On Wednesday, September 22, the indications on advanced imaging orders will be updated automatically as part of the scheduled upgrade of the decision support tool Care Select. The purpose of clinical decision support for advanced imaging orders is to be compliant with the CMS PAMA (Protecting Access to Medicare Act) with guidelines to consult and adhere to appropriate use criteria (AUC) and Medicare billing regulations. The decision support tool assists ordering providers in making the most appropriate decisions for imaging based on a patient's specific clinical condition. 

This upgrade includes refinement of content without any changes to the ordering workflow steps. Content changes include new and re-named indications, updated listing of indications and scoring on advanced imaging orders based on AUC content. You will continue to only see the BPA if the indication on the advanced imaging order is scored as low (1-3 score) or marginal (4-6). Please refer to the tip sheet on the Epic Resource Center: Entering Advanced Imaging Orders with Decision Support

What is it? It is a powerful search tool that can help you find key information saving you clicks. If you are looking for something specific, or just want to see information that is relevant to a certain condition, save clicks and use Chart Search. For example, search for "hypertension" to see problems, clinicalnotes, medications, and other orders related to that condition.

1. Within a patient's chart, enter a keyword in the Search field at the top of the patient's Storyboard and press Enter.

• Results appear organized by date, so you can get an idea of the history. 
• If you prefer to keep your results in view as you chart, click at the top right of the Search activity and select MovetoSidebar. 

2. Hover over a search result to see more information. For example, hover over a medication to see its history, hover over a problem to see relevant meds and labs, and hover over a note to see relevant snippets. 

• If necessary, click a search result to open a full report. 

3. If you get too many results, narrow them down using the filter buttons at the top. For example, click Meds to see only the patient's medications related to hypertension. 

• You can also filter the search results to quickly find relevant notes, labs, imaging, and more. 

Search for Something You See in a Report

If you see something in a report or prior note and want to find related information, highlight the term you want to search for, right-click it, and select  for the highlighted term. 

Jump to Activities 

Use the Search field to quickly jump to an activity. As you type, a list of matches appears. Click the name of the activity that you want to open (Smartphrases, MAR, etc.) 

Watch This! 
Watch this short video that will demo how easy it is ...