Review of CernerReview of Cerner

Nur 3563Nur 3563Scott GregoryScott Gregory

Crystal GrigsbyCrystal Grigsby

Nandini RaiNandini Rai

Abstract

In this presentation Cerner’s clinical information system that is used by University of Illinois in Chicago will be evaluated. The criteria by which it was evaluated will be displayed in the PowerPoint. Benefits will be outlined in the following slides.

Cerner Millennium Cerner Millennium InpatientInpatient

Sub Systems/Integrated Sub Systems/Integrated SystemsSystems Cerner consists of numerous sub Cerner consists of numerous sub

systems/integrated systems.systems/integrated systems. Cerner is a complex customizable Cerner is a complex customizable

platform with applications or platform with applications or solutionssolutions as Cerner calls them. These as Cerner calls them. These solutionssolutions can be modified, added or removed to can be modified, added or removed to tailor it’s use for a given health system. tailor it’s use for a given health system.

Cerner consists of two primary sub Cerner consists of two primary sub systems: Cerner Millenium and Cerner systems: Cerner Millenium and Cerner Powerworks. Powerworks.

Continued Sub Systems and Continued Sub Systems and Integrated SystemsIntegrated Systems

Cerner Millennium platform will be Cerner Millennium platform will be focused on as the review of Cerner CIS focused on as the review of Cerner CIS will by on inpatient care only. will by on inpatient care only.

•• Access ManagementAccess Management •• BiosurveillanceBiosurveillance •• CardiovascularCardiovascular •• Clinical ImagingClinical Imaging •• Community HealthCommunity Health •• Consumer HealthConsumer Health •• CPOECPOE •• Critical CareCritical Care

Continued Sub Systems and Continued Sub Systems and Integrated SystemsIntegrated Systems

•• Document ImagingDocument Imaging •• Acute Care Electronic Medical Acute Care Electronic Medical

RecordRecord •• Emergency DepartmentEmergency Department •• Health Information ManagementHealth Information Management •• Healthcare DevicesHealthcare Devices •• HomecareHomecare •• Knowledge SolutionsKnowledge Solutions •• LaboratoryLaboratory •• OncologyOncology •• Outcomes ManagementOutcomes Management

Continued Sub Systems and Continued Sub Systems and Integrated SystemsIntegrated Systems

•• Patient AccountingPatient Accounting •• Patient CarePatient Care •• PerioperativePerioperative •• PharmacyPharmacy •• Physician PracticePhysician Practice •• Point of CarePoint of Care •• RadiologyRadiology •• Revenue CycleRevenue Cycle •• Supply ChainSupply Chain •• Women's HealthWomen's Health

Continued Sub Systems and Continued Sub Systems and Integrated SystemsIntegrated Systems

•• Workforce ManagementWorkforce Management •• Academic/ResearchAcademic/Research •• Community/RegionalCommunity/Regional •• Integrated Delivery Networks Integrated Delivery Networks

(IDN)(IDN) •• Pediatric/Children'sPediatric/Children's

Cost

Based on assessment of hospitals needs

Cerner declined and tell an amount due to the variety of hospitals and their needs

Unable to obtain initial start up and maintenance costs due to it being based on each individual hospitals needs

CIS and Focus Health CIS and Focus Health SystemSystem

Cerner Clinical Information Systems Cerner Clinical Information Systems are used by the most prestigious are used by the most prestigious Research Hospitals and Trauma Research Hospitals and Trauma Centers in the Nation. Centers in the Nation.

University of Illinois Medical Center University of Illinois Medical Center in Chicago uses many systems Cerner in Chicago uses many systems Cerner offers for the care of their patients. offers for the care of their patients.

University of Illinois Medical Center University of Illinois Medical Center in Chicago has 507 inpatient beds. in Chicago has 507 inpatient beds.

Benefits

*Reduced chart requests from HIM by 85%*Decreased loose sheets in paper charts by 80%*Streamlined file clerk positions by 67%*Accelerated turnaround time for order written to verified from 15+ minutes to three*Increased annualized ED net revenue by $1.2 million (projection)

Budget impact analyses Budget impact analyses help our

clients model the potential financial effects that payers will see as new healthcare products and services are adopted. Clients use this tool to effectively communicate with payers if a particular product can be “budget neutral,” “saving” or “expense.”

Reasons to buy A single source to fulfill all of your business and competitor

intelligence needs   

Research your competitors business structure, strategy and prospects. 

   Counter your competitors strengths and target their weaknesses.

    Identify your competitors key revenue streams by market and geography.

    Identify and assess potential corporate and investment opportunities

    Support sales activities by understanding your customers businesses better.

    Identify potential competitor products before they reach market.

