Women’s Health Newsletter December 2012

In This Edition

Did You Know

Breastmilk Tracking

What We’re Doing

FetaLink UI Survey Results

Save the Date

FetaLink 1.9.4 Illuminations Session

Maintaining Industry Awareness

Cardiovascular Disease Risk

Client Spotlight

Fort Healthcare

Women’s Health Newsletter

Did You Know We offer a Breastmilk management solution

Through bar-code scanning technology, Cerner Bridge® Breast Milk Management helps

caregivers give the correct mother’s milk to the correct infant at the time of feeding.

By ensuring positive patient identification, the solution increases patient safety and

supports nursing workflow from receiving to administering. Clinicians use Cerner

Bridge Breast Milk Management together with Cerner Millennium POC™ (point of

care) solutions or as a standalone system to support all required documentation,

including any comments associated with the feeding.

Solution at a Glance

Offers the ability to document the amount of milk given as well as any additives

Provides support for both donor milk and mother’s milk

Enables the tracking, storage, thawing, combining of products as well as expiration dates

Provides support for multiple births

Key Benefits

Positive patient identification of infants during feeding of expressed breast milk

Support of both donor milk and mother’s milk

Tracked storage, thawing, combining of products as well as expiration date

If your site is interested, contact John.Folmnsbee@Cerner.com

Community

Involvement

Giving Back this Holiday Season

The Women’s Health team decided to

collect donations for a local women’s

shelter this holiday season, and chose

Synergy Services. Synergy Services,

Inc. began in 1970 as Synergy House,

the only shelter for runaway and

homeless youth in western Missouri.

Through the years, a series of both

serendipitous and strategic mergers

expanded the organization’s reach to

include young children and women

victimized by abuse. Today, Synergy

provides a full continuum of care to

assist individuals and families with

immediate respite from violence, and

services which empower clients to find

and choose good options for future

safety and success. In addition to their

work to treat the effects of violence,

they provide supportive services to

families in crisis in an effort to prevent

violence. Additionally, they focus on

community education and social

change in an effort to build a safer and

more humane society.

December 2012

FAQ How long can the fetal monitoring

strips be stored, and does Cerner ever

purge the data? The fetal monitoring

strips are permanently stored in the

CAMM (archive storage) and are not

purged.

If a baby has a different last name

than mom - does related records func-

tionality still work the same?

Yes, related records functionality will

allow the clinician to quickly access the

related chart (mom to baby or baby to

mom)– regardless of the baby having a

different last name.

When does the link for related records

get broken between mom and baby?

The related records link is not broken

automatically. It is Cerner recommenda-

tion that the client create a policy as to

when this link is to be manually broken.

We have seen hospitals manually break

the link when the baby is discharged and

have also seen them leave the baby and

mom linked for several years. In the

case of adoption or surrogacy, Cerner

recommends that each organization

follow state guidelines. The baby can be

registered independently of the birth

mother (thus never creating a link), the

link can be broken as soon as the baby is

born, or the link can be broken after the

delivery information has been result

copied to the baby’s chart. (Note –

when result copying delivery infor-

mation to the baby’s chart, there are no

personal identifiable markers to the

birth mother.)

What We’re Doing FetaLink UI Survey Results

A FetaLink survey link was recently made available to members of our Women’s

Health Collaboration Community, to gather feedback on FetaLink design and use.

48 people participated in the survey. 50% were L&D nurses, 42% were IT personnel,

and the remaining survey-takers represented a varied list of OB clinical areas.

What were some common responses?

Logging in and out of the application:

34.4% of users would like to be prompted in the application. 43.8% would like an auto

logout.

Census:

63% would like to see more clinical data on the FetaLink Census, such as physician

name, EGA, G/P, or Reason for Visit.

Alerting:

65.6% would like to see which rooms are alerting from the Census.

Names to consider changing:

Charting mode (53.6% in favor of changing)

Archive (59.3% in favor of changing)

Patient archive (53.6% in favor of changing)

Clinical link (60.6% in favor of changing)

Device (64.3% in favor of changing)

Workflow tools that were not commonly used:

Change User (77.4% rarely or never used this)

Help Files (74.2% rarely or never use this)

Time scale options (58.1% rarely or never use these)

Workflow tools that were commonly used:

Retroactive association (64.3% use this most or all of the time)

A common theme noted throughout was the desire for more integration with

PowerChart Maternity. In addition, it was common (67.8%) of users to select actions

they did not intend to within the application.

This survey will be utilized to provide insight and feedback into the needs of the

FetaLink user. One of our key initiatives for upcoming FetaLink releases is to enhance

usability. Thank you to all who provided input, and be on the lookout for new surveys

coming soon!

Women’s Health Newsletter

Save the Date!

FetaLink 1.9.4 Illumination Session

A client session of this Illumination is scheduled for Tuesday, December 18, 2012 1:00

PM CT.

Description of Session

Join Jill Meier for a session on FetaLink’s newest release, FetaLink 1.9.4. FetaLink is

Cerner’s maternal and fetal monitoring system that facilitates the flow of data from

fetal monitor devices to provide a graphical display of the relationship between fetal

heart rates and contraction data. FetaLink also stores and displays waveforms and

annotations- information clinicians can view on a display monitor at the bedside,

throughout the hospital or clinic, and through remote access.

During this session you will get an overview and demonstration of the newest

features that are a part of FetaLink 1.9.4.

