August 2014 Emergency Medicine Newsletter

In This Edition

It’s DiffERent Improving Patient Flow in Florida’s Highest Volume

Single-Site Emergency Department

ED Physician LaunchPoint is Generally Available

Functionality Spotlight

Facility Charging Module

E/Point

Quick Orders Advancements

Streamlined Discharge Process

Hot Topics

Focus On Patient Story

Capacity Management & FirstNet Integration

PowerInsight Advancements

Key Resources

Emergency Medicine Newsletter

It’s DiffERent

Improving patient flow at Lakeland

Regional Medical Center

Lakeland Regional Medical Center

operates the largest single-site

volume ED in Florida. Facing a LOS

of over 5.5 hours, LWBS at 4% and

door-to-doctor times of over an hour

they initiated a comprehensive

process improvement initiative.

A key component to this initiative

was redesigning the patient flow in

the ED. LRMC changed to a pod

concept, treating critical care

patients in any pod to more evenly

distribute the high acuity patients. A

new Bed Traffic Control position was

created to improve the triage

process. Staffing changes were also

implemented for nurses and

physicians.

The results were impressive! By Q1

of FY2014, LRMC was seeing:

0.3% LWBS rate

81.8% of patients saw a doctor

in less than 30 minutes from

arrival

83.8% of ED patients admitted

or discharged within 3 hours of

arrival

187,000 annual ED visits

To learn more about LRMC’s It’s

DiffERent initiative, click here.

ED Physician LaunchPoint is Generally

Available

Updated user interface reduces clicks to save time

We are very excited to announce the much anticipated general release of ED

Physician LaunchPoint! With ED LaunchPoint, providers in the ED gain a state-of-the

-art tracking solution that helps increase workflow efficiency and to improve patient

throughput.

The goal of ED LaunchPoint is to provide advanced capabilities in a more standard,

focused view of ED tracking. The updated user interface focuses on critical

information and advanced viewing capabilities, thus reducing clicks and saving

time. ED LaunchPoint delivers quick access to the items users need to quickly care

for their patients by launching directly from the patient row and removing the need

to navigate to the patient chart for each piece of information.

ED LaunchPoint helps providers:

Save time with instant access to information you need face-up

Focus on the patient by eliminating extra clicks

Improve throughput by effectively managing your ED

For an overview of the solution and FAQ document please click here.

For reference materials please visit the ED Physician LaunchPoint and Primed

Views reference pages.

The updated user

interface focuses on

critical information and

advanced viewing

capabilities, thus reducing

clicks and saving time.

August 2014

Client Perspective

Quick Orders

“CPOE go-lives in our ED’s are a ‘non-

event’ thanks to [Quick Orders.]

Providers describe CPOE as being

easier, more efficient and safer than

on paper and would likely take your

arm off if you tried to take it away.”

Rolland Phillips, MD

Medical Director of Informatics

Carolinas Healthcare System

Infusion & Injection Calculator

“Since going live with these new

tools, we have seen a more than

30% increase per month in volume

of the CPT/CDMs relating to IV

injections and infusions!

Additionally, the ability to launch

directly into the chart to document

IV stop times from the tracking shell

and depart process makes it very

easy for the nursing staff to

complete.”

Cindy Worthy

Executive Director, ED

Nash Health Care Systems

Functionality Spotlight

Facility Charging Module

We are very excited to introduce our new Facility Charging module. This solution is

designed to improve charging accuracy, while requiring less manual verification and

risk. Key components of documentation are automatically pulled into the Facility

Charging module and the visit level is generated as a by-product of clinical nursing

documentation. Infusion and injection charges can be automatically populated into

the Facility Charging module as well.*

This new Facility Charging module offers additional benefits including:

Combines an acuity-and-resource-based approach for consistent and compliant

visit level assignment

Generates visit level assignments as a by-product of documentation

Eliminates subjective assessments and ensures a more accurate capture of

visit levels

Provides an audit trail to allow you to demonstrate compliance with

government regulations in the event of an audit

Integration with the eMAR allows automatic calculations for infusion and

injection charges with the infusion and injection calculator

For more information on the Facility Charging module click here.

Key components of documentation

are automatically pulled into the

Facility Charging module.

Integration with the eMAR allows

automatic calculations for infusion

and injection charges with the

infusion and injection calculator.

*Due to complexity of build, a Cerner-led implementation is necessary for the Facility Charging Module.

Emergency Medicine Newsletter

FAQ

How do I print the newsletter?

A PDF version of each newsletter is

posted to the Emergency Medicine

Clinical User Forum and Emergency

Medicine Community uCern groups.

Why am I receiving the newsletter?

If you are a member of one of our

uCern communities or our Client

Council you will receive the

newsletter. If you have expressed

interest in receiving this to a

Solution Results Manager you will

also receive it.

My role has changed. Can I be

removed from the newsletter

mailing list?

Yes. While we will hate to see you

go, if you email us we will remove

you from our mailing list.

