CT / MRI Ordering in KPHC

All outpatient CT and MRI ordering (including Cardiac CT) will now be done in KPHC as we transition away from eConsult.  Here is a brief job aide on ordering — it is very similar to U/S ordering that we already do.

If you have any issues, please contact GSAA Site Support at 510-675-KPHC (5742)

Comfort Care Cultures

Please discontinue preexisting orders on newly transitioned COMFORT CARE patients !
Just add .COMFORTCARECULTURES at RN order communication .
The nurse will call the local lab to remove and cancel any existing comfort care cultures orders .
It would really help to decrease the incidence of HAI !

WORKFLOW  to decrease the number of cultures processed on comfort care patients and prevent HAI.ppt

KPHC Fall 2025 Updates

Features that were delayed on the previous KPHC will now be released on 9/2/2025. There will be downtime between 1am-2:30am that day. Please refer to downtime procedure protocol here.

Notable updates:

Order Again in Chart Review

When selecting an existing lab, procedure, or imaging order in a clinical encounter, click Order Again from the toolbar or right-click menu to create and place a new order with the same details or with details from your preference list. Orders placed in an inpatient context is reorderable only if it is from the same inpatient admission as the current encounter.

Reorder Orders from the Results Review Activity

You can now quickly reorder tests and procedures while reviewing results in the Results Review activity.

Create Custom Views in Results Review

If you often filter Results Review to see only results that are relevant for reviewing a certain diagnosis or plan of care, save that filtered view so you can use it again in the future with just a click.​ Views can be useful when you want to quickly narrow your view to just the results you care about when you’re reviewing a specific diagnosis, or when you want to exclude certain commonly resulted components to help you focus on detailed trends in other results. ​In addition to creating and using your own personal views, you can use views shared by your peers​

Remove People from a Chart Chat Conversation

Removed participants are notified and can be added back using the normal process or they can return themselves to the conversation later using Rejoin. ​Note: Either way they will have access to all messages including those that occurred when they were not in the chat.

COVID-19 Return to Work

The return-to-work guidance for health care workers coming back from SARS-COV-2 (COVID-19) infection has been updated based on new recommendations from the California Department of Public Health (CDPH). The changes have been reviewed and approved by the Regional Infection Control Committee and other key KFHP/H and TPMG stakeholders. The attached new guidance includes the following:

  1. Removal of testing requirement upon return.
  2. On-site work can resume 3 days after symptom onset or a positive test (if asymptomatic), provided there has been no fever for 24 hours without fever-reducing medication and symptoms have improved or resolved. First day of symptoms or day of positive test if asymptomatic is day 0, making the earliest possible return on day 4.
  3. Source control with well-fitting face mask or N95 is required for 10 days after symptom-onset or positive test (if asymptomatic) while at work is still required.

Haiku Update

Haiku Authentication Time Period Extended

When: July 9, 2025

What: Currently when using Haiku, you must authenticate with your NUID/password in addition to FaceID after 24 hours, but starting on July 9th, the time period will be extended to 7 days instead of 24 hours. 

  • You will now be able to quick access Haiku with just FaceID for a 7-day period before needing to authenticate.

Ambulatory Ultrasound Order Work-flow

We have transitioned from eConsult to KPHC/Cadence for ordering, direct booking, and appointment scheduling of many of the general ultrasound exams that are presently ordered from the eConsult specialty of Rad-Outpt ULS. Please note that not all ultrasound orders are being migrated at this time. The table below outlines which ultrasound orders will be directly placed in KPHC and which will continue to require an eConsult referral and a KPHC order (current state).

CME Split Expenses

You are allowed to split your expenses such as Lodging with another colleague when you attend CME provided you sign an attestation or something similar to link below (feel free to modify the document to capture the details for your situation).

Prof Allowance Attestation For Splitting Expenses.docx

Abridge during CIS

  • Finish all Abridge Inside notes on Friday afternoon before the night of CIS
  • The information in the Abridge tab (full transcript, PVS, etc) will only be available for the instance that the note is recorded in.  Legacy notes brought over to the new CIS instance will be plain text without the linked evidence tab.
  • After CIS cutover,new visits will follow normal Abridge Inside workflows in the CIS environment.
  • During downtime, users can use the Abridge App and the Web Recorder – there is no limitations on the number of notes they can create, and will continue to be available as normal. 

CIS Migration Update

CIS migration update will occur on Saturday April 5th, 2025
Around 1am – 5am: Downtime/Downtime Recovery

While cortext is still available, the ask is to use chart chart for communication with subspecialists (except those outside of the GSAA) until the migration.

During the migration, pending orders and any customizations in health connect will not be carried over. Please be sure to sign any pending orders or notes.

Downtime Resources

Hi all, please visit Downtime Protocols & Resouces as needed during any scheduled downtime or cyber event. You may also find this link through search or above menu by going to “Resources” ->”Procedures and Protocols” => Downtime Protocols & Resouces. Of note, we do have downtime scheduled on Sunday, December 15, 2024, 9:00 PM – Monday, December 16, 2024, 5:00 AM for Scanned Documents and Images in Chart Review. Please refer to above link for more information

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