This Illumination session will focus on the following new features:

• Documentation Integration

• Black Background Option

• Snapshot

• Enhanced gridlines in PDF

Registration

To register for the session, click the link below. You will need a Cerner.com user name

and password.

https://applications.cerner.com/members/illuminations/IllumDetails.aspx?

illumid=4328

Once the registration is completed and approved, you will receive a meeting link to

gain access to the session.

Tips and Tricks

Open Pregnancy by EGA/EDD

Report

The Open Pregnancy by EGA/EDD

report gives providers the ability to

quickly query for the patients that

still have an open pregnancy, based

on user prompt inputs.

One of the uses for this report is to

identify patient records needing to

have the pregnancy instance closed

with an Unknown outcome.

We recommend any pregnancy

more than 44 weeks be closed.

December 2012

Tips and Tricks

(continued)

This is important if a patient does not

return for delivery or if her pregnancy

was never closed and returns with a

new pregnancy, then the former preg-

nancy will be historical and show in her

pregnancy history.

For clients with Powerchart Maternity

Acute only, we recommend the preg-

nancy be closed at discharge once all

documentation is complete. For clients

with Powerchart Maternity Acute and

Ambulatory, we recommend to close

the pregnancy at the 6 week postpar-

tum visit in the office.

Maintaining Industry Awareness:

Cardiovascular Disease Risk

According to the CDC, a correlation exists between pregnancy state, birth outcome

and future risk of cardiovascular disease (CVD).

8% of pregnant women have high blood pressure during pregnancy, putting them at

three times greater risk for developing hypertension and two times greater risk for

developing heart disease later in life.

Women who deliver before 37 weeks or have a growth restricted infant are two times

more likely to develop CVD later in life.

One in ten pregnancy-related deaths are attributable to CVD.

For more detailed information, refer to the CDC’s fact sheet, “Cardiovascular Disease

(CVD) and Risk Factors for CVD Among Women of Reproductive Age.”

http://www.cdc.gov/reproductivehealth/WomensRH/PDF/CVDFactsheet_508.pdf

Women’s Health Newsletter

Client Spotlight

Fort Healthcare

Fort HealthCare is an independent, 110 bed

Level 1 hospital that went live with 55 Cerner

solutions on August 1, 2011, including

Powerchart Maternity and FetaLink. The OB

department has approximately 500 deliveries

a year with four obstetricians and four family

practice physicians.

Prior to the implementation of Powerchart

Maternity we used computerized documenta-

tion in OB, but the prenatal information

obtained at the office was a paper prenatal

record. This prenatal information was relayed

to the OB department via faxes, beginning at

20 weeks and continued with updates monthly

until 36 weeks, when it changed to weekly updates. As one can imagine, we used a lot

of paper to maintain pregnancy communication and this was not always a reliable

method for accessing current and updated health information.

To prepare for the implementation of Cerner and Powerchart Maternity, we began

training our nurses approximately six weeks before go-live in small, hands-on, four

hour sessions for a total of 12 hours. The week before we went live we trained them

in another hands-on class for FetaLink, and also used this session as a review of

Powerchart Maternity basics.

In addition to the two nurses who worked with Cerner from the beginning, we trained

five additional Super users to assist with go live support. For the first two weeks of go

live we had a Super user present on each shift to assist staff with their documentation

and build their confidence with the new system.

Happy Holidays! Wishing you the warmest wishes of

the Season, from our women’s

health family to yours!

It is believed the first fruitcake

was made in Roman times when

Romans preserved fruits that were

out of season. And they made cake

out of the fruit.

December 2012

Client Spotlight (continued)

We started auditing charts almost immediately after the implementation and offered

feedback, both positive and constructive, to each nurse. We continue to do monthly

documentation audits and provide staff with their individual audit percentages, helpful

hints and suggestions for improving their documentation. In addition to this, we offer

required quarterly Cerner Review Sessions to the nurses. We share changes with the

system, and through the audits, we identify areas that need to be reviewed with staff

to increase their documentation compliance. These are likely the biggest reasons we

have been so successful with our implementation.

The greatest advantage to having the prenatal record in Powerchart Maternity is that

we no longer have to fax records on a daily basis, and that the most current pregnancy

and health information is readily available 24/7. This had saved both the clinic nurses

and OB nurses a tremendous amount of time. In addition, when a patient presents at

the hospital at any gestational age or at any time when the clinic is closed, we have

reliable information at our hands to enhance the care given to the patient.

FetaLink has been an asset to our implementation as well. The nurses easily adapted

to this and feel this has improved their documentation and eliminated the need for

double documentation since their annotations flow to IView. Our physicians can easily

access FetaLink in the clinic or at home to view their patient’s monitor tracing and no

longer have to search for the paper strip to sign.

As with any new change implemented, we had our share of problems, but we found

that if we addressed these readily we were able to work through them fairly easily.

Good communication with the nurses and physicians is still essential to continuously

improve our workflow and processes. We’ve come a long way since August, 2011 but

it was worth the trip as we are now at ITWorks Site!

Best Practice

Ensuring Optimal Performance

Before launching FetaLink from your

desktop, double check to make sure

there is not an instance of it already

running, but minimized in the

toolbar.

This is a common finding at our

client sites. Running one instance of

the application will help to ensure

optimal performance.

In addition, when you are done using

FetaLink at that workstation, don’t

forget to log out!