Women’s Health Newsletter
January 2013
In This Edition New Faces of Women’s Health Did You Know We offer Perinatal Core Measures
Tips & Tricks PowerChart Maternity Rules Unit of the Year Contest What We’re Doing Workflow Assessments
Client Spotlight Yavapai Regional Medical Center
Happy New Year
Women’s Health Newsletter FAQ
New Faces of Women’s Health
Rules! Rules! Rules!
Mary Garland, Clinical Strategist
Within our PowerChart Maternity content packages, we have several offerings of rules. Rules are designed to provide an action when certain criterion is met. This month we are highlighting our “7 Day Re-Admission” rule. If this rule is being utilized, it will notify the patient’s OB provider and Delivery provider if the patient is re-admitted to the hospital within a week of being discharged after the delivery of a baby. This rule can be found in PCM package 63529.
Mary was raised on a farm outside of Nebraska City, NE. She graduated from Creighton University. Mary’s professional experience includes 28 years in a level 3b NICU, most recently at Overland Park Regional Medical Center. She is also a certified NRP and STABLE instructor. Mary and her husband have 3 children, 2 dogs and 3 cats. She loves to read, cook, scrapbook, garden and fish.
Lindsey Ackerson, Client Service Manager Lindsey was born and raised in Kansas City, MO. She graduated with her BSN from William Jewell College in 2007 and received her RNC in 2012. Lindsey's professional experience is in both telemetry and labor and delivery, most recently at Children's Mercy Hospital in the Fetal Health Center. Her life right now is consumed by her 5-month old, Bennett; her husband, Kip; and their two boxers, Penny and Diesel.
Meloney Shewmaker, Clinical Strategist Meloney was born and raised in St. Joseph, MO. She graduated from LPN school in 1989 and in 1995 with her RN from Northwest Missouri Community College. Meloney’s professional experience is in Community/Public Health and most recently at Heartland Regional Medical Center as the Inpatient Wound Care Coordinator. Meloney loves to spend time outside fishing and hunting with her husband and 2 children.
January 2013
Did You Know
FAQ
We offer Perinatal Core Measures
Finalizing a fetal monitor episode Finalizing is an important last step Perinatal Core Measures provide the structured clinical content to support the required
as it removes the patient from the FetaLink Census, while making her
data collection and reporting for
archived episode available to clini-
the specified IQR measures that
cians for future viewing.
the Centers for Medicare and Medicaid (CMS) and The Joint Commission (TJC) have jointly adopted as their basis for report of hospital quality measures.
Once an episode is archived, you will not be able to add annotations to it. To finalize your patient’s fetal monitor episode, simply select the
Solution At a Glance
Web-based reporting screens and summary reports. Easy-to-use graphical user interface
Improves patient outcomes with embedded, evidence-based clinical decision support both at the point-of-care and printed in reports to compare and evaluate outcomes
Automates clinical data capture to support quality initiatives
Key Benefits
Provides data to support reporting of TJC/CMS/IQR core measures
Decreased potential for errors, with evidence-based criteria embedded in clinical processes and reporting
Improvement of patient care as a by-product of reinforced evidence-based practice
Finalize button from the FetaLink toolbar in your patient’s single patient view. If your patient is still associated to her fetal monitor device, the button will display as Finalize & Disassociate. Selecting this option allows you to perform both actions with one click. Don’t forget to add a Reason for Monitoring when prompted, so that the episode can be easily identified
If your site is interested, contact John.Folmnsbee@Cerner.com
later.
Women’s Health Newsletter Tips & Tricks Birth Log Extract Report
Community Involvement February is American Heart Month On Friday, February 1, 2013, join us in observing National Wear Red Day.
Provides a comprehensive summary and extraction of pregnancy delivery information (mother and baby) to record and preserve statistical data.
Can extract data and save in a .csv file and then import the data into an Excel spreadsheet.
forms of cancer combined. While 1
Nurse Managers / Administrators can use the report to run stats as needed (such as on a monthly, quarterly or annual basis).
in 31 American women dies from
A reporting spreadsheet is available that provides examples of reports that can be created using Excel and the Extractable Birth Log Book. Report examples include: an Apgar report, an EBL report, an episiotomy /degree of episiotomy report, and an abbreviated delivery summary report.
