Cerner Upgrade – Changes to the ECG Viewer
The biggest change with the new ECG viewer is that acronyms (ex. “/afib” or “/ns”) have been replaced with an auto-complete function that will populate a drop-down list as you type:
Radiology: MRI Breast Order Update
Radiology: MRI Breast orders update
To make ordering MRI Breast studies more concise because it is always a bilateral scan, unilateral MRI Breast orders will be removed and the ‘bilateral’ description will be removed. Even if a patient has had a mastectomy, both sides are always scanned to evaluate residual tissue.
MRI Breast orders after changes:
MRI Breast Biopsy
MRI Breast w/wo with CAD
MRI Breast w/o
UMC Imaging Team
Orders to Scheduling: NM and Cardio Stress PowerPlans
ALL stress tests are now powerplans instead of caresets for single orders. The “Why” for this is to ensure the correct type of imaging order is placed.
Search for “stress” within the orders window or navigate to the Stress Folder
There is also a folder called “Stress Tests”
When you select the plan, the imaging/type options for stress are available. If you do not choose an order, by clicking in the square, you are NOT placing any order. Complete the needed fields as indicated by the blue circle with the X. This means you need some additional information on the order
Complete the required fields, and sign the plan
If no order is selected, you will receive this message. You will need to click “Cancel” and go back and chose the test you want to be completed on the patient
You cannot order from this screen; you must click cancel and order from the powerplan
Orders to Scheduling: Mammogram PowerPlans
ONE order will be REQUIRED
ALL Mammogram orders are now powerplans instead of a single order. The “Why” for this is to ensure the correct mammo order is placed. We have added an option for IMPLANT orders. The radiologist read these in different views and the exam takes longer.
Search for Mammo orders using the “search” or navigate to the Mammo folder within the Radiology folder
When you select the plan, the two mammo options are available. If you do not choose an order, by clicking in the square, you are NOT placing any order. Complete the needed fields as indicated by the blue circle with the X. This indicates you need some additional information on the order
Complete the required fields
If no order is selected, you will receive this message. You will need to click “Cancel” and go back and chose the test you want completed on the patient.
You cannot order from this screen; you must click cancel and order from the powerplan
Cerner Registration & Scheduling: New Radiology Order Process
Cerner Registration & Scheduling: New Radiology Orders Process
When: Past several weeks; addition of new folders (e.g., Stress Tests) and replacement of existing orders/caresets with the new PowerPlans
What: Updates of the existing radiology caresets (e.g., mammo, NM, MRI, etc.) to be usable with the new Cerner Reg/Sched process
*Note: This is the orders process, not the scheduling process that starts August 4th
You will notice right away that orders that were either single orders, or caresets, will now appear with the yellow “pizza.” This indicates they are now PowerPlans.
They will work much more straightforward than the larger PowerPlans.
You will locate and place the order for the desired exam as usual, and then find them in the PLANS section of the orders scratch pad to finish the required fields.
You MUST select an order prior to signing. Skipping the actual order will lead to no order processing through.
When you complete the entire order requirements, you will see the order in the “initiated” state.
Radiology: New Stress Test Orders
NEW STRESS TEST ORDERS
To clarify the ordering of stress tests, new orders have been created in Cerner to designate the type of stress and the type of imaging performed. These orders can be found in a new “Stress Tests” folder and will also be available in the Cardiopulmonary Folder.
Radiology Order Catalog Redesign
UMC Radiology Order Catalog Revamp
New orders, more applicable choices, clean up of unused orders, etc – all to make ordering more streamlined to HRO.
Highlights to note:
Will now will have the ability to order Bilateral procedures for all extremity orders.
Combo order MRI Orbit/Face/Sinus order will now have individual orders to choose from.
“Brain” will replace “Head” for MRI procedures.
MRI Foot & Toes description to reflect more accurately with MRI “Forefoot” and MRI “Hindfoot.”
New SP orders for Pleurix Cath procedures.
Look for the option of Implant orders for Mammo procedures in specific PowerPlan.
When order placed, the option to choose Mammo with Implants:
*Note: Please see attached Excel spreadsheet for more details.
Changes will occur over the next few weeks.
2019 Radiology Order Updates
Look for new Radiology orders January 2019 per CMS requirements:
- o CT Asp Needle w/ Guidance, 1st Lesion
- o MRI Asp Needle w/ Guidance, 1st Lesion
- o MRI Breast Unilat w/o
- o MRI Breast Unilat w/wo with CAD
- o MRI Breast Bilateral
- o MRI Breast w/ CAD Bilat
- o MRI Functional Brain
- o SP Asp Needle w/ Guidance, 1st Lesion
- o SP Renal Dilation Existing Tract
- o SP Renal Dilation New Access
- o US Asp Needle w/ Guidance, 1st Lesion
- o US Parenchyma
