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Women’s Health Newsletter

February 2013

In This Edition Meet the Team US Consulting

New Package Releases Tips and Tricks Labor Graph/Partogram

FetaLink 1.9.4 Maintaining Industry Awareness ICD10

Unit of the Year Contest Wanted: FetaLink Testing Partners


Women’s Health Newsletter Best Practice Acute Care Workflows

Meet The Team US Consulting PowerChart Maternity

Are you following the Women’s Health best practice recommendations for acute care processes? Our Acute Care workflows are designed to optimize the PowerChart

Scenarios include:

From left to right: Kirsten Stack, Katie Hawkins, Katie Leckner, Brittany Barnds, Martha Gerling, Mandy Westcott, Rhianna Cisneros, Charlie Turner, Mary Terwilleger, Chris Horbelt, Nisha Kumar, Shelley Wehmeyer, Aaron Greene, Tyler McWilliams, Noel Bradford.

Triage

Not pictured: Heather Andersen, Kristen Choate, Sarah Ferris, Donna James, Jennifer Lightcap, Mark Mankivsky, Hannah O’Toole, Michelle, Plante, Emily Vano,

Antepartum Testing

Admission

Transfer

Order Entry

Labor

Anesthesia (Spinal/Epidural)

Medication Administration

Maternity and FetaLink solutions.

Mission Statement: To advance health care by partnering organizations with the industry's best people, processes, knowledge and experience to enable optimal outcomes. Consulting Overview: Cerner offers a wide range of professional services to fit the needs of any client. Our experts help remove variance from projects, delivering immediate value. Whether a client needs implementation services, assistance with clinical adoption, aid in optimization of their Cerner Millennium investment, addressing regulatory issues or other services, we offer an approach to fit each client's needs. Each client also benefits from the collective experience with our other clients. Every interaction with our clients makes us more efficient, allowing each to gain greater cost reduction benefits. The US Consulting team, consisting of ten solution architects and thirteen delivery consultants, has an estimated 250 client implementations between them!


January 2013

New Package Releases PowerChart Maternity Inpatient Content: Package #64071 (updated from Package #63529) Ambulatory Content: Package #63528

Best Practice (continued) 

Care Plan

Delivery

Postpartum

Newborn Nursery

Discharge

Operating Room (C-section)

PACU/Recovery

Fetal Demise

PowerNote Maternity Ambulatory: Package #59707 PowerNote Maternity Inpatient: Package #56254 Reporting Performance Enhancements: Package #32914 4.4 Pregnancy Summary MPage: Package #62298 4.4 Neonate Summary MPage: Package #62308 FetaLink 1.9.4 Package #61883 for iBus 1.3 Package #62164 for iBus 2.1 To find the latest Women’s Health content list for Millennium releases, go to: http://www.cerner.com/support/ Log in to Client Applications CKM  Cerner Knowledge Manager  Content Distribution For PowerChart Maternity content packages: PowerChart Maternity  Generate Report For PowerNote content packages:

For more information on incorporat-

PowerNote  Generate Report Select the package number hyperlink to open up details of the package. For supplemental documentation regarding the implementation of this content, follow the hyperlink that is on the package text under Special Instructions. This will take to you the wiki within the Reference Pages.

ing these at your facility, please contact Lindsay Ackerson: Lindsay.ackerson@cerner.com

You can also access the supplemental documentation on the wiki via the following link:

or Kaisha Norgren:

https://wiki.ucern.com/display/reference/CernerCreated+Content+Reference+Pages

Kaisha.norgren@cerner.com

Scroll down to Women’s Health and select the desired content type.


Women’s Health Newsletter Community Involvement

Tips and Tricks

American Heart Month

The Labor Graph/Partogram is a graphic summary of a patient's labor progress. The graph is linked to a specific pregnancy. The patient header displays at the top and contains the patient information and the Ruptured Membranes Date/Time with the system calculated Ruptured Membranes Total Hours/Minute time. The Partogram contains the fetal heart rate graph, the labor curve graph (Friedman’s Curve), a flowsheet that displays site defined details of the labor, and the maternal vital signs graph in view-only format. The user can access the Partogram from the following locations:

The Women’s Health team had to postpone their potluck lunch of heart -healthy foods celebrating American Heath Month due to snow!

Labor Graph/Partogram

Pregnancy Summary ( PowerChart Maternity ®)

Interactive View

Pregnancy History (OB/GYN tab) within the History Module (displays the past Partogram for that particular pregnancy).

Fetal Heart Rate (FHR) graph displays the documented/signed results of the FHR.

You can find heart-healthy recipes and snack ideas at the Go Red for Women website: http://www.goredforwomen.org/ home/live-healthy/heart-healthyrecipes/

Hovering over the data point shows the date/time of the result in the tool-tip. A documented FHR result that is above or below the defined normal range values are displayed in red. Multiple gestations are displayed with a unique symbol and color for each fetus. A legend also displays to the left of the graph (under the words Fetal Heart Rate) depicting the relationship between symbol and fetus (only for multiple gestations). The Labor Graph displays the cervical dilatation, fetal station, and epidural information. For our global clients, Fifths Palpable can be used rather than Fetal Station. This is a configuration option.


