Category: Announcements Page 1 of 2

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.

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

ACAH Insurance Column

How to add ACAH Insurance column to your list:

  1. Click on Edit List -> Properties

2. Search for ACAH, highlight the caption “ACAH Insurance” and then click on “Add Column”

3. Patients with a green light have eligible insurance and should be considered for referral; they will still need other screenings to determine eligibility to program​. Patients with a red light do not have eligible insurance and are not eligible for the program

Advanced Care At Home Intro

Advanced Care At Home (ACAH) is coming to the GSAA and that date is July 9th

Here is a quick refresher on what ACAH is and how it affects us.

  • What is ACAH? A program that takes care of patients who meet inpatient criteria but are stable enough to be managed at home. Think your failed CDA patients, cellulitis patients who failed oral therapy, CHF patients who need IV diuresis with stable oxygen requirements, neutropenic fever patients, etc. It is NOT the same as a discharged patient on home health. These patients are seen at least daily by nurses and virtual ACAH physicians. Labs (within 4 hours) and imaging are available. Patients are set up with technology to allow them to stay connected to the medical hub and communicate their needs. 
  • How it affects us: Patients that normally need admission who are candidates for ACAH may be transferred directly from ER to ACAH (without HBS involvement). Patients on your panel may be discharged sooner to ACAH. 
  • HBS roles and responsibilities: Screen through your list daily to see if there are any candidates for this program. Inform your PCC and ACAH Hospitalist to review case for ACAH admission. If approved, complete POLST, discharge summary, and order for DC to ACAH (DCI and AVS not needed). 

There will be a formal presentation during our next department meeting. For now feel free to review the following powerpoints.

ACAH HBS Role Card
ACAH Introduction Powerpoint

Transfer between SLN / FRE

Admitting Provider

  • Patient evaluated and requires hospitalization
  • If Unstable
    • Perform H&P and Admit orders
  • Is Stable
    • Complete H&P, place admit orders, complete transfer summary using .GSAATransfersummary in hospital course of DC summ portion. Place transfer orders

Transferring Provider

Evaluate patient prior to transfer and ensure stable for transfer. Update transfer summary at time of discharge (if patient no transferred until the next day must be updated at time of transfer)

Receiving Provider

  1. Go to Direct Admission Navigator
  2. Choose option under “Patient is in a Hospital floor or ICU Bed”
  3. Select “Restart from Previous Admission”
  4. Review orders and complete admit order
  5. File H&P note and use .GSAAINTERVALHANDP. Reference the name of the admitting physician who completed the full H and P and transferring physician from prior encounter. Copy the prior H and P into your note.

Interval H&P Requirements

Patient must be examined at time of arrival to the receiving facility.  Labs/imaging from the last time patient seen must be reviewed and any changes in physical exam or assessment/plan should be documented. 

Guidance

• Please do not copy orders for transfers between SLN and FRE

• Please be mindful of duplicate orders if copying orders for other facilities (ensure no repeat imaging-ct head etc order, transfer orders continued)

KPHC Spring Update

The Spring Update is this Saturday, April 27, 2024. Visit What’s New How To for details about the Site Freeze and Environment Pause happening on April 24 – 25, 2024, and the System Interruption happening the day of the Update.

Important change in this update:
The Work/Activity Status activity tab is now Activity RX (ARX). Each section or form has been modified. For details, including known issues and instructions for completing/managing ARX, see the job aids on WNHT.

COVID Isolation Guidelines

– Removed consideration for prior COVID-19 vaccination or booster status for determination of isolation, quarantine, or indications for testing.

– Increased testing frequency after exposure to three tests within 7 days.

– Changed the length of isolation for COVID-19 patients with moderate illness to 10 days.

– Changed the length of isolation for COVID-19 patients with severe to critical illness to at least 10, and up to 20 days, depending on resolution of symptoms including fever and repeat negative test results. Definition of severe-critical illness are included below.

– Updated re-testing recommendations after initial COVID-19 diagnosis to begin consideration for re-testing with symptoms or new exposure after 30 days from initial diagnosis.

The updated guidance is published in the IP Clinical Library.

KPHC Downtime

KPHC Full Outage – Saturday, September 23, 2023, 1:00 AM – 2:30 AM. Please use down time forms during this time.

Heart Failure Initiative

Just a reminder that the kick off is coming 8/21/23
No new information since the presentation by James last month.

In brief:
Please use CHF orderset.
Please use CHF DC specific drop down menu in summary.
CHF DCI still not available as of today per region.  Will update once it is available.  Please use current .DCU with current drop down CHF instruction as appropriate.

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