Transcript LV2 New User Orientation Modules - NYU Lutheran Medical Center

LutheranVista2
EMR Training
Module #1: Signing in & Health
Insurance Portability
And Accountability Act (HIPAA)
This session you will learn:
- How to sign on
- How to set your electronic signature
- HIPPA Rules about passwords and EMR
- Privacy Tab
Signing On to LV2
1) Find and double-click on the EMR-LV2 icon (*Icon may be different on different
computers*)
2) A new screen will appear, asking for your access code and verify
code.
3) Enter your access code and verify code, and click ‘OK’ or
press ‘Enter’.
***Note: Your verify code must be alphanumeric with one
special character and at least 8 characters in total.
***New users: ONLY enter your access code and click ‘OK’. You will be asked to create a
verify code. Leave ‘Old Verify Code’ blank. Type and confirm your verify code and click ‘OK’.
Setting your Signature Code
To create your e-signature:
1) Select E-Signature from the
menu.
2) A dialogue box will appear
– enter your e-signature
TWICE and click ‘OK’
*Caps Lock MUST be on to SET
your e-signature code, but is
NOT necessary after that.
HIPAA- I
• Do not share your access and/or verify codes
(login IDs) with anyone
• Your Login IDs are specific to you
• It is your responsibility to log off once you
have finished with your session
• To ensure a secure environment, your verify
code will reset after 90 days- - you will be
prompted to change it.
HIPAA- II: Patient Privacy
Privacy Tab:
If you need to walk away from your computer, make
sure to click on the Privacy tab to prevent a patient’s
information from being visible (HIPAA).
Module #2: Basic Navigation
This is a basic navigation session, you will learn:
- Notification and processing Notifications
- Setting user preferences
- Overview of all major tabs (Privacy, Notification, Patient
Record, Communication, Internet, MD Dashboard)
- MD Dashboard
- Selecting a Patient
- Patient Coversheet
- Overview of all sub-tabs (Coversheet, Problem list,
Medication, Orders, Notes, consults, Discharge Summary,
Labs, Reports, and Vitals)
- Patient Location Verification
Notifications I
LV2 will open to your Notifications Tab
*Make sure YOUR NAME appears in the blue bar at
the top of the screen. If your name does not
appear, SIGN OUT AND SIGN BACK IN AGAIN*
Notifications are actions which are not complete, such as:
~Unsigned medications, orders, notes, and cosigned notes
~Unreviewed labs, consults, or informational updates
To process a notification:
Highlight one or multiple notifications and click on
‘Selected’ at the bottom right of the screen.
*Clicking ‘All’ will process all notifications in succession.
An unsigned order or note will then bring you to that patient’s chart where you
can sign the outstanding item.
*To sign a note, you must right click in the note and choose ‘Sign Note Now’
For information-only notifications, once you have read the information, you can delete
the notification.
Note: If a notification was sent to you in error (a request for co-signature or information about
someone who’s not your patient), highlight the notification and click on the ‘Forward’ button to send it
to the appropriate party.
Notifications II – Setting Preferences
To set your preferences for which notifications you receive:
Click on ‘Tools’ from the Menu Bar
Click on ‘Options’
Choose the ‘Notifications’ Tab
Check the Notifications you
would like to receive.
Check the box to turn
notifications ‘On’
Uncheck the box to
turn notifications ‘Off’
*There are five mandatory
notifications that cannot be
turned off:
~ Critical Lab Results
~ Imaging Results Amended
~ Medications- Expiring- Inpt
~ NPO Diet > 72 Hrs
~ Order Requires Elec
Signature
Other Tabs
Communications Tab:
This tab is most frequently used by Pharmacy and the
IT Department for contacting active users in Vista via
a messaging system.
Internet Tab:
Access links to sites such as Web MD and
Physician’s Portal
Dashboard
The Dashboard Tab is where you can access basic information about your
patients with links to their charts and create your custom census.
Once
you have
your
There
are quick
link found
buttons
for:patient(s), you can assign yourself to
them
to create
your
census.
Patient
Lookup,
Print
Census,
and Physician’s Portal
WhenCover
yourSheet,
censusPatient’s
is created,
check
the box
‘Showand
my Patient’s
Patients’ Notes
Patient’s
Labs,
Patient’s
Orders,
to see your customized list.
You can then remove patients or share your census with
another provider.
