Women’s Health Newsletter
February 2015
In This Edition FetaLink 2014.01 Meet the Team In The News Becker’s Hospital Review
Tips & Tricks Medication Reconciliation
Did You Know FetaLink Add-Ons
All About Printing Fetal Monitor Annotations from PowerChart Maternity FetaLink Alarm Parameters
Advancing Interoperability In The News Ventura County Medical Center
Women’s Health Newsletter FetaLink 2014.01
On the Cover
Nancy Elizabeth Logan
Cerner’s latest FetaLink offering, known as FetaLink 2014.01, was made generally available to all clients on January 20, 2015.
This month’s cover baby is
This release u lizes the CareAware iBus 5.2 services to op mize system deployment and maintenance. The benefits for system administrators include:
Nancy Elizabeth Logan.
Her dad is Cerner Associate Steve
Logan,
Technical
Engagement Leader with the
Streamlined deployment
Ease of upgrades
Ease of system management
The FetaLink 2014.01 applica on has been validated to run within a 64‐bit machine, which offers a more flexible implementa on plan for our clients. In addi on to these technical enhancements, FetaLink 2014.01 has added op ons to enhance the applica on for end users. These op ons include: The ability to display loca ons down to the bed level, adding the MRN to the census, and sharpening the visual display of the exported PDF.
Women’s
Health
FetaLink
Implementation team.
PortraitsTodayStudios
Meet The Team Shelley Wehmeyer, Solution Architect Shelley was born and raised in Ohio. She graduated from Saint Louis University in St. Louis, MO with degrees in IT Management and Mar‐ ke ng. Shelley has been with Cerner in Consul ng for 5 years and currently serves as Team Lead and Solu on Architect. All of that me has been spent with Women’s Health – travelling to work with clients all over the globe! Shelley spends a lot of me with her family in Ohio and at Dale Hollow Lake in Tennessee during the summer. When traveling, Shelley loves to explore new ci es and new beaches; and while at home in Kansas City, Shelley loves to ride her bike, try out new recipes, and check out the local music scene.
February 2015
Meet The Team continued
New Arrivals
Mary Terwilleger, Solution Architect Mary was born and raised in Maryville, MO. She gradu‐ ated from Truman State University with a BA in Business Management, and received an MBA from the University of Missouri – Kansas City. Mary has been with Cerner for almost 10 years, working in Consul ng the whole me, currently as Team Lead, Solu on Architect and Knowledge Lead. She has worked on implementa ons for acute care nursing, cri cal care, and CPOE, but has been focused on Women’s Health implementa ons for the past 5 years. Mary and her husband (a fellow Cerner associate) keep busy with a 5‐year‐old son, Benne ; a 2‐year‐old daughter, Evelyn; and a beagle, Buckley. When not busy with kids or work, Mary enjoys reading, running, cheering for the Royals and Chiefs, and discovering new restaurants and local spots in Kansas City.
First Faces of 2015 Reference sites received a baskets of goodies to present to their first babies of 2015. These baskets include a Cerner onesie. Proud parents from two of our reference sites shared their pictures on our Facebook page.
Damien Jon Alam Alaska Native Medical Center
Jennifer Lightcap, Solution Architect Jennifer was born and raised in Topeka, Kansas. She Ruby Vaughn a ended the University of Kansas then subsequently received her nursing degree in O awa, Kansas. Fort Memorial Jennifer previously worked in Pediatrics, Organ/Tissue/ Medical Center Eye Transplant before landing in Obstetrics/Gynecology at Shawnee Mission Medical Center in Kansas City. Jennifer has been at Cerner for almost 4 years where her focus has been within the Women’s Health Imple‐ menta on Team currently as Team Lead and Solu on If your site is interested in becoming Architect. a reference client to help others with Jennifer lives in Olathe with her husband Jeff and their 3 your lessons learned and experience, Children Carson (10), Addison (6) and Jaxon (13 months). Outside of work Jennifer please contact your Solution Results thoroughly enjoys spending me with family and friends, watching Kansas Jayhawk Manager or email womenBasketball, Chief’s Football, and of course our Kansas City Royals! shealth@cerner.com
Women’s Health Newsletter Save The Date
In The News
SIG Calls Join co-chairs Christy Willis and Kim Gracey for our quarterly SIG Calls. Q1 - Wednesday, February 25 Q2 - Wednesday, June 24 Q3 - During CHC Q4 - Wednesday, December 9 All calls will be held at 12:00 (noon) Central Time.
Becker’s Hospital Review The Women’s Health team would like to congratulate the following Cerner clients for making the Becker’s Hospital Review list of "100 hospitals with great women's health programs” for 2014. “These hospitals all offer outstanding health services geared toward women, such as gynecology, obstetrics, women‐focused heart care and women‐focused cancer care, among other women's health needs. Hospitals were selected for this list based on clinical accolades and recogni on for women's health excellence from various healthcare groups and agencies. Those agencies include U.S. News & World Report, Healthgrades, CareChex and UNICEF's Baby‐Friendly Hospital Ini a ve.”
