The code block below illustrates how one might use # and // as comments in your logic and calculations.

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The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

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This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

HJQPfwm92VUXGYW5y8EzBXP7a8RqJauYmnCGL6shCLNwXk6Wdrx65HbNQJWBPwKtTNcybajsAozSDagmI9zWcjRv5FCv3bxwSGtC248

Non-Provider Training Request

Please complete the information below.

Thank you!

Reason for training request

* must provide value

New Hire / Transfer /Return from leave/ Role change (requiring Epic training)

Additional Training for a current associate who had previous Epic training

Additional Training for a department (not for individual associate)

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What was associate's previous role and unit/site?

* must provide value

Please describe the need for additional training for a department - including department information

* must provide value

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Please describe the need for the Credentialed trainer - include specifications about the project or issue

* must provide value

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Manager/Supervisor Name

* must provide value

Name of associate/leader/provider for slicer / dicer training

* must provide value

Name of associate/leader/provider for BCMA training

* must provide value

Department / clinic

Manager/Supervisor contact number

* must provide value

Manager/Supervisor e-mail address

* must provide value

Requestor Name (Fill in ONLY if different than Manager Name)

Requestor e-mail

* must provide value

Additional AMG leader e-mail address - if applicable

Associate Name

* must provide value

Associate's phone number - include area code

* must provide value

Associate's e-mail address

* must provide value

Associate Job title / role

* must provide value

Specify other title / role

* must provide value

Job title / role

* must provide value

Start / Transfer Date

* must provide value

M-D-Y

Hospital/ Site

Note: Select appropriate AMG clinic-Milwaukee or AMG clinic-Racine for ALL physician office associates. Acute care facilities and Outpatient sites are to be used for NON-AMG associates.

* must provide value

AMG clinic- Milwaukee area

AMG clinic- Racine area

AMG clinic - Fox Valley area

All Saints Hospital - Spring St

All Saints Hospital- Wisconsin Avenue

Calumet Medical Center

Columbia St Mary's Hospital- Milwaukee

Columbia St Mary's Hospital - Ozaukee

Elmbrook Memorial Hospital

Franklin Hospital/MOSH

MOSH FRK/Brookfield (non-AMG)-Clinical associate

MOSH FRK/Brookfield (non -AMG) - clerical/ scheduling associate

Mercy Medical Center

Orthopedic Surgery Center - Fox Valley

St. Elizabeth's Hospital

St. Francis Hospital

St. Joseph Hospital

Wauwatosa Outpatient Center (Non-AMG depts)

Outpatient site (non-AMG) - clerical / scheduling associate

Outpatient site (non-AMG) - Clinical associate

Other

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Select type of Slicer Dicer class

Ambulatory, Radiology, and Oncology documentation

Acute care nursing and ancillary departments documentation

Revenue cycle / billing

Miscellaneous / Undefined

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Select Slicer Dicer class date / time

* must provide value

Select BCMA class date / time

* must provide value

Specify other site

* must provide value

Specify AMG office location

* must provide value

What application(s) does the associate need to be trained in?

* must provide value

ASAP (Emergency Dept)

Beacon (Oncology)

Beaker (Lab)

Cadence Scheduling Only (for clinical staff)

Cadence Scheduling and Registration (front desk staff)

Cadence Schedule Template Build (limited to a few individuals per dept)

ClinDoc (Beh Health, Care Management, Home Health and Hospice, Nursing, Nutrition, RT, PT/OT,ST, Spiritual Services)

Cogito (Basic Epic reporting, including Slicer Dicer and Reporting Workbench)

Cost Center Guardian (Hospital Billing/charges)

HIM

Optime (HOD, Pain Management, GI and OR)

Professional Billing

Radiant

Cupid

Stork

Willow

If Behavioral Health or Therapy, does associate need training for:

(do not make selection if not applicable)

Inpatient

Outpatient

Both Inpatient and Outpatient

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What Epic application(s) does the associate need to be trained in?

