Women’s Health Newsletter January 2013

In this Edition

Summary of the year

Meet Cerner Maternity Team

Tips & Tricks

“Repeatable groups”

What we are doing?

“Clinical notes”

“Education corner”

Ukstart content—CNST

Guides

“Dcw help”

Barts and the London go

live

Future 2013

Women’s Health Newsletter

Summary of the year 2012

Well, what a year it has been for the UK Maternity Team. With demo’s,

events, go-lives and more to keep the team occupied. We have 2 new fac-

es in the team, first of all was Matthew Barlin into a Delivery Consultant

role and what a job he has done so far. Pioneering a new printing solution

for Maternity which has amazed every client that has seen it and they have

made immediate plans to try and get this version deployed. We also wel-

comed a familiar face of Lorraine Edwards, a Midwife from Winchester

Hospital who was involved in the first PowerChart Maternity go live, so is a

great addition to the team already knowing a lot about the solution, this

knowledge has now been incorporated into our new UKStart/610 offering

that is still on going, but the content is impressive and meeting all of the

many reporting requirements thrown at us in Maternity.

Earlier this year Cerner hosted the Collaboration Forum where we were

lucky enough to have our now Women’s Health Managing Director, Patrizia

Smouse, with us sharing the content and future plans of PowerChart Ma-

ternity with the many clients that flowed around the floor. As well as this,

the team have demonstrated PowerChart Maternity to: Cambridge and

Papworth, Barking Havering and Redbridge, Emosist, Lewisham, Ireland

Consortium to name just a few. Of which 2 very exciting opportunities are

now being progressed after Cerner was selected as the preferred suppli-

er. First of all was Lewisham where plans are full steam ahead to deliver

much of the new 2012 code Millennium solutions directly to the client out-

side of the Programme, which Wirral and Newcastle have demonstrated its

successes.

MERRY CHRIST-

MAS AND HAPPY

N E W Y E A R

2013!!!

Please come and

enjoy us after

Christmas to see

what is happen-

ing in Maternity

January 2013

The other is Ireland, where again Cerner have been selected as the cho-

sen supplier for 19 Maternity and NICUs (Neonatal Intensive Care Unit)

across the country. This is truly an exciting opportunity that is going to

require a lot of hard work from the Maternity team and across the whole

of ECP Consulting, but will provide a unique opportunity to show Millenni-

um’s true colours and create a national framework for all women receiv-

ing maternity care.

As well as this we have had many up and downs with our inflight clients,

South London, Imperial College, Wirral, Barts Health, Oxford and even

Qatar. With the Women’s Health content developing at such a rate, the

team have had to keep up their knowledge of the new functionality and

try and make it available for our clients while keeping workflows and

scope in line. A prime example of this is MPages, where we began with

version 2 at the start of our projects, but are now deploying version 4.3

which has changed significantly, but improved the workflow considera-

bly. Version 4.4 is now already available with 4.5 not far behind, so a

challenge for all solutions using MPages not just us.

We are also making strong ground in bringing a new solution to the Mil-

lennium portfolio, in Digital Pens. Whilst showing other associates, you

have all had ideas of how these can benefit our clients in a number of

ways and I believe we are now close to getting a contract signed with the

supplier so that we can now begin marketing Cerner’s Digital Pen solu-

tion – so watch this space.

Finally, we can report on the go-live success of this year, both coming in

Q4 with phase 1 of South London and Barts Health, but read on the

newsletter to read more about those.

UK MATERNITYUK MATERNITYUK MATERNITY

CLINICAL NOTES In PowerChart a clinical note is created using a smart template that is con-

figured to process a custom script. Using RTF File replacement logic the

custom script reads a customizable rich text format (RTF) file and replaces

tag delimiters within the file with patient and visit details. The layout and

details of the clinical note document is formatted per the RTF. The script

then returns the document text to the User in PowerChart where the User

can review and add additional text before saving and signing.

