Womenâ€™s Health Newsletter
In This Edition FAQ Labor Epidurals
Save the Date CHC
Did You Know Refresher Courses
Content Releases Neonate MPage 5.0 Pregnancy MPage 5.0
Cerner Health Conference Schedule
Women’s Health Newsletter FAQ
Tips & Tricks Clarification Personalizing the Summary MPage
Labor Epidurals… when is the ideal time to schedule them? Pregnancy
Last months newsletter contained instructions for personalizing the Pregnancy Summary MPage.
In order for the anesthesia team to document a laboring epidural, a case must be created within the schedule. That makes sense…right? The question then becomes, “So, when should we schedule the labor epidural?” How your unit decides to answer this question is a decision of what workflow works best for your unit. Since laboring epidurals are very common (with some sites reporting over 80% of their “to be” moms wanting an epidural), it is reasonable to think about proactively creating a case for all labor patients upon their arrival to the unit. Yet, some organizations opt to schedule the labor epidural when the mom requests it. Let’s look at the two schools of thought and make sure that you have chosen the best option for your unit.
We inadvertently left out one step, 1. which is to clear your preferences in
Schedule all moms for the labor epidural upon arrival to the unit.
order to see updates to the default
You can create an “Anesthesia out of OR surgical area” and appointment book for that area to schedule the labor epidurals. (This book only would contain anesthesia records.)
The Anesthesia department can see the potential cases and can plan staffing accordingly.
The Anesthesia Record is readily available for the laboring epidural or should the case go to C-section for the anesthesia personnel.
or position-level configurations.
If a C-section was necessary, a second appointment would need to be scheduled (within SurgiNet Case Manager) for intra-op nursing documentation.
There are no performance concerns with unused anesthesia records. An ops job can cancel non-completed cases when the patient is discharged (orders are also caught by the ops job).
Did You Know
Printing at CernerWorks sites
Schedule the labor epidural only at mom’s request.
Feedback from anesthesia departments who schedule this way, feel it was more organized because the information coming to them was in "real time."
Should the epidural or C-section become emergent there will have to be a set procedure for scheduling the case.
No potential to plan ahead for anesthesia staffing
Potential time delay for patient to receive the labor epidural
Clients who are remote-hosted may encounter issues when trying to save the PDF export of the patient’s
Save the Date October 6th - 9th. Join us in Kansas City for the 2013 CHC conference!
episode, as the directory may not be accessible via Citrix.
All you need to do is request client drive reconnection from CWx and For more detailed information and a printable schedule of Women’s Health events
they will set up a drive that is the
during CHC, visit: https://connect.ucern.com/message/1547138
local c: drive.
For more information around CHC and to register, visit: https://events.ucern.com/CHC2013/
Women’s Health Newsletter Community Awareness
Did You Know
Breast Cancer Awareness Month
The Women’s Health group offers scalable, customizable courses to fit your needs!
Train the Trainer Refresher—Typically 6 hours. Nursing Refresher—Typically 2 hours.
Using Pre arrival
Use of MPages
Importance of completion in order for birth log to be complete
Working with dynamic groups
Double clicking in cell heading
Pulling in vital signs from FetaLink into iView
Flagging and adding comments
national public service organizations,
Using Pregnancy/Newborn Summary
professional medical associations,
Refresher on result copy (multiples)
Customizing your own individual views
Starting a pregnancy
together to promote breast cancer
Care plans- IPOC
awareness, share information on the
Transferring pt. with FetaLink
Fill in “Reason for Monitoring” field
Find time on FM strip from annotation dialog box
Alarms and setting at patient level
Correct way to associate and disassociate patients
National Breast Cancer Awareness Month (NBCAM) is a collaboration of
and government agencies working
disease, and provide greater access to services. Further information can be found on the NBCAM website.
Did You Know continued
Physician Refresher—Typically 1 hour.
Dubai goes Pink for Breast Cancer Month
October 3rd starts Breast Cancer
Macros and AutoText
month in Dubai and Abu Dhabi. The Breast Cancer Arabia foundation
PCM Build Class—32 hours. Millennium Fundamentals as a prerequisite for this class.
plans fundraising events throughout the month of October raising money
Maternity Content and Functions Security
to help provide Cancer care for
women diagnosed with Breast
Cancer in the region but cannot
Event Set Hierarchy
BIN File Mapping
Tracking Board Security
Tracking Reference Data Tables
For more information or to schedule, please contact Kaisha Weldy at firstname.lastname@example.org
Further information can be found here.
Women’s Health Newsletter World Record Pregnancy Facts
1. The youngest girl to give birth is
Neonate Summary – Hyperbilirubinemia Component No Birth Time Correction (CR 1-7166750714) - The Hyperbilirubinemia graph will not display if the infant’s birth time is NOT entered or if a foreign registration system ONLY supplies the birth date with no time to Cerner. The graph will only display if the infant’s birth date AND time are both entered.
a five-year-old girl in Peru who gave birth to a baby boy by Csection in May 1939. 2. The biggest baby ever born weighed 23.12 lb (10.8 kg) and died 11 hours after birth. 3.
