|
![](3D"Help_files/image001.jpg")
Information Resources for RMH =
Medical
Staff=
=
As
a service to our medical community, RMH is pleased to offer its affilia=
ted
physicians access to technical resources within the RMH facility and on=
line
through the RMH Medical Staff Services ("MSS") site of the
hospital's intranet, "EPICnet."
From EPICnet, access to a host of clinical applicat=
ions
and medical reference sites as well as up to date information from the =
RMH
Medical Staff Services Office and the Office of the Vice President of
Medical Affairs is available on the MSS pages.
T=
he
following resources are available according to one's medical staff role=
:
=
=
=
Application Reference
Table:
|
&nbs=
p;Application (Click for Details)
|
Desc=
ription
|
Acce=
ss
|
|
Unity Clini=
cal
Workstation (UCW)
|
Full featured software client
for Hospital Information System
|
In-facility
|
|
Unity
NetAccess
|
Web client for Hospital
Information System
|
Web
|
|
GE PACS
|
Full featured software client
for GE PathSpeed PACS
|
In-facility
|
|
GE
PACSWeb
|
Web client for GE PathSpeed =
PACS
|
In-facility
|
|
Novius
RMS
|
Full featured software client
for Radiology Management System; also deployed through the web via Citrix.
|
In-facility and Web
|
|
Micromedex
|
Drug reference database
|
Web
|
|
EBSCOhost
|
Medical reference system
|
Web
|
=
[Back
to Table of Contents]
=
INFORMAT=
ION
RESOURCES OVERVIEW
=
RMH offers the following applications and reference
sites to all physicians affiliated with RMH, based on their role. =
Ø Unity Clinical Workstation (UCW)=
=
o &nb=
sp; UCW is the full software client to the hospital information
system, available on PC's and clinical workstations throughout the
hospital.
=
o &nb=
sp; Access Requirements:=
Physical access to a PC or clinical workstation within the hospital with
the application installed.
=
Ø Unity NetAccess
=
o &nb=
sp; NetAccess is the web client to the hospital information
system, available from anywhere over the Internet.=
=
o &nb=
sp; NetAccess provides an inquiry-only version of the UNITY
Clinical View application including test results (stored for 1 year),
demographic & insurance information from the most recent registrati=
on,
and both Inpatient and Outpatient census views.=
=
o &nb=
sp; NetAccess
Tutorial
o &nb=
sp; Access
Requirements
Ø GE PathSpeed PACS
o=
&nb=
sp; PathSpeed PACS is the full software client to the GE PathS=
peed
PACS system, available from various PACS workstations throughout the
hospital.
o=
&nb=
sp; Access Requirements:=
Physical access to a PC or clinical workstation within the hospital with
the application installed.
Ø GE PathSpeed PACSWeb
o=
&nb=
sp; PACSWeb is the web client to the GE PathSpeed PACS system,
available by typing pacsweb.rmhepicnet.com into any browser loca=
ted
inside the RMH network.
o=
&nb=
sp; The PathSpeed PACSWeb application provides access to refer=
ence
images and diagnostic imaging results information stored on the GE Pict=
ure
Archiving Communications System (PACS). Note that Radiology
results (reports) are available via Unity Net Access.=
o &nb=
sp; Target audience:<=
o:p>
§ &nb=
sp; Any physician with
privileges to order exams
o &nb=
sp; FAQs:<=
/span>
§ &nb=
sp; Q: What wi=
ll
this allow me to do?
· &nb=
sp; A: Able to=
view
images and reports.
=
§ &nb=
sp; Q: Why can=
't I
see annotation?
· &nb=
sp; A: PACS We=
b DOES
not support annotation to images. Annotation can not be viewed or input=
.
=
§ &nb=
sp; Q: Images =
are
blurry when I go into PACS web. What can I do to improve them?
· &nb=
sp; A: When in=
PACS,
right click and select TruRez Levels from the menu. Level should be at =
least
440 x 535.
o &nb=
sp; Access Requirements:=
Physical access to a PC or clinical workstation within the hospital
network.
=
Ø Novius Radiology Management System (RMS)=
=
o &nb=
sp; RMS is the full software client to the Novius Radiology
Management System, available from various workstations throughout the
hospital and from anywhere over the Internet via its deployment through=
Citrix,
an application web-enabling technology.
=
o &nb=
sp; Target audience
§ &nb=
sp; Radiologists and
Cardiologists
=
o &nb=
sp; FAQs:<=
/span>
§ &nb=
sp; Q: How do I
reset my password?
· &nb=
sp; A: Call th=
e Help
Desk at 5610 and they will route to the appropriate support staff.
Passwords expire every 90 days.
§ &nb=
sp; Q: Why don=
't I
have access?
· &nb=
sp; A: Access =
to
this application is necessary only for physicians who read and sign exa=
ms
performed in Radiology. All results of Radiology exams are available in
Unity Clinical View.
=
o &nb=
sp; Access
Requirements
=
Ø Micromedex® Healthcare Series=
=
o &nb=
sp; Micromedex is a drug reference tool available from anywhere
over the Internet, providing the following capabilities:=
§ &nb=
sp; Information searc=
h for
summaries and detailed monographs for drugs, disease, alternative medic=
ine,
toxicological managements, reproductive risks, and emergency care.=
§ &nb=
sp; Provides access t=
ools
for Drug Interactions, IV Compatibility, and Dosing.<=
/p>
§ &nb=
sp; Access to patient
education materials via the CareNotes System.