I

Women’s Health Newsletter

John dunn: https://connect.ucern.com/

thread/353966

Jezz Lister: https://connect.ucern.com/

docs/DOC-200216

Kouame komenan: https://

connect.ucern.com/docs/DOC-206737

MEET MATERNITY

TEAM

EXAMPLE OF CLINICAL NOTES

Jesenia Esposito: https://

connect.ucern.com/docs/DOC-226795

Matthew Barlin: https://

connect.ucern.com/thread/323838

Lorraine Edwards: https://

connect.ucern.com/docs/DOC-

232763

MEET MATERNITY

TEAM

January 2013

Tips and Tricks:

REPEATEBLE GROUP

DTA’s cannot be used with-

in multiple repeatable

groups.

Repeatable groups can be

encounter/non-encounter

specific.

Conditional logic will work

the same in a repeatable

group.

Repeatable groups can be

used to capture all kinds of

data, not just delivery and

newborn information.

Multiple dynamic labels

can exist within one re-

peatable group.

Women’s Health Newsletter

What we are doing?

EDUCATION CORNER

In September the maternity team embarked on education corner, run by

Lorraine to increase the knowledge of the team, what we are build and

what it means and the reasons why some information is required more

than others.

September was the first month and questions included naming Maternity

data set items and what are Apgar’s and what makes them. All this infor-

mation is in the system and I wanted to make sure that the Maternity

team understood the build and why it is important.

Much concentration from all and results as expected with the longer servic-

ing members of the team getting the high scores.

So for October, changed the format to a crossword to see if that helped,

that was difficult for me to make, let alone for them to complete, ques-

tions this time included cord insertion into Placenta (11) and full dilation

(3). Everybody was improving, the competition was high.

So for the Christmas addition, each of the team members were allowed to

submit 2 questions with answers. I added a Christmas theme with number

of births on Christmas day in uk and across the world. Everybody was doing

really well and Jezz was in the lead, but a curve ball was thrown with two

extra questions and betting of their points already won. These questions

had appeared in the previous two months. I know the guys had been revis-

ing and I was keen to see if education corner was working. The bravest per-

son who was Jesenia was the winner in the end with a calculated result if

she got the last question wrong or right.

Next year, more structure going from conception all the way through to

postnatal with every month a different theme.

January 2013

NHS Litigation Authority

CNST

Lorraine Edwards have been working hard to get the PowerChart Maternity

content in the ukstart domain to the best possible standard so that clients

will have the benefit of all the information required to meet the standards

set by the Litigation Authority for the NHS, as we all know this can mean a

large saving on the insurance premium.

She has looked at each of the sections of IView to see what content is

available at the present moment and looked at what other trusts have in-

corporated into their builds as well as looking at the standard of the au-

thority, Nice guidelines and RCOG green top guidelines as well make sure

that the Commissioning data set and the new Maternity data set infor-

mation was included, so hopefully most of the information will now be

ready at the start of the project, I have also put conditional logic into the

system as some section could be long, but putting the logic in will help to

clarify the information required at the right time.

She is looking closely at the care plan element, to make it easy to docu-

ment individual care plans for a woman with any condition that requires a

care plan like diabetes or pre eclampsia, which is easy to view for mid-

wives and obstetricians alike in the pregnancy summary Mpage

Maternity SIG Meeting

Our next SIG meeting is February 13th, 1:00—2:30 pm.

We hope you will be able to join.

Repeatable groups can be

used to capture all kinds of

data, not just delivery and

newborn information.

Multiple dynamic labels

can exist within one re-

peatable group.

Women’s Health Newsletter

DCW Help

As every one know filling up DCW not an easy task. For our consultant to

train and make you understand the process involve to collect the right

information and record this information correctly into the DCW.

First of all the acronym DCW stand for Data Collection Workbook, as it’s

name indicate the purpose of this document is collect the necessary in-

formation that will allow us to build our solution according to your needs

and also can be use has an audit documents. Where the importance to

keep it up to date. We do have several DCW which do gather information

for different features for the Powerchart Maternity solution.