The MPage 5.0 release is tentatively scheduled for October 31, 2013.
Pregnancy Summary – Overview Component Abnormal Results Alert (CR 1-7086995341) - The Overview component now provides an indication of abnormal results for the following clinical results:
ABO/Rh – the display of the blood type result will bold and turn a font color of purple if the patient’s RH is negative.
Rupture of Membranes duration clock – the display of the ROM duration clock will bold and turn a font color of purple if the duration from the first ROM is greater than or equal 12 hours. Note: The ROM abnormal result alert is configurable via Bedrock filters.
The smallest surviving baby, born in 2004, weighed just 8.6 oz and was only 10 inches long.
4. A Russian woman reportedly gave birth to 69 children in the 18th century during 27 pregnancies. She popped out 16
Multiple Gestation (CR 1-7086995352, CR 1-5546655205) – The Multiple Gestation display has been corrected and now displays a more descriptive response instead of 'yes’. The descriptive responses support multiple gestations up to 10 babies (such as “Yes, Twins,” “Yes, Triplets,” “Yes, Quintuplets” and so on.)
pairs of twins, seven sets of triplets and four quadruplets. 5. In 2013, a California woman gave birth to octuplets, only the second time in history octuplets have survived more than a few hours.
Face-up Pregnancy Menu Options (CR 1-6461657962) – The Overview component now displays the following menu options as a face-up visible option on the component: “Add Pregnancy,” “Reopen Last Active Pregnancy,” “Modify Pregnancy,” “Close Pregnancy,” and “Cancel Pregnancy.”
Content Releases continued Rupture of Membrane Duration Clock (CR 1-3890078991) – The Overview component will now display the calculation of hours since the date and time of the Rupture of Membranes (if multiple ROMs, it will go off the earliest date/time of the first ROM). The component provide the ability to hover over the duration clock and display a detail list of all current date and times of ROMs per Dynamic Group.
Pregnancy Facts Continued 6. The world’s first pregnant man gave birth to a baby girl in 2012. 7. Genetically identical quadruplets were delivered just minutes after midnight on March 27, 2002. 8. In March 2004, a Texas woman
Gravida/Para Display (CR 1-4335624201) - The Gravida/Para counts will now display in a bolded, slightly larger font than currently used.
gave birth to two sets of identical twin boys. 9. In May 2003, twins were born in
Gravida/Para Charted Prior to Onset Date (CR 1-5565938381) - The Gravida/Para information now displays in the Pregnancy Overview component if the results were charted prior to the onset date of the pregnancy.
Jerusalem from 12-year-old frozen embryos. It’s reported to be the longest human
Pregnancy Summary – Secondary and Tertiary Assessment Components Locked Column Headers (CR 1-5214844889) – The Secondary and Tertiary Assessment components now lock the column heading if scrolling is enabled. Lookback Filters (CR 1-6900973583) - The Secondary and Tertiary Assessment components now allow the ability to define and apply the standard MPage look back filters which are defined in Bedrock. The standard filters are:
Current encounter only
All encounters Specified Time – such as 23 hours
Current encounter only - Specified Time – such as 23 hours
Note: The components still honor the Pregnancy Onset Date as the furthest look back range.
cryopreservation. 10. The Hanselman sextuplets were born in just one minute in Ohio in February 2004.
Women’s Health Newsletter In the News
Content Releases continued Pregnancy Summary – Delivery Summary Component Separation of the Delivery Summary (CR 1-7086995374) – The Delivery Summary has now been detached from the Pregnancy Overview component and will be a component by itself.
Delivery Summary Infant Feeding (CR 1-6949252932) – The Delivery Summary now pulls in the correct Feeding type (Newborn Intake Type) from the dynamic group. The Pregnancy Overview will continue to pull in the Feeding type (Feeding Type Newborn) from the birth plan. We want to congratulate all Cerner clients who were recognized in InformationWeek 500 List of Top
Delivery Summary Charted Baby Results (CR 1-6130867241) – The Delivery Summary now pulls the current charted information for each baby if babies are charted separately.
Innovators. Innovation is the lifeblood of modern business and the
Baby Specific EGA at Delivery (CR 1-7086995385) – The Delivery Summary now displays the EGA at delivery for each baby, despite whether the babies were delivered on the same day or not.
defining characteristic of InformationWeek 500 companies. To these companies, innovation isn’t just a buzzword. Their creative, even pioneering, technology initiatives are producing clear business results.
Delivery Summary Laceration (CR 1-7233597797) - The Delivery Summary now displays the Laceration events along with the Episiotomy .
Cerner Health Conference Schedule MONDAY – October 7th 10:30AM Session 428: Successful Training Strategies – From Conception to Birth. Amy Hansberry, Mindy Brancamp; Beloit Health System Carlene Henriques; Adventist West
10:30AM Session 253: The Physician Experience Playbook: One Year Later Jeff Wall; Cerner
In the News Continued Below is the list of Cerner clients who have been recognized with this honor.
