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Archive for the ‘Electronic Resources’ Category

Healthix

Written by phil

October 31st, 2012 at 11:56 am

NYCLIX Update

NYCLIX is back up with a couple of nice new added features:

1) When you log in, you will be brought immediately to the “Patients in ED” screen instead of the “Patient Search” screen (see attached image with a live shot of today’s Sinai tracking board – the names/PHI have been blurred to protect the innocent).  This screen is similar to our tracking board and lists all patients who have registered in the Sinai ED for the last 18 hours, and all columns can be forward and reverse alphanumerically sorted.

2) There is a new column on the screen called “Data From Other Facilities”.  “Y” means they should have data available from elsewhere in NYCLIX, “N” means they do not.  If you click on it twice, it will bring all the “Y”s to the top so you can browse to see if any of your patients have been elsewhere.  Bottom line is that what used to require many clicks after login now requires only 1-2 and browsing, as opposed to targeted searching, should be much easier.

Next NYCLIX Training
Scheduled for 9/8 at 2pm immediately after resident conference in Hatch.  I’ll pass around a sign in sheet that day requesting your :

  • *HOSPITAL* network ID (the one you’d use to log in through the MSONSHITEHEALTH.ORG VPN line from home)
  • *WORK* email address
  • and other vitals (name, rank, etc).

Other friendly reminders:

DATA AVAILABILITY:

-Lab and radiology data, at a minimum, is available from all hospital providers.  Some also provide D/c sums, cardiology reports and more.

-sometimes a patient will tell you that they’ve been to another hospital that is in NYCLIX but you won’t find anything.  This is usually because NYCLIX has not matched the patient automatically.  We have set the matching thresholds to be highly specific at the expense of sensitivity.  This means that there is a VERY low likelihood of a false positive match, but we wind up with a lot of false negative matches.  We are working to improve this.  If this happens, and you really need the data, you still need to pick up the phone and call like the old days

-data should be available from any patient who has been to the following providers in the last 18 months:

  • Saint Vincent’s (yes, we retained their data after closure)
  • NYU
  • BI
  • SLR
  • VNSNY
  • SUNY/UHB

Data from sites not listed above will *NOT* be available in NYCLIX.

CONSENT FLAGS AND DATA ACCESS:

-The consent column has the following flags:
“A” = “accept” = pt consented
“R” = “refused” = pt refused to consent
“P” = “pending” = pt couldn’t make up their mind or lacked capacity
“B” = “bypass” – will be implemented soon and will basically mean that consent was not completed at registration.

-If the consent flag is A, you have access, just click on the record and review.

-If the flag is set to “R”, “P” or “B” you can still ask the BA to consent the pt or do it yourself and then ask the BA to change the pt HIE flag in our registration system (forms are available in copies under “md_forms_hie__nyclix__

consent” and “md_forms_hie__nyclix__fact_sheet”)

-If the pt has a “P”, truly lacks capacity and there is no legal representative who can sign for them, you can use “break the glass” and choose a reason from the drop down list (similar to EM caveats).  Remember, these are being audited.

Feedback:

If you have any questions, comments or problems, please let me know.  We especially want to know about any bugs or performance issues after our recent extended downtime (extremely long wait times for a page to load).  Please send me the date, issue and MRN of the patient if relevant (do not send any other PHI via email).

We also want to know if you have a case where NYCLIX helped.  If so, please send:

  • 1-2 lines describing the case
  • what information was used from NYCLIX
  • how that info affected your management

Thanks, and have a great weekend,
Jason
______________________________

Jason Shapiro, M.D.
Assistant Professor of Emergency Medicine
Department of Emergency Medicine and
Center for Biomedical Informatics
Mount Sinai School of Medicine
(212)  824-8058
_______________________________

Written by phil

August 29th, 2010 at 2:36 pm

NYCLIX Enhancement

A new NYCLIX release just went live that should make it much easier to look for data on relevant patients.
-When you login, go straight to the “Patient in ED tab” which displays all the Sinai ED patients who have registered in the last 18 hours.
-You will notice on the right that there is a new column entitled “Data From Other Facilities”.  If you click on the top of this column it will sort by “Y” and “N”.
-Any patient with a “Y” has data available from outside Sinai.  This should allow you to quickly see if your patients have any data available through NYCLIX, and prevent you from looking just to find out that nothing is there.
-A good way to use NYCLIX now, other than targeted searching for data on a specific patient, is to login a couple of times per shift, sort on this column, and see if any of your active patients have data available.  You may find that you are able to cancel a CT scan or avoid an admission based on the data you find.
-If the “Patients in ED” screen doesn’t load for some reason, or says “No patients were found in department.” , just hit refresh and it should pop up.
As always, please let me know if you have any questions.
____________________
Jason Shapiro

A new NYCLIX release just went live that should make it much easier to look for data on relevant patients.

-When you login, go straight to the “Patient in ED tab” which displays all the Sinai ED patients who have registered in the last 18 hours.

-You will notice on the right that there is a new column entitled “Data From Other Facilities”.  If you click on the top of this column it will sort by “Y” and “N”.

-Any patient with a “Y” has data available from outside Sinai.  This should allow you to quickly see if your patients have any data available through NYCLIX, and prevent you from looking just to find out that nothing is there.

