Student Guide to Neehr Perfect HITECH v2

Neehr Perfect Educational EHR

STUDENT GUIDE

I. Introduction ........................................................................................................................................ 1

II. Quick Facts .......................................................................................................................................... 1

III. Your Credentials .............................................................................................................................. 1

IV. Getting Started................................................................................................................................ 2

V. Logging in to the EHR and VistA .......................................................................................................... 4

VI. Additional Resources .......................................................................................................................... 7

Help Desk ........................................................................................................................................ 7

VII. Appendix .............................................................................................................................................. 9

Installing the Citrix plugin .............................................................................................................. 9

Using Neehr Perfect on tablets and mobile devices ...................................................................... 15

Troubleshooting and FAQs............................................................................................................. 17

HITECH v2 7/2013

Student Guide to Neehr Perfect HITECH Page 1

I. INTRODUCTION

Welcome to the Neehr Perfect educational EHR. EHR stands for Electronic Health Record and is

used by hospitals, clinics, and medical offices to manage all aspects of a patients health

information. It may also be known as an Electronic Medical Record (EMR). An EHR replaces paper

charting with a more robust and reliable system that can be accessed by the entire healthcare team.

EHRs are becoming more common in the healthcare industry and will be mandatory for all U.S.

facilities to adopt and meaningfully use by 2015. Hospitals report that a lack of EHR experience

and understanding among new employees is a significant problem that can lead to patient care

errors. Training new and existing employees to safely and effectively use EHRs is a major cost

contributor in healthcare organizations.

Neehr Perfect is an educational (or academic) version of an EHR designed to help you develop

necessary proficiencies prior to entering the workforce. It is based off of the most widely-used,

certified EHR system in practice, so youll gain experience with a real EHR in a simulated

environment where its okay if you make a mistake. The skills that you will gain are invaluable and

will prepare you for using an EHR in your professional practice.

II. QUICK FACTS

Neehr Perfect is web-based and can be accessed from any location with an internet

connection. You will be prompted to install a plugin for your web browser the first time you

log-in from any computer. Please see the Appendix for more information.

Neehr Perfect is compatible with Macs and PCs and can be used on some tablets and mobile

devices. For a list of compatible mobile devices/tablets and specific instructions for use,

refer to the Appendix.

User guides, video tutorials, and other help materials are located in the Student Resource

Network portion of Neehr Perfect. There is also a Help menu within the EHR with additional

information.

The Neehr Perfect Help Desk is available 24/7 by email: [email protected] or by

phone: 877-907-2186.

III. YOUR CREDENTIALS

The same email in which you received this Student Guide contains your Neehr Perfect log-in

credentials including your Username and Password. The email will also include your Citrix Receiver

log-in credentials for use on supported mobile devices (see Appendix).

**Note: In the VistA portion of the program (used in the later activities), you will be prompted to

enter your Access Code and Verify Code to log-in. These are your Username and Password,

respectively.


IV. GETTING STARTED

Open your browser and go to www.neehrperfect.com to begin the log-in process. In the Member

Sign In section, you may choose to sign in to the Neehr Perfect EHR or the Student Resource

Network using the dropdown menu. Select the Student Resource Network first as this is where

your Neehr Perfect activities are located. Enter your Username and Password and select Sign In.

You will be prompted to review and accept an End User Agreement the first time you log in to Neehr

Perfect. Once you are in the Student Resource Network, select the Activities tab to access your

HITECH self-paced activities and answer keys.


Please complete the activities in the order they are listed. Select the Download Activity link to open

a PDF version of the activity. This may be saved locally on your computer and/or printed for your

convenience. After completing the activity, review the corresponding Answer Key before proceeding

to the next activity in the series. Take your time and have fun!

The next section of this guide explains how to log in to the EHR and VistA which you will need to do

to complete the activities.

The Student Resource Network also contains video tutorials, user guides, and other materials for

learning how to use the EHR. Some of the activities may reference videos and guides as a pre-

requisite. Select the Help tab to be brought to the following section where you can select to view

tutorials, the video gallery, user guides, and more.


V. LOGGING IN TO THE EHR AND VISTA

There are two methods to reach the EHR and VistA portions of Neehr Perfect. If youre already

logged into the Student Resource Network, then select the ourEHR tab and Click Here to Start the

Neehr Perfect EHR' link.

Or you may access the EHR and VistA directly from www.neehrperfect.com. Choose Neehr Perfect

EHR' in the Member Sign In section and log-in.


When logging in to the EHR for the first time, youll be prompted to install a Citrix plugin for your

web browser. Please see the Appendix (page 9) if you need additional information about installing

the plugin.

After the plugin is installed, you will see a screen with three (3) icons, the HITECH EHR, HITECH VistA,

and Printers. The activities begin in the HITECH EHR and advance to HITECH VistA later. Launch the

HITECH EHR by selecting the icon.

Next, enter the Username and Password from your email then select OK.

Congratulations - you are now in the EHR! The EHR is a separate window and you can return to your

web browser and the Student Resource Network at any time. In the patient selection screen, choose

the patient as directed by your activity.


To access the VistA portion of Neehr Perfect, follow the same instructions above for accessing the

HITECH EHR. Once you arrive at the screen below, select the HITECH VistA icon.

You may see a PuTTy Security Alert. If so, select YES to proceed.

Once VistA launches, you will be prompted to enter your Access Code (this is your Username)

followed by your Verify Code (this is your Password).


After successfully logging in to VistA, youll be brought to the main menu. Follow the instructions in

the activity to proceed. Note that VistA is a text-based utility - you wont use your mouse!

