Women’s Health Newsletter
July 2015
In This Edition Best Practice Prevent potential patient merges
FetaLink Fitness Lite Ideas Pregnancy MPages
Package Releases MPages 5.5 Reports
Save the Date FetaLink+ Illuminations
CHC Tips & Tricks Pregnancy Summary Note Types
In The News AWHONN What We’re Doing MHII at ACOG
Women’s Health Newsletter On the Cover
Best Practice
Kennah Willoh Shortway
This month’s cover baby is Kennah Willoh Shortway.
Her grandma is Cerner Associate Lisa Asbell, Solution Consultant with the Women’s Health Sales Presentation
Prevent potential patient merges in Patient-to-Device Association (P2DA) Some healthcare organiza ons have more than one registra on system genera ng pa ent iden fiers, (such as FIN or MRN) that are sent to Cerner Millennium. When this happens, the user could get a prompt in the P2DA dialog in FetaLink asking if they wish to reconcile or merge the current pa ent record with another one with the same pa ent iden fier. If the user selects “Yes,” pa ent records could be combined, overlaying one pa ent’s informa on, including iden fiers, with another pa ent’s informa on. This may lead to incorrect display of informa on in FetaLink and FetaLink+. By u lizing the CareAware iBus package:74126 on iBus version 2.5 or greater, sites can prevent the poten al merging of pa ent records during the P2DA process. It is important to ensure during package installa on that the P2DA config.cerner file is set to the following:
team.
This se ng will prevent the user from being prompted to merge pa ents in the P2DA dialog. If this se ng is not set to “false,” the user can s ll prevent the merging of records by selec ng “No” to the merge dialog if prompted. For more informa on, please see our FetaLink Reference Page here: h ps://wiki.ucern.com/display/public/reference/Install+P2DA_Version+2.8.0 This informa on was also flashed via PR13‐0264‐0.
Erica York Photography
July 2015
FetaLink Fitness Lite
In the News
Did you know we have a FetaLink Fitness Lite program? This service was created to ensure your system con nues to run at an op mal level and allow your on‐site re‐ sources to remain empowered to support this ever‐evolving solu on through the col‐ lec ve knowledge and proven prac ces acquired and defined by Cerner’s Opera ng Standards.
Jessica Alford
The FetaLink Fitness Lite program provides the benefit of the following services:
Monthly audit of your FetaLink iBus servers and the FetaLink solu on
Monthly collabora on mee ngs to discuss the results of the audit
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.
Jessica Alford, Strategist with the Women’s Health team, had her article entitled “What the EHR can do to help Postpartum Haemor-
rhage” published in the current issue
Ideas
of Arab Health Magazine.
Pregnancy MPages There have been many requests to expand the capacity of the comments sec on within the Prenatal Visits component. We had an opportunity to discuss these Ideas with our Women’s Health Council on 5/14/15 and the consensus remains that if an extensive comment (longer than 256 characters) is required then the provider needs to document a note. It was suggested and an Idea was logged to add have a visual indicator/link on the card/column in the component that would indicate that a note had been complet‐ ed for this visit. If this is something you would like to see implemented please visit the Idea page and add your interest!
You can read the entire article here.
Women’s Health Newsletter In Case You Missed It Illuminations Session
On Tuesday June 2, Strategist Emily Vano, RN, BSN hosted an Illuminations session providing a brief over-
Package Releases MPages 5.5 The MPages 5.5 Release was made generally available on June 15, 2015. 79411 MPages: Pregnancy Summary ConfiguraƟon 5.5 (May 2015) includes the following enhancements and correc ons:
CR 1‐9313457581: The Reopen Last Ac ve Pregnancy link is available in the Add Pregnancy component.
CR 1‐8336539561 & 1‐9092129911: The Father of Baby result displays in the De‐ mographic tab of the Pregnancy Overview Workflow and Summary components.
CR 1‐8710203151 & 1‐8764703021: The Partogram Workflow view is available.
CR 1‐9064088029: Direct Entry in the Table view of the Prenatal Visit Workflow component is now available.
CR 1‐9506899538: The Es mated Gesta onal Age (EGA) displays in the Overview component un l the Delivery date and me is documented for all the babies.
CR 1‐8046643012: The values for the gesta onal age and number of weeks are displayed on the correct rows In the Result Timeline component.
CR 1‐8302686363 & 1‐9101315371: When a Date/Time result exists in the fourth column in the Overview Workflow and Summary sec ons, the result now displays correctly.
