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Frequently Asked Questions

General Questions

Using Children's Care Gateway

Using CIS View

Using PACS Web

Access to Patient Records

General Questions

What is Children's Care Gateway?

Children's Care Gateway is a portal to real time clinical information at Children's Hospital. You can access information about your patients and those associated with other providers in your practice. The applications accessible via the gateway are available from any location with Internet access. Access is available to providers and designated staff in your practice.

Children's Care Gateway currently includes:

  • CIS View — allows access to Children's Clinical Information System
  • PACS Web — allows access to Children's digital radiology images and results

What is CIS View?

CIS View is a web-based application that allows referring providers to review their patients' health records including visit information, clinical data, laboratory and imaging results, documents and reports.

What is PACS Web?

PACS Web is a web-based application used to view digital radiology images at Children's. It allows you to pull up your patient's exams on your computer monitor within minutes after they are completed.

What will we be able to see and do?

With Children's Care Gateway providers and their staff can review a patient's electronic medical record, including:

  • Select clinical notes
  • Laboratory results
  • Radiology results
  • Radiology images
  • Microbiology results
  • Diagnostic studies
  • Medication lists
  • Future tests
  • Vital signs and measurements
  • Patient demographics

In addition, documents can be printed and placed into your practice's medical record.

Both CIS View and PACS Web are view-only tools. Users will be unable to modify documents or other information, place orders or communicate with Children's providers via this tool. No information within PACS Web can be printed or exported to other applications.

Is Children's Care Gateway only available to providers?

CIS View is also available to designated office staff members. PACS Web is only accessible to providers.

Will I still have access to CIS?

If you currently have access to CIS, this will not be revoked.

Using Children's Care Gateway

How do I get access?

To obtain access, your practice needs to sign up for Children's Care Gateway. Click on Getting Started. If your practice already has access but you need to be added to your practice group, please click on Changes to Existing Practices.

How will we be recognized as a "connected" provider?

To be a connected provider, your practice needs to be registered for for Children's Care Gateway. Practices that have not yet signed up can do so by clicking on Getting Started. In addition, providers are connected with their patients at the time of a patient registration event such as checking in or making an appointment or being admitted to the hospital.

How do we add, delete or change practice info?

Click on Changes to Existing Practice and follow the instructions.

Is the information in Children's Care Gateway printable?

All items from CIS View are printable, (although there is a known limitation in that lab results print without patient identification).

PACS Web does not support printing of reports or images.

Can the information from Children's Care Gateway be downloaded into my electronic medical record?

Certain clinical information can be electronically saved to PDF files from CIS View, which can then be loaded in some EMRs. Documentation received from CIS View, including but not limited to results, reports or notes, is not to be altered.

If I already have access to The CIS or the secure Medical Staff web site, will I be able to use the same user name and password?

You will be able to use the same user name, however these accounts are separate and password changes are not automatically synchronized.

How often will I have to renew my password?

At Children's, all passwords must be changed every 90 days.

What are the technical requirements for accessing the information at Children's Care Gateway?

Review the system requirements.

Will CIS View and PACS Web work on a Mac?

Yes, CIS View can be used on the Mac if you use Firefox. PACS Web will only work in the Windows environment since it uses Active X controls.

Where do I go if I need additional help?

Call (206) 987-1111 or e-mail Children's Service Desk and a representative will assist you.

Using CIS View

How is CIS View different from The CIS?

CIS view is a web based, view only version of The CIS. It is designed to provide access to the electronic medical records of patients to their referring providers and designated staff. CIS View can be accessed from any location with internet access without the need of specialized software. The CIS is Children's fully functional electronic health record used for both entering information (i.e. orders, lab results, clinical notes, etc) and its review. The use of the CIS is limited to the employees of Children's Hospital and its medical staff.

How do I find a patient within CIS View?

CIS View creates a patient list for you each time you logon to the application. By default, the patient list looks for all patients that have an active relationship with you, that have been seen at Children's within the past 30 days. If you need to find a patient that doesn't meet this criteria, you can modify the search parameters, however there is no "free text" searching.

What do I do if I don't see a patient's name when I log on?

First, modify your filter settings, to search for "all days." If you are still unable to find your patient, it is possible that the patient has been associated with a different provider in your group. Modify your search filters to include all members of your practice by selecting your practice name in the drop down menu in the menu bar.

There are times when patients are not associated with the correct primary care or referring provider. If after trying both the steps above you are still unable to find your patient, you will need to have your patient associated with you. Please have your patient send us a completed Authorization to Release Patient Health Information form (add link to the form) to have the association added; or have a provider with access to The CIS open the patient's record and add a relationship.

In order to protect patients' privacy, Children's has limited CIS View to only display patient information to providers that have been identified by the patient as having an active role in their ongoing medical care. Therefore CIS View uses patient lists that are based on an active provider/patient relationship. There is no patient search functionality.

What do I do if I see incorrect information in a patient's record?

Call (206) 987-1111 or e-mail Children's Help Desk and a representative will assist you.

Where can I find results for echocardiography studies?

Echocardiography studies can be found under the Diagnostic Studies tab in the navigator menu on the left.

Are immunizations given at Children's displayed in CIS View?

All medications including immunizations that have been administered or prescribed can be found within CIS View. To view immunizations, click on the Medication Orders tab in the navigator menu on the left and change your search filters to include all medications.

What notes are available in CIS View?

Any clinical notes that have been entered into The CIS are available within CIS View. These include ambulatory clinic notes, ED discharge summaries, inpatient ICU progress notes, inpatient interim and discharge summaries, operative notes, some inpatient consult notes, and telephone notes. Inpatient documentation completed on paper is not available within CIS View.

Can I see future or planned orders for a patient?

Yes. These orders can be found by first selecting the reports tab in the navigator menu on the left hand portion of the screen, clicking "Future Orders Report", and then the view button. A report of the future orders for that patient should be displayed.

Can I see future appointments for my patients?

Yes and no. Appointments that are scheduled to take place prior to October 2008, are accessible by navigating to the visits tab. Due to a planned upgrade to our patient scheduling and registration system, appointments scheduled in October 2008 and beyond are not available at this time. Once this upgrade occurs, all appointments will be available to be seen within CIS View.

Using PACS Web

How do I find my patient within PACS Web?

PACS web works slightly differently from CIS View; it requires that you search for a patient using their complete name and the year that the study took place.

Can we download the images from PACS Web and store them within our EMR or PACS system?

No.

Access to Patient Records

How is the provider-patient relationship created?

This relationship is created at the time of patient registration or referral. Patient registration can occur in multiple different times, including but not limited to: admission to the hospital, visiting the Emergency Department, checking in for a clinic appointment and having lab work or radiology tests completed. In addition, the relationship can be created when accessing a patient's record in the full CIS.

How do I get access to additional patients in my practice that are not available on my list?

Have the patient or their legal guardian fill out the Authorization to Release Patient Health Information (PDF 311KB) form.