We have added lines/tubes/drains component to the inpatient summary. If you hover over one of them, it will also show the initial date it was started.
Inpatient - Lines, Tubes, and Drains
UMC - Reducing Mortality Due to Sepis
Patient mortality from sepsis is high at University Medical Center. Identifying and treating septic patients early is critical to improve patient survival. On September 16th, the Cerner Sepsis Advisor was implemented. The Sepsis Advisor includes a system of alerting rapid response of potentially septic patients and a clinical decision support system that can be leveraged by providers treating septic patients. Use of this important tool and the care bundles they support is currently low. Please take a moment to view the video linked below to learn more about how you can help with the Sepsis Initiative at University Medical Center. Together we can make a difference.
New Infectious Disease Smart Template for PowerNotes
If you are ever interested in including Infectious Disease screenings into your powernotes, here is some information of what it is...and how it's done. Enjoy!
When your Auto Populate box pops open, upon opening a new PowerNote, make sure you select the new Infectious Disease Screening option (check the box). If any information by the nursing staff has been documented, it can now pull that data into your notes. If you no longer wish to pull the ID data, simply uncheck this box the next time you open it. It is as easy as that!
Screen shot of what the populated data could look like in your note...
Ordering Diagnostic Studies to be Done After Discharge
If the provider would like for a diagnostic study to be performed after discharge, then a Discharge Follow-up Lab, Radiology, or Diagnostic Procedure order must be placed as appropriate. When the Discharge Powerplan is initiated, a requisition is printed and given to the patient to take to the performing location. Inpatient locations DO NOT use future order functionality.
Replacement of Relationship Management Widget
Onward and upward, we are replacing the current 'relationship management' widget on the summary pages with a new and improved 'patient information' widget. You will still be able to move the widget to wherever you need it on your custom summary page, as well as change its bar color if you wish. It will have a TON more information in it, even patient funding! Look for the change to happen early next week!
The above screen shot will be replacing the old widget seen below...enjoy!
Consult/Referral Orders - New Field for Documentation
In order to assist ambulatory managed care coordinators and their consult/referral documentation needs, administrators requested that two non-mandatory fields be added to all clincal consult/referral orders. These details will come across in the task for the staff that complete the consult/referrals. It will communicate to the staff whether or not the referral/provider was patient preferred, or provider preferred.
Diet Orders - Modifying the Order
DIET ORDERS – Always modify your current order when applicable, to prevent avoidable duplicate order alerts.
Example: Currently on an oral diet and you want to advance them from clear to regular. In the orders window, click on your dietary category and right-click to modify the current order.
If you try to place a second oral diet order when there is an existing one you will get the duplicate alert.
Current functionality does not allow us to enable the ‘Cancel/DC’ button so that you can cancel the current order and continue placing the new one.
Drug Reference Changes
An effort to help ensure we are capturing mediation handouts given to patients for the inpatient nursing staff and clinics is underway. Look for these changes later in November after the next Use and Standards meeting.
Currently we have a section in the table of contents called: Drug Reference or Drug Information (depending upon the position). This section will be removed and users will be encouraged to use the Medication Leaflets in the Patient Education tool.
- If you print from the drug reference tool it doesn’t save anywhere so you can’t see what others have educated on
- The medication leaflets will actually save a list of what was handed out during the encounter – viewable for others during the stay and at discharge through depart
- Case Management and Pharmacy will use this as they do any medication education so that we aren’t duplicating efforts (from 1115 Waiver groups)
- Nurses can still right-click on their drugs on the MAR and see the drug reference for the selected med
- All users will have access to Lexicomp from the Links Page if they want to review other meds
Family Birth Center New POC Amnisure Order
A new order for OB providers in the FBC...POC Amnisure
New Toolbar Option - LINKS
Many of you may have already noticed a new icon on your Toolbar called ‘Links’. This has quick links to areas such as TeamViewer, PUTTER, Misc. External Links, UMC Hospital and Nursing Policies, etc.
These are replacing the current individual links on your toolbar to help clean it up so that you can more easily find those items you need for you day to day workflows.
On October 29th, you will no longer have the toolbar below that has a red ‘x’ on it. Please begin to use the Links icon for quick access to many of our frequently used items.
Expansion of Foreign Travel Assessment
Based on recent discussion regarding the current assessment of foreign travel, the following actions will be implemented immediately to help improve patient and staff safety.
Note: This version of workflow and documentation changes is an immediate response to current situations. The plan will be taken to this month's Use and Standards meeting for further development or revamping.
1. An infectious disease PowerForm section will be added to all ambulatory intake
nursing adhoc forms. They will contain 2 required fields within them to address
recent travel/where recent travel.
2. This form already exists for anyone who is currently using the OB Initial Intake.
But there will be an addition of several options to choose from:
*addition of 21 and 30 days for last travel
*addition of West Africa to list of places
*addition of Ebola to communicable disease choices
*addition of abdominal pain and unexplained hemorrhage to the symptoms
and risk factors section
3. Depending on decisions made, there will most likely be the addition of an alert that
will open when you enter the chart, for any patient with a travel history location for
those that were just newly added. It should show where they traveled to and
the last travel time
Notification Regarding Schedule II Products
Inpatient Blood Product Ordering Requirement
Due to recent patient safety issues, it has been determined that the "Reason" field in the blood products orders will be converted into a mandatory field (must be filled out in order to proceed).
These are the applicable orders that will be affected:
IMPORTANT - CMS 2 MN Update
New CMS requirements state that any Medicare/managed care patient with a status of "LOS greater than 2 midnights" that is being discharged prior to the second midnight, will now require documentation stating the reason for the early discharge.
Starting Monday, October 6th, if you have a patient that falls into this category you will receive the alert below when attempting to initiate the discharge plan. Please follow the provided instructions and complete the required documentation.
You will then also have the ability to pull this documentation into your discharge PowerNote.
Below are examples of both the alert and the smart template.
Financial Information Within PowerChart
A gentle reminder to all to please avoid scanning or transcribing any financial information into the PowerChart system.
Examples would include:
*Credit card pictures/numbers
*Debit care pictures/numbers
*Bank statements
*Personal and/or Business checks/Routing numbers
This type of data should not be populated in PowerChart. Also it should be known that it cannot be removed easily. Cerner must be brought in to remove this data manually.
Thank you for your attention to this very important matter. For any further questions, please contact the Compliance department.
Interdisciplinary Family Meetings in ICU
Palliative Care Project
Below is a copy of the note that will need to be used to document interdisciplinary family meetings that take place for ICU patients. This is a part of our 1115 waiver project for palliative care. However, this specific measure does not capture only patients that receive a palliative care consult. It will capture all ICU admissions throughout the hospital.
Tracking for this data begins October 1st!
Note is titled “UMC ICU Family Conference Note”
Social Services for Home Oxygen – Order Update
UPDATES TO THE SOCIAL SERVICES FOR HOME OXYGEN ORDER – Monday 9.8.14
What: New field asking if a Face to Face has been done and information in the special instructions denoting that a portable O2 tank with a conserving device is wanted.
Why: New requirements from a number of payers documentation that a face to face was done by the MD to prevent refusal of payment. We must, also, now have it specified that a portable O2 tank with a conserving device is wanted for them to provide it.
Swarming Sepsis - FAQ
PCP Notification of OB Delivery Rule
A new message rule has been created for the notification of PCP's that an OB patient of their's has presented to L&D and has delivered...enjoy!
Important - Scheduled System Downtime 11.8.14
In order to complete a PowerChart systems upgrade, the system will need to be taken offline for a bit.
At this time, this is expected to happen on November 8th during the daytime.