    Qualify prospective partners and suppliers order the full profile

UIC Medical CenterUIC Medical CenterSub Systems/Integrated Sub Systems/Integrated

SystemsSystems Cerner Solutions: Cerner Solutions:

PowerChart®® PowerOrders® (CPOE)® (CPOE) PharmNet®® CareNet® Nursing Documentation® Nursing Documentation ProFile®ProFile® ProVision™ Document Imaging, ProVision™ Document Imaging,  Enterprise Registration ManagementEnterprise Registration Management PathNet®PathNet®

Clinical Guidelines & Clinical Guidelines & Available Clinical Available Clinical

ReferencesReferences ““Cerner Knowledge Solutions improve quality by Cerner Knowledge Solutions improve quality by

embeddingembeddinginformation from regulatory and quality standards information from regulatory and quality standards organizations like JCAHO, CMS, the Leapfrog organizations like JCAHO, CMS, the Leapfrog Group and National Forum for Health Care Quality Group and National Forum for Health Care Quality Measurement and Reporting.” Measurement and Reporting.”

““Because clinical content and treatment of clinical Because clinical content and treatment of clinical conditionsconditionscan change rapidly, Cerner has developed Clinical can change rapidly, Cerner has developed Clinical KnowledgeKnowledgeManagement Tools such as Cerner Knowledge Management Tools such as Cerner Knowledge Manager (CKM) and Knowledge Compiler Wizard.”Manager (CKM) and Knowledge Compiler Wizard.”

Data Back UpData Back Up Data Entry and Recovery with Oracle Data Entry and Recovery with Oracle

RMAN system is a highly efficient RMAN system is a highly efficient system.system.

Databases can be customized from single Databases can be customized from single limited data bases to multiple database limited data bases to multiple database unlimited storage systems. unlimited storage systems.

The needs of a hospital are ever changing The needs of a hospital are ever changing and this system can grow with them.and this system can grow with them.

Data entry and recovery happen Data entry and recovery happen separately increasing speed of data separately increasing speed of data usage. usage.

SecuritySecurity

Charts are more secure than ever. Charts are more secure than ever. Charts are password protected. Charts are password protected. Charting is paperless, decreasing Charting is paperless, decreasing the information that can get into the the information that can get into the wrong hands. wrong hands.

Only necessary people may enter or Only necessary people may enter or use the information in a chart. use the information in a chart.

System Users and System Users and SupportSupport

As said previously, the As said previously, the solutions solutions Cerner offers vary by need from Cerner offers vary by need from surgery to primary care. System users surgery to primary care. System users of a given system log on via strong of a given system log on via strong passwords and are able to document. passwords and are able to document.

Cerner has a support system that is Cerner has a support system that is available 24 hours a day and 365 days available 24 hours a day and 365 days per year. They are always on call to per year. They are always on call to address a hospitals needs. address a hospitals needs.

Components of EHRComponents of EHR According to McGonigle and According to McGonigle and

Mastrian in Mastrian in Nursing Informatics and Nursing Informatics and the Foundation of Knowledge the Foundation of Knowledge there there are eight components to being a are eight components to being a perfect Electronic Health Record.perfect Electronic Health Record.

These components emphasizes on These components emphasizes on the functions that promotes patient the functions that promotes patient safety which is a universal safety which is a universal denominator that everyone in health denominator that everyone in health care can accept.care can accept.

Components of HER (IOM, Components of HER (IOM, 2003)2003)

1.1. Health information and dataHealth information and data

2.2. Results managementResults management

3.3. Order entry managementOrder entry management

4.4. Decision supportDecision support

5.5. Electronic communication and Electronic communication and connectivityconnectivity

6.6. Patient supportPatient support

7.7. Administrative processesAdministrative processes

8.8. Reporting and population health Reporting and population health managementmanagement

Health Information and Health Information and DataData ProFileProFile® helps manage all the ® helps manage all the

information of a patient and also information of a patient and also update it when needed. update it when needed.

ProFileProFile® not only helps to manage it ® not only helps to manage it but also support and monitor the but also support and monitor the health information of a patient. health information of a patient.

It concurrently helps track paper It concurrently helps track paper charts, analyze imaged documents and charts, analyze imaged documents and assimilate discrete data from clinical assimilate discrete data from clinical applications for release of information.applications for release of information.

