RAD100

Mutally Exclusive and Group Key (re: SmartLists)

Administrators can set up multiple response lists such that one or more selections cannot be simultaneously selected. This is called _______________ setup, and is often set up in order to prevent users from making selections that do not make sense, such as "no pain and stabbing pain".

Log In

After you enter a name and password, click the button or press Enter to _______________ to Hyperspace.

Unsigned Studies Report

This report shows all studies that are ended, but have yet to be finalized (signed) by a radiologist.

Orders Tab (re: appointment desk)

This tab displays orders that have yet to be scheduled. You can use the buttons on the bottom to schedule an appointment from the order.

Referrals Tab (re: appointment desk)

This tab displays referrals not currently attached to an appointment. You can schedule from the referral and, depending on your security, update the details of a referral or create a new one.

Why is it important to document on the patient's MAR?

To ensure that it's safe for the patient to undergo an interventional procedure.

Why do you need to enter assesments, recomendations, and result letters in breast imaging studies.

To meet MQSA reporting needs. The majority of this work is completed when resulting the breast imaging study.

Password

To prevent unauthorized logins in a live environment, ever user is given a unique _______________ that they are not allowed to share with others.

Acession Numbers

Unique alphanumerical identifiers assigned to imaging orders. They are integral in Radiant's interactions with downstream systems such as PACS and dictation in which the accession number is used to track the associated study.

The Three Major Types of Reports

- Application - Reporting Workbench - Clairty

What are the three major types of reports?

- Application - Reporting Workbench - Clarity

Add-on

- Combined scheduling and check in. - Schedules into next 5 minutes. - Used with emergency and admitted patients.

SmartText

- Comprehensive, can encompass whole letters and notes. - Created only by builders; looked up by end users - Maintained by an appointed group, reviewers responsible for content. - Use Insert SmartText field to summon, or can be set up to appear or default. - Appear automatially.

Reading Palette Documentation Tabs

- Study Background - Result - Study Orders - Follow Up - Miscellaneous Breats Imaging-specific - Breast Care Summary - Comparison Studies - Rad Findings

Explain what the visit type effects.

- The duration of the appointment - Resources to schedule - Scheduling and patient insturctions Imaging visit types often search across several modalities to offer the most optimal appointment time for the patient.

SmartPhrases

- Typically less complex. - Created by users (user phrases) or builders (system phrases). - User SmartPhrases not formally reviwed, system phraes might be reviewed. - Use Butler to summon or type dot and then comletion match on the phrase's name.

History and Physical (H&P)

A _______________ is a standard hospital note that has to be written before any procedure or surgery. The note explains the patient's readiness for the procedure. An _______________ interval note has to be written within 24 hours of the procedure if the original _______________ was written longer ago than that. These notes are typically completed by the ordering physician.

Timeout

A _______________ is a standard hospital protocol required by the Joint Commission and the World Health Organization. It's a way to verify the patient's identity, procedure, and laterality before making an incision. In Epic, the _______________ tab, allows you to document _______________ and link them to the procedure you're performing.

Link

A _______________ is clickable text. When you click it, something happens, such as moving you to a new window or taking action on an order.

Check Box

A _______________ is similar to a field, except a user's only option is to select it or not. There is a special variety of _______________ called an option. Options let you make a selection from a predefined list.

IR Narrator

A _______________ streamlines intra-procedure documentation tool that helps hospital staff document patient interventions in near real time. The _______________ is divided into two distinct sections. On the left is the toolbox, which is a series of sections containing events that may occur during the procedure. On the right is a series of tabs that allow you to view documented events, document a timeout, view a procedure summary, or place orders.

Field

A _______________has two parts: a prompt, and a space to enter an answer. As you will see, many _______________s allow only a particular kind of response, such as a date or selection from a pre-configured list. You will rarely have to type the complete text to select an option in a _______________.

Tooltip

A brief explaination of an icon or button's purpose, appearing on a yellow-colored bar that disappears when you move your cursor away.

Result Tracker

A list of patients who have critical results that have not been communicated to the appropriate provider. Physicians, department managers, or unit clerks, may be responsible for monitoring the Result Tracker and continuing to attempt communicattion.

Follow Up Work List

A list of patients who have recommendations for additional imaging exams based on a documented critical result. Any user who is responsible for making sure patients schedule follow-up exams have access to the _______________

Wildcard (***)

A placeholder for text.

Impression

A short summary of the physician's diagnosis of the patient's condition based on the region under study.

Snapboard

A specialty tool for making appointments, assigning resources, and managing the schedule in dynamic or procedure-based areas. From the _______________, front desk staff find active orders and schedule them. Front desk staff can also reschedule appoitnments, check appointments in an dout, and view the schedule from the _______________. Home workspace for schedulers.

Environment

A system containing all the patients, users, and configuration you will use.

Add On

A tool technologists use to get patients onto the schedule without having to find an available slot. It's useful for emergency and admitted patients that need procedures to be performed immediately.

Walk In

A tool that combines scheduling and check in. it is designed for scheduling outpatients who are present in the department and looking to be schedule in the next available appointment slot.

Explain the difference between a home workspace and a patient workspace.

A workspace is an area to perform a set of related tasks such as scheduling an appointment or reading a study. Tabs that open when you log in are called your home workspaces. Users cannot close their homeworkspaces. A Patient Workspace is a tab with a patient's name on it. When you have a patient workspace open, anything within that tab relates to that particular patient. There is often a limit to how many patient workspaces you're allowed to have open at once. Additionally, unlike home workspaces, patient workspaces can be closed.

Verify Orders

Allows technologists to update an order based on the actual procedure that was performed. Displays: - The unscheduled orders for the patietn. These appear with empty check boxes. - The orders attached to the current appointment. The check boxes for thee are selected.