§ Database download to PDA available via mobileMicroM=
edex.=
=
o &nb=
sp; Micromedex
Details
=
o &nb=
sp; Access
Requirements
Ø EBSCOhost - a powerful online reference system containing the following databases:=
=
o &nb=
sp; MEDLINE, the CINAHL® Database, CANCERLIT, Health Busin=
ess
Elite, the Biomedical Reference Collection, the Nursing & Allied He=
alth
Collection, the Psychology & Behavioral Sciences Collection, &
International Pharmaceutical Abstracts.
=
o &nb=
sp; EBSCOhost is available from anywhere over the Internet.=
=
o &nb=
sp; EBSCOhost
Details
o &nb=
sp; Access
Requirements
Ø ZYNXHEALTH
o =
Clinical
Pathway Constructor (CPC) is an
Internet-enabled, evidence-based solution that may be used for the
development of pathways and/or quality improvement initiatives. This
solution identifies and summarizes the clinical evidence from the
peer-reviewed literature to help identify "best practices" fo=
r a
variety of medical and surgical topics.
o Evidence-Based Forecaster (EBF) is a cutting-edge Web-based solution =
that
has been designed to engage physicians and other clinicians in the proc=
ess
of organizational change and to make them champions of this process.=
o Pain Manager is an
Internet-based, interactive solution designed to assist health care
providers, executive management, quality improvement directors, and
policymakers in the acute management of pain.
o Safety Optimizer<=
span
style=3D'font-family:"Arial Unicode MS";color:black'> is an Internet-based solution for diagnosing and assessi=
ng
gaps in safety practices and for implementing focused risk-reduction
strategies consistent with recommendations from JCAHO and other
organizations. This comprehensive safety-improvement solution uses an
evidence-based approach to assist clinicians in the process of safety
improvement at both the organizational or systems level and at the pati=
ent
level. The program is organized around 2 key themes: ORGANIZATIONAL
ASSESSMENT and RISK-REDUCTION STRATEGIES.
o=
&nb=
sp; Access
Requirements
=
[Back
to Table of Contents]
Unity NetAccess Tutorial
=
ACCESS & LOGIN<=
/o:p>
· &nb=
sp; NetAccess is acce=
ssible
through the EPICnet Medical Staff Services website=
.
o &nb=
sp; Enter
"www.rmhepicnet.com" into the browser address line.
o &nb=
sp; Click the "M=
SS
Login" link to enter the MSS site.
§ &nb=
sp; The link is in the
top-right corner of the page if accessing the site from outside of the
hospital network.
§ &nb=
sp; The link is in the
"Other Sites" menu if accessing the site from inside of the
hospital network.
o &nb=
sp; Enter
"RMHMSS" for the username and enter the current password (giv=
en
to you upon registration) to login to the MSS site.
o &nb=
sp; Refer to the site
"Quick Reference Guide" for more detailed instructions in
accessing the MSS site.
· &nb=
sp; Click the "U=
NITY
NetAccess" link from the "Applications" menu within the =
MSS
site and login with your Unity username and password.=
MAIN MENU NAVIGATION
![](3D"Help_files/image002.jpg")
RESULT
NOTIFICATION INBOX - DEFAULT VIEW
· &n=
bsp;
Auto display for all new patient results released since last
logon.
o
Each user determines preferences for patients, results, and le=
ngth
of time for unviewed results to remain in box.
·
- Click
"Preferences". Select setting for relationship to
pt., type of pt., and available departments.
- To view resultsR=
30;
·
- Locate patient.&nb=
sp; Click
result.
- Test result window
appears. Test name and normal values are listed in left side
row with numeric test value listed in column below date/time of
test. Red values are abnormal.
- Click "back&q=
uot;
to return to main RNI.
- Once result viewed=
, it
will no longer appear in RNI.
"MODEL"
CENSUS VIEWS
- Different methods of accessing patient data by category
- DOCTOR INQUIRY CENS=
US -
Allows viewing of current census and patient selection.
·
- Click Doctor Inqui=
ry
Census. Current census displays.
- Click blue highlig=
hted
class (I, E, O) to access patient menu functionality. =
- I/P DOCTOR CENSUS -
Allows viewing of current Inpatient census and patient selection. =
·
- Click I/P Doctor
Census. Current Inpatient census displays.
- Click blue highlig=
hted
class (I) to access patient menu functionality.
- O/P DOCTOR CENSUS -
Allows viewing of Outpatient census and patient selection.
·
- Click O/P Doctor
Census. "Number of days" prompt displays. E=
nter
# days back to patient admit date. All Outpatient or Emerge=
ncy patients
for that date range will display.
- Locate patient.&nb=
sp;
Click blue highlighted class (O, E) to access patient menu
functionality.
- DR GROUP CENSUS - <=
b>Most
common census view. Allows viewing of group census and
patient selection.
·
- Click Dr Group Cen=
sus.
Click highlighted DR Group name. Group census displays.
- Locate patient.&nb=
sp;
Click blue highlighted nurse station to access patient menu
functionality.
- O/P GROUP CENSUS - =
to
view all Outpatients listed for the associated Group. <=
/span>
·
- Click O/P Group Ce=
nsus.
Both Number of days and Group prompts appear. <=
/li>
- Enter # of d=
ays
back to patient admit date then click down-arrow to select group.
Click group name.
- Click
"Search". Outpatient and Emergency patients displ=
ay.
