Women’s Health Newsletter January 2013

In This Edition

New Faces of Women’s Health

Did You Know

We offer Perinatal Core Measures

Tips & Tricks

PowerChart Maternity Rules

Unit of the Year Contest

What We’re Doing

Workflow Assessments

Client Spotlight

Yavapai Regional Medical Center

Happy New Year

Women’s Health Newsletter

New Faces of Women’s Health

Mary Garland, Clinical Strategist

Mary was raised on a farm outside of Nebraska City, NE. She graduated from

Creighton University. Mary’s professional experience includes 28 years in a level 3b

NICU, most recently at Overland Park Regional Medical Center. She is also a certified

NRP and STABLE instructor.

Mary and her husband have 3 children, 2 dogs and 3 cats. She loves to read, cook,

scrapbook, garden and fish.

Lindsey Ackerson, Client Service Manager

Lindsey was born and raised in Kansas City, MO. She graduated with her BSN from

William Jewell College in 2007 and received her RNC in 2012. Lindsey's professional

experience is in both telemetry and labor and delivery, most recently at Children's

Mercy Hospital in the Fetal Health Center.

Her life right now is consumed by her 5-month old, Bennett; her husband, Kip; and

their two boxers, Penny and Diesel.

Meloney Shewmaker, Clinical Strategist

Meloney was born and raised in St. Joseph, MO. She graduated from LPN school in

1989 and in 1995 with her RN from Northwest Missouri Community College.

Meloney’s professional experience is in Community/Public Health and most recently at

Heartland Regional Medical Center as the Inpatient Wound Care Coordinator.

Meloney loves to spend time outside fishing and hunting with her husband and 2

children.

FAQ

Rules! Rules! Rules!

Within our PowerChart Maternity

content packages, we have several

offerings of rules. Rules are

designed to provide an action when

certain criterion is met.

This month we are highlighting our

“7 Day Re-Admission” rule. If this

rule is being utilized, it will notify the

patient’s OB provider and Delivery

provider if the patient is re-admitted

to the hospital within a week of

being discharged after the delivery

of a baby.

This rule can be found in PCM

package 63529.

January 2013

Did You Know

We offer Perinatal Core Measures

Perinatal Core Measures

provide the structured clinical

content to support the required

data collection and reporting for

the specified IQR measures that

the Centers for Medicare and

Medicaid (CMS) and The Joint

Commission (TJC) have jointly

adopted as their basis for report

of hospital quality measures.

Solution At a Glance

Web-based reporting screens and summary reports. Easy-to-use graphical user interface

Improves patient outcomes with embedded, evidence-based clinical decision support both at the point-of-care and printed in reports to compare and evaluate outcomes

Automates clinical data capture to support quality initiatives

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, contact John.Folmnsbee@Cerner.com

FAQ

Finalizing a fetal monitor episode

Finalizing is an important last step

as it removes the patient from the

FetaLink Census, while making her

archived episode available to clini-

cians for future viewing.

Once an episode is archived, you will

not be able to add annotations to it.

To finalize your patient’s fetal

monitor episode, simply select the

Finalize button from the FetaLink

toolbar in your patient’s single

patient view. If your patient is still

associated to her fetal monitor

device, the button will display as

Finalize & Disassociate. Selecting

this option allows you to perform

both actions with one click.

Don’t forget to add a Reason for

Monitoring when prompted, so that

the episode can be easily identified

later.

Women’s Health Newsletter

Tips & Tricks

Birth Log Extract Report

Provides a comprehensive summary and extraction of pregnancy delivery

information (mother and baby) to record and preserve statistical data.

Can extract data and save in a .csv file and then import the data into an Excel

spreadsheet.

Nurse Managers / Administrators can use the report to run stats as needed

(such as on a monthly, quarterly or annual basis).

A reporting spreadsheet is available that provides examples of reports that can be

created using Excel and the Extractable Birth Log Book. Report examples include:

an Apgar report, an EBL report, an episiotomy /degree of episiotomy report, and

an abbreviated delivery summary report.

Note: The Extract will display up to 13 months of data. An error message indicating

that the dates cannot be more than 13 months apart will notify the user if the

timeframe of 13 months is exceeded.

