Women’s Health Newsletter
December 2013
In This Edition Tips & Tricks G/P Cross-Encounter on Tracking Shell
Industry Awareness OB/GYNs Redefine Meaning of Term Pregnancy
Did You Know Document Quality Review Nursing Playbook Release
Global Corner Brazil Midwifery in Australia and Queensland
Year in Review Troubleshooting Using View Builder Did You Know Perioperative Doc Available within PowerChart
Women’s Health Newsletter What We’re Doing
Tips & Tricks
FetaLink+ Live
Gravida/Para Cross-Encounter on Tracking Shell With the release of package 69074, we now have the ability to pull results across encounters on the Tracking Shell. This is recommended to be used to display Gravida and Para, so that it is no longer necessary to document that informa on on each encounter. A er you have installed the package, you can set up these cross‐encounter results columns by following these steps:
We are excited to announce the first implementation of FetaLink+. One of our testing partners, Harrison County Hospital in Indiana, went live on Wednesday, November 13, 2013. General availability is tentatively scheduled for December. Watch this newsletter or the Women’s Health Collaboration Community uCern group for the announcement of the actual release date.
1. While logged into Powerchart as a DBA, navigate to the Tracking Shell. 2. Navigate to ListConfigure Columns, and open the Column View you need to modify. 3. Under the Available Fields list on the le hand side, expand the “Results” category. You will see a new choice for “Result Value by Person”. This is the column that you will want to use for Gravida and Para. 4. Move the Result Value by Person column into your Selected Fields list via the blue right arrow. 5. Navigate to the appropriate event set to display the Gravida result, and adjust your Heading and Column Width as appropriate. 6. Repeat steps 4 and 5 to pull in a column for Para. 7. Once you have your new columns, you can remove the old G/P columns via the blue le arrow. Also note that if you currently have your Gravida/Para DTA’s on an Admission PowerForm (so that the results would save to each pa ent encounter), those can be removed. Once you have completed the above steps and the Pregnancy History control has been filled out on your pa‐ ents, you will see Gravida and Para automa cally populate as soon as the pa ent is registered!
December 2013
Industry Awareness
What We’re Doing
OB/GYNs Redefine Meaning of "Term Pregnancy"
FetaLink 2013.01 Live
In order to improve newborn outcomes and expand efforts to prevent nonmedically‐ indicated deliveries before 39 weeks of gesta on, the na on’s OB/GYNs have rede‐ fined ‘term pregnancy.’
Olmstead Medical Center in
In a joint Commi ee Opinion, The American College of Obstetricians and Gynecologists (The College) and the Society for Maternal‐Fetal Medicine (SMFM) are discouraging use of the general label ‘term pregnancy’ and replacing it with a series of more specific labels: ‘early term,’ ‘full term,’ ‘late term,’ and ‘post term.’
Minnesota, went live on Monday,
The following represent the four new defini ons of ‘term’ deliveries:
Early Term: Between 37 weeks 0 days and 38 weeks 6 days
Full Term: Between 39 weeks 0 days and 40 weeks 6 days
Late Term: Between 41 weeks 0 days and 41 weeks 6 days
Post term: Between 42 weeks 0 days and beyond The en re press release can be found here: h p://www.acog.org/About_ACOG/News_Room/ News_Releases/2013/Ob‐ Gyns_Redefine_Meaning_of_Term_Pregnancy
November 25, 2013 with FetaLink 2013.01 General availability is tentatively scheduled for December. Watch this newsletter or the Women’s Health Collaboration Community uCern group for the announcement of the actual release date. You can review the Illuminations session for details on this release here: h ps://applica ons.cerner.com/ members/illumina ons/ IllumDetails.aspx?illumid=4383
Women’s Health Newsletter Content Release
Did You Know
Pregnancy Summary and Neonate Summary MPages 5.0
The MPages 5.0 release was made generally available on November 8, 2013.
68510 - MPages: Pregnancy
Summary Configuration 5.0 (Sep 2013)
68514 - MPages: Neonate
Summary Configuration 5.0 (Sep 2013)
Document Quality Review ICD10 is coming…October 1, 2014! Let us tell you the posi ve side to this change! Moving from the current 13,000 ICD‐9 codes to over 141,000 ICD‐10 codes‐ has great poten al to improve pa ent care, documenta on of clinical care, reliability of quality measures and demonstra on of meaningful use, and level of reimbursement. Cerner is coming to the aid of physicians and coders with the new DQR (Document Quality Review) solu on. It will assist in achieving successful coding with the implementa on of ICD‐10. DQR is like a “virtual clinical documenta on specialist!” It provides integrated ICD‐10 content with tools to support the clinical and coding workflows prior to reaching the coding and billing team. As the physician creates a clinical document (whether using dynamic documenta on, PowerNotes or clinical notes), he/she can interact with context‐specific CDI (clinical document integrity) clarifica ons in real me. An editable statement is provided to the physician, consis ng of clarifica on selec on and the findings that support that selec on. The pa ent’s diagnosis list is updated with the clarifica on responses selected by the physician. Let us help fill in the gap between clinical documenta on and coding guidelines. For more informa on about the DQR solu on, please contact Kurt Connolly at
Kurt.Connolly@cerner.com Informa on is also available on the following reference page: h ps://wiki.ucern.com/display/public/reference/ All+About+Document+Quality+Review
Full descriptions of these packages can be found in the October newsletter.