=
o &n=
bsp;
- If patient is cur=
rently
assigned a bed, click nurse station to access pt menu.
- If patient is not
currently assigned a bed, click "Add to personal" box =
to
right of name. Click "Add to personal census" at
bottom of screen.
"PERSONALIZED"
ACCESS - Self-directed access to patient data
- PATIENT INQUIRY - A=
llows
Search for patient not on Census. Drop-down list for multiple
search options appear. Click option for data available.
·
- Click Patient I=
nquiry
- Click Patient numb=
er,
Name, Nurse Station, Birth Date, Phonetic (searches for names spe=
lled
or sounding close to name keyed), MR# or SS#. Enter data at
available prompt.
- Narrow Search by
selecting Patient Record filters: Class-IOE, Sex, and Status.
- Click Search. =
;
- Names display in c=
ensus
format. Click patient name, highlighted blue, to access pat=
ient
menu.
- PERSONAL CENSUS -
Displays Patients added to personal census from other census displ=
ays.
·
- To add patient from
another view, click appropriate census. Locate patient.
=
o &n=
bsp;
- Check "add to
personal" box to right of patient name. <=
/li>
- Click "Add to
personal census" button at bottom of screen display
- To view personal c=
ensus,
click Personal Census. Patients added from other cen=
sus
views display.
=
o &n=
bsp;
- Click name, highl=
ighted
blue, to access patient menu functionality.
- Click Remove box =
and then
click "Remove from Census" when patient is no longer
needed on census list.
- When ready to conti=
nue,
select any census, and then select a patient.
DETAIL MENU NAVIGATION
Upon
navigating to a patient record via any of the census or inquiry menus a=
nd
clicking the link to that record, a detail menu entitled, "Patient
Menu" is presented.
![](3D"Help_files/image003.jpg")
=
NOTES
ABOUT PRINTING
· &nb=
sp; To print results =
or
census
o &nb=
sp; Right
click. Click PRINT. Print window will appear. Determi=
ne #
of copies. Click Print.
o &nb=
sp; Click print icon =
at top
of screen.
PATIENT
MENU
- CLINICAL SUMMARY-&n=
bsp;
"Snap-shot" view of key patient data. =
·
- Click Clinical
Summary function listed below Patient Menu bar. Multiple
patient information windows appear with current patient data.&nbs=
p;
User may set preferences by clicking "Preference" butto=
n at
top, right corner. Once preferences are selected, click sub=
mit
changes button. To change display order, click "Display
Order". Set order from 1-9 then click "Submit
changes".
- Information includ=
ed:
Demographic/Financial, Current Diet, Lab results (for 1-7days
depending on preference selection), Radiology results, Vitals, and
Nursing Progress notes.
- MD & STAFF
APPLICATIONS - multiple functions that allow access to patient res=
ults
and information. Click MD & Staff Applications. <=
o:p>
·
- All Results=
display defaults-
Lab/ABG and Radiology results. Abnormal results display RED=
.
=
o &n=
bsp;
- Click test name,
highlighted blue, to select result "trend" =
- To graph, check b=
ox
beside result name. Click graph. Click "Back" to retur=
n to
tests.
- To select multiple
tests for viewing, check box at right of result under
"view" column, then click "View".
·
- Displays single =
result
for each test selected. Scroll down to view all displayed resul=
ts.
- To graph, check =
box
beside result name. Click graph.
- Click Lab Resul=
ts
- View Lab/ABG results only.
=
o &n=
bsp;
- Viewing and graph=
ing
functionality same as All Results.
- Click Last 24 H=
ours
- View ALL tests completed in last 24 hours.
=
o &n=
bsp;
- Viewing and graph=
ing
functionality same as All Results
- Click Last 5 da=
ys
- View ALL tests completed in last 5 days.
=
o &n=
bsp;
- Viewing and graph=
ing functionality
same as All Results
- Click Meds/IV's=
-
View list of current scheduled/prn meds and scheduled/prn IV's. <=
o:p>
=
o &n=
bsp;
- Drop-down list for
additional med/IV lists. Click appropriate list to display
Take Home meds ordered, Discontinued meds (last 24 hours),
Historical Discontinued Meds (since admission).
- Click Medical R=
ecord
Index Inquiry - provides access to patient visits (episodes).=
=
o &n=
bsp;
- Click drop-down a=
rrow
at file room prompt.
- Click to highlight
appropriate file: CEN=3D Inpatient, ASC extended, EMR=3D Emergen=
cy and
Outpatient, FIC=3D microfiche files.
- Click Search.&nbs=
p; All
medical record visits from category display. Provides Admit
date, service code, account number, doctor number, and admit
diagnosis for each episode.
- Click Radiology
Results - View only Radiology test results.
=
o &n=
bsp;
- Viewing functiona=
lity
same as All Results.
- Click Rounds Re=
port
- "snap-shot" view of patient similar to Clinical
Summary.
=
o &n=
bsp;
- Displays Demograp=
hics,
Current Diet, Meds/IV's, Active Orders/Tests, Lab Results, Radio=
logy
Results, and Vitals. Scroll down to view all categories. <=
o:p>
- Abnormal data-
highlighted RED.
- Click View Asse=
ssment
- View nursing documentation.
=
o &n=
bsp;
- Click drop-down a=
rrow
at Assessment prompt. Click appropriate assessment. (Daily
assessments will display "SHIFT" within its descriptio=
n).
- Click PREV 48hrs =
or
NEXT 48hrs to toggle start/stop dates OR highlight start or stop
date and type appropriate date.
