FHIR Education is available to all clinicians involved in patient care and discharge planning, including inpatient facilities and ambulatory clinics.

Use of FHIR Education for post-op discharge instructions is optional for physicians. Within Epic, physicians have the option to use their own personalized instructions or to use the materials from FHIR Education.

A new Discharge Post-Operative Patient Instructions order within the General Post-Op Discharge Order Set in Epic now requires physicians to indicate how patient instructions will be provided. Physicians must identify whether they are providing their own personalized post-op instructions or requesting that nursing provide FHIR Education.

If physicians opt to use their own instructions, they can create SmartPhrases within the order Comments section to flow information directly to the patient’s AVS and discharge summary. These SmartPhrases can also be shared with the care team, just like notes and other favorites.

For more information, please review the Physician Supplied Discharge Instructions tip sheet.

Training is highly recommended for all inpatient RNs, clinical pharmacists, respiratory therapists, PT/OT/SLP and dieticians. Training has already been assigned to you in LMS SuccessFactors, or you can search for the course directly (course #1575123).

Tip sheets are available for providers, ambulatory clinicians, clinical pharmacists and cardiology, radiology, infusion and perioperative nurses.

A recorded training presentation is available in LMS SuccessFactors (course #1575123). Several tip sheets are also available in the Epic Learning Home for:

• Physician Supplied Discharge Instructions
• Ambulatory Clinicians
• Inpatient Nursing, L&D, Nursery, NICU, Respiratory, PT/OT/SLP, Dieticians
• Cardiology Nursing
• Infusion Nursing
• Perioperative Nursing
• Pharmacy
• Radiology Nursing

Speak with your manager, super users, program director for informatics or physician liaison for additional information. Questions may also be sent to epictraining@houstonmethodist.org.

FHIR Education equips clinicians with the most current, evidence-based patient education resources and the ability to customize and select materials to each patient’s specific needs. Through the integration with Epic, information can be printed for each patient, along with the AVS at the time of discharge or sent to MyChart for online access after discharge, aiding as a reference point for both patients and caregivers. Confident and informed patients and caregivers will result in fewer calls to the unit regarding previously discharged patients, better patient outcomes and fewer readmissions.

It’s also easier to keep track of the diagnosis-specific education provided to each patient. It serves as a reference point for all clinicians involved in patient care and discharge planning, ensuring the patient was provided with all necessary discharge education information. You can also customize patient-specific edits at the point of care and prescribe video content.

FHIR Education brings current education and discharge planning to the patient – during clinic visits, prior to admission and throughout the entire hospital stay. You can print education or provide video links while the patient is still hospitalized, or you can add topics to a cart for patient access later.

Patient discharge can be extremely overwhelming for both the patient and the caregiver. The ability to provide patient education in both a printable version as well as a patient accessible version in MyChart and on the patient’s smart device, is assurance that the patient has a point-of-reference guide upon returning home.

There are also Spanish-language translations, with many documents available in 20 additional languages.

Suggested medication topics are based on the last 12 months of active or taken medications in the patient’s history, as indicated through Medication Reconciliation.

No. Suggested content for procedures is based upon the last 12 months of completed procedures in the patient’s history. Content will not be suggested unless there’s a completed procedure with a corresponding date in Epic. You can still search for any education you would like to provide to a patient pre-procedure.

When education is provided to the patient via print or sending to MyChart, the education is documented in three different places in the patient record:

1. Notes activity tab
2. Discharge AVS and/or MyChart AVS
3. Chart Review under the Notes section

No. Showing the video to a patient from FHIR Education will not document the patient record. To do that you would need to print the video sheet or send the video sheet to MyChart.

You can reprint education from the Notes activity. Don’t reprint from the FHIR Education activity, as this will send unnecessary duplicates to the patient’s MyChart and cause duplicates to be printed on the AVS.

When this happens, you should follow your approved chart correction process for removing the content in Epic. If a soft delete is done to remove the education note from the patient record, it should not appear on the AVS.

Inline edits will be available until the document is printed, sent to MyChart or the session is ended. If the session ends before you print or send to MyChart, the edits will need to be done again before you provide to the patient.

Video sheets are attached to the AVS, which are available post-discharge in the patient’s MyChart account. The AVS will include a URL address for the video and a QR code that can be scanned by a mobile device. Accessing the video will take the patient out of MyChart.