Cerner Bulletin Provider Issued: October 16, 2014

Transcription

1 Provider Diagnoses and Problems IMO Terminology - 11/4/14 S R Meaningful use requirements, ICD-10 transition and reimbursement documentation require accurate documentation of Diagnosis and Problem information Diagnosis and problem searching is currently mapped to both SNOMED CT and ICD-9 CM Searching returns duplicate results and reduces accuracy and efficiency terminology catalog, that maps both ICD and SNOMED to a single term will improve efficiency Clinician impact is lessened during upgrades to ICD and SNOMED Transition to IMO Terminology use in stages: 1) HIM Managers, CDI Specialists, Coders and Outcomes Management 9/15 2) 11/4 Searching IMO is based on words/terms; search by word/term rather than by ICD-9 code Example: heart attack - search by heart or MI, not 410 Figure 3 - PowerNotes: Problems and Diagnoses can be added through the Internal Medicine Progress Note> ssessment> Problem list Note: Diagnosis search folders will be updated to only include ICD -9 coded terms Problem search folders will be updated to only include SNOMED terms Figure 4 - nnotated Display Column - added to display the phrasing that populates the Continuity of Care Document (CCD) and the Patient Portal

2 mpages 5.0 Upgrade Quick Orders 10/22/14 S Cerner upgrade package for mpages includes changes to the Quick Orders mpage The upgrade package was reviewed by NIC and the MEC HIT committee pproved changes: Header o Remove - Expand ll Help o dd - s of: time o dd - Orders for Signature button New Order Entry Component o Remove - Dx Table, Modify and Sign buttons R Cerner upgrades moving to production after downtime on 10/22/14 Figure 1 - Quick Orders heading changes: Expand ll Help removed; s of: time" added; Orders for Signature button added Figure 2 - Orders for Signature button turns green when orders need to be signed; click the button to open the Orders for Signature window; Sign and Modify buttons moved here; DX Table displays when button checked

3 POC Glucose Critical Values Changes, Nursing and Lab 10/23/14 S/ R Critical values for glucose testing are not currently the same for Point of Care (POC) and Lab Lab Glucose values are set at a critical low of 50 mg/dl and a critical high of 500 mg/dl Updated critical values will bring the POC test in line with the Glucose testing performed in the lab Effective October 23rd, all glucose tests will have a critical low of 50 mg/dl and a critical high of 500 mg/dl Questions? Contact manda Luschinski, Point of Care Coordinator at

4 VTE lert Rule Update: Suppress lert with Foot Pump Order Physicians, Nursing and Quality 10/21/14 S R VTE lert will currently fire with an active Foot Pump order in place Foot Pumps meet Mechanical VTE Prophylaxis requirements The VTE lert should NOT fire when Mechanical VTE Prophylaxis items are ordered Update the VTE lert rule to include the foot pump order as a filter When there is an active FOOT PUMP order, the VTE lert will not fire

5 mpages 5.0 Upgrade - Newborn Summary and Nursing 10/22/14 S Cerner upgrade package for mpages includes changes to the Newborn Summary The upgrade package was reviewed by NIC and the MEC HIT committee pproved changes: bility to alter the color theme of individual component sections Discharge Education and Discharge Planning combined Documents Component bility to filter view to My Documents Transfusion information separated from Hyperbilirubinemia graph Hyperbilirubinemia Graph component to display only the first 157 hours of life R Cerner upgrades moving to production after downtime on 10/22/14 Figure 1 - Component color theme Figure 2 - Education and DC Planning - new component to replace individual components Figure 3 - Documents - bility to filter to "My Documents" by selecting the checkbox

6 Ebola Related Updates to Cerner version 1 ll Clinical Staff S The Centers for Disease Control and Prevention (CDC) confirmed via laboratory tests, the first case of Ebola to be diagnosed in the United States on September 30, 2014 ccording to the CDC, Ebola Virus Disease (EVD), also known as Ebola hemorrhagic fever, is a rare and deadly disease caused by infection with one of the Ebola virus strains lthough the risk of an Ebola outbreak in the United States is very low, CDC and partners are taking precautions to prevent this from happening Ebola is spread through direct contact (through broken skin or mucous membranes) with blood or body fluids (including but not limited to urine, saliva, feces, vomit and semen) of a person who is sick with Ebola, objects (like needles and syringes) that have been contaminated with the virus, and/or infected animals Ebola is not spread through the air or by water, or in general, food Update Cerner as appropriate based on CDC recommendations and guidelines: R 1. EVD Screening form in ED 10/13/14 2. EVD Screening added to all admission forms 10/15/14 3. Rules to generate orders 10/16/14 4. FirstNet Tracking oard Icon 10/15/14 5. Populate Infection Prevention MPTL 10/16/14 6. Infection Prevention Report 10/16/14

