[HumanSer] Is anyone using EPIC as their EMR?

Fri May 10 17:58:58 UTC 2024

I have not tinkered with speech-to-text solutions much, but I can give a generic answer:

If something cannot be accomplished via the keyboard, but can via a voice command, that may be a gain; but
it would still be necessary, in most cases, to be able to read the results with a screen reader I would
think. When evaluating a new workflow, make sure everything needed from start to finish can be found
somehow.

On Fri, May 10, 2024 at 05:37:42PM +0000, Ginny Duff via HumanSer wrote:
Thanks for this informtion...  although its a bit disappointing..

I need to be able to invert the video and make the fonts a bit larger and would be happier if I could make it talk to supplement my low vision..
Erika - it sounds like your husband has low vision.
Doug - I might be contacting you again !!
They have delivered nuance handsets (Dragon Dictate) to everyone so they can do speech to text.   I recall a few years ago with a Cerner EMR product that there was some capacity with Nuance to do text to speech and some voice commands.    I wonder if that adds some hopefulness to this situation.
Doug - Any thoughts about that??

Ginny

Virginia Duff, MD, FRCPC
Clinical Director
West End ACT Team
St. Joseph's Health Centre
Tel: 416-530-6000 ext. 3101
Fax: 416-530-6076

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On May 10, 2024, at 00:08, Doug Lee via HumanSer <humanser at nfbnet.org> wrote:

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I am sorry to hear this and a bit surprised that it is that bad, though by now my memory of the specific
issues I saw is faint.

I would welcome more information and/or a chance to help figure out if anything can be improved for him. I
do small jobs without a contract, and sometimes a small job can make a big difference. But I also understand
that there is a high likelihood of his environment being too restrictive to let me examine it without a lot
of paperwork. Still, if there's anything I can do, feel free to let me know.

On Thu, May 09, 2024 at 10:41:35PM -0500, Ericka via HumanSer wrote:
No, it hasn’t. Exact sciences, where my husband works started using them a year after he was hired. It’s been a nightmare.

Ericka Nelson

On May 5, 2024, at 9:44 PM, Doug Lee via HumanSer <humanser at nfbnet.org> wrote:

Years ago I scripted Epic for JAWS for a contract client. At the time though, I was working for a company;
now I am an independent contractor. Back then at least, Epic was web-based, at least in the sense of being
mostly composed of HTML pages though some had custom controls on them as well. They also provided some JAWS
support files directly; and I can only hope that this support has improved in the years since I was involved.

On Mon, May 06, 2024 at 01:14:11AM +0000, Ginny Duff via HumanSer wrote:
Hi
My hospital is bringing in a new electronic charting system... called EPIC.   I live in terror that it will not be accessible and am having trouble finding out much about it.  I am low vision.   Is anyone using it ? and if so. what has your experience been?

Thanks

Ginny

Virginia Duff, MD, FRCPC
Clinical Director
West End ACT Team
St. Joseph's Health Centre
Tel: 416-530-6000 ext. 3101
Fax: 416-530-6076

Unity Health cannot guarantee the security of this email. This email is intended only for the named recipient(s) and may be confidential. Any unauthorized use, dissemination or copying of this email is strictly prohibited. If you have received this email in error, please notify the sender immediately and destroy all copies of this email.

Please note that this email is not used for clinical matters. In any emergency, call 9-1-1 or go to the nearest urgent care center or hospital emergency department. It is recommended that you do not use email to discuss information you think is sensitive as the security of email messages is not guaranteed. The undersigned physician cannot guarantee that all electronic communications will be reviewed and responded to within any specific period of time and should not be used for medical emergencies or other time-sensitive matters.  Electronic/e-mail communication is only by the undersigned to provide appropriate mental health resources, i.e. educational materials, worksheets used for therapy. All other communication/questions or concerns will be reserved for personal appointments or over-the-telephone conversations. For scheduling or cancelling appointments for non-ACT patients, please call the Out-patient Mental Health clinic administrative staff at 416-530-6591.

On Mar 7, 2024, at 12:18, JD Townsend via HumanSer <humanser at nfbnet.org> wrote:

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Excellent news.  I have been interested in EMDR but have hesitated taking the training due to the cost weighed against possible access issues.  Having referred clients to EMDR and it’s offshoots, I find the process intriguing.

From: HumanSer <humanser-bounces at nfbnet.org> On Behalf Of Deborah Carter via HumanSer
Sent: Thursday, March 7, 2024 10:57 AM
To: Human Services Division Mailing List <humanser at nfbnet.org>
Cc: deborahgm9958 at gmail.com
Subject: Re: [HumanSer] Advocacy Creates Update!

Good Morning Jimmy,

So good to hear from you.  I am so interested in the information regarding this email.  Can you share some information with me regarding using EMDR as a blind professional?  I would greatly appreciate it.  I heard you are going to be at the state convention.  I hope to see you there. Any information you can provide me will be extremely helpful: training, accessibility, etc.  Thank you,and best wishes.

Debrah Carter

(You can reply to this email at

Deboragm9958 at gmail.com <mailto:Deboragm9958 at gmail.com>

Phone number is 901-262-1878

Sent from my iPad

On Mar 7, 2024, at 9:26 AM, Jimmy via HumanSer <humanser at nfbnet.org <mailto:humanser at nfbnet.org> > wrote:

Good day.
For those who use EMDR equipment or are looking for an accessible unit. EMDRkits.com have a comprehensive and accessible app that works with the lighter and pulsators. IN the past year, there were some issues of buttons that were no longer labeled, such as the various light colors to change on the light bar, to name a few. I checked in with the company and they are releasing an update within the next few weeks that will address all of the issues that I have presented them. It is always exciting when we can promote change. I hope you are all doing well!
Warmly,

James Alan Boehm  M.Ed, LPC-MHSP

Contact Information
Phone: 901-483-1515
Personal Email: jimmydagerman80 at gmail.com <mailto:jimmydagerman80 at gmail.com>
Alliance Counseling: JB at AllianceNashville.com <mailto:JB at AllianceNashville.com>

-- 
Doug Lee                 dgl at dlee.org                http://www.dlee.org
Don't be afraid your life will end; be afraid that itwill never begin.
-- Grace Hansen