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Visit to access OneCare tools and resources for KentuckyOne Health. June 22, 2012

OneCare for KentuckyOne Health Kentucky Leads Other States in Most Comments on CPOE Order Sets Saint Joseph Health System’s July 2 Enterprise Master Person Index Implementation Paves Way for AEHR Functionality in Kentucky End-to-End Barcode Solutions Project Initiated in Kentucky Oncology Electronic Health Record Project Resources Available on Latest Clinical Advisory Group News Physician Advisory Group Update Physicians Will Earn Continuing Medical Education Credit for OneCare Training

Cerner News & Updates Cerner Physician System Validation Sessions Scheduled for July 10–11 Lessons Learned from First Cerner Implementation Prove Valuable for KentuckyOne Health

AEHR News & Updates Saint Joseph Wave 1 and 2 Practices Preparing for Ambulatory Electronic Health Record

OneCare for KentuckyOne Health Kentucky Leads Other States in Most Comments on CPOE Order Sets During May, received a total of 1,977 visitors who viewed the site more than 2,673 times. KentuckyOne Health physicians, clinicians and support staff visited the site 260 times, almost two times more than any other state. Top-viewing cities in Kentucky were Louisville (212 visits) and Lexington (22 visits). Kentucky’s April engagement with the order set reviewing process shows that 53 registered users (including 22 registered physicians in Kentucky) commented on 104 order sets (16 specialties) and left more than 465 comments (62 percent of all comments left were by physicians and clinicians in Kentucky). There was also continued growth in the number of registered users overall. At the end of May, Kentucky had 331 registered users (up from 274 in March), making it the region with the highest number of registered users overall (33 percent more registered users from Kentucky compared with other MBOs). KentuckyOne Health is No. 1 for both physician registered users and nursing staff registered users. Physician registered users increased by 24 percent (for a total of 110) and the nursing staff registered users increased by 21 percent (for a total of 117) over April numbers, indicating significant interest and participation. While the comment period on this group of order sets has closed, work continues to review and prioritize additional requests from Little Rock and Chattanooga as well as order set requests for Des Moines, Kentucky


and Reading. While the CPOE team anticipated having additional order sets for review and comment by midJune, the team must delay that process until they have created workable timelines to complete this important work. Tod Russell, MD, KentuckyOne Health regional chief medical informatics officer, is working with the Regional Clinical Council and clinical leadership to identify order sets that are essential for Kentucky’s electronic health record go-live. Clinicians and physicians who identify additional order sets they believe are necessary should contact Val Slayton, MD, vice president medical informatics, Jewish Hospital and St. Mary's Healthcare. Once the list of additional order sets and their development schedule is complete, the CPOE project team will make that information available. Please watch your email for updates on order set development. If you have not yet visited, register now to review and comment on upcoming order sets. If you have already registered, you can support physician participation in Kentucky by encouraging colleagues to register and participate in the continuation of order set reviews. If you have questions or comments, email Back to top

Saint Joseph Health System’s July 2 Enterprise Master Person Index Implementation Paves Way for AEHR Functionality in Kentucky The Enterprise Master Person Index (EMPI), designed to enhance the data flow of patient information from the Allscripts Enterprise Physician Practice Management System (PPMS) to the Ambulatory Electronic Health Record (AEHR), will be implemented in Saint Joseph Health System practices June 22. This implementation paves the way for practices to begin scanning paper charts in preparation for AEHR go-live. There should be no disruption to practice operations. On July 2, the EMPI will undergo a second upgrade when the Saint Joseph Health System practices will be transferred from the passive EMPI system to the enterprise-wide active EMPI system. Minimal disruptions are expected for clinics during this upgrade, and once the system is active users will notice:   

When registrars search for a person in PPMS, a query will be sent to the EMPI to search the enterprisewide database If a potential match (or matches) is found, the most up-to-date demographic information is returned from the EMPI The registrar has the option to choose the patient EMPI has in its system or create a new patient

NOTE: PPMS support teams are planning to host 30-minute webinar sessions for all end users affected by this upgrade to active EMPI. Please watch your email, as you will be contacted soon with the most up-to-date training information. For more information, please contact Patti Wendling, EMPI applications manager. Back to top

End-to-End Barcode Solutions Project Initiated in Kentucky The End-to-End Barcode Solutions (ETEBS) pharmacy barcode medication packaging project team has received approval to add KentuckyOne Health MBOs to its scope of work. Mike Ryan, ETEBS program manager, and Eddie Gee, ETEBS Cerner project manager, visited KentuckyOne Health in May to initiate the engagement at Saint Joseph Hospital and Saint Joseph East in Lexington. The next step will be to work with ETEBS business partner Pharmacy Healthcare Solutions (PHS) to conduct representative site visits at the Kentucky MBOs. More details will be shared after the PHS contract is finalized. Back to top

Oncology Electronic Health Record Project Resources Available on Interested in learning more about KentuckyOne Health’s Oncology Electronic Health Record (OEHR) project? Information and resources are now available on, including an OEHR overview presentation, talking points, Q&A and glossary, as well as project updates. KentuckyOne Health is slated to implement the OEHR in fiscal year 2013, beginning with St. Joseph Health System in Lexington. The OEHR project team is expected to meet with the Lexington oncology team midsummer to determine implementation timeframes.