- Click View.
Scroll to view assessment.
- Click Back or cli=
ck
next function in navigator to exit view.
- Click View Prog=
ress
Notes - View Nursing Progress Notes.
=
o &n=
bsp;
- Click PREV 48hrs =
or
NEXT 48hrs to toggle dates or highlight and type appropriate
start/stop dates.
- ALL departments
default. Click down-arrow to select specific department (NRS=3DN=
ursing,
CNS=3DDietician, SWK=3DSocial Work). Scroll down to view. =
- Progress notes di=
splay
in Reverse Chronological order. Time, Staff ID, and dept
listed at beginning of each note. ID names listed at end of
progress notes.
=
- ALL FLOWSHEETS - Fl=
ow sheets
capture designated primaries from nursing documentation and display
them in a flow sheet format. First listed flow sheet default=
s.
·
- Click appropriate =
flow
sheet to change view. Data displays in column below date/ti=
me
documented.
- Check box next to =
flow
sheet name then click "graph" to graph data.
- Graphed data may be
reformatted using the OPTIONS button.
=
o &n=
bsp;
- Default setup is =
to ALL
results, Reverse chronological order, all observations on same
graph.
- User may change n=
umber
of occurrences, number of days, date range, and display order;
reverse chronological or chronological. Click Display Grap=
h.
- Click "back&=
quot;
or on next function to continue.
LOGOFF & EXIT=
· &n=
bsp;
Exiting NetAccess - When you finish using
NetAccess, you must log off. To exit NetAccess and remain in the =
MSS
page
o
Click Log Off in upper right corner of display window.<=
b>
o
Click "X" on the Siemens Logon screen to close NetAc=
cess
completely.
o
You have now returned to the MSS page.
o=
&nb=
sp; To exit the MSS page, click "X" in upper right
corner. To exit EPICnet, click "X".=
=
[Back
to Information Resources Overview]
[Back
to Table of Contents]
Micromedex&=
reg;
Healthcare Series
=
o
Sear=
ch for
summaries and detailed monographs for drugs, disease, alternative medic=
ine,
toxicological managements, reproductive risks, and emergency care.
o
Acce=
ss
tools for Drug Interactions, IV Compatibility, and Dosing.
o
Acce=
ss
patient education materials via the CareNotes System.
o
Down=
load
to your PDA with mobileMicroMedex.
|
mobileMICROMEDEX Drug Information Has Been Expanded=
In response to customer feedback, our exceptional
editorial team has diligently reviewed and added more detailed
information to every drug in mobileMICROMEDE=
X.
&n=
bsp;
New information added to the mobileMICROMEDEX d=
rug
database...
|
|
![](3D"Help_files/image004.jpg") <=
o:p>
|
- Drug monitoring
information(New Section!)
- Precautions (New Section!)
- Dosing - now w=
ith
recommended doses for patients requiring dose adjustments<=
/span>
- Indications - =
now
divided by "FDA labeled" and "non-FDA labeled&q=
uot;
- Adverse effects - now separated=
into
"serious" and "common"
|
|
![](3D"Help_files/image005.jpg") <=
o:p>
|
![](3D"Help_files/image006.jpg") <=
o:p>
|
|
Remember, our recently added auto-update technology=
makes it easier than ever to keep the information on your PDA curre=
nt.
Your mobileMICROMEDEX subscription is automatically updated
every time you HotSync® or ActiveSync® your PDA and new con=
tent
is available.
These enhancements once again demonstrate the MICROMED=
EX
30-year commitment to delivering the most accurate, relevant drug
information available.
Fo=
r more
information, call (800) 525-9083 or visit www.micromedex.=
com/mobilemicromedex.
|
|
|
|
|
|
=
=
[Back
to Information Resources Overview] [Back
to Table of Contents]
=
=
=
EBSCOhost - a powerful online reference system=
=
EBSCOhost
is a powerful online reference system subscribed from EBSCO Industries,
Inc. and provided for by the RMH Health Science Library. All jour=
nals
subscribed to will be available in full-text wherever the user is; offi=
ce,
home, in-house, etc. Other journals in the database are available=
in
full-text with payment of a fee, similar to our present interlibrary lo=
an
system. Users may order their own articles and print immediately with a
credit card payment if it is a priority. Otherwise, the usual
interlibrary loan request can be made from the citation. The Libr=
ary
would continue to be the recipient of these requests. We hope physicians
would use the system to answer questions they have about their daily
patient care and be able to do this outside of the office or hospital
hours. Contact the RMH Health Science
Library at 433-4166 for more information.
=
THE
FOLLOWING DATABASES ARE UNDER SUBSCRIPTION AND AVAILABLE IN FULL TEXT (=
Note
that a few limit the number of users):
o &nb=
sp; MEDLINE®
provides authoritative medical information on medicine, nursing, dentis=
try,
the health care system, pre-clinical sciences and much more. Crea=
ted
by the National Library of Medicine, MEDLINE uses MeSH (Medical Subject
Headings) indexing with tree numbers, tree hierarchy and explosion
capabilities to search abstracts from over 4,600 current biomedical
journals. Included are citations from Index Medicus, Internati=
onal
Nursing Index, Index to Dental Literature, PREMEDLINE®, AIDSLINE,
BIOETHICSLINE, and HealthSTAR.