Selecting a Patient
There are 3 ways to select a patient:
1) Dashboard
2) Patient Inquiry Button
3) Patient Dropdown Menu
Click on the Patient Record Tab
Click on the Patient Inquiry button in the top left corner
OR
Click on ‘Patient’ from the choices at the top and then choose ‘Select’
In both cases, a dialogue box will
appear.
***A patient’s information appearing in
RED means that was the last patient you
accessed.***
Once you select a patient, verify it is the
correct patient via name and DOB, then click
‘OK’.
You can search for a patient by
typing in part or all of their
name or medical record
number.
Default the patient list by provider
or ward by clicking on the
appropriate radio button and then
clicking ‘Save Settings’.
Patient Cover Sheet Overview I
The patient information banner is made up of four
panels located at the top of the Patient Record.
Quick Note: Single click link to
frequently used note
templates
Patient Inquiry: Last
Name, First Name,
(sex), Length of Stay
(LOS), Medical Record
#, DOB (age)
Signature Icon: Icon
will display when
there is something to
be signed, ie., order,
note, etc.,
Height/Weight: Pulled
in from Vitals
Location/Provider:
Nursing Unit w Room
and Bed, Account #,
Provider
Care Team: Primary
Care Team, Attending
Physician
VHS (Visit History Summary):
Provides medication, order
and documentation history
from prior visits
Magnifying glass:
Displays Patient
Demographic Info
Clinical Reminder
Clock: Used by ED
and Stroke nurses for
their reminders
CWAD: Postings
A – Allergies/Adverse
Reactions
W – MDRO note
D – Advanced
Directives
Patient Cover Sheet Overview II
Active Problem List:
Displays problems as
entered via Problem
List tab
Patient Postings:
Allergies/Adverse
Displays
Reactions:
Displays
W – warning
of MDRO’s
allergies.
Allergies/Adverse Reactions: Displays allergies.
D – Advanced Directives
*Right
in the box to
*Right click in the box to add a new allergy
A –click
Allergies/Adverse
add aReactions
new allergy
*Hover to view details
Medication List:
Displays Medications.
*Click on medication
for
more details.
Medication
List:
Displays Medications.
Active
Problem
List:
*Click on
medication
Displays
for moreproblems
details. as
entered via Problem
List tab
Lab Results: Displays
Vitals: Displays last
last 72 hoursClinical
of lab Reminders: Displays
vital signs
Clinical Reminders for EDdocumented
and
results.
Lab Results: Displays last 72 hours
of lab
*Click
on specific reading for
Education Documentation
*Clickresults.
on labStroke
for more
more details.
details.
*Click on lab for more details.
Patient Postings:
Displays
Clinical
Reminders:
W – warning
of MDRO’s
Displays
Clinical
D – Advanced
Directives
Reminders
for ED and
A – Allergies/Adverse
Stroke
Education
Reactions
Documentation
*Hover to view details
Patient Visit(s):
Displays patient visit
history with admitting
diagnosis.
Patient Visit(s):
Vitals: Displays last
Displays patient visit
documented vital signs
history with admitting
*Click on specific reading for
diagnosis.
more details.
Patient Location Verification
Under this tab, the accounts
listed are outpatient and / or
ambulatory encounters.
Under this tab, the accounts listed are
inpatient encounters. Before placing any
inpatient orders, please make sure there is a
current account with the correct provider or
attending physician.
Sub Tabs
Cover Sheet: Provides summary of patient information
Consults:
Displays Ancillary
Department Consult
Medications:
status
Entry/Display of:
Discharge
P = Medications
Pending
Home Medications
C = Completed
Inpatient
= Discontinued
Notes: Entry/Display of Nursing Admission Databases, Provider H&P’s, DC Medications
ED Notes, MDRO
Notes,
Advanced
Directive
and and
Stroke
Reports:
Displays
multiple
typesNotes,
of reports
radiology imaging.
*Medication
*SelectReconciliation
any consult
Labs:
Displays lab
results
for a patient
Discharge
Summary:
Within
48 hours
of a patient’s
discharge
Education Notes.
completed
here
from the
left-hand
from theindicates
hospital,athe
discharge
summary shouldisbe
* VERIFIED
report
is available.
side
toany
viewyou
details.
Youleft-hand
can
the information
inof
a table
or graph
format
and
transcribed
andview
uploaded
tab
from
Physician’s
Portal.