Functionality Spotlight

E/Point

E/Point offers you the ability to assign facility and professional ED visit level

charges. Integrated E/Point calculates the facility, injection and infusion, and

professional charges as a by-product of clinical documentation. We’ve recently

made some advancements to this solution as well and are eager to share those

with you:

Personal Filters

Historically, if you wanted to set up a unique filter, you would have to submit a

request to IT and wait for IT to build the filter. Our new Personal Filter, however,

allows you to configure additional filters on your own, as needed, from the Tracking

list. This is particularly efficient for the coding workflow, where a coder may need to

look back to different dates. IT departments will benefit from this as well as it will

help alleviate the pressure to continue to fulfill these requests.

Assigning yourself to multiple patients

In addition to building personal filters, coders can also assign themselves to

patients as part of the coding workflow using Integrated E/Point. Coders often need

to quickly assign themselves to multiple patients at one time. With Assign All on the

Coding Tracking list toolbar, coders can assign themselves to all patients who are

displayed on their Tracking list view. The patients who populate a coder’s Tracking

list view are managed through the selected filter on the Coding Tracking list.

Coders can also click Unassign All on the toolbar to unassign themselves from all

patients who are displayed on their Tracking

list view. From this window, coders have the

ability to assign another user to all patients

who are displayed on their Tracking list view.

They also have the ability to unassign

another user from all patients on their

Tracking list view.

For more information on E/Point click here.

The new Personal Filter, allows

you to configure additional filters

on your own, as needed, from the

Tracking list.

August 2014

. Key Resources

Solution Strategy and Design

Below is a list of online resources

that can help keep you informed of

our ongoing solution strategy and

development progress, answer

design/build questions and also

enable you to collaborate with other

Cerner emergency medicine clients:

Emergency Medicine Roadmap

Reference Pages

uCern Communities

Emergency Medicine Clinical

User Forum: This group is

designed to provide a forum for

clinical collaboration on new

solution advancements, best

practices and industry

information.

Emergency Medicine

Community: This group is

designed for IT collaboration

around topics such as FirstNet

build, design or support

discussions.

Please note: these are “members

only” groups so if you aren’t currently

a member and have difficulty joining

the group, please email Chris French

at chris.french@cerner.com.

Functionality Spotlight

Quick Orders Advancements

Quick Orders was developed to expedite the ordering process. With Quick Orders,

providers are able to enter 90% of the most commonly placed Emergency

Department orders from one screen. We have recently made some advancements

to this solution to further streamline the ordering process. Providers can now create

an alias name for orders, Care Sets, and PowerPlans which simplifies the name of

the order, so they no longer have to see all the order sentence details in the face-up

view. This also helps maximize the screen real estate. For additional information on

Quick Orders, click here.

Streamlined Discharge Process

We have been working to optimize our discharge process throughout Cerner and

have some new advancements to share with you that are designed to help

streamline the discharge process for physicians and nurses in the ED. Specific

advancements include:

The follow-up type can now be set to default to the most common selection

made in your Emergency Department to help minimize clicks

Follow-up instructions can also be saved as personal favorites to minimize

manual entry

Images, such as a hospital logo, can be added to the Discharge Summary to

make it more personalized and professional in appearance

The Save, OK, Print, and Options buttons and the Discharge and Transfer

action buttons are dithered out at a set interval after patient is discharged so

they aren’t able to be selected. This helps avoid populating information that

wasn’t reviewed with the patient

For more information on the discharge process advancements click here.

Providers can now create an alias

name for orders, Care Sets, and

PowerPlans so they no longer have

to see all the order sentence

details in the face-up view.

Emergency Medicine Newsletter

Client Feedback

KLAS Surveys

Satisfaction for Cerner Emergency

Medicine clients is very important to

us. KLAS is one of the many

mechanisms we utilize to measure

and monitor client satisfaction. KLAS

is an organization that publishes user

satisfaction data by reporting

accurate, honest and impartial

vendor performance so that

members in healthcare, your peers,

can make informed decisions.

We at Cerner hold KLAS in a very

high regard and look at their

published reports, study the

feedback and use that to enhance

Cerner solutions and improve

satisfaction. Your feedback directly

helps pave the way to improving

healthcare. If you are interested in

providing feedback to KLAS, please

visit www.klasresearch.com and

select the “Rate Your Vendor” button.

The survey will take just 5-10

minutes of your time.

Thank You!

Bryan Clark

General Manager

E-mail: bryan.clark@cerner.com

Phone: (913) 579-5362

Hot Topics New FirstNet functionality is often included in each new Cerner release. To better

educate you on this functionality, we will be highlighting key “hot topics” of the

latest releases in our newsletters. Below are a few highlights from our recent

releases. Additional information on all new releases can be found at the Release

Education wiki site.