Ancillary Orders

Allows you to record the information from a paper order into Epic; to quickly enter the basic information needed for imaging orders. Front desk staff use this to transcribe paper orders.

Addendum

An _______________ allows you to go back and edit relevant information after the study is finalized. You can create an _______________ on a study with a status of Final by clicking the _______________ button. Any changes appears in the Audit Trail. When you open a Final study, it opens in read-only mode. when you click the _______________ button, all of the previously entered information remains read-only. The _______________ can be entered above the view only line. After adde

Activity

An _______________ is a section of a workspace devoted to a particular task, such as placing orders or documenting a patient's assesment.

Workspace

An area to perform a set of related tasks, such as scheduling an appointment or reading a study.

Modality

Another word for machine. Some examples of imaging _______________ include x-ray, CT, MRI, and ultrasound

Combined Correction Report

As the manager, you can access finalized studies and add supplies and charges the technologist forgot to document. Most of these actions will be taken from the _______________, which is accessible via Study History. You use the _______________ to correct orders or appointments created by the front desk staff, to correct exam documentation entered by technologists, or even to add an addendum to a result entered by a reading radiologist.

Explain the effect of releasing a SmartText or SmartList.

Ready for use.

Describe the effect of begining/ending an exam.

Begining an exam starts the workflow to collect responses to the questions defined for the procedures, confirm patient allergies, confirm patient history, and release contrast orders (if applicable). Clicking Begin Exam changes the study status to Exam Begun and may prompt the technologist to anser questions about the study. If a Begin Navigator is defined, clicking Begin Exam will open it. The End Exam Navigator documents what happened during the exam. This is where the technologist records contrast administration, staff administration, and other exam details. When you click an exam, Verify Orders launches. Supply charges are triggered.

Cancel Order

Button to cancel the selected order. You enter a cancel reason and cancel comments.

Explain what drives which workspace opens from the Status Board.

Case Tracking Events allow you to indicate which stage of the procedure process a patient is in at any given time, and based on this information, they control which tool users see when they double-click a patient from the Status Board based on the

Change Order

Change details about the selected order.

Explain the difference between Change Order and Copy Order.

Change details about the selected order. Copy information from the selected order, so you can order another procedure with the same details.

Explain what a technologist needs to do in order for a charge to be dropped.

Charges entered in the Supplies and Charge Capture sections are posted in addition to the technical fee for the procedure being performed when the technologist ends an exam. The contrast charge files to the patient's account base don the dose entered on the MAR. The charge files immediately upon administration.

Prior Status

Choose to change the status of a study to a previous one. For example, if you accidetnally clicked End Exam on the wrong appointment, using Prior Status would return the study to Begin Exam. The previous status will be entered into the _______________ window by default in the New status field. You must enter a reason for the change in the Change reason field.

Begin Exam (re: Technologyst Work List toolbar)

Click to _______________ for a selected appointment. If you have a Begin Exam Navigator defined, then the _______________ activity opens and the navigator appears. If you do not, then the study status changes wiout launching the _______________ activity.

End Exam (re: Technologyst Work List toolbar)

Click to _______________ for a selected appointment. If you have a End Exam Navigator defined for the procedure, then the _______________ activity opens and the navigator appears. If you do not, then the study status changes wiout launching the _______________ activity.

Views (re: Technologyst Work List toolbar)

Click to access the report settings window, which allows you to configure the work list.

Check In (re: Technologyst Work List toolbar)

Click to check a patient into the department for his exam.

Transport (re: Technologyst Work List toolbar)

Click to create a transport request for an inpatient who needs to be moved back to the floor.

Patient Transport

Click to create or view a transport request for a patient.

Study History

Click to open _______________ for the selected patient. _______________ shows a patient's imaging history.

Cancel/Undo (re: Technologyst Work List toolbar)

Click to open the Prior Status window. This allows you to change the status of the study, cancel the appointment, and/or cancel the order altogether.

Refresh (re: Technologyst Work List toolbar)

Click to refresh the work list.

Audit Trail

Click to see an _______________ of all the actions taken on this study and the users responsible for the actions.

Legend (re: Technologyst Work List toolbar)

Click to view a legend of the different icons and statuses that display on the work list.

Begin Exam Navigator

Collects responses to questions defined for the procedures, confirm patient allergies, confirm patient history, and release contrast orders (if applicable). Displays tables contain order, patient, and exam details.

Peer Review Work List

Completing peer review allows a physician to provide feedback about their peers' work for quality assurance and quality improvement purposes. Radiologists can find studies to peer review and track their own progress in the _______________. From this activity, the radiologist is opened to a random study, views the associated result and images, and enters a peer review score and comment. he also has the ability to notify a chair or committee for concerning results that a peer entered incorrectly. Access the _______________ by clicking the Review study link on the Imaging Dashboard.

Copy Order

Copy information from the selected order, so you can order another procedure with the same details.

Explain why it's important to complete the MRI screening form.

Determine whether its safe to proceed with the xam.

Recent Protocols Report

Displays a list of studies you recently protocolled. Since finalized protocols disappear from your Protocol Work List, you use the _______________ to find and update protocols.

Protocol Details Report

Displays information about the patient and procedure you currently have selected. This report vividly shows you if the patient has a contrast allergy to ensure you protocol the procedure appropriately.

Explain how charges were triggered once a study is at a status of Final.

During the End Exam workflow, the technologist had the ability to change the procedure that was ordered to the actual procedure that was performed using the Verify Orders activity. If, however, the technologist forgets to change the ordered procedure to the peformed procedure and the reading radiologist then finalizes the study, the manager has the ability to change the procedure from Study History or the Combined Correction Report. The system voids the previous charges on the patient's account and the technical and professional fees associated with the new procedure trigger automatically.

Why build in one environment does not show in another?

