Women’s Health Newsletter
April 2015
In This Edition Unit of the Year Award Submissions AWHONN PPH Project Floyd Medical Center
What We’re Doing FetaLink Service Package PowerNote Packages & Smart Template Updates
Did You Know Rhogam Decision Support Rule
Collaboration Community Group We’re Remodeling!
KLAS Survey Playbook Updates FAQ Defaulting ViewPoint Based on Encounter
Tips & Tricks Direct Entry of Prenatal Visits
Global Corner European Collaboration Forum
Community Involvement First Hand Love Bags
Women’s Health Newsletter Unit of the Year Award Submissions
On the Cover Bennett Alexander James
This month’s cover baby is Bennett Alexander James.
His mom is Cerner Associate Kristen James, Sr. Program Manager
with
Works team.
the
Device-
April 2015
AWHONN Postpartum Hemorrhage Project Floyd Medical Center Postpartum hemorrhage is a leading cause of pregnancy‐related complica ons affec ng about 125,000 women a year.1 Of these maternal hemorrhage‐related deaths, 54‐93% could have been prevented with improved clinical response. Floyd Medical Center, along with 50 other hospitals spanning across Georgia, New Jersey and the District of Columbia, was chosen to par cipate in the AWHONN Post‐ partum Hemorrhage Project. The ini a ve is designed to reduce clinician errors associ‐ ated with obstetric hemorrhage mortality and morbidity. Together with the Cerner Women’s Health team, Floyd Medical Center developed three assessments required to be compliant with the PPH project. These assessments were then placed appropriately within PowerChart Maternity to best support Floyd Medical Center’s current workflow. Since implemen ng these assessments, Floyd Medical Center‘s number of charts with a postpartum hemorrhage admission risk assessment increased over 95%. Pa ents’ charts with a postpartum hemorrhage admission post‐birth risk assessment also increased above 90%. In addi on, Floyd Medical Center developed two tracking shell rules related to post‐ partum hemorrhage. These rules follow a two‐step process. First based on the pa ent’s risk category calculated within the assessments, a rule fires a color icon to the Maternity Tracking Shell. This allows clinicians to see the risk level of the pa ent. Second, if a pa ent is at medium or high risk, the appropriate IPOC including ac ons tailored to this risk category is ini ated. Floyd Medical Center is a 304‐bed acute care hospital and regional referral center. It covers over 40 medical special es, including three Des na on Centers and five Joint Commission‐cer fied disease‐specific programs. From July 2013‐June 2014, Floyd Medical Center’s Birth Center had 2203 births. To learn more about the AWHONN Postpartum Hemorrhage Project, please visit h p://www.pphproject.org/.
Save the Date Women’s Health Workshop
Join us in Kansas City May 19-20th for the Women’s Health workshop: Successful Adoption of PowerChart Maternity and FetaLink. Attendees will experience an interactive workshop focused on the successful adoption of PowerChart Maternity and FetaLink with one and a half days of sessions led by the Cerner Women’s Health team and guest presenters. Registration is now open!
For details on our recommended content, click here. 1
According to the Associa on of Women’s Health, Obstetric and Neonatal Nurses.
h ps://events.ucern.com/ women15/
Women’s Health Newsletter AWHONN Convention
What We’re Doing
2015 AWHONN Convention
Service Package #80085 is currently in valida on for FetaLink 2014.01, and is expected to be generally available in late March or early April. Any client who has FetaLink 2014.01 in produc on or in non‐produc on will be no fied once this package is available.
