Tag Archives: training

**Update** – VTE Prophylaxis for Order Sets has been improved

VTE Prophylaxis for Order Sets has been improved to now include:

  • Pharmacologic VTE Prophylaxis title
  • Streamlined choices between Section A and Section B.
    • Section A: Available Pharmacologic orders to choose from.
    • Section B: To provide a reason from the list for NOT ordering a Pharmacologic order.
  • Specific information added in the pop up box to provide the section to review when a selection is not complete.

All Order Sets with VTE module will be updated over a two-week period. Please review the images below for an in depth VTE Prophylaxis Usage Guide.


**Update** – New Paragon Documentation by Specialty

Progress / Resident Progress and Consultation Notes are now available by your “Specialty“. The breakdown of these documentation via specialty will make it easier for all Physicians’ to understand the type of note documented for each patient profile. The content for all the notes are the same for all of the specialties. This is active for all locations: Huntley, McHenry and Woodstock. When searching for a documentation, you can search by your specialty, so the result(s) can be populated unique to your specialty.  Below are the new specialties added for each of the note title. Review the image below, on how the documentation list would view once signed.

Specialties included for Progress / Resident Progress and Consultation Notes are:

  1. Cardiology
  2. Pulmonary
  3. ID
  4. Nephrology
  5. GI
  6. Endocrine
  7. Neurology

Naming convention to search for each specialty:

Your Specialty” Consultation Note – example:  Cardiology Consultation Note

Your Specialty” Progress Note – example: Cardiology Progress Note

Resident “Your Specialty” Progress Note – example: Resident Cardiology Progress Note






How to Invalidate Documentation in Paragon Clinician Hub?

In Paragon Clinician Hub, when a document has been entered under the wrong visit ID or for any other reason the document needs to be removed from the record, it needs to be Invalidated.

If you have received a notice stating that you need to make this change, please utilize the instructions below. For additional visual training, a screen shot and a link to a video has been added below as well.

  1. Go to Census, locate visit where the document should be entered by entering the Visit ID supplied by Medical Records into the search field.
  2. Recreate the note under the correct visit ID, noting that the date is editable.
  3. Go back to the Census Tab.
  4. Locate visit where the document is entered in error by entering the “wrong” Visit ID supplied by Medical Records into the search field.
  5. Open the note in question, and locate the icon next to red X in the upper right hand corner; click the invalidate icon and choose a reason for invalidating.

Video on how to Invalidate: https://youtu.be/3YlLdtKPqzY


**Update** – New and Revised workflow to contact a Hospitalist

Hospitalist colored phones will no longer be available and will change into AlertMD messaging, starting and Go Live on..

CH-Huntley, August 29 @ 0700 ||  CH- McHenry,  August 30 @ 0700

All of the hospitalists’ schedules are built so you will be able to see which hospitalist is covering the area you want to message.

Please review the visual instruction below on how to message and to view the naming titles for each of the hospitalist areas in McHenry and Huntley, via AlertMD.




Admission Medication Reconciliation

All medications, including home medications,  in Admission Medication Reconciliation should be verified prior to completing / submitting the Admission Medication Reconciliation. If any home medication(s) requires a new order in house with a different dosage, it is important to “Defer” the original home medication in Admission Med Rec prior to placing a new order of the same medication with a different dosage.

Paragon 13: Clinician Hub May 17, 2016

Paragon 13 went live on May 17, 2016

The physician module of Paragon has been upgraded to The Clinician Hub. This is a major upgrade for our providers that offers enhancements to improve workflow.

Click on the link below for a guide on how to use The Clinician Hub:

Clinician Hub User Guide

Please reach out to Michael Millare or Sue McMullen at (815)759-4330 for training and more information.

Updates to HPF

Coming January 2nd there are several updates to HPF (Horizon Patient Folder), the patient document application, coming to Centegra. These updates are designed to improve the user experience.

Cleaner tabs

Tabs have been cleaned up to be consistent and meaningful. There will be four tabs.

  • Full Medical Record – to look for everything
  • Physician documents – This is the tab that most physicians will spend greater than 90% of their time
  • Diagnostics – This tab will have less common diagnostic studies such as EMG, evoked potentials etc will appear here. This will make it easier to find a study if it was done in the past without going through every admission.
  • ED – This is for physician offices to quickly see ED visits.


Document order

The order in which document folders appear will now be in the order in which most physicians would review a chart.

  1. ED notes
  2. History and physical
  3. Consultations
  4. Progress notes
  5. Operative notes
  6. Pathology (yes; now path reports are next to the procedure!)
  7. Discharge summaries

Similar documents from different sources such as templates and transcription will still be in separate folders by now they will appear in adjacent folders. This should improve speed and accuracy of the review.

  • Folders ending in “P” are coming from Paragon templates a.k.a Physdoc
  • Folders ending in “_C” are transcribed documents


Naming of progress notes

  • Progress notes will now be names by the following convention

    Date Time Author-Name
  • Progress notes will be in reverse chronological order and not by author.

  • Documents can be navigated by using the “page down” key to move from the current document to the prior document by time.

Diagnostics tab

Less common diagnositics will be filed here (they can always be found in the “Medical Record” tab). This should allow users to find less frequently ordered diagnostics quickly. This should help avoid repeating tests such as echo etc that may have been done recently.


Many more updates to come in the near future.