Women’s Health Newsletter
June 2013
In This Edition Tips & Tricks Closing a Pregnancy
Maintaining Industry Awareness Cord Blood Awareness Month
Meet the Team Summer Interns
Content Releases Birth Log Report Fetal Well-Being Report
Client Spotlight Heartland Regional Medical Center
What We’re Doing Pregnancy Summary Redesign
Best Practice Non-Stress Test Documentation Recommendations
Community Involvement
Women’s Health Newsletter Save the Date FetaLink 2013.01 Illuminations
Join Jill Meier for a session on the
Tips & Tricks Closing a Pregnancy Just as a pregnancy instance is created by “adding a pregnancy”, the information documented for entire pregnancy is “closed” in the same manner. This allows the creation of the Pregnancy Summary document containing all of that pregnancy information from the onset date through the closing of the pregnancy instance.
FetaLink’s newest release: FetaLink 2013.01. FetaLink is Cerner’s maternal and fetal monitoring system that
After selecting “close pregnancy”, the window below opens. This allows the nurse to review the pregnancy Information and add any details that are needed. This is also where problems that are related to this pregnancy are displayed and can be resolved by checking the problem prior to closing the pregnancy instance.
facilitates the flow of data from fetal monitor devices to provide a
Once the “OK” button is selected, the information contained on the Pregnancy Summary MPage is not viewable for this pregnancy any longer.
graphical display of the relationship between fetal heart rates and contraction data. FetaLink also stores and displays waveforms and annotations - information clinicians can view on a display monitor at the bedside, throughout the hospital or clinic, and through remote access.
To review the Pregnancy Summary document that was created upon closing that pregnancy instance, navigate to the Pregnancy tab from the Table of Content “Histories” section. Highlight the historical pregnancy that you just created by closing the pregnancy instance.
June 2013
Tips & Tricks continued Scroll to the “Summary” column where you see the “document” icon. Select the icon.
Save the Date continued During this session you will get an overview and demonstration of the newest features that are a part of FetaLink 2013.01.
This opens the Pregnancy Summary document containing all information from the prenatal visits to the Labor and Delivery information for that pregnancy instance.
This Illumination session will focus on the following new features:
Smooth scrolling in Archive
Signal strength alert
Maintaining Industry Awareness
Black background color updates
Cord Blood Awareness Month
Updates to toolbar button labels
Bone marrow transplants can treat and even cure some types of genetic disorders and blood diseases. Key to this potentially life-saving procedure is finding a matching donor. Not all patients, however, are able to find a match among their relatives. In those cases, searching for an unrelated, matched donor can be a long, stressful, and possibly unsuccessful process—especially for ethnic and racial minorities. Blood from human umbilical cords acquired soon after a baby is born contains a small number of the adult stem cells that mature into healthy blood cells. Umbilical cord blood donation poses little risk to donors, and the life-saving blood can be stored frozen for years (albeit for a fee if it is stored through a private company). Further information can be found here: http://parentsguidecordblood.org/public_NA.php
and configuration options
Changes to messages displayed to the end user.
Women’s Health Newsletter Happy Birthday PowerChart Maternity
Meet the Team Summer Interns
PowerChart Maternity is 4 years old!
The Women’s Health team is hosting two engineering interns this summer. They will be assigned various projects which support our overall solution vision.
On June 14, 2009, Cerner’s Power-
Crystal Qian recently graduated from Blue Valley Northwest High School in Overland Park, Kansas. In the fall, she will major in computer science at Princeton University in New Jersey. In her free time, she enjoys practicing the piano and French horn, playing chess, and painting her nails.
Chart Maternity solution went live at its first client site—The University of Alabama at Birmingham. Since that time, the solution has been implemented at more than 100 client sites! The Women’s Health team is looking forward to many more birthdays!
Dan Armenta is from Lawrence, KS and attends Columbia University. His major is in the Vision and Graphics track of the computer science program. His academic interests include user interface design, computer vision, as well as visual interfaces to computers. In his free time, he enjoys listening to jazz music, photography, playing the piano, and spending time outdoors hiking and traveling.
June 2013
Content Releases
Best Practice
PowerChart Maternity—Birth Log Report
Open Pregnancy
Package 66540, released on May 31, 2013, contains three corrections:
It is Cerner’s recommendation to
CR 1-6897786045:
The Extractable Birth Log report no longer displays patients multiple times for the same birth.
prior to documenting any infor-
CR 1-7030141861:
The Extractable Birth Log report now uses problem.onset_dt_tm to qualify the start date and time of a pregnancy.