Result ManagementResult Management Outcome management is a collection Outcome management is a collection

of programs in Cerner which helps of programs in Cerner which helps measure, predict, and advance the measure, predict, and advance the health outcome of a patient.health outcome of a patient.1.1. Lighthouse® Lighthouse®

2.2. MPages MPages

3.3. Health Facts Health Facts

4.4. PowerInsight Outcomes ManagementPowerInsight Outcomes Management

Order Entry ManagementOrder Entry Management PowerWorksPowerWorks®® ePrescribe ePrescribe helps helps

physicians prescribe medications in physicians prescribe medications in seconds and also helps a lot when it seconds and also helps a lot when it comes to patient safety. No calls and comes to patient safety. No calls and faxes to be sent anywhere, it’s just on faxes to be sent anywhere, it’s just on the tip of the physicians hand.the tip of the physicians hand.

PowerWorksPowerWorks®® ePrescribe ePrescribe partners with partners with SureScriptsSureScripts® ® to provide electronic to provide electronic network transmission with SureScriptsnetwork transmission with SureScripts®® having a 95% connectivity with having a 95% connectivity with pharmacies all over the country.pharmacies all over the country.

Decision SupportDecision Support CareAwareCareAware MDBus™, MDBus™,

CareAwareCareAware  iCommandiCommand and and CareAwareCareAware  iAwareiAware, , myStationmyStation, , RxStationRxStation™ and the Cerner Smart ™ and the Cerner Smart Room are the programs used by Room are the programs used by clinicians and physicians to ensure clinicians and physicians to ensure safety of the patient and also help them safety of the patient and also help them make a call or a decision on any make a call or a decision on any circumstances, as these applications circumstances, as these applications provide detailed information about the provide detailed information about the patient’s medical history, allergies, etc.patient’s medical history, allergies, etc.

Decision SupportDecision Support These are some of the links to see how These are some of the links to see how

CareAwareCareAware MDBus™, MDBus™, CareAwareCareAware  iCommandiCommand and and CareAwareCareAware  iAwareiAware, , myStationmyStation, , RxStationRxStation™ works.™ works.

1.1. http://www.youtube.com/watch?http://www.youtube.com/watch?v=ScGAAxlWtEsv=ScGAAxlWtEs

2.2. http://www.youtube.com/watch?v=fHsz8EFEnj4http://www.youtube.com/watch?v=fHsz8EFEnj4

3.3. http://www.youtube.com/watch?http://www.youtube.com/watch?v=PkyVUMyfy70v=PkyVUMyfy70

4.4. http://www.youtube.com/watch?http://www.youtube.com/watch?v=F9dR8EahEa4v=F9dR8EahEa4

Electronic Electronic Communication and Communication and

ConnectivityConnectivity Cerner is very advanced in the fields of Cerner is very advanced in the fields of electronic communication and electronic communication and connectivity. connectivity.

Patient centered communication is Patient centered communication is provided via telemedicine and RFID provided via telemedicine and RFID tracking solutions.tracking solutions.

They provide this through:They provide this through:

1. iNet Virtual1. iNet Virtual

2. Cerner Smart Room2. Cerner Smart Room

3. Room Wizard3. Room Wizard

4. Cerner Portal Solution4. Cerner Portal Solution

Electronic Electronic Communication and Communication and

ConnectivityConnectivity IQ HealthIQ Health™ patient portal works ™ patient portal works together with together with Power WorksPower Works®® Electronic Electronic Medical RecordMedical Record (EMR) to connect the (EMR) to connect the patent with the health care system or a patent with the health care system or a practice.practice.

It works in implementing different areas It works in implementing different areas and not only communication.and not only communication.

It helps practices work better with their It helps practices work better with their patients when it comes to giving them patients when it comes to giving them good care and also help provide patient good care and also help provide patient safety.safety.

Electronic Electronic Communication and Communication and

ConnectivityConnectivity IQ HealthIQ Health™ patient portal provides ™ patient portal provides

centralized storehouse for the centralized storehouse for the patient’s health information, for patient’s health information, for themselves and their families.themselves and their families.

If permission is granted by the If permission is granted by the patient to the physician, the patient to the physician, the physician can keep a close eye on the physician can keep a close eye on the patient-recorded health information patient-recorded health information and helps them to make more and helps them to make more informed decision on his/her care.informed decision on his/her care.

Patient SupportPatient Support Cerner is willing to help patients, Cerner is willing to help patients,

organizations, health care systems in organizations, health care systems in any and every way possible.any and every way possible.

Cerner in cooperates five learning Cerner in cooperates five learning processes:processes:

learn-by-doing, performance-based, learn-by-doing, performance-based, just-in-time, real-time, and relevance.just-in-time, real-time, and relevance.

Cerner’s Support System updates Cerner’s Support System updates themselves very often to provide the themselves very often to provide the best support they can to their patients best support they can to their patients in a quick and effective manner.in a quick and effective manner.

