Cerner Oracle Code Upgrade

(All Cerner Applications)

Tuesday, June 4th, 10:00 pm- 4:00 am

During this time, Cerner will be available. There will NOT be a downtime; however, there will be brief interruptions in service during the following time periods:

10:15 pm – 11:00 pm

• Radiology Imaging

  • No new or modified radiology orders will cross to CHRS Radiology PACS.

  • No new reports will be available in PowerChart.

  • ONRAD will fax radiology reports during this time

• RapidComm blood gas, Glucometer, iStat, and Sofia results will not populate in PowerChart.

• Quest results will not populate into PowerChart, and orders will not send to Quest.

• Orchard Orders and Results will not post for TTU Student Health.

• South Plains Rehab-Encompass, Lubbock Heart Hospital, and Montford orders will not populate into Cerner, and results will not pass to the vendors.

• Telemetry strips will not show in Clinical Notes.

• ePrescribing

  • Prescriptions will queue up and be sent once the interfaces are back up.

  • If a prescription needs to be sent immediately, please print, or call in the prescription.

• Teletracking will not show new, updated, or transferred patients.

• EasyID will not show new, updated, or transferred patients.

• IDX will not show new, updated, or transferred patients.

• Hill-Rom

  • New patients nor transferred patients will appear on the dashboard.

  • Bed alarm automation will not be functional for new admits or newly identified fall-risk patients. Staff will need to use the downtime procedures of manually turning on/off bed alarms.

** By 11:30 pm, all patients and orders will be released, and the above systems will be updated. Radiology systems will receive the updates, and the reports will cross over once the orders are reconciled. **

10:00 pm – 12:30 am

• Bridge will not be available. Charting will have to be completed on the compatibility tag.

11:00 pm – 11:45 pm

• Scheduled reports will need to be printed manually (ex. Dietary reports)

• Batch label printing (Meds/Labs) will be run early, but any new orders during that time will need to be printed manually. ** At 12:00am, all scheduled reports and batches for label printing will resume as scheduled **

You will be prompted to log out at least once during the upgrade. If you receive this notice, then please log out. You will be able to log right back in without issue. With the system being available during the upgrade, there is a potential for odd issues to occur. If you experience issues, we will wait until the upgrade is complete to troubleshoot. If you experience issues, please call the IT Helpdesk at 59109.

Respiratory Diagnostics Results Message

Go-Live: May 6, 2024

The Ordering provider of Respiratory Diagnostics will receive a message sent to their Message Center when the results are available in Cerner. 

*Exclusions of this message include Pulmonologists and Residents*

Jehovah's Witness BB Order Alert

Go-Live: May 6, 2024

Beginning May 6, 2024, Jehovah’s Witness patients will trigger an alert to fire when blood products are ordered. The alert is based on the patient’s religion of Jehovah’s Witness and when any of the following blood products are ordered:

• BB Cryoprecipitate for pts 25 kg or GREATER

• BB Cryoprecipitate for pts LESS than 25kg

• BB Plasma for pts 25 kg or GREATER

• BB Plasma for pts LESS than 25kg

• BB Platelet for pts 25 kg or GREATER

• BB Platelet for pts LESS than 25kg

• BB PRBC for pts 25 kg or GREATER

• BB PRBC for pts LESS than 25kg

• BB Send Blood Product for pt 25 kg or GREATER

• BB Send Blood Product for pts LESS than 25kg

• BB Transfuse Rh Immune  Globulin

• NICU BB Cryoprecipitate Order

• NICU BB Plasma Order

• NICU BB Platelet Order

• NICU BB PRBC's Blood Order

• NICU BB Send Blood Product

PowerChart SkyVue Workaround

For those providers who need access to Cerner SkyVue through PowerChart, a new link has been created to allow you to launch PowerChart/Surginet/FirstNet with SkyVue (the old viewer) instead of the new Cerner Image Viewer.

http://cernerweb.teamumc.com/Citrix/SkyVueProdWeb/

NOTE:

This is the same unsupported version of Cerner SkyVue and will continue to have the same issues it previously had.  However, we will make this PowerChart SkyVue link available as a temporary workaround until the Image Viewer reaches a stable state.

