Women’s Health Newsletter
August 2014
In This Edition Global Corner In the News 2014 Healthcare’s Most Wired
FetaLink Fitness Lite Client Spotlight Magee–Women’s Hospital of UPMC
Meet the Team Tamsin Lewis Kyle Zartman
What We’re Doing Enhancements to PowerChart Maternity
Technical Corner Did You Know Postpartum Hemorrhage Bereavement Content
Cerner Health Conference AWHONN Call for Papers
Women’s Health Newsletter On the Cover
Global Corner
Lily Allison Kamala Chelladurai
This month’s cover baby is Lily Chelladurai.
Patrizia’s Blog During the month of July, Kaisha Weldy, Dr Jeff Wall and I had the opportunity to trav‐ el to the UK. We were able to visit three trusts while there: Wirral University Teaching Hospital Trust, Imperial College Healthcare Trust and Croydon Health Services Trust. They each are at different stages of implemen ng PowerChart Maternity and FetaLink so it was a good mixed experience. Imperial College Trust
Her dad is Cerner Associate Stephen Chelladurai, a Technical Project Manager with the Population Health team.
Sengerson Photography
On Monday we visited Imperial College Trust. Although we could have easily crossed the canal from Cerner’s London office to St Mary’s, the team decided to have us visit Queen Charlo e and Chelsea Hospital in Hammersmith. This was a great opportunity to visit one of oldest hospitals in Europe also renowned for their fetal medicine services. It has a unique history originally being founded in 1739 and moving mul ple mes in its history. Of course, Dr Wall gave us all a brief history of the importance of Queen Charlo e in obstetrical history. While touring the hospital, we ran into one of the doctors who delivered Prince George….coincidentally just shy of his first birthday. Imperial has been live with PowerChart Mater‐ nity for only a few months. They are currently using the system to document the booking visit (aka ini al prenatal visit) and then delivery and postnatal informa on. Through‐ out much of the UK, the ongoing antenatal visits happen in the community to which we are working to op mize the workflow. Community midwives play such an integral role in the UK both during the antenatal period but especially during the postnatal period. Most women go home a er a vaginal delivery within 6‐12 hours but have amazing care in the home. They are visited mul ple mes by midwives to ensure all is going well with both the mom and baby.
August 2014
Global Corner continued
Just For Fun
Croydon Health Services Trust
Pregnancy Facts About 3% of all pregnant
On Tuesday morning we visited Croydon University Hospital. Croydon is south of London and we had to take the ‘Tube’ and a train to get there. Once at the train sta on we couldn’t find a taxi so we walked nearly 45 minutes trying to get to the hospital. The hospital sees a much diversified popula on including many foreigners who have had no prenatal care or don’t speak English.
women will give birth to twins. This rate is an increase of nearly
While there we spoke to the project team as Croydon is in the midst of design and build and plan on being live with PowerChart Maternity spring of 2015. We also got a tour of their maternity facili es. We loved their birthing rooms. They were so spacious and colorful; a great space for a baby to make an entrance into the world. Below are a few pics including a tub for water‐births.
60% since the early 1980s. However, 17% of pregnant women over 45 will give birth to twins.
Less than 1% of women in the United States choose to deliver their babies at home, while 30% of Dutch women opt for home births.
Carrying a baby “high” or “low” is dependent on a woman’s body type and is not a reliable predictor of the baby’s gender
Women’s Health Newsletter Got News?
Global Corner continued
Wirral University Teaching Hospital Trust Wednesday through Friday took us to Liverpool, England. Some may know it as the home of the Fab Four, but it’s also where one stays to head over to the Wirral, a peninsula with the River Mersey, River Dee and Irish Sea surrounding it. We were also surrounded by golfing as much to our ignorance we realized the Bri sh Open was going on while we were there (no Tiger sigh ngs though).
Do you have good news to share about your facility? We’d love to share it with our community members.
Send your information to WomensHealth@Cerner.com and we will include it in our monthly newsletter.
The Wirral has been live with both PowerChart Maternity and FetaLink for over a year and were our first UK partner to be live with FetaLink. We spent much of our me walking through the Women and Children’s Hospital through various areas such as the Maternity Ward (both antenatal and postnatal pa ents stay here), Delivery Suite (laboring unit), Antenatal Clinic (for more high risk pa ents that see a consultant (aka doctor)), Antenatal Booking Unit and the Fetal Monitoring Unit (where they do CTGs/ NSTs). Overall, our week in the UK was rewarding. We got a lot out of it and very much appreciate the hospitality of all the trusts. We know they are all excited about the revised partogram and we are excited to ‘deliver’ it to them – and hopefully recruited some usability testers. It was interes ng to see the differences in maternity care in this part of the world especially midwifery‐led care. However, even with the differ‐ ences we all share one common goal which is to provide safe and effec ve care and delivering happy, healthy babies.