Each environment contains differnt patients, users and configuration. In SWTD they are copies for training purposes.

Phase of Care

Each order a physician places is assigned a _______________. _______________ allow certain orders to be held until the appropriate time and prevent orders from being acted upon too soon.

What happens when a provider record is created by an end user?

Ensures that the results from the procedure are sent to the appropriate physicians. Entering this provider will make the provider available for use at a later date. You can add more details about the provider, including how the provider prefers to be contacted. As users create provider records using provider on the fly, the new records collect on an Unverified Providers report. The SER analyst team reviews these records, verifies their accuracy, and ensures the records are present in all of your organization's appropriate environments.

User ID

Enter the authorized _______________ to acess the Hyperspace. _______________s are created on a system-wide level and may contain both letters and numbers.

DICOM (Digital Imaging and Communications in Medicine)

Epic is compatible with _______________, a communication standard that allows the elements of an imaging department (RIS, PACS, modalities, etc.) to communicate. The most common use of _______________ in the imaging workflow is Modality Work List, where a modality queries Epic to get the list of patients scheduled for exams today. This eliminates the need for technologists to manually key in patient identifiers to bring up their study on the modality.

Hyperspace

Epic's graphical user interface (GUI). Hyperspace gives you access to functionality from all the the Epic applications you need to perform you job, all with one login ID.

Narrative

Findings. A detailed analysis of the images that provides evidence to support the physician's impression.

Protocol

For certain types of imaging exams, like MRI and CT, radiologists often give instructions to technologists about how the exam should be performed. These instructions are called _______________. A _______________ contains details related to the procedure. Common instructions to give here include angles for the image, amounts or types of contrast to be administered, or other exam-specific information.

Connection Logic (re: SmartLists)

For multiple response, in the _______________ pane, choose the desired _______________ (And, Or, Sentence, etc.). The different types of _______________ affect the appearance of the text after an end user makes selections. Different Types: - And - Or - Nor - None - Paragraph - Sentence "AND" logic is used across lists of restrictions. Therefore, if you list restrictions for functional type = MR Charting, reason for visit = Well Child, and age = 4 years, that SmartText will only be available in the Notes activity of an outpatient visit if the reason for visit is Well Child AND the patient is 4 years old. "OR" logic is used within one list of restrictions. In the following example, the SmartText will be available if Cough OR Asthma OR URI is the reason for visit.

SmartText: Explain the impact of functional type; the logic used across various restrictions.

Functional Type Controls: - The purpose(s) of a SmartText (progress note, patient instruction, etc.) - The design of the SmartTextL whether it allows rich text formatting. - Which SmartLinks can be used in it. The different types of connection logic affect the appearance of the text after an end user makes selections. Different Types: - And - Or - Nor - None - Paragraph - Sentence

Navigators

Gather all the common activities completed in a a workflow into on workspace so that you don't have to switch between windows. In a navigator, start at the section you are brought to and work you way down throug the sections.

Centers

Geographical groupings of places of service for scheduling purposes. Can customize in Cadence.

Chart Review

Gives users access to a comprehensive patient history. _______________ is organized by tabs that separate the patient's medical history to make finding information easier.

Theme

Gives you the ability to change the look (color and aesthetics) of Hyperspace.

Preference List

Helps you find the appropriate procedure to order for a patient. These lists narrow the search from hundreds or even thousands of proceudres to only those that are commonly used in a facility, specialty, or department. When you search for a procedure, Epic will check for matches on the preference list before checking the entire database.

Version

Hyperspace is released in _______________s. You can see what _______________ you are using on the login window.

Explain when and why a patient appears on the IR depot and the IR Consult depot.

IR Consult Depot contains consult orders only. Once the radiologist approves a procedure, it changes from an IR Consult Order to a specific IR procedure, and moves from the IR Consult Depot to the IR Depot. IR consults that have not been changed to the specific IR performable procedure appear in the IR consult order depot. Frome here, you can view the radiologist's details and access Anciallary Orders to chang ethe patient's order to the performable procedures. When a radiologist doesn't approve an exam, the front desk opens Anciallary Orders and cancels the order. From the IR Depot, you can schedule the order.

Explain why using an Order Set is more effective than individual order entry.

If you are placing multiple orders at once, Order Sets make you more efficient.

Reading Work List

In a RIS-driven workflow, radiologists use the _______________ to manage studies assigned to them. Studies assigned here when technologist completes an exam. Customizable. Studies with the following characteristics display on the _______________. - Those automatically assigned by the system to any pools of which the physician is a part. - Those saved or claimed by the reading physician. - Those manually assigned by a technologist to the selected reading physician. This is rarely done. Studies with any of the following attributes do not display on the _______________. - Those assigned to the physician's pool that have been claime dand/or saved by another reading physician. - Those that require multiple signatures that the selected physician has already signed. - Those that are normally read by the slected physician's pool, but have been given another designated owner.

Status Board

In the IR department, radiologists, nurses, and technologists use the _______________ as their main work list. The _______________ displays the status of a patient's interventional procedure, as well as gives you access to the tools needed for patient care in an interventional area. Each procedure is highlighted a certain color to indicate its current status. This allows staff to see which patients have arrived, which are in prep, which are in recovery, and more. The patient's status is determined by case tracking events. The most recently documented event determines which tool users see when they double-click a patient from the _______________.

MAR

In the electronic Medication Administration Record, or _______________, nurses and other clinicians can see what medications they need to administer to a patient, find the details needed to prepare those medications, and record information about the administration.

Flowsheet

In the paper world, clinicians would document a wide variety of patient data in paper _______________ (e.g. pain assements, height and weight, vitals). In Epic, clinicians document this informaiton to electronic _______________. The QuickBar allows you to efficiently document the most common flowsheet information that is collected repeatedly, like vitals.

