An in-depth look at how one health system customized its Epic EHR to fight the opioid crisis

An in-depth look at how one health system customized its Epic EHR to fight the opioid crisis

Publication date: Aug 12, 2019

But the way Overlake Medical Center & Clinics in Bellevue, Washington, is customizing its Epic electronic health record to combat the opioid crisis is.

The committee sought to identify the following key pieces of information: Other work included standardization of physician order entry for all pain medications contained in order sets for hospital patients to reinforce the aforementioned change in the Epic nursing workflow sheet, said Dr. Jamie Kim, chair of the Epic Governance Group and medical director of information services at Overlake Medical Center & Clinics.

Overlake Medical Center & Clinics’ aim in another project was to leverage Epic to assist physicians, nurse practitioners and physician assistants in operationalizing the Washington state opiate guidelines to support safe opioid prescribing without the risk of underprescribing to those who are appropriate.

-The design constraints were to develop multiple approaches that could function in multiple venues to assure safe opioid prescribing with minimum burden on the provider,” said Dr. Michael Hatzakis Jr. , chair of the Overlake Clinics Operations and Information Technology Committee and director of musculoskeletal medicine at Overlake Medical Center & Clinics.

-We developed an organization opioid registry for clinic use, surveillance of performance using Tableau, and Epic order sets and templates to support documentation requirements.

The organization initially chose five health maintenance items to track in its initial implementation, including: presence of an opiate agreement, accesses to the Washington state prescriber database, performance of an opioid risk tool, urine specimen screening, and prescription for Naloxone for an accidental overdose.

Overlake Medical Center & Clinics now has five venues to help assure safe and consistent prescribing: health maintenance alerts for physicians at the point of care, opioid registry for clinic staff, Tableau reports to benchmark organizational, departmental, individual and peer prescribing, Epic documentation templates, and education sheets in the after-visit summary.

Overlake chose to emphasize safety measures as opposed to volume of opioid prescribing as it believes that safe and appropriate prescriptions are more centered on patients’ needs than numbers of prescriptions, he Email the Healthcare IT News is a HIMSS Media publication.

Concepts Keywords
Addiction Communitys healthcare convener
Ambulatory Director services
Bellevue Medical scribe
EHR Pain management
Fatigue Naloxone
Frequency Euphoriants
Healthcare Morphine
Hospital Morphinans
Logic Psychoactive drugs
Morphine RTT
Musculoskeletal Drugs
Naloxone Opioids
Nurse Practitioners Pain
Nursing Inadvertent opiate addiction
Opiate Pain management
Opiate Addiction Physical therapy
Opioid
Opioid Epidemic
Opioids
Overdose
Overlake
Pain Management
Pain Medications
Pharmacy
Physical Therapy
Physician
Physician Assistants
Primary Care
Stratification
Surveillance
Tom Miller
Urine
Washington
Workflow

Semantics

Type Source Name
disease MESH visual
disease MESH opiate addiction
disease MESH community
drug DRUGBANK Etoperidone
drug DRUGBANK Morphine
gene UNIPROT CD69
gene UNIPROT DNMT1
gene UNIPROT IMPACT
drug DRUGBANK Naloxone
gene UNIPROT PTPN5

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