Heart disease is the No. 1 killer of women and is more deadly than all
breast cancer each year, 1 in 3 dies of heart disease. Find out more at www.goredforwomen.org.
Note: The Extract will display up to 13 months of data. An error message indicating that the dates cannot be more than 13 months apart will notify the user if the timeframe of 13 months is exceeded.
January 2013
Tips & Tricks (continued) For more information or access to the reporting spreadsheet, please contact Kaisha
Symptoms of a Heart Attack
Norgren at kaisha.norgren@cerner.com
Uncomfortable pressure, squeezing, fullness or pain in the center of your chest that lasts
For all report functionality related questions, please continue to contact your
more than a few minutes, or
implementation team (if still engaged) or log an SR.
Further information regarding the Birth Log Extract Report is available in an
goes away and comes back.
Pain or discomfort in one or
Illuminations presentation at the following link:
both arms, the back, neck, jaw
https://applications.cerner.com/members/illuminations/IllumDetails.aspx? illumid=4321
or stomach.
Shortness of breath, with or without chest discomfort.
Maintaining Industry Awareness Cervical Cancer Screening - Have you updated your health maintenance rule?
Other signs such as breaking out in a cold sweat, nausea or lightheadedness.
Cerner is staying in touch with the latest industry standards as we have on our roadmap for this year to develop a Pap smear Tracker to be included as the first piece of a new GYN documentation workflow.
As with men, the most common heart attack symptom in women is chest pain or discomfort. But it’s
The American College of Obstetricians and Gynecologists (ACOG) - The Committee on
important to note that women are
Patient Safety and Quality Improvement recently published a new article (Number 546
more likely to experience the other
in December 2012) entitled ‘Tracking and Reminder Systems.’
common symptoms, particularly
They are recommending providers establish a simple, reliable tracking and reminder system to facilitate communication, improve patient safety and quality of care, and minimize missed or delayed diagnosis.
shortness of breath, nausea/ vomiting and back or jaw pain.
Women’s Health Newsletter uCern Wiki
PowerChart Maternity Rules
Accessing Reference Pages
Cerner currently offers 30 maternity-related rules. Below is a complete listing of the rules and their descriptions. The most current package number(s) are listed in parentheses after the rule name.
The uCern Wiki Reference Pages are your source for solution
39-week Induction (63529 - new) Alerts provider for induction order if patient < 39 weeks gestation
documentation. Reference Pages
Procedure History (63529 - new) Updates Procedure History when C-section is documented as a delivery type
allow you to contribute updates, provide feedback, receive update notifications, and much more.
Rhogam after Delivery (63529 - new) Alerts that Rhogam is indicated if mom Rh negative and newborn Rh positive Routine SpO2 Screening for Newborn (63529 - new) Follows algorithm published by the CDC to guide care NICU Extreme Prematurity (63529) Orders consults if newborn Gestational Age < 28 weeks
If you do not have access to uCern
Bishop Score (63529, 63528) Provides recommendations for induction medications based on documented Bishop Score
Wiki, please contact your Cerner
7 Day Readmission (63529) Notifies provider if patient readmitted within a week of discharge after delivery
representative.
Admit to L&D IPOC (63529) Prompts clinician to initiate Vaginal Delivery or C-Section IPOC EGA at Delivery (63529) Captures the EGA at delivery as a clinical event EGA at Documented Date, Time
(63528)
Captures the current EGA for each prenatal visit as a clinical event Fetal Neonatal Death (63529, 63528) Notifies the clinician of a recent fetal or neonatal death when chart is opened Gestational Diabetes Positive (63529, 63528) Sends message to provider when patient has a positive glucose challenge test and places problem on Problem List Gravida Para (63529) Prompts the clinician to update the Gravida Para form when delivery is documented.
January 2013
PowerChart Maternity Rules (continued)
FetaLink 1.9.4
Group B Strep Test (63528) Alerts clinician to collect a Group B Strep vaginal swab at 35-37 weeks, if not already ordered.
Want More Information?
