I’m unclear how that helps with efficiency. I’ve seen providers with more than 20 dot phrases for custom MDMs. Organize your medical decision making(MDM) with a general dot phrase. If your hospital wants to do something about morale, this is an easy lever they can pull. You will get support from your administration simply by saying it will help get charts done faster so that insurance can billed sooner. If you’re at a system that doesn’t have real time dictation available, push for it.
If you’re one of those that hasn’t switched over to real time dictation, please do. Post switching over to real time dictation, I was able to finish charts much more easily on shift and have almost every chart done prior to the end of a shift. I was able to attest residents charts and also do individual patient charts much faster. I found myself being able to save about an hour per shift of charting, and real time dictation has saved me hundreds of hours of my life that I would have otherwise spent typing. Finally, a fellow faculty member convinced me to at least just give it a try and it was a complete life changer.
#EPIC ALL MY PATIENTS LIST FULL#
For a full year that our hospital turned on dictation I refused to switch over, feeling that I could type faster. Because of this, I assumed that I could always keep typing faster than I could dictate. I’m one of those millennials who grew up on keyboards and was very proud of my words per minute. You can even put in orders with the help of dictation. For my setup, real time dragon dictation is built right into epic, and we have power mics that allow us to dictate at the press of a button right into the chart. If you are not familiar with real time dictation, it is the ability to use a dictation software, such as Dragon dictation, in conjunction with the EHR. I am only frustrated that I didn’t use it sooner when it was available. Dragon real time dictation has been a life changer. In my opinion, having to wait for a transcription service and then review it for accuracy hours later is not efficient. If you have the ability to dictate, dictate. Total time using this setup to complete your HPI is less than a minute. I first fill out the “Illness” form, and then will jump into the Narrative box and will dictate a few lines accordingly. It’s a small thing, but makes your HPI so much faster over time. This is great because it gives you the points you need for your level of service to be high (1-5). Severity, onset and duration have easy buttons to populate in this template. The Illness form has an empty blank for “location”, “quality”, “context”, and other key components. So for that abdominal pain patient, consider using the “Illness” HPI form instead of “abdominal pain”.
I have found that using Epic’s custom HPI forms actually take much longer. When doing charts in the Emergency room or clinic setting, use the illness tab to pre-populate your HPI. While some of the following might appear to be subtle workflow changes, they can yield significant efficiency gains.
#EPIC ALL MY PATIENTS LIST HOW TO#
In particular, I focus on knowledge gaps I’ve seen in senior residents when learning how to chart. While the lecture and instructions I give are more detailed and nuance, there are 5 key takeaways I wanted to present that will make your next clinical day more efficient. Through hours of lectures I’ve given them, I’ve tweaked my instruction accordingly based on feedback I’ve gotten with what works and what doesn’t. I teach our residents on how to chart faster and be more efficient on shift. We are not going to bore you with multiple dot phrases or macros for our PE or ROS. Our MD Tech Tip article this week is how to chart faster in Epic.
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