Women’s Health Newsletter
June 2015
In This Edition Did You Know What’s new in Package #80795 Breast Milk Management Training Guides for FetaLink+
Ideas Meet the Team Maintaining Industry Awareness WHO Statement on Caesarean Rates
KLAS Survey FAQ Save The Date FetaLink+ Tips & Tricks WH Scripts
In the News Olathe Medical Center Palmetto Health
AWHONN
Women’s Health Newsletter Did You Know
On the Cover
Eleanor Ann Schweitzer
This month’s cover baby is
What’s new in Package #80795 Currently when adding or closing a pregnancy, there are 3 required fields. With the new package, you will no ce that the gesta onal age at birth is a required sec on. These same required fields will also be required at the close of the pregnancy.
Eleanor Ann Schweitzer.
Her dad is Cerner Associate Phil
Schweitzer,
System
Architect with CernerWorks.
Another enhancement within this package is that the result copy func onality will now pull informa on from the ‘onset date’ for the pregnancy instance rather than the default se ng of the last 24 hours.
June 2015
Did You Know
Physician Blog
Breast Milk Management
Lessons Along the Journey by Diane Hibbs, DO
Being able to ensure that the correct bottle of expressed milk is given to the correct baby at the time of feeding is the intent of every NICU/nursery nurse. Cerner’s Breast Milk Management solution offers this positive patient identification starting with printed labels for containers at the time of collection to the time the bottle is administered. Both mother’s milk and donor milk are supported within the solution, as well as the ability to document any additives or a combination of products. The Breast Milk Management solution enables the nurse to document tracked, stored, and thawed milk as well as review expirations dates. The solution comes with valuable reports such as: Bottles Administered, Breast Milk Barcode Compliance, Breast Milk Errors, Donor Breast Milk Log, Expired Bottles, and Patient Donor Bottles. "Since implementing bar code scanning of breast milk, we have zero reported errors in feeding wrong mothers' milk to a baby," said Donna Miranda, RN, MSN, Manager of Point of Care Application Support (POCAS) Team at Sharp HealthCare. "Our staff values the safety and ease of use of Cerner Bridge. Barcoding safety is not about saving time. It is about patient safety, positive patient product (breast milk) in real time when the tasks are performed." Miranda noted the safety technology impacts to workflow for Nursing included:
In the latest edition of our physician blog, Dr. Diane Hibbs, a physician with Banner Health, shares their story of implementing PowerChart
Scanning all patients and each bottle of milk each time prior to administrating the feeding
Increased time to complete breast milk preparation process, particularly during the first few weeks as nurses become proficient in new scanning processes
multiple facilities in a shortened
Increased sense of security in identifying and avoiding a critical administration error ‐ wrong milk to the wrong patient
time frame.
Maternity and FetaLink across
Immediate documentation in eMAR of the administration following the scanning and signing process
It is now a HIMSS level 7 requirement for any facility with a NICU to have a breast milk management solution. Contact John Folmnsbee@Cerner.com to arrange for a demon‐ stration of our Breast Milk Management solution today!
You can read her story here.
Women’s Health Newsletter Thoughts of Support Dr. Craig Bradley The Women’s Health team recently learned of a medical emergency suffered by Dr. Craig Bradley, Chief
Did You Know Training Guides for FetaLink+ We have had some recent requests for a training guide for FetaLink+. We have placed this document out on the Training Materials Home Page ‐> More Physician Roles ‐> Women’s Health Provider ‐> Women’s Health Provider Specialty ‐> FetaLink+. This document combines all of the Help pages that are available within the app into one document that can be printed, for those sites that request printed materials for their providers. To print this document, navigate to Tools ‐> Export to PDF ‐> My Stuff ‐> PDFs
Medical Information Officer with University Medical Center in Lub-
Note the print version will become out of date when func onality enhancements require updates to the wiki pages.
bock, Texas.