ALWAYS open the pregnancy first
mation, including the initial OB Admission/Triage Form. By not
CR 1-7030944321:
The Extractable Birth Log report now uses ce_date_result.result_dt_tm to qualify patients.
opening the pregnancy initially, it can cause the G/P count to be off
PowerChart Maternity—Fetal Well-Being Endorsement Report
and also cause information captured
Package 66380 was released on May 24, 2013.
during admission to not carry over to
This Content Package contains the Fetal Well-Being Endorsement report, which can be opened from Explorer Menu (ExplorerMenu.exe). This report provides a detailed view of all qualifying data for the specified start and end dates.
CR 1-6598161116:
The Fetal Well-Being Endorsement report now displays authenticated notes with pending Sign requests as unauthenticated and includes the correct count of authenticated and unauthenticated notes.
the correct places. With this we also recommend that clients set a policy on which onset date to use facility wide, as this represents the book end to all events pertaining to the pregnancy.
Women’s Health Newsletter Fascinating Facts
Client Spotlight
Babies
Heartland Regional Medical Center
The inner ear is the only sense organ to develop fully before birth. It reaches its adult size by the middle of pregnancy.
Within a few days of birth, a baby can distinguish between the touch of bristles that are of different diameters.
A baby has around 10,000 taste buds, far more than adults. They are not just on the tongue but also on the sides, back, and roof of the mouth. Eventually these extra taste buds disappear.
The New Beginning’s Obstetrics Unit at Heartland Regional Medical Center serves the Saint Joseph, Missouri community and surrounding counties and bordering states. We deliver approximately 1700 babies a year and have 24 beds on our unit. We are a level II OB/ NICU.
We have been on several documentation systems but that last ten years we have been on Philips OB TraceVue. While that was a fine system that met our needs as a unit, we pursued Powerchart Maternity (PCM) and FetaLink to achieve greater integration with the other Cerner solutions being used in-house. We were at a point where the patient’s information was very fragmented. We completed nursing documentation for the most part in Philips. However, lab draw documentation, MAR with barcode scanning, care plan documentation, education documentation, and depart processes were all in Cerner. Our Cesarean Sections were documented in SurgiNet intra-operatively and in recovery, and our providers were already up on CPOE. You can see how double charting was easy to do. With the new PCM solution, double charting has been minimized greatly and ease of access to important information has been much improved . We had our kickoff in October of 2012 and went live with the solution May of 2013. During that time we had a core team of two Labor and Delivery RN’s, one Nursery RN, a project lead and also a team lead. We were supported by two dedicated Heartland TS folks and two Heartland Clinical Informatics Specialists. The RN’s attended the various sessions at Cerner and at Heartland when necessary. In January the three RN’s came off the schedule and worked full time on the project. The success of this project can be attributed to the fact that full time attention allowed for maximum designing and testing of the system by end-users as the project evolved. That insight of “how we do things and what we want” is an integral part of designing the solution for other end -users to have a smooth, successful and positive adoption.
June 2013
Client Spotlight continued
Special Thanks
In the few weeks before go-live we provided approximately 20 super users with 8 hours of didactic training and required an additional 8 hours of these super-users through come-and-go sessions in four-hour increments to get more practice. These training sessions were taught by the three core team RN’s with support of the rest of the team. We then held eight-hour sessions for the rest of the 50 staff members. These classes were taught by the core RN’s and facilitated by the super-users. The first four hours of course content covered the workflow of Admission of Mom in labor through delivery of the baby.
Baptist Hospital
The second four hours covered the postpartum recovery, the admission of baby and appropriate documentation on the couplet, and discharge for both Mom and baby. We had separate sessions for Nursery nurses that instructed them on NICU documentation. Everyone attended the afternoon content since we do Mother/Baby couplet care as well. We continued to offer support and several come-and-go sessions to staff to increase familiarity and comfort with the new solution. We also used it as an opportunity to get a fresh eyes perspective on the solution to help us fine tune it further before go-live. We made a plan for go-live with an appropriate command center and support staff 24/7. We covered 24/7 for two weeks with at-the-elbow support by the team. This 24/7 support was definitely another important contributor to a successful transition and go-live. In summary, the success of our PCM implementation can be directly attributed to having end-users design and test the solution extensively on the front end, ample opportunity for training offered to all the nurses, incorporating super-users in the training, and offering 24/7 at-the-elbow support for two weeks after go-live. We also made the effort to show the design often to all end-users at staff meetings and in huddles to keep it in front of them and get their input as we went through the build.