*Click on any note
on the
side
tointo
viewthis
details.
Problem
List:
Entry/display
problems
along
with
can filter
information
lab subtype, date, or test type
notesthe
that
have been by
added.
*You can also filter your view to include only abnormal results.
Orders:
Vitals: Entry/Display
of vital
Entry/Display
of patient orders
insigns
alternating colors
Left click once to view vitals details
Use the
on the
upper
to view
cumulative
vital
signShift or Ctrl keys
*Selection
of table
multiple
orders
forright
signing
and/or
verification
– use
entries or view the same results as a graph
Module # 3: Problem List
This session you will learn:
- How to manipulate the Problem List and enter
a diagnosis
~ To add a problem, click on the ‘Add’ button
Here you
on the
canupper
add, edit,
rightorand
delete
a dialogue
diagnoses
box on
willa appear.
patient’s chart.
Problem
List
~ To search for a diagnosis, click on the ellipsis - another box will appear where you can search for the
Youorcan
diagnosis via text
ICDfilter
code.your view to include only active problems, only inactive problems, or both.
~ Highlight the diagnosis you need, and click ‘OK’ to bring you back to the first screen.
~ Fill in any other information as appropriate and click ‘Save’.
*To edit a problem, highlight the problem and click ‘Edit’ on the upper right.
*Each diagnosis is given a Problem ID # – which refers to the
order in
which
diagnosis
wasdialogue
entered.box
Thus,
first Choose
*To delete a problem, highlight the problem
and
clickthe
‘Delete’.
A new
willthe
appear.
a reason for deleting the problem and problem
click ‘OK’.entered would be 1, the second would be 2, etc.,
You MUST fill in the Problem ID and ICD Code fields to Save the
problem to the list.
Module #4: Medication & Medication
Reconciliation & Printing
Prescriptions
In this session you will learn:
- About the Medication Tab
- How to do the Reconciliation Process: of
Home Medication, Inpatient Medication, and
Discharge Medications
- How to Sign off on Medication
Medications
Transfer to Outpatient –
ransfer an inpatient
medication to a discharge
medication or prescription
Includes:
Outpatient Medications
Home Medications
Inpatient Medications
To take action on a medication,
right click on the medication and a
dropdown menu will appear:
New Medication – add a
new medication to the list
Change – adjust the
dosage, route, or
frequency of a medication
Discontinue/Cancel –
discontinue or cancel a
medication
Transfer to Inpatient – transfer a
home medication to an inpatient
medication order. Do NOT
transfer NF (non-formulary) drugs
to inpatient unless there is no
formulary alternative or the
patient is bring in his/her own
med.
Hold – put a medication on
hold
* You must give a reason
Release Hold – release the
hold on a medication
Medication Reconciliation I – Home to Inpatient
When
you have reconciled
all home
meds,
youwhere
can proceed
tosearch
entering
Inpatientby
medications.
~ A comprehensive
medication
list will
appear
you can
fornew
medications
their brand
and generic names.
To
do this,the
right
click inroute,
the Inpatient
pane and
choose ‘New
Medication’,
or click
the ‘New’ button.
~ Choose
dosage,
and schedule,
as appropriate
– check
PRN when
applicable.
(Medication
orders
can
also‘Accept
be placed
from the Orders Tab.)
~ When you’re
ready,
click
Order.’
~ When all medications have been entered, click ‘Quit.’
~ To sign off on your medication orders, click on the hand icon in the upper right corner.
*Unsigned orders appear in BLUE AND BOLD
Medication Reconciliation begins with the RNs. It is their responsibility to D/C all home medications
from previous visits and re-enter a new set for the current visit.
If the
RNONLY
has not
D/C’ed
previous
and entered
new
ones,
it is YOUR
*The
time
you can
have ahome
homemeds
medication
with an
active
status
is if theresponsibility
patient is notto do it
in order
to complete
the reconciliation.
currently
on any medications
and the RN entered: MISC (No home medications)
*To see you
if the
home
meds
areorders,
up to date,
double
click on the medication and verify the date it was
*When
click
to sign
your
a window
will
entered.listing everything that needs to be signed.
appear
Uncheck any orders you wish to NOT sign.
Enter your electronic signature code and click.