Differentiate between SmartTexts and SmartPhrases.

In the past, SmartTexts and SmartPhrases had distinct differences in functionality. Now, the differences between the two are becoming less evident, as they both can contain big or small amounts of text, SmartLinks, and SmartLists. The differences are summarized here: Scope - SmartTexts might encompass a results letter or an entire note about a visit from beginning to end, whereas many SmartPhrases are typically not so complex. Who makes them - SmartTexts are built by builders (project team members, physician builders, and clinical builders). SmartPhrases are built by users (user phrases) and builders (system phrases). Review and maintenance process - SmartTexts are usually maintained by an appointed group and reviewers are responsible for the content. User SmartPhrases are not formally reviewed, whereas system phrases might be reviewed. How users summon them - SmartText: Use the Insert SmartText field on the toolbar. SmartTexts can also be set up to appear by default. For example, a SmartText can be a part of a SmartSet, or a SmartText can appear by default in a discharge summary note type. SmartPhrase: Type a dot (period) and then completion match on the phrase's name. Or, use the Butler to search.

What happens when a physician signs a study?

Indicates result is complete. Routes result to appropriate physician and triggers professional charges to the patient's account.

Explain how to report on the success of your department.

KPIs are used to measure the success of your organization. They include reporting on how many exams your departments performed, how long your reading radiologists take to finalize studies, and your charge transactions. You can drill-down into data on your dashboard and create personalized thresholds for certain metrics. By having standardized KPIs, you are able to compare your progress to your own historical data, national benchmarks and averages, and other organizations in the Epic community.

Secure

Keeps your data safe, while holding your place on that workstation. Securing keeps all your workspaces open. If a differen user logs into your secured workstation, they could log in to find whichever chart or activity you had open instead of going to their home workspace.

Appt Desk or Appointment Desk

Launch the _______________ for the selected patient. The _______________ shows all orders and past or future appointments for the patient.

Log Out

Means you are done doing your work for the moment. Keeps your data secure, closes any workspace you have open, and allows someone else to log into that workstation.

One-step Medications

Medication administration within IR Narrator uses _______________. _______________ are beneficial in urgent, fast-paced workflows, such as during a procedure, code, or trauma. With one click, you order the medication, document its administration on the MAR, and trigger the medication charges. This helps clinicians document quickly and efficiently during critical situations.

Selection Button

Most documentation takes place in fields that have a _______________, which is a button that appears on the right. The _______________ does not always look the same. Much of the time, it appears as a magnifying glass. The _______________ can also appear as a calendar, clock, or a calculator, depending on the type of information allowed in the field. Whenever you click a _______________, you see what information is allowed in the field. You can make selections by clicking the _______________ and double -clicking the appropriate answer.

Multiple and Single Response (re: SmartLists)

Multiple Select - Ability to select more than one item on a SmartList. Blue-colored. Single Select - Ability to select just one option on a SmartList. Yellow-colored.

SmartLists: Explain how mutally exclusive groups encourage accurate documentation.

Mutaully exclusive groups area often set up in order to prevent users from making selections that do not make sense, such as "no pain and stabbing pain".

Describe the effect of adding or changing procedures in Verify Orders.

On occasion, a radiologist and technologist determine that a different exam is more appropriate than the one specified by the ordering provider. For example, a general practicioner may order a CT of the chest, but the radiologist ma decide the patient needs a CT of the chest, abdomen and pelvis. The technologist can reconcile the discrepeancy with Verify Orders. The technologist can also place orders for additional procedures performed.

Rad Findings Tab

On the Breast Imaging Reading Palette, the _______________ allows the physicianto document findings in images of the breast.

Comparrison Studies Tab

On the Breast Imaging Reading Palette, the _______________ lets you select studies and films for comparison to the current study.

Breast Cancer Summary Tab

On the Breast Imaging Reading Palette, the _______________ shows you a summary of all breast imaging-related patient events at a glance. If your organization is using Beacon, a patient's breast canbcer treament information will laso appear in the reading palette.

Follow Up Tab

On the Reading Palette, the _______________ allows a physician to document discrete critical result findings and follow-up recomendations. Contact information for the patient's care team is also available to allow quick communication of the critical result.

Result Tab

On the Reading Palette, the _______________ allows you to record a narrative and impression for the current study. There are three methods a reading physician can choose from to record her findings: - SmartTools and Reading Macros - Dictation - Speech Recognition Addiitonally, from the _______________, you can record technologist performance through the Tech QA SmartForm.

Miscellaneous Tab

On the Reading Palette, the _______________ contains basic information about the study including result date and time, status, and the reading physician(s). A physician would also use this tab to indicate a reason for sending a result back to a resident for revision.

The Study Background Tab

On the Reading Palette, the _______________ contains some of the key peices of information about the current study. It contain information such as the following: - Patient allergies - Relevant medical, surgical, and oncology history - Study-specific information, like the reason for exam and study notes from the technologist - Prior studies that are relevant for this read

Study Orders Tab

On the Reading Palette, the _______________displays: - Orders taht are linked to the current study - Orders for the patient that are ready for results (i.e. images are available), but do not yet have results entered

Where can a technologist view a completed protocol before begining an exam?

On the Technologist Work List.

Resource Sidebar (re: snapboard)

Once an appointment is scheduled, the _______________ allows users to assign physicians and staff members to an appointment.

Order Set

Pre-configured groups of orders. You can search _______________, or Hyperspace can suggest them based on particular procedures or diagnoses.

Protocol Work List

Procedures that have been configured to require a protocol appear on the _______________. The _______________ serves as a checklist for procedures that require protocol instructions. It is made up of three panels: - A report of procedures require protocolling on the top. - Reports showing protocol details and prior protocols for the selected procedure's patient in the lower left. - The protocol activity in the lower right. You can resize the panels to configure the screen to yoru preference.

