Clinical Content Decision Groups About CCDs Trinity Health is designing and building a single, unified electronic health record (EHR) and revenue cycle platform on Epic. To build our integrated platform, our Ministry is seeking representatives of diverse clinical backgrounds to participate in Clinical Content Decision (CCD) Groups. CCDs are collaborative groups of clinicians CCDs will work closely with Clinical Excellence Councils and Clinical Leadership Groups (s and CLGs) to make recommendations on Epic-related decisions that affect patient care and experience. CCDs: Make decisions for the Epic foundation content including: o Note templates and tools o Letters and letter templates o Nurse documentation and reports o Flowsheets o Patient instructions and education o Ordering tools (including order sets) Include leaders and front-line users Adhere to our Epic Foundation System, guiding principles, making timely decisions, and documenting business requirements for successful operationalization Time Commitment Virtual meetings Up to six meetings monthly Meeting schedule will be set once group is formed Some work assigned between meetings Content Decision Group Allergy/Immunology Description of roles needed for this CCD group at least Estimated "Homework" Time Estimated Meeting Time Total Workload /CLG 2 5 7 MGPS LG
Anesthesiology 3-4 anesthesia providers with at least one 2 9 11 Surgical Services CRNA Audiology 2-3 audiologists 2 5 7 Clinical Operations Bariatric Surgery 2 7 9 Surgical Services Behavioral Health Nursing Behavioral Health/Psychiatry Breast Imaging Cardiac Rehab Cardiothoracic Surgery Case Management Clinical Pharmacy 4-5 inpatient behavioral health nurses, at least 1 that works with patients in partial hospitalization programs and 1 that works with patients in residential programs. 2-3 providers (at least one inpatient and at least one outpatient, at least one psychologist and one psychiatrist), 2, 1-2 social workers, 1-2 behavioral health therapists (inpatient and outpatient), an addiction medicine specialist 2-3 breast imaging radiologists; 2-3 breast imaging coordinators; 2-3 breast imaging technologists; 1 breast imaging director/manager 2-3 exercise physiologists, 2 cardiac rehab nurses, 1 cardiologist 4-5 inpatient care managers, including care managers that manage transitional care (discharge planning) as well as care managers responsible for payer communication and utilization review workflows. 5-6 Clinical Pharmacists (or PGY1 residency trained pharmacists) and 1-2 pharmacy managers or directors 2 6 8 Behavioral Health/Clinical Operations 2 9 11 Behavioral Health/Clinical Operations 10 20 30 Radiology CLG 3 6 9 Cardiovascular 2 9 11 Cardiovascular 4 6 10 Clinical Operations 30 30 60 Pharmacy CLG
Colorectal Surgery 2 9 11 Surgical Services outpatient nurses Critical Care 3-4 critical care specialists (intensivists) 2 15 17 Pulmonary Critical Care Critical Care Nursing 5-6 critical care nurses 2 6 8 Nursing LG Cupid Procedure Log - Cath/Inv Vascular Cupid Procedure Log - Electrophysiology Cupid SR - Cardiac Cath/Invasive Vascular Cupid SR - Cardiac Diag (Cardioversion, Tilt Table, Device Check) Cupid SR - Echo (TTE, TEE, Stress) Cupid SR - Electrophysiology Cupid SR - Pediatric Echo Cupid SR - Stress/NM Stress Cupid SR - Vascular Ultrasound Dentistry Dermatology 4-6 Cath Lab Techs/Nurses, 1-2 Registry Abstraction Staff 4-6 Electrophysiology Lab Techs/Nurses, 1-2 Registry Abstraction Staff 4 Cardiologists, 2 Vascular Surgeons, 2 Registry Abstraction/QA Staff 2 12 14 Cardiovascular 2 10 12 Cardiovascular 2 14 16 Cardiovascular 3-4 Cardiologists 1 6 7 Cardiovascular 5-6 Cardiologists, 1-2 Lead Technologists 5 20 25 Cardiovascular 5-6 Electrophysiologists, 1-2 Registry Abstraction Staff 3 9 12 Cardiovascular 4-6 Pediatric Cardiologists 4 14 18 Cardiovascular 5-6 Cardiologists, 1-2 Radiologists 2 7 9 Cardiovascular 2 Cardiologists, 2 Vascular Surgeons, 2 Radiologists, 2 Lead Vascular Lab Technologists 3-4 dentists, 2-3 dental support staff (hygienist, assistant, nurse) 5 20 25 Cardiovascular 6 9 15 MGPS LG 2 9 11 MGPS LG Emergency Medicine 4-5 emergency providers (at least one physician), and 2 emergency nurses 37 9 46 Emergency Care
