User Role - Answer- What controls the Startup Activities a user sees when logging in to Hyperspace?
Mitosis - Answer- Tool that duplicates patients
... [Show More] daily and keeps them looking fresh for training
Manual Duplication - Answer- Tool used to move your patients through time to make encounters appear over the course of time
Chronicles - Answer- The database management system used by all of Epic's applications
Master Files - Answer- Holds information about a particular type of data and designated by a three-letter abbreviation or INI
Records - Answer- Holds information about a particular data entity and has a unique identification number
Contacts - Answer- Holds date-specific information about a particular data entity allowing you to keep track of changes over time
Items - Answer- Hold discrete pieces of information (question)
Values - Answer- Discrete information stored in response to prompts in Epic (answer)
Facility Structure - Answer- Represents physical arrangements of your organization's hospitals, clinics, units, departments, and business entities.
Facility - Answer- Highest level of the facility structure hierarchy and each organization can only have one
Service Area - Answer- Used to separate distinct business entities within an organization
Parent Revenue Location - Answer- Used to group multiple revenue locations together for billing purposes
Revenue Locations - Answer- Represent the hospitals and clinics within your organization and are generally physical locations where revenue is generated
Departments or Units - Answer- Represent places where users work and patients receive care
Rooms - Answer- Allows you to restrict the level of privacy and available services offered and is when a patient needs to be admitted but not yet assigned to a bed
Beds - Answer- Used to track patient movement once they are admitted
Rule of Specificity - Answer- If a setting is configured at multiple levels of the setting's hierarchy, the most specific level setting is used. If nothing is set at that level, the system looks to the next most specific level's setting
User records - Answer- Used by anyone who will log in to Epic at your organization and determines what a person can see or do in Epic, including which activities are available for the user, the layout of Hyperspace and the default login department
Provider records - Answer- Required for any person or resource that meets the CARS criteria: Credentials, Authorizations, Referrals, Schedules
Security-related records - Answer- Considered to be the keys for users to access specific activities
Security class - Answer- Group of security points which gives users access to every piece of functionality they need.
User role - Answer- Determines the look and feel of Hyperspace for a user by controlling the home workspace that appears when the user logs in and the application toolbar options that are available.
False, the patient will have one patient record with multiple contacts - Answer- True or False: A patient who has been seen multiple times at your hospital should have multiple patient records in Epic
False. The most efficient way to configure the system is to set the setting at the service area level - Answer- True or False: If every department in a service area uses the same value for a setting, the most efficient way to configure the system is to configure the setting in each of those department records
User and provider records - Answer- Dr. Sam Stethoscope is an Internist at your organization, who sees patients in the Epic Medical Hospital and routinely writes referrals to providers with different specialties. What records does he need?
Provider record only - Answer- EMH MRI 2 is an MRI machine at your organization that has a schedule for MRI visits at the Epic Medical Hospital. Which records does it need?
Educational principals on why we build training environments - Answer- Training environments should be close to what is seen in the real environments, to be free from unnecessary distractions, and allows trainees to practice and make mistakes
MST - Answer- Master training environment
REF - Answer- Refresh environment that acts as a backup of MST and a buffer for build changes
PREP - Answer- Patient prep environment where mitosis runs
ACE - Answer- Actual Classroom Environment and each organization typically has 2-5
PLY - Answer- Playground environment where trainees practice what they learned in class
EXAM - Answer- Used by trainees completing assessments
Principal trainer - Answer- Responsible for configuring the training environment for their application(s).
TST - Answer- Copied to create MST after 1-2 rounds of integrated testing
ODBA (Operational Database Manager) - Answer- Creates the actual environments
Environment Copy Utility - Answer- Used by ODBA to create an exact copy of TST or PRD to MST
Static records - Answer- Created and configured by administrators
Users and providers; Facility structure; Procedures & medications; Contact types; Form groups & forms - Answer- Examples of static records
Dynamic records - Answer- Created by end users as they follow workflows
Orders, Inbasket messages, patients - Answer- Examples of dynamic records
Static data, including facility structure, procedures, medications, providers, users, contact types, forms and form groups - Answer- What remains in MST after the dynamic data wipe?
Manual and automatic build migration - Answer- To keep MST workflows in sync with TST and PRD, your organization will use a combination of:
Analyst or build team - Answer- Who updates MST manually?