CR 1‐8360183601: The Pregnancy Summary Overview component now displays ROM dura on correctly.
CR 1‐8393303161: The Current Encounter filter now func ons correctly In the Secondary and Ter ary components.
CR 1‐9064087991: The Pregnancy Workflow Overview component now displays the rupture of membrane (ROM) dura on for up to three babies.
CR 1‐9385716551: The Prenatal Visit component displays the fetal informa on based on the babies that are added.
view of the Pregnancy Workflow MPages 5.5 and Partogram MPage. You can find the archive of the presentation here.
July 2015
Package Releases continued
CR 1‐9663717454: The Partogram Encounter Start Time now uses Arrive Date and Time. If that field is not populated, then the Encounter crea on date and me is used. CR 1‐9673781401: There are now visual indicators on the le and the right edges of columns in a table when a cell value is only par ally visible.
In Case You Missed It SIG Call
79412 MPages: Neonate Summary ConfiguraƟon 5.5 (May 2015) includes the follow‐ ing enhancements and correc ons:
CR 1‐6315135013: The Hyperbilirubinemia graph now opens correctly in the Hyperbilirubinemia component.
CR 1‐8366740122: The Measurements and Weights component no longer displays the Look‐Back Time Period filter within the Bedrock tool.
The Q2 SIG call was held Wednesday, June 24.
82650 - PowerChart Maternity Inpatient Reports (June 2015)
Dr. Toby Yanowitz, Neonatologist at
The repor ng packages were made generally available on June 18, 2015.
Magee Womens Hospital of UPMC in
Reports included in this package:
Open Pregnancies by EGA‐EDD
OB Ac vity Log
Delivery Summary
Fetal Well‐Being
Extractable Birth Log Book
Prenatal Summary Genview
Labor & Delivery Summary Genview
Pregnancy Summary Genview
Newborn Discharge Informa on Summary
Pittsburgh, PA, provided an informative presentation on delayed cord clamping on preterm infants. You can find the archive of the call here.
Women’s Health Newsletter Women's Health Workshop Recap
Package Releases continued CR Correc ons on this package:
1‐7566641159 ‐ Para now correctly displays in the new Prenatal Summary (wh_psg_gravida wh_prenatal_summary_gv).
hosted 50 clients for the second
1‐7842425280 ‐ The Prenatal Summary now displays EGA if the pa ent has deliv‐ ered (Wh_psg_ob_exams).
annual Women’s Health workshop.
1‐9038438525 ‐ Prenatal Exam and Notes is now properly aligned even if a result is slightly longer than the cell.
1‐9643242338 ‐ Extractable Birth Log now correctly shows mul ple deliveries, labor onset and ROM date/ me.
The Women’s Health team recently
A variety of topics were covered, including:
Postpartum Hemorrhage
Maintaining FetaLink
82638 - PowerChart Maternity Ambulatory Reports (June 2015)
Baby Friendly
Perinatal Core Measures
Reports included in this package:
We wish to say thank you to Angie Conner from Floyd Medical Center
Open Pregnancies by EGA‐EDD
Fetal Well‐Being
Prenatal Summary Genview
Labor & Delivery Summary Genview
Pregnancy Summary Genview
and Brian Broomell from LifeBridge Health for their participation in the event. Read Patrizia’s blog summarizing the workshop here.
CR Correc ons on this package:
11‐7566641159 ‐ Para now correctly displays in the new Prenatal Summary (wh_psg_gravida wh_prenatal_summary_gv).
1‐7842425280 ‐ The Prenatal Summary now displays EGA if the pa ent has deliv‐ ered (Wh_psg_ob_exams).
1‐9038438525 ‐ Prenatal Exam and Notes is now properly aligned even if a result is slightly longer than the cell.
July 2015
Save the Date FetaLink+ Illumination Session Put what’s going on in the hospital in the hands of your clinicians – everywhere they are! Join us for a FetaLink+ Illumina on Session on Wednesday, July 29 from 12 p.m. to 1 p.m. CDT. Discover the benefits of having access to FetaLink outside the maternity unit from anywhere at any me. FetaLink+ allows mobile viewing access to fetal and maternal pa ent informa on including:
Perinatal Core Measures Beginning January 1, 2016, the threshold for mandatory reporting of the Perinatal Care (PC) performance measure set will change from a min-
live waveform data
access to annota ons
imum of 1,100 births annually to a
vital sign informa on
minimum of 300 births per year.
pregnancy summary
During this informa ve session we will have a live demonstra on of FetaLink+ and Q&A with one of our strategists. Please visit h ps://connect.ucern.com/community/illumina ons/ifc to enroll today!
