[HumanSer] Is anyone using EPIC as their EMR?

Fri May 10 18:35:45 UTC 2024

Ronit
That is much more encouraging !!
I will likely be in touch once we start rolling out this new system - which actually is now until about November.
Best,

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 14:10, Ronit Ovadia Mazzoni via HumanSer <humanser at nfbnet.org> wrote:

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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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emergency department. It is recommended that you do not use email to
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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 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

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