[HumanSer] Is anyone using EPIC as their EMR?

Fri May 10 18:08:45 UTC 2024

Hi all, sorry I'm late to this discussion. I am using epic as my EMR. I
work as a genetic counselor at Stanford Childrens Hospital in the fertility
department. I have used epic over many years and over time, it has actually
gotten better. That's not to say it's easy, but that it's gotten better.
Most of the screens are treated as a webpage which helps JAWS read it. I do
not have any vision at all and I use JAWS for everything. Every hospital
sets up their epic build slightly differently but there are many things in
common. The good thing about epic is that there is not just one way to
accomplish a task. Often times I do extra keystrokes or access a feature
differently from sighted folks but I still get the job done. I document in
charts, review charts, put in orders, etc. It's hard to give specific tips
but I'd be happy to talk by phone to anyone interested in learning more. I
did use JAWS  scripting at the very beginning but have not used that in
several years. It is helpful to have a sighted person who knows your
specific build sit with you to help you learn where things are on the
screen or buttons that you need to find. At the beginning, using the find
command can really help especially when screens are very busy and
cluttered. There are also changes you can make to hide certain parts of the
screen that you don't need.

Hope this helps.
Ronit

On Fri, May 10, 2024 at 11:00 AM Doug Lee via HumanSer <humanser at nfbnet.org>
wrote:

> 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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> 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
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> 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.
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>
> On May 10, 2024, at 00:08, Doug Lee via HumanSer <humanser at nfbnet.org>
> wrote:
>
> CAUTION: External email. Think before clicking
>
> 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:
>
> CAUTION: Please note this message is from an external sender. Do not
> click on links or open attachments unless you recognize the sender and know
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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
>
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