VI. ADDITIONAL RESOURCES

Help Desk

The Neehr Perfect Help Desk is available 24 hours per day, 7 days a week. A live technician will assist

you with questions and any issues. You may contact the Help Desk by email:

[email protected] or by phone: 877-907-2186. You can also submit a support request

through links on www.neehrperfect.com. Please review the Troubleshooting/FAQ section (page 17)

for answers to commonly asked questions.

If youve forgotten your Neehr Perfect credentials, simply select the Username and Password not

working? link from www.neehrperfect.com shown below and complete the information. Youll

receive an email immediately with your credentials.


VII. APPENDIX

Installing the Citrix plugin

The first time you log-in to Neehr Perfect on any computer, you will be prompted to install the Citrix

plugin for your web browser. The installation process varies by browser and instructions for

Internet Explorer (IE), Mozilla Firefox, and Safari are described below. If youre using another

browser and encounter difficulty, please contact the Help Desk.

Internet Explorer (IE)

1. Accept the Citrix license agreement and select Download.

2. The following Security Warning will appear - select Run.

3. Before the installation is complete, you will be asked to run the software select Run.


4. You may be presented with a page that asks you to allow ActiveX control. This allows the plugin

to run within Internet Explorer. Please click on the yellow banner and select Run Add-on to

complete this step.

5. Your schools EHR icon should now appear. Select it to launch.

Mozilla Firefox

1. Accept the Citrix license agreement and select Download.


2. The following window will appear - select Save File. Choose to save the file to a location where

youll remember (i.e. your Desktop).

3. After the download is complete, double click the icon in your Firefox Downloads window. Or if

you cannot locate the Downloads window, go to the location where you saved the file in the

previous step.

4. The installation will begin automatically. Wait until you receive a notification that it is complete.

5. Return to your browser window and the following message may be displayed. Select Continue.


6. Your schools EHR icon should now be visible. Select it to launch.

Safari (Mac only)

1. Select Download to begin the process.

2. If Safari is set to open safe files after downloading then you will automatically proceed

through this step. If the Downloads window appears, then right-click on the

MacICA_OSX.dmg.zip file and choose Open.


3. Now a file named MacICA_OSX.dmg will appear. Double-click on this file to open.

4. The following window will appear. Double-click to open.

5. The Citrix ICA Client Installer will launch. Select Continue.

6. Double-click the icon for your hard drive as the destination for the file. Then wait until a

message appears indicating the installation was successful. Select Close.


7. Return to your Safari window and select Continue.

8. Your schools EHR icon should now be visible. Select it to launch.


Using Neehr Perfect on tablets and mobile devices

The Neehr Perfect EHR may be accessed on the following devices through the use of a Citrix Receiver App instead of your web browser:

Apple iPad, iPhone, and iPod touch (although the Citrix Receiver App may be installed on other devices, its use with Neehr Perfect is not yet supported).

Note! The App developers frequently make changes that may cause the steps and/or screen views to appear different from what is described below. 1. Download and install the free Citrix Receiver application from the App Store (search for Citrix

Receiver).

2. After the Citrix Receiver has been installed, select the Receiver icon to open the application.

3. Select Add New Account. iPad iPhone/iPod Touch

4. Enter https://apps.neehrperfect.com as the Address (note the s in https) then Next.

5. After the address has been verified, you will be prompted to enter the Citrix Receiver credentials (username, password, domain) that were sent in the email you received when activating your account then press Save. These credentials are different from your Neehr Perfect log-in credentials. If you cannot locate the credentials, please contact the Help Desk.


6. Select the HITECH EHR icon and enter your Username and Password.

a. Important! The period key (.) on the numerical keyboard of the iPad DOES NOT work

for Username/Password fields. If your credentials contain a period (.), you must use the period key in the alphabet keyboard.

b. A font size of 8pt is recommended for optimal viewing of the EHR on an iPad. The font size can be changed in the Edit Menu within the EHR under Preferences|Font Size

7. The Student Resource Network can be accessed by opening your web browser and going to www.neehrperfect.com. Select Student Resource Network from the drop-down menu in the Member Sign-in section and enter the Username and Password that you received by email when activating your Neehr Perfect account.


Troubleshooting and FAQs

The following are questions/statements heard frequently by the Help Desk. Please keep this

document stored so that you may reference it in the future (its also located in the Student Resource

Network).

1. I get an error message when trying to install the plugin: If youre using a PC, try using Internet

Explorer (IE) to initially log-in and install the plugin. Once youre able to log-in with IE, youll

likely be able to use your preferred browser successfully. If youre using a Mac, try Safari.

Additional instructions are provided in the previous section. Otherwise, contact the Help Desk.

2. I forgot my credentials: Go to the Forgot Electronic Signature? link under the Member Sign-in

section at www.neehrperfect.com. After completing the web form, youll receive your

credentials by email immediately. See Page 7.

3. My credentials arent working: If youre copying and pasting your credentials from your email

or another document, occasionally an extra space gets incorporated at the end of one or more

of your credentials. The system views this as an incorrect entry.

4. The EHR keeps closing: There are two main reasons your EHR session may close unexpectedly:

1) The internet connection was disrupted. The EHR requires a stable internet connection to stay

active. 2) You have exceeded the 30 minute inactivity limit. A warning will appear when 45

seconds are remaining before the EHR closes. Please review the guide called Saving, Timing-

out, and Logging-out FAQs in the Student Resource Network for additional information and

suggestions.

5. When I select a note, nothing is there: This may happen the first time you use a note because

the template needs to be enlarged. Place your curser at the bottom right corner of the small

box. A double arrow will appear. Click and drag the box to resize the window. Other windows

within the EHR may need to be resized as well.

Drag the arrow down and out a

centimeter at a time, extending it

further as you get the template

larger.

Drag the arrow down and out a

centimeter at a time, extending it

further as you get the template

larger.

Student Guide to Neehr Perfect HITECH v2

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