Women’s Health Newsletter
November 2013
In This Edition Tips & Tricks Reports Unknown Pregnancy Outcome
CHC Wrap Up Content Release PowerNote
Call for Presentations SIG Call
Maintaining Industry Awareness Prematurity Awareness
Client Spotlight MedStar St. Mary’s
Did You Know Fuzzy Dates
In The News Cerner Maternity
Just For Fun
Women’s Health Newsletter On the Cover
Tips & Tricks
Jasper Quinn Berry Jasper Quinn Berry, son of Anna Bruursema and Jason Berry, was born on October 10th at 1:28PM,
Reports With the introduc on of 62683: PowerChart Maternity (US): Prenatal Summary Genview Upli (Nov 2012) and 65820: PowerChart Maternity (US): Genview Report Correc ons (May 2013), Cerner has created a collec on of new scripts that have replaced the exis ng pregnancy repor ng scripts. The new scripts have 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.
weighing 6lbs 14oz and 20in long.
Mom and baby got extra special care
To update the script for the Pregnancy Summary Document that is generated aŌer closing the Pregnancy:
at Shawnee Mission Medical Center,
1. Log into PreferenceManager.exe
being the first patients to be a part of the Cerner Maternity partnership!
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
To add the Pregnancy Summary as the report to print from the Pregnancy Summary View, please follow the work instrucƟons 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.
November 2013
Tips & Tricks continued
If you have the Women’s Health scripts set up as a Genview in Powerchart, follow these steps to update the script name:
Special Thanks
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. Pregnancy Summary
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 InformaƟon Summary
Old defini on: ki_newborn_discharge_info
New defini on: wh_newborn_discharge_info
Unknown Pregnancy Outcome When a pregnancy instance is opened on a woman that doesn’t delivery at your facility there is func onality that allows you to iden fy these pa ents and close the pregnancy with an ‘Unknown’ outcome. The Open Pregnancies by EGA/EDD Report will provide a lis ng of qualifying pregnancies based on the defined filters. If the out‐ come of the pregnancy is unknown, the clinician can select that op on within the Close Pregnancy window (Pregnancy Outcome/Result) and the addi onal required fields (Delivery/Outcome Date/Time Type and Neonate Outcome) will no longer be required.
Shawnee Mission Medical Center We want to send out a special ‘Thanks’ to Shawnee Mission Medical Center who hosted our Open House at their hospital during the Cerner Health Conference. It was a huge success due to the assistance of our hostesses, Denise Martinek, Regina Fraiya, Michelle Saunders, Amber Delphia, and Raimonda King .
Women’s Health Newsletter Community Involvement Breast Cancer Awareness Month All throughout the month of October,
CHC Wrap Up The Women’s Health team would like to thank all of our speakers and client a endees who made this year’s CHC such a success. Final a endance was just over 11,000 clients, associates and partners. The Women’s Health educa on sessions had over 1100 a endees!
Healthe at Cerner offered wellness classes, nutrition information and activities that focused on cancer awareness and prevention. Cerner also sponsored a team for the Making Strides Against Breast Cancer walk held on October 26th. Over 30 associates joined the walk which helps to raise awareness and funds to support breast cancer research.
