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Telephone Triage in EPIC

  • 1.  Telephone Triage in EPIC

    Posted 11-09-2022 09:37
    Good morning,

         Our hospital is transitioning to EPIC and IT asked me if we know of anyone who does telephone triage in Epic. We have a charting system that our IT built specifically for us. We are an after-hours service for over 100 Pediatric practices that are obviously not all on Epic. So I am reaching out to see if anyone uses it currently. I saw online that Epic appears to have a program that can be used with Barton Schmitt protocols and have reached out to them but I would also like to hear from someone who actually uses it.

    Thank you,
    Jeannine

    ------------------------------
    Jeannine Whitley, MSN, RN
    Director Telephone Triage
    Children's of Alabama
    Birmingham, AL
    205-638-6337
    Jeannine.Whitley@childrensal.org
    ------------------------------


  • 2.  RE: Telephone Triage in EPIC

    Posted 11-10-2022 08:24
    When an Urgent Care Clinic rolled out EPIC, no triage section was purchased in 2010. Since I taught RN triage, I went thru EPIC with their trainer, NOT the hospital's IT guru and found the triage module was very appropriate for our patient population which included infants and children.

    Each module were an additional cost, which may have been the reason for not purchasing it. The variability in triage outcomes and costs of negligence lawsuits would outweigh whatever the module cost. 

    IT departments are usually quite adept at modifying a module to fit the clinical specialty.

    Joan

    Joan M. Pate
    MS BSN AMB-BC
    CAPT USN Retired



    Sent from my T-Mobile 5G Device






  • 3.  RE: Telephone Triage in EPIC

    Posted 11-10-2022 09:29
    Thank you. We are strictly pediatrics and currently use the books, so I am hoping the cost is somewhat comparable. If we do not need the books we can just use the online version. I just wanted to hear from some people who have actually seen or used it to know how user-friendly it is. With change comes resistance and I do not want to change to something harder than what we have, if possible. 

    Thanks again!
    Jeannine

    ------------------------------
    Jeannine Whitley, MSN, RN
    Director Telephone Triage
    Children's of Alabama
    Birmingham, AL
    205-638-6334
    Jeannine.Whitley@childrensal.org
    ------------------------------

    Original Message


  • 4.  RE: Telephone Triage in EPIC

    Posted 11-16-2022 10:21
    Thank you. I think our IT wants to stop having to update the application they built for us and feel it would be easier if everyone was in Epic. So he asked if I know anyone who is using it and I said no but I know the group to ask.

    Thank you,
    Jeannine

    ------------------------------
    Jeannine Whitley, MSN, RN
    Director Telephone Triage
    Children's of Alabama
    Birmingham, AL
    205-638-6334
    Jeannine.Whitley@childrensal.org
    ------------------------------

    Original Message


  • 5.  RE: Telephone Triage in EPIC

    Posted 11-10-2022 11:23

    Jeannine,

    Understand completely.

    Used the EPIC module, triaging a number of patients and it was fairly easy to use. Like everything, whatever you use will require training and support. The latter being a BIG need and for longer than the leadership ever envisions. Good luck in your journey.

     

    Joan

    Joan M. Pate'

    CAPT, US Navy, Retired

    MS BSN  AMB-BC

    The Villages, Florida 32163

    jmpate@earthlink.net






  • 6.  RE: Telephone Triage in EPIC

    Posted 11-22-2022 17:55
    Hi, we recently went live with EPIC and I don't recall there being a module for triage. Can you share a bit more info? The only only thing that I was told is that we can embed ClearTriage into EPIC but from this thread it sounds like EPIC also has their own module. 

    Appreciate any info you can share. 

    Thank you!

    ------------------------------
    Isai De La O
    Director of Nursing
    Marin Community Clinics
    Novato CA
    idelao@marinclinic.org
    ------------------------------

    Original Message


  • 7.  RE: Telephone Triage in EPIC

    Posted 11-22-2022 18:39
    Isaiah 
    You'd have to talk with EPIC as they were the ones to show me the triage module in the EPIC software. Our IT people didn't have a clue about any other modules clinical people might need or want. That's the problem in my opinion in establishing anything within EPIC.....it's the EPIC personnel that know the system and can speak directly to the clinicians' need for accurate documentation. 

    The triage module is an additional cost which the leadership fought tooth and nail NOT to purchase. You may need to make the case for cost savings by purchasing the module vs a work around or another off the shelf triage module. 

    It's been about 10 years since I evaluated Epic's triage module and I was suitably impressed by the thoroughness of the content at that time. I've taught RN triage extensively over the last  30+ years and reviewed quite a few negligence cases of failed triage in the past. Looked at the triage module from these perspectives and felt it was well worth the funding. 

    The leadership of the Urgent Care Clinic didn't feel the same way, unfortunately.  Perhaps after writing a number a checks with many zeros in cases where the patient was harmed, they might change their stance.