The OEHR is an oncology-specific electronic health record used in medical oncology and radiation therapy settings. Customized by the markets, the OEHR will reduce fragmentation across diagnostic and treatment disciplines involved in the care of cancer patients, which includes pathology, radiology, medical, surgical and radiation oncology. As a result, patient care will be better coordinated, leading to improved patient safety and increased patient, physician and staff satisfaction. For more information about the OEHR project, contact Deb Hood, director, National Oncology Service Line. Back to top

Latest Clinical Advisory Group News At the June 7 meeting of the Clinical Advisory Group (CAG), a variety of topics were discussed, including an update on change requests for the Cerner build, and Ambulatory Electronic Health Record (AEHR) sequencing schedules, go-lives and workflows. Here are some of the meeting highlights: 

An upcoming meeting will address the design process for change requests for the Cerner build. Paulette Frost is working with team leads to review the number of change requests and streamline the process while balancing multiple programs nationally around the content. The content is due back to the teams by July 13, and will be provided to Cerner for the build by end of July.

AEHR implementation begins the end of July. AEHR is a significant project in alignment with Cerner.

Operationalization of AEHR workflows was discussed to ensure they are in sync with the go-live schedule. This work will begin in July with the teams and initial sites scheduled to go live. Policies and procedures will be implemented during this phase. A proposed schedule will be sent to managers in the near future. Staff should be included in these sessions to help ensure a smooth transition to the AEHR.

Organizational leads were recognized and commended for committing valuable time to attend the meeting and provide an overview of design review sessions.

Questions about CAG activities should be directed to Brian Norris, RN, vice president and regional chief nursing informatics officer, or CAG Co-chairs Stacie Back, RT or Cheri Davidson, RN. Back to top

Physician Advisory Group Update Highlights of the June 13 Physician Advisory Group (PAG) meeting include: 

Review and discussion of go-live sequencing, as well as the training needs assessment and training requirements.

Review and/or update of decisions related to physician relationship types in the electronic health record system, which locations would need to be treated as secure locations, and the physician-to-physician consult workflow process.

Discussion of how to approach medication reconciliation in the emergency room setting. After reviewing several options, PAG members recommended following the national CHI approach to include free-text medication reconciliation as part of the depart process patient summary.

Questions about PAG activities should be directed to Tod Russell, MD, KentuckyOne Health regional chief medical informatics officer; or Eliseo Colon, MD, PAG chair. Back to top

Physicians Will Earn Continuing Education Credit for OneCare Training Based on a national plan being developed by Learning Effectiveness, KentuckyOne Health physicians will receive credit for Cerner web-based and classroom training. Physicians are required to take web-based training before attending classroom training, and will have access to simulators and reference materials for additional practice after training. HealthStream, a leading health care education accreditation firm, will accredit all web-based courses for physicians. Mercy Medical Center, Des Moines, Iowa, is an accredited continuing medical education (CME) provider and has agreed to provide CME credit for instructor-led courses. Contacts at Mercy Medical Center


are Rosemary Mullin, director of medical staff services, and Abby Hubbard, medical education coordinator. They will be working with KentuckyOne Health to facilitate the CME process. Manoj Pawar, MD, CHI’s vice president of clinical operations improvement, will take on the role of physician course director, providing counsel and support on clinical aspects of training activities. Physician volunteers will soon be needed for studies to evaluate and determine time requirements for Cerner CME courses. Additional information will be shared when available. Back to top

Cerner News & Updates Cerner Physician System Validation Sessions Scheduled Members of the KentuckyOne Physician Advisory Group (PAG) will participate in Cerner system validation sessions July 10 and 11 in Lexington. During this final segment of the local design and build phase, physician participants will have the opportunity to make remaining design decisions and work with the Cerner system to ensure it reflects decisions made during system and design reviews. Back to top

Lessons Learned from First Cerner Implementation Prove Valuable for KentuckyOne Health On May 1, 2012, Saint Clare’s Health System in Denville, N.J., became the first CHI health system to go live on Cerner as part of the OneCare program. At the two main hospital sites, physician adoption of Computerized Provider Order Entry (CPOE) is strong, and Saint Clare’s is implementing an adoption plan to further increase the percentage of physicians entering orders electronically. As a trail blazer for other health systems preparing to go live on the Cerner system—including KentuckyOne Health—lessons learned from the implementation are especially valuable. Top lessons learned from the Saint Clare’s Cerner go-live are: 

Establish a Physician Advisory Council. A Physician Advisory Council, responsible for making design decisions and helping engage other physicians, was critical. The council began meeting more than a year before go-live and continued to meet after go-live to review change requests, system enhancements and process improvements. (KentuckyOne Health has in place a Physician Advisory Group.)

Engage super users early. Well-trained super users, available around the clock, were also critical to the success of the launch. Super users helped ensure high levels of physician and employee adoption. They should be identified early and engaged as critical members of the project team. Super users should not be pulled into regular clinical or departmental work during go-live.

Hold leaders accountable for communicating. Leaders, from executives to front-line supervisors, have a significant role to play in communicating with and engaging employees and physicians. It is important to hold them accountable for relaying information in a timely manner and serving as the main source of information. Timeliness is more crucial than ever at go-live when daily system and process updates are being made.

The Saint Clare’s Cerner project team has compiled a comprehensive lessons learned presentation, which is available on the Cerner Resources page of Back to top

AEHR News & Updates Saint Joseph Wave 1 and 2 Practices Preparing for Ambulatory Electronic Health Record Training is under way for 12 Saint Joseph Physician Enterprise practices preparing to implement the Ambulatory Electronic Health Record (AEHR). Wave 1 practices in Lexington and Mt. Sterling are scheduled to go live on the AEHR July 31. Wave 2 practices located in Lexington are on track for an Aug. 14 implementation. The KentuckyOne Health AEHR implementation will occur in 12 waves over the next six months.


The Saint Joseph Physician Enterprise AEHR implementation schedule, which includes a complete listing of practices in each wave, is available on Back to top