The CHPS Outpatient Department uses orders and documentation in Epic. This ensures that research care is integrated within the EHR and thereby maximizes patient safety. The new department will be Wood CHPS Outpatient and will be an Epic HOD (Hospital Outpatient Department) with a similar workflow as Day Med, Dialysis, or Sleep Lab.
Workflow improvements will be:
- Implementing safety devices such as bar code medication administration will decrease errors
- Integration of the study medication ordering workflow with electronic pharmacy approval process
- Orders and documentation will be available in Epic to all study staff
- Orders and order sets are being created for a selected group of high volume CHPS research studies for the go live and will be expanded to other studies post go live
Workflow changes for the department:
- Log in context will be Wood CHPS Outpatient
- When possible, all medication and laboratory orders should be placed on the scheduled CHPS visit prior to the appointment date
- During visit medication orders placed on the scheduled visit will be transmitted to the IDS pharmacy work queue
- During visit medication administration will be completed using bar coding and the MAR
- Selecting the fax order mode for ambulatory medication orders will transmit the order directly to the IDS pharmacy
- Documentation of vitals, vascular access, POC results and notes for the visit will be in Epic
Please see the attached information and EPIC tipsheets:
EPIC: How to associate a subject to a research protocol in EPIC
EPIC Job Aid: Ordering A Nonspecific Investigational Medication for MAR Administration
EPIC: Tipsheet for In-Basket Functionality
EPIC: RN Pending Labs for WOOD CHPS Outpatients
EPIC: Scanning Signed Research Schedule
EPIC: Importing signed Research Schedule
Should you have any questions or issues regarding the new department please contact:
Audrey L. Kamrin, RN, MSN
Nurse Manager CHPS
kamrin [at] chop.edu
215-590-3239
Adam Motsney, PharmD
Supervisor, Investigational Drug Service
motsneya [at] chop.edu
215-590-1789