Are there any FOCUS partners here?
To keep it short and simple, FOCUS is a program that implements routine and universal HIV and HCV testing into the existing ED work flow. Many places automate the process using their EMR. (Were in Indiana. The other hospital that has started this program has roughly a 15% positive rate on the HCV screenings)
My ED is currently trying to implement and I’m running into some barriers. I would love to discuss with other people that do this. Send me a message to further chat!
We use cerner and our CHIO is against building a new algorithm. Trying to figure out how to make it work without doing this. 2 big barriers are 1) there is no way to stop ED frequent flyers from being tested every time without manually checking their chart for a recent test. Manually checking is obviously not feasible and a waste of time. 2) without some kind of best practice alert or reminder in the EMR we would be relying on employees to remember to do everything. That’s too much room for human error.
With routine screening in the ED, what has worked for you and what hasn’t?
I tried to keep it brief so I’m sure there’s some info missing. Please ask questions to clarify!
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