?
To print your list, select "Generate" on the on the home screen. This will generate list preview where the font size, lab size can be altered. Also, a message at the top of the list or an image at the bottom of the list may be added from this screen as well.
How do I save my list edits?
Any list edits made are immediately saved and applied automatically after the edit is made.
REAL-TIME COST TRANSPARENCY
We ask for “value-based care” but how are providers supposed to make value judgments if they don’t know what things cost? The Stewardship App teaches and reinforces a value mindset by exposing real hospital costs to providers and nudging in their clinical workflow when lower cost opportunities exist, supplemented with clinical guidance and citations. The result is an average of $86+ per admission in hard-dollar savings, adding up to millions of dollars.
ATTRIBUTED TO THE RESPONSIBLE PROVIDER
The app uses your own wholesale acquisition cost for medicines and your direct, variable cost accounting data for labs to give a true representation to providers of what things cost. More importantly, we know the cost of every order, by every provider, the provider specialty and the patient’s acuity. From that, we understand variation in practice patterns among similar providers. We use machine learning to turn our understanding of each provider’s practice tendencies into personalized contextual education. Content is delivered to the right provider at the right time…but not too often.
What timers can be seen and what are they?
The following timers will be displayed based on the patient’s current patient class/type: Inpatient (Length of Stay based on patient days), Observation (length of time patient has been on observation status), and ED (time since the patient checked in).
How is C Diff % Risk calculated?
This is the iatrogenic C Diff risk, related to current active scheduled medications. Our calculations consider the specific risk that exists for each specific antibiotic and/or protein pump inhibitor as well as the compounding affect that occurs when the patient has been prescribed multiple antibiotics and/or PPIs concurrently.
How is Fall Risk calculated?
The fall risk represents the relative risk of falling based on the intake of scheduled sedatives and opioids if aged 65 or greater. Please note, this calculation only considers current scheduled medications. Medications prescribed as PRN are not currently factored in as a part of this fall risk calculation.
What lab costs are displayed in the Stewardship app?
Lab costs derive from the Medicare Allowable Rate. The costs are not charges or what the patient pays.
How is blood loss calculated?
IllumiCare calculates the total phlebotomy blood draw that occurs based on the average amount of blood that must be drawn for each test ordered. We do consider other factors in our calculation, for example, when multiple lab tests are ordered at the same time, they may leverage the same blood draw.
What Rad costs are displayed in the Stewardship app?
Rad costs derive from the Medicare Allowable Rate. The costs are not charges or what the patient pays.
LAB COSTS
The ARUP App, powered by the IllumiCare Smart Ribbon, provides clinicians with a high-level view of the financial and clinical impact of lab orders including access to the ARUP Consult® web tool and ARUP Frequency Algorithms. We never tell the provider not to order another test. We just provide them with the context they need to make a proper judgment about whether the utility of that next test is worth the cost and patient risk.
LABS ORDERED BY COST AND DATE
Labs ordered in the current admission are sorted by cost per test, with the most recent test date noted.
PHLEBOTOMY BLOOD LOSS
IllumiCare uses a patent-pending method for estimating phlebotomy blood loss (ml) by day of length of stay. This reinforces that labs have both human and economic cost.
PROBABILITY OF A LAB-INDUCED ANEMIA
We provide clinicians with a probability of hospital-acquired anemia associated with phlebotomy blood loss. Blood transfusions are expensive for the hospital and potentially problematic for patients.
What is ARUP Consult?
ARUP Consult is a web-based laboratory test selection tool that provides point-of-care diagnostic and interpretive information for clinicians. ARUP Consult assists providers with test selection and interpretation among nearly 300 diseases and provides clinical background and diagnostic information. The content is expert-authored by ARUP and University of Utah, congruent with the latest medical guidelines and literature.
When should I use ARUP Consult?
ARUP Consult can be used to ensure providers are utilizing the latest best practices when they suspect a nuanced disease. Searching ARUP’s extensive database will enhance the providers knowledge and ensure they are utilizing the most up to date clinical practice to care for their patients.
Why doesn’t ARUP Consult contain information on all diseases?
ARUP Consult is a lab focused tool that aids in the clinical diagnosis of disease. It is not a replacement for broader content providers, rather, it narrows the scope of information and provides it in an easily digestible format for providers at the bedside.
How can I contact ARUP if I have questions about their recommendations?
