• Code Status Updates
  Language of Code Status levels has changed. Please refer to the DNAR Orders Update infographic, the Code Status Order Panel in Epic, and the Advanced Directives policy in Epic that went live on Nov. 1.
  Affecting all Prince William and Haymarket Medical Center UVA Health Epic Users
   
• Pain Assessment Scale
  We now use the UVA Health Pain Scale in all clinical settings. There are visual and numeric components for both the adult and pediatric populations.
  Affecting all Prince William and Haymarket Medical Center Clinical Team Members
   
• Suicide Risk Assessment
  UVA Health's Epic does not contain a specific flowsheet for pediatric suicide assessments from ages 7-11. Please refer to the Kid Friendly - Suicide Assessment Verbiage document for more information.
  Affecting Prince William and Haymarket Medical Center Nurses and BH Team Members Caring for Pediatric Patients

• M* Model
  Nuance Dragon speech recognition software has been replaced with 3M MModal Fluency Direct voice recognition software. Handheld microphones will change in the future. Please visit the Voice Recognition, Dictation, and Transcription page for more information.
  Affecting all UVA Community Health Providers
   
• Symplr
  Credentialing is now integrated with Epic through Symplr.
  Affecting all UVA Community Health Providers
   
• Provider Finder
  Provider directory services are now integrated with Epic.
  Affecting all UVA Community Health Team Members
   
• Rover
  We moved from the Novant Health Rover app to the UVA Health Rover App. Some functionality has changed, but key applications and tasks have remained available. Please refer to the Rover Phone flyer for more information.
  Affecting all UVA Community Health Clinical Team Members
   
• Behavioral Health
  The Behavioral Health (BH) module is not currently available in UVA Health’s Epic. Team members should use Smart Phrases to bridge the gap to implementation of the BH module. Reference Smart Phrases training materials in the Epic Learning Library and stay tuned for further updates on this process.
  Affecting all Clinical Team Members and Providers Working in BHIP

• Aspiration Precautions
  Patients are being screened for dysphagia using the new Aspiration Risk Assessment. A BPA will alert the team to initiate aspiration risk precautions if score is less than one. Aspiration Risk Precaution has been added to the care plan and banners. Look for more tools for success in the near future.
  Affecting UVA Community Health Nursing, Rehab, and Respiratory
   
• Nurse Initiated Protocols
  UVA Health Epic does not have an order mode for “Standing Orders.” Please review the Electronic Health Record Documentation policy updates and use the title “Nurse-Initiated Protocol” for the disease state presented.
  Affecting Prince William and Haymarket Medical Center Nurses
   
• Medical Order for Patient Care
  There are fewer order modes defined in the UVA Heath policy. Review the Medical Orders for Patient Care Policy that went live on Nov. 1.
  Affecting all UVA Community Health Clinical Team Members
   
• Falls Prevention
  Fall Risk assessment and policies have been updated to align with UVA Health. We will now utilize the Johns Hopkins Fall Risk Assessment which is driven by the nurse’s assessment scoring, not a predictive score pulled from Epic. Nursing must actively document fall assessments per the policy. All fall prevention interventions remain the same and all (#2-10) are required for high fall risk patients. Nursing may not “downgrade” to a low fall risk based on judgment if they score high fall risk. View the Fall Assessment policy when available.
  Affecting all UVA Community Health Nursing Team Members
   
• Restraints and Seclusions
  The Restraints Policy has been updated to reflect that mittens are  no longer considered a restraint or require an order. Still document use in your care plan and education. Document in Care Plan Interventions under Comfort Rounds and Safety Mitts. This will ensure we are providing safe care until we evaluate what is best for our patients and that we are following our policies. UVA Health Epic charts mittens in the ADL flow sheet, and team members should review the updated Restraints and Seclusion Policy.
  Affecting Prince William and Haymarket Medical Center Nurses and Providers

• Haiku & Canto
  Team members must download MobileIron to access applications such as Epic. For personal devices, download Haiku and Canto from the UVA Health app store.
  Affecting all UVA Community Health Team Members

• Radiology
  With UVA Health Epic, we have moved to a new view of Radiology. Patient imaging accessibility has been modernized at all sites. This change gives team members access to enhanced technology like artificial intelligence and machine learning.
  Affecting all UVA Community Health Team Members

• Interpretive Services
  During an interim period following the Nov. 1 go-live, team members will be unable to order request IN PERSON Face to Face patient interpretive services through Service Hub. Instead, team members requesting interpretive support should call place requests through the following channels:

1. Nursing Units or STAT
   (ED, IP, Surgical Services, Cath Lab, Women’s)

• Ascom x-6334 (24/7 Primarily ED)
• Ascom x-6491 (7:00 am – 3:00 pm)
• Ascom x-6495 (12:00 p – 10:30 pm)
• Ascom x-6496 (8:00 am – 6:00 pm)
• Scheduled Appointments:
  
  Central Scheduling, OP (Imaging, Echos), BH (IP & OP), Mobile Mammo
• Dial (703) 369-8061   
• Please provide:
  • Name of person scheduling & return number
  • Pt Name, DOB, MRN, Location, Language, Appointment detail (date, time & other pertinent info)

• IV Interoperability
  IV Pump Interoperability workflows have changed. Please visit the Epic Learning Library, where you can find tip sheets with more information.
  Affecting all Prince William and Haymarket Medical Center Nurses and Respiratory Therapists
   
