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Joint Commission Changes – Learning Needs Assessment

Beginning Monday, June 1st a Learning Needs Assessment will be required to be performed on every patient and/or caregiver at least once a year or when the patient’s condition changes significantly. This new step is in response to our recent Joint Commission survey report. We ask that staff please be diligent in ensuring all patients get a Learning Needs Assessment done. The Office of Quality Improvement will be monitoring compliance with this new feature through October. Joint Commission requires 90% compliance on our monitoring so there is very little room for error or non-compliance. We appreciate everyone’s cooperation and participation.

At the top of each vitals form, the date of the last learning needs assessment will be shown, or it will be blank if it hasn’t been completed. There is also a button to click to insert the form into the note, for the clinical staff to complete or update. Examples are shown below.


Joint Commission Changes – Learning Needs Assessment

We have made some changes to the Learning Needs Assessment form based on feedback received from several clinics on the new process.

The changes are listed below:

• There are 2 boxes now next to the care giver name question and the cognitive impairment question. The user can click these for guidance on how to answer/assess the questions.

• The cognitive impairment question format has been changed, and the answers have been switched so the patient does not demonstrate impairment is listed first.

• If the MA indicates the patient demonstrates cognitive impairment, a message will appear to prompt them to verify that assessment.

• There is a check box now to allow the provider to document they have reviewed the results of the learning needs assessment

• There is also a popup now that will alert anyone entering the chart that the MA has indicated the patient demonstrates cognitive impairment.

Please see the screenshots below:



In case you missed it – Specialist Consult Letters

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EMRSSO-Imprivata Cortex

Please be aware that all clinic users have been successfully migrated to EMRSSO Profiles. EMRSSO performs the same functionality as EMR, the only feature that has changed is the way in which the password is stored. Users will no longer be required to update their EMR password in Password Manager, but rather enter their credentials in the Imprivata pop-up window where they will be stored automatically. Please continue to use the EMRSSO icon on your Citrix icon page.
  • Log into Citrix with assigned credentials.

  • Launch the EMRSSO icon. (do not use EMR or EMRZero icons).

  • When launching EMRSSO for the first time or after an EMR password change, an Imprivata pop-up window will appear asking the user to enter their EMR credentials.

  • User will enter EMR username/password. Click OK.

  • EMR will open successfully.



As part of providing with the latest technology to improve the processes we currently have in place in the clinic, we are currently in the process of rolling out to all of our providers (Faculty, Resident and coordinators) a new tool to improve how we can communicate thru a single communication channel: Imprivata Cortext is a solution that will enable secure mobile and desktop messaging inside and outside of the clinical workplace. Cortext is supported across many communication platforms including Apple and Android-based devices, desktops and browsers, including PC and Mac.

Cortext works similar to any messaging application (e.g. SMS, WhatsApp), but offers HIPAA compliant, secure and confidential means of communicating patient information and care coordination instructions between healthcare providers. The system is fully HIPAA compliant and completely cloud based. Messages and pictures taken within the application will never be stored locally on the device. This will help prevent loss of patient information on faculty or resident phones, which has been of concern in the past.

Registration is very simple and completely user friendly. Users will receive an invitation from the Texas Tech Cortext administrator via email inviting them to create a Cortext account. The user will follow the registration steps to create their username (eRaider) and password. Using personal mobile devices, users will be able to download the Cortext application from their mobile application store and login with their created username and password. Cortext has recently been implemented in Family Medicine, Neurology, Surgery and the Psychiatry clinics, looking to incorporate the rest of the clinics soon.

For more information about this new solution you may contact: Vidal Rodriguez ( or Elisa Morales ( for more information on the product.

In case you missed it – Completing Referrals

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EMR Announcements

There is currently 1 EMR Announcement(s):
    • We’ve been working diligently to correct the issue of labs not showing in flow sheets.

      Please report any issues regarding these particular labs not crossing over from the report to your flowsheet.

    • Please dial 215-4111 Option 3 to reach us.

    • To request to file an EMR document in error please send an e-mail to Please do not send alerts or flags for this type of request.

    • For any feedback or requests for this newsletter please e-mail us at

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EMR Known Issues

There are 2 EMR Known Issues:
    • Some Imagining results are showing as a lab results in EMR. We are currently working to resolve this problem.
    • Please report any lab values not showing in flowsheets after signing the lab report to the EMR, Labs proxy box in EMR.
    • To report any issues please e-mail us at or contact us at our new number 215-4111 option 3.
As always we are working to resolve these issues in a timely fashion and will keep you updated on their status.

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