1. Horizon Physician Portal Training Guide
13.0.7.8
For assistance please call the Help Desk at 561-955-4037
Telephone support is available during normal business hours, to resolve access questions, establish, change or remove
physician or staff users; and arrange training. After hours, technical support is available for resolving password issues and
access problems only.
Support is not provided on setting up or maintaining a connection to the Internet from your home or office.
Your personal home computer is not supported. Any issues with your hardware or connectivity should be resolved by your
equipment vendor and/or Internet Service Provider (ISP) prior to calling the hospital Help Desk.
2. Disclaimer
The BRRH Physician Portal is a web portal designed to provide a single point of access to information, tools and services,
specifically for the needs of physicians, clinical professionals and staff at Boca Raton Regional Hospital.
BRRH Physician Portal is a private, secure network available only to authorized users. All users must register to receive
a personal username and password, issued by Boca Raton Regional Hospital.
You assume full responsibility for using the information on the portal, and you understand and agree that BRRH and its
affiliates are not responsible or liable for any claim, loss, or damage resulting from its use by you or any user. While we try
to keep the information on BRRH Physician Portal as accurate as possible, we disclaim any warranty concerning its
accuracy, timeliness, and completeness, and any other warranty, express or implied, including warranties of
merchantability or fitness for a particular purpose. BRRH also does not warrant that access to the portal will be error or
virus-free.
By choosing to use BRRH Physician Portal you acknowledge and agree to the terms of this Disclaimer. We reserve the
right to modify these terms and policies at any time.
Unless otherwise noted, all documents accessed from this portal are viewed as a precious resource of BRRH and are
Copyright, Boca Raton Regional Hospital, all rights reserved. Use of any data or other materials accessed from the portal
without the permission of BRRH may result in action being taken against offenders.
What will be covered in this training guide:
How to Sign In to the Portal from within the BRRH network Page 3
How to Sign Into the Portal from outside the BRRH network Page 5
Clinical Navigation (how to move from patient to patient Page 7
What Services are available throughout the Portal Page 10
How to view / print results Page 11
How to view images - PACS Page 13
How to view another physicians Census / Coverage Page 18
How to personalize your Census Page 19
Summary View Page 22
How to add a patient to your Census (Physician Only) Page 23
How to Change My Password Page 24
Deficiency Worklist - Signing Your Records Page 25
How to Change Your PIN Page 27
How to adjust font size when printing results Page 28
How to Log Out from the Portal Page 29
Optimum Equipment Specifications Page 30
3. How to Sign into the Portal from within the BRCH network. From the BRRH Intranet Home Page
select Physicians/ Physician Portal:
4. You will be presented with the Portal login screen:
Enter your Username and Password
If you do not have a valid username and
password, please call the help desk at 4235
for assistance.
Password Tips can be found on page 24
Clinical view presented after login authentication:
5. Physician view presented after authentication:
You are now ready to view/print your patient’s records:
How to Sign into the Portal from outside the BRRH network: From www.brrh.com
How to access the Secure Gateway
Select the key image from the top of the page or Open a browser and enter the following URL:
https://portal.brrh.com
6. You will be presented with the login page as displayed below:
Physician Access Authentication Group
Select “1_Physician_Access” from the drop down box and log in using your
Network User ID (nUID).
7. The following page will appear:
Enter your Network User ID (nUID) in the USERNAME box and the associated password in the
PASSWORD box as shown above. Click the Login button
The following page will appear:
Select the Physician’s Portal link as shown above and click on it to open the application.
8. You will be presented with the Portal login screen:
Enter your Username and Password
Physician view presented after authentication:
You are now ready to view/print your patient’s records:
9. Clinical Navigation:
To navigate from patient to patient through ought the Portal, click on the Clinical Navigation Button or
the Clinical Navigation Drop-Down box.
The Clinical Navigation Button allows you to proceed to the next patient on your Census in room
order. You can move forward to the next patient or back to the previous patient.
The Clinical Navigation Drop-Down box will display all your current Census patients in a drop-down
box, where you can select any of your patients by name and room number.
10. Clinical Results Display:
After selecting a patient from the Clinical Navigation Button or the Clinical Navigation Drop-Down box,
the Result Viewer will populate with the current (30days) clinical results. If you wish to see results that
are older than thirty days, enter the number of day’s back you wish to view into the Days Back box
and click Refresh or press Enter.
To view an individual result, click on that item. If you wish to view multiple results, put a check in the
check box at the beginning of the result table and select Show Selected Results. You may view ALL
results for this patient by clicking Show All Results.
Results can be sorted to your liking. If you click on the title Item from the results table, the results will
be sorted alphabetically by Item Name. You can reverse the alpha sort by clicking on the triangle that
will appear once you select a sort option. You may sort by RsltLvl (result Level), Collected Date, Item
Name or Status.
If you would like to view any transcribed medical records, they can be found by selecting the
Transcription tab.
11. Result Tags:
All results have a result level tag (Icon) associated with it. These tags are labels that signify; by color
that the user has viewed the result and that the result value is within a specific range.
