Cerner Women's Health Newsletter_May 2013
description
Transcript of Cerner Women's Health Newsletter_May 2013
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
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 documen-
tation 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.
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.
May 2013
Best Practice—Revised Continued
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.
Other Considerations
The above recommendations are provided as a guide; however, clinical judgment
always prevails when determining your fetal monitoring workflow.
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.
Did You Know
Cerner does not charge for
PowerChart Maternity and FetaLink
software upgrades.
Each Cerner Women’s Health project
is supported by a Women’s Health
RN, from kickoff through post
conversion assessments.
Our client service managers are
former L&D nurses.
Women’s Health Newsletter
Got News?
Do you have good news to share
about your facility? We’d love to
share it with our community
members.
Send your information to
and we will include it in our
monthly newsletter.
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
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
India Team
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
What We’re Doing
Women’s Health - A Story of Collaboration
Healthcare Executive Michelle Padgett will be presenting at the upcoming 2013
Canada Leadership forum.
Abstract:
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.
May 2013
Save the Date
Cerner Health Conference
Mark your calendars now!
Cerner Health Conference (CHC)
Oct 6, 2013 - Oct 9, 2013
Kansas City, Missouri
Stay tuned for more information
around the Women’s Health
educational track and activities that
will be happening throughout the
Cerner Health Conference.
Meet the Engineering Teams (continued)
Edge Development
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
Women’s Health Newsletter
Maintaining Industry Awareness
Baby-Friendly Hospital Initiative
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.
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.
Tips & Tricks
When should you document Reason
for Monitoring?
The Cerner recommended workflow
is to document this at the time of
admission/association as it
populates the FetaLink census and
also labels your monitoring episode
for easy retrieval when archiving a
fetal monitoring strip.
May 2013
Maintaining Industry Awareness (continued)
As of January, 2013, the following Women’s Health clients have attained the baby-
friendly designation:
Corona Regional Medical Center
French Hospital Medical Center
Mease Countryside Hospital
Middlesex Hospital
Mission Hospital
Morton Plant Hospital
University of Washington Medical Center
Ventura County Medical Center
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.
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.
http://www.babyfriendlyusa.org http://www.who.int/nutrition/publications/code_english.pdf
FAQ
New Depart Process
CR 1-4076099151 has been
approved allowing the actual Close
Pregnancy functionality to be
accessed and available from the
Depart Process menu. The “Close
Pregnancy” icon will need to be
added to the Depart Process menu
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
available for 2012.01 on the May 1
service package, #65357 or as an
exception package, #65019.
Women’s Health Newsletter
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 effi-
ciencies 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
Are you attending the AWHONN Conference in Nashville?
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
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
(March 2013)
64350 -- MPages: Neonate
Summary Configuration 4.5
(March 2013)
May 2013
Community Involvement
May 12-18th is National Women’s Health Week/Month
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
Content
Suggestions
The Women’s Health team under-
stands 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
We look forward to hearing from
you!