Women’s Health Newsletter May 2013

In This Edition

Best Practice—Revised

Finalize and Disassociate

Meet the Engineering Teams

What We’re Doing

A Story of Collaboration

Maintaining Industry Awareness

Baby-Friendly Hospital Initiative

What We’re Doing

Gravida/Para Cross Encounters

AWHONN

Community Involvement

Women’s Health Newsletter

Best Practice—Revised

Finalize and Disassociate

This is an addendum to information that was previously published in our April, 2013

newsletter. We apologize for any confusion this may cause.

The Cerner Women’s Health Team has recently reevaluated our recommendations

regarding the Finalize & Disassociate workflows that are part of FetaLink. In previous

client communications we encouraged the obstetric clinicians to finalize the FetaLink

episode as soon as possible after the fetal monitoring care has been completed and all

documentation has been done. However, because we recognize that some clinicians

may experience a delay in the ability to view archived fetal monitor episode as the

data is being processed, we are offering some alternative workflows that we believe

will help ensure that the archived strips are more readily available for viewing.

There are several major care areas where viewing archived strips is most often done.

Each of these care areas may require a different approach for finalizing FetaLink

episodes.

Labor & Delivery

Finalize and disassociate the FetaLink episode as soon as possible after the fetal

monitoring care and immediate recovery care has been completed, and all documen-

tation has been done.

Inpatient Antepartum (High-risk) Care Unit

If all indications are that mother and baby are stable, the obstetric clinician should

finalize the FetaLink episode every 24 hours at midnight. This will ensure that the

archived strip has time to process and be viewable by the physicians on their morning

rounds.

Triage/Evaluation Unit

For patients who were evaluated and admitted to the hospital:

Use the transfer functionality to move the patient’s location in FetaLink. Do not finalize

the episode. Follow the process described above for Labor & Delivery and Inpatient

Antepartum patients.

What We’re Doing

Gravida/Para Cross Encounters on

Tracking Shell

An enhancement that will allow for

the Gravida/Para to populate and

display correctly on Tracking Board

across multiple encounters is

scheduled to be released on October

9, 2013 on a 2012.01 Service

Package.

You may track this enhancement

with CR number 1-4181864079.

May 2013

Best Practice—Revised Continued

For patients who were evaluated but sent home:

Once the fetal monitoring care has been completed, disassociate the patient from

the device but do not finalize the episode. The patient will remain in a hold bed

temporarily with an active FetaLink episode. Historical fetal monitoring data will be

quickly retrievable in the event that the patient returns for care after a short time.

It is advised that your organization define a process around who is responsible for

finalizing those FetaLink episodes at a later time, during a period of slower unit

activity. This should be done within 24 hours of the patient’s triage visit, in order to

efficiently manage the hold bed list.

We recommend finalizing the triage episodes at midnight, in order to ensure that the

archived strip has time to process and be viewable by the physicians on their morning

rounds. However, clinical assessment may dictate a more appropriate time to finalize

specific patient episodes, depending upon the patient care scenario.

Other Considerations

The above recommendations are provided as a guide; however, clinical judgment

always prevails when determining your fetal monitoring workflow.

It is important for clinicians to add a Reason for Monitoring as soon as possible when

the patient is beginning her fetal monitor episode. This helps to identify the archived

episode at a later time, and it ensures that the person responsible for finalizing the

episode has the Reason for Monitoring already documented by the clinician who

actually took care of the patient.

When a patient is disassociated from a fetal monitor device, but the episode is not

finalized until a later time, the FetaLink system will, upon finalization, automatically

stop the episode end date/time whenever it finds the last device disassociation.

Therefore, the episode length will adjust retroactively based on the time that the

device was disassociated from the patient. However, if the patient is disassociated,

but then re-associated after a period of inactivity, then finalized, that empty space in

between the two associations will become part of the FetaLink episode.

Did You Know

Cerner does not charge for

PowerChart Maternity and FetaLink

software upgrades.

Each Cerner Women’s Health project

is supported by a Women’s Health

RN, from kickoff through post

conversion assessments.

Our client service managers are

former L&D nurses.

Women’s Health Newsletter

Got News?

Do you have good news to share

about your facility? We’d love to

share it with our community

members.

Send your information to

WomensHealth@Cerner.com

and we will include it in our

monthly newsletter.