Registration is now open for the 2015 Annual Convention June 13-17 in Long Beach, California. Join your fellow nurses and clinician colleagues from around the world to navigate new horizons for ensuring superior care to women and newborns everywhere. Register here. We will be exhibiting our latest functionality along with our Breast Milk Management solution, so come
FetaLink Service Package
This package contains three updates to FetaLink: 1. A configura on op on that will allow FetaLink to display the maternal heart rate waveform by default, if it is being captured by a con nuous pulse oximeter. Previ‐ ously, FetaLink hid that waveform by default, and in order to show it, the clinician would select the maternal heart rate box on the right side of the screen. Any type of refresh of the view would subsequently hide the waveform again. Star ng with FetaLink 2014.01, healthcare organiza ons can choose to configure FetaLink to show this waveform as “always on” by default. Clinicians can choose to temporar‐ ily hide it by clicking on the maternal heart rate box. 2. The system will be er manage the way an episode displays in the HOLD bed on the FetaLink Census, if a user mistakenly overrides the episode during a retroac‐ ve associa on. This correc on ensures that the loca on displays as expected in the HOLD bed loca on. 3. For sites that have fetal monitor devices built at the unit level instead of the room level, the system will be er manage how those loca ons update. Specifically: If a pa ent is associated to one of those devices without having a specific room assigned to her, the system will maintain her loca on in the room on the FetaLink Census.
find us on the exhibition floor at
PowerNote Packages and Smart Template Updates
Booth #319.
The Women’s Health Inpa ent and Ambulatory PowerNote package releases have been delayed un l May so that we can include updates to the OB Exams and OB Lab Results smart template layout.
April 2015
What We’re Doing continued
End of Support
Currently these templates contain a table/grid format that is not displayed correctly within PowerNote.
End of Support for FetaLink 1.9.4
OB Exams NEW format
Cerner has set October 15, 2015, as
the end-of-support date for FetaLink
1.9.4, which corresponds to the
announced end-of-support date for
CareAware iBus 2.1.
Only critical defects will be corrected
after October 15, 2015, for FetaLink
1.9.4.
Please refer to the following flashes
OB Lab Results NEW format
on the Flashes page of Cerner.com
for more details:
PR15-0034-0 End of support for
**The format above is only for the smart templates when used in PowerNote, the Genview format will remain the same as it is currently**
FetaLink 1.9.4 PR14-0264-0 End of support for CareAware iBus 2.1
Women’s Health Newsletter FetaLink+ 3.0.1 Release FetaLink+, our mobile fetal monitor solution for iOS devices, has recently released Version 3.0.1. This latest version of FetaLink+ will offer a Review tab that will display a sum-
Did You Know Rhogam Decision Support Rule Did you know that Women’s Health has a decision support rule that looks at the moth‐ er’s and baby’s blood type to determine if the mother needs Rhogam? If a mother is Rh nega ve they will need Rhogam within 72 hours of delivery; and if the clinician does not order Rhogam on the OB Postpartum PowerPlan, and the mother is Rh nega‐ ve, an order for Rho (D) Immune Globulin Protocol will be added to the mother’s chart. For a Rh nega ve mom and Rh posi ve baby, WH_RHOD_IG_INPT_ADM_1 rule works like this: A type and screen is ordered and completed on the mother’s chart:
mary of the patient’s clinical information. Components available in this version are:
Overview of the patient’s current pregnancy
Once the mother delivers, a type and screen is ordered and completed on the baby’s chart:
Risk factors related to the pregnancy
Pregnancy History
Allergies
April 2015
Did You Know continued The system will look at the linked mom and baby records and fire an order for Rho (D) Immune Globulin Protocol:
Content Suggestions The Women’s Health team understands your time is valuable and we want to ensure you are receiving
If the baby is Rh posi ve and there is not a resulted blood type for the mother, the system will place an order for Rho (D) Immune Globulin Protocol on her record, and send a message to the physician’s inbox that states: “There is no Blood Type ABO/Rh result for the mother of this newborn. Follow‐up to determine if mother needs Rho (D) IG injec on.”
benefit from this newsletter.
We would love to hear about topics you would like to see covered in future issues.
If the baby is Rh posi ve and the system can’t find a mother related to the newborn; the system will fire a discern alert to the physician’s inbox that states: “There is no mother rela onship established in the record for this newborn. Follow‐up with mother to determine if mother needs Rho (D) IG injec on.”