Explain the purpose of the Learning Home Dashboard.

Provides end users with steps and tips to complete common tasks.

Best Practice Advisory (BPA)

Provides targeted, patient-specific clinical guidance. BestPractice Advisories scanthe patient record and can display notifications based on key clinicial data like allergies, diagnoses, current medications, and more.

Schedule Utilization

Radiant KPI. _______________ allows you to evaluate how much schedulable open space each modality had on schedule for a given month.

Productivity of Technologists

Radiant KPI. _______________ allows you to review technologist productivity including total count of exams, how long exams take from begin to end, and more.

Professional Billing Revenue

Radiant KPI. _______________ allows you to view all global and professional charge transactions within the past month for the radiology departments.

Hospital Billing Revenue

Radiant KPI. _______________ allows you to view all hospital technical charge transactions within the past month for the radiology departments.

Radiology Exam Volume

Radiant KPI. _______________ measures how many visits your organization sees per department over a given time period.

Study Turnaround Times

Radiant KPI. _______________ measures the average study turnaround time from Exam Ended to Final during a given month.

Breast Imaging Screening Exam Callback Rate

Radiant KPI. _______________ measures the screening callback rate for mammography screening exam.

Explain how proceudres arrive on the Protocol Work List

Radiology exams and procedures are initiated when a user enters an order into the system. Depending on the procedure being performed, that order might require the radiologist to protocol the study before the technologist begins his work. Procedures must be configured to requrie a protocol in order to appear.

Single Select

Reading mode. The physician individually selects each study fromt he work list. Physicians using a PACS-driven workflow will aloways use the _______________ readign model in Epic, as they will open their studies from the PACS system.

Work List

Reading mode. The system opens the next study from the work list automatically after another is closed.

Priority

Reading mode. The system opens the study with the highest priority automatically after another is closed.

Imaging Dashboard

Reading physicians use _______________ to view time-critical tasks and access the activities they need. Physicians can use _______________ to find studies that need to be protocolled. They can also see what non-critical tasks they need to perform (like low-priority reads), view productivity information, and determine what's going on in the department that might affect them. Answers four questions: - What do I need to do right now? - If there isn't anything urgent, what else do I have on my plate? - How are my colleagues and I doing in terms of productivity measures? - What else is going on in the department that might affect me? The work list, reports, and statistics that ppear on the _______________ and how they are named can be configured.

How does a physician use the reading palette and Imaging Dashboard?

Reading physicians use the Imaging Dashboard to view time-critical tasks and use the activities they need. The reading palette is a study-specific activity where a reading physician reads the images and records a narrative and impression for the study.

MRI Screening Form

Replaces the patper screening forms comment used in MRI departments. Use the form to answer screening questions, document whether an implant is safe for MRI, and determine whether it's safe to proceed with the exam.

Report Configuration

Reports can be edited b . Based on security of user. When you see the gears icon or "Views", that indicates you can adjust the settings of the report. Criteria tab configures what appears on the report. You can define reports based on the needs of certain departments, users and move. The Display tab allows you to control which columns appear on the report from left to right. The Appearance tab allows you to control the font and colors of the report. Additionally, you can set up conditioanl formatting to color a patien's appointment or procedure based on certain criteria. On the Print Layout tab, you determine the position of each column, the formatting and the cation of the column. The General tab contains the name of the reprot. This is also where you specify a report as public or private.

Explain Schedulve v. Walk In

Schedule - Used to make future appointments. - Appointment and study have a status of Scheduled Walk In - Used to make appointment in next available slot. - Combines both scheduling and check in. - Appointment and Study have a status of Arrived.

Explain the difference between securing and logging out of hyperspace.

Securing keeps your data safe, while holding your place on that workstation. If a different user logs into your secured workstation, they could log in to find whichever chart or activity you had open instead of going to their home workspace. Logging out leeps your data secure, closes any workspace you have open, and allows someone else to log into that workstation and see their own home workspace.

Reading Mode

Select the order in which to open studies. Typically, a radiologist continually works with the list of studies to be read on the Reading Work List. In Priority or Work List batch modes, Hyperspace opens one study after another without returning to the work list. Physicians using a PACS-driven workflow will always use the Single Select reading mode in Epic, as they will open their studies from the PACS system.

Study Notes

Short messages about a study that are usually not part of the legal medical record. They can be edited or deleted. Technologists use the notes to communicate with the reading radiologist. These notes remain linked to the exam. Any radiologist who reads the eam can see the information.

Recent Exams

Shows the exams that were performed by a specific technologist for a specified date range. It can be filtered by user, modality, modality type, department, and exam status. This report makes it easy for a technologist to find the exams she's recently completed and make corrections if needed.

Explain which SmartTool is most useful for a given situation.

SmartLinks help users to customize their documentation by pulling data from the patient's chart into the documentation. SmartLists are used to manually customize documentation by making selections in lists. SmartTexts and SmartPhrases are standard blocks of text used to reduce documentation time.SmartTexts might encompass a results letter or an entire note about a visit from beginning to end, whereas many SmartPhrases are typically not so complex.

Explain the different options a physician has for documenting the results of a study.

SmartTools and Reading Macros - These are predefined templates for the radiologist. These are especially useful for reading routine exams that have only small differences from patient to patient. Dictation - This allows the physician to record his narrative and impression to a sound file for later transcription. Speech Recognition - This records and enters they physician's narrative and impression directly via a microphone.

Reading Macros

Sometimes referred to as one-click normals, _______________, are the standard results texts that reading physicians or trancriptions apply with on click.

Differntiate between user and system SmartPhrases.

System phrases are created for entire groups, and user phrases are created by end users for themselves and to share with other users. User SmartPhrases are not formally reviewed, whereas system SmartPhrases might be reviewed.