Patient Support contd.Patient Support contd. Cerner provides patient support by Cerner provides patient support by

the following programs:the following programs:1. Method M® Online1. Method M® Online

2. Cerner Bedrock System2. Cerner Bedrock System

3. Lights on Network3. Lights on Network

4. Cerner Discern4. Cerner Discern

5. Millennium Lighthouse®5. Millennium Lighthouse® Method M ® is most often used- integrates Method M ® is most often used- integrates

recommended approaches and predictable recommended approaches and predictable processes for better outcomes across the processes for better outcomes across the entire healthcare continuum and application entire healthcare continuum and application lifecycle.lifecycle.

Education

After purchasing the software as an employee of the health system you choose your own login and password to access Cerner’s education website

Cerner also offers a “project team” to come out and train staff and educators for your hospital

Administrative ProcessesAdministrative Processes PowerWorks® Business Office ServicesPowerWorks® Business Office Services

(BOS) manages front and back office tasks. (BOS) manages front and back office tasks. Front Office Tasks:Front Office Tasks:

patient registration, charge data entry and encounter patient registration, charge data entry and encounter data data 

Back Office Tasks:Back Office Tasks: full accounts receivable management and collections full accounts receivable management and collections 

Reporting on key business functions.Reporting on key business functions. co-ordinates administrative functions, co-ordinates administrative functions,

including data entry, charge and claims including data entry, charge and claims management and client patient statements.management and client patient statements.

Reporting and Reporting and Population Health Population Health

ManagementManagement

Cerner as a whole systemCerner as a whole system Cerner as a clinical information system is Cerner as a clinical information system is

very detailed one and is divided into different very detailed one and is divided into different sections which makes it easy to search for a sections which makes it easy to search for a particular question/concern/topic we are particular question/concern/topic we are looking for.looking for.

It has a vast array of information on health It has a vast array of information on health care system in almost every specialized field care system in almost every specialized field and makes it and makes it easyeasy, not only for the physicians , not only for the physicians or health care institutes but even for the or health care institutes but even for the patients whether it be trying to gain patients whether it be trying to gain information on their health or medical records information on their health or medical records or trying to learn something new.or trying to learn something new.

Conclusion

Cerner offers safe and reliable entry of data

Improves efficiency and decrease in cost It offers a user friendly order entry

made by physicians only Cerner offers 24/7 year round assistance You can access education online any

time of the day as well as seek assistance from the support team

Reference PageReference Page Cerner Millennium CIS 2007. Cerner Millennium CIS 2007. Solution Areas. Solution Areas. Retrieved from Retrieved from

http://cerner.org/public/Cerner_3.asp?id=133http://cerner.org/public/Cerner_3.asp?id=133 McGonigle, D, & Mastrain, K (2009). McGonigle, D, & Mastrain, K (2009). Nursing Informatics and the Nursing Informatics and the

Foundation of Knowledge. Foundation of Knowledge. Sudbury, Massachusetts: Jones and Sudbury, Massachusetts: Jones and Barlett.Barlett.

CernerCorporation (2009, May 29). CareAware™ MDBus [Video CernerCorporation (2009, May 29). CareAware™ MDBus [Video File]. Retrieved from http://www.youtube.com/watch?File]. Retrieved from http://www.youtube.com/watch?v=ScGAAxlWtEsv=ScGAAxlWtEs

CernerCorporation (2009, May 29). CareAware™ myStation CernerCorporation (2009, May 29). CareAware™ myStation [Video File]. Retrieved from http://www.youtube.com/watch?[Video File]. Retrieved from http://www.youtube.com/watch?v=fHsz8EFEnj4v=fHsz8EFEnj4

CernerCorporation (2009, June 10). CareAware™ iAware [Video CernerCorporation (2009, June 10). CareAware™ iAware [Video File]. Retrieved from http://www.youtube.com/watch?File]. Retrieved from http://www.youtube.com/watch?v=PkyVUMyfy70v=PkyVUMyfy70

CernerCorporation (2009, July 16). CareAware™ iAware [Video CernerCorporation (2009, July 16). CareAware™ iAware [Video File]. Retrieved from http://www.youtube.com/watch?File]. Retrieved from http://www.youtube.com/watch?v=F9dR8EahEa4v=F9dR8EahEa4

CernerCorporation Retrieved from CernerCorporation Retrieved from http://www.cerner.com/public/Cerner_3.asp?id=31065http://www.cerner.com/public/Cerner_3.asp?id=31065

Globalmarketsdirect Retrieved from Globalmarketsdirect Retrieved from http://www.globalmarketsdirect.com/Report.aspx?http://www.globalmarketsdirect.com/Report.aspx?ID=Cerner_Corporation_Medical_Equipment_Company_Share_AnID=Cerner_Corporation_Medical_Equipment_Company_Share_Analysis&CompanyID=me-bralysis&CompanyID=me-br