Women’s Health Newsletter
April 2014
In This Edition Save the Date Client Workshop 2014 Spring CPC Meeting
Tips & Tricks Newborn Cardiac Screening Rule
Unit of the Year Contest What We’re Doing FetaLink+ 1.1 Printing Waveforms
Maintaining Industry Awareness ACOG Committee Opinions
All About Extractable Birth Log
Best Practice FetaLink 2013.01 Upgrade
KLAS
Women’s Health Newsletter On The Cover
Save the Date
Allison Elizabeth Keller This month’s cover baby is Allison Keller.
Her parents are Cerner associates Julie Keller, Solution Architect with the Perioperative team; and Jim Keller, Client Results Executive.
Successful Adoption of PowerChart Maternity & FetaLink: Client Workshop coming May 28 & 29 Are you currently using PowerChart Maternity & FetaLink in your organiza on and know there are some areas for improvement among staff? Are you preparing to go live with these solu ons soon and want to make sure you’re prepared for a successful implementa on and adop on? The Women’s Health team is offering a free two‐day workshop for all of our clients on Wednesday, May 28th and Thursday, May 29th in Kansas City, MO. A endees will experience an interac ve workshop focused on the successful adop on of PowerChart Maternity and FetaLink with two days of sessions led by the Cerner Women’s Health team and guest presenters. These sessions will focus on topics including tes ng, training, conversion, post‐ conversion, maintenance and op miza on. We will discuss our recommended best prac ces, lessons learned from your peers in a endance, and provide you with the tools to take back to your organiza on for improved adop on and sa sfac on when using these solu ons. A endees will be responsible for paying their own travel and lodging, but the class is free of charge and meals will be provided. Keep watching our Women’s Health Collabora on Community uCern group for the registra on link. Please reach to our Client Service Managers Sarah Ferris (Sarah.Ferris@cerner.com) and Kaisha Weldy (Kaisha.Weldy@cerner.com) with any addi onal ques ons. 2014 Spring Cerner Physician Community (CPC) Meeting The Cerner Physician Community is Cerner’s semi‐annual physician‐focused mee ng. This mee ng features a combina on of solu on presenta ons and working sessions, specialty tracks, industry topics, and client‐led discussions. Spring CPC sessions are held at the Kansas City Conven on Center star ng at 1:30pm on April 29th and con‐ cluding at 12:00pm on May 1st. This event is free of charge and physicians are invited to register at h ps://events.ucern.com/cpc14/. Members of the Women’s Health team will be in a endance to demonstrate the latest MPage func onality as well as our newly available mobile solu on FetaLink+!
April 2014
Tips & Tricks
Did You Know
Newborn Cardiac Screening Rule WH_NEWBORN_SPO2_SCREEN is a Discern rule that was recently added to Cerner’s standard Powerchart Maternity content, to automate the process for the newborn screening for cri cal congenital heart defects (CCHD’s). The CDC recommends that this screening is completed on children in the well‐baby nursery at 24 hours of life or later, or shortly before discharge if the baby is discharged earlier than 24 hours of life. The rule is evoked using the following criteria: Encounter Type = Inpa ent (if your facility uses a different encounter type for Newborns, this can be updated) Age = Less than 72 hours Loca on = Well‐baby Nursery (the rule can be configured to pull in specific loca ons) A Pulse Oximetry order should be placed for the ini al screen , which is part of our Cerner standard Newborn Admission to Nursery order set. It is important that there is a Pulse Oximetry order for the ini al screen – if the baby needs rescreened, the rule will look to see how many Pulse Oximetry orders have been placed to determine a CCHD result. The Posi ve or Nega ve screening results will display in the Newborn Cardiac Screen‐ ing Interac ve View sec on, which is on the Newborn and NICU Lines‐Devices‐ Procedures bands in our standard content. This rule uses logic to determine a CCHD result for the infant, as well as communicate that result and follow up to the A ending Physician. The following outlines the ac ons of the rule, based on CDC guidelines. If the SpO2 result is 95% or greater in right hand or foot, with 3% or less absolute difference between right hand and foot, the rule will automa cally write out Newborn Cardiac Screen Result = Nega ve. The rule will also send a message to the baby's A ending Physician with the results of the screen. This message will be viewable in Message Center.
End of Support for FetaLink on CareAware iBus 1.3 Cerner has set an end-of-support
date of June 30, 2014 for all versions of FetaLink on CareAware iBus 1.3. Additionally, support for FetaLink Release 1.9.2 and earlier releases will end on that date. Please refer to Priority Review Flash PR13-0083-0 for additional details.