Abbo Northwestern Hospital
Brigham and Women's Hospital
Advocate Christ Medical Center
Cedars‐Sinai Medical Center
Aultman Hospital
Chris ana Care Hospital
Aurora West Allis Medical Center
City of Hope Na onal Medical Center
Avera McKennan Hospital & University Health Center
Cleveland Clinic
Banner Good Samaritan Medical Center
Duke University Hospital
Barnes‐Jewish Hospital
El Camino Hospital
If you have topic ideas or would like
Baystate Medical Center
Emory University Hospital
to present, contact Kim or Christy.
Bethesda North Hospital
Evanston Hospital
Billings Clinic
Fairview Southdale Hospital
Watch the Women’s Health Collaboration Community uCern group for meeting details prior to each call.
February 2015
In The News continued
Save The Date
Florida Hospital Orlando
Roper Hospital
Har ord Hospital
Sarasota Memorial Hospital
Henry Ford Hospital
South Nassau Communi es Hospital
Hoag Memorial Hospital Presbyterian
Spectrum Health Medical Center
Indiana University Health Methodist St. Vincent's Medical Center
Inova Fairfax Hospital
FetaLink Technical Training Join us on March 25-26, 2015 for FetaLink Technical Training. This is an interactive refresher course covering back-end support
The Queen's Medical Center
John Muir Medical Center
UCSF Medical Center
Lancaster General Hospital.
University of Alabama at Birmingham
Magee‐Women's Hospital of UPMC
University of California Davis Medical
Massachuse s General Hospital
University of Colorado Hospital
Memorial Sloan Ke ering Cancer Center
University of Iowa Hospitals and Clinics
Spanning one and a half days, at-
Mercy Hospital St. Louis
University of Kansas Hospital
tendees of this course will be led by
Mon General Hospital
University of Michigan Health System
Mount Sinai Hospital
University of Rochester Medical Center
Munson Medical Center
University of Wisconsin Hospital and Clinics
tools geared towards technical, IT roles at sites currently live with FetaLink.
members of the Cerner FetaLink
Northwestern Memorial Hospital
Via Chris Hospital St. Francis
Ochsner Medical Center
Wake Forest Bap st Medical Center
Poudre Valley Hospital
William Beaumont Hospital‐Royal Oak
ProMedica Toledo Hospital
Winthrop‐University Hospital
Riverside Methodist Hospital
Yale‐New Haven Hospital
Implementation team. For more information or to register, please visit the following link:
h ps://events.ucern.com/
FETA2015
Women’s Health Newsletter Maintaining Industry Awareness Prenatal Infection Prevention Month Approximately 1 in 4 pregnant women carry GBS, the most common cause of life-threatening infections in newborns according to the U.S. Centers for Disease Control and Prevention (CDC). GBS can also infect babies during pregnancy and the first few months of life.
Tips & Tricks Medication Reconciliation Some mes, a li le refresher on a subject that is necessary and o en thought of as an “ugh” in our day – can turn into an “ah‐ha” moment and make documenta on easy, fast and smart! In the upper right hand corner of the pa ent’s chart, the blue circles with the “!” indi‐ cate the three phases of the med rec process has not been completed. To complete the meds history for this encounter, the clinician can add home medica ons and/or informa on about compliance for those meds, or select to use the last compliance informa on. Any ac ve prescrip ons from previous encounters will also be a part of the home medica on list. The medica on history is always updated whether the pa‐ ent is seen in the clinic or the hospital. This will complete the Meds History and sa sfy Meaningful Use requirements and the green check mark appears.
The mission of Group B Strep
Launch “Admission” meds rec to pull in all medica ons that have been prescribed or documented (home meds).
International (GBSI) is to promote
international awareness and preven-
tion of Group B Strep disease in
babies before birth through early
infancy.
The green arrow in the center indicates to “con nue” the medica on.
Website Link Facebook Link
February 2015
Tips & Tricks continued In the example below, the clinician would need to select the green arrow or red box to indicate whether the prenatal vitamins and the Rani dine would be con nued or stopped for this inpa ent stay.
Maintaining Industry Awareness ACOG Committee Opinions Cervical Cancer Screening in LowResource Settings
In certain low-resource settings
implementation of alternative strate-
The icons (pictures) indicate where/how a medica on was documented (prescrip on pill bo le not shown), current inpa ent order (hospital), or manually entered (white scroll). The orange circle shows those meds that have not been reconciled. The clinician can also see those meds where the pa ent has not been compliant (Rani dine). Hovering over the icon will give more details.
gies for cervical cancer screening
can enable more consistency and accessibility of screening opportunities.
