Where to Find Electronic Patient Data Epic Chart, Clinical Archive, CORHIO and Care Everywhere December 2013 CT Lin

Executive Summary: As UC Health grows, so does the reach of our Epic Electronic Health Record (EHR). See the chart below to understand where to locate patient data and reduce the dependence on Medical Records Requests and faxing.

Where was patient seen? Where can I find data? UC Health Central (UCH & clinics) 1995-2011: Clinical Archive Jan’11-present: Chart Review * Clinical UC Health North (PVHS & clinics) 1999-2013: Clinical Archive Jul’13-present: Chart Review Documents; UC Health South (MHS & clinics) 2006-2013: Clinical Archive Nov’13-present: Chart Review

CHMG clinics throughout CO Prior to 2013: Clinical Archive Jul’13-present: Chart Review Test results (laboratory Note: CHMG clinics began using Epic in July 2013, with more radiology, clinics in Sept ’13, Nov ’13, Jan ’14, Mar ’14, Apr ’14. pathology); Children’s Hospital Colorado, Outside Records button Kaiser Permanente clinics, Includes discharge summaries, clinic notes, problem list, Problems, Sisters of Charity Leavenworth / medications, allergies, history, test results Exempla hospitals (all use Epic) Medications, Allergies, ANY Epic-using hospital Outside Records button Immunizations throughout the WORLD Same data as above Other Colorado Hospitals and CURRENT: Access via CORHIO’s PatientCare 360 (currently Clinics being piloted)

FUTURE STRATEGY: Outside Records (connection to CORHIO) PACS All UC Health locations Radiology tab in Chart Review (PACS link) radiology images All Colorado radiology images FUTURE STRATEGY: Connection to CORHIO and/or Community Image Exchange EKG images All UC Health locations Procedures tab: EKG reports and (PACS link) to images

*UC Health Central: University of Colorado Hospital, associated University clinics UC Health North: Poudre Valley Hospital, Ft Collins; Medical Center of the Rockies, Loveland, associated clinics UC Health South: Memorial Hospital North, Memorial Hospital Central, Colorado Springs, and associated clinics CHMG: Colorado Health Medical Group clinics throughout Colorado (Over 150 clinics, part of UC Health) Sisters of Charity Leavenworth/Exempla: Good Samaritan, Lutheran, Saint Josephs, Denver, CO

*Modules: Epic Chart Review activity (the standard module) Media Tab in Chart Review (scanned reports) PACS link in Radiology Tab and Procedures Tab in Chart Review (links straight from the report to the actual radiology image or EKG image) Clinical Archive activity (linking to older patient data before Epic). Note, not all paper records were scanned; Archive should not be interpreted as being a comprehensive record before Epic. Outside Records button (uses a technology called Epic Care Everywhere, which links to other Epic EHRs, with future plans to link to CORHIO Health Information Exchange, which links to a majority of clinics & hospitals in the state of Colorado) CORHIO PatientCare 360: A web portal offered by CORHIO to view test results and non-UC-Health hospital and reference lab data, currently not integrated into Epic.