February 2013

Tips and Tricks (continued)

Illuminations

A legend is displayed to the left of the graph depicting the relationship between symbol and color and the meaning. Alert and Action lines are displayed with red dashed lines. The alert/action lines serve as a visual guide to the clinician, supporting decision making, if the patient is not progressing in her labor along the normal timelines. Once dilated to 4 centimeters, the expectation is that she should dilate at least 1 cm/hr. If the patient takes longer than that, she falls into the range between alert and action. If she continues to progress slower than normal, she falls outside the range on the action side of the graph, which strongly suggests to the clinician that intervention is. The display or hide button is available so the clinician can reference or remove at their discretion.

MPage versions 4.3 through 4.5

Please join Shelly Andrievk and Krystal Cunningham for an

The Partogram is based off of the standard defined by the World Health Organization. Illuminations session to review the

FetaLink 1.9.4 — NOW AVAILABLE!!!

recent changes to the Neonate Summary and Pregnancy Summary

Want More Information? MPage versions 4.3 through 4.5. 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

This education session is scheduled for Thursday, March 21st at 2pm CST.

Further information is available in an Illuminations presentation at the following link:

Registration information will be

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

posted to uCern soon.


Women’s Health Newsletter HIMSS March 3—7, 2013 in New Orleans

Visit Cerner at booth # 4941 and in these areas on the exhibit floor: 

ICD-10 Knowledge Center

Clinical & Business Analytics/ Intelligence Knowledge Center

Mobile Health Knowledge Center

Interoperability Showcase

Our partner booths, including

Maintaining Industry Awareness Is Cerner prepared for ICD 10? You have probably heard rumors about changing the way that the health industry currently codes for medical billing/reimbursement within the United States – from ICD 9 to ICD 10. The date for this change is set for October 1, 2014. Cerner is ready for the switch! We are already successfully supporting over a dozen clients in the international market that are utilizing ICD 10. You might be wondering why the change. Simply stated – ICD 9 is 30 years old and is running out of room for new codes. ICD 10 allows expanding codes for additional details surrounding the diagnosis in order to give a more complete picture for reimbursement. This new classification will allow for inclusion of such matters as social economics, problems related to lifestyles, laterality of organ/body part, preventative healthcare, family relationships, and screening exams results….just to name a few.

CareFusion, CenTrak, Hill-Rom, Philips Healthcare, Spacelabs, Welch Allyn and many others

More information is at: http://www.himssconference.org/

Cerner supports the clinician as they document their patient note. The system will alert the clinician for clarifications or modifications needed within the note. It will be querying a comprehensive set of information in the background – the current note, previous notes and relevant discrete data (labs, medications, nursing notes) – in order to make sure that the coding and documentation support each other.


February 2013

Maintaining Industry Awareness (continued) Several packages are needed for ICD 10: 

Interrogator Package (Admin .57) #63429

ICD-10-CM* #60847

ICD-10-PCS* #62617

Intelligent Medical Objects #62432

Save The Date SIG Call

Further details on these packages can be found on this uCern Reference Page: https://wiki.ucern.com/display/public/reference/ All+About+Content+Transition+from+ICD-9-CM+to+ICD-10-CM+and+ICD-10-PCS Further information regarding ICD 10 can be found at the following websites: http://www.hhs.gov http://www.ama-assn.org http://ww.cms.gov/ICD10

Our next SIG call is scheduled for Wednesday, March 27th at 11 CST.

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!

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

Submit videos, essays, poetry, or even PowerPoints... There are no restrictions on the types of entries accepted!

conversation.

Email entries to WomensHealth@Cerner.com All entries are due by Saturday, March 23rd

https://connect.ucern.com/

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!

thread/380021?tstart=0


Women’s Health Newsletter

February 2013

Wanted: FetaLink Testing Partners

Social Media

2013.01 Release

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!

We are working on the next major release of FetaLink, known as FetaLink 2013.01. This version will have some exciting new functionality, including a new Signal Strength Alert as well as the ability to smoothly scroll through an archived strip. We are looking for 2-3 clients to be Solution Testing Partners for this new code. You will have an opportunity to access early iterations of the code and provide your valuable opinions on the design and the functionality. Because clinical feedback is essential, we are requesting that Solution Testing Partners identify at least one clinician at each site who can be available to test the functionality and provide feedback to us. Early versions of this code are expected to be available towards the end of Q1 or early Q2 (late March - early April). Our goal is to make this release generally available to all clients by the end of Q2. Technical requirements to be a Solution Testing Partner: 

FetaLink

iBus 2.1

Non-prod domain available for testing

CernerWorks Hosted (RHO)

Expectations for a Solution Testing Partner: 

Attend a monthly one-hour Live Meeting call where we will demo the new functionality to you

Take early versions of the FetaLink package into a non-production environment

Test new functionality as it becomes available at your site

Provide timely feedback to Cerner Women’s Health so that we can ensure optimal design

Communication with your IT department and your technical team is essential to coordinate the installation and testing process. Please ensure your IT department also has resources to provide support during this testing process. If you are interested in partnering with us on this new release, please email Jill.meier@cerner.com We will work with your Cerner representative to coordinate the details.

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.


Cerner Women's Health Newsletter_February 2013