For the first edition, I thought It will be good to start with the beginning

which the color code that applies for any DCW. For any information gath-

er within any tabs such as the Powerchart clinical documentation where

we collect information link to Interactive view, Powerforms, Powernote,

it is important we respect the following chart. When the DCW is issued

from Cerner we do recommend a build called UK maternity start which

include all the up to data Synchronise from different client.

The following graph explains the color code to be used:

ACRONYMS

APC: Admitted Patient

Care.

CDS: Commission Data

Set.

CRA: Conversion Readi-

ness Assessment.

DQR: Data Quality Report.

DCW: Data collection

Workbook.

ETD: Education, Training

and Development.

ERS: Enterprise Reporting

System.

ESM: Enterprise Schedul-

ing Management.

GP: General Practitioner

January 2013

HER: Electronic Health

Record.

IT: Integration Testing.

NHS: National Health Ser-

vice.

NHS CRS: NHS Care Rec-

ord Service.

PDS: Patient Demographic

Service

RFC: Request for change

TI: Test Issue.

TTO: To Take Out.

Women’s Health Newsletter

BLT GO LIVE

BLT have just gone live !!!! Mothers are on the Tracking board, Orders are be-

ing placed and Allergies are being documented, SNOMED coded problems are

being automatically being added via items charted in the booking assessment

and its always nice to see these little icons on the tracking board ,

no partograms as yet though, but it is early days. Barts join South London with

the Pregnancy and Newborn Summary Mpages, its warming to get new func-

tionality live.

A Look into the New Year By John Dunn

With two conversions late into 2012; Queen Marys Sidcup kicking off the first

part of the South London Hospitals and The Royal London following a month

later, we look forward to converting the rest of South London with Queen Eliz-

abeth planned for April 2013. This will be particularly exciting as it will be the

first trust to convert with the newly developed CNST Pregnancy Outliers re-

port, which is a specially created Patient List that will return a list of all preg-

nant women who are admitted and receiving treatment in other areas of the

hospital to aid with CSNT accreditation.

PARTOGRAM

The Labor Graph- Partogram

is a graphic summary of a

patient's labor progress

The Partogram contains the

fetal heart rate graph, the

labor curve graph, a flow-

sheet that displays site de-

fined details of the labor, and

the maternal vital signs

graph

January 2013

Oxford will be set to go live in March from their enhancement phase and will

be converting with the new Pregnancy Summary Mpage 4.3 and our newly

formatted clinical notes that not only have new aesthetically pleasing layouts

but will also interface directly to the GPs that will save on paper, postage, time

and efficiency. Wirral and Imperial will follow in March, which will be two huge

go-lives of which are all under Jezz, so he’ll be very busy . Wirral are current-

ly in the early stages of deploying Fetalink ©, which will be our first client in

Europe to go-live with this so we’ll be extra excited to have a client live with

this and have the mother vitals interface into millennium populating iView and

the Partogram automatically.

New projects will begin early in the New year with Lewisham (almost) signed

up and Ireland set to start (subject to contracts signing) which will see the

team strengthen inside and outside of the UK; We will also be beginning a pro-

ject in France that will see PowerChart Maternity live in another part of Europe

and hopefully we’ll be able to move into Spain at some point thereafter. On

the International subject work will continue in Qatar deploying PowerChart

Maternity to pretty much all of the country.

New stuff will always be coming our way and we always enjoy getting our

hands on configuring these items, Mpage enhancements come thick and fast

and will no doubt feature in all our 2013 project plans, the main headline item

being the Women’s Health MPage which will incorporate Obstetrics as well as

Gynae. In Maternity land we always pride ourselves in being a pioneering solu-

tion and like to do things first, hopefully 2013 will see Digi-pens as well as

online personal health records with perhaps the ability for mothers to pre-

complete assessments prior to clinic in attempt to streamline booking times

Become to be member

of our Women’s Health

Collaboration on Ucern.

Ucern is the way to stay

up to date on the latest

developments around

PowerChart Maternity.

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