Epic Haiku & Limerick Reviews

Haiku is the platform I use the most to interact with my institution’s EMR especially on the inpatient side. My rounding starts with it, and most of my work is done from Haiku, reviewing recent vitals, labs, putting orders, adjusting meds, etc.. I also start my notes using the in-app dictation feature right after I see a patient and even do my billing from Haiku but unfortunately I cannot finish my notes in Haiku because of the lack of smart links that are routinely used in notes (meds, vitals, labs, I/O) to be able to properly bill. Without smart links in Haiku one have to go to the desktop at the end of the day to finish notes. To improve rounding efficiency smart links have to be added to haiku note writing. ALL providers use their phone haiku apps to round, I have rarely seen any use canto on iPad and thus more improvements and development should be done on Haiku.

This is the rare app that seems to be getting worse with time. I am okay with the extremely limited functionality. What bothers me is that logging in is becoming increasingly difficult. There is no support for Face ID or Touch ID. Even when you use one of these features to access your list of saved passwords, it will not pull up the account information for EpicHaikuLimerick at the top of the list as virtually every other app does. This means you have to search for it manually from your entire list of accounts. Even once you select the correct one, it frequently fails to actually input the password. This often leads to having to manually type it in, one character at a time, after several failed attempts to have it auto filled.

This is a useful adjunct to the desktop version, though obviously has limitations in capabilities. I use it mostly for the photo documentation feature which makes it very easy to add pics - though some fail to load (but adding any pics to cerner is so tedious no one bothers learning how); to quickly check labs and imaging reads, and now to actually look at images which is a game changer. Also nice to be able to add orders without getting out my laptop while on call (process is kinda slow but oh well). The cerner equivalent is literally the desktop OS but on your tiny screen- impossible to navigate.

Unsure how to give direct developer feedback so just rated 1 Star for attention. Sorry 1. Would be extremely helpful to have an easier way to access vital signs for patients who are currently admitted to hospital. Currently requires diving through multiple screens through encounters to get most recent vitals. But no way to trend them. If I get a call at 2am that a patient has abnormal vitals, I’d like to be able to quickly see a trend.

Setting alerts for labs. In Epic on the computer I can enable an alert for when a result I’m waiting for is available. The alert comes through the Haiku app. This feature is amazing. However, why can’t I enable results through the Haiku app? If my resident ordered the test for my patient, I’d like to be able to quickly enable the lab-specific alert from within Haiku as well.

Update:
Still highly limited app. Can not view handoffs which contradicts the goal of being a paperless system. Also does not show certain notes written including “significant event” notes which are usually extremely important documentation of a recent emergent event. Wish they reviewed all these comments and attempted to make adjustments to EpicHaikuLimerick but I have yet to notice any evidence of improvement based on user feedback.

EpicHaikuLimerick has very limited utility from a clinical perspective. You cannot review the medication administration history to determine if and when meds were recently given. You also cannot see the handoffs for the patients (let alone modify them) which in my opinion would be one of the most obvious and important functions to have on an EMR phone application.

Also, face/fingerprint identification frequently is “unavailable” and requires you to manual put in your password. I have not figured out what causes this to happen. Doesn’t seem to be based on the type of internet connection and doesn’t seem to be based on how long it has been since you last signed into EpicHaikuLimerick .

Haiku could be a primary way to draft notes on rounds and clinic but it functions more as an afterthought as opposed to a primary resource. It is the best potential pathway to add dictated content to Epic. Almost all notes in Epic desktop are templated and pull data into the note. That Haiku does not allow creating templated notes is unacceptable. Look at other EMR vendors apps. Creating a dictated final form note is easy in at least one major vendors app and has lead to rapid adoption by more than half of the providers at one of our hospitals. Almost nobody uses Haiku to create notes in our Epic based hospitals. Make Haiku shine like Epic desktop and you will vastly amplify the utility and desirability of Epic in general.

Update. Version 5.4 was supposed to fix Siri dictation in the keyboard, but EpicHaikuLimerick still crashes like crazy. I was so hopeful that this would get EpicHaikuLimerick to a usable stay, but is now pretty unusable.