    Hope this is helpful. Good luck in your journey!

    Joan
    Joan M. Pate'
    MS BSN AMB-BC
    CAPT USN Retired






    Sent from my T-Mobile 5G Device




    Original Message


  • 8.  RE: Telephone Triage in EPIC

    Posted 11-23-2022 09:10

    Hi,

     

    EPIC has EPIC Nurse Triage with is the Thompson-Schmitt protocols embedded. We are just going live with EPIC Nurse Triage as we speak. I'm happy to discuss what went well...and what didn't.

     

    Susanna M. Gadsby MSN, MBA, RN, AMB-BC, NPD-BC

     

    Clinical Nurse Educator: Ambulatory Division

    Center for Nursing Excellence

     

    American Academy of Ambulatory Care Nurses Certified

    Nursing Professional Development Specialist

    Tel 603-304-6929

    Susanna.m.gadsby@hitchcock.org

     

    Dartmouth Hitchcock Medical Center 

     



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    Original Message


  • 9.  RE: Telephone Triage in EPIC

    Posted 11-29-2022 09:16
    Thank you. I have yet to hear back from our IT. They are knee-deep in the main hospital go-live preparations but I know they will come to me at some point. 

    Jeannine

    ------------------------------
    Jeannine Whitley, MSN, RN
    Director Telephone Triage
    Children's of Alabama
    Birmingham, AL
    205-638-6334
    Jeannine.Whitley@childrensal.org
    ------------------------------

    Original Message


  • 10.  RE: Telephone Triage in EPIC

    Posted 12-14-2022 07:33
    My organization will be transitioning to EPIC in 2023.  I would be very interested in discussing your journey and training of your staff.   Triage is an area that my organization even without this transition, lacks adequate training in, and I would love to pick other people's brains regarding Triage training in general and EPIC and what it has to offer.  We currently use an OB Triage book, a Peds Triage book, and a general triage book.  Many of my co-workers don't use them at all or efficiently, because we are understaffed many times, I am not saying we do not triage well, but I would love to design a better triage system and training especially for our new grads that we hire to help them build confidence in their skills.

    Best,
    Bonnie Hooper BSN, RN
    Clinical Training Specialist

    ------------------------------
    Bonnie Hooper
    Primary HealthCare
    Des Moines IA
    (515)248-1887
    ------------------------------

    Original Message


  • 11.  RE: Telephone Triage in EPIC

    Posted 12-29-2022 13:07
    Isai,
    There is a triage call function within EPIC, you do not have to purchase a separate program to embed into EPIC like ClearTriage, but I have heard good things about that program also.
    It runs with the Schmitt & Thompson decision support tool (the same as the book protocols).
    It has adult and pediatric, office hours and after-hours protocols.

    ------------------------------
    Sheryl Bartlett RN
    Nurse Manager After Hours Triage
    UT Southwestern -Clements University Hospital
    Dallas TX
    (214)563-1120
    ------------------------------

    Original Message


  • 12.  RE: Telephone Triage in EPIC

    Posted 11-10-2022 11:38

    We have been using Epic for triaging for years and everything works fine for the most part. We have an analyst that updates the protocols in Epic when they are sent to us.

     

    Catherine Bailey, BSN, RN                         

    Assistant Clinical Manager-Telephone Triage/Telecommunications

    Providence Health & Services Alaska

    907-212-6493       

    907-212-3959 fax

    Logo, company name Description automatically generated

     



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  • 13.  RE: Telephone Triage in EPIC

    Posted 11-10-2022 13:36
    Thank you! I wanted to hear from people who have actually used it so it is good to hear positive feedback.

    ------------------------------
    Jeannine Whitley, MSN, RN
    Director Telephone Triage
    Children's of Alabama
    Birmingham, AL
    205-638-6334
    Jeannine.Whitley@childrensal.org
    ------------------------------

    Original Message


  • 14.  RE: Telephone Triage in EPIC

    Posted 11-16-2022 10:22
    Thank you. I know it will be a change for us but it might be well worth it.

    Thank you,
    Jeannine

    ------------------------------
    Jeannine Whitley, MSN, RN
    Director Telephone Triage
    Children's of Alabama
    Birmingham, AL
    205-638-6334
    Jeannine.Whitley@childrensal.org
    ------------------------------

    Original Message


  • 15.  RE: Telephone Triage in EPIC

    Posted 12-05-2022 01:17
    Hi Catherine, 
    Would it be possible to connect on this topic? We are currently on a pilot testing the day time triage protocols and I would like to see how your workflow is compared to ours. 
    We have received some feedback from our physicians and we are wondering what else is possible. 
    Thank you


     

