Women’s Health Newsletter
December 2015
In This Edition Year in Review End of Support FetaLink 2013.01 MPage Components
Maintaining Industry Awareness Light Meals During Labor
Global Corner In the News World’s First Fair Trade Scrub Company Tallahassee Memorial HealthCare University of Missouri Women’s and Children’s Hospital
FetaLink+ KLAS Survey Workflow Assessments What We’re Doing 5.6 Pregnancy MPage Prenatal Visit Component
Women’s Health Newsletter On the Cover
Year in Review
Maverick Lyndon Runnebaum
What a year it as been!! As 2015 quickly comes to a close, the Women’s Health team looked back at all that we have accomplished.
This month’s cover baby is Maverick Lyndon Runnebaum.
His dad is Cerner Associate Nick Runnebaum, Engagement Leader.
Number of Women’s Health Team Members ‐ 43
Number of Illumina ons Sessions Presented ‐ 4
Number of Client Upgrades ‐ 33
Number of Implementa ons ‐ 97
Number of Miles Traveled ‐ 1,049,790+
Number of Workflow Assessments Completed ‐ 18
Number of Domain Audits Completed ‐ 16
Number of New Clients Signed ‐ 21
Number of Code Packages Released ‐ 36
End of Support FetaLink 2013.01 Cerner has set June 30, 2016, as the end‐of‐support date for FetaLink 2013.01. As of that date, only cri cal defects will be corrected for FetaLink 2013.01. As of October 15, 2015, Cerner has ended support for CareAware iBus 2.0, and FetaLink 2013.01 is only supported on that version of CareAware iBus. Refer to flash PR15‐0320‐0 for more details: MPage Components Cerner has set MPages 6.0 as the end‐of‐support release for summary MPage compo‐ nents. The planned GA date is tenta vely scheduled for February, 2016.
Philip Flores Photography
In addi on, Cerner is modifying our minimum‐supported technical dependencies to enhance workflows and improve performance. Refer to flash PR15‐0211‐0 for further details.
December 2015
Maintaining Industry Awareness
Illuminations
Light meals during labor A news release was recently posted from the 2015 ANESTHESIOLOGY annual mee ng sugges ng that moms in labor could benefit from being able to eat a light meal – such as fruit, light soups, toast, juice and water. The shi in philosophy comes from hun‐ dreds of studies done on the energy and caloric demands of laboring and the almost nonexistent number of aspira on cases in recent years. The ASA press release dated October 24, 2015 stated “between 2005 and 2013 in the US, there was only one case of aspira on associated with labor and delivery which involved a complicated case of an obese woman with pre-eclampsia. Those laboring moms who would be iden fied as at risk for aspira on would include those who have eclampsia, pre-eclampsia, obesity or were given opioids to manage labor pain.” The ra onale to allow light meals during labor comes from research of laboring women sugges ng “that without adequate nutri on, women’s bodies will begin to use fat as an energy source, increasing acidity of the blood in the mother and infant, poten ally reducing uterine contrac ons and leading to longer labor and lower health scores in newborns. Addi onally, the studies suggest that fas ng can cause emo onal stress, poten ally moving blood away from the uterus and placenta, lengthening labor and contribu ng to distress of the fetus.” Read the en re release here.
In December, Cerner Illuminations will be moving from Live Meeting to WebEx. During the transition, there are still some Illumination sessions scheduled in Live Meeting throughout the rest of 2015. To ensure that you are prepared to join Illumination sessions using WebEx, allow yourself 30 minutes to join sessions come
December. If you run into any issues
Global Corner
beforehand, please review
the uCern document Join a WebEx
Ireland
You can now follow the progress of the Maternal & Newborn Clinical Management System (MN‐CMS) implementa on in Ireland on Twi er @maternalandbaby.
Event, or contact CernerIllumina-
You can find out more about the MN‐CMS Project via this link.
tance.
tions@Cerner.com for further assis-
Women’s Health Newsletter Calendars
In The News
Be on the lookout for the 2016 Women’s Health calendars which will be sent out to each nursing unit at the end of the year. These calendars feature key dates throughout the year, such as the annual conventions for AWHONN, ACOG and CHC. If you have not yet received your calendar by the end of January, please send an email to the Women’s Health Inbox.