Reminder on NPO Diet Orders

Diet Order Key Points

• When an NPO Diet Order is placed and “(None)” is selected, the NPO Order will begin at THAT time. The same issue will occur if T;N NPO is selected. Therefore, the patient could unintentionally be left without a meal for an extended period of time.

• If NPO needs to begin after midnight, ensure you are selecting “T;2359 NPO After Midnight.”

• “(None)” cannot be removed as it is a Cerner Standard.

  • Ensure the correct NPO Order Sentence is selected based on the patient’s needs.

Update to Naming Format of Bilateral Body Sites

go-live: May 7, 2024

summary

A new format has been created to create consistency in the naming of bilateral body sites for cultures.

key points

The new bilateral format will be Body Site L or Body Site R.

New Autotext: Interim H&P

Summary

A new autotext called ;interim_HandP has been created and is available to use.

Steps to use:

• Search for Interim H&P Note.

• Open the free text note and type ;interim_HandP.

• The autotext will populate…

  • The drop-down will default to no changes found.

DISCHARGE CLOSED SURGICAL SITE INSTRUCTIONS AND DISCHARGE OPEN WOUND CARE INSTRUCTIONS

Go-live: April 24, 2024

Summary of Changes

• On 4/24, a new order called Discharge Closed Surgical Site Care Instructions will be added to all PowerPlans with the Discharge Wound Care Instructions order.

  • This new order will include the following fields: Wound Location, Wound Care Instructions, Remove Dressing in (days), Replace with, and Additional Instructions.

  • This order should be used for closed surgical site care instructions.

• The Discharge Wound Care Instruction Order will be renamed to Discharge Open Wound Care Instructions.

  • This order should be used for care open wound care instructions.

Discharge Closed Surgical Site Care Instructions

Discharge Open Wound Care Instructions

Impacted Plans:

• Adult Discharge Plan

• Adult Outpatient Ophthalmology Plan - Discharge Orders

• Adult Outpatient Surgery Plan - Discharge Orders

• Cardio Discharge Cardiovascular Procedure Plan

• EC OR Adult Outpatient Surgery Plan - Discharge Orders

• EC OR Pediatric Outpatient Surgery Plan - Discharge Orders

• GYN ONC Outpatient Surgery Plan - Discharge Orders

• NICU Discharge Plan

• Outpatient Endoscopy (GI) Procedure Plan - Discharge Orders

• Outpatient Endoscopy (Pulm) Procedure Plan - Discharge Orders

• Outpatient Endoscopy Procedure Plan - Discharge Orders

• Outpatient Interventional Radiology Sedation Plan - Discharge Orders

• Pediatric Discharge Plan, Pediatric

• Outpatient Ophthalmology Plan - Discharge Orders

• Pediatric Outpatient Surgery Plan - Discharge Orders

Interventional Radiology Plans

Go-Live: April 15, 2024

We have made new IR plans to address the patients who do not receive sedation.  We have also added the Interventional Radiology Procedures Protocol Plan as a subphase to the sedation plans.  The procedures have been removed from the individual plans to be used in the Protocol Plan.

New Referral Management Medical Service: Medical Weight Loss

A new med service, Medical Weight Loss, has been added to the Referral Ambulatory order.

Powerchart Touch App and Cerner Cloud Services eSignature Updates

Release Date: March 18, 2024

Cerner is requesting that users update their Powerchart Touch App.

Versions being expired:

• v. 9.4.0 is scheduled to expire. Clients should upgrade to a newer version.