7 EVD Screening Form Figure 1 - EVD Screening Form in ED and on all admission forms Figure 2 - Reference text is available by right clicking on the location field it provides a link to the CDC website

8 Rules to Generate Orders Orders are generated in response to initial documentation on the screening form and from nursing documentation of newly presenting signs and symptoms with history of travel Figure 3 Contact/Droplet Isolation Order Figure 4 Notify Infection Prevention Order Figure 5 Infection Prevention Referral Order generates a task on the Infection Prevention MPTL

9 FirstNet Tracking oard Icon The FirstNet Tracking oard Icon will be utilized at all three sites Populate Infection Prevention MPTL (and include on Report) Generated based on the following documentation in the EVD Screening Form: Travel in 21 Days = Yes Travel Location = any (except Denies) nd clinical documentation of trigger symptoms: Vital Signs Nursing Documentation in iview EVD Screening Form Infection Prevention Report PowerChart> Explorer Menu> Infection Control udit Reports> EVD Screening Log utomatically prints daily for infection prevention office, can be manually run by other staff Figure 6 - EVD Screening Log Report

10 VERSION 1 10/17/14 Ebola Related Updates to Cerner ll Clinical Staff S The Centers for Disease Control and Prevention (CDC) confirmed via laboratory tests, the first case of Ebola to be diagnosed in the United States on September 30, 2014 ccording to the CDC, Ebola Virus Disease (EVD), also known as Ebola hemorrhagic fever, is a rare and deadly disease caused by infection with one of the Ebola virus strains lthough the risk of an Ebola outbreak in the United States is very low, CDC and partners are taking precautions to prevent this from happening Ebola is spread through direct contact (through broken skin or mucous membranes) with blood or body fluids (including but not limited to urine, saliva, feces, vomit and semen) of a person who is sick with Ebola, objects (like needles and syringes) that have been contaminated with the virus, and/or infected animals Ebola is not spread through the air or by water, or in general, food Update Cerner as appropriate based on CDC recommendations and guidelines: R 1. EVD Screening form in ED 10/13/14 2. EVD Screening added to all admission forms 10/15/14 3. Rules to generate orders 10/16/14 4. FirstNet Tracking oard Icon 10/15/14 5. Populate Infection Prevention MPTL 10/16/14 6. Infection Prevention Report 10/16/14

11 EOL RELTED UPDTES TO CERNER VERSION 1 10/17/14 EVD Screening Form Figure 1 - EVD Screening Form in ED and on all admission forms Figure 2 - Reference text is available by right clicking on the location field it provides a link to the CDC website SINT THOMS HELTH QI - CLINICL INFORMTICS (615) OR

12 Rules to Generate Orders EOL RELTED UPDTES TO CERNER VERSION 1 10/17/14 Orders are generated in response to initial documentation on the screening form and from nursing documentation of newly presenting signs and symptoms with history of travel Figure 3 Contact/Droplet Isolation Order Figure 4 Notify Infection Prevention Order Figure 5 Infection Prevention Referral Order generates a task on the Infection Prevention MPTL SINT THOMS HELTH QI - CLINICL INFORMTICS (615) OR

13 FirstNet Tracking oard Icon EOL RELTED UPDTES TO CERNER VERSION 1 10/17/14 The FirstNet Tracking oard Icon will be utilized at all three sites Populate Infection Prevention MPTL (and include on Report) Generated based on the following documentation in the EVD Screening Form: Travel in 21 Days = Yes Travel Location = any (except Denies) nd clinical documentation of trigger symptoms: Vital Signs Nursing Documentation in iview EVD Screening Form Infection Prevention Report PowerChart> Explorer Menu> Infection Control udit Reports> EVD Screening Log utomatically prints daily for infection prevention office, can be manually run by other staff Figure 6 - EVD Screening Log Report SINT THOMS HELTH QI - CLINICL INFORMTICS (615) OR