Dynamic Documentation

Dynamic Documentation: Updates

For Dynamic Documentation Users: 

Please remember that problems in the Consolidated Problem List are shared. 

If problems are deleted, another provider will have to add them back in.  

Also, our on-site support for Dynamic Documentation ends this week. 

Please work with your support team to set up any auto text, and other settings, before Noon on Friday. 

Dynamic Documentation: Workflow Updates

Cerner Workflow and Dynamic Documentation will go-live on December 11, 2018 for:

  • Family Medicine,
  • General Internal Medicine,
  • General Surgery,
  • Hospitalists, and
  • Pedi GI.

The format of the notes created by these service lines will change.

No matter your service line, there are several items to take note of beginning December 11th.

Navigate to PowerNote Documentation. Select the filter drop-down and select All Physician Notes.

 

How to ensure the notes received from residents and advanced practice providers (APPs) are sent to you for signarture and not for review when notes need attestation statments and attending signatures:

Residents and APPs must select ‘Sign’ when forwarding notes to the attending. If they fail to select ‘Sign’ the notes will appear in the Documents to Review.

 

You must notify the provider to forward the document to you and request ‘Sign’ so that you can add your attestation statement and sign the document.

Click Refuse. Select Additional Forward Action of Review and search the resident/APP’s name that sent the document to you. Write in the comments ‘Please resend note as document to sign’

In order to make changes to the note, add attestation statements, etc., you will need to modify the note. You will not have the ability to correct these notes anymore. You may strike through the documentation and add an addendum only.

Click on the modify icon in order to modify as necessary

You can strike through by highlighting the term and click the ‘strike through’ icon

If you would like to strike through an entire selection or data auto-populated into the note, you need to click the ‘X’ icon located in the section that the data is in

Educational Handout

Dynamic Documentation: Changes to Ambulatory CP and VL Orders

Changes to Ambulatory Cardiopulmonary and Vascular Lab orders:

Due to the upcoming changes with Dynamic Documentation, the first five services lines converting will notice a small difference when ordering either Vascular Lab or Cardiopulmonary orders.

The folders will look the same; the difference will be that most of them are no longer caresets. The Schedule Heart Station Procedure order has been removed. That order will be placed automatically for you via a rule in the system. The nurse/scheduling staff will still receive the task and PowerForm as before.

When placing the non-careset orders, you will no longer receive the pop-up screen (Figure 1).

As always, please call any of the HELP desks for questions.

Educational Handout