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Don't Be Surprised!

Four things about Epic that catch providers off guard. Know them before they catch you.

Freddy Fox, surprised, in a white lab coat with stethoscope
Surprise no. 1

Your patient may see their results before you do

Once results and notes are final, they go straight to the patient through MyFreemanHealth (MyChart). There is no delay for provider review.

  • Expect calls and messages about results you have not seen yet.
  • Set expectations during the visit: tell patients results release automatically and when you will follow up.
  • Sensitive results release too. Plan how you will communicate before ordering.
Surprise no. 2

Not all notes, labs, orders, and images will be in Epic

Generally, about 3 years of recent clinical data converts from the legacy EMRs: Meditech, AthenaFlow, Clarity, and Avatar. Records from outside organizations are a separate matter: Care Everywhere brings those in automatically, and Care Everywhere or EpicCare Link: which one is which explains what arrives on its own and what needs a portal login. What converts:

3 yrs
NOTES & LABS
5 yrs
IMAGING
10 yrs
PATHOLOGY

Need older records? Meditech, AthenaFlow, Clarity, and Avatar stay view-only after November 17, until the legacy archive is operational (estimated April 2027), at which point a button in Epic will launch you to those notes without a legacy login.

Full data conversion details (PDF): what existing data will be in Epic at go-live
Surprise no. 3

Nurses will text and call you through Epic

Mobile Heartbeat ends October 24. From then on, watch for messages in Secure Chat and calls from Epic VoIP.

Mobile Heartbeat is retired. Watch for messages in Secure Chat and calls from Epic VoIP.

Secure Chat
TEXTS
Epic VoIP
CALLS

Install Haiku and sign in so no message goes unanswered. Haiku and Secure Chat Setup

Surprise no. 4

An order in the chart is not an order until you sign it

Case management, medical students, nutrition, and similar roles will publicly pend orders for your patients instead of signing them. A pended order sits in the chart where everyone can see it, but pharmacy, lab, and nursing do not treat it as active.

Pended
WAITING FOR YOU
Signed
NOW ACTIVE

Check your patients for pended orders every time you round, read what was queued, then sign, edit, or delete. Signing makes the order yours. Student pended orders expire after 72 hours. Watch the walkthrough: Pended orders: who queues, who signs.