We want to send out a special ‘Thanks’ to Baptist Hospital who hosted our Open House + Reception at their hospital during the week of AWHONN.
Thanks to all the clients who were able to attend this event or stop by our booth. It was great to see everyone!!
Women’s Health Newsletter In the News Borgess Health
What We’re Doing Pregnancy Summary Redesign The Pregnancy Summary redesign is tentatively scheduled for an end-of-year, 2013 GA release. The goal of this project is to create a women’s health physician workflow view of the Pregnancy Summary for the OB/GYN. The new view is comprised of tabbed summary views that have specific workflow driven views, such as Prenatal, Triage, Labor, and so on. Future iterations will focus on the creation of a nursing workflow view of the Pregnancy Summary.
Women now have a new place to get the specialized health care they need in Battle Creek, MI. The Battle Creek practice joins those in Kalamazoo, Plainwell, and Portage by providing obstetrical and gynecological care and serving women "as partners in health for their life’s journey." Borgess Health is a member of Ascension Health, the nation’s largest Catholic and non-profit health system.
June 2013
Best Practice Non-Stress Test Documentation Recommendations When designing and implementing PowerChart Maternity there are specific workflow recommendations Cerner offers to our clients. Together with FetaLink, PowerChart Maternity content includes documentation and tracking for the completion of Fetal Non-Stress Tests in both the inpatient and ambulatory setting. We have provided our recommended workflow and design considerations to aid in the implementation and application since it is not standard methodology for the nurse to document within PowerNote. The Fetal Well Being PowerNote was designed to reflect the Non-Stress Test (NST) workflow and allows the qualified OB nurse to initiate and document the evaluation then forwarded it to the provider for signature after their review and contribution. Within the PowerNote itself, the nurse will document the assessment of the fetal monitor tracing and attach the saved portion of the FetaLink strip within the document. The OB nurse will then forward the note to the ordering provider. Once the note has been forwarded it will be available for review and signature within the provider’s inbox. The Fetal Well Being Report is then used to track and ensure signature of completed NST’s throughout the patient’s care. The report itself is beneficial because it can be filtered to run by date range, individual physician or physician groups and will display the patient name, date of test, provider, hours the note has remained unauthenticated, MRN/FIN and who performed the test. Since the obstetrical setting can be fast paced at times, this functionality ensures efficiency and effectiveness. When implementing this note it is important to consider Cerner’s recommendations that allow the availability of PowerNote on the OB nurse’s Table of Contents, but limit access to only this PowerNote. Within SCDKE.exe we recommend creating a new catalog called OB Fetal Well Being Note, then adding the one note to the catalog. Cerner Practice Wizard allows you to limit the nurse position to the newly created catalog, remove the encounter pathways tab, restrict additional privileges and set the position to require endorsement from the ordering provider. Following these design recommendations will establish the Fetal Well Being PowerNote’s success within a PowerChart Maternity implementation.
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.
Please send your topic suggestions to WomensHealth@Cerner.com
We look forward to hearing from you!
June 2013
Community Involvement
Social Media
The Color Run
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!
On June 2nd, members of the Women’s Health team participated in the Kansas City Color Run. The Color Run™, also known as the Happiest 5k on the Planet, is a unique paint race that celebrates healthiness, happiness, individuality, and giving back to the community. The local charity was Ronald McDonald House Charities. Their mission is to reduce the burden of childhood illness on children and their families by providing a "home away from home" while the children are receiving medical care in Kansas Cityarea hospitals.
Join Cerner on Facebook Join the Women’s Health team on Facebook Three Peaks Challenge The Women’s Health team has made a donation to help sponsor a maternity unit in Uganda. Cerner has six teams participating in the Three Peaks Challenge on June 23 which involves walking the highest mountains in Scotland, England and Wales within 24 hours. All monies raised by these Cerner teams will be split between the FirstHand Foundation and Improving Chances. The FirstHand Foundation assists individual children who have clinical, health-related needs and no financial safety net to cover these expenses.
Improving Chances supports mothers and babies in Fort Portal and the nearby Mwenge County in Uganda where 1 in 200 women dies needlessly in childbirth because of a lack of adequate medical care.
Click on each charities logo for further information.
Join Cerner on Twitter Join the Women’s Health team on Twitter
Join us on uCern
If you are interested in printing this newsletter, you can download a printable PDF on our Women’s Health Collaboration uCern page.