Community

Involvement

February is American Heart Month

On Friday, February 1, 2013, join us

in observing National Wear Red Day.

Heart disease is the No. 1 killer of

women and is more deadly than all

forms of cancer combined. While 1

in 31 American women dies from

breast cancer each year, 1 in 3 dies

of heart disease.

Find out more at

www.goredforwomen.org.

January 2013

Tips & Tricks (continued)

For more information or access to the reporting spreadsheet, please contact Kaisha

Norgren at kaisha.norgren@cerner.com

For all report functionality related questions, please continue to contact your

implementation team (if still engaged) or log an SR.

Further information regarding the Birth Log Extract Report is available in an

Illuminations presentation at the following link:

https://applications.cerner.com/members/illuminations/IllumDetails.aspx?

illumid=4321

Symptoms of a

Heart Attack Uncomfortable pressure,

squeezing, fullness or pain in the

center of your chest that lasts

more than a few minutes, or

goes away and comes back.

Pain or discomfort in one or

both arms, the back, neck, jaw

or stomach.

Shortness of breath, with or

without chest discomfort.

Other signs such as breaking out

in a cold sweat, nausea or light-

headedness.

As with men, the most common

heart attack symptom in women is

chest pain or discomfort. But it’s

important to note that women are

more likely to experience the other

common symptoms, particularly

shortness of breath, nausea/

vomiting and back or jaw pain.

Maintaining Industry Awareness

Cervical Cancer Screening - Have you updated your health maintenance rule?

Cerner is staying in touch with the latest industry standards as we have on our

roadmap for this year to develop a Pap smear Tracker to be included as the first piece

of a new GYN documentation workflow.

The American College of Obstetricians and Gynecologists (ACOG) - The Committee on

Patient Safety and Quality Improvement recently published a new article (Number 546

in December 2012) entitled ‘Tracking and Reminder Systems.’

They are recommending providers establish a simple, reliable tracking and reminder

system to facilitate communication, improve patient safety and quality of care, and

minimize missed or delayed diagnosis.

Women’s Health Newsletter

PowerChart Maternity Rules

Cerner currently offers 30 maternity-related rules. Below is a complete listing of

the rules and their descriptions. The most current package number(s) are listed in

parentheses after the rule name.

39-week Induction (63529 - new)

Alerts provider for induction order if patient < 39 weeks gestation

Procedure History (63529 - new)

Updates Procedure History when C-section is documented as a delivery type

Rhogam after Delivery (63529 - new)

Alerts that Rhogam is indicated if mom Rh negative and newborn Rh positive

Routine SpO2 Screening for Newborn (63529 - new)

Follows algorithm published by the CDC to guide care

NICU Extreme Prematurity (63529)

Orders consults if newborn Gestational Age < 28 weeks

Bishop Score (63529, 63528)

Provides recommendations for induction medications based on documented Bishop

Score

7 Day Readmission (63529)

Notifies provider if patient readmitted within a week of discharge after delivery

Admit to L&D IPOC (63529)

Prompts clinician to initiate Vaginal Delivery or C-Section IPOC

EGA at Delivery (63529)

Captures the EGA at delivery as a clinical event

EGA at Documented Date, Time (63528)

Captures the current EGA for each prenatal visit as a clinical event

Fetal Neonatal Death (63529, 63528)

Notifies the clinician of a recent fetal or neonatal death when chart is opened

Gestational Diabetes Positive (63529, 63528)

Sends message to provider when patient has a positive glucose challenge test and

places problem on Problem List

Gravida Para (63529)

Prompts the clinician to update the Gravida Para form when delivery is documented.

uCern Wiki

Accessing Reference Pages

The uCern Wiki Reference Pages

are your source for solution

documentation. Reference Pages

allow you to contribute updates,

provide feedback, receive update

notifications, and much more.

If you do not have access to uCern

Wiki, please contact your Cerner

representative.

January 2013

FetaLink 1.9.4

Want More Information?