*Make sure you’re entering medications into the correct section by verifying text in BLUE
Medication Reconciliation II – Change in Level of Care
When a patient undergoes a Change in Level of Care, i.e., transfer to or
from a critical care unit, orders MUST BE DISCONTINUED AND REWRITTEN.
*Medication orders can be re-entered from the Medications tab OR the Orders tab
To re-enter an existing order, right click on the medication you wish to reorder
and choose ‘Copy to New Order’
A screen will appear where you can choose to release the order immediately or
delay it until the patient has been transferred to a particular unit.
Once you have accepted your order, be sure to SIGN
YOUR ORDERS using the hand icon on the upper right
Medication Reconciliation III - Discharge
When the patient is ready to be discharged home, the final step of medication reconciliation must occur.
In the Home Meds section, any medications that have been put
on hold during the visit should be released or discontinued.
Right click on the medication to view these options.
Medications released from hold should then be
transferred to outpatient (O/P) by right clicking and
choosing Transfer to O/P – bringing them to the
Discharge Meds section.
Proceed to the Inpatient Meds section and highlight any inpatient
medication(s) you wish to create prescriptions for. Right click on the medication
and choose Transfer to O/P – bringing them to the Discharge Meds section.
Be sure to SIGN YOUR ORDERS using
the hand icon on the upper right
Once all medications have been transferred to the Discharge Meds section and signed, you can print
detailed reports, summary reports, or prescriptions, as necessary.
Entering Discharge Medications
1. Select Medication Tab and select
Discharge Medication pane.
2. Right click and select New Medication
3. Select Medication for Discharge
4. Select appropriate medication from
Medication Order Dialogue box.
Prescription Printing
To print prescriptions for a patient:
Highlight the
medication(s) you wish
to print prescriptions for.
Click the ‘Print’ button at
the top.
A dialogue box will
appear. Choose
‘Prescription’ and ‘Print.’
Prescriptions will then
print to the nearest
prescription printer.
*Remember to sign your
prescriptions.
Module #5: Orders
In this session you will learn:
- How to enter an order
- How to use order sets and Why.
- How to use “a la carte” menu to place orders
- How to sign an order
- How to create a delayed order
Remember the Patient Location Verification- this is important!
The process for inpatient orders is different from outpatitent orders
EMERGENCY DEPARTMENT is an outpatient location
EDH (ED HOLD) is an inpatient location. Make certain the patient is in EDH before placing inpatient
orders.
Orders I - Overview
Step 1. Click on the “Orders” Tab.
To view current patient’s orders: You can sort your orders by the
column headers – Service, Order, Start/Stop Date, Provider, Nurse,
Clerk, Chart, Status, or Location by clicking on the respective
column header.
You can find order sets by department on the left hand
side of the Orders tab screen.
Step 2. Placing medication orders: Order Sets MUST BE USED AS THE FIRST COURSE OF
ACTION for placing patient orders. As a matter of fact, some drugs can ONLY be ordered
through order set, e.g. anticoagulant, PCAs, and restricted antibiotics. Commonly
prescribed IV fluids, Labs, Cultures, food, etc. are on the Order set. There are more items
available if you scroll down to the column of the category and click on “Other IV fluids”, Other
Lab Tests” etc.
Should you NOT able to find a medication on the Orders Set, it can be
ordered from the “A La Carte menus” (Meds. Inpatient).You can find
the a la carte order menus on the left hand side of the Orders tab
screen below the Order Sets.
Orders II – Order Sets
Order sets, as part of evidence-based medicine,
are an important piece of effective patient care.
You will be brought back to the main Medicine Daily Orders Screen.
The
Fornext
example,
several
screens
Chest
Lowwalk
Risk
Order
Set: and
Clickchoosing
‘Done’
tothe
return
toPain
thesets
main
Orders
screen
review yourprocess
orders. - diminishing the
Order
you
through
a step-by-step
will offer menus for :
possibility of omitting something when assessing a patient’s care needs.
Nursing
Orders
In the Medicine
UnsignedDaily
orders
Orders,
appear
click
in blue
on ‘Chest
and bold
Pain–Low Risk Admission’
A series
of windowsTO
willSIGN
popYOUR
up taking
you through
theSIGNATURE ICON
Lab
Orders
REMEMBER
ORDERS
USING THE
order
set starting with the ‘Reason for Request: ADMIT’
VTE
Prophylaxis
GI Prophylaxis
Note: Selected orders will appear in blue
Medication Orders
Rad/Diagnostic/Consults
Thewhatever
next window
to appear
is Allergy Entry.
