Cerner Women's Health Newsletter_August 2015 by Cerner

Women’s Health Newsletter

August 2015

In This Edition What We’re Doing FetaLink Development Model Experience EGA at Delivery Rule

Did You Know Pregnancy and Lactation Rule

Tips & Tricks Direct Entry on Prenatal Cards Flash Notifications

Maintaining Industry Awareness World Breastfeeding Week

Client Spotlight Universal Health Services, Inc. of Delaware

Global Corner FAQ Hyperbilirubinemia

FetaLink+ Cerner Health Conference

Women’s Health Newsletter On the Cover

What We’re Doing

McKenley Helen Schoen

This month’s cover baby is McKenley Helen Schoen.

Her mom is Cerner Associate Kendra Stillwell, Inside Sales

FetaLink Development There has been quite a bit of ac vity around FetaLink development resul ng in several Service and Excep on Packages that are either available or in progress. SP 1 for FetaLink 2014.01: Package # 80085 ‐ Generally Available 

Persistent maternal heart rate (MHR) displayed if configured to do so



Supports the correct display of pa ents in the Census when those pa ents are associated to a monitor that is configured at the nurse unit level



Supports the correct display of pa ents in the Census when a retroac ve associaon occurs over a pa ent in a HOLD bed loca on

SP 2 for FetaLink 2014.01: Package # 81090 ‐ Pending Client Valida on 

Displays a list of the countries where the applica on is approved for marke ng



Allows you to view pa ents in their assigned beds, suppor ng delivery ward configura ons



Includes the latest versions for edc-core-client and edc-core-client-ravel



Applica on and service side configura ons are defined with default alert values



Correc on to the display of user annota ons and vital signs in the Extended View to remove duplica on



Update to the Signal Quality Alert to reset the alert when leads are unplugged



Supports the display of the Doc Integra on results in FetaLink when they are documented in Millennium with a future date and me



Supports pa ent search when mul ple facili es share the same nurse unit display name



Ensures that the Pa ent Level Aler ng (PLA) icon display updates as expected if the alert service is updated without restar ng the FetaLink applica on



Ensures that the Pa ent Level Aler ng (PLA) se ngs update as expected if the alert service is updated



Ensures the Reason for Monitoring modifica ons are upda ng as expected when the episode is finalized



Ensures that the alert count display is correct when configured for bed-level loca ons



Ensures that the Alerts View is correct when configured for bed-level loca ons

Executive with the Ambulatory team.

August 2015

What We’re Doing continued

End of Support

There will be 2 diﬀerent EP’s for FetaLink 2014.01, depending upon whether or not the client has installed SP1 or SP2. Both of these EP’s are iden cal and contain the following:

End of Support for FetaLink 1.9.4



Cerner has set October 15, 2015, as

Update to the exis ng associa ons by device calls to a lite version on the service side to enhance performance

the end-of-support date for FetaLink

EP for Device Works: Package #82162 ‐ Generally Available

1.9.4, which corresponds to the



Helps reduce me to retrieve annota ons

SP 3 for FetaLink 2014.01 ‐ In development 

Enhancement to support auto logout of the FetaLink user



Update to the exis ng associa ons by device calls to a lite version on the applicaon side to enhance performance



announced end-of-support date for CareAware iBus 2.1. Only critical defects will be corrected after October 15, 2015, for FetaLink

Correc on to support the display of the login dialog at applica on start up a er changing the configura on value to disable the default user

1.9.4.

Op on to configure the FHR graph result range of 50-210 for global client implementa ons

Please refer to the following flashes



Update the way the MonitorAssocia on service pulls its MySQL database connecon informa on

on the Flashes page of Cerner.com



Update MonitorArchiveService to be er handle encounter crea on and finalizaon

for more details:



Ensure that only encrypted PHI is wri en to any FetaLink.log files in the event of error messages



PR15-0034-0 End of support for FetaLink 1.9.4 PR14-0264-0 End of support for CareAware iBus 2.1

Women’s Health Newsletter In The News

What We’re Doing continued

Model Experience If you have tried accessing our playbooks lately, you may have no ced that we’re direc ng you to a new page en tled ‘Model Experience’. This new page is your one stop shop for all playbooks related to the Women’s Health Service Line.