Data Courier - Answer- Data migration tool used to move static build from your POC environment to your TST environment for testing and then to PRD
To prepare for ways it can change records in your training and be aware of what data is moving into MST and when - Answer- As a Principal Trainer, why do you need to understand how Data Courier works?
Static data; Dynamic data - Answer- Data Courier can move _____ but cannot move _____.
Training team representatives - Answer- Who should attend change control meetings?
Upgrade, Refresh, or Rebuild - Answer- MST maintenance options
Upgrade - Answer- Changing MST to a newer version of Epic
Refresh - Answer- Use Data Courier and manual build to bring MST in sync with production
Rebuild - Answer- Erase the existing MST environment, create a new copy of MST from TST or PRD
Broken or missing environment configuration. Broken or incorrect patients. Environment performance issues. - Answer- MST core problems usually stem from one of three sources:
Environment build issue - Answer- Use Data Courier or manual build to fix application these issues
Patient build issue - Answer- Fix problematic patients and re-duplicate if necessary for these type of issues
Mitosis performance issue - Answer- Review and revise Mitosis spreadsheets and Mitosis start times for these issues
Severing the link between MST and REF environment but linking one ACE environment directly to MST - Answer- Before beginning an upgrade, refresh or rebuild, Epic recommends:
Reusability, stability, and safety - Answer- What are the three main reasons you need a training environment?
No, you can apply an upgrade directly to your existing MST build without rebuilding the entire environment - Answer- Do you have to totally rebuild MST to apply an upgrade?
To avoid conflicts, you should only train out of an environment used only for training, so an ACE. All ACE environments contain the same content, so you can use them interchangeably. - Answer- Your organization has a large wave of classes for a specific role coming up and will be training this role multiple times in a single day. You typically train out of ACE 3. What other environments could you train out of without disruption?
During an upgrade, the code in the environment is upgraded, enabling new features and potentially changing the look and feel of the software to greater or lesser extents. All of your organization's configuration AND your training build remains afterwards. It does NOT need to be rebuilt with each upgrade. - Answer- What happens when your organization upgrades MST?
Data Courier will either overwrite your build if the items/master file has not been locked down by your DC admin or the update will just not come over to MST and is blocked. - Answer- You have modified a procedure record in MST to fit the needs of your training program. Which of the following will happen when your analyst moves a modification to this procedure from TST to MST again using Data Courier?
Cookbooks - Answer- Used as a tool to guide you through the process of training environment build.
Training Wheels Application Cookbook - Answer- Detailed list of application-specific environment tasks, and steps to complete the tasks.
Training Coordination Cookbook - Answer- Detailed list of cross-application environment build tasks, and steps to complete the tasks and is shared by all PTs on a training team.
Patient Build Documentation - Answer- Detailed instructions for completing patient build for lesson plans
Pre-copy tasks tab - Answer- Contains a list of tasks in the application cookbook that need to be completed before building in the MST environment
Users and Patient Info tab - Answer- Tables of user, patient, department, and ACE planning information in the application cookbook that helps to calculate the number of duplicates you will need and provides a place to keep track of your patient build progress
ANN and ANN-Specialist tabs - Answer- A list of unique names and IDs in the application cookbook for all users and patients you will need to create when you build your training environment
Day Tasks tabs - Answer- A list of tasks and build components in the application cookbook you should complete for your application each day once you receive the copy of the MST environment
Application Specific tabs - Answer- Additional tabs in the application cookbook that may include configuration required for lessons from that application or tables for tracking information about build needed for the application
Master Patient Build tabs - Answer- Outline the specific steps in the application cookbook that you must take to build each master patient so that they match your lesson plans and contain necessary steps to duplicate the patient if needed
Lesson-Specific Supplement tabs - Answer- Contains additional steps for lesson-specific build in the application cookbook
Ingredients tab - Answer- In the application cookbook this is used to identify references and records in the application cookbook used in Training Wheels that have a specific purpose but may not be appropriate for your organization and need to be replaced for training.
Epic-Released Patient Info (Hidden tab) - Answer- In the application cookbook this controls the formulas on the Users and Patient Info tab and is hidden because it does not need to be updated if you are using Training Wheels patients.