HSV Suppression (63529, 63528) Prompts clinician to order antiviral medication if patient is HSV positive, if not already ordered
FetaLink 1.9.4 includes a lot of new
Maternity Delivery Complications (63529) Automatically adds documented maternity delivery complications to the patient’s Problem List
Documentation Integration
Black Background Option
Snapshot
Non-Exclusive Breast Milk Feeding (63529) Prompts clinician to document a reason for oral intake other than breast milk for newborns
Enhanced Gridlines on PDF
Suppressing pop-up message
Rhogam at 28 weeks (63529, 63528) Prompts clinician to order Rhogam at 28 weeks if patient is Rh negative Maternal Age at Delivery (63529) Captures maternal age at delivery so that it can be result copied to newborn’s record Pregnancy and Lactation (63529, 63528) Warns of potential adverse reactions for medications during pregnancy and lactation Preterm Labor (63529) Adds a problem of Preterm Labor to Problem list when Preterm Labor IPOC is initiated Gestational Diabetes Order (63529, 63528) Prompts provider to order glucose screen based on EGA OB Anemia (63529, 63528) Notifies provider if patient has low Hgb and Hct levels Group B Strep Positive (63529, 63528) Notifies the provider if patient tests positive for Group B Strep and places problem on Problem List Group B Strep Antibiotics (63529, 63528) Prompts provider to order prophylactic antibiotics if patient is admitted to L&D and Group B Strep positive HSV Positive (63529, 63528) Notifies the provider if patient tests positive for HSV and places problem on the Problem List
functionality including:
Further information is available in an Illuminations presentation at the following link: https://applications.cerner.com/ members/illuminations/ IllumDetails.aspx?illumid=4328
And on the FetaLink Reference Pages: https://wiki.ucern.com/display/ reference/ FetaLink+Reference+Pages
Women’s Health Newsletter Popular Boy Names
PowerChart Maternity Rules (continued)
2012 Aiden
Rubella (63529, 63528) Notifies the provider if patient tests negative for rubella antibody and places problem on the Problem List
Jackson Ethan Liam Mason Noah Lucas Jacob Jayden
Nuchal Translucency (63528) Prompts provider to test for Nuchal Translucency if EGA > 14 weeks Rh Negative Problem (63529, 63528) Notifies the provider if patient tests negative for ABO Rh and places problem on the Problem List Risk Factors (63529, 63528) Places a problem on the problem list for each antepartum risk factor that is documented
Jack
Unit of the Year Contest Only a couple short months until Cerner’s annual Women's Health Unit of the Year contest!
What makes your OB or Women’s Health unit special? 1912 John William James Robert
Now is your chance to share! You are invited to compete with other women’s health care professionals, for the chance to win the Women’s Health, Unit of the Year award. This is your opportunity to boast, to brag, and to be creative in sharing what makes your OB or Women’s Health unit so great! Submit videos, essays, poetry, or even PowerPoints... There are no restrictions on the types of entries accepted!
Joseph George Charles Edward Frank Thomas
Email entries to WomensHealth@Cerner.com All entries are due by Saturday, March 23rd Winners will be announced Monday, April 1st Multiple entries will be chosen, but only one will become the Women’s Health, Unit
of the Year!
January 2013
What Weâ&#x20AC;&#x2122;re Doing
Popular Girl Names
Workflow Assessments
2012 Sophia
Since June 2012, the Womenâ&#x20AC;&#x2122;s Health Client Service Managers have completed 11 workflow assessments in an effort to continue to engage our clients, identify opportunities for improvement and build client satisfaction within our existing client base.
Emma Olivia Isabella Ava
Over the course of three days at the client site, end users, IT staff and leadership are interviewed and shadowed as a way to identify possible gaps in workflow against the Cerner recommended workflow around PowerChart Maternity and FetaLink. Findings are reviewed and owners of identified issues are assigned.
Lily Zoe Chloe Mia Madison
In doing these assessments, we are seeing that additional education on the system and small fixes are all that is needed to help the clinicians optimize their workflow. A follow up call is arranged in order to verify that the issues are being worked toward resolution. The ABU has received nothing but positive feedback to date. Clients feel there is a true partnership and that we help to mitigate any current issues they are facing. Additionally, we want to obtain client feedback on ways in which we could strengthen our solutions.