November 2013
CHC Wrap Up continued
FAQ
Documentation Integration This functionality provides the ability to view Millennium results for Medications administration, IV
administration, and Cervical Exams in FetaLink. Don’t forget that several build steps are required to be performed in order to implement Documentation Integration. Please refer to the following Reference Page for guidance: h ps://wiki.ucern.com/display/ reference/ Use+FetaLink+Documenta on+Integra on_Version+1.9.4
Women’s Health Newsletter Did You Know
Content Release
Perinatal Core Measures Starting in January of 2014, hospitals having greater than 1100 deliveries a year will be required by Joint Commission to report all Perinatal Core Measures. Women’s Health offers a solution to
PowerNote The latest PowerChart Maternity PowerNote packages have been redesigned to support our client's eventual transi on to ICD‐10 and Cerner’s recommended work‐ flow that leverages new func onality (Dx Assistant and Quick Search) developed specifically to address this the ICD‐10 transi on. We have le the packages in valida on so that, for the short term, any client wan ng access will have to log an SR. We are recommending that this content not be taken into a PROD domain un l absolutely ready to move to ICD‐10. Taking this content into PROD prior to ICD‐10 transi on would result in a break in the physician’s normal workflow under ICD‐9. The package numbers are as follows: 68286 ‐ PowerChart Maternity (US): Ambulatory ‐ PowerNote Content (Oct 2013) 68232 ‐ PowerChart Maternity (US): Inpa ent ‐ PowerNote Content (Oct 2013)
meet your needs which offers the following key benefits:
Provides data to support reporting of TJC/CMS/IQR core measures
Decreased potential for errors, with evidence-based criteria embedded in clinical processes and reporting
Improvement of patient care as a by-product of reinforced evidence-based practice
If your site is interested in the Perinatal Core Measures solution offering, contact John.Folmnsbee@Cerner.com
These packages contain the following updates:
A new GYN procedure note is now available
Discharge Summary sentence is now available in the OB Triage note
Labor & Delivery Summary smart template is available in the OB Discharge Summary, Postpartum note
The Transfer to Another Facility term is available in the OB Triage, OB Discharge Summary, OB Postpartum Visit, Ambulatory, and OB Postpartum Inpa ent Progress notes
The Impression and Plan sec on for the Newborn Post‐Delivery Admission note includes a diagnosis of Twin Birth by C‐Sec on
The Vital Signs/ Measurements sentence is available in the OB Fetal Well Being note
The following informa on is added to all OB/Gyn documenta on in PowerNote in the Physical Exam sec on: Gynecology Visit, OB Antepartum, Follow‐Up Visit, and OB High Risk Antepartum Visit
November 2013
Call for Presentations
Illuminations
SIG Call Our next Women’s Health Special Interest Group (SIG) call, is scheduled for Wednesday, December 11, at 11:00 AM. We are ge ng ready to plan our agenda and would love to have your par cipa on. If you have something exci ng or innova‐ ve that you or your organiza on has done that you would like to share with other maternity clinicians, please let us know! Our SIG co‐chairs, Angie Conner and Susan Nigro, would love to hear from you! Please email Susan or Angie if you are interested: susan.nigro@olathehealth.org or aconner@floyd.org.
Be on the lookout for two upcoming Illuminations sessions.
Emily Vano and Krystal
Cunningham will be discussing
MPages 5.0.
Maintaining Industry Awareness Prematurity Awareness Month
November is Prematurity Awareness Month® and when the March of Dimes focuses the na on’s a en on on premature birth. The awareness month kicks off on November 1 with the release of the 2011 Premature Birth Report Card. November 17 marks World Prematurity Day, and the March of Dimes and their partner organiza ons worldwide are asking everyone to help spread the world on the serious problem of premature birth. Find out more at http://www.marchofdimes.com/index.aspx
Jill Meier will be discussing FetaLink+.
Dates and times will be announced on the Women’s Health Collaboration Community uCern group.
Women’s Health Newsletter Save the Date
Client Spotlight
Neonatal Education Symposium Friday, November 8, 2013 Overland Park Convention Center, Overland Park KS The Cerner Women’s Health team,
Medstar St. Mary’s Hospital The Women’s Health and Family Birthing Center at MedStar St. Mary’s Hospital is located in the water‐ side community of Leonardtown, Maryland. We are about 55 miles southeast of Washington DC and 90 miles south of Bal more, serving the rural communi‐ es of the southern Maryland. We deliver over 1100 babies a year in our 5 LDR and 12 bed Mother/Baby Unit and we are a level I Nursery.
along with the Cerner Critical Care and DeviceWorks teams, will be participating in the Neonatal Education Symposium sponsored by HCA Midwest Women’s Care. This year’s theme is Controversies in Standards of Care: Treatment Advances for the High-Risk Neonate and in attendance will be Neonatal Nurses, Nurse Practitioners, Neonatologists, Pharmacists, and Dieticians from across the country.