=
o &nb=
sp; The CINAHL®
Database (limited to 4 users) offers indexing and abstracting
for over 1,600 current nursing & allied health journals and
publications dating back to 1982 and contains over 700,000 records.&nbs=
p;
Offering complete coverage of English-language nursing journals and
publications from the national League for nursing and the American Nurs=
es'
Association, this database covers nursing, biomedicine, health sciences
librarianship, alternative/complementary medicine, consumer health, and=
17
allied health disciplines. In addition, CINAHL offers access to
healthcare books, nursing dissertations, selected conference proceeding=
s,
standards of practice, audiovisuals, book chapters and more. Also,
the CINAHL Subject Headings List provides an easy way for health
professionals to access information in the database.<=
/p>
=
o &nb=
sp; CANCERLIT®=
provides an excellent source of information pertaining to all aspects of
cancer therapy and research. Produced by the national Cancer
Institute, CANCERLIT incorporates some data from MEDLINE. This
comprehensive database provides more than 1.5 million citations and
abstracts from over 4,000 journals and other cancer literature, dating =
as
far back as 1963.
=
o &nb=
sp; International
Pharmaceutical Abstracts (IPA) (limited to 5 users) includes
information from over 750 pharmaceutical, medial, and health-related
journals published worldwide since 1970. Produced by the
American Society of Hospital pharmacists, the database covers the entire
spectrum of drug therapy and pharmaceutical information. Topics
covered include biopharmaceutics and pharmacokinetics; new drug delivery
systems; pharmacist liability; legal, political and ethical issues, and
many others.
=
o &nb=
sp; The Biomedical
Reference Collection provides access to more than 500 full text
journals covering such disciplines as clinical medicine, dentistry,
pre-clinical sciences, and the health care system.
=
o &nb=
sp; The Nursing &a=
mp;
Allied Health Collection provides full text access to more than 300
journals covering the areas of nursing, biomedicine, health sciences,
consumer health, and allied health disciplines.
=
o &nb=
sp; The Psychology=
&
Behavioral Sciences Collection is a comprehensive database covering
topics in emotional and behavioral characteristics, psychiatry &
psychology, mental processes, anthropology, and observational &
experimental methods. This is the world's largest full text
psychology database, offering PDF coverage for more than 500 noted
journals.
=
o &nb=
sp; Health Business
Elite provides comprehensive journal content detailing all aspects =
of
health care administration and other non-clinical aspects of health care
institution management. Topics covered include hospital management
and administration, marketing, human resources, computer technology,
facilities management, and insurance. Health Business Elite
contains full text content from 450 journals.
=
©=
EBSCO
Industries, Inc.
=
[Back
to Information Resources Overview] [Back
to Table of Contents]
Registration &
Access Requirements
=
REGISTRATION:
=
All physicians that complete the RMH Physician
Orientation program are registered for access to the EPICnet MSS
site. RMH grants access to the clinical applications and referenc=
e sites
available from the site according to one's medical staff role.
=
If you are a physician and have not been granted
access, or if you need to register a member of your clinical office sta=
ff,
print this registration form and follow the directions to fax or otherw=
ise
deliver it to the Medical Staff Services Office. You can reach th=
em
for questions at 564-7233.
=
Site Registration & Confidentiality Agreement.pdf=
=
*This form requires the Adobe Acrobat
Reader. Click here to download the reader.=
=
=
REMOTE
ACCESS REQUIREMENTS:=
=
COMMUNICATIONS:
=
Remote Access to the RMH EPICnet Medical Staff Serv=
ices
site is available via a connection to the internet with a third party
Internet Service Provider (ISP). RMH does not supply ISP services=
or
provide telecommunications support for this remote access. =
RMH
strongly recommends broadband cable/DSL modem ISP access for an optimal
remote access experience. RMH does not endorse any particular ser=
vice
provider.=
=
Note that the data and telecommunications
infrastructure in our area continues to evolve in terms of service
availability and offerings. The following ISP's are available in =
the
area at the time of this document publication.
=
ISP &n=
bsp; =
;
Phone=
Verizon
1-800-483-4000=
Shentel &n=
bsp;
(540) 434-4449
NTelos &nb=
sp;
(540) 271-0141
Adelphia
Cable 1-888-683-1000
=
MINIMUM
COMPUTER SYSTEM REQUIREMENTS:
Following
are the minimum system requirements for access to the information resou=
rces
offered through the EPICnet MSS site. Please ensure that you are
using the proper browser version and cipher strength before calling for
support.
- PC connected to the
Internet
=
- Internet Explorer B=
rowser =
·
- Version 5.50 SP2 or
higher
- 128-bit cipher str=
ength
- IMPORTANT NOTE:&nb=
sp; If you use AOL, y=
ou must
minimize the AOL browser and access this site directly through the
Internet Explorer browser.
=
- Firewall Settings (not applicable for
dial-up users)
·
- Ports 448, 451, &a=
mp;
453 must be enabled
REMOTE ACCESS SUPPORT:=
Due to the tremendous variation in home and office =
PC
and network configurations, RMH information systems is unable to provide
full, immediate, or dispatched technical support for remote access
connectivity issues. Technical questions, limited to first tier
support issues (ie, password resets and RMH network status), may be
directed to the RMH Information Systems Help Desk at 564-5610, or via
e-mail to helpdesk@rhcc.com.&n=
bsp;
The "Help" section provides additional details on support hou=
rs
and procedures.=
=
[Back
to Table of Contents]
Ac=
cessing
the MSS Website
Access From Outside=
of
the Hospital Network (from home or an outside practice):
=
Type
"http://www.rmhepicnet.com" in the address line of your brows=
er
and click "Go". This will take you to a public page, fr=
om
which you will login to the site. Click the "MSS Site
Login" link from the menu at the left:
![](3D"Help_files/image007.jpg")
Access
From Inside of the Hospital Network (i.e., from a hospital PC):<=
o:p>
From
inside of the hospital network, the browser should default to the EPICn=
et
Intranet home page. If not, type
"http://www.rmhepicnet.com" just as you would from outside of=
the
network. Click the "MSS Login" link from the "Other
Sites Menu" drop-down menu.