Choose
orders
are
appropriate for your
Search
allergies
all or part of the
patient
andfor
click
‘Next’ typing
to
wordtoand
‘Search’.
Accept your Order.
proceed
theclicking
next screen.
If your patient has no known allergies, be
sure to check ‘No Known Allergies’
Fill in the Admitting
Location, Admitting
Physician, and Admitting
Diagnosis.
*If the patient has other
pertinent diagnoses, be
sure to include them.
Click ‘OK’
Orders III – Delayed Orders
Finally, the receiving department’s
Sets
page
will appear,
When aOrder
patient
has
a change
in levelwhere
of care, existing orders
you can order any other items
patient will need
upon
transfer.
willthe
automatically
D/C and
new
orders need to be written.
To ensure that the patient is receiving the proper care in a timely fashion, use
the Delayed Orders Order Set to write orders in anticipation of their transfer.
A window with your current orders will appear where
Remember to sign your orders
you can select orders to copy to delayed release.
Click on ‘Delayed Orders’ on the left and a window will appear.
Confirm where you wish
to transfer the patient
Accept the order for Transfer
Choose the unit where you
wish to transfer your patient
*Remember to hold down ‘Ctrl’ to individually select orders you wish to copy.
OR
* Hold down ‘Shift’ and select the first and last item to highlight a block.
Orders IV For non-medication orders such as DME’s, go to the Discharge Order Sets menu.
Choose Non Medication Discharge Orders (DME/Supplies)
Choose whatever supplies or miscellaneous orders you need
Module #6: Notes
In this session you will learn:
- How to view notes
- How to create a MD Admission H&P
- How to edit note/ append boilerplate text
concept
- How to sign off on a note
- How to create an addendum
- How to delete unsigned notes
Notes
In the Notes tab, you can view and author notes written for a patient.
To view a note, simply click on the title on the left handNotes
side, are grouped by whether they are:
and the right side will preview all the details of a note.
Signed/Unsigned
Inpatient/Outpatient Visit
Specific Visit – with most recent note at the top
The sequence for each note is the same – Date Written, Title of the Note, Unit/Location, Author
Notes II –YouAuthoring
will be brought back to a
the Note
main screen with a
preview
of remember
your note appearing
inmenu
the right
pane.
When authoring
a note,
the ‘Action’
– every
action you’ll need to take is there.
A template will appear.
If you have filled in all the appropriate fields, the next screen to
appear will ask you to identify the Primary Provider for the patient
– which should be YOU. Click ‘Yes’
A dialogue box*will
appear
can choose
the Provider,
If the
namewhere
shownyou
is NOT
the Primary
click ‘Select
Allergies
and Medications
are automatically pulled
note you wish to
write, for
MD:
Inpatient
H&Pthe patient’s coversheet and CANNOT BE
Primary’
andexample,
choose the
correct
provider.
in from
*If area
you
have
notiscompleted
The
gray
on top
where youthe note, go to
EDITED
in
the
note.
Fields
with in
aand
single
asterisk
arewithout
MANDATORY
and MUST be
choose
‘Save
Signature’
will
be‘Action’
filling
patient
information.
At the end of a section,addressed
you can:*Make
sure
Medications
or you
willAllergies
NOT be and
allowed
to finish are
yourup-todocument.
BEFORE you open a note.
Check the section you wishdate
to complete
*When
ticking
a
checkbox,
be sure to fill in any follow up fields
Continue
filling
other sections
and fill
out out
andthe
complete
it accordingly.
OR
Highlight the note you wish
There
are
twoand
ways to open
a new to
note:
Finish this piece
of Radio
the
note,
finish
the
rest.click ‘OK’
buttons come
have aback
‘onelater
or the other’
functionality.
write
and
New Progress Note from the dropdowntomenu
OR
*Be sure to respond
to white
any follow
up
that open
The
two
fields
onfields
the bottom
are auto‘New Note’
button
on
the
bottom
leftmultiple
Check
boxes
are
optional
and
when clicking apopulated
radio button.
by what
you’re entering above in gray.
boxes can be checked off
if applicable.
*Minimize
them
to maximize
space.
