- Signing In: Make sure that when the attending signs into EPIC, he/she chooses EHHOP as his/her department
- Accessing the Patient’s Chart: Go to Schedule → On the bottom-left side of the screen, click on “EHHOP” → that day’s schedule should appear → double-click on the patient’s name to open his/her chart
- To reiterate: The attending MUST open a patient’s chart via the Schedule in order to be able to access the Visit Navigator, write the progress note, and do everything else required to close the patient encounter (discussed below)
- Don’t be shy about periodically reminding attendings to hurry things along in an effort to keep clinic flow moving
Closing an Encounter: In order for an attending to close an encounter, he/she MUST DO THE FOLLOWING:
- Enter a Reason for Visit (should really be done by the clinician team)
- Enter a Diagnosis (should also be done by the clinician team)
- MUST Sign ALL Orders
- Enter a Level Of Service (can only be done by the attending)
- Write a Progress Note – NOT an addendum to the student note (when there is no Progress Note, EPIC will say “no additional encounter notes found”)
- A progress note can be created/written via the Visit Navigator
- To see if a progress note has been written go to “Chart Review” → “Encounters” → “Office Visit” (NOT the student note) → you’ll see a header that says “Progress Note” with text under it.
AN ATTENDING CAN CLOSE AN ENCOUNTER EVEN IF THE SENIOR CLINICIAN HASN’T FINISHED HIS/HER STUDENT NOTE. THEY ARE SEPARATE ENTITIES!! JUST MAKE SURE THAT THE CLINICIAN TEAM IS DONE INPUTTING ANY INFO/ORDERS INTO VISIT NAVIGATOR. IF THEY ARE, THEN THE ENCOUNTER IS READY TO BE CLOSED!!! To see if a student note has been co-signed by the attending, go to “Chart Review” → “Encounters” → “Student Note” → scroll to the bottom. If it says “Accepted By” and the attending’s name, the note has been signed; if it says “Required By,” then it still needs to be signed.