![](3D"Help_files/image008.jpg")
=
USERNAME & PASSWORD:<=
/b>
Login with the username "RMHMSS" and the
current password. This is a shared account for general access to =
the
website. Please contact the Medical Staff Services Office at 564-=
7233
to obtain the current password. Please secure the password in a s=
afe
and private place and do not share it with anyone.
=
![](3D"Help_files/image009.jpg") =
=
HOME PAGE:
You
have now arrived at the Medical Staff Services home page. Pay par=
ticular
attention to the "Help/FAQs" page for ongoing support
information, including user guides for the site and for clinical
applications linked from the site. Applications, such as UNITY
NetAccess are accessed from the "Applications" menu.
Reference sites, such as "Micromedex" are accessed from the
"Reference" menu.
![](3D"Help_files/image010.jpg")
=
Please ensure that you close all browser windows and
click the Logout button to exit when you are finished accessing the
site. For security reasons, your login will time out after a peri=
od
of inactivity.=
=
[Back
to Table of Contents]
=
=
Accessing
Citrix-Deployed Applications
=
Citrix refers to technol=
ogy by
Citrix Systems, Inc. that provides anytime, anywhere, any-device,
any-connection access to enterprise applications. Citrix web-enab=
les
applications that otherwise may not be accessible though the Internet o=
r an
Intranet. RMH has deployed multiple applications through Citrix,
which you can access via the "Citrix Apps" link in the
"Applications" menu of EPICnet (Intranet or MSS Site).
Refer to separate documentation on accessing the Intranet or MSS site f=
rom
outside of the RMH network.
From within the RMH
network:
![](3D"Help_files/image011.jpg")
From the MSS site:=
=
![](3D"Help_files/image012.gif")
Upon
clicking the "Citrix Apps" link the Citrix login page will
load. Enter your RMH network username and password to login.=
![](3D"Help_files/image013.gif")
Upon
successful login, the Citrix Applications Window will display. Wh=
en
connecting for the first time, watch the status line for all files to l=
oad
before attempting to continue. With a dial-up connection, this can
take several minutes or more. This will only be an issue the first
time you connect while it attempts to download the Citrix client to your
PC.
![](3D"Help_files/image014.gif")
=
Once all files load in your first connection sessio=
n, you
should be prompted with a Security Warning. Click "Yes"=
to
continue. Optionally, you can select the "Aways trust.."
checkbox.
![](3D"Help_files/image015.gif")
Click
"Yes" to accept the license agreement to continue:=
![](3D"Help_files/image016.gif")
=
At
this point, the Citrix client should be installed on your PC and you can
move on to choosing your application. Click the icon to launch the
application. Once you have finished working with your application=
and
have closed its window, BE SURE TO CLICK THE LOGOUT BUTTON TO END YO=
UR
CITRIX SESSION. OTHERWISE, ANYONE COMING BEHIND YOU WILL BE ABLE =
TO
ACCESS THE APPLICATION WITH YOUR LOGIN ACCOUNT.
[Back
to Table of Contents]
=
=
=
=
[Back
to Table of Contents]
=
IT S=
UPPORT
SERVICES PROVIDED BY RMH
=
Who do
I contact for RMH Information Systems support?
The RMH
Information System Department is staffed 24x7 for first level support of
RMH information systems users. First level support includes gener=
al
workstation support, password resets and network status
information. The IS Help Desk can be contacted at 564-5610
(ext. 5610) or via email at HelpDe=
sk@rhcc.com.
The IS Help Desk is fully staffed Monday through Friday between 8:00AM =
and
6:00PM and can provide a full level of support for clinical application
issues as well as network issues. All Help Desk calls are entered
into our call tracking system. If Help Desk staff is assisting ot=
her
users, be sure to leave a message indicating a phone number and time wh=
en
you will be available for a return call.
What i=
s the
role of RMH Information Systems for remote user support?
The
RMH Information System Department provides a secure, reliable network
infrastructure for RMH remote users by managing and monitoring a variet=
y of
firewalls and access control systems which protect the business informa=
tion
assets and protected health information (PHI) housed in RMH information
systems. We will provide for secure remote user access by
employing industry standard security protocols and systems and publish =
the
requirements for remote computing connectivity with RMH via the public
internet.
Will y=
ou
come to my house or office to help with my remote access issue?
The
RMH Information System Department is not able to dispatch onsite support
for remote users not owned and managed by the RMH organization. &n=
bsp;
Due to the tremendous variation in home and office PC and network
configurations, we are unable to provide full and immediate support for
remote connectivity problems. For these issues, you may open a ti=
cket
by calling the IS Help Desk at 540-564-5610 or contact us via email. If your pr=
oblem
is during regular business hours, our technical staff will contact you =
to
discuss your issue and recommend possible solutions to your problem or
guide you to additional support resources. If your problem is aft=
er
hours, be sure to leave a time and number you will be available for a n=
ext
business day return call.