    Thank you,

    Cecilia Escamilla, BSN,RN

    Practice Manager

    Sherman AMG Primary Care Offices

    1710 Elgin, South Elgin & Bartlett

    M: 224.770.0309

    O: 847.214.5740





    ------------------------------
    Cecilia Escamilla
    Clinical Supervisor
    Advocate Medical Group
    Elgin IL
    (224)770-0309
    ------------------------------

    Original Message


  • 16.  RE: Telephone Triage in EPIC

    Posted 12-29-2022 09:02
    We are currently 6 months into using Nurse Triage in Epic. I would love to hear some tips and tricks for success if you have some :)
    Thanks!
    Amanda

    ------------------------------
    Amanda Graham
    The University of Kansas Health System
    Shawnee KS
    (913)945-6980
    ------------------------------

    Original Message


  • 17.  RE: Telephone Triage in EPIC

    Posted 12-29-2022 11:08

    Was there a call set up to discuss?  I don't recall.  We have been using this product since late 2016/early 2017.  We also contract with an afterhours service that uses the AH product. 

     

    Danielle Smith, MSN, RN, CNL

    Pronouns: she/her/hers

    Clinical Practice Leader, Primary Care

    Children's Wisconsin

    Cell: 262-989-1999

    childrenswi.org

     

    Please note: My email address is now dsmith2@childrenswi.org

     

     

    This message originates from Children's Wisconsin, and may contain information that is privileged and confidential. It is intended only for the use of the designated recipient. Any review, dissemination, distribution, or copying of this message by anyone other than the intended recipient is prohibited. All personal messages express views solely of the sender, are not to be attributed to Children's Wisconsin, and may not be copied or distributed without this disclaimer. If you have received this message in error, please notify the sender and destroy the original message. Thank you.



    Original Message


  • 18.  RE: Telephone Triage in EPIC

    Posted 11-11-2022 09:03
    Hi Jeanne,

    We use the epic telephone triage protocols across our organization. They are the Schmitt/Thompson protocols, so usually in line with what organizations have been using.

    Thanks,
    Amy

    Sent from my iPhone




  • 19.  RE: Telephone Triage in EPIC

    Posted 11-14-2022 15:22

    We've been using this since 2017 so I would be happy to share feedback.  Thanks!

     

    Danielle Smith, MSN, CNL

    Pronouns: she/her/hers

    Clinical Practice Leader, Primary Care

    Children's Wisconsin

    Cell: 262-989-1999 

    childrenswi.org

    https://connect.chw.org/employee-resources/childrens-at-a-glance/brand-promise/-/media/6D7A8A0AF72445FAB9C8BD52A4A009FA.ashx?h=91&w=250

    Please note:  My email address is now dsmith2@childrenswi.org – please update

     

     

    This message originates from Children's Wisconsin, and may contain information that is privileged and confidential. It is intended only for the use of the designated recipient. Any review, dissemination, distribution, or copying of this message by anyone other than the intended recipient is prohibited. All personal messages express views solely of the sender, are not to be attributed to Children's Wisconsin, and may not be copied or distributed without this disclaimer. If you have received this message in error, please notify the sender and destroy the original message. Thank you.



    Original Message


  • 20.  RE: Telephone Triage in EPIC

    Posted 11-16-2022 10:25
    Thank you. I will reach out if we decide to move forward. I think if IT has a say, we will.

    Thank you,
    Jeannine

    ------------------------------
    Jeannine Whitley, MSN, RN
    Director Telephone Triage
    Children's of Alabama
    Birmingham, AL
    205-638-6334
    Jeannine.Whitley@childrensal.org
    ------------------------------

    Original Message


  • 21.  RE: Telephone Triage in EPIC

    Posted 11-11-2022 10:24
    Hi Jeannine,

    We use the Schmitt-Thompson protocols for pediatrics and adults embedded in EPIC. It works fairly well, and as others have stated it does require training and support. If you have additional questions, I am happy to set up a phone call. I would also recommend posting your question in the telehealth SIG!

    Have a great day!


    ------------------------------
    KIm Trost BSN, RN
    Manager-Clinical Operations
    Co-chair AAACN Telehealth SIG
    Nurse Triage Call Center
    WellSpan Health
    York, PA
    717-851-3458
    ------------------------------



  • 22.  RE: Telephone Triage in EPIC

    Posted 11-29-2022 09:15
    Thank you so much!

    Jeannine

    ------------------------------
    Jeannine Whitley, MSN, RN
    Director Telephone Triage
    Children's of Alabama
    Birmingham, AL
    205-638-6334
    Jeannine.Whitley@childrensal.org
    ------------------------------

    Original Message


  • 23.  RE: Telephone Triage in EPIC

    Posted 11-15-2022 07:54
    Good morning,
    Our hospital is transitioning to EPIC over the next year too.  We are an afterhours call center for the hospital and the community. Currently we use LVM and Barton Schmitt protocols for charting.   All of the callers are not hospital patients.  Does EPIC allow for caller that are hospital patients?