Explain when managers need to take corrective action rather than a technologist.

Technologists can corrrect mistakes using the Prior Status button if the patient's status is at a status of Exam Begun or Exam Ended. The manager also has the ability to perform corrective actions on these exams. In addition, the manager can also correct errors on finalized exams. That is, she can correct errors on an exam that has already been signed by a reading radiologist.

Explain why the IR Narrator is useful for IR procedures.

The IR narrator contains several different clinical activities like Flowsheets, Preference Lists, and the MAR. The beauty of the narrator is that you do not have to open each individual activity to document what happened during the procedure.

Explain how a physician completes a protocol in Epic.

The Imaging Dashboard allows reading physicians to view time-critical tasks, including protocols that are required for a study. Physicians acces the Protocol Work List. From there, the radiologist can select a procedure to protocol. Once selected, the radiologist can review details, like prior protocols, and indicate how the study should be performed. The radiologist can also place a contrast order, place point of care tests orders, and route the protocol to another physician. Then, the radiologist selects finalize. If a procedure appears that does not require a protocol, the radiologist clicks the No Protocol button.

Critical Result

The Joint Commission requires that physicians document and communicate _______________ quickly. The Follow Up activity within the reading palette allows a physician to document his findings, recommendations, and communication attempts with the patient's care team. Later, either the physician or a department administrator has the ability to track uncommunicated results.

Cancel Appt

The _______________ activity displays the appointment you wish to cancel and any other related appointments. Related appoitnments include other appointments on the same day. If the appointment you are canceling is part of a panel or recurring series of visits, you'll see the other appointments in the panel or series.

Toolbar Wrench

The _______________ allows you to customize the otpions on your toolbar. You can use this option to add and remove buttons.

Chart Search

The _______________ allows you to search menus and a patient's chart (if open) for quick access to relevant activities and documentation. _______________ is a tool that allows clinicians to search a patient's chart for problems, notes, medications, labs, imaging results, procedures and other orders. _______________ can also be used outside of the patient context to find activities and reports. This is particularly useful for items that are usually found by clicking the Epic button.

Make Appointment

The _______________ allows yout o schedule appointments. Unlike the snapboard, where you manually decide where a patient should be scheduled, you'll often use the _______________ form to indicate that the system should search the appropriate providers' schedules fo the most optimal appointment for the patient.

Method (re: orders)

The _______________ by which each provider should receive the results.

Calendar (re: snapboard)

The _______________ can be used to view a provider's schedule on different days.

Hyperspace Toolbar

The _______________ contains buttons to access your most frequently used activities. The buttons that appear vary depending on the user. For example, the activities a nurse uses on a regular basis are not necessarily those used by a scheudler.

Patient Sidebar

The _______________ contains information about the patient and the order. The Protocol Summary section show sthe information the front desk staff need to change the IR consult order to a specific IR procedure.

Resource Sidebar

The _______________ contains types of resources required to be present for the procedure, such as nurses, anesthesiologists, or radiologists. When a procedure requires resources, an icon displays within the appointment on the Snapboard. The icons indicate which types of resources are required for the appointment. The icons correspond to the resources listed in the _______________. Use the _______________ to assign resource to selected appoitnment or to room for an entire day.

Hyperspace Title Bar

The _______________ displays information about your Hyperspace session. The _______________ can include information about the department you're logged into, the environment you're logged into, and the user you're loged in as.

Recent Studies Report

The _______________ gives physicians a quick way to find studies that they have recently worked on. You define a date range and other criteria using the report settings window. Any studies that are signed as Preliminary, Needs Review, or Final, or that are sent to transcription are included in the report.

Reading Palette

The _______________ is a study-specific activity where a reading physician reads the iamges and records a narrative and impression for the study. The _______________ allows physicians to: - Query the PACS for the digital images. - View relevant study and patient information. - Read existing or enter new notes for the study. - Record a narrative and imression. - Mark interesting studies. - Document critical result findings, recommendations, and communication attempts. The reading palette in the Foundation System os cpmfogired fpr a PACS-driven reading workflow. If your organization uses a RIS-driven workflow, the reading palette can be congifured to show multiple activities or tabs on one screen.

Visit Type

The _______________ is the type of appointment that will be scheduled. It tells the system the duration of the appointment, which resources to schedule, and provides scheduling and patient instructions.

Epic Button

The _______________ provides you with access to a number of menus. This is where you find less frequently used activities. This menu look different for each type of user. It is controlled by the applications that are installed and the specific security configuration for each user.

Interesting Study Report

The _______________ report allows you to view all studies that have ben marked as interesting from the reading palette under the Actions menu. When marketing an interesting study, you indicate a reason (e.g. teaching case), and enter comments about that study using SmartTools or free text. Academic organizations often us ethe Interesting Studies report to collect studies to show to residents. It is also used for research stides and tumor boards. Your organization can modify the list of reasons.

Prior Protocols

The _______________ report shows your patient's protocols from previous procedures directly in the Protocol Work List. Repeating the prior protocol does not lock a radiologist into using all of the same details for the current study. Repeating a protocol does not pull in a contrast order or order for point of care test.

Staff Info

The _______________ section allows you to document information about the exam. You can record the begin and end dates and times, the staff members who performed or assisted with the exam, the total numbner of exposures taken, the number and reason for repeats, and more.

Patient Care Plan

The _______________ serves as a guide for what nurses and other clinicians should be doing for the patient throughout his care.

Snapboard Depot

The _______________contains orders that need to be scheduled. Orders from the _______________can be dragged onto the schedule for scheduling.

Home Workspace Tabs

The bulk of the screen is taken up by what is called a workspace, which is where users do their work. Every workspace is identified by tabs that appear below the tool bar. You can switch between workspaces using the tabs.