Our Cerner partnership started in 2008 when we went live house‐wide with a big bang! PowerChart Maternity was not available at that me, so a core team of L&D and Nursery RNs worked closely with a Clinical Applica on Specialists from IT to build all the Labor, Postpartum and Newborn documenta on in Interac ve View from scratch. We were using Centricity for fetal monitoring and there was no integra on with the electronic record. Even though the birthing center went live with Cerner with the rest of the hospital, the new technology did not prevent the double and triple documenta on that is very common in the L&D environment. In addi on, with our original go –live, the nursing plans of care were developed using PowerForms. Though these plans met regulatory requirements and the staff became accustomed to them, these plans had some issues. Because they were used house wide, the plans of care were made very general and it was cumbersome for the specialty areas to individual‐ ize. The plans were not interdisciplinary and accessing the reference materials to ensure that evidenced‐based interven ons were being u lized was tedious. You can see that the Birthing Center was looking forward to PowerChart Maternity with Inter‐ disciplinary Plans of Care (IPOCs) and FetaLink. We had our kick off in August of 2012 and had a very successful go live in June of 2013. We were very fortunate to have a strong core team that consisted not just of the clinical leads from the birthing center and the IT team, but also physicians and administra ve support. The clinical team and IT team met for at least 4 hours every week with several hours of independent work and close communica on daily. We kept our physicians and providers engaged by including a respected Midwife on the build team as our provider champion who a ended all Cerner sessions. The order sets and PowerNotes were forma ed according to physician input.
November 2013
Client Spotlight continued The administra on support we received was cri cal, and not just for the financial implica ons. The Director of our Birthing Center was on the build and design team and was able to make higher level decisions in a mely manner and keep senior manage‐ ment informed of the project every step of the way. We iden fied approximately 20 associates in the Birthing Center to be "Super Users" and started training late in April. At the beginning of May we started our end user training taught by the clinical lead of the build team and at least one super user. We created a PCM and FetaLink Users Manual and held a 6 hour class for the RNs and a 4 hour class for the Nurse Techs. Classes included hands on training of the system from quick registra on through the hospital stay to discharge. At the end of the class, the staff had to complete competencies for PCM and FetaLink. We also provided access to our Train domain in the weeks prior to go‐live so that the staff who had been through class could have a chance to prac ce char ng in the new system. Overall, the training went well but we experienced some setbacks with our IPOC training. PCM only came with 5 completed IPOCS. We had to build at least 9 more Maternal and Newborn IPOCS from scratch. Unfortunately, we did not get started on building the IPOCS un l later in the design and build of PCM. We were s ll building when we had Integra on Tes ng, so we were not able to test the IPOCS un l a er we started end user training in May. Because of the late build and tes ng, we did not get to provide the educa on regarding IPOCs at the level it needed. However, Go‐Live went very smoothly and it was largely due to the Super Users that were scheduled every shi during our transi on to PCM. In the days following the go‐ live we did iden fy some challenges the staff were having. The workflow required for PowerChart Maternity was very different than what the staff had been doing. In order for some parts of PCM (MPages, IPOCS) to func on and display correctly, a certain workflow had to be followed and the staff was becoming frustrated. A er about 2 weeks of working this new workflow, we developed a work‐ flow checklist to help guide the staff. When a laboring pa ent, cesarean sec on, or a newborn is admi ed a specific checklist is placed on the front of the chart to simply act as a reminder to complete to workflow. This helped ensure that the documenta‐ on was done in the order that was required for the applica on to func on correctly. Over the next couple weeks, we saw the staff’s frustra on levels declined and the applica on proper es were func oning correctly.