Please contact ARUP at arupconsult@aruplab.com if you have questions or suggestions specific to their content.
PATIENT SPECIFIC OBS CALCULATION
If a patient is on observation status, a timer will appear in the Smart Ribbon. The value represents the amount of time the patient has been on obs status. The numerical value will turn red after the patient exceeds the amount of time determined by your health system. The status will be displayed by a key performance indicator on the Ribbon icon. The icon will be the blue clock if the patient has not been on obs status longer than the limit set by the health system, otherwise it will be a red alert circle.
HOW IS OBS TIME CALCULATED?
The observation timer shows the current time a patient has been in an observation status. This is based upon the provider order to place them into the observation status.
WHY IS OBS TIME RED?
After 24 hours the Obs timer turns red to indicate that the patient is nearing the Two Midnight Rule. This is a visual reminder of the duration of time they have spent in that status.
THE CONTROLLED SUBSTANCE APP SYNTHESIZES BOTH STATE PMP OPIOID TRACKING IN THE OUTPATIENT SETTING WITH INPATIENT CONTROLLED SUBSTANCE EXPOSURE.
Both inpatient and outpatient exposures increase risk on chronic opioid therapy. Yet, most current solutions are limited to only outpatient fills (what’s in the state PMP database). The Controlled Substance app contains both inpatient and outpatient controlled substance exposures along with a milligram morphine equivalent calculator.
THE HHIE APP PROVIDES QUICK AND EASY ACCESS TO THE HHIE.
The app displays the patient details currently in view of the EMR. Filterable results lists are available to print or save. In addition, allergies, medication alerts, and medication history are also available for patients.
What is HHIE?
The HHIE App is a robust, interoperable data exchange system that enables all health care providers, health plans, clinics, and hospitals to contribute and access complete health information with confidence throughout Hawaii.
HHIE Key Facts
- Results - Within the Results tab, you can filter or search on Labs, Rads, Transcriptions, or Paths. You can click the search results to view more details and print or save the details as a pdf. Click on return to results to go back to the filtered search results.
- Medications - Within the medications tab, you are able to see allergies that the patient reported, medication alerts if the patient has not refilled their prescription on time, and medication history. Click on Query Medication History to see all medication results.
- Documents - Within the documents tab, you will find documents from HPH, VA, & Department of Defense. To find documents, use the Find External Documents Button and select each line item and then press find patient documents. This will retrieve clinical documents from external sources and you will need to select them and press load documents in order to view them. From here, you can click on each document to open for review.
How do I register for the HHIEs?
To register an account in the HealtheNet, all employees must navigate to the register screen and complete the User Change form. The User Change form needs to be faxed to your help desk and you will need to wait for 7 business days for your username. HHIE will reach out and schedule a 45 minute training session. For any tips or common questions, please visit the health record tip sheet
How do I reset my password
To reset your password, please visit the reset password page. The password reset video details step by step how to reset your password.
Where can I find out more information about HHIE?
You can find helpful information in the following locations:
Will auto-login still work if I reset my password within the HHIE portal?
If you reset your password in the HHIE portal, you will be prompted to enter in your new credentials during the auto-login process. After successfully entering your new credentials, you will only need to use your PIN to log in to the HHIE portal until your credentials change again.
I forgot my PIN for auto-login. What do I do?
If you have forgotten your IllumiCare pin, reset your pin by choosing "Don't have or can't remember your PIN?" A warning message will appear to inform you that all previous credentials and your existing PIN will be permanently deleted if you continue. By continuing, you will be prompted to enter in a new pin & your HHIE credentials. Next time you enter the app, please use your newly created pin to automatically log you in to the HHIE Portal.
HIGH PRIORITY CLINICAL ANNOUNCEMENTS
Announcements are high priority clinical posts that may be relevant to specific facilities within your health system or relevant to your health system as a whole. New and past announcements are displayed on the home screen when you first open the app.
- Administrators may create, edit, save drafts, delete, and recover any announcements within their health system
- Calculated on every med, lab and radiology order
- Save as a 'Draft' and post at a later time
- Admins can edit already posted announcements
- Announcements appear on the ribbon with an illumination
- Post to individual regions within your health system
Contacting IllumiCare support staff:
1st - Click the lightbulb on the right side of your ribbon to open the ribbon menu
2nd - Click Help & Support
3rd - Let our support staff know how they can help you.