Abstractor TrainingLocating Data in StarPanel and HED

August 26, 2014Systems Support Services

Class Objectives

• Review of nursing documentation in HED (current inpatients only)

• StarPanel flow sheets– Adult & Pediatric– Concurrent and

retrospective

• Post discharge chart review – PDF view of HED

Questions.

Patient admitted thru Clinic, ED, OR to Inpatient Unit

- Clinic documentation in StarPanel real time- ED documentation & orders in StarPanel in real time- VPIMS (OR) PDF report to StarPanel when record “completed” (usually same day)- HED data populates Flowsheets in StarPanel in real time but for full access to all documentation see HED

From time of Discharge Until Midnight following 48 hrs Post Discharge

- See data elements in StarPanel- See full reports in HED (Patient will remain on HED census of unit discharged from but will display at the bottom of the patient list below all bedded patients)

By Midnight after 48 hrs. post Discharge

- Data will continue to be available in StarPanel- PDF Reports of all HED documentation will be available in All Docs view

Patient location and flow determines data location

HED basics for Abstractors

• HED documentation is location dependent– Certain fields are specifically

secured out to patient populations

– NICU fields are not visible on medical unit

• There are “shared fields”– SCDs are charted by nurses

and care partners and can be documented in two places – they share in both places if documented, no need to look in both places

• Comments show only as a yellow bar indicating data– Nursing comments must be

opened or hovered over to see contents

– It is possible that documentation of SCDs is in a comment and would not show in the intended field

• Flowsheets from StarPanel aggregate most information, but complete information is found within HED

• Patient information is available for 48 hours post discharge – then PDFs are in StarPanel

4. Enter last 3 digits of device ID for desired unit (see table)

1. Click on Config

5. Click OK button

2. Select Communications

2953

3) Enter Password = 2953

Directions to Change Device ID

Open HED and follow sequence belowMethod to see data as it appears on devices for unit of interest (specific data for patient populations)Make a plan to remember original computer TTY ID for restoring once completed

Unit CWS TTY ALTERNATE

11N MGX MHI

11S LMJ LMS

10N DWF OBO

10S MEI OAQ

10T3 EJQ EJP

9N MKV CWH

9S MLF CWQ

9T3 RRA RRB

8N MCY KDD

8S NZV HJZ

8T3 ROE NRZ

7N LZJ KWM

7S RAW SFV

7T3 DVJ DVP

6N MJI MJH

6S KDW KDU

6T3 RJJ RLM

5N NSD LAQ

5S MDG MDH

Unit CWS TTY ALTERNATE

4NPL DJZ DKL

4MSC LBK KIJ

4E MPK LHK

S74 NYL MJL

S64 MLW EPJ

S54 MLU NKH

S44 MXA MXB

S34 MIF MCW

S31 GCRC LPU LPS

8A OBY OBX

8B MAB OCE

8C MAC ODG

7A REV IQU

7B OGE OET

7C MMZ OFB

6A KEH DCJ

6B IPI IPJ

Unit CWS TTY ALTERNATE

6C MNX OFT

5A DAY DAU

5C MNZ IOZ

4NIA RYH RGN

4NIB OBS

4NIC RGI IMG

4NID RFW RFZ

4NIE IMJ NVK

4NIF NVL RGD

4NIG NVI IMX

4NIH RGV RGJ

4NII RGR IME

4NIJ CZF CXS

STAHLMAN IMA MMK

VPH1 QYS QYT

VPH2 MJS QOH

VPH3 QOJ QOI

VPH5 QON QOP

VPH6 QOM QOL

CWS IDs for each unit (these are subject to change over time)

Orientation to HED

• Default Tabs across the top will vary based on unit or demographic specific requirements

• Further tabs are available from the far right down arrow

• By choosing a tab you will open documentation

HED Practice

• Locate the config button that would be used if you need to change device ID to a specific location

• Locate the default tabs and select one to open• View a nursing comment• Locate the shared field for SCD documentation– activities of daily living– Care assistant tab

• Let’s look at report options within HED

HED Reports

“More web reports” takes you to Business Objects (BO) for reports about groups of patients (eg. Plan of Care documentation for all patients on one unit).

NOTE: HED Administrative and BO reports are NOT part of the legal EHR and should NOT generally be used for abstracting.

HED data is also viewable from StarPanel

• Both adult and pediatric nursing flow sheets are available

• Not as complete as HED

Medical Record # Last Name, First Name Date of Birth/ Age

Sample StarPanel Flowsheet • Note header contents. • Many options to customize view of flowsheet for individual needs and preferences. • These customizations “stick” until you make changes. • When you click on Comments (yellow box, outlined in red accessible from top of

date/time column) it opens a yellow view of all free text comments entered in HED • Displays in reverse chronological order.

StarPanel Flow Sheet Practice

• Practice method for viewing nursing flow sheet from within StarPanel

• Practice customizing the headers• View comments• Remember this data is available during

admission AND post discharge

Post discharge - StarPanel

• Use the all docs view for reverse chronological order of documents

• HED PDFs are available midnight after 48 hours post discharge

Patients Admitted via ED

• Use blue shaded side bar to indicate inpatient admission within StarPanel all documents

• Documents are in reverse chronological order

• Look on day of admission (bottom of blue shaded side bar in All Docs) for ED documentation.

• Look for “ED” as part of name of document.

Blue shaded bar Date of Admission (bottom) to date of Discharge (top)

HED Reports grouped together on day of Admission & attributed to Attending provider

This table shows applicable reports pertinent to patients who were on various units.

1. Most reports available in HED from “Reports” link, top of screen during hospitalization & for 48 hrs after discharge.

2. These reports are available in StarPanel after the patient has been discharged 48 hrs.

Orders TrackerUsed in Adult ED

StarPanel Practice

• Locate the pdf report for IVs post discharge• Locate ED orders– Ordertracker medication given in ED

Answers.

Questions