For the users to get to any of this informa on from within the app itself (if they are using it and just want more detail), they just need to tap Logout on the bo om le of their iPad (le image) or tap Se ngs on the iPhone (right image).
On December 6, 2014, Dr. Bradley
suffered a brain aneurism. His wife
Zoe has created a blog to keep
friends and family up-to-date on his
progress. Dr. Bradley played an important role in the development of our mobile solution, FetaLink+. Not only did he regularly participate in design sessions and help test the solution, he has been an enthusiastic
Selec ng Help from this menu will take them to the Help pages. It is the same informa on as the par cipant guide, just with links to the individual topics.
June 2015
Ideas
Thoughts of Support continued
FetaLink Reports
We are beginning an ini a ve to improve the ability to report on items specific to the FetaLink system. Ini al reports may include the ability to more easily report on audited user ac on events in FetaLink and reports specific to aler ng func onality. What types of things would you like to see on a FetaLink report? Who would you expect to use this report?
member of our Women’s Health Council, helping to drive Cerner’s development. Some of you may remember Dr. Bradley’s presentation at our 2012 Cerner Health Con-
Please add your comments on the Women’s Health Ideas page. Some ideas that others have submi ed include:
Time of Alert
Type of alert
Pa ent name and MRN
We are grateful to Dr. Bradley for
Time silenced‐ by who
helping us to see FetaLink+ come
Time acknowledged, by who
Comments entered when acknowledged
Time nurse logged in to FetaLink
designs to a live solution that helps
Who associated the pa ent
OB providers in their practice.
A report of annota ons that would be able to be pulled by the pa ent/ episode
ference, entitled “FetaLink+: From Product Conception to Birth.”
full circle at UMC - from the first
Please join us in sending positive
A report that shows all associa ons and disassocia ons thoughts to Dr. Bradley on his road to recovery.
Women’s Health Newsletter And the Winner Is... CoxHealth CoxHealth is this year's Women's Health Unit of the Year! The Cerner Women's Health Team was impressed by their team spirit that extended way beyond the four
Meet the Team Nikhil Raj, Technology Architect Nikhil was born in Jamshedpur, India and moved to the US (Florida) at 9 years old. He graduated from the University of Central Florida with a Bachelor of Science in Informa on Technology. Nikhil loves to listen to music, go to any Florida/California beaches with friends, stay up‐to‐date on tech gadgets, and even play video games on his off me. He has been calling Kansas City home since January 2012, when he joined Cerner.
walls of the hospital as well as their
dedication to Women's Health.
Maintaining Industry Awareness
They will be receiving a plaque as
WHO Statement on Cesarean Section Rates
well as $500 gift card to treat their unit. A big thank you to all the other submissions. They were ALL great making it hard to vote!
In April of this year, the World Health Organiza on (WHO) published an execu ve summary on cesarean sec on rates. “Since 1985, the interna onal healthcare community has considered the ideal rate for caesarean sec ons to be between 10‐15%. Since then, caesarean sec ons have become increasingly common in both developed and developing countries. When medically necessary, a caesarean sec on can effec vely prevent maternal and new‐ born mortality. Two new HRP studies show that when caesarean sec on rates rise towards 10% across a popula on, the number of maternal and newborn deaths decreases. When the rate goes above 10%, there is no evidence that mortality rates improve. The lack of a standardized interna onally‐accepted classifica on system to monitor and compare caesarean sec on rates in a consistent and ac on‐oriented manner is one of the factors that has hindered a be er understanding of this trend. WHO pro‐ poses adop ng the Robson classifica on as an interna onally applicable caesarean sec on classifica on system.” Get the document here.
June 2015
KLAS Survey
End of Support
As you know, sa sfac on for PowerChart Maternity/FetaLink users is very important
End of Support for FetaLink 1.9.4
to us. Of the many mechanisms we u lize to measure and monitor client sa sfac on, we wanted to provide addi onal details around KLAS‐‐an organiza on that publishes
Cerner has set October 15, 2015, as
user sa sfac on data by repor ng accurate, honest and impar al vendor performance
the end-of-support date for FetaLink
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 the feedback and use that to enhance Cerner solu ons and improve sa sfac on. Your
1.9.4, which corresponds to the announced end-of-support date for CareAware iBus 2.1.
