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Perioperative Times June 2014

August WORKSHOP Cerner is hosting a second Perioperative Workshop August 21-22 in Kansas City! Exclusively for current SurgiNet® and SurgiNet® Anesthesia Management clients, this interactive workshop will give you hands-on application training and allow you to collaborate with the Cerner perioperative team and your peers. Topics Include: Leveraging Reporting to Enhance Perioperative Workflows • Operational Reporting • Management Reporting • Quality Reporting Applied Reporting Training • Discern Analytics™ 2 • PowerInsight® • Operational Dashboards

Register Today! To RSVP or for more information, please contact Amanda Bradley at amanda.bradley@cerner.com. Registration is free, but limited to 50 attendees. In order to accommodate your peers, please limit your registration to two people per organization. Meals provided. Attendees are responsible for transportation and accommodations.

Q2 Issue

Process Improvement Workshop Recap Cerner® hosted a Perioperative Workshop, April 17-18, in Kansas City on our Innovations Campus. Attendees represented over 28 client organizations. The client led sessions throughout the workshop had everyone engaged in sharing their perspectives and ideas. We would like to thank our speakers for their presentations and everyone else who attended. The next workshop will be held August 21-22 in Kansas City and registration is now officially open. The theme of this workshop will be “REPORTING” operational, management and quality. We are asking for organizations to try and limit their participants to two individuals to enable everyone an opportunity to attend. For more information, or to register, please visit this link. Hope to see you there!

Please Welcome Amanda Bradley I would like to take this opportunity to introduce myself to the Perioperative Community as the new Marketing Program Manager for the Perioperative Services team. A little background on myself: I graduated from Grand Valley State University in Allendale, Mich. with a BBA with an emphasis in Marketing and International Business. I previously held marketing roles at Wellmark Blue Cross and Blue Shield and the State of Missouri.

Cerner Health Conference is Nov. 2-5, 2014 Cerner Health Conference (CHC) is Cerner’s annual industry-leading health care event. Each year a wide variety of health care professionals travel from all over the globe to learn new topics in education sessions, network with peers, and explore the award-winning Solutions Gallery. CHC 2014 is Nov. 2-5 in Kansas City, Missouri. For more information please visit CHC2014.

I am thrilled to become the newest member of the Perioperative team here at Cerner Corporation and look forward to seeing everyone at CHC. Amanda Bradley © Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. Page 1 of 4.


Ambulatory Surgery Center Content Package 70979

AORN 2014 Recap As a part of the successful AORN 2014 Conference and Expo, Cerner representatives provided educational demos to attendees and the AORN Board of Directors of AORN SYNTEGRITY® content and Perioperative Nursing Data Set (PNDS) embedded inside SurgiNet®. The first presentation was to the AORN Board of Directors. The focus of this presentation was to demonstrate the utilization of the standard

Licensed Ambulatory Surgery Centers (ASCs) have needs for specific content to support their unique workflows and regulatory documentation requirements. These venues of care focus on efficiencies in processes and providing high-quality lowcost care. In January, the first iteration of a Lighthouse content package specific to the ASC market was released. This Content Package contains content for patients receiving care in the ASC setting. Content is for use by clinical care givers collecting patient information and providing care to ASC patients. This content provides the ability to document pertinent historical patient information and basic assessment information. It provides documentation designed to support efficiencies in workflows required in the ASC settings and meet specific regulatory documentation requirements. This package contains forms to document administrative information such as follow-up phone calls. Contained within this package are two PowerForms and one iView: 

Preadmission Visit Assessment ASC PowerForm utilizes the current SurgiNet Preadmission Visit Assessment as a base with modifications specific to the ASC care venue.

PostOp Phone Call ASC utilizes the current PostOp phone call as a base with modifications specific to the ASC care venue.

The PACU Quick iView ASC utilizes the current PACU iView as a base with modifications specific to the ASC care venue.

Syntegrity content by an electronic health record (EHR) vendor. Cerner representatives also attended the exhibit hall as part of the AORN Syntegrity booth. They provided demonstrations on the use of Syntegrity standard content and PNDS inside SurgiNet as well as showed the printed record view that demonstrates the use of evidence based nursing

The second iteration of the ASC specific content package will be available in July as part of the next Lighthouse content release. This iteration will contain the following documents: 

An update to the Preadmission Visit Assessment ASC to include risk assessments with scoring capability for falls, obstructive sleep apnea, VTE, and post-operative nausea and vomiting.

A PowerFrom to be utilized to document required ASC claims based quality reporting codes (GCodes).

A transfer form to be utilized in the event a patient must be transferred or admitted from the ASC to a higher level of care.

process as part of perioperative documentation. We would like to thank all those attendees that visited the booth. We appreciate you taking the time to participate and share your ideas and experiences with us.