FetaLink 1.9.4 includes a lot of new

functionality including:

Documentation Integration

Black Background Option

Snapshot

Enhanced Gridlines on PDF

Suppressing pop-up message

Further information is available in an

Illuminations presentation at the

following link:

https://applications.cerner.com/

members/illuminations/

IllumDetails.aspx?illumid=4328

And on the FetaLink Reference

Pages:

https://wiki.ucern.com/display/

reference/

FetaLink+Reference+Pages

PowerChart Maternity Rules (continued)

Group B Strep Test (63528)

Alerts clinician to collect a Group B Strep vaginal swab at 35-37 weeks, if not already

ordered.

HSV Suppression (63529, 63528)

Prompts clinician to order antiviral medication if patient is HSV positive, if not already

ordered

Maternity Delivery Complications (63529)

Automatically adds documented maternity delivery complications to the patient’s

Problem List

Non-Exclusive Breast Milk Feeding (63529)

Prompts clinician to document a reason for oral intake other than breast milk for

newborns

Rhogam at 28 weeks (63529, 63528)

Prompts clinician to order Rhogam at 28 weeks if patient is Rh negative

Maternal Age at Delivery (63529)

Captures maternal age at delivery so that it can be result copied to newborn’s record

Pregnancy and Lactation (63529, 63528)

Warns of potential adverse reactions for medications during pregnancy and lactation

Preterm Labor (63529)

Adds a problem of Preterm Labor to Problem list when Preterm Labor IPOC is initiated

Gestational Diabetes Order (63529, 63528)

Prompts provider to order glucose screen based on EGA

OB Anemia (63529, 63528)

Notifies provider if patient has low Hgb and Hct levels

Group B Strep Positive (63529, 63528)

Notifies the provider if patient tests positive for Group B Strep and places problem on

Problem List

Group B Strep Antibiotics (63529, 63528)

Prompts provider to order prophylactic antibiotics if patient is admitted to L&D and

Group B Strep positive

HSV Positive (63529, 63528)

Notifies the provider if patient tests positive for HSV and places problem on the

Problem List

Women’s Health Newsletter

PowerChart Maternity Rules (continued)

Rubella (63529, 63528)

Notifies the provider if patient tests negative for rubella antibody and places problem

on the Problem List

Nuchal Translucency (63528)

Prompts provider to test for Nuchal Translucency if EGA > 14 weeks

Rh Negative Problem (63529, 63528)

Notifies the provider if patient tests negative for ABO Rh and places problem on the

Problem List

Risk Factors (63529, 63528)

Places a problem on the problem list for each antepartum risk factor that is

documented

Popular Boy Names

2012

Aiden

Jackson

Ethan

Liam

Mason

Noah

Lucas

Jacob

Jayden

Jack

1912

John

William

James

Robert

Joseph

George

Charles

Edward

Frank

Thomas

Unit of the Year Contest

Only a couple short months until Cerner’s annual Women's Health Unit of the

Year contest!

What makes your OB or Women’s Health unit special?

Now is your chance to share! You are invited to compete with other women’s health

care professionals, for the chance to win the Women’s Health, Unit of the Year award.

This is your opportunity to boast, to brag, and to be creative in sharing what makes

your OB or Women’s Health unit so great!

Submit videos, essays, poetry, or even PowerPoints... There are no restrictions on the

types of entries accepted!

Email entries to WomensHealth@Cerner.com All entries are due by Saturday, March

23rd

Winners will be announced Monday, April 1st

Multiple entries will be chosen, but only one will become the Women’s Health, Unit

of the Year!

January 2013

What We’re Doing

Workflow Assessments

Since June 2012, the Women’s Health Client Service Managers have completed 11

workflow assessments in an effort to continue to engage our clients, identify opportu-

nities for improvement and build client satisfaction within our existing client base.

Over the course of three days at the client site, end users, IT staff and leadership are

interviewed and shadowed as a way to identify possible gaps in workflow against the

Cerner recommended workflow around PowerChart Maternity and FetaLink. Findings

are reviewed and owners of identified issues are assigned.

In doing these assessments, we are seeing that additional education on the system

and small fixes are all that is needed to help the clinicians optimize their workflow. A

follow up call is arranged in order to verify that the issues are being worked toward

resolution. The ABU has received nothing but positive feedback to date. Clients feel

there is a true partnership and that we help to mitigate any current issues they are

facing. Additionally, we want to obtain client feedback on ways in which we could

strengthen our solutions.