World’s First Fair-Trade Medical Apparel Company When a local woman who worked at a hospital needed to replace her scrubs, she searched for op ons that were made by women earning fair wages in disadvantaged countries. She was surprised to discover she couldn’t find any. That’s when the idea for the first fair trade scrub company came to life Working at Truman Medical Center as a rehabilita on manager, Holly Godfrey is part of the 8 million workers in the United States that wear scrubs. She knew there had to be a way to connect the medical profession to women in need around the world. “I wanted my purchase to empower and give jobs to women that needed them, and that is how the idea for Catalyst was born,” said Godfrey. A er owning countless pairs of scrubs that didn’t measure up, Holly came up with a list of criteria for her perfect pair: comfortable yet tailored, stain‐resistant and colorfast, with a material that is light but durable to resist the physical demands of the healthcare worker. Then, she set out on an internet journey to find coopera ves of women in disadvantaged areas who could make her product and earn fair wages in safe working condi ons. Through connec ons on social media, Godfrey found a co‐op in India that already made men’s dress shirts and could make scrubs for Catalyst. The workers are women in the so‐called "untouchable" caste, and are o en considered unhireable. She sent her list of material requirements to India and a er 6 months of developing the right fabric, the company is producing high‐quality scrubs with tremendous a en on to detail. "To be able to create jobs and employ more women has really been an honor," said. She named the company Catalyst, a er the company’s mission to give the medi‐ cal profession a way to spark change through fair wage job crea on Soon, Godfrey also found a co‐op in Rwanda where survivors of genocide work. The women could make light but sturdy lanyards, badge pulls and key rings out of rolled paper that's lacquered and painted. She found workers in Nepal who could make sturdy totes that were perfect for the medical professional. The company is now truly interna onal, providing jobs for women in three of the poorest countries in the world. Even though Godfrey has never met any of the workers or visited the countries, she has conversa ons with her partners through e‐mail, phone calls and Skype. "Their excitement is what keeps me mo vated. Each woman has become so much more than a picture or a face. To be a part of Catalyst is to be a part of their story."
December 2015
In The News continued Holly hopes that other medical professionals will join this movement to improve the lives of women and their children. She thinks U.S. health care workers will want to be part of that. The company launched its online sales on September 1, 2015. “The re‐ sponse has been incredible,” says Godfrey. “Healthcare professionals all over the na‐ on are wearing our scrubs and talking about our mission.” Godfrey also partners with local hospitals and medical clinics to host one‐day “Catalyst Trunk Shows” where a percentage of the profits are donated back to the hos ng facility for auxiliary and philanthropy needs. "We get into our profession because we think we can make a difference," Godfrey said. By buying scrubs or a lanyard, they can. A top or pants costs $29, and there are opportuni es for discounts through large orders or by purchasing wholesale. For more informa on on Catalyst, visit www.CatalystScrubs.com, or to bring a Catalyst pop‐up shop to your area, contact holly@CatalystScrubs.com.
In Case You Missed It Illuminations
Women's Health strategists Emily Vano and Jessica Alford recently
‐ Catalyst Scrubs Press Release
reviewed the following MPage
Tallahassee Memorial HealthCare
releases:
Tallahassee Memorial HealthCare recently opened a gynecologic oncology program. Led by Arvind Bakhru, MD, MPH, gynecologic oncologist, the newly established program operates within the TMH Cancer Center on Miccosukee Road and allows pa ents to receive advanced treatments for ovarian, endometrial and uterine cancers, sarcomas, vulvar cancers, vaginal and cervical cancers without having to travel as far as Atlanta, Orlando or Birmingham, Alabama. University of Missouri Women’s and Children’s Hospital The Low‐Interven on Birth Program at University of Missouri Women’s and Children’s Hospital offers women with low‐risk pregnancies the op on to have a natural, unmedi‐ cated birthing experience at the hospital with minimal medical interven on and tech‐ nology. Pa ents in the Low‐Interven on program receive much of their care from cer fied nurse midwives who are on staff. They are also invited to bring their own doulas or birth coaches.
MPages 5.6
Prenatal Labs & Tests
Prenatal Visits
EDD Maintenance
MPages 5.7
Results Timeline
Neonate Summary
Access the session here.
Women’s Health Newsletter Community Involvement
FetaLink+ For many healthcare providers, work does not just end when they leave the hospital; obstetric providers never stop thinking about their pa ents and the care they are receiving. FetaLink+ mobile technology allows for care providers to see what is going on at the hospital remotely, enhancing decision support from beyond the four walls.
Tosha Grotenhuis, Strategist with the Women’s Health team recently received her Ham Radio technician class license. To earn the Technician license requires passing one examination totaling 35 questions on radio theory, regulations and operating practices. Her call sign is KEØGRW.