*Note:
You can
search
for notestemplate
by all or part
of
their title or by Department/Role Prefix, i.e.,
MD:
= Providers
*If you finish all
sections
of the note in one session, click
Emergency
Department
‘Finish’ when ED:
you =have
completed
the last section.
Blood = any notes regarding blood transfusion
Notes III – Appending a Boilerplate
When you are ready to finish your note, highlight the
note you wish to complete and put it in ‘Edit Mode’
(Go to ‘Action’ and choose ‘Edit Progress Note’)
The template will reappear, allowing
you to continue where you left off.
Go to
the
‘Action’
*Remember, once
you
finish
yourDropdown
note to menu and choose
‘Reload
Text’
SIGN YOUR NOTE,
usingBoilerplate
the signature
icon
* DO NOT redo the section(s) you already completed,
or your original entries will be overridden.
A new dialogue box will appear:
ALWAYS CHOOSE ‘Append the boilerplate text to the text in the note’
Then, click ‘OK’
Notes IV – Deleting/Editing a Note vs. Making Addenda
Once your note has been signed, you CANNOT edit or delete it.
You CAN make
an addendum
include additional
and/or clarify
*Be sure
to sign yourtoaddendum
using theinformation
signature icon
*BEFORE
your
note
has
been
signed,
you
have
the
option
to
Edit
or Delete
a discrepancy,
such
as entering
into the incorrect patient
chart.it.
so that
others
can viewinformation
the information.
To make
Edit oran
Delete
Addendum,
a note, you
you can:
can:
~Right click anywhere on the note
~~Click
Click‘Action’
‘Action’from
fromthe
themenu
menubar
bar
Module #7: Consults and Results
In this session you will learn:
- How to view consults
- How to create/order consults
- How to complete/ enter results in consults
- How to set your preferences to receive consult
notifications
Consults I – Ordering Consults
You can find Consults under two menus in the Orders Tab:
Procedures/Department Consults
OR
Physician Consults
A window will pop up, reminding you to
call the consulting physician or service.
You will return to the home Orders screen.
*Remember to SIGN YOUR ORDERS.
Fill out the consult order accordingly
and click ‘Accept Order’
A menu of available consults will appear.
Choose the one you need, e.g., Internal Medicine
Consults II – Completing Consults
To complete a consult:
*A (p) before the consult type indicates that the consult is pending and has not yet been done.
In the
Consults
tab, highlight
the consult
*A (c) before the consult type indicates that the
consult
has been
completed.
you wish to complete.
*A (dc) before the consult type indicates that the consult has been discontinued.
The note dialogue box will appear. Choose
*Remember to sign your note
Click on ‘Action’ >
the appropriate note and click ‘OK’.
when
you’re
finished,
*A (pr) before the consult
type
indicates
that using
the consult has partial results
– meaning
the>note has
‘Consult
Results’
been started, but not completed.
‘Complete/Update Results’
Complete the consults results, filling out all
information and click ‘OK’
Consults III – Setting Preferences
To set your preferences for which consult notifications you will receive:
Go to ‘Tools’
Click ‘Options’
Click the ‘Notification’ tab
Select all Consult Request options and click ‘OK’
Module #8: Labs & Radiology Reports
In this session you will learn:
- How to view and graph labs
- How to view radiology reports and images
Labs
To view lab results, particularly those older than 72 hours (which
are not viewable from the Coversheet) go to the Labs Tab.
You can also view lab results in graph form – and can view
two items simultaneously, using the Split View function.
To view the results for a specific test, click
‘Worksheet’ from the left menu.
Click on ‘Graph’ from the left menu.
Your lab results will appear.
Choose the test you wish to see
Click ‘Add’
Choose the items you wish to see in graph form.
Test should appear in the right column.
Click ‘OK’
You can change your view with the options above.
*To view two graphs, be sure
‘Split View’ is checked.
Reports
The results and images from radiology reports are
available here once the procedure has been done.
Click ‘Images (local only)’ to see a
list of radiology and imaging reports.
To view an image:
Right click on the report of the image you wish to see
Choose ‘View Image’ from the dropdown menu
A new window will open in Internet Explorer with the corresponding image
To find out if a report is viewable, check the
‘Report Status’ column for a ‘Verified’ status.
If the status is verified, select the report and
the results will appear in the pane below.
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eligibility for EMR access.