Download - Uk Women's Health
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
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Collaboration on Ucern.
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up to date on the latest
developments around
PowerChart Maternity.
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