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 Your Vendor” bu on. The survey will take just 5‐10 minutes of your me.
Only critical defects will be corrected after October 15, 2015, for FetaLink
A er you’ve submi ed a survey, an analyst from KLAS will reach out to you to verify your creden als and collect verba m comments from you.
1.9.4. Please refer to the following flashes
Cerner and KLAS sincerely appreciate your me to provide this invaluable feedback.
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
Women’s Health Newsletter Illuminations
FAQ
Archived Sessions
On May 18th, all archived Illumination sessions were moved from the Illuminations page on Cerner.com to the Illuminations uCern space.
FetaLink+ release updates If you are an OB Provider who is currently using FetaLink+, it is easy to know when an update is available, because it will automa cally get pushed to you to install via the App Store. However, if you are in a suppor ng role but are not a current user of the solu on, you might wish to know when a new release is available, so that you can be er support your end users. The easiest way to get informa on on those new releases as soon as they become available is to follow the FetaLink+ Release Notes as a watcher. Any updates to the release will be emailed to you. To set yourself up as a watcher for FetaLink+ releases, navigate to this page. Under the Tools menu on the upper right side, select Watch from the drop‐down menu.
To find client archived Illumination sessions on uCern, go to the Illuminations for Clients uCern space, click the green Client Archive button on the left side of the screen, and then click Content below the Illuminations Archive for Clients title.
June 2015
Save the Date SIG Call Join co‐chairs Christy Willis and Kim Gracey for our next quarterly SIG call to be held Wednesday, June 24 at 12:00 (noon) Central Time. We have an exci ng topic planned that may be of interest to any‐ one who works with neonates in the first few minutes of life.
Illuminations continued All Illuminations before September 2014 can be found in the Content tab, and any Illuminations after September 2014 can be found on
Dr. Toby Yanowitz, Neonatologist at Magee Womens Hospital of UPMC in Pi sburgh, PA, will review the benefits of delayed cord clamping on preterm infants, discuss the new protocol implemented for delayed cord clamping in preterm and term infants, and introduce the quality improvement study that is on‐going using data collected from the Cerner EMR. Watch the Women’s Health Collabora on Community uCern group for mee ng details prior to the call.
FetaLink+ FetaLink+ 3.2 is now available in the Apple App Store. Release Notes are here. Highlights:
The PowerChart Touch Vitals component is now included in the Review sec on.
The PowerChart Touch Labs component is now included in the Review sec on.
The PowerChart Touch Medica ons sec on is now included.
FetaLink+ now supports the display of bed‐level configura ons from CareAware iBus.
FetaLink+ instruc ons for use in electronic form are now accessible by selec ng Help from the Se ngs menu.
FetaLink+ system informa on such as currently installed version, development addresses, and regulatory informa on is now available by selec ng About from the Se ngs menu.
the Illuminations for Clients uCern space home page. Email CernerIlluminations@Cerner.com for further assistance.
Women’s Health Newsletter Content Release
Tips & Tricks
Our May packages have been released!
81214 PowerChart Maternity
WH Scripts Are you using our new scripts that have replaced and enhanced the Pregnancy Summary GenView report, Prenatal Summary GenView report, and Labor and Delivery smart template to be more readable and portrait‐prin ng friendly? If your Pregnancy Summary Document looks like this, instead of black and white then you are!
Inpatient Content (May 2015)
81213 PowerChart Maternity
Ambulatory Content (May 2015)
Please reference the following
UCern post on our Women’s Health Collaboration Community for additional details regarding these packages.