The cost of this assessment will be travel and expenses for one or two associates,

there will be no charge for the consulting service hours.

For more information please contact Kaisha Norgren at kaisha.norgren@cerner.com

or Lindsey Ackerson at lindsey.ackerson@cerner.com.

Popular Girl Names

2012

Sophia

Emma

Olivia

Isabella

Ava

Lily

Zoe

Chloe

Mia

Madison

1912

Mary

Helen

Dorothy

Margaret

Ruth

Mildred

Anna

Elizabeth

Frances

Women’s Health Newsletter

Client Spotlight

Yavapai Regional Medical Center

Yavapai Regional Medical Center went live

with 55 Cerner solutions on June 11, 2012,

including PowerChart Maternity and

FetaLink. The Family Birthing Center is a

Level II facility, located on the East Campus

of YRMC, with 80 – 100 births per month. It

has 16 LDRP beds, a 6 bed Continuing Care

Nursery and 2 dedicated OB Operating Room

Suites for C-Section patients.

For the implementation project, the hospital developed a “Race Car” theme, with vari-

ous departments having their own representative racer in the field. It was fun to have

a little lightheartedness going on when everything was so intense. Our core PCM

work group even renamed PowerChart Maternity to “MamaNet”.

After an incredibly intense build period, we launched our training program about 6

weeks before Go-Live. PCM developed a program of 20 hours of class time for the RN,

16 hours of class time for the US/NA/OB Tech. The classes were taught by the PCM

Work Group Team (5 of us). The Education Department of our hospital developed the

concept of “Application Coach” to assist in the training and coaching through Go-

Live. The hospital supplemented the training process by providing open labs where a

staff member could go in to practice the various applications. Also, a Train domain was

available for anyone to use at any time to practice.

Application Coaches were recruited from both shifts; serving as Rovers during the clas-

ses to give elbow-to-elbow help. At Go-Live and for two weeks thereafter, two Applica-

tion Coaches were on duty without patient assignments in order to provide that all-

important elbow-to-elbow support. They also were able to troubleshoot and escalate

issues as they came up.

Save The Date

SIG Call

Our next SIG call is scheduled for

Wednesday, March 27th at 11 CST.

Angie Conner & Susan Nigro, our SIG

co-chairs are looking for topics for

this call. You can leave your ideas in

the discussion on the Women’s

Health Collaboration Community

uCern conversation.

https://connect.ucern.com/

thread/380021?tstart=0

January 2013

Client Spotlight

At one point we realized that “MamaNet” really encompassed 5 different solutions

that our staff had to learn:

PowerChart Maternity (Tracking Shell & CareNet)

FetaLink

SurgiNet (Our nurses circulate our C-sections)

Registration (We Quick Reg all of our patients)

Scheduling (We manage our own scheduling for Inductions, C-sections,

Antenatal Testing, and so on)

The staff did a great job learning as much as they could as fast as they could….and that

learning process goes on today as we go deeper into what PCM & FetaLink can do for

us.

Our Application Coaches now meet twice a month to discuss design revisions, work-

flow and functionality issues. At our monthly staff meetings we highlight two or three

items in PCM or FetaLink that need reinforcement, such as re-evaluation of pain or the

scanning meds process.

We have also developed an in-house “MamaNet Stuff” newsletter to get the word out

for updates, changes and refinements. Our Transformation Leader also puts out a reg-

ular newsletter for the whole house.

New Package

Releases

FetaLink 1.9.4

Package #61883 for iBus 1.3

Package #62164 for iBus 2.1

PowerChart Maternity

Inpatient Content

Package #63529

Ambulatory Content

Package #63528

4.4 Pregnancy Summary MPage

Package #62298

4.4 Neonate Summary MPage

Package #62308

Women’s Health Newsletter January 2013

Happy New Year!

As One Year Ends & We Begin Anew,

Cerner Women’s Health Sends Our Best Wishes To You:

Complete, automated workflows for the

Entire maternity process, including

Real-time data at the point of care, providing

Noticeable reductions in time and costs,

Enabling better care for mothers and babies, and

Revealing the possibilities this New Year brings.

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 develop-

ments 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 Cerner on

Facebook

Join the Women’s

Health team on

Facebook

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.