Will y=
ou
come to my house or office to help with my remote access issue?
The RMH
Information System Department is not able to dispatch onsite support for
remote users.
[Back
to FAQs] =
;
[Back
to Table of Contents]
&=
nbsp;
MINIMUM REQUIREMENTS FOR REMOTE ACCESS=
What d=
o I
need to connect to RMH from my home or office?
The
following are the minimum system requirements to access the core
information resources offered through the EPICnet Medical Staff Service=
s site.
- A PC connected to t=
he
Internet via an Internet Service Provider (ISP) =
·
Internet
Explorer Browser
- Version 5.50 SP2 or
higher
- 128-bit cipher str=
ength
- IMPORTANT NOTE:&nb=
sp; If you use AOL as=
your
ISP, you must minimize the AOL browser and access this RMH site
directly through the Internet Explorer browser.
- Firewall Settings (not applicable for
dial-up users)
·
- Ports 448, 451, &a=
mp;
453 must be enabled
I
don't have a PC; does RMH provide one for me?
RMH does
not provide remote workstations for non employed staff clinicians.
RMH will provide the connectivity infrastructure on the hospital side,
including an internet accessible secured access point for remote users =
as
well as the management of the firewalls and applications for remote
connectivity. RMH cannot legally provide hardware and software to
independent practices. These transactions are prohibited under the
federal statute known as Stark II, which became effective January 1, 19=
95.
This statute prohibits physicians who have a financial relationship wit=
h an
entity from referring their patients to the entity for designated health
services. A financial relationship as defined by Stark II is
virtually any arrangement that may be interpreted as payment for referr=
als
between a physician and the entity, which could include any payments ma=
de
for non-medical types of items or services such as computers or internet
services.
I
don't have an ISP; does RMH provide my internet connection?<=
/span>
RMH
does not provide internet connectivity for remote users.
Clinicians who desire remote connectivity from their offices or homes m=
ust
contact one of the internet service providers providing services in the
area. RMH Information systems strongly recommends high speed (Cab=
le
Modem or DSL) internet access (often referred to as "broadband&quo=
t;)
to provide the best possible experience with applications running via
remote access connectivity. A brief list of local ISPs servicing =
the
area as well as their contact information, rates and services can be fo=
und here.
=
What
is a router, do I need one, and if so, does RMH provide this device?
A
router is a device that is used to interconnect networks. If you =
have
an existing network in your remote location and are planning on connect=
ing
the workstations on this network to the internet via your ISP, you will
need a router. RMH Information Systems does not supply routers for
remote office and home locations. In addition, RMH does not=
configure
remote networks as each individual remote location may require specific
hardware needs. RMH recommends contracting with a qualified third
party technical resource able to design and install a network to meet y=
our
needs.
[Back
to FAQs] [Back
to Table of Contents]
=
Local H=
igh
Speed ISP Choices
|
Type=
|
Prov=
ider
|
Web =
page
|
Toll=
free
number
|
Serv=
ices -
down/up speeds
|
Pric=
e/mo*
|
|
Cable
|
Adelphia
Powerlink
|
www.adel=
phiapowerpage.com
|
888-683-1000
|
3Mbps/256Mbps,
$15
more w/o Cable TV
Modem
rental $3 /month
|
$42.95
|
|
DSL
|
Speedlink
DSL
|
www.shentel.net
|
800-743-6835
|
SpeedlinkDSL
384/128
SpeedlinkDSL
768/512
SpeedlinkDSL
1.5Mbps &n=
bsp;
|
$49.95
$69.95
$89.95
|
|
DSL
|
Verizon
Online
|
www.verizon.net
|
800-567-6789
|
1.5Mbps/128kbps
|
$34.95
|
|
DSL
|
America Online
|
www.aol.com
|
800-827-6364
|
Modem
(Dialup) &=
nbsp;
DSL768kbps/128kbps
|
$23.90
$54.95
|
|
DSL
|
Ntelos
|
www.ntelos.net<=
o:p>
|
800-262-2200
|
DSL
384
DSL
512
DSL
768
T-1
1.5/384
|
$49.95
$59.95
$69.95
$79.95
|
|
Satellite
|
Direcway
|
www.getdway.com
|
866-438-3929
|
500kbps/50kbps
|
$59.99
|
* As
of Feb 2004 - prices and service offerings subject to change =
[Back
to Remote Access Minimum Requirements] &nb=
sp;
[Back to Table of
Contents]
=
=
ALERTS AND ERROR MESSAGES
Why do=
I get
this Security Alert after logging in?
=
![](3D"Help_files/image017.jpg")
The
login page is encrypted using SSL technology to protect the username and
password information. Once you are authenticated, you are passed =
to
the site pages. These pages are protected from public access by t=
he
login process, and are "secure" within that context.
"Not secure" as used in this message simply means that the SSL
technology is not employed. Once you click a link to login to a
clinical application, the SSL technology is again employed and all data
that you access from that point is encrypted.
Why do=
I get
this Security Alert when logging in?
![](3D"Help_files/image018.jpg")
Your
browser does not recognize the certificate that identifies Rockingham Memorial Hospit=
al.
Follow the directions below to import the certificate and avoid future
warnings.
INSTRUCTIONS TO IMPORT SECURITY CERTIFICATE:
NOTE: This applies only=
to
Internet Explorer vs. 5.5 or higher, which is the only
=
supported browser. Read these instructions fully before clicking =
the
link to
=
import the certificate.