CHC
Perinatal Care (PC) core measures:
PC-01 Elective delivery
PC-02 Cesarean birth
PC-03 Antenatal steroids
PC-04 Healthcare-associated
2015 Registration is Now Open! bloodstream infections in new-
borns
Join us at Cerner’s Health Conference in Kansas City, October 11‐14. Enjoy a variety of educa on, valuable networking and the award‐winning Solu ons Gallery. To learn more or to register, visit: https://events.ucern.com/CHC15/
PC-05 Exclusive breast milk feeding
Women’s Health Newsletter End of Support
Tips & Tricks
End of Support for FetaLink 1.9.4
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.
Pregnancy Summary Note Types Did you know that you can associate note types to the ac ve pregnancy to display at the close of pregnancy, and be accessible as part of the historical pregnancy? Configuring PowerChart Maternity’s “documentsrelated” preference is one great way to tell the pa ent’s pregnancy story. For the configura on, access Core Event Manager and navigate to All Documents > Clinical Documents add a Grouper Event Set called Miscellaneous Womens Health. Under the Miscellaneous Womens Health grouper you will want to add all of the note types that you would like to be related to the Pregnancy. **Note** The Event Set name is Miscellaneous Womens Health and the display has been changed to Womens Health Documents.**
Please refer to the following flashes on the Flashes page of Cerner.com for more details: PR15-0034-0 End of support for FetaLink 1.9.4 PR14-0264-0 End of support for CareAware iBus 2.1
Next, in Preference Manager under default > system > component > Pregnancy Prefer‐ ences, you will want to add the “documentsrelated” preference. For the value, add the Event Set name for the Grouper Event Set that you just created in Core Event Manager. For this example, we would add the value of Miscellaneous Womens Health.
July 2015
Tips & Tricks continued
Technical Corner
All of the documents that were related to the pregnancy will be viewable from the Close Pregnancy Window.
FetaLink Technical Blog Have you seen it yet?
The FetaLink Technical Blog is now available on the Women’s Health Collaboration Community uCern group! You can double click on any of the notes to view them.
This month’s topic is on monitoring
You can also access the related documents from the Pregnancy History. This is very useful for the postpartum visit as well as looking for informa on about a previous pregnancy.
FMCE network connectivity. Access the blog post here.
Women’s Health Newsletter Got News?
In The News Floyd Medical Center Floyd Medical Center has added fetal echocardiography as an op on for expec ng parents. “This is a needed service offering and we are thrilled to be able to offer it,” said Tony Gallagher, clinical coordinator for cardiology and cardio‐pulmonary rehabilita on at Floyd. “Cardiac defects are among the most common birth defects,” Gallagher said. “Fetal echocardiography allows us to diagnose these condi ons in the fetal stage, which helps us develop a plan to care for the baby during and a er birth.”
Do you have good news to share about your facility? We’d love to share it with our community members.
Lawrence Memorial Hospital Lawrence is the first city in Kansas to earn the Community Suppor ng Breas eeding designa on. Lawrence Memorial had to meet six criteria to earn the designa on, including having mul ple support groups and a high‐five hospital, or in other words a hospital that supports breast‐feeding moms. Lawrence Memorial is considered a high‐five hospital.
Send your information to WomensHealth@Cerner.com and we will include it in our monthly newsletter.
.
Methodist Women's Hospital Methodist Women's Hospital recently welcomed quadruplets Kayla, Leonidas, Thomas and Arya Jones. This is the second set of quadruplets to be born at Methodist Wom‐ en's Hospital. The quads were part of a record‐se ng May: 510 births, including 18 sets of twins.
July 2015
In The News continued St. Luke’s Hospital (St. Louis) St. Luke’s Hospital is the only Missouri hospital to achieve the Healthgrades® 2015 Women’s Health Excellence Award™. The recogni on dis nguishes St. Luke’s as a top‐performing hospital in women’s health services, including cardiac care, vascular surgery, stroke care, respiratory ser‐ vices, orthopedic surgery and spine surgery. This is the seventh consecu ve year that St. Luke’s has received this award (2009‐ 2015).