-A good way to use NYCLIX now, other than targeted searching for data on a specific patient, is to login a couple of times per shift, sort on this column, and see if any of your active patients have data available.  You may find that you are able to cancel a CT scan or avoid an admission based on the data you find.

-If the “Patients in ED” screen doesn’t load for some reason, or says “No patients were found in department.” , just hit refresh and it should pop up.

As always, please let me know if you have any questions.

____________________

Jason Shapiro

Written by reuben

June 30th, 2010 at 3:49 pm

NYCLIX Update

As mentioned in faculty meeting today, NYCLIX has fixed it’s consent model and there is now a flood of data available from outside our institution.  ~ 20% of the patients coming in our ED have data available from elsewhere, all you have to do is login and look for it.
 
Key Points:
 
1)Any patient who has been at any of the following sites in the last 8-12 months should have data available:
    -NYU
    -Saint Vincent’s
    -Saint Luke’s Roosevelt
    -BI
    -SUNY Downstate/UHB
    -VNS
    -Institute for Family Health (large federally qualified health clinic system)
 
2)The NYCLIX interface can be launched from the IBEX toolbar (mouse over the “all” and click “NYCLIX”)
 
3) Login IDs were created for those who were at the training session at our faculty meeting earlier this year.  Your NYCLIX login ID should be the same as your Sinai (msonsitehealth) login ID, but the NYCLIX password does not change.  If you need a password reset, please email me.
 
4)  If you didn’t go through the training earlier this year and need a login ID, please email me.  I will have an account created and we can schedule some time to go through the training and get you set up with a login.
 
5) If you use NYCLIX, please send me some feedback with the following points:
    a) Brief description of case
    b) What information was accessed in NYCLIX
    c) How did it affect your managment
    d) Any other compliments/complaints/comments
 
Finally, if you want any refreshers on using the system, or have any question, just grab me next time you see me, or shoot me an email.
 
Thanks,
-Jason

Written by phil

October 28th, 2009 at 4:39 pm

email forwarding

Here’s how to forward your email from mssm.edu to your preferred address.

Go to imail.mssm.edu and sign in. Ask the Library (212) 241-7091, ext 47091 for help if you’ve misplaced your login info. You will see this:


Select “Options”. You will see this menu on the left of your screen:

Choose “Settings”. At the bottom of the list of settings, you will see the “Mail Forwarding” Options. Make sure that “Enable Forwarding and Don’t leave copy on server” are selected. Enter your destination email address and “Save Changes”.

Written by phil

July 6th, 2009 at 6:53 pm

NYCLIX Go Live Mon 2/23

As mentioned in Faculty meeting on 2/11, NYCLIX patient consent is going
live the morning of 2/23, you will therefore have access to login and look
up patient information starting tomorrow morning.

Your login is:Rstray01

password is: [assigned password]

The URL is: http://146.203.137.92/portal-prod/login

NYCLIX can only be accessed from the hospital or through msonsitehealth.org

Once in, you can change your password by clicking on “Personal Settings” in
the upper right hand corner, and then under “User Administration”, typing in
a new password and clicking “Save” at the top.  This is only temporary since
your NYCLIX login will soon be automatically linked to your Sinai network
login.

I am working on getting a link from the IBEX toolbar implemented so that you
can just follow that and then login.  Eventually, we should have a
pass-through link like the one from IBEX to EDR so that your login
credentials allow you to go directly to the IBEX patient’s chart in NYCLIX
with one click.

A few important points:

-DO NOT GET FRUSTRATED IF THE DATA YOU ARE LOOKING FOR IS NOT ACCESSIBLE.
This is a pilot implementation, mainly to get your feedback as pilot users.
There are many patients with data on the system that you may not be able to
access because the patient has not consented at the other site (consent is
required at each site before data from that site will be shared).

-Many patients have consented at VNS and NYU, if you have a patient to have
been at either of those sites, you are more likely to find information.

-The likelihood of finding information will increase over time as more
patients have the opportunity to consent.

-If you do use NYCLIX for any reason, and you find useful information (or a
problem), please let me know.  What we really need right now are stories
from end users about how it helped, and feedback to help us make it better.

-NYCLIX Helpdesk support is not up and running yet at Sinai.  If you
experience difficulty, need a password reset, or have any questions, please
contact me by email and/or cell phone (917-334-6233).

Thanks,

-Jason

Written by reuben

February 23rd, 2009 at 10:59 pm

Sinai EM RSS Feed

The latest updates to the Sinai EM Blogs are here:

feed://app.feeddigest.com/digest3/UKCIR7WUIU.rss

For those who tried this link and it didn’t work — here is a quick explanation of RSS and advice on an RSS feed reader. RSS feeds are a great way of disseminating information, but are not supported by Internet Explorer. If your webrowser is Safari or Firefox, you probably do not have this problem. If you have a google or gmail account, you can use Google Reader.

Written by phil

November 15th, 2006 at 4:58 pm

Medical Mac Apps

OS X
Yep: organizes all those PDF journal articles.
Sente: PubMed interface – remembers your searches.
Write Room: Distraction Free Writing.
MacStats: a website with…stats…for the…mac.

Palm
PEPID: Emergency Medicine Text and Pharmacopeiea for your Palm.
Missing Sync: Fix those Palm/OS X sync problems and more…

IBEX @ HOME
Parallels: Virtualization – have WinXP in a Window.
Boot Camp: Boot into WinXP.

Written by phil

October 25th, 2006 at 12:54 am