December 2013
Did You Know continued Nursing Playbook Release We are excited to announce the upcoming release of playbooks for Labor & Delivery, Mother/Baby and OB Office Nurse posi ons in late December 2013! Beginning in March 2014 we will also begin releasing training materials that guide the nurse in the prac cal applica on of each playbook beginning with the Labor & Delivery Nurse. The Women's Health Nursing Playbooks provide a comprehensive approach to maximizing the nurse's produc vity through op mal design and configura on based on the best prac ce observed by Cerner across our client base. Each playbook will include the following:
Fetal Monitor Survey
We would like your feedback concerning fetal monitors in order to better understand future needs with regard to fetal monitor compatibility with FetaLink and FetaLink+.
Standards – se ngs for preferences and privileges that are derived from the accumu‐ lated experience of implemen ng PowerChart Maternity and FetaLink. Content – configura on of the Tracking Shell, Table of Contents, MPages, Favorites Folders, and Rules Workflows – op mal documenta on workflows by venue
Before starting this survey, please contact your Biomedical Engineering and gather the make, model and quantity of fetal monitor devices
By December 31st, all Women’s Health Nursing Playbooks can be access from the Nurse Experience site. h ps://wiki.ucern.com/display/NE/Nurse+Experience
currently in use at your facility. h p://www.surveymonkey.com/s/ B9SG5CH
Women’s Health Newsletter Community Involvement Philly Tweed Ride 2013
Global Corner Albert Einstein Hospital in Brazil and Cerner Reach an Agreement We are happy to announce another country joining the PowerChart Maternity/FetaLink family! On September 4th, we announced a partnership with Albert Einstein Hospital in Sao Paulo, the largest private hospital in Brazil and the leading health care provider in La n America. Client Profile Client Name: Hospital Israelita Albert Einstein
Liz Scully, one of our newest team
715 bed main hospital facility with 9 ambulatory clinics
members, recently participated in
#1 Hospital in all of La n America
First JCI Accredited hospital in La n America
Affilia ons with Cleveland Clinic and MD Anderson (no affilia on with Albert Einstein hospital in the US)
the Philly Tweed Ride. On November 9th, about 125 riders participated in the event. The only requirement was to wear tweed and donate to Philabundance food pantry.
Key facts about Brazil
Language: Portuguese
Largest GDP in La n America
Popula on: 200 million
6000+ Public Hospitals, 1500+ Private Hospitals
Host of the 2014 FIFA World Cup
Host of the 2016 Summer Olympic Games
December 2013
Global Corner continued
Save the Date
Midwifery in Australia and Queensland In Australia, Midwifery is a health care profession in which providers offer care to childbearing women during pregnancy, labor and birth, postpartum period, and be‐ tween pregnancies. Prac oners also help care for the newborn and assist the mother with breas eeding; educa on for birth control and well‐woman health care. PowerChart Maternity’s ini al implementa on in Australia will be in Queensland, the third largest state in Australia, and the third state to adopt Cerner Millennium as the public (universal) health system’s preferred integrated electronic medical record. Increasingly, women in Queensland are beginning to see more op ons available for antenatal care, postnatal care and birthing services, including choosing a midwife as a primary caregiver during pregnancy. It is an cipated by the end of 2013, that 10 percent of all births in Queensland Health public hospitals will involve women seeing the same midwife or small group of midwives during their pregnancy, at birth and a er the delivery of their baby. Midwifery con nuity of care models provide antenatal, postnatal and labor, and birth care to women and their families by a known midwife. (Nursing and Midwifery Office Queensland: 2013) In the last 50 years of the 20th century un l now, pregnancy and child birth has become increasingly medicalized due to mul ple factors. These include increasing numbers of elderly primapara; high quality emergency interven on if required, and soaring caesarian rates. In Australia for the first me, Medicare (our universal primary and secondary health care system introduced in the 1970’s) is providing rebates for services to independent private midwives and con nuity of care midwives transi oning to private prac ce. Some evidence suggests for normal births midwives offer care at a lower cost, use lower interven on rates and have lower mortality and morbidity as a result of fewer interven ons and fewer recovery complica ons. Nurses and midwives were trained at Queensland hospitals up un l the early 1990’s, with university undergraduate courses beginning in the mid‐eigh es. Up un l that me, midwives were required to be nurses first and midwifery was offered as post‐ graduate training. It has now emerged throughout Australia as a separate profession.
SIG Please join our SIG co-chairs, Angie Conner and Susan Nigro for the next Women’s Health Special Interest Group (SIG) call. The call is scheduled for Wednesday, December 11, at 11:00 AM CST.
Women’s Health Newsletter In The News
Year in Review
This is a summary of func onality released in 2013 and the associated package numbers. Refer to the appropriate newsle er for the original ar cle.
