Women’s Health Newsletter
Aug/Sept 2013
In This Edition Tips & Tricks Personalize the Tracking Board and Pregnancy Summary Headings
Did You Know Help Files in FetaLink
Maintaining Industry Awareness National Immunization Month
Tips & Tricks Manual Association of FetaLink using FIN
Cerner Healthcare Conference Client Spotlight Alaska Native
FAQ PDF Printing with FetaLink
Women’s Health Newsletter On the Cover
Tips & Tricks
Women’s Health Newest Arrival
Personalize the Tracking Board Even though Cerner has STANDARD content for the OB tracking board, one ques on that is o en asked is “Can we change anything?” The answer is…absolutely! We understand that though you like to have sugges ons as to what we have seen work for other clients, you may need to view informa on in a different order, different columns or different naming conven ons. During the implementa on of PCM, the personaliza on of the OB tracking board is one of the most favorite design sessions for the nurses!
Sofia Elisa Gomez, daughter of Patrizia Smouse and Javier Gomez, was born on July 18, 2013. She has accomplished a lot in her first month of life including being told by her dad that she will be a famous model/
Personalize your Pregnancy Summary page without making the IT team cringe! The Pregnancy Summary page is a dynamically quick way to view what is happening with your pa ent. It is customizable to suit your style. Did you know about the li le dropdown box in the upper right hand corner that allows you to personalize your view?
View Layout lets you decide whether you would like to see the different sec ons in one, two or three columns.
Drag and Drop allows you to move the components to different columns.
Expand All defaults open all sec ons quickly.
tennis super star.
Under the drop down within each sec on you can choose the color theme and whether the sec on is defaulted open or closed. The great news is that the system remembers how you want the summary page “personalized” –every me you log into a pa ent’s chart. The IT teams love this because it does not require maintenance and you get to have it “your way”!
Aug/Sept 2013
Did You Know?
Troubleshooting
Help files in FetaLink
Troubleshoot the Labor Graph This video demonstrates how to
FetaLink offers a robust Help file, which provides guidelines on how to use the applica on. If you are unsure which bu on or tool to use within FetaLink, or you wish to learn more about the applica on, select “Help Contents” from the Help menu in the FetaLink toolbar:
correct a result that is not displaying on the Labor Graph by using the ConceptMap.exe and DTAWizard inside DCPTools.exe.
Once the Help Contents opens, you will be presented with the following topic categories: Overview, Menus and Toolbars, Tips, Perspec ves and Views, Tasks, and Troubleshoo ng.
Click here to link to the video.
Troubleshoot the Extractable Birth Log This video demonstrates how to
troubleshoot results not pulling into
the extractable birth log.
Select a topic from the list to open up addi onal details.
Click here to link to the video.
Women’s Health Newsletter Did You Know
Maintaining Industry Awareness
Reporting Packages Now Available Package 66994: Inpatient Reports Reports included in this package: - Open Pregnancies by EGA-EDD - OB Activity Log - Delivery Summary - Fetal Well-Being - Extractable Birth Log Book - Prenatal Summary Genview - Labor & Delivery Summary Genview - Pregnancy Summary Genview - Newborn Discharge Information Summary
National Immunization Month Pregnancy is a great me to plan for your baby’s immuniza ons – and to make sure you have the vaccines you need to protect yourself and pass protec on from some diseases to your baby during the first few months of life. In addi on to the vaccines recommended for adults, women need to have a flu shot every year, and the Tdap vaccine to protect against whooping cough with every pregnancy. By doing so, the mother’s body creates protec ve an bodies and passes some of them to her baby before birth. These an bodies give babies some short‐term protec on against whooping cough un l they can begin building their own immunity through childhood vaccina ons. An body levels are highest about two weeks a er ge ng the vaccine. The vaccine is recommended in the third trimester, preferably between the 27th and 36th week of pregnancy, so the mother gives her baby the most protec on (an bodies).
Package 67619: Ambulatory Reports Reports included in this package: - Open Pregnancies by EGA-EDD - Fetal Well-Being - Prenatal Summary Genview - Labor & Delivery Summary Genview - Pregnancy Summary Genview
PowerChart’s Immuniza on Schedule facilitates the clinician's management of a pa ent's scheduled immuniza ons by providing the following features:
These reports will no longer be a
A predic ve schedule of all the pa ent's future immuniza ons, based on the ref‐ erence schedule for the pa ent and the pa ent's immuniza on record.
