Presenter: Lance Zeli (Senior Director, Healthcare Executive of Client Development, Cerner Corporation)
Title: Value-Based Care in the Health Care Industry
Presenter: Ori Lotan, MD (VP, CMIO, Universal Health Services & Crossings Healthcare Solutions)
Title: CMIO's Perspective on Optimizing Provider Documentation
Abstract: UHS has implemented full electronic provider documentation (Dynamic Documentation) with 85%+ voluntary adoption, 50% less time/patient than comparables, >$4Million/year transcription expense reduction, and very high physician satisfaction. Join me to learn how we achieved these outcomes.
Presenter: Chris DeFlitch, MD, FACEP, FAAEM (VP, CMIO, Penn State Health)
Title: CareConnect: Going LIVE with the Clinically Driven Revenue Cycle at Penn State
Abstract: The Penn State Hershey Medical Center is a long-standing Cerner client, with clinical applications deployed across the academic hospital, children's hospital and 60+ ambulatory care areas for 10+ years. Penn State Health has developed, built and tested the Cerner revenue cycle product integration and EMR enhancements for deployment across the entire health system, academic and community hospitals and ambulatory sites. GO LIVE is the week of the RUG., Come hear the story of the project structure, scope, lessons learned and active issues issues with the first academic health system complete deployment of a Clinically Driven Revenue Cycle with Cerner.
Presenter: Donna Yancey Richardson
Title: Cerner Training Redesigned with Adult Learning Theory in Mind
Abstract: Training clinicians and ancillary personnel to document quickly and effectively in the Cerner EMR is a challenging task. Accuracy and completeness are crucial, but what’s the best way to convey the information? The subject matter doesn’t lend itself to many of the currently popular online teaching techniques. Classroom training is expensive but not necessarily effective. And what if you’ve already invested considerable time and money into developing role-based online training that just isn’t getting the job done?
Presenter: Derlene Manfredi
Title: VitalsLink Implementation
Abstract: This presentation will cover the implementation of the VitalsLink solution. This solution takes charting time from 3-5 minutes to ~90 seconds and provides a safe transfer of data directly from the device to the EMR.
Presenter: Apolla Roth
Title: Implementing eCoach Partnering for Success
Abstract: In this session, you’ll learn about the new tool available to drive Cerner learning and adoption. Using eCoach, organizations have a quick and efficient way to provide just-in time learning to users in the environment on demand. This session covers the implementation process from beginning to end, including project planning, stakeholder engagement, technical specifications, content development, testing, implementation, marketing and continuous improvement efforts.
Presenter: Amy Chesky
Title: Cerner Coach Program: Combining Analytics, Coaching, & Education to Drive End-User EMR Experience
Abstract: One of the most significant drivers of EMR adoption is clinical engagement. Clinicians respect, trust, and listen to other clinicians. The Cerner Coach Program at VCU Health provides a vehicle to develop a collaborative partnership between Information Systems and clinicians that encourages communication, collaboration, and commitment to EMR adoption. The Cerner Coach Program empowers clinicians to drive EMR adoption through a role-based structured education program, structured expectations for the role, regular meetings with other Coaches, communication vehicles with Information Systems, analytic resources to identify peers in need and track improvements, and tools to educate and coach peers in their areas. At this session, the development and implementation of the Cerner Coach program will be discussed, including needs assessment, marketing, recruitment, education, on-going maintenance and retention efforts, and program evaluation.
Presenter: Louis Leff, MD, FACP
Title: Adapting EBMcalc to the Cerner FHIR Environment: Evidence-Based Medicine Decision Support on FHIR.
Abstract:
EBMcalc, (formerly MedCalc 3000) is a unique computerized medical reference and tool set. EBMcalc encompasses a over 750 pertinent medical formulae, clinical criteria sets and decision tree analysis tools used every day by clinicians, medical educators, nurses and health care students. EBMcalc is currently integrated in many prominent partner sites, including UpToDate, BMJ Best Practice, and others.
For the last 4 years, EBMcalc has been distributed freely by Cerner to all Cerner clients, and is easily added to the table of contents in Powerchart. It has been positively received! The most common new-feature request from Cerner clients has been to integrate EBMcalc calculators with patient data. FHIR is the obvious solution. I intend to describe the EBMcalc journey into the FHIR paradigm. From learning/understanding FHIR standards, to the process of building and "playing" in the Cerner FHIR sandbox. I'll report on our in-depth experience with the Cerner Code team.
Many EBMcalc medical pages can now receive clinical data via the FHIR standard. Calculators like Heart Score, Newborn Hyperbilirubinemia, Stroke Risk, Cardiovascular Risk (ACC/AHA, MESA, Reynolds, Framingham, PROCAM, and others), SOFA, qSOFA, and Apache scores, and even the latest Pediatric Blood Pressure Percentile calculators are now interactive. Most pediatric growth percentile calculators and growth graphs are also up and running in EBMcalc.