Columbia Memorial Hospital The Columbia Memorial Hospital Family Birthing Center was named the first annual True North Award winner for its effort to increase the

The Women's Health Service Line is a tailored approach to op mizing the pa ent visit across the con nuum of care. It is designed to meet the unique needs of the specialty and all departments and roles that surround that Service Line. As we con nue to add to it the Women's Health Service Line will contain focused recommenda ons that address care teams, departments and capabili es. These tailored segments include recommenda ons for Physician, Nursing, Academics, Revenue Cycle, Laboratory, Pharmacy, Radiology and more. Please check out the What’s New document on the Model Experience site to track new updates to our Model Experience. You’ll no ce a few changes to our content but our biggest change is for the Nursing Workflow. With the release of Model Experience last month, we’ve updated our recommenda on that all maternity nursing posi ons be moved to the workflow-based MPages. The wiki pages provide you details of those recommenda ons so please check them out!

rate of babies born at CMH who

If you’d like more informa on on the Model Experience, please find the recording of the Illumina on that occurred on July 2 here.

spend their first hour of life in skin-to

-skin contact with their mother.

August 2015

What We’re Doing continued EGA at Delivery Rule Extra! Extra! Read all about it! The EGA rule is FINALLY done and lives on the following package: 83387 PowerChart Maternity Inpa ent Content (July 2015). This is the EGA at Delivery rule that is in our Inpa ent Content Package. The rule has been updated to recognize each dynamic group so that in the event the mother has mul ples, and the babies are delivered on separate days, each baby’s EGA will be reflected appropriately in the mom’s chart and can then be copied over to the babies chart. There are a few new things that you will need to know as the workflow for the rule to evoke is slightly diﬀerent now. When a date and me of birth is documented and the first result copy occurs to the baby’s chart, the rule will evoke and run. It will trace back the path to find which baby the EGA needs to be documented on and place that EGA within the proper dynamic group for that baby. Then, when the second result copy happens, that EGA will copy over to the baby’s chart.

In The News continued Wyoming Medical Center Wyoming Medical Center is now receiving the milk from the Mothers’ Milk Bank in Denver. It will be available to any mother whose baby needs more milk than she’s able to produce, said Monica Money, the hospital’s nursery clinical educator.

Did You Know Pregnancy and Lactation Rule The purpose of the rule is to warn of poten al adverse reac ons during pregnancy and breas eeding. When a medica on is ordered and the pa ent is a female between the ages of 8 and 70, the medica on is compared to a list of drugs which could poten ally result in harm to pa ents who are pregnant or breas eeding. The rule evaluates medica ons that are pregnancy categories C, D, X and N. If the medica on is found to be one of the above classifica ons that are not safe in pregnant or breas eeding mothers, then an alert is fired to warn of the issues with the medica on choice. A new version of this rule has recently been released and lives in the following packages: 

82366 PowerChart Maternity Ambulatory Content (June 2015)



83387 PowerChart Maternity Inpa ent Content (July 2015)

The new service is part of an overall attempt to keep babies who need special care at Wyoming Medical Center rather than sending them to hospitals outside the state, Money said. -Casper Star Tribune

Women’s Health Newsletter Ideas

Tips & Tricks

Ability to turn off maternal alerts Would it be useful to provide a way to configure FetaLink so that it

Direct Entry on Prenatal Cards Direct Entry on the Prenatal Cards became available with our 5.4 Pregnancy MPage release, and direct entry on the Prenatal Visit table view became available with the 5.5 release. When configuring the prenatal cards you will want to ensure the following: 

One to one mapping in Bedrock (only one event set can be configured for one filter and the mapped event set should have only one event code and one DTA)



When mul ple events sets are mapped or no event sets are mapped in Bedrock or any field, then the field is not shown in the Prenatal Card



The name of the Provider documen ng the Next Appointment is displayed in the Provider Name sec on

results?