FetaLink+ not only allows providers to view live fetal and maternal monitoring data anywhere at any me, but it aids in care team communica on. How many mes are labor and delivery nurses calling physicians and trying to explain the fetal monitoring strip data over the phone? The answer is every day. The goal of FetaLink+ is not to replace the communica on between the care team, but instead enhance it. It provides a way to communicate about a specific pa ent while viewing live fetal and maternal monitoring data, scrolling back in me to look at trends and having per nent pregnancy history right at their finger ps. Because it is fully integrated with PowerChart Maternity, care providers also have access to pa ents’ pregnancy summary with key details such as allergies, pregnancy history details, risk factors, cervical exams and more. Since the release of FetaLink+, 29 Women’s Health client sites have successfully imple‐ mented this mobile technology and have integrated it into their labor and delivery workflow. Advocate Healthcare presented their implementa on experience at this years CHC event. You can view the slide deck here. If you want to learn more about how FetaLink+ can enhance your workflow and pa‐ ent care, please contact John Folmnsbee at john.folmnsbee@cerner.com or a mem‐ ber of the Women’s Health team. Below are the site that are live with FetaLink+ as of November 2015: Harrison County Hospital
Spring Valley Hospital
Centennial Hills Hospital Medical Center
Summerlin Hospital Medical Center
Advocate Illinois Masonic Medical Center
December 2015
FetaLink+ continued
Technical Corner
Advocate Good Shepherd Hospital
East Cooper Hospital
Advocate Lutheran General Hospital
Bear River Valley Hospital
may be experienced when imple-
Logan Regional Hospital
menting or using FetaLink are
Fremont Area Medical Center
Gothenburg Memorial Hospital
Advocate Condell Medical Center
Patient to Device Association work-
Advocate Good Samaritan Hospital
flow related to the P2DA application
Advocate South Suburban Hospital
Advocate Trinity Hospital
Advocate Christ Medical Center
application. Given the number of
University Medical Center
questions that arise from this part of
St. Mary's Hospital
Nevada Regional Medical Center
Gibson Area Hospital and Health Services
Sheridan Memorial Hospital
Cassia Regional Medical Center
McKay‐Dee Hospital
Harper University Hospital
Sinai Grace Hospital
Huron Valley‐Sinai Hospital
Loma Linda University Medical Center
P2DA Configuration One very common set of issues that
scenarios that are specific to the
that is used along with the FetaLink
the application support, we have now put together an entire P2DA configuration and troubleshooting wiki page that illustrates how to set up P2DA for use with barcode scanning as well as resolutions to each common issue. You can find this documentation
We look forward to adding many more client sites to this list in 2016! here.
Women’s Health Newsletter Maintaining Industry Awareness
KLAS Survey
As you know, sa sfac on for PowerChart Maternity/FetaLink users is very important
Obstetric Emergency Education
to us. Of the many mechanisms we u lize to measure and monitor client sa sfac on,
we wanted to provide addi onal details around KLAS‐‐an organiza on that publishes In the September/October 2015 issue of Journal of Obstetric, Gyneco-
user sa sfac on data by repor ng accurate, honest and impar al vendor performance so that members in healthcare, your peers, can make informed decisions.
logic, & Neonatal Nursing (JOGNN)
We at Cerner hold KLAS in a very high regard and look at their published reports, study
from the Association of Women’s
the feedback and use that to enhance Cerner solu ons and improve sa sfac on. Your feedback directly helps pave the way to improving healthcare. If you are interested in
Health, Obstetric and Neonatal Nurses (AWHONN) researchers analyzed the effect of obstetric emergency
providing feedback to KLAS, please visit www.klasresearch.com and select the “Rate Your Vendor” bu on. The survey will take just 5‐10 minutes of your me. A er you’ve submi ed a survey, an analyst from KLAS will reach out to you to verify
education on nurses at a labor and
your creden als and collect verba m comments from you.
delivery unit in a community-based
Cerner and KLAS sincerely appreciate your me to provide this invaluable feedback.
hospital. The research demonstrates improvement in obstetric emergency response following training and drills, which may help with addressing U.S. maternal mortality rates.
December 2015
Workflow Assessments
Social Media
Since June 2012, the Women’s Health Solu on Results Managers have completed 55 workflow assessments in an effort to con nue to engage our clients, iden fy opportu‐ ni es for improvement and build client sa sfac on within our exis ng 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 iden fy possible gaps in workflow against the Cerner recommended workflow around PowerChart Maternity and FetaLink. Findings are reviewed and owners of iden fied issues are assigned.
Become a member of our Women’s
In doing these assessments, we are seeing that addi onal educa on on the system and small fixes are all that is needed to help the clinicians op mize their workflow. A follow up call is arranged in order to verify that the issues are being worked toward resolu on. The Women’s Health team has received nothing but posi ve feedback to date. Clients feel there is a true partnership and that we help to mi gate any current issues they are facing.
around PowerChart Maternity and
Addi onally, we want to obtain client feedback on ways in which we could strengthen our solu ons. There is no charge for the consul ng service hours for this assessment; we only ask that the client covers travel and expenses.
Health Collaboration Community on uCern. uCern is a great way to stay up to date on the latest developments
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!
For more informa on please contact Kaisha Weldy, Sarah Norris, or Rhianna Munoz.
Join us on Facebook
What We’re Doing
Join us on uCern
5.6 Pregnancy MPage Prenatal Visit Component The ability to manually add cards to the Prenatal Visits workflow component was in‐ troduced with MPages 5.6 (package 82262) and included in the MPages 5.7 tes ng partner release. Due to some addi onal issues found with the updated func onality, the Add Visit func onality will be removed. Workflow is affected because you can no longer manually add cards to the Prenatal Visits workflow component in MPages 5.6 and 5.7. Exis ng manually added cards will be available as read‐only cards without a chart op on in one view with the encounter‐ based cards. Please refer to Flash PR15‐0354‐1 and our Women’s Health 5.6 and 5.7 Enhancements Illumina on for addi onal informa on.
If you are interested in printing this newsletter, you can download a printable PDF on our Women’s Health Collaboration Community uCern page.