The ability to record the pa ent's refusal and refusal reason without changing the scheduled date
The ability to record a permanent or temporary contraindica on to a pending immuniza on and remove all remaining steps of the immuniza on.
The ability to record a pa ent's previously administered immuniza ons as histori‐ cal for documenta on on the pa ent's chart.
part of the Content package release. Any updates to reports will always be updated to the associated package.
Further informa on on the Immuniza on Schedule within PowerChart can be found on the reference pages. Further informa on on the recommended immuniza on schedule can be found on the CDC website.
Aug/Sept 2013
Did You Know continued
Tips & Tricks Manual association of FetaLink by using FIN To ensure that the right fetal monitoring data is saved to the right pa ent, FetaLink provides a pa ent‐to‐device associa on tool, called P2DA. Although barcode scanning is considered the op mal workflow for P2DA, there may be situa ons in which you will need to do this process manually. To ensure that the correct encounter is selected for your pa ent when searching manually, the financial number (FIN) should be used for associa on. Change the dropdown box to search FIN, type in the pa ent’s FIN and then click search at the bo om of the screen.
The following Genview Summary Smart Templates have been given a face-lift to improve readability and maintain consistency between the Women’s Health smart templates: - Prenatal Summary Genview - Labor & Delivery Summary Genview
- Pregnancy Summary Genview - Newborn Discharge Information Summary
We have moved away from the old
smart template architecture that
If the FIN is not available for your pa ent, and you search for the pa ent using another op on such as name or MRN, the first me you add an annota on or a reason for monitoring to your pa ent’s strip, you will be prompted to choose an encounter. By entering the FIN into the P2DA tool when first associa ng the pa ent, you can avoid ge ng the addi onal encounter selec on prompt.
had the prefix ki* program names and will now only be supporting the new wh* prefix program names smart templates from this point forward.
Women’s Health Newsletter Save the Date October 6th - 9th. Join us in Kansas City for the 2013 CHC conference!
Cerner Health Conference Schedule MONDAY – October 7th 10:30AM Session 428: Successful Training Strategies – From Conception to Birth. Amy Hansberry, Mindy Brancamp; Beloit Health System Carlene Henriques; Adventist West 10:30AM Session 253: The Physician Experience Playbook: One Year Later
Check out the Women’s Health-
Jeff Wall; Cerner
focused education sessions
2:15PM
offered. For more detailed
Session 218: Women’s Health Physician Benefits - “Meaningful” Use from Ambulatory to Acute
information and a printable
Christopher Morosky; The Hospital of Central Connecticut Dr. Lantzman; Alaska Native Hospital
schedule of Women’s Health events 3:30PM during CHC, visit: https:// connect.ucern.com/
Session 145: Maternal Risk Factors for Preterm Birth and the Impact on Infant Morbidity & Mortality Candace Rouse; LifeBridge Health
message/1547138
For more information around CHC and to register, visit: https:// events.ucern.com/CHC2013/
TUESDAY – October 8th 11:00AM Session 482: Two Different Paths: From Conception, Collaboration through Discharge & An Accelerated Delivery of PowerChart Maternity & FetaLink Penny Wilms, Miriam Halimi; Trinity Health Conrad Ramirez, Jaclyn McGlone; UHS, Inc. of Delaware
Aug/Sept 2013
Cerner Health Conference Schedule continued TUESDAY – October 8th 1:30PM
In The News BayCare Health System Joins With Prolacta Bioscience to Collect Donor Breast Milk
Session 343: Restructuring the Support of FetaLink (and other iBus Applications) Success Story Benji Long; University of Missouri Health Care
With this program, BayCare recruits mothers within the community who
2:45PM Session 92: Powerchart Maternity and Anesthesia: Deliver Me from Pain Kim McAdams, Angie Conner; Floyd Medical Center
have extra breast milk and who want to help make a difference. Prolacta
2:45PM
qualifies the donors to make sure
Session 221: Breast Milk Management: Providing Safety for your most fragile patients
they are healthy, and their breast
Susan Roy, Donna Miranda; Sharp HealthCare milk is safe to donate. All of the WEDNESDAY – October 9th 10:15AM Session 314: ST Analysis as an Adjunct to Electronic Fetal Monitoring
necessary supplies are provided at no expense to the donor. In return,
Maureen Brennan; Neoventa
Prolacta compensates BayCare $1
11:30AM
per ounce of qualified milk to help
Session 306: Women’s Health - iPoc Development, Partnership & Beyond
cover the cost of the program,
Terry Carson, Teri Leydon, Dee Dee Johnson; MedStar St. Mary’s Hospital offered at six BayCare hospitals across Tampa Bay. Read more here.
