Moderator EMEDPA Posted February 4, 2019 Moderator Share Posted February 4, 2019 This happens every time we get an epic upgrade, at every facility I have ever worked at, for the last 20 years....I have been at this facility for 12 years, seeing all patients, including codes, trauma, stemi's, cvas, etc PAs can only assign themselves to patients in fast track, because why would we need to have the ability to see someone in main.....GRRRRRRRRRRRRRRR Quote Link to comment Share on other sites More sharing options...
medic25 Posted February 4, 2019 Share Posted February 4, 2019 Weird; never had that happen with any of our Epic upgrades. Same health system? Quote Link to comment Share on other sites More sharing options...
jmj11 Posted February 4, 2019 Share Posted February 4, 2019 The first software I worked with, small outfit, it was terrible for PAs. I had to list myself as an MD to make it work. The software used "Physician's Assistant" with your name and always assumed you were seeing a patient as "incident to" where you had to have the MD sign the note. The silicon valley 20 year olds didn't know better. If this was 15 years ago, I think I would take some programming classes, raise a couple of million, and create a medical software company that has a software that works for the provider, and is flexible, and only cost 10 million, not 20 million to install in your facility. Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted February 4, 2019 Author Moderator Share Posted February 4, 2019 58 minutes ago, medic25 said: Weird; never had that happen with any of our Epic upgrades. Same health system? I HAVE HAD THIS HAPPEN AT 5 DIFFERENT HEALTH SYSTEMS IN OREGON AND WASHINGTON! Quote Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted February 5, 2019 Administrator Share Posted February 5, 2019 eMDs wouldn't let me refill controlled substance Rx'es last version upgrade. I could create new ones, but not refill existing ones. Stupid and weird... Quote Link to comment Share on other sites More sharing options...
thinkertdm Posted February 5, 2019 Share Posted February 5, 2019 Most emr's are configurable to the systems desires/requirements (see the post about gender vs sex tab in epic). At least one system I worked at had a programmer who could change various interface options in epic. Many administrators look at the cost and just get the base package. for example, one epic system was able to pull records from another; system three did not have that turned on, for whatever reason. Quote Link to comment Share on other sites More sharing options...
sk732 Posted February 5, 2019 Share Posted February 5, 2019 (edited) The thing I 've noticed about most any EMR I've used is the things are designed by and for admin geeks, not by/for end users. Our ER system just got updated - our shortcut note most of us use was eliminated in favor of a note designed for people that like writing small novels (and it seems, there is a direct correlation between those types and their typing speeds) which I suspect is a data mine for some Sheldon Cooper type in the Ministry of Health...I shouldn't be prodded to fall into a time trap of going through a full internal medicine history type note for someone with a cold for 2 days. At least the emergency diagnostic and the ICD10 databases talk to each other now - we had to manually enter diagnoses because when we did a search on say "viral URTI" you'd get in return...if you got anything. Edited February 5, 2019 by sk732 Quote Link to comment Share on other sites More sharing options...
sas5814 Posted February 5, 2019 Share Posted February 5, 2019 I use EPIC. Don't like it....don't hate it...but we have never had this issue. Is it something standard in EPIC that has to be un-done or is it something that was done at the user level? Quote Link to comment Share on other sites More sharing options...
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