Explain what determines which activity opens from the Status Board.

The case tracking event buttons on activity toolbar, such as Beging Exam, Move Patient, and End Exam.

Technologist Work List

The home workspace for a non-invasive technologist is the _______________. From here, the technologist can see a list of procedures scheduled for the day and use the status of each study to see how each study is progressing. The _______________ is the central tool for technologists in Epic and the primary place for the technologist to begin and end non-invasive exams. The _______________ is broken down into three major sections: - Technologist Work List Report - Scheduled Orders Report - Patient-specific Reports The _______________ is also configurable to match the responsibilities of the technologist using it. The _______________ can be configured to run for a single modality, for all modalities in a department, or for all the schedules in all the departments to which a modality belongs.

Study Status

The journey of the image. Options: - Scheduled - Arrived - Exam Begun - Exam Ended - In Transcription - Preliminary - Final

Appointment Status

The journey of the patient. Options: - Scheduled - Arrived - Completed - Canceled - No Show

Explain why certain lesions appear when collecting specimens.

The lesion matched the laterality of the exam being performed and was the only lesion documented.

Patient-specific Reports

The lower half of the Technologist Work List activity. The _______________ displays various patient-specific reports for the appoitnmetn you have selected.

CC Recipients (re: orders)

The names of providers who should receive the order's results. You can also click the Expand link in the _______________ title bar to open the CC Results window, where youc an enter the _______________ and Method, or use the My List button to select recipients and methods. The providers you list here will be in addition to the providers who wil receive the results automatically.

Explain the effects of rescheduling an appointment.

The order is linked to a new rescheduled appointment.

What happens to orders that are linked to appointments that get canceled?

The original appointment is canceled, and the patient does not intend to schedule another appointment. The order returns to the depot and the Appointment Desk Orders tab.

Preauthorization

The process through which your organization notifies an insurance company that a member will receive a service. The insurance company provides an authorization number that indicates that they will cover a certain amount of the visit charges.

Explain the effect of the Check In workflow.

The snapboard and technologist worklist are updated. The technologist can see that the patient has arrived. In common workflows, this is when the accession number is generated.

Technologist Work List Report

The upper-left section of the Technologist Work List activity. The _______________ shows scheduled orders. Technologists typically use it to find appointments for patients who have been checked in.

Scheduled Orders Report

The upper-right section of the Technologist Work List activity. The _______________ shows inpatient and emergency orders that have yet to be added to the schedule. From this report, technologist can add on orders to their work list without going through the full scheduling workflow.

Explain the difference between system availability and user availability in a reading macro.

There are two ways to tell the system where a reading macro should be used: system availability and user availability. System wide availability determines for which procedures this reading macro should be available. User availability allows you to enable or disable a readign amcro for individual users. Be careful when you choose to override by user, as this can lead to a lot of maintenance.

Confirm Activity

This activity allows you to run a report to see upcoming patient appointments that require confirmation.

Schedule (re: snapboard)

This area displays the schedule for the appointment providers. Displays multiple providers' or resources' availability. Use it to schedule appointments in departments that are most convenient for the patient. In the imaging departments, you'll typically see a set of modalities.

Patient Workspace Tab

This is the tab with a patient's name on it. When you have a _______________ open, anything with that tab relates to that particular patient. There is ofen a litmit to how many _______________ you're allowed to have open at once. Additionally, unlike home workspaces, _______________ can be closed.

Functional Type (re: SmartTexts)

Unlike SmartPhrases, end users cannot use all SmartTexts in all SmartTool-enabled text boxes. This restriction is controlled by _______________s assigned to a SmartText. _______________s have application-specific prefixes. A SmartText can have more than one _______________. Controls: - The purpose(s) of a SmartText (progress note, patient instruction, etc.) - The design of the SmartText whether it allows rich text formatting. - Which SmartLinks can be used in it.

Reason for Exam (re: orders)

Use _______________ to indicate why the exam is being performed. This information is used by third party decision support tools.

Appointment Review

Use _______________ window to verify the appointment informaiton - for example, appointment time, copay, and patient insturctions - with the patient and relay any insturctions that appear.

Study History

Use the _______________ report to see all of a patient's studies and perform corrective actions.

SmartList Manager (re: SmartLists)

Use the _______________ to determine if any of the proposed records already exist. A common use for the -_______________ is filtering for SmartLists that have a particular selection.

Prep Status (re: Technologyst Work List toolbar)

Use to track where a patient is in their procedure. For example, a technologist may document an orgal contrast has been administered and when the prep is complete. The events provide a visiual indication of where the patient is in their care.

LDA

Used to document the insertion, removal, and properties of lines, tubes, drains, airways, and wounds. _______________s can be documented in navigators or in the Flowsheets activity.

End Exam Navigator

Used to document what happened during the xam. This is where the technologist records contrast administration, staff information, and other exam details.

Explain the circumstances in which orders would need to be placed by a front desk user rather than a physician or nurse elsewhere int he facility.

When a paper radiology order comes from outside your organization, or from a doctor working at a clinic that is not yet using Epic, the order needs to be transcribed. A front desk user uses the Ancillary Orders activity to enter the order in Hyperspace.

Details Panel (re: snapboard)

When a patient is scheduled, the _______________ shows information about the patient, their order, and their appointment.

Explain when you would use the Recent Exams Report.

When a technologist needs to find the exam she's recently completed and make corrrections if needed.

Dashboard

When managers log in, they see the IMG Manager Reporting Home _______________. The _______________ is configured to show key statistics from your radiology departments and allows you to drill down into the data. On this _______________, you can see your Imaging Metrics, including your Imaging Key Performance Indicators (KPIs).

Computerized Physician Order Entry (CPOE)

When physicians at yoru organization want a radiology consult or procedure, they place the order in Hyperspace themselves using Order Entry.