Employee Health/Occupational Medicine Endocrinology 2-3 employee health/occupational health providers, 2-3 employee health/occupational health clinical support staff at least 6 6 12 Clinical Operations 2 9 11 MGPS LG Family Medicine Gastroenterology General Cardiology General Surgery Genetics/Genomics Gerontology Gynecologic Oncology Gynecology at least at least at least 3 providers (one physician, one MD/PhD, an advanced practice provider), 2, 2 genetic counselors, 1 metabolic dietitian (if there is one) at least At least 2-3 gynecologic oncologists, at least 2 oncology pharmacists, 2 gyn onc infusion nurse 3-4 providers (at least one provider that also practices inpatient, at least one physician and at least one advanced practice provider), 2 outpatient clinical support staff 2 9 11 Clinical Operations 2 9 11 Cardiovascular 2 9 11 Surgical Services 6 6 12 Clinical Operations 2 4 6 Clinical Operations 2 9 11 Oncology 6 6 12 Women s and Children s
Hematology At least 2-3 hematologists, at least 2 oncology pharmacists, at least 2 oncology infusion nurses Infection Control 7-8 infection preventionists/infection prevention managers Infectious Disease Inpatient Nursing Core Internal Medicine/Hospitalist 3-4 providers (at least one provider that also practices inpatient, at least one physician and at least one advanced practice provider), 2 outpatient clinical support staff 5-6 medical/surgical nurses, 1 critical care nurse, 1 wound care nurse, 1 pediatric nurse, 1 OB nurse, 1 NICU nurse, 1 behavioral health nurse and 1 inpatient hospice nurse (from an inpatient hospice unit) 3-4 providers (inpatient and outpatient providers, at least one physician and at least 2 9 11 Oncology 30 30 60 Clinical Operations 2 9 11 Clinical Operations 6 8 14 Nursing CLG 2 15 17 Clinical Operations Interventional Radiology Long-Term Care Nursing (Acute) Long-Term Care Providers (Acute) Maternal-Fetal Medicine at least 2 interventionalists; 2-3 interventional nurses; 2-3 radiology nurses; 2-3 interventional/invasive technologists; 2-3 interventional radiology managers/directors 2-3 nurses that work in swing bed units (transitional care units within the hospital) or skilled nursing units within a hospital and 1-2 nurses that that work in standalone skilled nursing facilities. 5-6 providers (inpatient providers only, at least one physician and at least one advanced practice provider) 2-3 providers (at least one provider that also practices inpatient, at least one physician and at least one advanced practice provider), 2 outpatient clinical support staff, 2 techs (ex: ultrasound, stress test, etc) 5 15 20 Radiology CLG 2 5 7 Nursing CLG 2 9 11 Clinical Operations 2 9 11 Women s and Children s
Medical Oncology At least 2-3 medical oncologists, at least 2 oncology pharmacists, at least 2 oncology infusion nurses, at least 2 nurse navigators from each category (lung screening navigator, breast navigator, general oncology nurse navigator) 15 40 55 Oncology Music Therapy 2-3 music therapy users 2 2 4 Nursing CLG Neonatal Nursing 5-6 NICU nurses 2 6 8 Women s and Children s Neonatology 3-4 neonatologists, 1 NICU nurse 2 9 11 Women s and Children s Nephrology 3-4 providers (at least one provider that 5 30 35 Clinical Operations also practices inpatient, at least one physician and at least one advanced practice provider), 2 outpatient clinical support staff Neurology 3-4 providers (at least one provider that 2 9 11 Clinical Operations also practices inpatient, at least one physician and at least one advanced practice provider), 2 outpatient clinical support staff Neurosurgery 2 9 11 Surgical Services Non-Oncology Infusion At least 2 specialists from each specialty 10 20 30 Clinical Operations that sends their patients to an outpatient infusion center for treatment (common specialties include, but not limited to, rheumatology, GI, dermatology) Nutrition 5-6 nutritionists 2 4 6 Clinical Operations Obstetrical Nursing (Acute) Obstetrics 4-5 Obstetrics nurses (including postpartum nurses), 2 nursery nurses, 2 lactation nurses at least, 1 2 ultrasound techs 6 6 12 Women s and Children s 2 15 17 Women s and Children s
