Remote Patient Monitoring using Patient-Entered Flowsheets

With Patient-entered flowsheets, patients can enter health data using their MyChart account. Data can be submitted manually, using the Track My Health feature within MyChart, or automatically by linking a personal tracking device account (e.g., Apple Health, Google Fit). The patient’s provider will initiate this workflow by placing a flowsheet order. This document will walk you through this workflow from both the provider and patient perspectives.

Provider Workflow

Placing a Flowsheet Order

  1. Enter mychart in the order search field
  1. Choose and Accept order
    • To enter additional data values, click Add another reading.
  1. Associate with a diagnosis and sign order
    • Episode is created with each flowsheet order.
    • When signing an office visit encounter with a flowsheet order, please bypass the following pop-up - no action is needed here.

Accessing the Patient-Entered Flowsheet Manager

Via Episodes

  1. Navigate to the Episodes tab in Chart Review
  2. Single click the desired episode
    • A data report for the past 60 days will display
  1. Click Manage this Flowsheet hyperlink
    • Patient-Entered Flowsheet Manager activity opens

Via In Basket Message

Periodic data summaries and abnormal value notifications will be sent to the provider’s In Basket. Messages route to the Patient Clinical Update folder.

  1. Access the Patient Clinical Update folder and click on message
  2. Click Manage these messages hyperlink in the message report
    • Patient-Entered Flowsheet Manager opens
The “More Menu” Within the Encounter
  1. Click the More Menu dropdown icon
  2. Choose MyChart Utilities
  3. Choose Patient-Entered Flowsheet Manager from the submenu
    • Click the “star” to pin the new tab

Navigating the Patient-Entered Flowsheet Manager

Graphical user interface, application Description automatically generated
  1. Flowsheet tab
    • For multiple orders, each flowsheet will have an individual tab
  1. Add additional users or pools to receive data summaries
  2. Configure how often data summaries are sent to In Basket
  3. Attach patient instructions
    • Patient instructions are only seen if patient enters data manually
  1. Click if you no longer want patient to collect flowsheet data
  2. Add additional users or pools to receive abnormal value messages
  3. Set a specific range for the patient
    • If blank, the range set at the flowsheet level will be respected

In Basket Messages

Data Summaries will be delivered to the provider’s In Basket based on settings in the Patient-Entered Flowsheet Manager. Abnormal values will trigger an In Basket message regardless of those settings. All messages route to the Patient Clinical Update folder. The RPM Order column displays the flowsheet name. Reference the Subject column to determine if the message is a summary or abnormal value notification.

Patient Workflow

The Remote Patient Monitoring workflow is designed to automate data synchronization by prompting patients to connect MyChart app to their fitness device account. The patient receives a message notifying them of the new flowsheet order, which contains a link directing the patient to the Track My Health activity.

When accessing from a mobile device, the patient will be prompted to link their device account if one exists. Once linked, data will sync and flow into EPIC where the provider can review the patient’s data. Data can also be entered manually if the patient does not have an integrated fitness device.

  1. Click View Message from the message notification on the MyChart Homepage.
  1. Click embedded hyperlink to access the Track My Health activity.
  1. Click Connect to Health to link the MyChart app to the device account (iPhone users)
    • Android users will click Connect Google Fit
    • You will see available data begin to sync
  1. Click Close to go back to Track My Health

Additional Information

Control data access from device settings (iPhone)

  • From the device Settings > Health > Data Access & Devices > MyChart
  • Choose to Turn Off All or toggle individual data points

Manually Enter Data

  1. Choose Track My Health from the main menu.
  2. Click an active flowsheet you are entering data for.
  3. Click Add new data.
  1. Enter date, time, value(s) and click Continue
    • To enter additional data values, click Add another reading.
  1. Review data and click Submit