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Perioperative Times March 2014

APRIL WORKSHOP Registration is NOW Open! Registration is open and filling up quickly for the upcoming Spring Perioperative Workshop. The date for the workshop is April 17-18, 2014 at Cerner’s Innovations Campus. The focus of the first workshop will be Optimizing Preoperative Workflows. We are also looking for speakers to represent their organizations on our agenda. If you have an innovative or even standard preoperative workflow that you would be able to share with your peers, please reach out to Lynn Braswell at Lynn.Braswell@Cerner.com.

To RSVP, please click this link. Registration will be capped at 50 participants.

Q1 Issue

Anesthesia Consortium Outcomes Over the last several months, Cerner has been working alongside key leaders within the perioperative space to build robust start content for the SurgiNet Anesthesia solution. The impetus for this project was that Cerner clients have traditionally been tasked with creating custom content for their own organization, which was time consuming and resource intensive. Cerner responded by reaching out to a small group from select partner institutions who all shared mutual interest in this important initiative. Specifically, Dr. Michael Boyer, Dr. Steven Whitehurst and Dr. Moeed Azam from Northwestern Memorial Hospital, University of Pittsburgh Medical Center and Florida Hospital, respectively, have all played instrumental roles in the development of the new start content. This group of well-respected physicians donated hours of their free time, consulting and sharing their clinical expertise in their respective specialties. Drs. Boyer, Whitehurst and Azam shared a vision of creating a solution with an intuitive, cross-platform design that could be effectively utilized by clients ranging from small community hospitals to tertiary medical centers. After several months of preparation, Cerner hosted an in-person meeting for members of the consortium in Orlando, FL. In addition to the aforementioned physicians, Cerner invited Dr. Nancy High (Florida Hospital), Dr. Ira Cohen (Children’s National), Dr. Alan Kim (Medstar) and Dr. Sandy Hecht (Cerner Corporation) to join the discussion in order to build the most comprehensive and intuitive solution for future and legacy clients. The objective was to create a solution that is simple, usable, logical and educational. In order to achieve this participants engaged in a roundtable discussion, vetting each response and detail of 33 different actions. Once consensus was met on a particular action, small revisions were made in real-time and large revisions were made in the days following the meeting. Currently, all actions that were discussed and reformatted have been entered into Cerner’s standard domain and are being vetted by members of the consortium before making general availability. Cerner would also like to extend special thanks to Jane Koubek (Florida Hospital), Stephen Tinsely (Miami Children’s Hospital), Ryan Rorden (Northwestern Memorial Hospital), Sue Sinclair (Cerner Corporation), Sheila Graham (Cerner Corporation) and Chip Carden (Cerner Corporation) for their invaluable contribution to the success of the first phase of this project. Without this group of dedicated professionals, the first phase of this project would not have been the success that it was. Overall, members of the consortium had a general consensus that the meeting was successful and a worthwhile effort. If your institution would like obtain a copy of Cerner’s start content, please email Jason.Boatright@Cerner.com for more information.


Collaborating on Enhancement Ideas

Cerner has developed a new collaborative process for managing enhancements. This “Ideas” process will provide increased transparency into what enhancements are being requested, as well as giving clients the opportunity to discuss these enhancements and collaborate on the details of how they could impact user workflows. The Ideas Space is available in uCern for you to share your ideas, as well as view and discuss ideas from other community members. Perioperative ideas can be found in the Perioperative and Supply Chain Management Ideas space. Gastroenterology ideas can be found in the Gastroenterology Ideas space. Once an Idea is posted, we’ll review it, just to make sure it’s not a duplicate idea or existing functionality, and the concept fits our vision for the solution. At that point we might ask you some additional questions to help clarify the details of your idea. New ideas then go into an Open for Discussion phase where everyone can discuss and further hone the concept. If it’s determined that there is room in the current roadmap and this idea warrants it, it could be added to the current year’s roadmap for development. Most ideas will initially move into a Not Approved status, and will then be re-visited as we begin our roadmap planning for the next year. This feedback will be crucial to understanding what is important across the client base to help drive roadmap planning and how to optimally implement enhancements to fit user workflow. A link to the Ideas space and additional information on this new process, can be found here.