    ------------------------------
    Kimber Molke RN AMB-BC
    Memorial Hermann
    Sugar Land TX
    (713)338-4748
    ------------------------------



  • 24.  RE: Telephone Triage in EPIC

    Posted 11-15-2022 08:46
    Hi Jeannine, 

    We are starting our EPIC Nurse Triage journey as we speak. We are starting with primary care. We will then roll this out slowly across our organization. 

    Happy to discuss our experience. 

    Susanna

    ------------------------------
    Susanna Gadsby MSN, MBA, AMB-BC, NPD-BC
    Clinical Educator, Ambulatory
    AAACN Certified
    Nursing Professional Development Specialist
    susanna.m.gadsby@hitchcock.org
    ------------------------------



  • 25.  RE: Telephone Triage in EPIC

    Posted 11-16-2022 10:24
    Thank you... the hospital is going live with Epic in March I believe and IT is hoping they can get everyone on it eventually. So we are probably a year or so out so anything you learn as you go might help. 

    Thank you,
    Jeannine

    ------------------------------
    Jeannine Whitley, MSN, RN
    Director Telephone Triage
    Children's of Alabama
    Birmingham, AL
    205-638-6334
    Jeannine.Whitley@childrensal.org
    ------------------------------

    Original Message


  • 26.  RE: Telephone Triage in EPIC

    Posted 11-15-2022 10:42
    Hi Jeannine,
    We use the epic telephone triage protocols across our organization as well. They are the Schmitt/Thompson protocols, updated by our IT when needed. Every triage nurse gets the hard copy books as well. Our Epic IT team have made some suggest modifications for charting so that the notes don't become too bloated for the providers.
    Thank you,
    Tash

    ------------------------------
    Tash Rounds, MSN Ed, RN, AMB-BC, NPD-BC
    Clinical Nurse Educator -Ambulatory
    Skagit Regional Health
    Mount Vernon, WA
    Office: 360-814-6743
    NRounds@skagitregionalhealth.org
    ------------------------------



  • 27.  RE: Telephone Triage in EPIC

    Posted 11-16-2022 10:27
    Just out of curiosity, why do they get the books as well? Is it difficult to navigate? I am not sure they will let us have both so that is why I am asking. If you have the subscription do the protocols not automatically update?

    Thank you,
    Jeannine

    ------------------------------
    Jeannine Whitley, MSN, RN
    Director Telephone Triage
    Children's of Alabama
    Birmingham, AL
    205-638-6334
    Jeannine.Whitley@childrensal.org
    ------------------------------

    Original Message


  • 28.  RE: Telephone Triage in EPIC

    Posted 11-16-2022 11:51

    We have a section in Epic that all protocols can be accessed for review – might save money and be an alternative to purchasing the books for everyone.  We rely on this during training and chart reviews.  It is a great option!  We also use the parent education sheets provided with the package to send to families via MyChart when appropriate to follow up on a phone conversation.

     

    Danielle

     

    Danielle Smith, MSN, CNL

    Pronouns: she/her/hers

    Clinical Practice Leader, Primary Care

    Children's Wisconsin

    Cell: 262-989-1999 

    childrenswi.org

    https://connect.chw.org/employee-resources/childrens-at-a-glance/brand-promise/-/media/6D7A8A0AF72445FAB9C8BD52A4A009FA.ashx?h=91&w=250

    Please note:  My email address is now dsmith2@childrenswi.org – please update

     

     

    This message originates from Children's Wisconsin, and may contain information that is privileged and confidential. It is intended only for the use of the designated recipient. Any review, dissemination, distribution, or copying of this message by anyone other than the intended recipient is prohibited. All personal messages express views solely of the sender, are not to be attributed to Children's Wisconsin, and may not be copied or distributed without this disclaimer. If you have received this message in error, please notify the sender and destroy the original message. Thank you.



    Original Message


  • 29.  RE: Telephone Triage in EPIC

    Posted 11-29-2022 09:19
    The parent education sheets sound like a great bonus.

    Thank you,
    Jeannine

    ------------------------------
    Jeannine Whitley, MSN, RN
    Director Telephone Triage
    Children's of Alabama
    Birmingham, AL
    205-638-6334
    Jeannine.Whitley@childrensal.org
    ------------------------------

    Original Message


  • 30.  RE: Telephone Triage in EPIC

    Posted 11-25-2022 13:29
    Hi Natasha, 
    We went live with the EPIC triage module in October.  The one area we are still challenged with is the format of the note for the provider.  I would love to hear what you EPIC team has modified as it sounds like you may have had a similar issue.  Appreciate any info.  Thanks Peggy

    ------------------------------
    Margaret McRae
    VP Ambulatory Patient Care Services
    Maine Health Medical Group
    South Portland ME
    (207)240-1457Vice President Ambulatory Patient Care ServicesLewistonMaine Health Medical Group
    ------------------------------

    Original Message


  • 31.  RE: Telephone Triage in EPIC

    Posted 11-25-2022 14:01
    Hi Peggy,
    Our Epic team modified our notes by not having any of the questions that were a negative or a no in the background in Epic. So that we can always have them go back in and retrieve if we even needed to. That way the note is much shorter to the provider. Most of our staff clear the :Answer assessment" that you can F2 through to answer the questions, and use the questions to guide their shorter note covering  all applicable/positive questions. 