End of Support for Windows XP Also note Microsoft will be ending support of Windows XP on April 8, 2014.
Women’s Health Newsletter Community Involvement
Tips & Tricks continued
T.A.K.E. Defense Training Did you know that many of our
associates have been involved in
the T.A.K.E Defense Training? T.A.K.E Defense was founded in 2005 by the Kemp family and has had over 50,000 ladies participate. The T.A.K.E Defense Training provides women of all ages hands-on skills and internet-directed information to equip them with personal self-defense skills. Visit the website to learn more about this self-defense program.
If the SpO2 result is less than or equal to 89% in right hand or foot, the rule will automa cally write out Newborn Cardiac Screen Result = Posi ve and will place a Consult to Cardiology order. A message is sent to baby's A ending Physician with the results, and no fica on that the consult order was placed.
April 2014
Tips & Tricks continued
If the ini al SpO2 result is between 90‐95%, or if there is greater than 3% variance between right hand and foot, an order/task will be placed by the system for Pulse Oximetry, to be rescreened in one hour. This process will repeat up to three mes, un l the baby achieves a nega ve result, at which me the result is saved and message is sent to the A ending Physician. If the screening fails three mes (the system will look at the number of orders placed, as well as the SpO2 results), a posi ve result is wri en out, a Consult to Cardiology order is placed, and a message sent to the A ending Physician.
Community Involvement Citizen’s Police Academy Tosha Grotenhuis, our regulatory strategist recently completed the
Note that the orders placed by the rule, as well as the recipient of the message, can be localized.
Citizen’s Police Academy in her local
WH_NEWBORN_SPO2_SCREEN is available in the Powerchart Maternity Inpa ent content package. The current package number is 70898.
gives participants an in-depth,
educational, fun and often exciting
community. The nine-week program
Unit of the Year Contest
hands-on look behind the scenes of
law enforcement work in their
Day in and day out you put in hard hours at work with the most incredible staff; now is your chance to share those stories with the en re Cerner community! The Women’s Health team is holding their annual Women’s Health Unit of the Year contest and we want you to submit your entry!
community. Classes included crime scene investigation, report writing,
This is your opportunity to boast, brag, and be crea ve in sharing what makes your unit so great. Submit videos, essays, poetry, PowerPoints or any other media – there are no restric ons on what type of entries are accepted. All entries must be emailed to Clare.Holahan@cerner.com by Friday, May 2, 2014.
courtroom procedures, car stops,
A group of Cerner associates will vote on the entries and the winner will be announced during Na onal Women’s Health Week on May 11th ‐17th. The winning unit will receive a congratulatory plaque as well as a $500 Visa gi card to spoil your unit as you desire. Be sure to get those entries in – we can’t wait to hear about the wonderful things your units are doing!
and situational training.
All entries will be posted to the Women’s Health Collabora on Community uCern group a er the winner has been announced. Any ques ons can be directed to Clare.Holahan@cerner.com as well – good luck!
building searches, firearms training
Women’s Health Newsletter Name That Solution
What We’re Doing
FetaLink+ 1.1 FetaLink+, our mobile fetal monitoring solu on for OB providers that allows them to access informa on on their iPad or iPhone devices, became generally available in December 2013. The most recent release of FetaLink+, Version 1.1, was made available in March.
We need your help to name our new
The following features were part of the original FetaLink+ release:
reproductive endocrinology and infertility solution! Now is the time to get creative and give us your best ideas to help get this solution off on the right foot. Submit your ideas to WomensHealth@Cerner.com.
Live fetal monitor strip with fetal and maternal waveform data
Ability to hide or display waveforms
Ability to scroll back on the live strip
Filterable pa ent list
EDD/EGA
Gravida para
Maternal oxygen satura on
Maternal blood pressures
Filterable annota ons summary
Annota ons display in context with the strip
Indica on if rupture of membranes occurred
Results of last cervical exam
Pa ent demographics
Clinical bar on the strip which summarizes per nent results
We will review the submissions and
Version 1.1 added the following updates:
announce a winner in an upcoming newsletter.
Improved load mes for clinical results
Auto refresh of the pa ent list
Naviga on updates for the iPhone
FetaLink+ will con nue to push updates as they are developed, approximately every 2 months. Users will be able to install these updates directly from the App store for immediate use.
April 2014
What We’re Doing continued
What We’re Doing
Printing Waveforms In the FetaLink 2014.01 release (generally available Q2 2014), some changes are being made to the way the fetal strip is printed. Specifically, we are taking away the extra “chart decora ons” which were intended as a way to help differen ate the waveforms from one another if printed in black and white. This will provide a less clu ered view of the informa on on the exported PDF.