Icon Meaning
New result that you have not yet viewed (green icon)
New result that you have viewed
STAT or Abnormal result that you have not yet viewed (yellow icon)
STAT or Abnormal result that you have viewed
Panic-status result that you have not yet viewed (red icon)
Panic-status result that you have viewed
Portal Navigation:
12. From the Navigation link tabs, you may link to specific patient data
throughout the portal.
Tab Name Services
Census View all patients currently assigned to you. You may
also view all patients assigned to your group or those
that you are covering.
Deficiency Edit and sign your dictated documents at this location.
Clin Doc Clinical documentation such as Vitals and I&O
Clinical History View documented Clinical patient responses
Doc View Assessment data and Nurses Notes
Meds Given Complete listing of all medications ordered for
Inpatients. Page also contains links to drug search
utilities with many features including patient handouts.
ECG ECG strip and findings are presented
Facesheet Complete guarantor and insurance coverage for your
patients listed on the current Census page.
Medical Complete listing of all electronic Medical Records for
Records all Inpatients and Outpatients. All Medical Record
information is not printable. Records are currently
being scanned into the system at discharge.
Results Complete listing of current results for your patients
listed on the Census page. You may search for a result
by a selected department. You will also find an image
link to radiology images at this location.
Summary Pick from a 24, 48 or 72 hour time frame and then
chose which results you would like to view and in what
order. This page also includes the Report Builder tool
that generates a current Progress Note template.
Transcription Listing of transcribed reports, which include, H&P, Op
Notes, Consult Notes, ED Documentation and
Discharge Summary.
Orders Complete listing of current orders for your patients
listed on the current Census page.
Patient Locator Master Patient Index, searchable database of all
BRRH patients’ results. The Station Census, which
allows you, access to all current (In-House) patients.
The BRRH Physician Directory, which includes current
name, address, phone, fax and NPI numbers. This is
also where you can change your coverage to put
another physician’s patient on your Census and Walk
Order Report.
13. Printing Patient Results:
Once any patient result is displayed, you can print that result by selecting the printer icon that is
located to the far right on the module title bar. Select the printer icon and an additional printer friendly
window will be presented.
Select print from within the printer friendly new window and the result will be sent to the local printer.
This printout will be formatted to fit on the page with the patients name and number of pages labeled
clearly.
14. Viewing Results:
Once you have selected your result, it is presented in the Result Viewer. You may print this result by
clicking on the printer icon.
From the Result Viewer you can return to your original listing of results for this patient by selecting the
Results List link. If you would like to compare the last five test results for this test, click on the
Check 5 Across Tests link.
Check 5 Across Tests will display the last five (if available) results with each component listed by
collection date and time. A graphic representation of each component is also presented.
15. Physician Portal CM Results Viewer with available PACS Images Link
An icon will appear in the
Links column for all studies
with archived digital images.
From the Portal CM Results
Viewer select the procedure
ordered to view the Report
detail. You may also select the
Image icon associated with
that result to view the image.
Physician Portal CM Results Viewer Report detail with available PACS Images Link
16. Once the selected report is
displayed you will see the
View Image link presented
for the image that is
associated with that report.
Click the View Image link to
display the image.
The image will display in an alternate window. Click the Studies drop down to display additional
studies for this patient. Click Return to exit from this study.
17. To launch a higher resolution viewer (HRSD) select the Launch Imaging Tools link
19. Once the install is complete you will be presented with the high resolution image that you selected.
20. Coverage: To view another physicians Census
If you would like to view the Census of another physician, you will need to select that physician from
the Physician Directory and add yourself as Covering. The Physician Directory is located on the
Patient Locate tab.
21. From the Physician Directory, enter the physician name or number, whose census you would like
to view. Be sure to click on Staff or you will be searching for physicians both on staff and not on staff.
Click Search. You will be presented with a listing of physicians with that name.
Once the Physician Directory module has presented you with the physician who’s Census you would
like to access, check the box in the Support column. If another physician is already covering that
physician it will be noted with a C. Multiple coverage is common.
When you return to your Census, you will note that the physician that you chose to cover for has now
been added to your Census Type Drop-Down box. To view the covered physicians Census, select the
covered physicians name and click the Get Worklist button. The covering option will remain in your
Census Type Drop-Down box until you remove the check that you added on the Physicians Directory.
As a physician user of the Horizon Physicians Portal, you have the ability to customize your view. You
can move the portal content as well as personalize your census view.
22. To personalize your census selection, click the EDIT button on the Working Patient List module bar.
Select the display format you wish to keep as a system default when your census is displayed. You
may choose to view your census by Group, Covering, All Groups and Covering or for any
individual on your listing.
Make your selection and click Save. Your census will now display as you have selected.
Personalize your Walk Order Report:
To personalize your Walk Order Report or move any content on the Census page click the EDIT
button on the Working Patient List module. Once you save your changes, your census will retain the
look that you select. You may modify either your Walk Order Report or your Census at any time.
23. The Personalize page is displayed:
To modify which type of Census Report you wish to display on the Census tab, you may chose from
group, covering or group and covering.
To modify which type of Walk Order Report for which patients are printed, make your selections from
the drop down boxes and click the Save button.
