October, 2019

Date Posted: 10/25/2019

Recent Completed Optimization

  • On Tuesday, October 1:
    • An update was made to how faxes are sent from within all Cerner applications. When sending a fax from a Cerner application, it is now necessary to enter the ten-digit fax number for all exchanges.
    • As part of ongoing efforts to streamline processes and increase efficiencies within the electronic health record, a new Ambulatory Cardiology PowerPlan went live for all NL Mercy Ambulatory locations.  This PowerPlan is all inclusive for consult requests, testing, and combination consult/testing requests.
  • On Wednesday, October 2:
    • Due to regulatory changes, Information Source details in the Code Status and Treatment Restrictions order were updated.  "Per Behavioral Health Policy" will be removed and replaced with "Unable to Provide Consent."  When "Unable to Provide Consent" is selected, an alert will fire to physicians, advanced practice nurses, physician assistants, and registered nurses every 12 hours to remind caregivers to reassess code status and modify, if appropriate.
    • Because patient positioning is addressed during hourly rounding, documentation of this care was moved to Caregiver Rounding in Interactive View and I&O (iView).  
  • On Monday, October 7:
    • A new component was added to the Primary Care Quick Order page titled Medicare Screening.  This component includes the orders that may be needed during a Medicare Wellness Visit in order to meet Medicare requirement guidelines.
  • On Monday, October 14:
    • An Interim Summary note was added to the Discharge Workflow page. This note is designed to increase discharge efficiency and encourage adoption of documentation best practices. Providers are encouraged to use the Interim Summary note type for the following patients: Those with prolonged stays (greater than 10 days); Patients with complicated visits; Patients receiving comfort care.  Using the note type in this way will not only allow for interim billing, it will provide the discharging provider (and other caregivers) easy reference points for capturing the overall course of the patient’s stay.
  • On Tuesday, October 15:
    • TheAntepartum Note Powerform for additional nursing documentation was added back to the Adhoc Folder for OBGYN.
  • On Wednesday, October 16:
    • The ProVation project announced automatic notification of Endoscopy results to the primary care provider. With this change, primary care providers will receive notification of endoscopy reports for their patients in their Results FYI folder in the Message Center.  This automates a process that was previously manually performed, reducing the risk of a report not being sent to the primary care provider.  Please note this will result in a change from the documents section to the results FYI section.  With this automation, the reports will appear in real-time, removing the risk of error, facilitating communication, and allowing for enhanced visibility of endoscopy reports.  
    • The Allergy component was added to the Pregnancy MPage as a result of standardization efforts.
  • On Thursday, October 17:
    • To improve the documentation of referring provider in visit notes for clinical, as well as, coding/billing purposes, a Referring/Requesting Provider field was added to several Intake forms.
  • On Monday, October 21:
    • Cerner EHR Conversion Ambulatory Phase 2 - Wave Two at Acadia, EMMC, Inland, and SVH Hospital ambulatory practices kicked-off!
    • TCA Tricyclic Antidepressant POC (Point of Care) was added to the Urine Drug Screen POC PowerForm.  This additional was made to support the Ambulatory Conversion Project Go-Live at Acadia Hospital.
  • On Tuesday, October 22:
    • The way chaplaincy consultations are requested has been streamlined to a single workflow at EMMC ONLY. At EMMC, nurses are asked to use the Spiritual Consult order to request chaplain services. Instructional text has been added to the “Hospital Clergy to Visit” question to state “Not Required for EMMC.”  To facilitate this process, the order has been updated to a “nursing order.” This allows the nurse to place the order without provider co-signature.
    • In order to facilitate documentation of important Incontinence Screening, the Pelvic Floor Impact (PFIQ-7) Form and The 3 Incontinence Questions (3IQ) form will become available in the Scales and Assessments component on the workflow pages.  The forms will also be available in the Primary Care, Urology, and OBGYN Adhoc folders.
  • On Wednesday, October 23:
    • A new order, Remove Transvenous Temporary Pacing Wire, was made available for hospital patients. This order can be placed as a single line order or added to a PowerPlan, as needed.
  • On Thursday, October 24:
    • A new Scales and Assessments tool was introduced. This tool appears on the workflow pages for Primary Care, Behavioral Health, and Pediatric ambulatory providers. It summarizes results and scores from various PowerForms, minimizing the effort required to locate the documentation.
  • On Friday, October 25:
    • Historical BICS (Blue Hill, Inland, CA Dean, and SVH) and EMMC Centricity EMR records became available via the Historical Records View link in Cerner PowerChart and FirstNet.
  • On Tuesday, October 29:
  • On Wednesday, October 30:
    • Prescription Monitoring Program (PMP) fields were added to the order details for certain stimulant medications.

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