Meet the Engineering Teams

The Women’s Health Development Team is comprised of four Software Architects,

ten Software Engineers, four Test Analysts, a Solution Designer, and two Leaders –

spanning two continents. Collectively, we are responsible for the development and

support of FetaLink, FetaLink+, Pregnancy and Neonate Summaries. Combined, they

have over 150 years of engineering experience, with 100 of those years at Cerner.

Kansas City team

L to R back row: Stacy St. John, Dan Plubell, Mark Inman, Greg Kuttenkuler, Andrea Freeland;

L to R front row: Katie Carter, Vasumathi Sridharan, River Wu, Sneha Shah, Nilesh Singhania

India Team

L to R back row: Shiv Kumar Das, Narendra Varna, Ashwin Kumar, Katie Carter, Venkat Dodla, Shivakumar

Byadgi, Ramakanth Nayak, Santosh Bhat, Sujith Mohan; L to R front row: Samir Muranjan, Shruthi

Upparagattimath, Tanu Shekhawat, Siddaramaswamy Thippeswamy

What We’re Doing

Women’s Health - A Story of Collaboration

Healthcare Executive Michelle Padgett will be presenting at the upcoming 2013

Canada Leadership forum.

Abstract:

Women's Health service lines were some of the earliest adopters of electronic

documentation. As advances have been made in women's health, so too has the

documentation and tools needed to deliver safe and effective care for this special

population. With a client base that accounts for more than a half million annual births

worldwide, understanding how our clients have pushed us to support them in a quest

for a truly integrated medical record for mothers and babies. The presentation will

focus on the evolution of our products and where our solutions are going.

May 2013

Save the Date

Cerner Health Conference

Mark your calendars now!

Cerner Health Conference (CHC)

Oct 6, 2013 - Oct 9, 2013

Kansas City, Missouri

Stay tuned for more information

around the Women’s Health

educational track and activities that

will be happening throughout the

Cerner Health Conference.

Meet the Engineering Teams (continued)

Edge Development

The Edge Development team is responsible for the creation of new, up and coming

solutions such as VON, Risk Analyzer and Pap Smear Tracker. Combined, they have

almost 15 years of engineering experience, with 9 of those years at Cerner.

Snehadeep Sethia, Krystal Cunningham

Women’s Health Newsletter

Maintaining Industry Awareness

Baby-Friendly Hospital Initiative

Breastfeeding offers benefits to mothers and babies alike. Breast milk provides a

superlative mix of nutrients and antibodies conducive to infant development.

Evidence exists demonstrating the correlation between breastfed children and fewer

and less serious illnesses, including reduced SIDS risk, childhood cancers, and diabetes.

Research also demonstrates that breastfed babies have higher IQ scores and better

brain and nervous system development. Mothers who breastfeed are healthier, too!

Recent studies conclude that women who breastfeed are at decreased risks of breast

and ovarian cancer, anemia, and osteoporosis. These advantages translate to

decreased healthcare costs and diminished financial burden on families and third party

payers, as well as on community and government medical programs.

The Baby-Friendly Hospital Initiative (BFHI) is a global program that was launched by

the World Health Organization (WHO) and the United Nations Children’s Fund

(UNICEF) in 1991 to encourage and recognize hospitals and birthing centers that offer

an optimal level of care for infant feeding and mother/baby bonding. Birthing centers

are recognized and awarded after implementing the Ten Steps to Successful

Breastfeeding and the International Code of Marketing of Breast-milk Substitutes. The

BFHI assists hospitals in giving mothers information, confidence, and skills necessary to

initiate and continue breastfeeding their babies or feeding formula safely, and gives

special recognition to hospitals that have done so.

Becoming a Baby-Friendly facility is a comprehensive, detailed and thorough journey

toward excellence in providing evidence-based, maternity care with the goal of

achieving optimal infant feeding outcomes and mother/baby bonding. It compels

facilities to examine, challenge and modify longstanding policies and procedures. It

requires training and skill building among all levels of staff. It entails implementing

audit processes to assure quality in all aspects of maternity care operations.

Tips & Tricks

When should you document Reason

for Monitoring?

The Cerner recommended workflow

is to document this at the time of

admission/association as it

populates the FetaLink census and

also labels your monitoring episode

for easy retrieval when archiving a

fetal monitoring strip.