2012.01.30 Release

When you enter a SNOMED term in the Diagnosis Control the system can now

suggest patient education based on the SNOMED diagnosis. If you have ExitCare,

the 2013Q3 is the base level necessary to use this functionality. For more

information click here.

2012.01.29 Release

Medication Administration Follow Up

With this enhancement, medication PRN response tasks show the task name (like

Medication Administration Follow Up for example) before the medication name in

the Document Activities dialog box of FirstNet.

For example:

Medication Administration Follow Up – Demerol 25 mg, = 0.5, IV, Injection, Once,

NOW, Start Date 01/12/14 .., Stop date 01/12/14 Medication Administration

Follow Up

MU_UDT_MEDICAL_PROBLEMS Token and Customization

With this enhancement, MU_UDT_MEDICAL_PROBLEMS displays only problems

with medical classifications in the transition of care summary. Additionally, you can

customize the classification, life cycle status, and confirmation status of problems

that are displayed in the MU_UDT_MEDICAL_PROBLEMS token.

Specific PowerNote Template on Depart Process

With this enhancement, you can open a specific PowerNote template using the

Document Viewing action in the Depart Process dialog box (PVTrackDepart.dll

opened from FirstNet.exe and PowerChart.exe).

For more information on 2012.01.29 advancements, click here.

August 2014

Join us at CHC

Inspired. Empowered. Excited.

Cerner Health Conference (CHC) is

Cerner’s annual, industry-leading

health care event. Each year, health

care professionals travel from around

the globe to experience targeted and

relevant education, a vast array of

networking opportunities and the award

-winning Solutions Gallery.

Join us November 2-5 in Kansas City

for inspirational education, empowering

technologies and exciting networking at

this year’s conference. Click here for

more information.

Emergency Medicine speakers include:

Dr. Jim Broselow

eBroselow

Dr. Tim Shiuh

Christiana Care Health System

Dr. Tim Regan & Maureen Leckie,

RN, MSN

Lakeland Regional Medical Center

Dr. Russell Cameron

Dubois Regional Medical Center

Dr. Tripp Jennings

Palmetto Health

Focus On: Patient Story and PowerInsight

Patient Story

As we’ve been talking with our clients, a common theme we have heard is that it

is difficult to see the overall picture of what took place during an ED visit and to

view the order in which key events took place. Additionally, it’s problematic to

have to go many places to get all of the information and manually assemble the

story.

We’ve listened to your feedback and are excited to share with you the work we

are doing on our Patient Story solution. The Patient Story is designed to be

accessible from the chart and to deliver one location that houses a chronological

listing of key documentation, orders, and events. It is also intended to be used to

obtain information in hand-off, research a patient complaint, identify bottlenecks

or workflow issues, and review the record for coding or billing purposes.

Patient Story is still in development but will be coming soon. Stay tuned for

additional information!

PowerInsight Advancements

To enhance the reporting capabilities

that are available to you, we are putting

our top ten Emergency Department

reports into PowerInsight. This will allow

you access to more filtering capabilities

and provides additional flexibility in how

the output is displayed and how you

manipulate the data.

The chronological view provides a listing

of key documentation, orders, and

events.

Patient Story is designed to provide an

overall picture of what took place

during an ED visit.

August 2014 Emergency Medicine Newsletter

Additional Resources

Cross-venue Collaboration

PowerNote Community: This group

is designed to foster collaboration

among PowerNote users.

Nursing LaunchPoint Community:

This group is used for Nursing

LaunchPoint communication and

collaboration.

Dynamic Documentation

Community: This group is a

community for those working

towards the creation and

enhancement of Dynamic

Documentation.

Discharge Process Community:

This community is the primary

group for questions and

discussions for the Cerner

Discharge Process.

SolutionWorks Support Group: This

group is a centralized location for

all Cerner Millennium solution

support and Learning solutions

with "how-to", functional, and

troubleshooting videos.

Focus On: Capacity Management

Capacity Management Integration with FirstNet

Did you know that there is a solution that can help improve throughput in the

Emergency Department? Care Aware Capacity Management integrates with

FirstNet and is designed to leverage EHR patient data to optimize bed

management, environmental services, and patient transport workflows to create

an efficient throughput system. It is also designed to enable enterprise-wide

visibility, positioning, and optimize the flow and alignment of people and

resources throughout a healthcare organization.

Utilizing Capacity Management in the Emergency Department can help you

realize the following benefits:

Patient throughput improvements

Staff productivity improvements

Asset utilization improvements

Optimizes patient, staff, and major equipment workflows and utilization

Provides awareness and visibility through intuitive and interactive dashboard

perspectives

Provides an RTLS technology platform which can plug and play with multiple

technologies on the market

Eliminates steps by not only analyzing physical workflow, but also by

removing manual documentation steps in current Millennium solutions

For more information on how Capacity Management could be used in your

Emergency Department, click here.

Care Aware Capacity Management integrates with

FirstNet and is designed to leverage EHR patient data to

optimize bed management, environmental services, and

patient transport workflows.