    All the no's used to go over into the providers note. Now only a yes will. 
    Additionally the care advice shows up as a drop down for the provider to view if they want, but not showing up in the body of the note.
    Thank you,
    Tash

    ------------------------------
    Tash Rounds, MSN Ed, RN, AMB-BC, NPD-BC
    Clinical Nurse Educator -Ambulatory
    Skagit Regional Health
    Mount Vernon, WA
    Office: 360-814-6743
    NRounds@skagitregionalhealth.org
    ------------------------------

    Original Message


  • 32.  RE: Telephone Triage in EPIC

    Posted 11-29-2022 09:20
    I bet the Providers love that. I need to remember that if we go live with this.

    Thanks!
    Jeannine

    ------------------------------
    Jeannine Whitley, MSN, RN
    Director Telephone Triage
    Children's of Alabama
    Birmingham, AL
    205-638-6334
    Jeannine.Whitley@childrensal.org
    ------------------------------

    Original Message


  • 33.  RE: Telephone Triage in EPIC

    Posted 11-24-2022 05:42
    Good morning Jeannine,
    Our organization went live with Epic last December.  The Schmitt-Thompson protocols were inbedded in the triage application . When starting a triage call, there is a Triage Call tab that is chosen. There are protocols for office hours  as well as after hours phone calls for adults and pediatrics .Its very easy to use. We also had an option turned on that notifies our ED that the patient is heading there if that is what the protocol suggests. There are two training modules for triage that we use. They are the Triaging a Simple Call and Triaging a Complex Call. These were provided by the Epic Team.

    ------------------------------
    Tomika Green MSN,RN,AMB-BC
    Nurse Clinician
    VCU Medical Center
    Henrico VA
    (804)647-0199
    ------------------------------



  • 34.  RE: Telephone Triage in EPIC

    Posted 11-29-2022 09:23
    That will be great for our ED. Our IT built a system for both our bed placement and us... it is very similar but also very different as the tasks are so different. The bed placement board will definitely be going away since Epic has something that will do all of that. So they want to get rid of our "board" too so they don't have to keep maintaining it. So being able to alert the ED from within the system will be great.

    Thanks!
    Jeannine

    ------------------------------
    Jeannine Whitley, MSN, RN
    Director Telephone Triage
    Children's of Alabama
    Birmingham, AL
    205-638-6334
    Jeannine.Whitley@childrensal.org
    ------------------------------

    Original Message


  • 35.  RE: Telephone Triage in EPIC

    Posted 11-30-2022 08:36
    Edited by Kathleen Denslow 11-30-2022 12:47
    Our organization in Maine just transitioned to the Epic Triage system and it has been challenging for us. They put the triage protocols from Barton and Schmidt into Epic. Those are the same books we used. There are pros and cons. The calls take longer and sometimes there is no protocol for the type of call we get and that is pretty time consuming. I would say that a benefit to the system is that all of the home care advice is at our fingertips (when we can match it with a protocol) and it allows us to send advice to the patient through their My Chart account. 


    The system is a work in progress. The biggest problem is that we didn't have enough training on it and it has now been six weeks in the new system and we have really struggled. Over time, I am sure we'll get used to it.

    ------------------------------
    Kathleen Denslow RN
    Windham ME

    ------------------------------



  • 36.  RE: Telephone Triage in EPIC

    Posted 12-02-2022 13:41
    This message was sent securely using Zix®

    My Ascension Centralized RN Triage team uses the Barton/Schmitt protocols embedded in Epic.  I am happy to connect with anyone interested to share our knowledge and workflow; give hints for protocols.  
    Let me know if you would like to connect.
    Gretchen
    Gretchen Glassen RN
    Registered Nurse Manager,  Consumer and Patient Experience
    Ascension Contact Center Operations       
    c: 920-757-5182




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    Original Message


  • 37.  RE: Telephone Triage in EPIC

    Posted 12-07-2022 08:45
    I would say the only problem with Epic triage is the Care Advice that is displayed is not only for the specific disposition chosen.  Epic does nothing to clean this up after the guidelines are sent to them from Schmitt/Thompson Clinical Content.  This makes it very difficult for unseasoned triagers to learn triage and use the guidelines as intended.

    ------------------------------
    Teresa Baird BSN RN CPN
    Clinical Program Coordinator
    Children's Hospital Colorado
    Elizabeth CO
    (720)289-5558
    ------------------------------



  • 38.  RE: Telephone Triage in EPIC

    Posted 12-07-2022 08:57
    Thank you. If we move forward it is great to know what the issues might be BEFORE we start training so we can hopefully look at it and come up with a plan for training around/addressing the issues.