May 2013

Maintaining Industry Awareness (continued)

As of January, 2013, the following Women’s Health clients have attained the baby-

friendly designation:

Corona Regional Medical Center

French Hospital Medical Center

Mease Countryside Hospital

Middlesex Hospital

Mission Hospital

Morton Plant Hospital

University of Washington Medical Center

Ventura County Medical Center

Cerner and PowerChart Maternity support the Baby Friendly Hospital Initiative with

Perinatal Care Core Quality Measures Reports available for client use with Solution

Code LH-22523 – Core Measures: IQR Perinatal Care w/ eQuality Check. When the

Perinatal Care Core Quality Measure Order is initiated and a link is established

between mother and baby using the Related Records functionality in PowerChart

Maternity, a Quality Measures MPage component prompts clinicians to document

relevant information to satisfy Joint Commission's performance measurement

requirements, including Perinatal Care Core Measure 05 (PC-05): Exclusive Breast Milk

Feeding. Once information has been documented, reports are available to run to

determine the facility’s compliance with the Perinatal Care Core Quality Measures.

These reports can also promote accomplishments required to obtain Baby-Friendly

status.

The journey to attaining Baby-Friendly status is exciting, challenging, and worth it. It

creates opportunities to develop high performance work teams and build leadership

skills among staff, promotes employee pride, enhances patient satisfaction, and

improves health outcomes.

http://www.babyfriendlyusa.org http://www.who.int/nutrition/publications/code_english.pdf

FAQ

New Depart Process

CR 1-4076099151 has been

approved allowing the actual Close

Pregnancy functionality to be

accessed and available from the

Depart Process menu. The “Close

Pregnancy” icon will need to be

added to the Depart Process menu

build.

Once this is visible and the package

has been taken, the clinician is able

to click on that icon and it will take

them directly to the close pregnancy

window. This will facilitate the close

pregnancy process. The code is

available for 2012.01 on the May 1

service package, #65357 or as an

exception package, #65019.

Women’s Health Newsletter

AWHONN

The Women’s Health team is expanding our presence at the Association of Women's

Health, Obstetric and Neonatal Nurses, (AWHONN) conference, June 15th-19th in

Nashville, TN. By teaming up with DeviceWorks and Clairvia, for the first time we are

able to feature the breadth of Cerner solutions available that focus on improving effi-

ciencies in a hospitals maternity unit. AWHONN’s nursing focused attendees will have

the opportunity to experience FetaLink, PowerChart Maternity and FetaLink+ as well

as Care Connect, Infusion Pumps, MyStation and BreastMilk Tracking. Based on survey

results at last years’ conference, one of the biggest pain points for L&D nurses and

units was the lack of an L&D acuity-based workforce management tool. We are very

excited to be able to share a solution to this problem in our booth this year. Stop by

and visit us at booth #129.

Reception and Site Tour

Are you attending the AWHONN Conference in Nashville?

Join us for a Reception and Hospital Site Tour Hosted by Baptist Hospital

Tuesday, June 18th, 5:00 - 7:00 p.m.

Rotate from guided tours of Baptist Hospital’s Labor & Delivery unit, to a reception

full of hors d'oeuvres and wine, where you’ll have the opportunity to network with

your peers and Cerner experts!

Transportation provided! Shuttles will pick up from the Gaylord at 4:45 pm and

will return back at 7:00pm. Please to register for this event so we can send you up

-to-date information about the shuttle pickup location

Please pre-register for this event using this link:

https://applications.cerner.com/surveys/Survey.aspx?

s=8ad985ceda1c4be59f44ac1b6709343e

For a printable/emailable version of the event invitation:

https://connect.ucern.com/message/1438099#1438099

Package Releases

4.5 Pregnancy Summary and

Neonate Summary

The 4.5 Pregnancy and Neonate

Summaries are now Generally

Available (GA).

64341 -- MPages: Pregnancy

Summary Configuration 4.5

(March 2013)

64350 -- MPages: Neonate

Summary Configuration 4.5

(March 2013)

May 2013

Community Involvement

May 12-18th is National Women’s Health Week/Month

In support of National Women’s Health Month, Cerner participated in the Heart Walk

held Saturday, May 18th at Theis Park in Kansas City.

Healthy living is important to us! This month, Cerner has been offering wellness

classes and activities focused on women’s health. Among those were:

Work Life Integration for the Working Mom

Life Clubs - Best Life Ever

Fitness Equipment Orientation

Fitness and Bone Health

Life Cycle for Women

AFV Cooking Class

Nutrition for Pregnancy

Weight Loss: Understanding Caloric Deficit

Content

Suggestions

The Women’s Health team under-

stands your time is valuable and we

want to ensure you are receiving

benefit from this newsletter.

We would love to hear about topics

you would like to see covered in

future issues.

Please send your topic suggestions

to WomensHealth@Cerner.com

We look forward to hearing from

you!