Emergent Therapy for Acute-Onset,
Severe Hypertension during Preg-
nancy and the Postpartum Period
If the prenatal vitamins and rani dine are con nued, the medica ons will show in the Orders A er Reconcilia on column and become ac ve inpa ent orders. The green circle indicates the medica on is formulary.
Reduced incidence of adverse maternal outcomes have been achieved by the introduction of standardized, evidence based clinical guidelines for the management of women with preeclampsia and eclampsia.
Women’s Health Newsletter Best Practice
Tips & Tricks continued
Women’s Health Inpatient Clerk and Tech Playbook
Note: If you have a med that was added as a home med ‐ but the dosage was unknown ‐ the provider can s ll complete the admission med rec ‐ the med would be grayed out in the MAR and go to the pharmacy for clarifica on.
Our Women’s Health Inpatient Clerk and Tech playbook is here!
The provider will then Reconcile and Plan or Reconcile and Sign.
Please follow this link to access our new playbook: https:// wiki.ucern.com/display/VE/
Selec ng the “Plan” bu on will put the Reconcilia on in a pending complete state. “Plan” can be used for pa ents who are not registered in the appropriate venue when the admission med rec is being done. This will put those orders on hold similar to planning a PowerPlan.
Venue+Experience We are excited to provide this for our
clients and we will continue to work on developing the training aspect of this playbook. If you have any questions or would like to provide feedback, please
The nurse can then ini ate the admission med rec when the pa ent is registered to the correct venue which will send the orders to be verified by pharmacy and be availa‐ ble for administra on. Signing will meet MU requirements, and show the green checkmark.
work with your Solution Result
Launch the “Discharge” meds rec bu on. To make this extremely efficient, u lize the two bu ons at the bo om of the screen… “Con nue Remaining Home Meds” and “Do Not Con nue Remaining Orders”. Then the discharge med rec is completed.
Manager.
Note: Acute meds will fall off the medica on list a er the stop date.
February 2015
Tips & Tricks continued
Content Release
Our January Packages have been
released!
Inpatient Content (January
If you need to “e‐prescribe” (send medica ons electronically to the pa ent’s pharma‐ cy)‐ select the prescrip on bo le in the center column. You will fill in the highlighted fields and then select the pharmacy that it will be sent to.
78865 PowerChart Maternity
2015)
78863 PowerChart Maternity Ambulatory Content (January
2015)
78893 PowerChart Maternity Infectious Disease Screening (January 2015)
The provider can review the prescrip on being sent to the pharmacy.
Please reference the following UCern post on our Women’s Health Collaboration Community for additional
Once the “Discharge” reconcilia on is complete – the clinicians will see all three green check marks.
details regarding the packages.
Women’s Health Newsletter reVITALize
Did You Know
The American College of Obstetricians and Gynecologists and the members of the Women’s Health Registry Alliance have been working toward standardization of definitions for data elements used in obstetrics and gynecology. Harmonization of these definitions is critical to assure that data sharing and aggregation can provide the kind of quality information needed to provide the best care for women and newborns. The Women's Health Team is in the process of reviewing the definitions at this time for any potential changes to our content and functionality.
FetaLink Add-Ons Did you know that our FetaLink Team has addi onal offerings including a Maintenance Training Refresher Course and a Fitness Plan that is geared towards ensuring your system con nues to run at an op mal level while empowering on‐site resources to support the solu on? The FetaLink Maintenance Training Refresher course is a 2 day event where a FetaLink resource will come onsite and provide training on the following items:
iCommand use
Install and configure Connec vity Engines
Troubleshoo ng Connec vity Engines
Install and configure Device Adapters
Troubleshoo ng Device Adapters
Configure FetaLink applica on and install on PC
Troubleshoo ng FetaLink applica on
Configure P2DA applica on and install on PC
Troubleshoo ng P2DA applica on
Configure SI_Manager for FetaLink
Configure 2D Barcode Scanners
Demonstrate method to create device barcodes
Building virtual loca ons
Configuring device nomenclature
Explaining FetaLink user tasks and required access
February 2015
Did You Know continued
Client Spotlight
The FetaLink Fitness Plan focuses on the following areas:
Health Quest Vassar Brothers Medical Center is a
Compliance and Stability
FetaLink assessment and recommenda ons, system and hardware specifica on review, monthly collabora on mee ng with the Women’s Health ABU specialists
365 bed facility that has been serv-
ing New York's Mid-Hudson Valley
Proac ve Management
since 1887. It has a state-of-the-art
System change review, produc on improvements and FetaLink flashes
Onsite upgrade support for up to two upgrades per year
birthing center with private luxury maternity suites, each with a striking
Training
view of the Hudson River. Vassar
Onsite Technical Maintenance training refresher
Onsite clinical end‐user training for new func onality related to upgrades
Brothers also has a level 3 Neonatal Intensive Care Unit and a dedicated
Strategic Planning Engagement
Pediatric Unit.
