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Week 12: Orientation

This is a quick one.  Getting back on the GENESIS train, I thought we may initially look at an overview of GENESIS (Powerchart) layout since it will be the place you are most commonly starting from.  I’m going to demonstrate the patient view first and then in subsequent weeks can get into the outpatient and inpatient specific views.

Patient Page:

1.     Organizer – this is set based upon your role.  Highlights include:

a.    Home – takes you back to ambulatory organizer for outpatient and provider handoff worklist for inpatient

b.    Dynamic worklists – provides population health data

c.     My experience – allows for role changes and viewpoint modifications

d.    Physician Handoff Worklist – detailed view of customizable patient lists

e.    Patient lists – build tool for patient lists

f.     Tracking Shell – views for ED and OB (primarily) and bed management

g.    Message Center – the home for all “Messages” including results

h.    Ambulatory organizer – daily schedule

i.      Manage autotext – autotext manager and sharing

j.      Adhoc – powerform locations

2.    Banner bar.  Up to 2 patients can be open at any time.  Patient information shown including DOB, Age, DODID, Gender, Weight, Attending, PCM, Special Duty, Resuscitation, and Allergies

3.    FIN – a FIN is an encounter number.  VERY important to make sure you are in the documenting on the right encounter.

4.    Table of Contents (TOC) – also referred to as the “Chart-Level” or “Dark-Gray Menu”.  Provides access to viewpoints and other key clinical areas.  Most commonly utilized are results, orders, documentation, growth charts, Iview and I&O, MAR summary. 

5.    Viewpoints.  Viewpoints are collections of views generally by specialty.  This role (primary care) has 3 currently available viewpoints (primary care, pediatric, ob).  Each viewpoint is made up of views that assist in a particular care area.

6.    Views.  There are several types of views, but the most common and important is the workflow view (at least for clinicians, but eventually probably all users).  Other views include quickorders, summary, calculators, demographics.  Virtually all documentation is guided to be done within a workflow view which should be optimized to complete a certain task.  For instance, ambulatory visit, inpatient progress note, hospital discharge, and procedure should have their own workflow that supports those activities.  (still a work in progress.)  Views are made up of components.

7.    Components.  Each view contains the components required to do that activity (and hopefully not more than what is needed.)   Problems, histories, vitals, orders, labs, subjective, objective, ROS, and A/P along with multiple additional components are available (and movable) to support your individual workflows.

The meat of the work happens in the components. There is some configurations that are available by specialty (for instance a specific OB immunizations component) and some that require specific configuration for each specialty (which documents are viewed by default varies by each specialty). Otherwise the hope is to standardize these component configurations as much as possible to optimize patient care (and efficiency) and decrease long-term maintenance.  In future episodes we will dive into each component for a more robust overview.

Next Week:  First Net – the tracking board

GENESIS 101:  New functionality this week! Health Information Exchanges (HIE) went live. You can see these in the screenshot above as the purple diamond to be reconciled.  This allows us to pull information from participating outside hospitals directly into GENESIS.  No more hunting for med lists or immunizations.  And it all happens right within your workflow!