• Anti-Coagulation (Heparin)
  UVA Health Epic utilizes a Heparin nomogram to assist with dosing and titrating based on Corrected Heparin Lab values. There will no longer be a Heparin calculator, and a link to the Heparin nomogram will be present in the MAR. Reference the order set and reach out to Nursing Education with any questions.
  Affecting all Prince William and Haymarket Medical Center Nurses and Providers
   
• Glucommander
  Use Glucommander for IV insulin administration only. We will no longer use glucommander for SQ insulin, instead we will use sliding scale. SQ insulin include these order:
  • Basal (scheduled dose based on percentage of meal eaten)
  • Correctional (sliding scale-low, medium, or high)
  • Night time (HS) basal dosing

Refer to the order set and reach out to Nursing Education with any questions. *PLEASE NOTE: Epic will not force a dual sign off in the MAR, but you are still required to dual sign off with a 2nd RN by typing the RN’s name in a comment in the MAR*
Affecting all UVA Community Health Clinical Team Members
 

• Consent Forms
  For surgeries scheduled on or after Nov. 1, new consent forms must be used. Consent forms require review and approval by the UVA Health Consent Forms Committee. Approved consent forms will be available through links on the UVA Health Intranet. Please refer to the H&P Process and Consent Forms Changes flyer for more information.
  Affecting all UVA Community Health Clinical Team Members
   
• Behavioral Health
  Please be mindful that although document flow sheets will be changing, you must still document the same information, even without system prompts. Please review the training materials for any questions.
  Affecting all UVA Community Health Clinical Team Members

Team members should have a understanding of UVA Health Epic and operational changes that apply to them. This information has come in various forms.

• Training
  You should have learned the majority of Epic system changes in your assigned Epic training curriculum. This training was “delta training,” meaning it was just training on the differences between Novant Health Epic and UVA Health Epic. Team members were enrolled in the applicable mandatory training courses, both Epic and non-Epic, in NetLearning. Team members can find their mandatory courses in their NetLearning “To Do” list.
  
  Access your training by logging into NetLearning (Northern Market).
   
• Clinical Resources Page
  The Clinical Resources page on the UVACH Intranet has been recently updated with new documentation. More resources will be posted in the coming weeks- stay tuned for updates! 
   
• Epic Learning Library

Team members can access tip sheets, workbooks, and other resources related to Epic training on the Epic Learning Library (ELL).

Once you are on the homepage, use the search bar to find topics covered in your Epic courses. Look for resources with a “CH” in the title. The CH resources are specific to the Integration training you received.

• Epic Playground
  In the Epic Playground (PRA), team members can practice scenarios they learned in training courses in a live practice environment. The playground has simulated scenarios and patients that team members can utilize to familiar themselves with the UVA Health Epic workflow. The Epic playground refreshes every night.
  
  To set up your login for the Epic playground, please follow these instructions.

If you will have Clinical View Only (CVO) access to Epic, please follow these instructions to access the View Only UVA Health Epic practice environment.

• Epic Communications
  The project team relayed important Epic messages to team members through various channels. Be on the lookout for flyers and handouts and listen to your leaders and UVA Health Epic Super Users for additional information about the UVA Health Epic transition.
• • Go-Live Checklist
    Before go-live, Northern Market team members should have completed the action items on the go-live checklist.
• • Epic Go-Live Packet
    The Epic Go-Live Packet contains important information about how go-live worked and what actions team members needed to complete prior to go-live.
• • UVACH Leaders
    Your leaders have important information about changes, the project timeline, and action requests for team members. Please speak to your leaders if you have questions about changes you learned about in training.
• • Super Users
    Super users are team members from each department who provide operational support for the project and end users. Super users serve as liaisons between end users, department leaders, and the project team. Ask the super users in your department about changes, training, and go-live activities. Orange team super users will support all clinical team members and will be wearing orange lanyards. Blue team super users will be wearing blue lanyards and are available for provider support.

On the night of Oct. 31, the project team began the process of cutting over from Novant Health Epic to UVA Health Epic. This process involved the migration of data and quality checks to ensure we were ready to work in the new system. On Nov. 1, team members received an announcement when the new UVA Health Epic system went live.

• Accessing UVA Health Epic after Nov. 1
  Team members should access UVA Health Epic by using the Epic Hyperspace icon on your desktop.
• Accessing Novant Health Epic after Nov. 1
  Clinical team members have until Nov. 30 to close notes and orders in Novant Health Epic. After that, Novant Health access will be limited to “View Only” through June 2023.
  Clinical team members can access Novant Health Epic by logging into Epic via the Novant Health portal using their Novant Health credentials.
• What about labs I ordered in Novant Health Epic before Nov. 1?
  Some labs may have been ordered in Novant Health Epic and did not result until after UVA Health Epic go-live.
  After go-live, the IT team completed transfers of lab results to UVA Health Epic at scheduled intervals until the last labs resulted in Novant Health Epic. Finalized lab results are available in real time through Care Everywhere as well.

We know there may be unanticipated technical issues experienced by our team members as well as questions to clarify new processes and procedures. UVA Health will be significantly increasing their team member support during the post go-live period. 

• HIT Help Desk 
  Please continue to contact the HIT Help Desk for technical, access, or any go-live related issues. You can contact the HIT Help Desk at 434.924.5334 or submit a ticket on the UVA Health HIT website. 

• Orange and Blue Team 
  Project team members are available at Prince William and Haymarket Medical Centers to support team members. 
  Orange Team: If someone in your department is wearing an orange lanyard, they are a go-live super user dedicated to all clinical support. Please refer to them for questions about changes, training, and go-live activities. 
  Blue Team: There will be team members in each department wearing blue lanyards dedicated to provider support.