Newest version of EpicHaikuLimerick looks pretty, but it is getting more unusable. In iOS 11 Siri dictation causes EpicHaikuLimerick to crash all the time. Epic claims that we should not be using Siri dictation because it is not hippa compliant however even sending messages to staff, when you don’t dictate in any patient indentifying information EpicHaikuLimerick freezes and makes EpicHaikuLimerick very difficult to use. Entire benefit of the phone and EpicHaikuLimerick is to get work done with those little typing as possible. I should be able to forward a message that says “call patient and inform results normal “ or “please call the office for an appointment “ from EpicHaikuLimerick using Siri without it crashing

Also sending patient messages always autoadances to the next before you can mark the Messages as done which is really annoying. You have to double your work by reviewing all your messages a second time in order to clear finish messages from your inbox.

This makes EpicHaikuLimerick so awkward to use.

Epic is the best EHR I’ve used (and I’ve used a few). I assumed EpicHaikuLimerick was comparable to the desktop model.
It doesn’t make sense that EpicHaikuLimerick does not allow for templates which is one of Epic’s strong features. I downloaded EpicHaikuLimerick thinking it would help me document part of the History and Physical’s template in real time and place orders while I’m with the patient. Unfortunately none of that is possible. If EpicHaikuLimerick cannot be comparable to the desktop model like most other apps out there (banks and credit card companies for example)what’s the point of having it. At least call it Epic supplement or something that would not get users’ hopes up.
Bottom line, EpicHaikuLimerick has nothing to do with Epic. This really needs to be fixed or just remove EpicHaikuLimerick . Mediocre should not be an option for Epic.

EpicHaikuLimerick is constantly kicking me off the network (and no it’s not my network). We all have the same problem. It should also be easier to delete old conversations. As it is they remain forever unless you “leave the conversation” in which case it notifies everyone that you’re leaving which is annoying and wastes others’ time & attention.

I was so excited to use EpicHaikuLimerick as I find the emr product using a desktop quite helpful and user friendly. How Epic can have such a good and widely used EMR yet offer such a woefully inadequate experience as Haiku or Canto is beyond me. All I really want to use these apps for is document review/co-signature. I spend a lot of my “downtime” reviewing notes from consults/admissions, etc...but what I really want this for is to review and co-sign notes from nurse practitioners/physician assistants on the fly without having to log into a computer. Please bring this functionality, which every other emr has provided through a mobile app, SOON.

A huge disappointment given this is the most comprehensive electronica medical record system available. One cannot edit or sign a previously started note in Haiku. Therefore you can only dictate a note if you start a new one. This particular feature is a critical one and makes EpicHaikuLimerick terribly inadequate and frankly useless when you consider the importance of being able to edit and sign off on notes that are started in the exam room. The whole point is to make closing charts easier and EpicHaikuLimerick does not allow you to do that
all it does is give you more ways of being notified when you’re not at work to your inbox

The iPhone 6 uses iOS 12.5.4. Because the Haiku “update” requires iOS 13, Epic just made patient care much worse as Haiku is used every day to take patient photos. iOS 12.5.4 should be supported until the new iPhone is available, not a month before the release date. iPhone 6 owners are now forced to purchase new phones in order to do our jobs. I was told when I called Epic a few months ago the iPhone 6 would be supported until August 2022. Thanks Epic for making an otherwise great phone obsolete, particularly when the new iPhone isn’t yet available.

In our day of age most of us have a smart phone that we use for just about everything possible. Furthermore most clinicians are constantly on the move and work on the move. You would think that getting Epic on the phone right would be a top priority. But this is not the case. Since this garbage app was released very few things have changed and almost no new features were added. The iPad version of epic is decent but again my phone is always on my pocket and not the tablet. Please focus on the development of EpicHaikuLimerick bc using epic on the phone is very important for the modern clinician.

Unacceptable product from a world-class EMR like Epic. Can’t believe they haven’t put more work into this. EpicHaikuLimerick tells you more about what it CAN’T do than what it can do (which is very little). People are typically using Haiku because they don’t have a readily available workstation, yet all it does half the time is tell you to go to a workstation to see/do what you need! Lack of EPCS capability is also outrageous. EpicHaikuLimerick was a huge mood killer to discover during our highly anticipated Epic go-live. I can only hope it improves substantially in the very near future.

I have used Haiko for the good part of a year.
I am in the move a lot around the hospital and it helps to quickly check a lab or someone else's notes as these things change constantly.