Clinical events or presenta on, fetal movement, fetal heart rate, and fetal lie should be part of the dynamic group

Currently FetaLink allows you to set

Addi onal informa on about the Prenatal Cards is available here.

would not alert on maternal vital signs, (BP, pulse, or SPO2) and instead would only alert on fetal

alert parameters for each of the following:

Flash Notifications Cerner Flashes is now the oﬃcial repository for Cerner Flashes. There you can search for flashes by solu on, date, or key word. When your search results are displayed, you can sort the results or export them to a Microso Excel spreadsheet.



FHR



Maternal Heart Rate



Maternal SPO2

The Cerner Millennium Flashes uCern group allows you to receive email no fica ons when new flashes are published or to follow flashes in a stream. This replaces the distribu on list previously used for no fica on purposes.



Maternal Systolic BP

For details on how to configure uCern Connect for emails or streams, see the document Accessing and Monitoring Flashes Guidelines for Clients.



Maternal Diastolic BP

August 2015

Maintaining Industry Awareness World Breastfeeding Week World Breas eeding Week is celebrated in over 170 countries on August 1-7 to encourage breas eeding and improve the health of babies around the world. According to the World Health Organiza on, globally, only 38% of infants are exclusively breas ed. Cerner’s Bridge Breast Milk Management u lizes bar-code scanning technology to help caregivers give the correct mother’s milk to the correct infant at the me of feeding. By ensuring posi ve pa ent iden fica on, the solu on increases pa ent safety and supports nursing workflow from receiving to administering. Clinicians use Cerner Bridge Breast Milk Management together with Cerner MillenniumPOC™ (point of care) solu ons or as a standalone system to support all required documenta on, including any comments associated with the feeding. It also provides a variety of alerts, including mismatch and expira on. In addi on, the solu on:

Ideas continued The system supports high and low parameters for these results, but it currently does not allow you to configure the system to turn alerts completely off for specific values. We have gotten some feedback that some health care organizations would prefer the ability to turn off



Oﬀers the ability to document addi ves



Provides support for both donor milk and mother’s milk

maternal results when configuring



Enables the tracking, storage, thawing, combining of products as well as expiraon dates

FetaLink.



Provides support for mul ple births

For more informa on about Bridge Breast Milk Management, please contact John Folmnsbee at John.Folmnsbee@Cerner.com.

We would like to hear your thoughts regarding this idea. Please navigate to https://connect.ucern.com/ideas/1 5090 to add your feedback. Thank you!

Women’s Health Newsletter Content Suggestions

The Women’s Health team understands your time is valuable and we want to ensure you are receiving benefit from this newsletter.

We would love to hear about topics you would like to see covered in future issues.

Client Spotlight Universal Health Services, Inc. of Delaware The Acute Care Division of Universal Health Services, Inc. of Delaware has 25 facili es, 17 of which oﬀer birthing services. Prior to February 2013, all 17 facili es had autotomy in managing one of three obstetric care EMRs: Philips OB TraceVue (11), Hill-Rom NaviCare WatchChild (2), and GE Centricity (4). However, from February 2013 through December 2013, all 17 birthing facili es converted to a common system, Cerner’s PowerChart Maternity and FetaLink. Planning for the conversion began September 2012 with first facility to launch in February 2013. Having all birthing facili es on one system has provided a new opportunity for us to improve evidence-based prac ce through order sets, labor assessments, and high-risk pregnancy management. In addi on, it has built a connectedness across the company as RNs from each of the birthing facili es became traveling SuperUsers to the other facili es’ PCM launches. This teambuilding has increased communica on between facili es both formally in a endance at our monthly mee ngs and informally in emailing each other with ques ons. Finally, being on one system has improved high reliability with standardizing specific medica ons and prac ces, promo ng a culture of safety and accountability, iden fying opportuni es to improve staﬃng. We con nue working toward op miza on and evidence based prac ce, o en using the vehicles of “PCM User Community” and “OBHRU Leadership” monthly mee ngs, in:

Please send your topic suggestions to WomensHealth@Cerner.com

We look forward to hearing from you!

