module 5: ocean erequests module 5 agenda basic concepts for erequests what is an erequest? the...
TRANSCRIPT
Module 5 Agenda
Basic Concepts for eRequests What is an eRequest?
The Directory Introduction and seeing how it is used
Working with eRequestsSigning up, managing your list and managing eRequests
eRequest LinksAdding eRequest Links to your clinic website
What are eRequests?
Secure, structured messages to your clinic from other health service providers or patients• We refer to eRequests from one clinician to
another as eReferrals Secure, structured messages from your clinic to
other health providers Secured using Ocean public/private key
infrastructure Simple to participate, irrespective of your EMR (or
lack of EMR)
How do eRequests fit into Ocean Part 1
2013: Tablets for patients in your waiting room 2014: Ocean Online web questionnaires for
patients at home prior to a visit 2015: eRequests for patient self-service on your
website
How do eRequests fit into Ocean Part 2
Ocean connects patients to clinicians Ocean connects patients to researchers Ocean connects clinicians to clinicians
Some theory: public/private keys
A "public/private" keyset allows a piece of data to be encrypted using the public key and decrypted with the private key• Like a locked mailbox
When you sign up for Ocean eRequests, Ocean will automatically generate a secure public/private keyset
The private key is stored in Ocean encrypted with your shared encryption key (don't lose it!!)
The Ocean eReferral Directory
The Ocean eReferral Directory is a directory of referral targets for clinicians
EMR integration allows GPs to load patient information to overlay on the directory
Supplemented with information from public directory listings Physicians can print, fax or eRefer (if available) from the
directory pages Referral targets may be claimed by an Ocean site
• Add a logo, own your listing information, customize your requisition forms
Anyone can edit unclaimed referral targets
Sending an eReferral
Keyword based search with proximity-based rankings (to patient's home)
Single-sign-on for EMR users to find health services near patient
Getting set-up for eRequests
One-time setup here documented here:• http://www.cognisantmd.com/docs/erequest-setu
p/
Once configured, manage your listing in the admin tab
Managing your directory listing
Describe your services for other docs hereManage your health
services here. Add wait times and other
info by clicking on them.
Set your default referral form here.
Receiving eRequests
Email notifications when new eRequests arrive
Different folders for different lifecycle stages
Clicking a referral opens it
Search by last name, health service, eRequest type or referring clinician
Receiving eRequests Best Practices
Keep your "new" box clean!
eRequests are not kept long-term in Ocean so you must export referrals for archival purposes offline each month
Working with eRequests
Contact information at top, as sent by clinician
Includes note as generated by eRequest form
Appointment booking notification to both GP and patient by default
Bidirectional messaging with GP clinic
Action menu at top allows Ocean Online questionnaires to be sent directly
Encrypted file attachments
eRequest Lifecycle (Simple)
New
Pending Contact
Booked
Declined
eRequests start in the new state. These need to be accepted or declined promptly.
If an eRequest has been accepted, it moves to pending contact state until an appointment has been booked.
You may decline a new referral for a variety of reasons. You will be prompted to provide a reason to a referring clinician.
When an appointment is booked, the GP and the patient are notified. A confirmation checkbox will be checked when either the GP or the patient click "confirmed" in the email.
Advanced Referral Management
Advanced Referral Management can be enabled in the admin tab of your Ocean site
Provides additional lifecycle states for eRequests, such as "seen" and "walk-in"
Provides referral review capabilities and the ability for a clinician to annotate an eRequest with a (you guessed it) Ocean form to generate a clinical assessment• Default example is a radiology protocol
assessment
Adding an eRequest Link to your Website Once you have signed up for eRequests, you can
add any eRequest form to your website in the admin tab
Name of eRequest
The URL you can use on your web-
site
Configuring eRequest Links
Choose whether re-stricted to clinicians
The patient will be redi-rected here when com-
plete
List of eForms that will be presented sequentially