The cost of this assessment will be travel and expenses for one or two associates, there will be no charge for the consulting service hours.
For more information please contact Kaisha Norgren at kaisha.norgren@cerner.com or Lindsey Ackerson at lindsey.ackerson@cerner.com.
1912 Mary Helen Dorothy Margaret Ruth Mildred Anna Elizabeth Frances
Women’s Health Newsletter Save The Date SIG Call
Client Spotlight Yavapai Regional Medical Center Yavapai Regional Medical Center went live with 55 Cerner solutions on June 11, 2012, including PowerChart Maternity and FetaLink. The Family Birthing Center is a Level II facility, located on the East Campus of YRMC, with 80 – 100 births per month. It has 16 LDRP beds, a 6 bed Continuing Care Nursery and 2 dedicated OB Operating Room Suites for C-Section patients.
Our next SIG call is scheduled for Wednesday, March 27th at 11 CST. Angie Conner & Susan Nigro, our SIG co-chairs are looking for topics for this call. You can leave your ideas in the discussion on the Women’s Health Collaboration Community uCern conversation. https://connect.ucern.com/ thread/380021?tstart=0
For the implementation project, the hospital developed a “Race Car” theme, with various departments having their own representative racer in the field. It was fun to have a little lightheartedness going on when everything was so intense. Our core PCM work group even renamed PowerChart Maternity to “MamaNet”.
After an incredibly intense build period, we launched our training program about 6 weeks before Go-Live. PCM developed a program of 20 hours of class time for the RN, 16 hours of class time for the US/NA/OB Tech. The classes were taught by the PCM Work Group Team (5 of us). The Education Department of our hospital developed the concept of “Application Coach” to assist in the training and coaching through GoLive. The hospital supplemented the training process by providing open labs where a staff member could go in to practice the various applications. Also, a Train domain was available for anyone to use at any time to practice.
Application Coaches were recruited from both shifts; serving as Rovers during the classes to give elbow-to-elbow help. At Go-Live and for two weeks thereafter, two Application Coaches were on duty without patient assignments in order to provide that allimportant elbow-to-elbow support. They also were able to troubleshoot and escalate issues as they came up.
January 2013
Client Spotlight At one point we realized that “MamaNet” really encompassed 5 different solutions that our staff had to learn:
PowerChart Maternity (Tracking Shell & CareNet)
FetaLink
SurgiNet (Our nurses circulate our C-sections)
Registration (We Quick Reg all of our patients)
Scheduling (We manage our own scheduling for Inductions, C-sections, Antenatal Testing, and so on)
New Package Releases FetaLink 1.9.4 Package #61883 for iBus 1.3 Package #62164 for iBus 2.1
PowerChart Maternity The staff did a great job learning as much as they could as fast as they could….and that learning process goes on today as we go deeper into what PCM & FetaLink can do for us.
Our Application Coaches now meet twice a month to discuss design revisions, workflow and functionality issues. At our monthly staff meetings we highlight two or three items in PCM or FetaLink that need reinforcement, such as re-evaluation of pain or the scanning meds process.
We have also developed an in-house “MamaNet Stuff” newsletter to get the word out for updates, changes and refinements. Our Transformation Leader also puts out a regular newsletter for the whole house.
Inpatient Content Package #63529
Ambulatory Content Package #63528
4.4 Pregnancy Summary MPage Package #62298
4.4 Neonate Summary MPage Package #62308
Women’s Health Newsletter Happy New Year! As One Year Ends & We Begin Anew, Cerner Women’s Health Sends Our Best Wishes To You:
Complete, automated workflows for the Entire maternity process, including Real-time data at the point of care, providing Noticeable reductions in time and costs, Enabling better care for mothers and babies, and Revealing the possibilities this New Year brings.
January 2013
Social Media 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!
Join Cerner on Facebook Join the Women’s Health team on Facebook
Join Cerner on Twitter Join the Women’s Health team on Twitter
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If you are interested in printing this newsletter, you can download a printable PDF on our Women’s Health Collaboration uCern page.