The Only Ideas that Stink are the ones you don’t share! Announcing the new Gastroenterology Ideas space on uCern! - Alan Staples Some of you have emailed or called me to say “Alan, I just shared an idea. Did I do it right?” or “I have an idea, but I don't know how this new thing really works.” I understand completely! Fortunately, this new dedicated space for GI makes it even easier. If you want to see existing ideas for gastroenterology, click the “Search the group ideas” button. If you would like to share your idea, click the “Create an Idea” button.

When reading an idea, please let the group know

whether you are interested or not interested, ask questions, comment on the impact of the idea, etc. Each of you has great ideas - you share them with me every day! Now I want you to share them with the community. This is so important, in fact, that I am offering the fantastic desk ornament pictured as a token of my personal appreciation to those who contribute. On April 1 (no foolin') I will randomly draw 1 person from the list of all who have contributed to the Gastroenterology Ideas space to receive this beautiful addition to any GI lab nurse's station, physician's office, or IT meeting room.


GI Labs: Paper is for Wiping, Not Recording Alan Staples

productivity, accountability, and revenue of your GI lab.

You can find us at these events in 2014:

Try this quick and simple exercise: tag along for the next outpatient GI case and

Perioperative Workshop

tally all of the paper forms, tri-fold records, carbon copy pages, and photocopies

April 17-18

that go into each and every case. How many did you count? I recently counted with

Kansas City, MO

You are about to spend less than 5 minutes reading an article that could eliminate more than 10,000 pieces of paper each year in your GI lab. And unlike the kind of paper that comes off the roll, this paper is dangerous. It is silently hurting the

a client, and we came up with 10 separate paper forms that are used for outpatient GI cases. This isn’t about saving trees – each one of these pieces of paper must be signed, copied, scanned, handed to a patient or otherwise handled during the process of providing accountable care. Whatever number you came up with, it is easy to see not only the amount of time we spend managing all of this paper, but also the risk that comes along with it. What if we need to recall a patient – will we be able to find all of these records?

Ambulatory Surgery Center Association Annual Conference May 14-17 Nashville, TN

Perioperative Workshop August - Dates TBD Kansas City, MO

What if we are audited for reporting information that is on paper forms? This paper is dangerous, never mind paper cuts! Take a deep breath … we are all in this together, and there are some simple ways to start eliminating paper. For example, clients have been very successful in creating PowerNotes for preoperative documentation such as the Physical Exam or

American Society of Anesthesiology Annual Conference October 11-15 New Orleans, LA

History and Physical. If your GI lab is documenting the required Immediate PostOperative Note on paper, this is a great place to start.

Cerner Health Conference

First, ask your IT team if they have a resource who knows how to create short

November 2-5, 2014

PowerNotes. If so, share your paper-based form with them and they should be able to create a corresponding PowerNote with relative ease; otherwise, check out our short video that shows step-by-step directions we used to convert an actual client’s post-op form into a PowerNote. This project can be accomplished in less than an hour. Eliminating paper does not have to be complicated. If you are not sure where to start, or if you have undertaken this feat, please share your story with the Cerner GI Endoscopy Community.

Kansas City, MO


Make the Move from Case Tracking to Perioperative Tracking With the upcoming obsoleting of Case Tracking, any organizations still utilizing this functionality will have the opportunity to make the switch to Perioperative Tracking and take advantage of the added value that comes with it. While the build effort for this transition is relatively small and could be managed within your organization, we have developed an offering to assist with the migration for any sites wishing to minimize the impact even further. The standard migration offering would utilize your existing Tracking Groups, Events, and Event Groups, and would include new Views and Filters created under the Perioperative Tracking Shell. Your new Perioperative Tracking views would provide the same basic functionality as your existing views, but would include a number of additional features. One primary benefit is the ability to have multiple filters for a single Tracking List, which allows you to combine any lists utilizing the same Column View into a single tab with multiple filter options. This can help reduce maintenance, increase screen real-estate, and improve response time. Other benefits include additional options to customize the display of patient and personnel names, procedures, dates & times, etc. Finally, the migration offering also includes the optional addition of a PAT view, a Postop Phone Call view, and/or a Preference Card Availability view. The PAT and Postop Phone Call views can function as a queue to assist with tracking which patients have been addressed in each of those scenarios.

The Preference Card Availability view groups

upcoming cases by what type of preference card is available, allowing you to create surgeon specific cards when needed before the case pick lists generate.


Perioperative Newsletter