In addition to Powerchart Touch, those who utilize Cerner Cloud Services eSignature must be updated from v. 8.1.0 to v. 9.0.1 for iPads running on iPadsOS 15.4 or higher.

New Flowsheet: Risk Scores and Assessments

Go-Live: March 5, 2024

Summary

To enhance providers' accessibility in locating crucial patient care details, a new flowsheet has been created. This flowsheet contains scores and assessment data that were previously difficult to find.

Key Points

Risk Scores and Assessments - Flowsheet contains the following assessments:

• VTE (Venous Thromboembolism)

• CIWA (Clinical Institute Withdrawal Assessment)

• IBW (Ideal Body Weight)

• PCA (Patient Controlled Analgesia)

Note: If the assessment is not documented, then it will not appear in the flowsheet. This may mean that the assessment hasn’t occurred or that the patient doesn’t meet the criteria for it.

Order Change: Removal of "Foreign Object" as a Source from All Cultures

Go-Live: March 25, 2024

Summary

Foreign Object will be removed as a source from Culture Aerobic/Anaerobic with Gram Stain, Culture Wound with Gram Stain Swab, and Culture Fungal. Foreign Object will not be an option (on any cultures) anymore for physicians. For additional questions, please contact the Microbiology Lab at 806-775-8375.

Orders Impacted

Culture Fungal

Culture Wound with Gram Strain Swab

Culture Aerobic/Anaerobic with Gram Strain

Cerner iViewer Window Level Presets

Go-Live: March 1, 2024

Cerner will implement the Window Level Preset functionality within Cerner Image Viewer (iViewer) application.

Window Level Preset Tool will adjust the contrast and brightness of the image to specific values. By clicking on the Window Level Preset Tool, the following options will be presented:

Bone

Brain

Lung

Soft Tissue

New Order for Esophageal Monitoring Catheter Placement

Go-Live: February 6, 2024

summary

On 2/6, the new order Request RT for EPM placement will be replacing the Notify RT order only in the case of EPMs. This order is defaulted to BID, and the Respiratory Therapist will discontinue the order when the patient is extubated.

new order

Changes to the TLSO Orders

go-live: February 8, 2024

summary

These changes guide the ordering provider to select the correct TLSO order.

key points

A synonym of ‘Apply TLSO Brace – Custom (2-4 day turnaround)’ will be added to the ‘Apply Spinal Brace/Immobilizer’ order. The ‘TLSO’ option for the Type of Immobilizer/Brace will also be modified to be “TLSO – Custom.’

A synonym of ‘Apply TLSO Brace – Adjustable (0-1 day turnaround)’ will be added to the ‘Spine Brace Fitting and PT Evaluation’ order.

These changes guide the ordering provider to select the correct TLSO order.

Addition of G2211 Code

Summary

The G2211 Code has now been added to the Order Catalog and will pull into the Assessment and Plan when signed.

order

Assessment and Plan

How to Set a Default Launch Page from the Menu

Summary

Users can now select a default launch page from the menu. This default will be the first page the user sees whenever a patient’s chart is opened.

Steps

1. Navigate to the Menu.

2. Right-click on the page you want to be your default view (Orders, Flowsheets, Medication List, etc.).

3. Click “Set as Default View.”

Autotext Sharing Tool Update: Log Out No Longer Needed

Summary

After copying another user’s autoexts, you no longer have to log out to use them. They are automatically added to your library and can be used or edited.

key points

After an autotext is copied, it will automatically be added to your library without needing to logout.

How to Access Favorited & Pre-Completed PowerNotes from Provider View

Summary

Users can now access Pre-Completed and Favorited PowerNotes from the Dynamic Documentation Provider View.

PowerNote How To’s

Saving a Pre-Completed PowerNote: click here to visit the site.

Saving a Favorite in PowerNote: click here to visit the site.

Steps

• From Provider View, select the Documents Component.

• Select the drop-down button.

  • You will now see a list of your Pre-Completed and Favorited PowerNotes.