Historical Build User Builder - Answer- Ensures that the columns on the Historical Build Users tab in the Training Coordination Cookbook are filled in completely by each principal trainer, and uses steps to complete the process to create the users in MST
Facility Structure Coordinator - Answer- Ensures that the columns on the Master Room and Department tab in the Training Coordination Cookbook are filled in by each principal trainer, and uses the steps in the Pool Room Creation tab to complete the process needed for training pool rooms to be created in MST
Master Users - Answer- Users that the security team has already configured will serve as templates for your training users
Training Users - Answer- Users your students will log in as in class
Historical build users/providers - Answer- If you're building master patients manually in MST, the master patient tab might have you log in as these users to perform the patient build
Application Specific Prep - Answer- This section of the Pre-Copy Tasks involve verifying that the information in the Training Wheels lessons will exist in your MST environment.
The number of ACEs available for training, largest classroom size, and the maximum number of classes. - Answer- What information do you need to document in your application cookbook for it to calculate the number of duplicates you need to create?
building master patients; end users to log in for training - Answer- Historical build users are used for _____, and training users are used for ______.
You will indicate you are finished on the Tasks Signoff Tab of the Training Coordination Cookbook. - Answer- How will the Facility Structure Coordinator know that you have filled out your portion of the Master Room and Department tab?
A pool room allows for many training patients to be admitted to the same room. Using training built pool rooms also prevents needing to make changes to the real rooms and beds. - Answer- Explain why you need pool rooms to be added by the Facility Structure Coordinator for the admitted patients for your app.
Any person who logs in to Hyperspace - Answer- Who needs a record in the User (EMP) master file?
Any person or resource who meets on or more specific criteria. - Answer- Who needs a record in the Provider (SER) master file?
Credentials, Authorizes, Referrals, and Schedules (CARS) - Answer- What are the criteria that must be met for a provider (SER) record?
.xml - Answer- What type of file must the User Duplicator be in for the text utility to function properly?
paste values - Answer- Whenever you copy from the cookbook, always use ______ so it does not bring formulas and formatting that you do not want.
Fatal Errors - Answer- When using the User Duplicator what must be fixed before duplication can occur?
Non-fatal Errors - Answer- When using the User Duplicator what can occur but still allow duplication?
your personal login - Answer- When testing materials it is critical to not use _____ because it might have different access and tools than the user a trainee will use in class
A user record is a record in the User (EMP) master file in chronicles that determines how and where a user logs in, and what access they have within Hyperspace. A provider record is a record in the Provider (SER) master file in chronicles required for certain people and resources associated with your organization. - Answer- Explain the difference between a user record and a provider record
Historical Build User - Answer- What type of user do you log in as when creating historical clinical encounters in a patient's chart?
You can find the User Duplicator under the Training Tools menu in Text - Answer- Where can you find the User Duplicator in Text?
True. Physicians need access to functionality that comes with the provider record (SER), such as being scheduled with patients. - Answer- T/F: Your physician training users need to have a linked provider (SER) record.
False. Non-fatal errors can be skipped if they do not impact your final build. - Answer- T/F: When running your User Duplicator spreadsheet, all non-fatal errors must be fixed for users to duplicate correctly.
Copying a master patient - Answer- How are training patients created?
Zz + app abbreviation + master - Answer- What is the master patient naming convention for the patient's last name?
One - Answer- How many master patients are there for each unique scenario?
Manual build, teleportation, and teleportation with additional manual build - Answer- What are the three methods for creating master patients?
Publishes instructions for building the master patient - Answer- For any patient that are unable to be teleported with Scott, what does Epic do?
Create spinoff patients - Answer- If you have two patients who look almost identical to a point, but require different documentation for their scenarios what can you do?
A capital letter at the beginning of the first and last names - Answer- When you create a patient with Manual Patient Duplication, the system will only accept names with:
Date sliding - Answer- This allows you to move duplicate patients forward or backward in time to help you build out their history.
Duplicating - Answer- You can only date slide when:
Step patients - Answer- Duplicate patients used to create a patient with a robust history are called
Principles of date sliding - Answer- 1. Always begin with the oldest encounters and build to the newest.
2. Document in realistic timeframes.
3. Only dates captured in discrete date fields in Epic will slide.
4. Date sliding is cumulative.
When you are duplicating a step patient into a master patient - Answer- As a rule, when is the only time you duplicate a patient and shift him into the future?
