1. Abstractor Training Locating Data in StarPanel and HED August 26, 2014 Systems Support Services

2. Class Objectives Review of nursing documentation in HED (current inpatients only) StarPanel flow sheets – Adult & Pediatric – Concurrent and retrospective Post discharge chart review – PDF view of HED

3. Questions.

4. Patient admitted thru Clinic, ED, OR to Inpatient Unit - Clinic documentation in StarPanel real time - ED documentation & orders in StarPanel in real time - VPIMS (OR) PDF report to StarPanel when record “completed” (usually same day) - HED data populates Flowsheets in StarPanel in real time but for full access to all documentation see HED From time of Discharge Until Midnight following 48 hrs Post Discharge - See data elements in StarPanel - See full reports in HED (Patient will remain on HED census of unit discharged from but will display at the bottom of the patient list below all bedded patients) By Midnight after 48 hrs. post Discharge - Data will continue to be available in StarPanel - PDF Reports of all HED documentation will be available in All Docs view Patient location and flow determines data location

5. HED basics for Abstractors HED documentation is location dependent – Certain fields are specifically secured out to patient populations – NICU fields are not visible on medical unit There are “shared fields” – SCDs are charted by nurses and care partners and can be documented in two places – they share in both places if documented, no need to look in both places Comments show only as a yellow bar indicating data – Nursing comments must be opened or hovered over to see contents – It is possible that documentation of SCDs is in a comment and would not show in the intended field Flowsheets from StarPanel aggregate most information, but complete information is found within HED Patient information is available for 48 hours post discharge – then PDFs are in StarPanel

6. 4. Enter last 3 digits of device ID for desired unit (see table) 1. Click on Config 5. Click OK button 2. Select Communications 2953 3) Enter Password = 2953 Directions to Change Device ID Open HED and follow sequence below Method to see data as it appears on devices for unit of interest (specific data for patient populations) Make a plan to remember original computer TTY ID for restoring once completed

7. UnitCWS TTYALTERNATE 11NMGXMHI 11SLMJLMS 10NDWFOBO 10SMEIOAQ 10T3 EJQ EJP 9NMKVCWH 9SMLFCWQ 9T3 RRA RRB 8NMCYKDD 8SNZVHJZ 8T3 ROE NRZ 7NLZJKWM 7SRAWSFV 7T3DVJDVP 6NMJIMJH 6SKDWKDU 6T3RJJRLM 5NNSDLAQ 5SMDGMDH UnitCWS TTYALTERNATE 4NPLDJZDKL 4MSCLBKKIJ 4EMPKLHK S74NYLMJL S64MLWEPJ S54MLUNKH S44MXAMXB S34MIFMCW S31 GCRCLPULPS 8AOBYOBX 8BMABOCE 8CMACODG 7AREVIQU 7BOGEOET 7CMMZOFB 6AKEHDCJ 6BIPIIPJ UnitCWS TTYALTERNATE 6CMNXOFT 5ADAYDAU 5CMNZIOZ 4NIARYHRGN 4NIBOBS 4NICRGIIMG 4NIDRFWRFZ 4NIEIMJNVK 4NIFNVLRGD 4NIGNVIIMX 4NIHRGVRGJ 4NIIRGRIME 4NIJCZFCXS STAHLMANIMAMMK VPH1QYSQYT VPH2MJSQOH VPH3QOJQOI VPH5QONQOP VPH6QOMQOL CWS IDs for each unit (these are subject to change over time)

8. Orientation to HED Default Tabs across the top will vary based on unit or demographic specific requirements Further tabs are available from the far right down arrow By choosing a tab you will open documentation

9. HED Practice Locate the config button that would be used if you need to change device ID to a specific location Locate the default tabs and select one to open View a nursing comment Locate the shared field for SCD documentation – activities of daily living – Care assistant tab Let’s look at report options within HED

10. HED Reports

11. “More web reports” takes you to Business Objects (BO) for reports about groups of patients (eg. Plan of Care documentation for all patients on one unit). NOTE: HED Administrative and BO reports are NOT part of the legal EHR and should NOT generally be used for abstracting.

12. HED data is also viewable from StarPanel Both adult and pediatric nursing flow sheets are available Not as complete as HED

13. Medical Record # Last Name, First Name Date of Birth/ Age Sample StarPanel Flowsheet Note header contents. Many options to customize view of flowsheet for individual needs and preferences. These customizations “stick” until you make changes. When you click on Comments (yellow box, outlined in red accessible from top of date/time column) it opens a yellow view of all free text comments entered in HED Displays in reverse chronological order.

14. StarPanel Flow Sheet Practice Practice method for viewing nursing flow sheet from within StarPanel Practice customizing the headers View comments Remember this data is available during admission AND post discharge

15. Post discharge - StarPanel Use the all docs view for reverse chronological order of documents HED PDFs are available midnight after 48 hours post discharge

16. Patients Admitted via ED Use blue shaded side bar to indicate inpatient admission within StarPanel all documents Documents are in reverse chronological order Look on day of admission (bottom of blue shaded side bar in All Docs) for ED documentation. Look for “ED” as part of name of document.

17. Blue shaded bar Date of Admission (bottom) to date of Discharge (top) HED Reports grouped together on day of Admission & attributed to Attending provider

18. This table shows applicable reports pertinent to patients who were on various units. 1.Most reports available in HED from “Reports” link, top of screen during hospitalization & for 48 hrs after discharge. 2.These reports are available in StarPanel after the patient has been discharged 48 hrs.

19. Orders Tracker Used in Adult ED

20. StarPanel Practice Locate the pdf report for IVs post discharge Locate ED orders – Ordertracker medication given in ED

21. Answers.

22. Questions