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Perioperative Times September 2013

WELCOME New Perioperative Clients

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Weston County Health Services Heartland Health Ambulatory Surgery Center Dignity Health Pagosa Springs Medical Center Boone County Health Center Memorial Community Health, Inc. Memorial Hospital at Gulfport Holland Hospital North Kansas City Hospital

Q3 Issue 1

An Update on Perioperative Development 2012.01.20 became generally available on August 7th.

This contained

several corrections and enhancements for Surgery and Anesthesia.

This

includes the long-awaited Anesthesia Continuing Infusion Orders Inbound workflow. When the anesthesia provider opens the anesthesia application he/she can see a list of all active infusion orders that have a Begin Bag event documented. He/she has the ability to select which ones he wants to include in the anesthesia record.

Cerner Health Conference We are only weeks away from another Cerner Health Conference! If you haven‟t already registered for the event, please visit CHC2013. Once he/she continues them into the record they will automatically start running at the ordered rate. He/she can change the rate when he/she needs

Spread the Word! There are a lot of different ways for you and your colleagues to get the latest information from us, but is it reaching you? Please feel free to share this Newsletter with your peers and let us know if there is a better way to reach you! You can email Kristi Lacle with your suggestions.

to, or start another bag later. For additional information on the features available in 2012.01.20, see the following uCern post. For detailed information on the Continuing Orders and Meds Integration workflows, see the following reference pages.


How can Patient Portals Improve the Patient Experience at Your Facility?

Mary Hibdon

Preparing the patient for the day of surgery may mean chasing multiple different documents in order to be sure all data is available for evaluation by the various care providers. Missing or incomplete information can result in delays in surgery or even cancellations on the day of surgery. Healthcare organizations are recognizing the need to implement processes to improve their efficiency. Reducing cancellations on the day of surgery and surgical delays due to incomplete or incorrect information will be a critical part of this effort to improve efficiencies. Collecting data through a “front loaded” process will be even more important as a mechanism to increase efficiencies. Data can be collected from the patients through use of a patient portal. A portal can speed the timeliness, as well as improve the accuracy and completeness of forms and other information the organization requires from its patients. Portals allow patients to complete various forms online that were previously handwritten or where data was collected via a phone call. Engaging patients in the care process is the focus of the current health care reform. Patients are taking ownership of their health records and actively participate in the decision making process. Patients appreciate the option to complete forms on a pre‐visit basis. Intuit Health’s 2010 Financial Healthcare Check‐Up revealed that 84% of patients would fill out their medical forms online prior to their appointment if they had that option. Effective communication is the lifeblood of an organization. Patient Portal deployment at a medical facility dramatically enhances communication within the facility and with the patients. The portal‐delivered forms allow preop-op staff to get a „head start‟ on collecting patient history. The electronic collection of information gives staff time to verify insurance, review current medication that could have an impact on day of surgery processes, and review patient‟s medical history and current problems list so appropriate screening consults can be performed in a timely manner. Access to this information is available to all care providers, keeping the patient/nurse/physician information flow intact. This gives the anesthesia provider a patient‟s complete picture prior to surgery and decreases delays or cancellations due to an incomplete preoperative assessment. Use of patient portal for pre-op data collection helps preoperative nursing staff focus on their patients with less time spent on the phone. Patient interview times can be dramatically reduced, and patients benefit from reduced repetitive, multiple in-person or phone-based interviews.

The availability to the patients to complete their pre-operative

information on their own timeframe helps to assure the information is more complete and accurate and serves to eliminate missed data collection due to the inability of the pre-op staff to reach patients by phone. Cerner is planning to roll out patient portal capabilities to help you communicate, educate, and collect information from your patients. Some of the features that will be made available to patients online are:    

access to copies of their records secure messaging with providers or staff scheduled appointments & patient instructions pre-visit questionnaires that save responses as a document in the chart post-visit instructions

If your organization already uses patient portal, you might consider how you can leverage it for your specific patient engagement needs. For organizations not using patient portal, implementation of the portal could serve as a strategic tactic to improve patient engagement.


Preference Card Maintenance Tool Karen Ramsey Last year we released the Preference Card Maintenance tool which provides system generated suggestions for items that should be removed or added to a card based on historical usage. These suggestions can be submitted directly from the tool to update the related preference card. Since then it has been used very successfully by multiple clients. There has been some confusion as to how this functionality is released and who has access to it. Initially this was referred to as an MPage because we leveraged some of the framework and look-and-feel of MPages. However, this is not actually an MPage.

It is part of the standard Surgical Management solution and is

available in SurgiNet Service Packages (2012.01.03 and higher). It is set up as a

You can find us at these events in 2013: What’s New in 2012.01.22 Illuminations September 13, 2013 To join this session, please click here.

PowerChart preference and there are several Document Maintenance settings that are used to quickly and easily configure it.

Cerner Health Conference

Configuration details are available here and design details are available here.

October 6-9, 2013 Kansas City, MO To register, please visit CHC2013.

How to Print from the Preference Card Maintenance Tool We‟ve had requests to be able to print the results of the suggestions. The easiest way to do this is to use the “Print This Item” button on the upper right corner of the tab.

Missouri Ambulatory Surgery Center Association October 3-4, 2013 Branson, MO

American Society of Anesthesiology Annual Conference October 12-16, 2013 Stop by and visit us in booth #427. This will launch the Print dialog.

You can print using whichever standard

Millennium printers are available in that dialog. Or you can use the Microsoft Office Document Image Writer if that‟s a printer option. The Image Writer is a nice option because it will generate a .tif file which you could save and e-mail instead of wasting paper by printing to a standard printer. The results (whether a printed copy or .tif file) will include the basic formatting of the page and retain the filter fields at the top with the selected filters.

Becker’s Ambulatory Surgery Center Conference October 24-26 Chicago, IL


Surgery Value Analysis Reporting Tim Sleddens

Through supply chain integration, we provide surgery value analysis reporting that allows you to study the use of inventory supplies in surgical procedures. Through this, you can determine the cost versus benefit of individual supply items, identify items that produce the good outcomes for the least cost, and optimize the return on investment. It is important that value analysis is not focused solely on product cost. This is illustrated by the Financial Summary by Case report. Although supply cost and submitted charges are important, the time in room, infection rate and length of stay within the report must be part of the equation when evaluating the contribution of the product towards the case. These factors, in addition to supply cost, also contribute to the overall cost of the procedure and health of the patient. For details on the individual surgery value analysis reports, please visit the Surgery Value Analysis Reporting wiki reference page in the link below. For information on setting up the surgery value analysis reports, please visit the Configure Supply Chain Discern Analytics Admin wiki reference page in the link below.

Links: Surgery Value Analysis Reporting Configure Supply Chain Discern Analytics Admin

Tips & Tricks Free Text Item Cost Free-text items are an important feature of SurgiNetŽ and allow proper clinical documentation of implants that are not part of the Item Master. Documenting these free-text items can also ensure that charges are captured for these items. An often over-looked aspect of documenting these free-text items is ensuring that a facility cost of the items gets documented. Associating a cost to these free-text items will ensure that accurate case cost reports can be run, and allows these cases to be compared to other cases using item master implants for case cost analysis. To follow this tip, please view Chip’s uCern blog for step by step instructions.


Perioperative newsletter q313