Here is an example of current design. The FHR1 indicators can be seen associated with the blue waveform, as referenced by the key at the top of the view:
FetaLink 2014.01 With the upcoming release, we anticipate FetaLink being 64-bit compliant. The code is currently being validated with an estimated GA release date in Q2 2014.
Here is an example of how the strip will print in the FetaLink 2014.01 release, with the chart decora ons removed:
Keep watching the Women’s Health Collaboration Community uCern group and this newsletter for further details regarding the FetaLink
It is important to note that, with this latest release, our recommenda ons for prin ng from FetaLink will be to always export in color, so that the waveforms can be easily discerned from one another.
2014.01/iBus 5.2 code release.
Women’s Health Newsletter Maintaining Industry Awareness
Maintaining Industry Awareness ACOG Committee Opinions
National Infertility Awareness Week April 20-26, 2014
Human Papillomavirus Vaccina on Sexual Assault Immersion in Water During Labor and Delivery Female Age Related Fer lity Decline
National Infertility Awareness Week® (NIAW) is a movement that began in 1989. The goal of NIAW is to raise awareness about the disease of infertility and encourage the public to understand their reproductive health. This year’s theme is “Resolve to know more...”
Find out more here.
The Women’s Health Development Team is currently working with solu on partners to design a Reproduc ve Endocrinology and Infer lity solu on to allow Fer lity Specialists and Coordinators to track and manage medica on dosages, pa ent response, ultrasound measurements, and laboratory values across encounters as well as assist in repor ng requirements. Implementa on of the solu on will enhance the life me record of the pa ent, organize data in a clinically relevant way to enhance treatment decisions, allow seamless transi on into the pregnancy record, and aid in the collec on of data throughout complex treatment cycles. Preparing for Clinical Emergencies in Obstetrics and Gynecology Look for new content in the July 2014 release that will include early iden fica on of women at risk for postpartum hemorrhage based on pa ent history and current pregnancy related problems, ongoing assessment as the mother progresses through labor and delivery and documenta on of interven ons when hemorrhage does occur. In addi on, the Labor Partogram is currently undergoing a redesign as an MPage view and will incorporate the MEOWS (Modified Early Obstetric Warning System) protocol. It is a valuable tool that aids in iden fying early devia ons from the normal progress of ac ve labor and maternal physiological deteriora on to facilitate mely decisions regarding direct interven on or referral of care.
April 2014
Maintaining Industry Awareness continued
In The News
Challenges for Overweight and Obese Women
AWHONN Fetal Heart Monitoring Instructor Recognition Award The Fetal Heart Monitoring Instructor
The Pregnancy Weight Gain Graph is available from the Pregnancy Summary MPage in the Overview component. The graph is based on the recommended weight gain during pregnancy for underweight, normal weight, overweight or obese pa ents (Table 1). Once the BMI of the pa ent has been documented you can select the current weight field within the Overview component and the graph with display the documented maternal weights as they relate to her gesta onal age.
Recognition Award is an opportunity to acknowledge and highlight instructors' involvement, unwavering commitment and significant contributions in helping AWHONN achieve our goals for promoting the health of women and newborns. This quarter, two of our clients have been recognized by AWHONN:
Kerri Kuntz
Joanna Lenaburg
Congratulations, ladies! Read the full article here.
Women’s Health Newsletter Got News?
All About
Extractable Birth Log Book Purpose The Extractable Birth Log Book Report is designed to be launched from the explorer‐ menu.exe applica on within a Millennium environment. The intent of the report is to provide a comma‐separated values (.csv) data file containing the report elements doc‐ umented within the start and end period of the report ini a on. The .csv file should be saved to a file and then opened using Microso Excel.
Do you have good news to share about your facility? We’d love to share it with our community members.
The Extractable Birth Log Book is u lized by the obstetrics units to record per nent data about each delivery that occurs on the unit. The log will link data between the mother and the baby or babies. Data will be gathered throughout the con nuum of care and be extracted for sta s cal use. Upon admission to the OB unit, a pa ent is added to the tracking board. As each birth takes place, the labor and delivery informa on is captured in the log book for each birth. The report will allow the user to define the me frame for running the report. Note: The Extract will display up to 13 months of data. An error message indica ng that the dates cannot be more than 13 months apart will no fy the user if the meframe of 13 months is exceeded.
Send your information to
Report Driver
WomensHealth@Cerner.com
The report driver is the delivery date and me. The purpose of the report is to display informa on of a babies delivery.
and we will include it in our
monthly newsletter.