    Thank you,
    Jeannine

    ------------------------------
    Jeannine Whitley, MSN, RN
    Director Telephone Triage
    Children's of Alabama
    Birmingham, AL
    205-638-6334
    Jeannine.Whitley@childrensal.org
    ------------------------------

    Original Message


  • 39.  RE: Telephone Triage in EPIC

    Posted 12-08-2022 10:47

    The other thing I would say is that they are not effective for specialty.   They are great for general practice.  I would appreciate it if EPIC would partner on getting some specialty modules in where they exist but I have not heard anything on that front. 

     

     

     

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    UW Medicine | Valley Medical Center

    Judith_Puzon@valleymed.org | Lita_Gill@Valleymed.org">www.valleymed.org

     

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  • 40.  RE: Telephone Triage in EPIC

    Posted 12-08-2022 11:39
    Teresa:
    My Informatics Nurse has had a request in with Epic for over two years to get this changed to only include the care advice for each disposition and not ALL the care advice.

    One can only keep hoping.

    ------------------------------
    Michaelene Wolff, BSN, RN, OCN, AMB-BC
    Coordinator, Clinical Programs
    Chair, Ambulatory Telephone Protocol Committee
    University of Colorado Hospital
    Aurora CO
    ------------------------------

    Original Message


  • 41.  RE: Telephone Triage in EPIC

    Posted 12-10-2022 19:10
    We're an after hours program that uses EPIC and the triage module.  It does have some Cancer protocols, pediatrics and then the general DST (over 1000 of them) build right in so you do not have to purchase additional Clear Triage programs.

    I would love to network with other institutions utilizing the EPIC nurse triage module, or if it makes more sense to expand with Clear Triage?

    We just updated our "navigator" and I would like to hear how other organizations utilize the triage portion.
    Maybe we could coordinate a ZOOM meeting share ideas and see what is offered and available.

    ------------------------------
    Sheryl Bartlett RN
    Nurse Manager After Hours Triage
    UT Southwestern -Clements University Hospital
    Dallas TX
    (214)563-1120
    ------------------------------

    Original Message


  • 42.  RE: Telephone Triage in EPIC

    Posted 12-11-2022 20:57

    My organization uses Clear Triage. We are not on Epic-and so I am not familiar with how often they update, etc. I do highly recommend ClearTriage-and if you are a federally Qualified Health Center, or have a segment of your organization that is, you get a large discount on the product. The product itself is also very inexpensive-and they also offer a great program for non-clinical personnel where you can create a tool to help them sift calls appropriately to triage or to another staff member based on your designed protocols.

     

    So, feel free to contact me if you have questions about that-I would love to hear what others say about Epic's software, because there may be a chance we change to them at some point as an E.H.R., and so, it would help me to know whether this is a product I would like to use. (and also which product is cheaper! Given that it is really no problem to use the web-based ClearTriage outside of the record-I am sure that Epic charges something for that module!).

     

    Best regards,

    Mary

     

    Mary Blankson, DNP, APRN, FNP-C, FAAN

    Chief Nursing Officer

    Community Health Center, Inc.

    675 Main Street,

    Middletown, CT, 06457

    Cell: (860)227-5432

    mary@chc1.com

     

    This message originates from Community Health Center, Inc.. The information contained in this message may be privileged and confidential. If you are the intended recipient you must maintain this message in a secure and confidential manner. If you are not the intended recipient, please notify the sender immediately and delete all copies of this message. Thank you.




    Original Message


  • 43.  RE: Telephone Triage in EPIC

    Posted 12-12-2022 09:19
    The Schmitt Thompson telephone triage guidelines are reviewed and updated annually by an interdisciplinary group.  The updated guidelines are sent to a contact within your organization that is responsible for the maintenance of the EPIC telephone triage module and it is their responsibility to upload the updated telephone triage guidelines.  If a new guideline is developed urgently such as the Covid guidelines that were developed and constantly being revised, then a separate notification is sent to inform customers/users that a new guideline has been developed and released and is available for implementation within your organization.





    Original Message


  • 44.  RE: Telephone Triage in EPIC

    Posted 12-12-2022 08:51
    I'd like to be included in the Zoom meeting.

    ------------------------------
    Michaelene Wolff, BSN, RN, OCN, AMB-BC
    Coordinator, Clinical Programs
    Chair, Ambulatory Telephone Protocol Committee
    University of Colorado Hospital
    Aurora CO
    ------------------------------

    Original Message


  • 45.  RE: Telephone Triage in EPIC

    Posted 12-13-2022 10:20
    I would love to be included in any zoom meeting as well.  This has been a fascinating discussion.  I appreciate the different perspectives.