 Integra ng new out-of-box content with custom content,  Making the system work for pa ents with severe morbidity such as pre-eclampsia and maternal hemorrhage  Launching Dynamic Doc, with unprecedented collabora on between OB physicians and nurses to integrate their documenta on.  Building and refining IPOC, using ZYNX content, to promote evidence-based maternity and neonatal plans of care.  Enhancing Care Compass with specific informa on per nent to OB nursing staﬀ: RN, MST, and UC. 

Looking at a more pediatric care-friendly discharge summary.

For further informa on on UHS’s roll-outs, please see their 2014 CHC Session: Successful Conversion: Designing, Building and Implementing PowerChart Maternity and FetaLink

August 2015

Global Corner

Got News?

By Patrizia Smouse Our clients and fellow associates in the UK have had a busy couple of months. We wanted to acknowledge two more sites in the London area that have gone live with PowerChart Maternity early this summer: Croydon Health Services NHS Trust and Lewisham and Greenwich NHS Trust. Kaisha Weldy and I had the pleasure to visit the hospital in Croydon when we were in England last summer. I s ll remember their colorful maternity unit and wandering through the streets of Croydon trying to find a taxi and ul mately the hospital.

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.

You can learn more about maternity services at each trust by clicking on the following links Croydon and Lewisham.

Women’s Health Newsletter Community Involvement Corporate Challenge Congratulations to the women’s basketball team for earning gold medals in the 3v3 Corporate Challenge basketball tournament for the third year in a row! They defeated Sprint

FAQ Hyperbilirubinemia Many of you have had requests for us to update our Hyperbilirubinemia component on the Neonate Summary MPage. We’ve begun working on some of those requests, so here is the list of some of the enhancements we are making to the component and the tenta ve release dates. The following CR (1-9511602317) will be fixed in the 5.6 release of MPages (the tentave release date for this is August 25, 2015). The descrip on of the CR is Add the µmol/L unit of measure to the exis ng graph in the Hyperbilirubinemia component, so we are adding the unit of measure to the Bhutani Nomogram. In the 6.0 release of MPages (the tenta ve release date for this is February 16, 2016) we are planning the following enhancements:

in the championship game. The



Conver ng the component to a Workflow MPage component

women’s team consisted of: Jill



Adding the Phototherapy Treatment graph



Enabling the component to con nue showing a er 7 days



Enabling the component to display prior to documenta on

Lauren Bruce, Liz Burnett, and Andie



Adding the ability to save the rendered graph

Young.



Adding the ability to print the graph

Anderson, Aubrie Hackathorn,

Aubrey, in the gray shirt below, is a Sales Executive with the Women’s Health Team.

Women’s Health Newsletter FetaLink+ Time for your life without missing a beat of theirs For many healthcare providers, work does not just end when they leave the hospital; obstetric providers never stop thinking about their pa ents and the care they are receiving. FetaLink+ mobile technology allows for care providers to see what is going on at the hospital remotely, enhancing decision support from beyond the four walls. FetaLink+ not only allows providers to view live fetal and maternal monitoring data anywhere at any me, but it aids in care team communica on. How many mes are labor and delivery nurses calling physicians and trying to explain the fetal monitoring strip data over the phone? The answer is every day. The goal of FetaLink+ is not to replace the communica on between the care team, but instead enhance it. It provides a way to communicate about a specific pa ent while viewing live fetal and maternal monitoring data, scrolling back in me to look at trends and having per nent pregnancy history right at their finger ps. Because it is fully integrated with PowerChart Maternity, care providers also have access to pa ents’ pregnancy summary with key details such as allergies, pregnancy history details, risk factors, cervical exams and more. Since the release of FetaLink+, 18 Women’s Health client sites have successfully implemented this mobile technology and have integrated it into their labor and delivery workflow. Want to know more about how FetaLink+ can enhance your workflow and pa ent care? Please contact John Folmnsbee at john.folmnsbee@cerner.com or a member of the Women’s Health team.

August 2015