To move the display columns or change the names of any column on the Census page, simply select
the title from the Displayed Fields listing and click the respective arrows to either move the item up or
down the page. You may also rename any column by typing in your desired preference in the
Displayed Name box once your column title is selected. If you change the column name to something
large, you may push your Census display off the display page. Click the Save button to save your
changes.
If you wish to add or remove a column from your Census page, select the name that you wish to add
or remove and click on the respective arrows. Removing an item from the Displayed Fields listing will
move it to the Available Fields listing. You can always modify your selection.
24. Summary Viewer
The Summary Viewer is presented after
selecting the Summary tab from the
Portal Navigation Tool Bar.
Results are displayed for any procedures
selected for the time selected.
You can lock down your personal preferences by selecting the EDIT button of the Summary Viewer.
Make your selections from the list
provided. You can chose a time frame and
which results you would like displayed for
that time frame. You may also select
which order those results display on the
page.
You should also note that the Report (CM Report) builder tool is also located on this page. Select the
Progress Note link to build a Progress Note template for the patient that is selected.
25. To remove a patient from your Working Patient Listing: Physicians Only
Click on the check box that precedes the patient that you wish to remove from your listing. Once you
put a check mark in the box, you will notice that the Remove button is now operational. Click the
Remove button and your listing will display but the patient that you selected is now gone. If the patient
had been discharged, this is a permanent delete. If the patent is in a room, they can be found by
searching through the Station Census that is located on the Patient Locate tab.
Adding a patient to your Working Patient Listing: Physicians Only
You can add a patient to your listing at any time. Simply locate your patient utilizing the Station
Census search on the Patient Locate tab, and put a check in the box under the Add column for the
patient you would like added. The patient will appear on your list from that point on, just like any other
patient.
26. Site Controls:
From the Site Controls drop down you can, Add Content, Change your Password or Edit Preferences.
Change Password:
If you click on the Change Password link from the Site Controls drop down, the Password box is
displayed. Once you enter your current password you will be presented with a new screen where you
can change your account information.
Password Tips:
Password must consist of only alphanumeric characters.
Password must start with a letter.
Minimum password length is three characters.
Password may not be the same as your username.
Passwords are case sensitive, so be sure to be aware of the caps lock when entering a new
password.
You will be required to change your password every six months.
Please call the Help Desk at 4235 if you need assistance.
27. Deficiency Worklist – Signing Medical Records Electronically
From the Deficiency worklist, select which documents you would like to sign by putting a check in the
box associated with that document and select Process. If you would like to sign all the documents on
your worklist select Process All.
You will be prompted to enter your PIN.
28. After entering the PIN, the first document from the worklist will be presented. To sign the document,
click the sigh document button. If the document consists of multiple pages, you will need to view each
page before the sign document button will display a red box. Once the red box is present, you may
sign the document. You can edit the document at any time prior to signing.
29. Changing you PIN:
To change your PIN on the Deficiency Worklist, select the EDIT button from the module.
You will be presented with the Personalize Deficiency Worklist Module options. Enter your current
PIN, New PIN (twice) and select SAVE.
30. How to adjust the font size of printed reports:
Select View/ Test Size/ Size: From the browser toolbar. This will allow you to increase or decrease
the font size presented and printed.
Print result by clicking on the printer icon, which is located at the top/right corner of each result.
31. How to Log Out from the Portal:
Clicking on the Log Out option will log you out of the Portal. This prevents
others from accessing records using your sign on. As a further precaution, you
will be automatically disconnected after 15 minutes of inactivity on the system.
The Suspend option will inactivate your login, temporarily. To reactivate, enter
your password.
It is essential that when you are done that you click on “Logout”.
This is a privacy issue mandated by both JCAHO and HIPAA.
32. Optimum Equipment Specifications
For Physician Offices
Browser technology impacts user performance
Older browsers may introduce many seconds of delay
New browsers have better support for printing
Required Microsoft Internet Explorer 6.0 and above
PC hardware can also impact performance
Slower processors can severely impact perceived performance (seconds of delay)
Recommend a 600Mhz Pentium or equivalent with Windows XP Professional or Windows
2000
Printer requirements
A laser-jet printer is required for formatted output printing (logos and graphics)
Recommend an HP LaserJet 5i or better
Internet ISP connection type can impact performance
Best performance provided via broadband (DSL, Cable)
Internet Service Providers will offer widely varying performance
Top tier ISPs like Bell South & Comcast offer better performance and support for end users
Solution is not limited to single ISP
For those Doctor’s office’s participating in the Horizon Physician Portal, Boca Raton
Community Hospital makes the following recommendations.
SYSTEM BACKUPS:
If you are not currently backing up your systems, we strongly urge you to do so. Backups should be a
routine function for any system
ANTI VIRUS SOFTWARE: (Required)
Internet connectivity is required in order to connect to Horizon Physician Portal. If you already have
virus protection software, such as Symantec’s Norton Anti-Virus or Mcafee’s Virus Scan, be sure to
periodically get your updates from the vendor. This can be accomplished through the Internet. These
products also have a setting to remind you to get your updates online. Boca Raton Community
Hospital for example updates three times a week.