Miami Children's Hospital
Vanguard Health Systems
2:15PM Session 218: Women’s Health Physician Benefits - “Meaningful” Use from Ambulatory to Acute Christopher Morosky; The Hospital of Central Connecticut Dr. Lantzman; Alaska Native Hospital
#109 Carolinas HealthCare System #127 Advocate Health Care #141 CHE Trinity Health
#148 Memorial Hermann Health
Session 145: Maternal Risk Factors for Preterm Birth and the Impact on Infant Morbidity & Mortality
#189 Christiana Care Health
Candace Rouse; LifeBridge Health
TUESDAY – October 8th
Also making the Top 500 were
Banner Health and Sharp Health
Session 482: Two Different Paths: From Conception, Collaboration through Discharge & An Accelerated Delivery of PowerChart Maternity & FetaLink
Penny Wilms, Miriam Halimi; Trinity Health Conrad Ramirez, Jaclyn McGlone; UHS, Inc. of Delaware
Women’s Health Newsletter Breast Cancer Facts
Cerner Health Conference Schedule continued TUESDAY – October 8th
In 400 B.C., Hippocrates
described breast cancer as a
Session 343: Restructuring the Support of FetaLink (and other iBus Applications) Success Story
humoral disease caused by
Benji Long; University of Missouri Health Care
black bile or melancholia.
Physicians in ancient Egypt
2:45PM Session 92: Powerchart Maternity and Anesthesia: Deliver Me from Pain Kim McAdams, Angie Conner; Floyd Medical Center
described breast cancer more than 3,500 years ago.
The first recorded mastectomy
2:45PM Session 221: Breast Milk Management: Providing Safety for your most fragile patients Susan Roy, Donna Miranda; Sharp HealthCare
for breast occurred in A.D. 548. WEDNESDAY – October 9th
In 1882, William Steward Halstead (1852-1922), intro-
10:15AM Session 314: ST Analysis as an Adjunct to Electronic Fetal Monitoring Maureen Brennan; Neoventa
duced the first radical mastectomy. Until the mid 1970s, 90% of women with breast cancer were treated with this procedure.
11:30AM Session 306: Women’s Health - iPoc Development, Partnership & Beyond Terry Carson, Teri Leydon, Dee Dee Johnson; MedStar St. Mary’s Hospital
11:30AM Meaningful Use: Staff Led Design for a New Perinatal EHR Beth Remsburg-Bell; Palomar Health
Cerner Health Conference Schedule continued
What We’re Doing Illumination Sessions
Changes to the Solutions Gallery This year, you will notice a shift from individual solution demo pods, to a focus on full integrated workflows. This means that when you visit us in the Women’s Health Workflow Zone, you will be able to pick an area: Clinic, Hospital or Remote Access and preview optimal workflows for those areas. This will include how other solutions (such as Breast Milk Management, patient education, and unit staffing and acuity) integrate
Watch this newsletter and the Women’s Health Collaboration
in with Women’s Health solutions, creating ideal, efficient workflows. You will also have the opportunity to take your traditional deep dive into specific areas of interest at our “deep dive” pod stations.
Women’s Health Focused Events Women's Health L&D Open House & Site Tour
Community uCern group for the announcement of three upcoming illumination sessions.
Shawnee Mission Medical Center, a local Cerner client will be hosting guided tours of their Labor and Delivery unit giving attendees a first-hand look at their beautiful new Birth Center and how they use Women’s Health solutions in it. Sunday, October 6th
Jill Meier will be discussing our new mobile solution, FetaLink+.
1:00 pm-3:00 pm
Emily Vano and Krystal Cunningham will be discussing the changes with the MPages
Women's Health SIG Networking Reception Come network with your peers and Cerner experts over cocktails and hors’ d’oeuvres at the event space (Kill-Devil) above BRGR. Don’t let the name detour you: We promise it’s going to be a great time and is just a brief walk from the convention center. Monday, October 7th 5:00 pm-7:00 pm
Jill Meier will be discussing the new FetaLink 2013.01 release.
Women’s Health Newsletter Cerner Health Conference Schedule continued FetaLink Technical Support Training - NOTE: The original date for this event has changed. It is no longer on Sunday, and will now take place on Wednesday afternoon FetaLink technical support training event that provides a refresher course on best practices for backend support tools. This event is specifically designed for live client sites, and for technical, IT roles -- not clinical. Wednesday, October 9th 1:00 pm-5:00 pm
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!
You will be able to sign up for all of these Events through the “Build your agenda” tool once you’ve registered for CHC. Join us on Facebook To register for the conference visit: https://events.ucern.com/CHC2013/
Already registered but want to add any of these events? Visit the same link and select "Attendee Login". In the session search box, type in the event title then click "Enroll".
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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.