Women’s Health Newsletter Fascinating Facts Babies
Cerner Health Conference Schedule continued Changes to the Solutions Gallery
Adults have 206 bones. When babies are born, they have 300. Their bones fuse as they grow, resulting in fewer bones as adults.
The intestines of a newborn are
This year, you will no ce a shi from individual solu on demo pods, to a focus on full inte‐ grated workflows. This means that when you visit us in the Women’s Health Workflow Zone, you will be able to pick an area: Clinic, Hospital or Remote Access and preview op ‐ mal workflows for those areas. This will include how other solu ons (such as Breast Milk Management, pa ent educa on, and unit staffing and acuity) integrate in with Women’s Health solu ons, crea ng ideal, efficient workflows. You will also have the opportunity to take your tradi onal deep dive into specific areas of interest at our “deep dive” pod sta‐ ons. Women’s Health Focused Events
about 11 feet long. The length will double by the time the baby grows to adulthood.
A newborn urinates about every 20 minutes and then roughly every hour at 6 months.
Human babies are the only primates who smile at their parents.
Women's Health L&D Open House & Site Tour Shawnee Mission Medical Center, a local Cerner client will be hosting guided tours of their Labor and Delivery unit giving attendees a first-hand look at their beautiful new Birth Center and how they use Women’s Health solutions in it. Sunday, Oct. 6th 1:00pm-3:00pm FetaLink Technical Support Training FetaLink technical support training event that provides a refresher course on best practices for backend support tools. This event is specifically for technical, IT roles -- not clinical. Sunday, Oct. 6th 8:00am-4:00pm Women's Health SIG Networking Reception Come network with your peers and Cerner experts over cocktails and hors’ d’oeuvres at the event space (Kill-Devil) above BRGR. Don’t let the name detour you: We promise it’s going to be a great time and is just a brief walk from the convention center. Monday, Oct. 7th 5:00pm-7:00pm You will be able to sign up for all of these Events through the “Build your agenda” tool once you’ve registered for CHC. To register for the conference visit: https://events.ucern.com/CHC2013/ Already registered but want to add any of these events? Visit the same link and select "Attendee Login". In the session search box, type in the event title then click "Enroll".
Aug/Sept 2013
Client Spotlight
Got News?
Alaska Native
At Alaska Na ve Medical Center, we previously did paper char ng and u lized the Phillips OB TraceVue for central monitoring purposes. We transi oned Oct 1, 2011 to the FetaLink system and Cerner for all documenta on – u lizing SurgiNet for surgical documenta on for all C‐sec ons performed in the OB opera ng room. We average 120‐130 births/month with approximately 1550 births last year. We are a level II facility, performing all deliveries 32 weeks or greater with capability of doing earlier than 32 weeks if the pediatrician and OB/GYN agree and we call in applicable flight nurses if we an cipate a need to transfer to a higher level of care.
Do you have good news to share
Prior to go‐live it was extremely important to involve front line staff as well as providers, midwifes and management in the design decisions. We had the good fortune of having a number of very commi ed staff members to assist in this process, not the least of which was a 16 member Physician Advisory Commi ee that met weekly for over 2 years as well as making reference visits to other Cerner sites and trips to Kansas City. As happens in many facili es, we do have staff and management turn‐over. Since go‐live we have revisited a number of the decisions made, but this will be on‐going as is the case with any dynamic environment.
Send your information to
For the ini al roll out of EHR, staff nurses with computer skills were iden fied as super users. These super users assisted with training as we moved all nurses through an overview and prac ce admission thru discharge scenario. This was very helpful, but as we neared the date of go‐live, many changes were made in PROD so there were some minor differences when we went live. Nursing has mandated that nursing notes are wri en in addi on to interac ve view documenta on for the following instances: provider no fica on and ac ons taken as a result, code situa ons, shi summary, and any change in pa ent status.
about your facility? We’d love to share it with our community members.