August 2014
In The News
End of Support
2014 Healthcare’s Most Wired Hospitals & Health Networks has named the Most Wired hospitals and health systems based on the Most Wired Survey. Forty Women’s Health clients were recognized by H&HN for 2014:
End of Support for FetaLink 1.9.3
the end-of-support date for FetaLink
Adven st Health
Lowell (Mass.) General Hospital
Adven st Health System
Mason General Hospital
Advocate Health Care
Mayo Clinic Hospital (MN)
Banner Health
Memorial Hermann
Miami Children’s Hospital
Carolinas HealthCare System
Middlesex Hospital
Children’s Mercy Hospital
Mission Hospital
Columbia Memorial Hospital
Munson Medical Center
CoxHealth
NCH Healthcare System
Dignity Health
Palme o Health
Eastern Maine Medical Center
Samaritan Regional Health System
Fisher‐Titus Medical Center
Sharp HealthCare
Genesis Health System
Stony Brook (N.Y.) Hospital
Baystate Health Inc.
Cerner has set October 15, 2014, as
1.9.3, which corresponds to the announced end-of-support date for CareAware iBus 2.0.
Before October 15, 2014, you must upgrade to FetaLink Release 1.9.4 or later and CareAware iBus 2.1 or later.
Heartland Regional Medical Center
Truman Medical Centers
Indiana University Health
UAB Health System
Please refer to Priority Review Flash
Intermountain Healthcare
University Medical Center
PR14-0083-0 for additional details.
Kaleida Health
University of Illinois Hospital & Health Sciences Systems
Lawrence (Kan.) Memorial Hospital
University of Missouri Health Care
Loma Linda University Medical Center– Murrieta (Calif.)
University of Pi sburgh Medical Center Yavapai Regional Medical Center
Women’s Health Newsletter Maintaining Industry Awareness
FetaLink Fitness Lite
We are happy to announce the FetaLink Fitness Lite program. This service has been created to ensure your system con nues to run at an op mal level and allow your on‐ site resources to remain empowered to support this ever‐evolving solu on through the collec ve knowledge and proven prac ces acquired and defined by Cerner’s Oper‐ a ng Standards.
National Breastfeeding Awareness Month August is National Breastfeeding
The FetaLink Fitness Lite program provides the benefit of the following services: Awareness Month. The breastfeeding campaign, funded by the U.S. Department of Health and Human Services, hopes to empower women to commit to breastfeeding by highlighting new research showing that babies who are exclusively breastfed
Monthly audit of your FetaLink iBus servers and the FetaLink solu on Monthly collabora on mee ngs to discuss the results of the audit Onsite upgrade support for up to 2 upgrades per year Technical Maintenance Training refresher Clinical End‐User Training for new func onality around the upgrade Yearly Roadmap Review
Please contact John Folmnsbee or Russ Snyder for addi onal informa on.
Client Spotlight
for six months are less likely to develop ear infections, diarrhea and respiratory illnesses, and may be less likely to develop childhood obesity. Read more here.
Magee–Women’s Hospital of UPMC Dr. Carey Andrew‐Jaja, the Singing Doctor of Magee‐Women’s Hospital, was recently featured on ABC News. “I’ve delivered about 8,000 babies and I must have sung at least to six or 7,000 of them,” Dr. Carey Andrew‐Jaja told the news site. According to ABC, Andrew‐Jaja is but the successor of the adorable tradi on, learning as a young resident from a physician who sang to newborns. “He was about to re re. He asked me to con nue the tradi on,” Andrew‐Jaja said. “And I’ve done it ever since.” “When I’m singing to those babies I think I’m singing to a future important person. That’s the credit I give to all of them. So to me it’s a wonderful thing in my hand, the miracle of life, and the rest of it is that it’s a beau ful world we live in,” the doctor added in another video posted by the University of Pi sburgh Medical Center on YouTube. Watch the video here.