Save the Date continued The Cerner team will demonstrate solutions that improve the care of some of our most vulnerable patients: neonates. These solutions include: PowerChart Maternity, FetaLink, FetaLink+, INet Critical Care, CareAware Critical Care, Infusion Management, Breast Milk Management, Blood Transfusion, Specimen Collection, Baby Match, Temperature Link, myStation, and VitalsLink. If you would like more information on any of these solutions, please feel free to reach out to WomensHealth@cerner.com.
Women’s Health Newsletter What We’re Doing
Client Spotlight continued
FetaLink+
We have maintained our success with PowerChart Maternity, IPOCS and FetaLink over these past several months. The IT team and the Clinical team s ll keep in close contact regarding the func onality of the system. We post “Tip Sheets” and reminders to the staff on a regular basis regarding the func onality of the applica on. Our Super Users have remained engaged and provide individual educa on to staff when the need arises. The front line staff has also been involved in providing feedback regarding changes that could be made to op mize the workflow and enhance the documenta‐ on for PowerChart Maternity and FetaLink.
FetaLink+ is currently being installed and tested at our two testing partner sites. We are very close to being able to make this generally available. Stay tuned for further updates. FetaLink FetaLink 2013.01 has been installed and tested at our testing partner site. We received good feedback and are in the final steps to making it generally available mid-November. Please access the recording and slides from our Illumination session at this link: h ps://applica ons.cerner.com/ members/illumina ons/ IllumDetails.aspx?illumid=4383
The Birthing Center was our flagship for IPOC usage here at MedStar St. Mary’s Hospital. With the lessons learned, we plan to introduce IPOCs hospital wide in the next several months. We will develop a training program to meet the various learning styles of the staff including small formal classes, hands on competencies, self learning modules u lizing our Learning Management System. We are also looking at develop‐ ing more rules to enhance upda ng the IPOCs. The transi on to PowerChart Maternity has been a huge success at MedStar St. Mary’s hospital. With con nued team work between the IT department and the Birthing Center, we will only improve the func onality and sa sfac on of the staff and con nue to provide high quality care to our pa ents.
Did You Know Fuzzy Dates When entering previous pregnancy instances within the Pregnancy History control the op on exists to flex the required data based on the limited informa on you receive from the pa ent. Many mes when a woman has experienced an early pregnancy loss or the loss occurred a number of years prior, they are unable to provide the exact date of delivery. PowerChart Maternity allows the end‐user to change the Delivery/ Outcome Date/Time field to Month or Year. If Month is selected the clinician will be prompted to enter the month and year of the pregnancy instance while selec ng Year will allow entry of only the year the pregnancy occurred.
November 2013
In the News
CHC Presentations
Cerner Maternity
The Women's Health CHC
On October 2, 2013, Cerner announced a strategic rela onship with Shawnee Mission Medical Center and TMC Lakewood that will focus on providing a new, enhanced maternity experience in Kansas City. This marks the first maternity ini a ve of its kind in the na on, pu ng Cerner at the forefront of innova ve maternity programming and underscoring the company’s vision to transform health care.
education session recordings are now available!
“Within Cerner, we have a lot of new Cerner parents and growing families each year. We saw a unique opportunity to partner strategically with two health systems that have taken maternity care to the next level and have the ability to deliver an experience unlike any other,” said Julie Wilson, Cerner’s Execu ve Vice President and Chief People Officer.
You can find them here: h ps://connect.ucern.com/docs/DOC‐ 306858
Believing there was a way to improve infant and maternal health outcomes and trans‐ form the con nuum of personalized maternal care, while managing rising health care costs for its associates, Cerner sought out strategic rela onships in the Kansas City area. These health systems have been named Cerner Cer fied Maternity Partners and will support Cerner’s comprehensive maternity ini a ves from pre‐concep on to return‐to‐work, redefining the role a health system provider plays in an employer se ng.
Any additional sessions may be found here: h p://www.cerner.com/chcresources
Visit Globe Newswire and Yahoo Finance to read addi onal ar cles about the new partnership.
Women’s Health Newsletter
November 2013
Just For Fun
Social Media
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!
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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.