12 month road map and solu on scalability
This video showcases Health Quest's
For more informa on on the FetaLink Maintenance Training Refresher Course or the FetaLink Fitness Plan please contact Russ Snyder at rsnyder@Cerner.com, John Folmnsbee at john.folmnsbee@Cerner.com, or your Solu on Results Manager.
Vassar Brothers Medical Center as they explain the benefits of PowerChart Maternity and FetaLink.
Women’s Health Newsletter Content Suggestions
February 2015
All About Printing Fetal Monitor Annotations from PowerChart Maternity
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.
Please send your topic suggestions to WomensHealth@Cerner.com
When a clinician documents and signs annota ons on the strip in FetaLink, they flow over to PowerChart Maternity and display in the Fetal Monitoring Annota ons field in IView. This integra on helps to tell the story of the pa ent and the care she received while she was being monitored. There may be mes when your organiza on needs to print the pa ent’s record. When selec ng to print the medical record via XR Repor ng, the Fetal Monitoring Annota ons can be printed as well, since they are part of the record in PowerChart Maternity. This is dependent upon where the annota on DTA is built out on the Event Set Hierarchy. If it is built to print on the XR report, the resul ng informa on will display by recorded date/ me (newest to oldest). Annota ons charted at mul ple mes each will display in a separate column. If the annota on exceeds 30 characters in length, the report will say “See Below” in the result cell and the text will display below the sec on group, similar to footnotes. It is important to note that, in order to print out fetal monitor waveforms, you must access the Export func on from within FetaLink. From FetaLink, annota ons are printed along with the fetal strip just as they had displayed in the live view. FetaLink Alarm Parameters
We look forward to hearing from you!
FetaLink 2013.01, released in November of 2013, introduced the Signal Quality Alert. The Signal Quality Alert has greatly reduced the number of audible alerts that FetaLink produces, because it differen ates between alerts for loss of FHR signal versus alerts for true out‐of‐range results. Loss of signal alerts are displayed visually but do not produce the chiming sound that the other alerts do. This can greatly reduce the alert fa gue that nurses may experience when faced with mul ple alarm sounds on their unit. If your site has recently upgraded to FetaLink 2013.01, or if you have plans to upgrade to that version or greater, we recommend that your design team reevaluate your current alert parameter se ngs to see if those se ngs s ll meet the needs of your clinical users. You may find that, with the Signal Quality Alert enabled, you may want to refine your alert parameter to increase sensi vity. For more informa on regarding FetaLink alerts and the various se ng op ons, please refer to the Design FetaLink Alerts reference page.
Women’s Health Newsletter Join Us in Advancing Interoperability
Social Media
In his 2014 Cerner Health Conference keynote, Neal Pa erson announced that Cerner is covering the cost of CommonWell Health Alliance interoperability services for US clients for three years (through January 1, 2018), as well as free connec vity to any other IHE‐enabled EHR or HIE that supports Cross Community Access (XCA) and Cross Community Pa ent Discovery (XCPD) standards. There will be a nominal one‐ me on boarding fee that covers implementa on costs. Why? Health care providers and pa ents should have access to health informa on when and where it is needed most, in a usable and meaningful manner, regardless of where the care occurred. True interoperability happens when compe ng EHR vendors exchange informa on between their systems to ul mately benefit the pa ent. Watch CommonWell’s Meet Susan video to see the challenges many pa ents experience from this lack of interoperability. Join forces with us to create a na on‐wide infrastructure that will enable seamless, cost‐effec ve care for pa ents – for free through 2018. Contact your Cerner repre‐ senta ve to learn how you can become a member today.
Become a member of our Women’s 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 tricks with your peers. If you are not already a member, we hope you’ll sign up soon!
Join us on Facebook
In The News Ventura County Medical Center Ventura County Medical Center has been recognized as one of 33 “high‐performing” hospitals in California for its maternity care services, according to a report by the California Hospital Assessment and Repor ng Taskforce. Titled “A Tale of Two Births: High‐ and Low‐Performing Hospitals on Maternity Measures in California,” the report designates hospitals as “high‐performing” when they receive three or more superior or above‐average scores, and no average or below‐average scores. VCMC ranked superior for its C‐sec on and episiotomy rates, and above‐average for its breas eed‐ ing rates. In addi on, VCMC and Santa Paula Hospital are the only two hospitals in Ventura County to have earned the “baby friendly” designa on for facili es that excel at promo ng breas eeding from the World Health Organiza on and United Na onal Children’s Fund. Read more here.
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.