August 2014
Meet the Team
Maintaining Industry Awareness
Tamsin Lewis I was born and raised in Los Angeles, California. I have been registered nurse for 31 years. I have spent the last 22 years working as a APRN/ Cer fied Nurse Midwife at a large HMO in California. I obtained my BSN from California State University Dominguez Hills, and MSN‐ Educa on from South University. Charles R. Drew University of Medicine and Science is where I completed my nurse midwifery training. I am married with 3 children (one daughter and two sons). Also, I have two granddaughters. I enjoy basketball, boxing, and boa ng. I joined the Women’s Health team at the end of June as a Clinical Strategist.
Cord Blood Awareness In our July newsletter we discussed Cord Blood Awareness month with a focus on the United States. The United Kingdom also has a cord blood program called Precious Cells Miracle, which is endorsed by The
Royal College of Midwives (RCM)
and The Royal College of Obstetri-
Kyle Zartman
cians and Gynecologists (RCOG).
I am originally from Phoenix, Arizona and received my BSN from Grand Canyon University in 2013. I have been a RN for over 5 years and have worked predominately in postpartum and NICU. Prior to coming to Cerner I was lucky enough to work with the same team of nurses at West Valley Hospital for my en re nursing career. In my free me I enjoy watching sports and try to take in at least one out of town football game every season. I am a huge Arizona Cardinals fan and I try to make it to as many games as I can. My family has been sea‐ son cket holders since they moved to Arizona in 1988.
You can read more about this program at their website.
Women’s Health Newsletter What We’re Doing
What We’re Doing
EGA at Delivery Rule We have had many requests for
Enhancements to PowerChart Maternity The Women’s Health ABU is pleased to announce the following enhancements are currently in valida on with tes ng partners:
development of an additional rule that will support posting the EGA at Delivery to multiple babies. We are targeting an end of August release
Auto Close Pregnancy Ops Job (CR 1‐3861517911) will automa cally close an ac ve pregnancy instance with a gesta onal age greater than what is defined in the prefer‐ ence auto_close_pregnancy (prefmaint.exe). This preference value is defined as a number (in weeks) and will default to 44, but can be modified. A er a pregnancy is auto‐closed for a pa ent, the user is alerted to acknowledge the pregnancy informa on in the Pregnancy History control.
date. A new rules template had to be created that can support dynamic groups in order to make this rule function correctly. The new rules template will be patched back to function on the 2012.01 code level and greater. Watch for the release of the package on our Women’s
Combine Add Pregnancy/EDD Maintenance Window (CR 1‐5024128981) and Open Dynamic Group for Baby A by Default (CR 1‐3226842301) Together these enhance‐ ments allow an es mated delivery date to be documented at the same me the preg‐ nancy instance is opened. In addi on the user will be able to open the desired number of dynamic group labels for the gesta on (A, B, C…).
Health Collaboration Community
UCern Group.
Watch for a uCern announcement when these enhancements are generally available.
August 2014
Technical Corner FetaLink Technical Blog Have you seen it yet? The FetaLink Technical Blog is now available on the Women’s Health Collabora on Community uCern group!
Community Involvement Citizen’s Fire Academy
The FetaLink Implementa on team will periodically post topics related to the FetaLink solu on. This blog is not meant to replace official FetaLink documenta on and train‐ ing ‐ the FetaLink Wiki page s ll remains the go‐to place for detailed instruc on on all things FetaLink. Rather, this blog will serve as an addi onal resource meant to offer our assistance with various FetaLink topics. Here, our intent is to supplement, refresh, and expand informa on provided in documenta on and past training for use by all FetaLink clients in a casual forum, no ma er if you are currently live, implemen ng, or upgrading! The following is an excerpt from the first blog post discussing Log Files and how to access them in iBus: Frequently, the most useful informaƟon for helping troubleshoot the FetaLink applicaƟon can be found in the applicaƟon log files. Even though the informaƟon in these files may be a bit crypƟc at Ɵmes, it can be incredibly valuable to the trained members of the SoluƟonWorks Direct Care team. There are a variety of places that FetaLink logs out informaƟon to. Logs for the FetaLink and P2DA locally installed applicaƟons reside on the PC, while the logs for the iBus services live on the iBus itself. Hopefully, this post will help making finding them and understanding their purpose in troubleshooƟng a bit clearer. The FetaLink applicaƟon log file locaƟon defaults to a workspace/.metadata folder within the already created FetaLink folder that holds the applicaƟon soŌware on the PC. This should be the first place checked whenever looking for FetaLink log files. It is possible to change the default locaƟon of the FetaLink applicaƟon log files by making a change to the fetalink.ini file within the FetaLink soŌware folder.
