Women’s Health Newsletter
May 2013
In This Edition Best Practice—Revised Finalize and Disassociate
Meet the Engineering Teams What We’re Doing A Story of Collaboration
Maintaining Industry Awareness Baby-Friendly Hospital Initiative
What We’re Doing Gravida/Para Cross Encounters
AWHONN Community Involvement
Women’s Health Newsletter What We’re Doing Gravida/Para Cross Encounters on Tracking Shell An enhancement that will allow for the Gravida/Para to populate and display correctly on Tracking Board across multiple encounters is scheduled to be released on October 9, 2013 on a 2012.01 Service Package. You may track this enhancement with CR number 1-4181864079.
Best Practice—Revised Finalize and Disassociate This is an addendum to information that was previously published in our April, 2013 newsletter. We apologize for any confusion this may cause. The Cerner Women’s Health Team has recently reevaluated our recommendations regarding the Finalize & Disassociate workflows that are part of FetaLink. In previous client communications we encouraged the obstetric clinicians to finalize the FetaLink episode as soon as possible after the fetal monitoring care has been completed and all documentation has been done. However, because we recognize that some clinicians may experience a delay in the ability to view archived fetal monitor episode as the data is being processed, we are offering some alternative workflows that we believe will help ensure that the archived strips are more readily available for viewing. There are several major care areas where viewing archived strips is most often done. Each of these care areas may require a different approach for finalizing FetaLink episodes. Labor & Delivery Finalize and disassociate the FetaLink episode as soon as possible after the fetal monitoring care and immediate recovery care has been completed, and all documentation has been done. Inpatient Antepartum (High-risk) Care Unit If all indications are that mother and baby are stable, the obstetric clinician should finalize the FetaLink episode every 24 hours at midnight. This will ensure that the archived strip has time to process and be viewable by the physicians on their morning rounds. Triage/Evaluation Unit
For patients who were evaluated and admitted to the hospital:
Use the transfer functionality to move the patient’s location in FetaLink. Do not finalize the episode. Follow the process described above for Labor & Delivery and Inpatient Antepartum patients.
May 2013
Best Practice—Revised Continued
Did You Know
For patients who were evaluated but sent home:
Once the fetal monitoring care has been completed, disassociate the patient from the device but do not finalize the episode. The patient will remain in a hold bed temporarily with an active FetaLink episode. Historical fetal monitoring data will be quickly retrievable in the event that the patient returns for care after a short time. It is advised that your organization define a process around who is responsible for finalizing those FetaLink episodes at a later time, during a period of slower unit activity. This should be done within 24 hours of the patient’s triage visit, in order to efficiently manage the hold bed list. We recommend finalizing the triage episodes at midnight, in order to ensure that the archived strip has time to process and be viewable by the physicians on their morning rounds. However, clinical assessment may dictate a more appropriate time to finalize specific patient episodes, depending upon the patient care scenario.
Cerner does not charge for PowerChart Maternity and FetaLink software upgrades.
Each Cerner Women’s Health project is supported by a Women’s Health
Other Considerations The above recommendations are provided as a guide; however, clinical judgment always prevails when determining your fetal monitoring workflow.
RN, from kickoff through post conversion assessments.
It is important for clinicians to add a Reason for Monitoring as soon as possible when the patient is beginning her fetal monitor episode. This helps to identify the archived episode at a later time, and it ensures that the person responsible for finalizing the episode has the Reason for Monitoring already documented by the clinician who actually took care of the patient. When a patient is disassociated from a fetal monitor device, but the episode is not finalized until a later time, the FetaLink system will, upon finalization, automatically stop the episode end date/time whenever it finds the last device disassociation. Therefore, the episode length will adjust retroactively based on the time that the device was disassociated from the patient. However, if the patient is disassociated, but then re-associated after a period of inactivity, then finalized, that empty space in between the two associations will become part of the FetaLink episode.
Our client service managers are former L&D nurses.
Women’s Health Newsletter Got News?