Two issues for me are areas of improvement.
I am not able to view all notes and sometimes that is frustrating.
Other is I am unable to look up ahead schedule on status board all I have is today's board. And A lot of time I wanna see if a patient's procedure has been scheduled and what time like next week.
I would be super valuable if we can dictate or addend notes using Haiko as I think it should be easy to make use of the phones keyboard and it will save valuable time and add usability of EpicHaikuLimerick .

It’s actually not half bad, but what the actual hell, why isn’t vitals easier to assess. That’s such an easy fix that will make EpicHaikuLimerick so much more useful. All we have right now is the last vitals, after clicking encounters, then scrolling down to open a pop up menu for only recent vitals. A really substantial improvement would be to assess the vitals easier and quicker with not just last vitals but a the trend. Thank you!

Well, I hate Epic, and I can go on a rant about all the things I hate about it, and Haiku is no different. It can be better in some ways. Nonetheless, I am grateful to have Haiku. It makes rounding easier, looking up recent results while talking to patients, and uploading photos of lab reports and physical findings in the record. Unbeatable!

EpicHaikuLimerick is (slowly) improving. I can do simple orders, review most labs, and easily launch Doximity for tele visits.

Our hospital has abandoned pagers for Epic’s secure chat, which is where Haiku is letting us down. Epic needs a way to prioritize messages (i.e., wake me up for the critical question, but not when someone replies “Thanks!”) and I need to be able to tell Haiku to play a much louder sound for those high priority messages in case I’m asleep.

As a medical resident, I can present right off of my iPhone to attending which is good, that’s is the future of medicine ... however The security is a bit overboard with having to type in my system password so frequently, why have facial recognition software if it doesn’t work, I mean it doesn’t work now with these masks but I digress. It would also be good to use emojis in the chat with others.

I have to log into my phone. Then I have to log into my haiku. It’s the same login. I’m still the same person. This hasn’t changed in the last 3 seconds between logging into my phone and clicking EpicHaikuLimerick .
Also, sometimes EpicHaikuLimerick logs me out completely and requires me to re-enter my organizational password instead of just using the face login. Why. How does this help anyone.
Also, do you guys understand that we work more than 24 hours at a time?

I like that I can access some information about my patients without always going to a computer. That being said, not all data is available so I often still need a computer to find what I need.

I would also like to be able to place orders for inpatients on EpicHaikuLimerick , but that functionality doesn’t exist.

Also, there is no support for the iPhone X display, so it doesn’t fill my entire screen.

Overall, considering how much hospitals pay Epic for its software, EpicHaikuLimerick should be substantially better. Lack of quality is likely a direct consequence of the absence of serious competition in the EHR field.

I have been using Haiku and Canto for months now, but the limerick app never seems to show up on my Apple Watch. Am I doing something wrong?

That said, Haiku is super handy for looking up labs and X-ray studies but as of this writing has no ability to write notes or for order entry. I understand some limited CPOE is coming, but for my most common orders - admissions and discharges, Haiku (and I believe Canto, too) - mobile apps are a no go.

I think the most frustrating thing is that the Touch ID works probably 25% of the time. They have not fixed it, despite multiple updates.

Also, the In Basket part is confusing and hard to use correctly. It’s simply easier to find a computer, log in, and respond to In Basket messages and results that way.

So EpicHaikuLimerick serves the purpose of being able to make quick notes and look up simple labs or upload clinical media eg pictures and consents. However, it has problem with glitches and requiring frequent updates where you end up having to uninstall and re-install to get it to work.

It’s not OK to remind me that I have push notifications disabled every time I open EpicHaikuLimerick .

I know I have push notifications disabled.

I never enabled them.

Worse is that if notifications are disabled, EpicHaikuLimerick presents a modal dialog that can only be dismissed by tapping one of two buttons: return to settings, or remind me tomorrow.

So I get this reminder daily since I refuse to ever enable push notifications.

Absolutely ridiculous and disrespectful to your users.

Apple should not have allowed this version to be approved in EpicHaikuLimerick Store.

Epic needs to fix this immediately. You might think it’s a feature, but it’s an absolute usability bug.

EpicHaikuLimerick freezes and crashes every time you use the microphone in the note entry area. I would use EpicHaikuLimerick much more if this didn’t happen.

Would like to see more ability to view vitals and results on inpatients. Would like something similar to the chart review area of the desktop version.

The functionality in EpicHaikuLimerick is really helpful, but it hardly ever lets me log in. I commonly get “you have no available jobs” or another error message. The touchID feature is also nice, but again frequently does not work. Please fix these for the iPhone!