8 years or 2922 days - Answer- Epic recommends date sliding your master patients _____ into the future.
Negative 30 dates - Answer- You're manually building a master patient named Ashley who is currently admitted, Ashley was also seen at the outpatient clinic 30 days before her admission. You create ZzOne, Ashley and document the clinic visit. When you duplicate ZzOne, Ashley to create ZzTwo, Ashley to document the admission, how many days will you slide your new patient?
It's more efficient for Mitosis to copy master patients that are in the future. Some past documentation grows in size each day and takes longer for Mitosis to create duplicate patients. - Answer- Why do some master patients have documentation and encounters in the future?
-30. Entering a negative number at the prompt will move the patient back in time from the original dates on the base patient. - Answer- When creating a patient for self-pay follow-up scenario you want to move the patient 30 days into the past so you can generate another statement and make the patient look realistic. What should you enter in the 'days to shift all patient dates' prompt?
.ept - Answer- What types of files are exports of items and values from a patient's chart to be teleported with Scotty?
Broken pointer - Answer- What is it called when an item in the patient's record points to a record that doesn't exist when you are fixing issues related to Scotty?
Issue Info - Answer- After teleporting patients, this section tells you what INI and INI name of the master file record we're currently fixing.
How to Fix - Answer- After teleporting patients, this field offers advice on what action you should take to resolve this issue
Fix Info - Answer- After teleporting patients, this section also has the Source ID and Target ID that is either suggested or chosen mapping to be used in the Target environment.
Needs Action - Answer- Scotty placed your issue in this bucket because it reviewed your Target environment and did not find a suitable replacement for a record or decided you must review this record manually
Resolved - Answer- In Scotty, your issue will be in this bucket after it you have reviewed it and completed it
Auto-fixed - Answer- In Scotty, your issue will be in this bucket after a suitable replacement was automatically found in your target environment
Optional - Answer- In Scotty, your issue will be in this bucket if a replacement was not automatically found but the record is only important to some applications.
Ignore - Answer- Scotty always accepts what it initially suggested when you click
dynamic; static - Answer- Scotty can move _____ records but cannot move _____ records.
Soft-deleted records - Answer- Records that are retired from use, but still exist in your system for historical purposes
Test the curriculum that uses the patient - Answer- After you have imported your Scotty patient, how would you test to make sure that the mappings were correct?
Rename or delete the current master patient, re-import the .ept and update mappings, and test the new master patient - Answer- What would you do to fix mistakes made in teleportation?
Same version - Answer- If you rebuild MST, make sure you're exporting patients on the _____ _____ you'll be importing them
Epic .ept files can be found in your Training Wheels package in the Training Environment Build folder. You can also search for them directly on Galaxy. - Answer- Where can you find Epic-built .ept files?
The source environment is the environment where a patient was exported from, resulting in an .ept file. The target environment is where Scotty will create a patient using the .ept file. - Answer- Describe the difference between a source and target environment
False. .ept files are XML exports of patient data and should not be manipulated directly as it could cause corruption - Answer- T/F: You can and should open and modify .ept files directly to make changes to patient details
False. EPTs generated on one version of Epic should only be used with environments on that version of Epic. - Answer- T/F: An EPT file generated from a source environment on Epic 2015 can safely be used with a target environment on 2018
Order Snipper - Answer- This tool is used to disassociate order from a patient.
Delete Notes - Answer- This utility can be used to completely disassociate a note from a patient's chart.
Patient age and sex, historical encounters, and diagnosis - Answer- If you're editing an existing master patient, what are some patient details that Epic recommends you do NOT change?
Ordering & administering medications, adding problems to the problem list, flowsheet documentation, procedural documentation, etc. - Answer- What are some examples of clinical documentation updates that require date sliding?
Reasons for using Mitosis - Answer- 1. Utility for duplicating multiple master patients at once.
2. Uses pre-configured spreadsheet.
3. Has options not available in Manual Duplication.
Anchor Date - Answer- Mitosis calculates the number of days between the _____ _____ and today's date, and then slides the duplicates that number of days.
Environments field - Answer- If this field is left blank, Mitosis will create duplicates from the spreadsheet in any environment. Putting something in this field will prevent Mitosis from making that tab's duplicates in any environment except for the one listed.