Meet the Engineering Teams The Women’s Health Development Team is comprised of four Software Architects, ten Software Engineers, four Test Analysts, a Solution Designer, and two Leaders – spanning two continents. Collectively, we are responsible for the development and support of FetaLink, FetaLink+, Pregnancy and Neonate Summaries. Combined, they have over 150 years of engineering experience, with 100 of those years at Cerner. Kansas City team
Do you have good news to share about your facility? We’d love to share it with our community members. Send your information to
L to R back row: Stacy St. John, Dan Plubell, Mark Inman, Greg Kuttenkuler, Andrea Freeland; L to R front row: Katie Carter, Vasumathi Sridharan, River Wu, Sneha Shah, Nilesh Singhania
WomensHealth@Cerner.com
India Team
and we will include it in our monthly newsletter.
L to R back row: Shiv Kumar Das, Narendra Varna, Ashwin Kumar, Katie Carter, Venkat Dodla, Shivakumar Byadgi, Ramakanth Nayak, Santosh Bhat, Sujith Mohan; L to R front row: Samir Muranjan, Shruthi Upparagattimath, Tanu Shekhawat, Siddaramaswamy Thippeswamy
May 2013
Meet the Engineering Teams (continued)
Save the Date
Edge Development
Cerner Health Conference
The Edge Development team is responsible for the creation of new, up and coming solutions such as VON, Risk Analyzer and Pap Smear Tracker. Combined, they have almost 15 years of engineering experience, with 9 of those years at Cerner.
Snehadeep Sethia, Krystal Cunningham
Mark your calendars now! Cerner Health Conference (CHC) Oct 6, 2013 - Oct 9, 2013 Kansas City, Missouri
What We’re Doing Stay tuned for more information Women’s Health - A Story of Collaboration around the Women’s Health Healthcare Executive Michelle Padgett will be presenting at the upcoming 2013 Canada Leadership forum.
educational track and activities that
Abstract:
will be happening throughout the
Women's Health service lines were some of the earliest adopters of electronic documentation. As advances have been made in women's health, so too has the documentation and tools needed to deliver safe and effective care for this special population. With a client base that accounts for more than a half million annual births worldwide, understanding how our clients have pushed us to support them in a quest for a truly integrated medical record for mothers and babies. The presentation will focus on the evolution of our products and where our solutions are going.
Cerner Health Conference.
Women’s Health Newsletter Tips & Tricks
Maintaining Industry Awareness
When should you document Reason for Monitoring?
Baby-Friendly Hospital Initiative
The Cerner recommended workflow is to document this at the time of admission/association as it populates the FetaLink census and
Breastfeeding offers benefits to mothers and babies alike. Breast milk provides a superlative mix of nutrients and antibodies conducive to infant development. Evidence exists demonstrating the correlation between breastfed children and fewer and less serious illnesses, including reduced SIDS risk, childhood cancers, and diabetes. Research also demonstrates that breastfed babies have higher IQ scores and better brain and nervous system development. Mothers who breastfeed are healthier, too! Recent studies conclude that women who breastfeed are at decreased risks of breast and ovarian cancer, anemia, and osteoporosis. These advantages translate to decreased healthcare costs and diminished financial burden on families and third party payers, as well as on community and government medical programs.
also labels your monitoring episode for easy retrieval when archiving a fetal monitoring strip.
The Baby-Friendly Hospital Initiative (BFHI) is a global program that was launched by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) in 1991 to encourage and recognize hospitals and birthing centers that offer an optimal level of care for infant feeding and mother/baby bonding. Birthing centers are recognized and awarded after implementing the Ten Steps to Successful Breastfeeding and the International Code of Marketing of Breast-milk Substitutes. The BFHI assists hospitals in giving mothers information, confidence, and skills necessary to initiate and continue breastfeeding their babies or feeding formula safely, and gives special recognition to hospitals that have done so.
Becoming a Baby-Friendly facility is a comprehensive, detailed and thorough journey toward excellence in providing evidence-based, maternity care with the goal of achieving optimal infant feeding outcomes and mother/baby bonding. It compels facilities to examine, challenge and modify longstanding policies and procedures. It requires training and skill building among all levels of staff. It entails implementing audit processes to assure quality in all aspects of maternity care operations.