- Click the link belo=
w.
- Click "YES&quo=
t; to
all prompts.
- Use the "Back&=
quot;
button
![](3D"Help_files/image019.jpg") on
your browser to return to this page.
=
Click
here to import security certificate
[Back
to FAQs] =
;
[Back
to Table of Contents]
MSS SITE CONTENT
Who do=
I
contact about the Medical Staff Services Site?
=
The EPICnet Medical Staff
Services Site content is managed and supported by the Medical Staff
Services Office. Please direct any questions regarding the conten=
t to
the Medical Staff Services Office at 540-564-7233 or via email.
[Back
to FAQs] =
;
[Back
to Table of Contents]
=
MISCELLANEOUS
What is
Adobe Acrobat Reader and how do I get it? <=
/span>
=
Acrobat Reader is a free
software available from Adobe Systems, Inc. that enables you to view and
print PDF files (Portable Document Format), a wide=
ly
used standard for document publishing that allows better navigation and
printing than standard HTML files (typical web page).=
You
can download the free Adobe Acrobat Reader software from www.adobe.com.
[Back
to FAQs] =
;
[Back
to Table of Contents]
=
HELP AND FURTHER SUPPORT
=
MSS SITE CONTENT AND GENERAL INFORMATION: =
=
Site content is managed and supported by the Medica=
l Staff
Services Office. Please direct any questions regarding content or
general questions to that office at 564-7233 or via email. Contact information =
is
also posted on the MSS home page.
=
MSS
SITE APPLICATION ISSUES:
The
Help/FAQs page of the MSS site is your first step in resolving any
questions or issues. Resolution of known issues will be detailed =
in
the "Frequently Asked Questions (FAQs)" area. In additi=
on, System
Requirements and User Guides are posted here. Stay tuned to this =
page
for the latest support information and site updates.<=
/p>
The
RMH Information Systems Dept supports applications and Reference
sites. If your question or issue is not resolved using the Help/F=
AQs
page, the Help Desk is available by calling 564-5610 (x5610) or
e-mailing helpdesk@rhcc.com.
Please be prepared to offer the answer to the challenge question that y=
ou
provided upon registration. Full support hours are from 8:00 AM to
6:00 PM Monday through Friday. Limited support is available after
these hours, seven days a week and on holidays for general site access =
and
navigation issues. Support for clinical application issues, such =
as
problems with UNITY NetAccess, is only available during full support
hours. However, you may call to report such issues to the Help De=
sk
after hours. If no Help Desk personnel are immediately available =
to
take your call, please leave a message so that your call is entered into
our call tracking system and prioritized by the time of the call.
Please be sure to leave your phone number and when you are available fo=
r a
return call.
=
REMOTE ACCESS SUPPORT:=
=
Due to the tremendous variation in home and office =
PC and
network configurations, RMH information systems is unable to provide fu=
ll,
immediate, or dispatched technical support for remote access connectivi=
ty
issues. Technical questions, limited to first tier support issues
(ie. password resets and RMH network status), may be directed to the RMH
Information Systems Help Desk at 564-5610, or via e-mail to helpdesk@rhcc.com.
=
=
[Back
to Table of Contents]
=
=
GLOSSARY<=
/span>=
Access control: A system to restrict the activities of users and process=
es
based on the need-to-know. The right-to-access clinical informati=
on
provides the clinician support for treatment and clinical decisions.=
Asymmetric Digital Subscriber Line (ADS=
L) - A form of Digital Subscriber Line (DSL) in which
the bandwidth available for downstream
connection is significantly larger then for upstream.
This telecommunication protocol is well suited for web
browsing and c=
lient-s=
erver
applications and allows for simultaneous voice channel operation.=
Agent: A type of software
that performs special tasks on behalf of a user, such as searching mult=
iple
reference databases for designated information.=
Confidentiality agreement: A document used to obtain a promise from a computer user
that such user will abide by system policies and procedures and
need-to-know access control.
Digital Subscriber Line (DSL) - A family of =
digital
telecommunications
protocols
designed to allow high speed data communication over the existing c=
opper
telephone lines between end-users
and telephone companies.=
Encryption: A process involving data coding to achieve confidentiality,
anonymity, time-stamping, and other security objectives.=
End-user: A
user who employs computers to support RMH clinical and business activit=
ies,
who is acting as the source or destination of information flowing throu=
gh a
computer system.
Firewall: Any of a number of
security schemes that prevent unauthorized users from gaining access to=
a
computer network by providing a logical barrier between network resourc=
es
which monitors transfers of information to and from the network.=
=
Gateway: A computer system =
used
to link networks which can restrict the flow of information and which
employs some access control method.
Password reset: The assignment of another (temporary) password when a us=
er
forgets or loses his/her password.
Password-based access control: Software which relies on passwords as the primary mechan=
ism
to control system privileges.
Password: Any
secret string of characters used to positively identify a computer user=
or
process.
Positive identification: The process of definitively establishing the identity of=
a
computer user.
Router: A
device that interconnects networks using different layers of the Open
Systems Interconnection (OSI) Reference Model.=
Systems administrator: A designated individual who has special privileges on a
multi-user computer system, and who looks after security and other
administrative matters.
User-IDs:
Also known as accounts, these are character strings that uniquely ident=
ify
computer users or computer processes.
Virus scanning software:
Commercially-available software that searches for the existence of cert=
ain bit
patterns or other evidence of malicious or destructive computer code (a
virus). =
[Back
to Table of Contents]
|