Penn State Milton S. Hershey Medical Center Congratulations to Hershey Medical Center on their second place win in the 2013 Pink Glove Dance video competition! This win, for the second consecutive year no less, raised $10,000 for the Breast Cancer Coalition of Pennsylvania. Additionally, Medline and participating hospitals will donate another $1 million to the National Breast Cancer Foundation and various local breast cancer charities nationwide.
FetaLink 1.9.4 61883 ‐ for iBus 1.3 62164 ‐ for iBus 2.1 Refer to the January and February newsleƩers for details. PowerChart Maternity Content 67063 ‐ PowerChart Maternity (US): Inpa ent (Jul 2013) 67061 ‐ PowerChart Maternity (US): Ambulatory (Jul 2013) Refer to the July newsleƩer for details. PowerChart Maternity Reports 66994‐ PowerChart Maternity (US): Inpa ent Reports (Jul 2013) 67619 ‐ PowerChart Maternity (US): Ambulatory Reports (Jul 2013) Refer to the September and July newsleƩer for details. 66450 ‐ PowerChart Maternity (US): Birth Log Mul ple Pa ent Correc on (Jun 2013) 66380 ‐ PowerChart Maternity (US): Fetal Well‐Being Endorsement Report (Jun 2013) Refer to the June newsleƩer for details. 63914 ‐ PowerChart Maternity (US): Repor ng Performance Enhancements (Jan 2013) Refer to the February newsleƩer for details. Pregnancy Summary and Neonate Summary MPages 68510 ‐ MPages: Pregnancy Summary Configura on 5.0 (Sep 2013) 68514 ‐ MPages: Neonate Summary Configura on 5.0 (Sep 2013) Refer to the October newsleƩer for details. PowerNote Content 68286 ‐ PowerChart Maternity (US): Ambulatory ‐ PowerNote Content (Oct 2013) 68232 ‐ PowerChart Maternity (US): Inpa ent ‐ PowerNote Content (Oct 2013) Refer to the November newsleƩer for details. PowerChart Maternity Rules The complete lis ng of the rules, their descrip ons and the most current package number(s). Refer to the January newsleƩer for details.
December 2013
Troubleshooting
Coming Soon
Using View Builder Beginning with MPages: Pregnancy Summary Configura on 5.0 Package 68510 (September 2013) you will need to build a customized Pregnancy Summary view in View Builder with the recommended components in addi on to any of the MPages components within your library. 1. In Bedrock select the menu op on for MPage View Builder 2. Select Add and enter the name of your new view **The string used for the View Name can only hold 27 unique characters a er the “VB_”. This same view iden fier will be used in PrefMaint.exe to define your REPORT_PARAM
Physician Playbook The Women’s Health Physician Playbook will be adding a WBT designed to enhance the learning experience of the OB/GYN physician. Publication is scheduled
3. Select Summary from the Layout Types
for late December 2013 on the
4. Move the desired components from the Available list to the Selected list.
reference site listed below:
** Once a component is in the Selected list and the view has been saved, you cannot remove the component only turn in “on” or “off”. Also, keep in mind that since you can configure a view by posi on you will need to add all the components needed for each posi on to the view, then in MPages Setup for each posi on select MPage Layout and check/arrange the components you want to use.
https://wiki.ucern.com/display/ eutmaterials/
5. Add the MPage level Se ngs component to your view
Physician+Specialty+Web-
6. Select Save and Finish
Based+Training+%28WBTs%29
The MPages 5.0 Release comes with a new unified architecture that allows op mal performance and capabili es:
REPORT_NAME
mp_unified_driver
REPORT_PARAM "MINE",$PAT_PERSONID$,$VIS_ENCNTRID$,$USR_PERSONID$,$ USR_Posi onCd$,$PAT_PPRCode$,"$APP_AppName$","<static content file path>","<View or ViewPoint Identifier>"
Women’s Health Newsletter Did You Know
December 2013
Illuminations
Perioperative Doc Available within PowerChart Did you know that Periopera ve Doc for documenta on of OB opera ve procedures can now be accessed from PowerChart instead of through SurgiNet beginning in .22 code? Follow these steps to add Periopera ve Doc to the PowerChart Table of Contents:
Pregnancy Summary MPage 5.1 Release
1. Log into PrefMaint.exe.
Join Emily Vano on Thursday,
2. Select PowerChart from the Applica on list.
December 5th from 2 – 3pm CST
3. Select the appropriate posi on from the Posi on list. 4. Click Search for Preferences. 5. Select the Chart level and click Add Tab.
when she discusses the MPages 5.1 release.
6. In the Available Tabs select Periopera ve Doc and click the down arrow to add it to the Exis ng Tabs. 7. Click OK. 8. Click Apply, and then close the applica on. Also, beginning in .23 code Surgical Case Tracking will also be available within PowerChart.
FetaLink+ Join Jill Meier on Tuesday, December 17th from 2 – 3pm CST for a FetaLink+ demonstration. Note this
session does not use the traditional Illuminations call-in information. Details will be sent out prior to the call.