May 2013
Maintaining Industry Awareness (continued)
FAQ
As of January, 2013, the following Women’s Health clients have attained the babyfriendly designation:
New Depart Process
Corona Regional Medical Center
French Hospital Medical Center
Mease Countryside Hospital
Middlesex Hospital
Pregnancy functionality to be
Mission Hospital
accessed and available from the
Morton Plant Hospital
University of Washington Medical Center
Ventura County Medical Center
CR 1-4076099151 has been approved allowing the actual Close
Depart Process menu. The “Close Pregnancy” icon will need to be added to the Depart Process menu
Cerner and PowerChart Maternity support the Baby Friendly Hospital Initiative with Perinatal Care Core Quality Measures Reports available for client use with Solution Code LH-22523 – Core Measures: IQR Perinatal Care w/ eQuality Check. When the Perinatal Care Core Quality Measure Order is initiated and a link is established between mother and baby using the Related Records functionality in PowerChart Maternity, a Quality Measures MPage component prompts clinicians to document relevant information to satisfy Joint Commission's performance measurement requirements, including Perinatal Care Core Measure 05 (PC-05): Exclusive Breast Milk Feeding. Once information has been documented, reports are available to run to determine the facility’s compliance with the Perinatal Care Core Quality Measures. These reports can also promote accomplishments required to obtain Baby-Friendly status.
build. Once this is visible and the package has been taken, the clinician is able to click on that icon and it will take them directly to the close pregnancy window. This will facilitate the close pregnancy process. The code is
The journey to attaining Baby-Friendly status is exciting, challenging, and worth it. It creates opportunities to develop high performance work teams and build leadership skills among staff, promotes employee pride, enhances patient satisfaction, and improves health outcomes.
available for 2012.01 on the May 1
http://www.babyfriendlyusa.org http://www.who.int/nutrition/publications/code_english.pdf
exception package, #65019.
service package, #65357 or as an
Women’s Health Newsletter Package Releases 4.5 Pregnancy Summary and Neonate Summary
The 4.5 Pregnancy and Neonate Summaries are now Generally Available (GA).
64341 -- MPages: Pregnancy Summary Configuration 4.5
AWHONN The Women’s Health team is expanding our presence at the Association of Women's Health, Obstetric and Neonatal Nurses, (AWHONN) conference, June 15th-19th in Nashville, TN. By teaming up with DeviceWorks and Clairvia, for the first time we are able to feature the breadth of Cerner solutions available that focus on improving efficiencies in a hospitals maternity unit. AWHONN’s nursing focused attendees will have the opportunity to experience FetaLink, PowerChart Maternity and FetaLink+ as well as Care Connect, Infusion Pumps, MyStation and BreastMilk Tracking. Based on survey results at last years’ conference, one of the biggest pain points for L&D nurses and units was the lack of an L&D acuity-based workforce management tool. We are very excited to be able to share a solution to this problem in our booth this year. Stop by and visit us at booth #129. Reception and Site Tour
(March 2013) Are you attending the AWHONN Conference in Nashville?
64350 -- MPages: Neonate Summary Configuration 4.5 (March 2013)
Join us for a Reception and Hospital Site Tour Hosted by Baptist Hospital Tuesday, June 18th, 5:00 - 7:00 p.m. Rotate from guided tours of Baptist Hospital’s Labor & Delivery unit, to a reception full of hors d'oeuvres and wine, where you’ll have the opportunity to network with your peers and Cerner experts!
Transportation provided! Shuttles will pick up from the Gaylord at 4:45 pm and will return back at 7:00pm. Please to register for this event so we can send you up -to-date information about the shuttle pickup location
Please pre-register for this event using this link: https://applications.cerner.com/surveys/Survey.aspx? s=8ad985ceda1c4be59f44ac1b6709343e
For a printable/emailable version of the event invitation: https://connect.ucern.com/message/1438099#1438099
May 2013
Community Involvement May 12-18th is National Women’s Health Week/Month
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.
In support of National Women’s Health Month, Cerner participated in the Heart Walk held Saturday, May 18th at Theis Park in Kansas City.
Healthy living is important to us! This month, Cerner has been offering wellness classes and activities focused on women’s health. Among those were:
Work Life Integration for the Working Mom
Life Clubs - Best Life Ever
Fitness Equipment Orientation
Fitness and Bone Health
Life Cycle for Women
AFV Cooking Class
Nutrition for Pregnancy
Weight Loss: Understanding Caloric Deficit
Please send your topic suggestions to WomensHealth@Cerner.com We look forward to hearing from you!