Occupational Therapy Ophthalmology Oral-Maxillofacial Surgery 2 inpatient occupational therapists (including a therapist that works in Inpatient Rehab) and 2 outpatient occupational therapists, 1 inpatient occupational therapy assistants, 1 outpatient occupational therapy assistant, optional as applicable: 1 occupational therapy student, 1 provider, 1 outpatient nurse 3-4 providers (at least two ophthalmologist, at least one optometrist preferable), 2 support staff (techs) 6 6 12 Nursing CLG 2 7 9 Surgical Services Orthodontics Orthopedic Surgery Orthopedics (Ambulatory) Otolaryngology Pain Clinic 3-4 orthodontist, 2-3 dental support staff (hygienist, assistant, nurse) 3 Ortho providers, 2-4 Ortho support staff (RN, tech, etc.), other surgical support staff as appropriate 3 Ortho providers, 2-4 Ortho support staff (RN, tech, etc.) 3-4 providers (at least one that practices inpatient, at least one that practices outpatient, at least one surgeon and one advanced practice provider), 2 outpatient clinical support staff 3-4 providers (at least one provider in pain service, at least one outpatient provider, at least one physician, at least one advanced practice provider, could include addiction specialists and anesthesiologists), two outpatient nurses, optional advanced provider if applicable: PharmD 2 9 11 Orthopedics 6 6 12 Orthopedics 2 9 11 Surgical Services 2 9 11 MGPS LG Palliative Care 3-4 providers (at least one that practices 2 9 11 Clinical Operations inpatient, at least one that practices outpatient, at least one provider and one advanced practice provider), 2 outpatient clinical support staff, 2 social workers Pediatric Nursing 5-6 pediatric nurses, 1-2 child life users 2 6 8 Nursing CLG
Pediatric Surgery Pediatrics (Acute) Pediatrics (Ambulatory) Perioperative/Surgical Nursing Physical Medicine & Rehabilitation Physical Therapy Plastic Surgery Podiatry Pulmonary Rehab Pulmonology Radiation Oncology 4-5 providers (at least one physician and at least one advanced practice provider) 4-5 providers (at least one physician and 2 nurses from each phase of care (pre-op, intra-op, Post-op/PACU) 3-4 PM&R physicians (including inpatient and outpatient providers), 2-3 therapists (including occupation and physical therapy), 1-2 inpatient rehab nurses, 1-2 2-3 inpatient physical therapists (including a therapist that works in Inpatient Rehab) and 2-3 outpatient physical therapists, 1 inpatient physical therapy assistant, 1 outpatient physical therapy assistant, optional: 1 physical therapy student 2-3 pulmonary rehab therapists (mix of inpatient and outpatients) At least 2-3 radiation oncologists, at least 1-2 radiation therapists, at least 1-2 radiation physicists, and at least 2-3 radiation oncology nurses 5 15 20 Surgical Services 5 15 20 Clinical Operations 3 3 6 Surgical Services 2 9 11 Clinical Operations 6 6 12 Clinical Operations 2 9 11 Surgical Services 2 9 11 Orthopedics 3 6 9 Pulmonary Critical Care 2 9 11 Pulmonary Critical Care 20 20 40 Oncology
Radiology/Nuclear Medicine Rehabilitation Nursing (inpatient nursing) Respiratory Therapy At least 1 technologist representing each modality (CT, MR, NM, XR, US, PET, DXA, FL); at least 2 radiologists; at least 1 CT lung coordinator; 2-3 radiology managers/directors 6 6 12 Radiology CLG 4-5 inpatient rehab nurses 2 5 7 Nursing CLG 4-5 respiratory care providers including inpatient RTs, RT manager, and RTs that perform PFTs and/or bronchs 5 8 13 Pulmonary Critical Care Rheumatology Sleep Medicine Speech Language Pathology 2-3 inpatient speech language pathologists, 2-3 outpatient speech language pathologists, 1 outpatient speech language pathology therapy assistant, 1 inpatient speech language pathology therapy assistant, optional as applicable: 1 sleep language pathology therapy student, 1 provider, 1 outpatient nurse 5 10 15 MGPS LG 6 6 12 Nursing CLG Spiritual Care 3-4 spiritual care users 2 2 4 Clinical Operations Sports Medicine (Ambulatory) Transplant Surgery, 2 therapists 2-4 Transplant Coordinators (preferably pre- and post-transplant and/or cardiothoracic and abdominal coordinators), 2 Transplant Surgeon (preferably one from cardiothoracic and one from abdominal), 1-2 Non-surgical provider ex. (nephrologist, hepatologist, pulmonologist), Transplant Pharmacist 6 6 12 Orthopedics 2 9 11 Surgical Services
Trauma Surgery Urgent Care Urology Vascular Surgery 2 9 11 Surgical Services 2 9 11 Surgical Services 2 7 9 Cardiovascular Wound Care 2-3 inpatient wound care nurses, 2-3 outpatient wound care nurses, and 1 medical/surgical nurse. Optional: 1 wound care provider 6 6 12 Nursing CLG