Maintaining Industry Awareness National Cord Blood Awareness Month Cord blood is the blood left in the umbilical cord and placenta following the birth of a child. It’s a potent and noncontroversial source of stem
Truman Medical Center Lakewood The Perinatal Community Ini a ve (PCI) is a new project created in response to the growing need to integrate physical and behavioral health in order to be er serve women with perinatal mood and anxiety disorders (PMADs).
cells, which are currently being used
This is a comprehensive project designed to improve perinatal health outcomes for the en re family, including mother, infant and his/her siblings, and paren ng partner.
many cancers, immune deficiencies
to treat and cure more than 80 lifethreatening illnesses, including
and genetic disorders. Just as im-
portant, neither the mother nor child
Uniontown Hospital The Family Beginnings Birthing Center at Uniontown Hospital has recently enrolled in the Keystone 10 program that aims at increasing the number of breas ed babies born at the hospital. Keystone 10, which is a project by the Pennsylvania Department of Health and the Pennsylvania Chapter of the American Academy of Pediatrics, is in line with the federal government’s guidelines and goals for breas eeding that were set forth by the Healthy People 2020 program, that are in place to help combat childhood obesity.
is harmed in the collection of cord blood, and the collection does not interfere with the birthing process. Find out more here.
Women’s Health Newsletter Content Suggestions
AWHONN Thank you to everyone who aƩended and stopped by our booth at AWHONN!
The Women’s Health team understands your time is valuable and we want to ensure you are receiving benefit from this newsletter.
This year at AWHONN we had over 600 booth visitors and over 150 a endees at our networking recep on. Thank you to everyone who a ended, we appreciated mee ng you in person and enjoyed the conversa ons. Both clients and poten al clients enjoyed live demonstra ons of PowerChart Materni‐ ty, FetaLink, FetaLink+ and Breast Milk Management, along with networking with our Women’s Health Team. If you were not able to a end AWHONN but are interested in learning about all our latest enhancements and offerings, please contact a member of the Women’s Health team at WomensHealth@Cerner.com. Back row L to R: Lisa Asbell, John Folmnsbee, Tammy Sheets, Kaisha Weldy, Patrizia Smouse, Tara Titus
We would love to hear about topics you would like to see covered in
Front row L to R: Abby Clement, Sarah Norris, Aubrie Hackathorn
future issues.
Please send your topic suggestions
to WomensHealth@Cerner.com
We look forward to hearing from you!
Back row L to R: Jessica Alford, Jill Meier, Sarah Norris, John Folmnsbee Front row L to R: Patrizia Smouse, Abby Clement, Aubrie Hackathorn
July 2015
What We’re Doing
Social Media
MHII at ACOG
Become a member of our Women’s
On May 3, 2015 Cerner Women’s Health a ended the second mee ng of the Maternal Health Informa on Ini a ve (MHII) in San Francisco. Par cipants included representa‐ ves from ACOG, ACOO, AWHONN, SMFM, ACNM and AHA who have been working since February of 2014 towards the following goals:
Health Collaboration Community on uCern. uCern is a great way to stay up to date on the latest developments around PowerChart Maternity and
Applica on of ReVITALize obstetrical terms and defini ons being integrated into EMRs
FetaLink, hear about upcoming
Define standard data elements that will be needed for data structures, decision support, and various repor ng clients
tricks with your peers.
Establish standards for lab repor ng and lab panels for obstetrical data
If you are not already a member, we
Set standard clinical content for obstetrical care in generic electronic format to be used in mul ple EMRs (e.g. Order Sets, Note templates with standard format, Ob‐ stetrical da ng tools, Care Maps, Checklists, Group defini ons)
hope you’ll sign up soon!
Define a basic list of decision support tools (External databases, Rules and Alert Defini ons)
Standardized minimal data set/defini ons of health metrics which are sufficient for quality/performance improvement and research needs in Women’s Health.
Define the standard quality metrics in obstetrical care for use in programs such as Meaningful Use, value‐based payments and other compara ve programs
Compile a list of common repor ng clients (NPIC, Birth Cer ficates, TJC, IHI, etc.) relevant to obstetrics.
Enhance interoperability by addressing/improving the current seman c issues of data structure and choices
As an EMR vendor, Cerner was invited to par cipate in this collabora ve effort to ensure we con nue to provide a product that will enable our clients to demonstrate quality/performance improvement, improved pa ent safety and value‐based materni‐ ty care.
events, network and share tips and
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If you are interested in printing this newsletter, you can download a printable PDF on our Women’s Health Collaboration Community uCern page.