As part of the continuing effort to support the ASC’s unique documentation needs a third iteration of the ASC specific content is planned for release as part of the next Lighthouse content release. This iteration will included:    

Endoscopy and Pain Management specific visit assessment PowerForm Cataract visual function questionnaire Updated sedation iView Rules to be applied to risk assessments in the ASC patient preadmission visit assessment


Cerner Corporation an AQI Preferred Vendor

Over the last several months, Cerner Corporation has been working collaboratively with the Anesthesia Quality Institute (AQI) in the development of an automated process for quality improvement reporting. As the largest data registry in the country, AQI’s vision is “to be the primary source of information for quality improvement in the clinical practice of anesthesiology.”1 Lance Mueller, Director of AQI, stated, “Cerner Corporation is the first fully integrated solution to directly provide clinical data to AQI.” As a result, the Perioperative Agile Business Unit (ABU) is happy to report that Cerner Corporation is now an AQI “preferred vendor.” By creating reports compiled of AQI-targeted data points, Cerner Corporation is contributing to AQI massive research efforts, in which quantifiable data will serve as the foundation to drive quality improvement in the perioperative space. Dr. Dutton, AQI Executive Director, said, “The creation of a Cerner reporting routine for AQI participants demonstrates their commitment to advancing quality improvement in anesthesiology. This partnership is a model for any AIMS vendor.” By collecting and synthesizing data on the national level, AQI has the ability to measure a specific health care organization’s perioperative outcomes and compare those outcomes to national benchmarks. “The AQI – Cerner relationship will provide great value to Cerner clients insofar that they will be able to benchmark their performance against peers at the national, regional, and facility level,” Mueller said. A small team of associates across Cerner worked collaboratively with AQI to define targeted-data points and develop the custom CCL to pull those fields into a report. Gulshan Mehta, Client Results Executive for University of Illinois Hospital & Health Sciences System, played a key role in gathering resources to assist in the development of the custom CCL for the AQI enhancement, as University of Illinois Hospital & Health Sciences System expressed great interest in having the ability to report to AQI. Cerner Corporation resources from University of Illinois Hospital & Health Sciences System created the CCL, and currently 16 months of surgical case data has been electronically submitted to AQI. In addition to Gulshan Mehta, the Perioperative ABU would like to extend a special thanks to Rhonda Sackett, Software Architect, Steve Yeager, Solution Architect, and Chip Carden, Sr. Architect, for their invaluable contribution to the success of this project. For more information on this enhancement please visit the AQI website or email Jason Boatright at jason.boatright@cerner.com.

Tips & Tricks For this quarter’s ‘Tip and Trick’ the Perioperative ABU would like to highlight a commonly overlooked field in the sadbbuild application. Specifically, the ‘default value’ field is commonly under-utilized by many clients and may help expedite the documentation process. For example, in the LTA screenshots to the right, if the end-user always administers 4 mL’s of Lidocaine 4% for his or her adult patients, this value could be defaulted in each time the end-user would select this response. However, if the end-user would select ‘no’ or simply not select either response, the defaulted value would not write to the anesthesia record. This is just one example of the functionality, but it could be used in any action in which the end-user is always free-texting the same value for a specific response. 1 About

the AQI. (2014). Retrieved from http://www.aqihq.org/about-us.aspx


Streamline the Endoscopy Lab

Your endoscopy nurses do not love the computer mouse. Sure, the plastic rodents are cute enough and behave perfectly well from perches at nursing stations and on WOW carts throughout the endoscopy lab, but they steal—not food, productivity. It goes without saying that a nurse would rather spend 5 seconds focused on the patient instead of clicking a computer mouse. This especially goes without saying for our nurses during procedures, but increasingly we ask nurses to spend more time with the mouse, and then in the same breath we tell the nurses to work more efficiently, do less with more and improve patient safety. From this perspective, many clients have asked Cerner for ways to streamline the endoscopy lab with a perioperative solution that is lean. A solution that is designed especially with outpatient gastrointestinal (GI) endoscopy in mind so that nurses can spend less time navigating and clicking to document routine cases. After careful redesign, and with the invaluable input and collaboration with some of our terrific clients, we have come up with a solution. And nearly all of you reading this already have it: SurgiNet®. Yes, that SurgiNet, but with new content that intuitively supports GI endoscopy workflow without a lot of clicking or typing. The new standard content for GI endoscopy is not only streamlined for endoscopy, but also provides many new segments and groups of data, including:

You can find us at these events in 2014: Perioperative Workshop August 21-22 Kansas City, MO

American Society of Anesthesiology Annual Conference October 11-15 New Orleans, LA Stop by and visit us in booth #1711

Cerner Health Conference November 2-5 Kansas City, MO

Endoscopist

Endoscope(s)

ERCP fluoroscopy time and cannulation details

Dilation interventions

Kansas City, MO

Polypectomy details

Anesthesia Leadership Forum

We hope that you will share this news with your endoscopy services directors and digestive health service line managers so that we can continue the discussion of how to implement these changes. With this new design, GI labs can further eliminate paper-based forms and spend less time typing and clicking during procedures, much to the dismay of the poor computer mouse.

Perioperative Nursing Leadership Forum November 5

November 5 Kansas City, MO

Q1 2014 Conversions

To learn more, please plan to join us for an Illumination Session, during which the new SurgiNet content for endoscopy will be demonstrated and discussed.

Learn more about the Surgical and Endoscopic Imaging solution

© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. Page 4 of 4.

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Perioperative Newsletter Q2 2014