The Telemedicine module in Epic allows clinicians to connect with colleagues at a distance using Video Visit and E-Consult functionality. The eHealth division of the UI Health eNovations Center will be implementing an initial project to provide emergency department physician consulting services via video conferencing technology. These video visits will allow the ED providers to connect between the UIHC and Critical Access Hospital using video cameras.

Resources

Burn Virtual Consult: Process for transferring images and videos from external hospitals (using an iPad/iPhone) to UIHC Burn Unit.

ATC Staff:

• Virtual Consult Appointment Cancellation - (Handout) If a Virtual Consult encounter is created an error, or is a duplicate, the encounter should be cancelled.

Provider:

• Burn Virtual Consult LIP workflow - (Handout) Burn Unit clinicians can view pictures and videos uploaded in Epic for patients they are consulting on with external facilities. Following the virtual consult, Burn Unit providers will write a Consult note that external facilities can access through UI CareLink.

• Creating a Burn Virtual Dashboard Schedule - (Handout) Clinicians at UI Healthcare can create a Burn Virtual Consult schedule in order to track and document on Burn Virtual encounters.

External Staff:

• Burn Virtual Consult External Process - (Handout) After initiating a Burn Virtual Consult through UI Healthcare Admission and Transfer Center, external facilities can access the patient via UI CareLink and capture and upload pictures to Epic.

• Burn Virtual External Provider Access - (Handout) External providers can access Burn Virtual Consult Discharge Instructions and other visit specific documentation provided by the University of Iowa Healthcare Burn Center through UI CareLink.

• Capturing Images/Videos - (Handout) Clinical staff can use the cameras integrated into their Canto devices to capture clinical images and videos for the patient.

LIP

• Creating an ED Virtual Consult Schedule - (Handout) The ED Virtual Consult schedule allows a staff member to track the patients with Virtual Consult encounters each day and quickly access their Virtual Consult visit.

• Virtual Consult Workflow for CAH Providers - (Handout) Steps are provided on accessing the Virtual Consult Encounter, documenting consent, placing radiology order, and connecting to the video.

ED PAR

• Virtual Consult Appointment Cancellation - (Handout) If a Virtual Consult encounter is created an error, or is a duplicate, the encounter should be cancelled.

E-Consults

Provider

• E-Consults for Providers (ECON901) - (Video: 8 min) Overview of the E-Consult orders process, where an E-Consult order can be placed by a Primary Care Provider (PCP) for review by a specialist.

• Placing the E-Consult Orders - (Handout) E-Consult orders can be placed by a Primary Care Provider (PCP) for review by a specialist. Recommendations can then be sent back to the PCP after evaluation of the patient’s information is complete.

• Placing the E-Consult Orders for Residents - (Handout) E-Consult orders can be placed by a resident providing care in the Family Medicine, IRL General Internal Medicine, and UI CMS clinics for review by a specialist.

• Specialty Provider E-Consult Workflow - (Handout) The specialty provider will use the E-Consult navigator to document the E-Consult.

Front Desk

• Scheduling E-Consult Orders and Smart Referrals - (Handout) The specialty provider will route the E-Consult order to the scheduler's In Basket if an appointment needs to be scheduled.

Telemedicine Appointments

• Converting Office Visits to Telemedicine Visits for Front Line Staff - (Handout) There are may be times when it might be necessary to convert current in person appointment to telemedicine appointments, either due to patient condition or provider/ clinic availability.

• Sharing Links to Video Visits - (Handout) Learn the requirements around sharing links to MyChart Video Visits.

• Telemedicine Visits FAQ - (Handout) Frequently Asked Questions about Scheduling, Troubleshooting, Documenting and Charging for Telemedicine Visits in Epic.

• Telemedicine Visits for Providers - Vidyo - (Handout) Describes the process and nuances for documenting and charging for visits which were conducted using telemedicine.

• Telemedicine Visits for Providers - Epic Native Video - (Handout) Describes the process and nuances for documenting and charging for visits which were conducted using telemedicine.

• MyChart - Direct Scheduling Video Visits - Respiratory Illnesses - (PPT) Presentation on proper procedure for triaging patients with possible respiratory illnesses.

• MyChart - Setup Schedule to see MyChart Video Visits - (Handout) Patients requesting a MyChart Video visit will be scheduled to a generic provider in the department. Providers participating in triaging MyChart video visits will need to add the UIHC Triage MyChart Video Visit to their personal schedule.

Telestroke Virtual Consult: Process of creating Telestroke encounter for documentation within Epic.

ATC

• Neurology Telestroke Workflow for ATC - (Handout) The ATC creates the one-click appointment for the Neurology Telestroke encounters.

• Virtual Consult Appointment Cancellation - (Handout) If a Virtual Consult encounter is created an error, or is a duplicate, the encounter should be cancelled.

LIP

• Neurology Telestroke Workflow for LIP - (Handout) Telestroke Consults allow the Neurology LIPs to provide consult services to external hospitals.

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