If your document is in black and white, don’t worry because they can be updated very easily. The new scripts became available with the introduc on of package 62683: PowerChart Maternity (US): Prenatal Summary GenView Upli (Nov 2012) and pack‐ age 65820: PowerChart Maternity (US): GenView Report Correc ons (May 2013). The new scripts have been included in our PowerChart Maternity Reports and Gen‐ View packages ever since. Our latest report packages are PowerChart Maternity Ambulatory Reports (April 2015) 80957and PowerChart Maternity Inpa ent Reports (April 2015) 80964. To update the script for the Pregnancy Summary Document that is generated a er closing the Pregnancy: 1. Log into PreferenceManager.exe 2. Navigate to default >system >component >Pregnancy Preferences >summary doc‐ ument >summary document report name 3. Update the summary document report name preference Old value: ki_pregnancy_summary_gv
New value: wh_pregnancy_summary_gv
June 2015
Tips & Tricks continued To add the Pregnancy Summary as the report to print from the Pregnancy Summary View, please follow the work instruc ons below: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.
Log into Bedrock.exe. Navigate to Quality Repor ng and MPage Setup. Click on MPage. Click on MPage Setup. Select the Pregnancy Summary v4 from the drop down menu. Click Next. Select MPage‐level Se ngs. Select Printable report name. Set the Entry name: WH_PREGNANCY_SUMMARY_GV Click Finish. Click Close. Repeat steps 7‐11 for desired posi on‐specific se ngs.
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
If you have the Women’s Health scripts set up as a Genview in PowerChart, follow these steps to update the script name:
future issues.
1. In CoreCodeBuilder.exe, pull up codeset 16529. 2. Locate the current entry for the desired script and double‐click to open. 3. In the Defini on field, update the script name as indicated below.
Please send your topic suggestions
Pregnancy Summary
to WomensHealth@Cerner.com
Old defini on: ki_pregnancy_summary_gv
New defini on: wh_pregnancy_summary_gv
Prenatal Summary
Old defini on: ki_prenatal_summary_gv
New defini on: wh_prenatal_summary_gv
Labor and Delivery Summary
Old defini on: ki_labor_delivery_summary
New defini on: wh_labor_delivery_summary
Newborn Discharge Informa on Summary
Old defini on: ki_newborn_discharge_info
New defini on: wh_newborn_discharge_info
We look forward to hearing from you!
Women’s Health Newsletter Got News?
In the News Olathe Medical Center In early May, Olathe Medical Center broke ground for the hospital’s new birthing center. The 105,000‐square‐foot four‐story obstetrics wing will include a Level II neonatal intensive‐care unit having private rooms large enough for parents to stay with their babies.
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.
It will also feature state‐of‐the‐art technology, a new cafeteria and dining area, and outdoor gardens and water features. The new birthing center should open its doors in early 2017. Palmetto Health Palme o Health in Columbia, South Carolina, is the recipient of the 2014 Foster G. McGaw Prize for Excellence in Community Service ‐ one of the most pres gious com‐ munity service honors in health care. The organiza on was honored at the 2015 American Hospital Associa on (AHA) Annual Membership Mee ng in Washington, D.C. Since its crea on in 1998, Palme o Health has contributed ten percent of its bo om line to support the underinsured, uninsured and medically underserved members of its community. The organiza on has funded $42 million over 17 years, expanding access to care while dras cally reducing health care dispari es within its socioeconomically and racially diverse popula on. Congratula ons to Palme o Heath on this outstanding achievement. Their dedicated service is a model example of how preventa ve ini a ves and targeted programs can truly advance the health of the community. Read the full AHA press release.
June 2015
AWHONN
Social Media
2015 AWHONN Convention Join your fellow nurses and clinician colleagues from around the world to navigate new horizons for ensuring superior care to women and newborns everywhere.
Become a member of our Women’s
We will be exhibi ng our latest func onality along with our Breast Milk Management solu on, so come find us on the exhibi on floor at Booth #319, and at our recep on on June 15th!
uCern is a great way to stay up to
Health Collaboration Community on uCern.
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
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.