WomensHealth@Cerner.com and we will include it in our monthly newsletter.
Women’s Health Newsletter Community Involvement Susan G. Komen Race for the Cure Again this year, the Women’s Health and Oncology groups were sponsors of the 20th Annual Susan G. Komen Kansas City Race for the Cure. On Sunday, August 11, nearly 20,000 participants, survivors, team captains, sponsors and volunteers turned Union Station pink. Cerner’s team had well over 200 associates, family and friends participating in the race.
Client Spotlight continued Our nursing admission form was also streamlined thanks to Erin Green, staff nurse, and Marlena MacDonald, analyst . This has helped tremendously in the flow of pa ents through OB triage and with admission to L&D. For support, we had a 24/7 service center phone line that triaged all IT issues and coordinated with informa cs when the issues were directly related to the EHR. While this was helpful, it became very apparent at go‐live that provider staff needed a hot line to support immediate assistance. With that goal in mind, the Physician Documen‐ ta on Assistant (PDA) posi on was created. We ini ally hired a number of PDAs that worked overlapping shi s covering 20 hours daily. The PDAs carried a phone and answered hotline calls; and if needed, they went to the provider to assist one on one. These assistants also augment physician trainers and are quite helpful with contract or consultant physicians who are in our facility briefly and not well versed in Cerner. The PDAs do rounds throughout the facility as well, so while the posi on was created for provider support, they have proven to be extremely valuable in communica ng any trends or issues throughout the facility/staff to the informa cs team. This knowledge is invaluable to reac ng quickly to issues when they arise. More recently as staff and providers have become more comfortable, these posi ons have been decreased and cover 8 hours daily augmented by the informa cs office and on‐call staff a er hours. Since go‐live, we have adopted a system that encompasses all aspects of pregnancy care. We use PowerChart Maternity for all documenta on of antepartum appoint‐ ments, triage visits, Maternal‐Fetal Medicine clinic, labor, delivery, and postpartum care. All of our prenatal labs and radiology studies are incorporated in this system as well. We are using CPOE for this spectrum of care. We are able to use the OB MPage (Pregnancy Summary) to view all elements of this care in ambulatory and acute care se ngs. Addi onally, we have viewable access to FetaLink at any computer with FetaLink so ware. Our ability to find documenta on has escalated since adop on and provider work flow has steadily improved. We have outlying clinics that have joined our system, so we can now manage OBGYN pa ents from various sites as if they are on our campus. For con nued development, we have a super user‐led refresher course every 6 months to help providers improve knowledge of the Cerner products and introduce new capabili es. Lessons Learned: Adequate training for new staff is a necessity. Nursing would like
Aug/Sept 2013
Client Spotlight continued
Social Media
to adapt a training model to get all staff through refresher training and integrate into new employee orienta on. OB‐specific training, as it is different from the general medical‐surgical char ng, is proving challenging for staff to get the necessary informa on on the fly. We would also recommend before go‐live that all units have guidelines in place specifying what documenta on needs to occur at a minimum and how o en. In the future we would like to iden fy super users who have really learned the system and reinvigorate training efforts both on the floor and in a training environment to enhance documenta on efficiency and ease of work flow.
Become a member of our Women’s Health Collaboration Community on uCern. uCern is a great way to stay up to date on the latest developments around PowerChart Maternity and FetaLink, hear about upcoming events, network and share tips and tricks with your peers. If you are not already a member, we hope you’ll sign up soon!
FAQ PDF printing with FetaLink Within FetaLink, you have the ability to select the Export op on from the File menu. This creates a PDF document of the FetaLink data that resides in the folder that you have selected. You may also wish to route the PDF to a printer of your choice, to create a paper output. In the printer op ons, depending upon the type of printer you are using, you may be offered the op on to “print to fit” or “print to actual size.” We recommend that you select the op on to “print to actual size,” (or select the op on of “None”) which will ensure that the FetaLink waveform stays in the same propor ons as the paper strip coming from the device. Selec ng "print to fit" or a similar op on could affect how FHR variability is printed on the paper, and may not accurately reflect the display that was viewable in FetaLink at the me of care. Please refer to the FetaLink Reference page on prin ng for more informa on.
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