Run and Load - Answer- Two options in the Mitosis Duplication menu for using a Mitosis spreadsheet.
Run - Answer- This option takes a Mitosis spreadsheet in an environment and will start the duplication process immediately in that environment.
Load - Answer- This Mitosis Duplication option will not start immediately and is a combination of spreadsheets from all applications.
Invalid Master Patient - Answer- This common Mitosis error can't find the master patient you've listed.
After testing it, you give it to the Mitosis Guru who adds it to the active spreadsheet in MST. - Answer- How does your application's Mitosis become a part of the active load Mitosis spreadsheet?
False. If you try to re-create a patient that already exists in an environment, you will receive errors when Mitosis scans your sheet. - Answer- T/F: Mitosis will overwrite existing patients in an environment.
It will be included in the name of your spreadsheet. - Answer- How can you tell if your application uses run or load Mitosis?
False. All Epic-produced patients for Scotty have a standard anchor date of 1/1/2025. - Answer- T/F: Anchor dates for patients you teleport using Epic-produced EPT files will vary depending on when you actually teleport them into your environment.
1. Copy an existing record to create a new one. 2. Create a new record without copying. 3. Modify an existing record. - Answer- What are the three options for system configuration when the build from TST or PRD will not work for your lessons?
Routing Rules and Workqueue Error/Warning Rules - Answer- What are the two types of rules that make workqueues function?
And - Answer- What type of logic do routing rules use?
Or - Answer- What type of logic does workqueue error/warning rules use?
Rule context - Answer- Tells the system where the rule can be used and determines the properties that will be available.
The workqueue was not marked as active or the user you are logged in as does not have security or ability to access the workqueue. - Answer- You created a new, training-specific workqueue, but you can't find it on the Workqueue List. Why?
In the Rules section, click Add and search for the existing rule ID or name, add the new rule, and make it active. - Answer- You created a new workqueue and need to add an existing rule to it. How do you add it?
Search for the city property and add it to the rule with the correct operator and value. - Answer- You built a new rule for a patient workqueue but how would you add criteria to look to see if the patient's city is listed in their record?
Identify the INI and item numbers of what you want to protect and communicate this to the ODBA of what is needed. - Answer- What would you do if you need to protect something from Data Courier updates?
True. This is common in MST because there are many more rules in workqueues than are necessary for your training scenarios in your lessons. - Answer- T/F: You can add the same rule to many workqueues or remove the same rule from many workqueues at the same time.
False. They will need to be updated. - Answer- T/F: The workqueues created by analysts or the build team will always function how you need them to in MST.
Filtering out records that don't meet criteria the workqueue is looking for. - Answer- What are routing rules used for?
Reusability, stability & safety - Answer- Why do you need a training environment?
False. Manual updates & Data Courier are needed - Answer- T/F: The MST environment remains in sync with TST automatically
Classroom size, number of classes per day, and number of ACE environments - Answer- When planning for the number of training patients and users needed, which of the following goes into the calculation?
False. PTs must identify which historical build users they need but Historical Build User Builders create them. - Answer- T/F: Each PT is responsible for creating their own historical build users.
Facility Structure Coordinator; Fill out the master room & department tab of the Training Coordination Cookbook as a pre-copy task - Answer- Who is responsible for building pool rooms and how do you request the rooms you need?
False. To a department not used in training - Answer- T/F: Master patients should be admitted into the same department as your training patients.
Issues are the differences between the source environment and the target environment - Answer- Why does Scotty find "issues?"
Ignore, Autogenerate, or Verify - Answer- How do you fix an issue found by Scotty when teleporting a patient?
True. It could create clinical inaccuracies visible to end users - Answer- T/F: You should not manually edit the patient sex or age of a master patient teleported in from Epic.
False. It is only necessary for time-sensitive changes - Answer- T/F: Regardless of what level change is needed to a master patient, you must slide the master patient back to today, make the changes, and slide the patient back to the same date in the future.
Manual Duplication (single & copy/paste) & Mitosis (run & load) - Answer- What are the different types of patient duplication methods?
False. Some will use Manual Duplication - Answer- T/F: Every application uses Mitosis to duplicate patients for class.
Open the rule and click the Usage button - Answer- How can you see where else a rule is used in a workqueue?
Property, Operator and Value - Answer- What are the three parts of a rule [Show Less]