Signing Work List

When studies return from transcription, they appear on the _______________. The _______________ only contains studies for the physician logged in. You can access it from the Imaging Dashboard. The _______________ is also where attending physicians review, revise, and sign prelimmed studies from residents. When a physician signs a study from the _______________, results are sent to the appropriate clinicians, and professional charges are posted to the patient's account.

Reschedule

When the original appointment is canceled, and the patient is given a new appointment date and time. When you _______________, the order is linked to the new appointment.

Check In

When you _______________ a patient, the technologist can see that the patient has arrived for the procedure. You can _______________ a patient from the Snapboard, the Appointment Desk activity, the Department Appointment Report, or the Technologist Work List.

Explain what happens when you finalize a consult order.

When you click Finalize to complete the consult, the patient will be removed from your IR work list. Your scheduler will see the IR consult order with the details you've entered. When you click Finalize & Place Orders to complete the consult, you remove the patient from the IR Consult to Protocol work list, and open the Pre Procedure Navigator. From here, you can perform pre-procedure documentation and place pre-procedure orders for the patient.

Auto Scheduler

When you select Auto Search, _______________ will find a scheduling solution. Searches the system for the first available appointment time that meets your specified criteria. Radiology front desk staff rely heavily on _______________ for imaging visit types. Imaging visit types often search across several modalities to offer the most optimal appointment time for the patient.

Describe the effect of using Prior Status.

Will undo certain actions at various points in the imaging workflow. The previous status will be entered in the Prior Status window by default in th eNew status field. Depending on your security, you can use Prior Status to return from any status to one of the four following statuses: Exam Ended, Exam Begun, Arrived or Scheduled.

Completion Matching

Works in fields that expect a text response. You can type a few characters, and press Enter or Tab. The system will find the appropriate choice and fill in the rest.

Buttons

You will find _______________ all over Hyperspace. Some have icons. Others just have text. You can use _______________by clicking them once. If a _______________ appears in gray, it is not active, either because requisite conditions have not been met or the user does not have appropriate security.

Refreshable (re: SmartLists)

_______________ SmartLists appear to the end user with a colored background, both before and after using it. Therefore, end users can identify the text that was from a SmartList, and can reselect (refresh) from that list. Epic recommends that your organization make all SmartLists _______________. This is because selections made in a non-_______________ SmartList become normal text upon closing that list, and there is not an easy way to reselect from it.

Case Tracking Events

_______________ allow you to indicate which stage of the procedure process a patient is in at any given time. Updating these events can update icons or colors on the Status Board, giving users a visual indicator of where patients are in the department. _______________ also control which tool users see when they double-click a patient from the Status Board.

SmartForm

_______________ are a simple ways to gather information about patients. _______________ are customizable forms used in Hyperspace to capture specialty - or problem-specific information and collect data for a study.

SmartTexts and SmartPhrases

_______________ are standard blocks of texts used to reduce documenation time. They are used for notes, instructions, letters, result documenation, and more. In the past, _______________ had disting differences in functionality. Now, the differences between the two are becoming less evident, as they both can contain big or small ammounts of text, SmartLinks, and SmartLists

Application Report

_______________ are topic-specific with targeted parameters. They run on the production server. They typically provide real-time data to support operational workflows. Because they are designed for specialized tasks, _______________ vary in look and feel. The Technologist Work List, Snapboard, Reading Work List and Unsigned Studies Report are examples of _______________.

SmartLists

_______________ are used to manually customize documentation by making selections in lists. Using _______________ can help to complete documenation for which only certain parts tend to vary from patient to patient or case to case. Preconfigured lists of choices that allow staff to customize the documentation. These lists speed up documentation by reducing the amount of typing a physician has to do. Using _______________ can help to complete documentation for which only certain parts tend to vary from patient to patient or case to case. To open a _______________ , press F2. Use your arrow keys to select an option from the list, and press Enter to select the selected option.

Modifiers (re: orders)

_______________ for an order can be used to list specifications, such as "left side" or "right side," or to add to/subtract from the patient's bill.

Activity Tabs

_______________ give you access to other activities related to the activity you currently have open.

Key Peformance Indicator (KPI)

_______________ help managers keep track of the overall well-being of your department, including metrics for exam volume by department and turnaround time. The goal of _______________is to report on increased profitability and quality of care through EPIC. The _______________for Radiant are the following: - Radiology Exam Volume - Study Turnaround Times - Productivity of Technologists - Professional Billing Revenue - Hospital Billing Revenue - Schedule Utilization - Breast Imaging Screening Exam Callback Rate

SmartTools

_______________ help users complete their documentation more efficiently. AKA Charting Tools.

SmartLink

_______________ help users to customize their documentation by pulling data from the patient's chart into the documentation. For example, why type your patient's name, Jeremiah Cryszynowski, into a note when you can type ".name" and have his name appear? (_______________ also can display data about the user and department.)

SmartLinks

_______________ help users to customize their documentation by pulling data from the patient's chart into the documentation. _______________ also can display data about the user and department.

Reporting Workbench Report

_______________ is a template-based reporting tool in Hyperspace. _______________s typically run off of your production or shadow server. _______________s typically have shorter time frames and fill operational needs. For example, as a radiology manager, you might want to run a report that looks at the productivity of your reading radiologists over the last week.

Clarity Report

_______________ is a tool used for long-term analysis of a department or organization. While some _______________ are available to run in Hyperspace from the Reporting workbench library, others are run and viewed outside of Hyperspace. _______________ are good for summarizing large amounts of data, rather than drilling down into specific events.

Learning Home Dashboard

_______________ link end users to training materials, like Quick Start Guides and tip sheets, which contain steps for completing common in-system tasks and efficient tips. Each role has a different dashboard with links to role-specific content.