    ------------------------------
    Judith Puzon
    Director, Care Management
    UW Valley Medical Center
    ------------------------------

    Original Message


  • 46.  RE: Telephone Triage in EPIC

    Posted 12-13-2022 10:44

    I would love to be included in the zoom invite as well if able.

     

     

     

    Thank you,

    Cecilia Escamilla, BSN,RN

    Practice Manager

    Sherman AMG Primary Care Offices

    1710 Elgin, South Elgin & Bartlett

    M: 224.770.0309

    O: 847.214.5740



     

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    Original Message


  • 47.  RE: Telephone Triage in EPIC

    Posted 12-13-2022 10:44

    I would love to be invited on the zoom invite for this discussion as well.

     

     

     

    Thank you,

    Cecilia Escamilla, BSN,RN

    Practice Manager

    Sherman AMG Primary Care Offices

    1710 Elgin, South Elgin & Bartlett

    M: 224.770.0309

    O: 847.214.5740



     

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    Original Message


  • 48.  RE: Telephone Triage in EPIC

    Posted 12-13-2022 12:08
    I would also love to be included in any call regarding this topic.

    ------------------------------
    Dotty Parker
    Director Nursing- Ambulatory Clinical Quality
    Montage Medical Group
    Monterey CA
    (831)265-3989
    ------------------------------

    Original Message


  • 49.  RE: Telephone Triage in EPIC

    Posted 01-11-2023 07:04
    I would appreciate being on the call regarding the triage call if it has yet to be scheduled.

    Traci Moreland, BA, RN, PHN



    Original Message


  • 50.  RE: Telephone Triage in EPIC

    Posted 12-14-2022 08:30
    I would appreciate being included in any virtual meeting to learn more about triage and Epic. 

    Thank you for your consideration, 


    Peter DiPiazza DNP, APRN
    Director, Clinical Practice and Performance  
    Mount Carmel Medical Group
    Mount Carmel Health System | A Member of Trinity Health
    O: 614- | F: 614- | C: 614-338-9158
    peter.dipiazza@mchs.com | mountcarmelhealth.com

    1542125818142_MC

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    Original Message


  • 51.  RE: Telephone Triage in EPIC

    Posted 12-14-2022 08:44
    I would love to be included as well in Epic Telephone Triage Zoom.
    Thanks,
    Louise

    Louise Goldstein, RN

    Triage

    Duke Hematology Clinic 1E

    Clinic: 919-684-5350 Option 2

    Fax: 919-681-6160


      


    "I am always busy, which is perhaps the chief reason why I am always well."

                                             ~ Elizabeth Cady Stanton ~


    "Walk as if you are kissing the Earth with your feet"

                                       ~Thich Nhat Hanh~                                                   


      "We do not inherit the earth from our ancestors,

            we borrow it from our children."

                                    -Native American Proverb


    "When you work you are a flute through whose heart

      the whispering of the hours turns to music."

                                          ~Kahlil Gibran~





    Original Message


  • 52.  RE: Telephone Triage in EPIC

    Posted 12-14-2022 11:20

    We use Epic triage for our Daytime triage and specialty clinic triage calls.  Our Primary Care triage RN's use the Schmitt content and  specialty clinics use our custom specialty guideline content.

     

    I would also like to join the zoom meeting as well.

     

    Thank you,

    Teresa

     

    Teresa Hegarty, BSN, RN, CPN | Nursing Quality Specialist | Telephone Triage | Children's Hospital Colorado
    13123 East 16th Avenue |  Aurora, CO 80045  |  office: (720) 777-5135  |  Cell: (303) 263-3341 | teresa.hegarty@childrenscolorado.org

     

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    Original Message


  • 53.  RE: Telephone Triage in EPIC

    Posted 12-15-2022 13:32

    I would also love to be included in a zoom call

     

    Thank you,

     

    Marshella Sacks, RN, MS, NEA-BC, CPN | Nurse Manager – Pediatric Gastroenterology and Cardiac Surgery Clinics

    (she/her/hers)

     

    Mary Bridge Children's Hospital and Health Network | MultiCare Health System
    Phone: 253.403-4107 | Cell/Text: 253-223-3286

    Address: 311 South L Street, MS:311-1-0C, Tacoma, WA 98405 

    The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any dissemination, distribution or copying is strictly prohibited. If you think you have received this email message in error, please notify the sender via e-mail.

     

    MultiCare shared values: Respect | Integrity | Stewardship | Excellence | Collaboration | Kindness

     




    Original Message


  • 54.  RE: Telephone Triage in EPIC

    Posted 12-12-2022 09:11
    That would be wonderfu.  If it could cascade down from positive/negative to appropriate follow up it would be great!