Tosha Grotenhuis, Sr. Regulatory Strategist, recently completed the Citizen’s Fire Academy. Participants met once a week over the past three months to learn fire science, try out heavy firefighter equipment, ascend an aerial ladder, shoot fire hoses and even enter a burn cell, a structure containing a simulated fire. Not only did they learn and experience firefighter skills, but also EMS training, such
You can read the full blog post here. as CPR and other life-saving techniques.
Women’s Health Newsletter Tips & Tricks
Did You Know
Pregnancy Summary Document The Pregnancy Document is created when the pregnancy instance is actually closed. It captures all data pertaining to that pregnancy instance and collects data from the Onset Date of pregnancy to the date and time that the user hits “Close Pregnancy”. Inside this document you can find:
Prenatal exam information
EDD and EGA and the method
Postpartum Hemorrhage Per the ACOG Commi ee Opinion from March 2014, “Over the past decade, severe maternal morbidity in the United States has increased by 75% for complica ons associated with delivery and, specifically, 114% for postpartum hemorrhage.” Those are shocking sta s cs and a er reading that commi ee opinion, we knew we needed to provide content and decision support to our PowerChart Maternity clients. For this reason, we have started some new projects that we’d like to share with you. The first project you will see is that we now have an obstetrical bleeding sec on in IView that will help to capture any bleeding episodes throughout the pregnancy and during the postpartum period. This sec on lives in several of our Inpa ent IViews and was released on our July 31 content package # 74811. The second project came about when AWHONN kicked off their Postpartum Hemor‐ rhage Ini a ve in June. For those of you who may not have heard about the Ini a ve, you can read about it here. One of the hospitals that AWHONN partnered with in Georgia is Floyd Medical Center who is also one of our PCM clients! In an effort to assist our clients and the popula ons that they serve, we have part‐ nered with Floyd Medical Center to help them meet the requirements for the AWHONN PPH Ini a ve. Our goal with this partnership is to develop content and decision support that will enable our clients to provide the best care in decreasing the incidence of morbidity associated with Postpartum Hemorrhage. Stay tuned for more informa on as we con nue our partnership. And, a BIG THANKS to Floyd Medical Center for working with us on this very important ini a ve!
Problems and Risk Factors
Allergies and Medications
Histories and Registration information
August 2014
Did You Know
Tips & Tricks continued
Bereavement Content Did you know that we have Bereavement Content? This content is not viewable by default in IView. To add it to the view, complete the following steps:
Birth plan and Delivery information
Click the Customize View Icon.
Completed education
You can find this document the
moment you hit “Close Pregnancy”
Check the box and add the sec on to IView.
as it displays in the documents section inside the window.
It is also viewable on the Pregnancy History and the Notes tab within the
The bereavement content displays.
Table of Contents.
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August 2014
AWHONN Call for Papers
Social Media
2015 Annual Convention If you have a story you'd like to share with the AWHONN community at the 2015 Annual Conven on in Long Beach, CA, be sure to submit your abstract today! Call for Papers is currently open and all abstracts are due no later than 11:59 PM EST on Wednesday, September 10th.
Become a member of our Women’s
Feel free to reach out to your Cerner representa ve or email Women‐ sHealth@cerner.com if you would like assistance preparing an abstract; we hope to see you in Long Beach next summer!
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
Submission Areas:
tricks with your peers.
Case Study: Poster presenta on of in‐depth study and analysis of actual complex pa‐ ent care cases or prac ce situa ons that posed unique nursing challenges.
If you are not already a member, we
Evidence‐Based Quality Improvement Projects: Posters or 30 minute oral presenta‐ ons on data‐driven quality improvement projects conducted by the submi ers.
hope you’ll sign up soon!
Innova ve Program: Posters or 30 minute oral presenta ons on innova ve programs implemented in a variety of prac ce se ngs.
Join us on Facebook
Research Study: Posters or 30 minute oral presenta ons on completed research con‐ ducted by the submi ers. Specialty Session: Sixty or ninety minute oral presenta ons on topics related to con‐ ven on goal and objec ves. Join us on uCern
Further details can be found on the CFP homepage.
If you are interested in printing this newsletter, you can download a printable PDF on our Women’s Health Collaboration Community uCern page.