Epic UGM 2025 FOMO generator. UCHealth neurology and neurosurgery. Expecting the unexpected.

UGM177 Expect the Unexpected: Streamlining Documentation in Neurosurgery and Neurology. What does this mean?!

Kleptomania!

Vizient background

Epic automation? Rules?

Super easy. If malnutrition criteria met: statement put into note. If not, blank.

Thrombocytopenia example.

Our collection of rules.

Wow. All the CDI queries big drop off because the notes include the right documentation automatically. this is neurosurgery.

Automated smartlink for quality items allows coders to send queries for other high importance topics.

Looking at stroke patients

By adding smart links for encephalopathy and conditions changed the expected data. See the O/E improved over years in neurosurgery.

So physician builder stole ideas from other orgs like UW Madison. (disappearing help text)

Disappearing help text built this way, stolen from UCSD’s talk from 2019.

Also using Diagnosis Aware Notes.

Getting inpatient teams to use DAN improves charting of diagnosis.

AgileMD pathway with ability to teach residents follow pathways and insert text into the note.

This is the collection of tools to capture quality metrics and influence provider behavior and documentation.

Author: CT Lin

CMIO, UCHealth (Colorado); Professor, University of Colorado School of Medicine

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