Pa ent Qualifica on The Extractable Birth Log Book Report pulls mothers who have documented deliveries in IView and/or in the Close Pregnancy conversa ons. The report pulls all deliveries within the given user date range parameters. The values used to qualify are either the delivery date field from the Close Pregnancy conversa on or the Date, Time of Birth from the delivery record in IView. The date range comparison is inclusive and the start date is forma ed to be DD‐MMM‐YYYY 00:00:00 with the end date forma ed to be DD‐MMM‐YYYY 23:59:59.
April 2014
All About continued Things to note
Content Suggestions
Mothers must have the following criteria:
The Women’s Health team under-
stands your time is valuable and we
Delivery within the date range provided in the user prompts A delivery that has been documented in IView between the Pregnancy Onset Date and Pregnancy Close Date (Dec 31, 2100 if the pregnancy is not closed) The actual delivery date and me value in IView is between the date range provided in the user prompts The documented delivery is on the encounter a ached to the loca on (s) in which the report is being executed. If specific organiza ons (other than All) are selected by the user from the report prompts, the mother must be registered at that par cular organiza on AND the documented delivery date and me must have OCCURRED AFTER the crea on of the encounter, not to be confused with registra on date and me but the actual crea on of the encounter.
want to ensure you are receiving benefit from this newsletter.
We would love to hear about topics
Report Data Popula on
you would like to see covered in
The Extractable Birth Log Book Report populates 69 clinical events that have been documented within the PowerChart Maternity content and suppor ng system services. This report is focused more on the baby delivery informa on rather than on the mother; this report is considered baby‐centric.
future issues.
Things to note
A pa ent must have had a pregnancy instance created at some me using the Pregnancy Component or MPage summary view and a delivery date/ me docu‐ mented for at least one baby. The DATE/TIME OF BIRTH value must fall within the date range specified, up to 13 months. Results are displayed directly below the label and are separated by a comma. In cases of mul ple results within a field the results are separated by a semi‐colon. Qualifying result values are the most recent value documented with a status of AUTH, MODIFIED, or ALTERED. Clinical event results that have been modified are indicated with a "(c)". The report gathers and groups data by the mother's dynamic label name. For example, Baby A and Baby B will be considered as two babies for a Mother; however, if there are two Baby A groups, the report will treat it as one Baby A. Even though the system currently allows you to name two dynamic labels the same name, it is strongly discouraged to do so.
An downloadable excel sheet of what clinical events are populated and where to document these events can be located on the Women's Health Reference page, All About the Extractable Birth Log Book Report in the Report Body sec on.
Please send your topic suggestions to WomensHealth@Cerner.com
We look forward to hearing from you!
April 2014
Best Practice
Social Media
FetaLink 2013.01 Upgrade Did you know that our FetaLink team ran a study on the new 2013.01 upgrade for one of our FetaLink clients, Olmsted Medical Center.
Become a member of our Women’s Health Collaboration Community on uCern.
Prior to installing the new FetaLink version, Olmsted was experiencing a daily average of 38 FHR alarms and had been live for 211 days. A er comple ng the 2013.01 FetaLink upgrade, which now includes the new signal strength aler ng capability, the client went from that daily average of 38 alarms to 10. This is a 71% decrease in
daily FHR alarms and resulted in some very happy users. If you would like more informa on about the 2013.01 FetaLink upgrade, please contact Russ Snyder at RSnyder@cerner.com
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!
KLAS As you know, sa sfac on for PowerChart Maternity/FetaLink users is very important to us. Of the many mechanisms we u lize to measure and monitor client sa sfac on, we wanted to provide addi onal details around KLAS‐‐an organiza on that publishes user sa sfac on data by repor ng accurate, honest and impar al vendor performance so that members in healthcare, your peers, can make informed decisions. We at Cerner hold KLAS in a very high regard and look at their published reports, study the feedback and use that to enhance Cerner solu ons and improve sa sfac on. Your feedback directly helps pave the way to improving healthcare. If you are interested in providing feedback to KLAS, please visit www.klasresearch.com and select the “Rate Your Vendor” bu on. The survey will take just 5‐10 minutes of your me.
Join us on Facebook
Join us Twitter
Join us on uCern
A er you’ve submi ed a survey, an analyst from KLAS will reach out to you to verify your creden als and collect verba m comments from you. Cerner and KLAS sincerely appreciate your me to provide this invaluable feedback.
If you are interested in printing this newsletter, you can download a printable PDF on our Women’s Health Collaboration Community uCern page.