Please send your topic suggestions to WomensHealth@Cerner.com
We look forward to hearing from you!
Women’s Health Newsletter Illuminations
Collaboration Community uCern Group
Women's Health 2015 Innovations
We’re Remodeling!
On March 11, 2015, Strategists Jessica Alford, RN, BSN and Jill Meier, RN-BC, BSN along with WH Director Patrizia Smouse, presented
Watch for our new layout on the Women’s Health Collabora on Community uCern group to be published soon. The changes should make it easier for you to navigate to the content that is relevant to you.
Women’s Health innovations coming
out in 2015.
Playbook Updates
This Illumination session provided a
Coming soon, we will be changing the look and feel of the nursing playbooks. We are migra ng all of them to have the same look and feel as the physician specialty pages as this will make them easier to navigate and help us to keep them more in sync with the per nent informa on that we need to provide to our clients. This change will include grouping the informa on together that you can open and close instead of scrolling through all of the sec ons. It will also include an upli to the design that will help make the informa on more clear as well as keep the playbooks consistent between the special es where appropriate. Please be watching for the new playbooks, and if you have any feedback or ques ons around them, you can email womenshealth@cerner.com.
brief overview of the Pregnancy Workflow MPage 5.4, content updates, PowerChart Maternity, FetaLink and FetaLink+ enhancements. See the presentation here.
April 2015
KLAS Survey
HIMSS
As you know, sa sfac on for PowerChart Maternity/FetaLink users is very important
April 12-16, Chicago
to us. Of the many mechanisms we u lize to measure and monitor client sa sfac on,
Visit Cerner at HIMSS to experience
we wanted to provide addi onal details around KLAS‐‐an organiza on that publishes
what connected care can look like
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
through innovative services, solutions and ideas designed to improve health and care.
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
Share and discover seamlessly connected care through ideas,
Your Vendor” bu on. The survey will take just 5‐10 minutes of your me.
services and solutions that are
A er you’ve submi ed a survey, an analyst from KLAS will reach out to you to verify
designed to work for today and think
your creden als and collect verba m comments from you. Cerner and KLAS sincerely appreciate your me to provide this invaluable feedback.
for tomorrow. Explore our 12,200 square foot booth (#913) to learn about key imperatives including interoperability, population health management, physician engagement, and clinical and financial integration. Find out more here.
Women’s Health Newsletter Got News?
FAQ
Defaulting ViewPoint Based on Encounter Type Did you know that you can default the ViewPoint tab that displays when you open a pa ent chart based on the type of encounter?
Do you have good news to share With the ViewPoint set up in Bedrock, select ‘Define default Views’ and ‘Begin…’ 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.
Review the list of available ViewPoints in your domain and select the View for which you would like to define the encounter type. Once the View is highlighted in the le panel, the middle pane will display all of the encounter types that have not been assigned to a View and the right panel will display all of the MPage tabs contained within the ViewPoint. Highlight the encounter type in the middle panel, highlight the MPage tab you want to associate to that encounter type, then select the single arrow to move the encounter type to the MPage View. Click ‘Save’ when you are finished. Within the Obstetrics View of the Workflow MPage you can associate Outpa ent encounter types to the Prenatal tab and associate Inpa ent encounters to the Triage/ Ante/Labor tab.
April 2015
FAQ continued
Maternity Facts
During the second half of pregnancy your baby will pee about a liter a day. Where does all of that urine go you ask? The baby swallows it.
Each year babies are born weighing more and more on average. Recently, a new mom in England gave birth to a baby
Tips & Tricks
boy weighing a whopping 15
pounds 7 ounces.
Direct Entry of Prenatal Visits from the Workflow MPage 5.4
With package 76725: MPages: Pregnancy Summary Configura on 5.4 (December 2014), the Prenatal Visits component supports direct entry in the card view instead of naviga ng to IView to complete Prenatal Visit documenta on for PowerChart Maternity Ambulatory clients. This package was made Generally Available on March 19, 2015. Once you select the Obstetrics View from the PowerChart Table of Contents you can choose the Prenatal Visits component from the navigator panel. New clinical results can be documented by selec ng the Chart link in the bo om right corner of the Prenatal Visit Card for today’s visit.