    ------------------------------
    Suzanne Robbins
    Nursing Director of Ambulatory Offices
    Martha's Vineyard Hospital
    East Falmouth MA
    (508)957-9820
    ------------------------------

    Original Message


  • 55.  RE: Telephone Triage in EPIC

    Posted 12-13-2022 10:52
    Happy Holidays All! Would love to be included as well and interested to talk with anyone who has been successful customizing Schmitt- Thompson protocols to specialties.

    Thanks!
    Karen

    ------------------------------
    Karen O'Neill, BSN, RN
    Nurse Manager, Operations, Specialty Engagement Center
    Duke Health
    Durham, NC
    (c) 919-572-0317
    ------------------------------

    Original Message


  • 56.  RE: Telephone Triage in EPIC

    Posted 12-14-2022 12:52
    Good Morning,
    A very active topic here that I had no idea was going on in the Open Forum!  I requested a Zoom call be setup in our Telehealth SIG as there is some great discussion here.  Details to follow on when the call will occur.

    Reading over the many post some highlights I noticed:
    • Schmitt Thompson protocols - imbedded in Epic, third party vendor such as Clear Triage, or paper/book  
    • Displaying all protocols responses or just the "Yes" response.  Are pertinent negatives clinically important documentation versus readability for provider?
    • Care Advice - Generic versus specific to individual protocol.   Are they verbalized to caller or also sent via myChart/email?
    • Focused Assessment (I might of missed it in this thread) - possibly the most important part of a Triage, how/where is it documented?


    ------------------------------
    Scott Teplin CEN MSN RN-BC
    Manager Clinical Services
    UCLA
    steplin@mednet.ucla.edu
    ------------------------------



  • 57.  RE: Telephone Triage in EPIC

    Posted 12-19-2022 08:01

    Our organization is transitioning to EPIC and I'm hoping triage is part of the program.  I am trying to develop a triage education program (on a very tight budget) and provide some structure around our triage processes.  Following and interested in any calls that are set up.  If anyone has developed a training program, would you be willing to share it? 
    Thanks



    ------------------------------
    LaRaye Rudicile
    (828)386-2059
    lrudicile@apprhs.org
    ------------------------------



  • 58.  RE: Telephone Triage in EPIC

    Posted 12-19-2022 12:59
    As a starting point, Epic has two training videos on how to utilize the Nurse Triage module.  They can be found on the Epic User Web in weLearning section.
    • Triaging a Basic Clinical Call [NT010]
    • Triaging a Complex Clinical Call [NT011] 


    ------------------------------
    Scott Teplin CEN MSN RN-BC
    Manager Clinical Services
    UCLA
    steplin@mednet.ucla.edu
    ------------------------------

    Original Message


  • 59.  RE: Telephone Triage in EPIC

    Posted 12-27-2022 16:42
    Our FQHC is going live with Ochin Epic in 2 weeks. We are exploring the Triage Module and would also like to be on a Zoom call.

    ------------------------------
    Karla Boho
    Dir Clinical Practice Transformation
    Kenosha Community Health Ctr
    Mt Pleasant WI
    (262)497-8814
    ------------------------------

    Original Message


  • 60.  RE: Telephone Triage in EPIC

    Posted 12-28-2022 10:54
    Good morning,
    If there are any meetings arranged to discuss this, I'd love to be involved as well. We are currently exploring decision support tools and triage software for purchasing. It is a significant gap, but I see we aren't alone.
    Thank you,
    Emmika

    ------------------------------
    Emmika Elkin
    Clinical Nurse Educator
    UCSF Cancer Services
    ------------------------------



  • 61.  RE: Telephone Triage in EPIC

    Posted 12-29-2022 08:58
    Our Health System went live with the Nurse Triage part of Epic in May. Our pediatric teams LOVE it. Our adult teams are coming around. It was quite a change from just a blank telephone encounter. As we continue to develop this, I would love to chat with others who have/are using it to maybe create better education and tip sheets for success. 
    Thanks!
    Amanda


    Amanda Graham, DNP, MSN, RN-BC
    Ambulatory Nurse Educator
    The University of Kansas Health System
    Kansas City, Kansas
    319-631-0066
    awallace5@kumc.edu

    ------------------------------
    Amanda Graham
    The University of Kansas Health System
    Shawnee KS
    (913)945-6980
    ------------------------------



  • 62.  RE: Telephone Triage in EPIC

    Posted 12-29-2022 19:26
    Edited by Jarylynn Schlegel 12-29-2022 19:26
    Our hospital has EPIC and our health system integrated the Schmitt-Thompson nurse triage protocols into our EPIC system.  I know there are some pediatric protocols but I work in OB/GYN so do not utilize them but our family practice offices use both adult and pediatric protocols in the system. I would be happy to try and answer questions.


    ------------------------------
    Jarylynn Schlegel
    Ambulatory Clinical Nurse Manager Women's Health
    Tower Health Medical Group
    484-628-7731
    Jarylynn.Schlegel@towerhealth.org

    ------------------------------



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