Tips for AMG below:

For RNs, LPN's, & MA's select Ambulatory, Cadence-Scheduling only, AND POC (these roles should not select any Beaker classes)

For Front Desk, select Revenue Cycle Clerical and Cash Drawer.

For Leaders, select classes as desired.

* must provide value

Ambulatory

Beacon (Oncology)

Beaker (Lab)

Cadence Scheduling Only

Point of Care (POC)

Radiant (Radiology)

Revenue Cycle Clerical and Cash Drawer

Cadence Template Builder (only for identified associates that will perform this role)

Cogito (basic Epic reporting, including Slicer Dicer and Reporting Workbench)

What Beaker Class(es) does the associate need to be trained in?

(If selecting Med Technologist, please indicate in the comments if that tech also needs blood bank and/or micro)

***The Beaker Clinic Lab class for clinic phlebotomists and lab techs is not being offered at this time. Please do not sign them up for other Beaker classes as a substitute.

* must provide value

Lab Assistant / Transcriptionist

Lab Processor

Med Technologist

Phlebotomy (LabCorp lab associates only)

Outpatient Testing

Client Services

Pathologist Assistant

Histotechnologist

Cytotechnologist

Select Cadence -Scheduling Only class date (8 hour class)

* must provide value

Select Template Builder Class (4 hour class + 4 hour worktime)

Associates should attend a Scheduling Class prior to the Template Builder Class.

* must provide value

Select Radiant Scheduling Template Training

* must provide value

Select Cupid Scheduling Template Training

* must provide value

Select Radiant or Cupid Open Lab times

Select Ambulatory slicer dicer class

(includes Physician office documentation and Radiology and Oncology departments)

* must provide value

Select Acute care slicer dicer class, Includes documentation in Nursing and Ancillary Departments

* must provide value

Individual / Unscheduled Slicer Dicer Training (Internal use only)

* must provide value

M-D-Y

Select Revenue cycle slicer dicer class

* must provide value

TRAINER: Was the Cadence class date updated?

Yes

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Select Ambulatory class date (8 hour class)

* must provide value

TRAINER: Was the ambulatory class date updated?

Yes

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Select Revenue Cycle Clerical (Schegistration) classes

**NOTE: Effective Jan 2024, the Fox Valley classes will include Cash Drawer training-no additional sign up for Cash Drawer will be needed.

The Milwauee and Racine classes will continue to be two part and require sign up for Cash Drawer training.

* must provide value

Select Cash Drawer class to follow Schegistration class.

**NOTE: Effective Jan 2024, the Fox Valley Schegistration classes will include Cash Drawer training-no additional sign up for Cash Drawer will be needed.

The Milwauee and Racine classes will continue to be two part and require sign up for Cash Drawer training.

* must provide value

TRAINER: Was the Rev Cycle or Cash Drawer class date updated?

Yes

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Select POC class date

Please note: for Racine associates, please select an All Saints option.

For Milwaukee - Legacy Wheaton associates, please select a St. Francis option.

For Milwaukee or Ozaukee - Legacy CSM associates, please select a CSM-M option.

Note: the class end time is approximate, as the amount of training may vary based on the associate's role and level of experience.

* must provide value

Select Phlebotomy class date (class is 08:00 - 16:00).

This is ONLY FOR MILWAUKEE MAs and RNs (with phlebotomy experience) who will perform phlebotomy at least twice weekly.

note: the class is held in the AW Training Center - 8th floor of St. Joseph's Hospital

You MUST receive notification and approval from Lab Education before sending your associate to the class

TRAINER: Was the POC class date updated?

Yes

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TRAINER: Was the Phlebotomy class date updated?

Yes

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Please provide information why additional training is being requested, including timeline

* must provide value

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If associate has a dual role (> 1 job description), what are the roles or areas covered?

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Please describe your Epic report needs

* must provide value

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Please select a service location. (multiple locations can be selected)

* must provide value

AMG

Acute Care

Other

Please provide possible training dates & times

* must provide value

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Does the associate have previous Epic experience?

* must provide value

Yes

Unknown

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Please provide information regarding scheduling restrictions or special needs.

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