Your uterus starts at about the size of a small pear at the beginning of your pregnancy and grows to about the size of a medium watermelon.
Women’s Health Newsletter Fascinating Facts
Tips & Tricks continued
Pregnancy About 3% of all pregnant women will give birth to twins. This rate is an increase of nearly 60% since the early 1980s.
Once the card is in direct entry mode you will be able to see documenta on already entered on the encounter displayed in black font. These values cannot be edited, but a new value can be entered by right clicking in the field and selec ng Add New Value. In the screen shot below the weight, blood pressure and urine dips ck have already been charted by the office nurse:
However, 17% of pregnant
women over 45 will give birth
to twins.
After delivery, approximately
13% of U.S. women are diagnosed with post-partum depres-
New values entered will display in the field in purple font un l the card has been signed by clicking the green check mark in the upper le corner:
sion.
Approximately one in three ba-
bies in the United States is now
delivered by cesarean section.
The number of cesarean sections in the U.S. has risen nearly 46% since 1996.
Once the card is signed it will display in ‘read only’ mode, but can be charted on again at any me.
April 2015
Global Corner
Fascinating Facts
European Collaboration Forum by Patrizia Smouse
born each year in the U.S. to
Last week Cerner’s European Collabora on Forum was held in our London office. This event is similar to the Cerner Health Conference thus allowing our European clients an opportunity to see Cerner solu ons and a end client‐led sessions that they may not otherwise have the opportunity to do. The Women’s Health team was once again privileged to a end the event and demo our latest func onality. We were excited to show off our new partogram since this has been a big ask for our non‐US clients as well as FetaLink+.
teenage mothers.
the longest pregnancy on record is 375 days (as opposed to the
It’s always great to talk to clients and show them what we can offer but one of the best aspects of the event was listening to Royal United Hospitals Bath NHS Founda on Trust present their PowerChart Maternity conversion story. The en re project was 12 weeks from kick‐off to conversion and through all of that they added over 4000 pregnancies so midwives/obstetricians would have pregnancy informa on as well as informa on required for na onal repor ng upon go‐live. And on top of it all this wasn’t just one hospital but several with over a 92% training rate.
According to a Time Magazine article published in 1945,
This year was especially exci ng as most of our UK clients are coming out of the na onal programme and will be upgrading to Cerner’s latest code thus providing them func onality they were previously unable to have.
I’m hoping to have them share their story with all of us in an upcoming newsle er so we can all learn from them and hear the values they are providing to clinicians in this region of the UK.
Just under 500,000 babies are
usual 280 days). Amazingly, the delivered baby was only 6 pounds, 15 ounces .
Fewer than 10% of babies are born on their exact due date, 50% are born within one week of the due date, and 90% are born within two weeks of the date.
Women’s Health Newsletter
April 2015
Community Involvement
Social Media
First Hand Love Bags On March 6th, the Women’s Health team worked with the First Hand Founda on to assemble Love Bags, which are provided to children entering the foster care system.
Become a member of our Women’s
First Hand is a not‐for‐profit, 501(c)(3) organiza on that provides funding for individu‐ al children with health‐related needs when insurance and other financial resources have been exhausted. They also create and support several mission‐based programs designed to make a difference in the lives of individuals in our own community and around the world.
uCern is a great way to stay up to
events, network and share tips and
tricks with your peers.
Health Collaboration Community on uCern.
date on the latest developments around PowerChart Maternity and FetaLink, hear about upcoming
If you are not already a member, we hope you’ll sign up soon!
Join us on Facebook
Join us on uCern
If you are interested in printing this newsletter, you can download a printable PDF on our Women’s Health Collaboration Community uCern page.