LOINC coding will be discussed as it is the most important standard linking EBMcalc to electronic health records. We'll look at the many-many relationships between LOINC codes and data consumed by the EBMcalc system. SNOMED and RxNorm too.
Presenter: Sean Keane
Title: Removing Extraneous Paper and Faxing with Work Queue Manager
Abstract: I will show how at Stony Brook we have removed faxing and extraneous paper from our Physician Practice, Acute and Emergency Visits. I can show example how we have even taken automated processes and imported them into a queue for HIM staff to work. We have used it for our PCR’s on our Helicopter Patients. We are a Level 1 Trauma Center. If there is something to target, I can work on that aspect of the presentation. I have spoken at CHC on this topic for the last 3 years and we are a development partner with Cerner on this software. I have vast technical knowledge on this subject matter.
Presenter: Kelly Jonas
Title: Managing Nursing Tasks in the Electronic Medical Record
Abstract: Using "tasks" or reminders within the EMR can be a valuable tool for clinicians, but they can also become a hindrance. By developing guiding principles for tasking and evaluating our current state, Universal Health Services identified and eliminated over two hundred and forty tasks that were considered "basic care" for nursing.
Presenters: Carmen Pal and Robert Oakes
Title: The Use of Care Pathways to Standardize Care
Abstract: Display/discuss how we are utilizing the Cerner Care Pathway tool to help standardize and drive care of patients with diagnosis such as Syncope, Lower GI Bleed, and Uncomplicated Seizure.
Presenter: Christina Wang, Ph.D.
Title: Utilizing Health Maintenance, Invitations and Dynamic Worklist to Accommodate Quality Measures
Abstract: LifeBridge Health has implemented Health Maintenance, Invitations and Dynamic Worklist to facilitate patient population identification and accommodate workflow required to satisfy quality measures. We will review: 1. Workflow to accommodate ACO measures, Medicare Annual Wellness Visit, and Advance Care Planning through utilization of Health Maintenance. 2. How initial patient population and satisfiers are defined for each schedule and expectation. 3. Utilization of Invitations for Secure Messaging. 4. Utilization of Dynamic Worklist as a query tool by end users.
Presenter: Harohalli Vijayakumar, MD
Title: Increasing the Quality and Efficiency of Surgical Services Through a Novel Technology Approach Focused on Care Coordination, Patient Engagement and Risk Analysis
Abstract: Surgical episodes of care involve highly complex hand-offs between members of the care team. These hand-offs require seamless care coordination and patient engagement. Identifying the highest risk patients is challenging and labor intensive. In this initiative, Lowell General Hospital leveraged an innovative technology approach which utilized Cerner's capabilities in combination with a novel technology solution focused on care coordination, patient engagement and risk analysis. This presentation led by the Chief of Anesthesiology of Lowell General Hospital will outline the approach taken, the goals achieved, and learning from these efforts.
Presenter: Danh Vuong
Title: Modified Early Warning Score (MEWS) in Cerner
Abstract: Modified Early Warning Score or MEWS is a tool that assists nurses in recognizing the subtle signs of deterioration in their patients, which may lead to a significant cardiac event. UHS has successfully implemented the Cerner MEWS tool, at 26 acute care facilities by enhancing the Cerner process and standardizing the electronic MEWS alert. As a result we have seen a decrease in hospital codes per 1000 discharges since implementation.
Presenter: Paul R. Clark, MD
Title: Clinical List Data migration
Abstract: We have made a conversion from our Legacy system to Cerner as of December 1, 2017. We went from McKesson Horizon inpatient clinical systems and Centricity outpatient EMR. As part of this conversion we had a very robust data migration but like most organizations the challenge was clinical list data migration. We took different approaches for medications, problems and allergies. There were many lessons learned along the way. We also took a unique approach with FH and SH migration.
Presenter: Heather A. Nolette, BSN, RN
Title: Does a Real-Time Surveillance Warning Tool Promote Timely Intervention with Deteriorating Patients?
Abstract: Researchers have found that deteriorating patients have subtle changes that go undetected or not acted on in a timely manner. Physiological changes exhibit 8 to 12 hours prior to a serious life-threatening event. Healthcare teams are failing to recognize, interpret, and respond to these changes. This is a major cause for increased admissions to higher levels of care, increased length of stay, cardiac/respiratory arrest, or death. Evidence shows that these subtle changes have opportunities to be acted on in a timely manner with innovative applications. The electronic medical record continues to become more robust in collecting clinical data making it sometimes difficult to visualize specific data sets that depict patient deterioration. Integrating a real-time surveillance warning tool within an electronic health record, can assist in gathering, organizing, and visualizing large amounts of clinical data while showcasing physiologic variables. It is critical to utilize a sustainability practice model that provides structure, sustainability, and management of such applications. These tools facilitate opportunities for timely intervention, that contribute to positive patient outcomes, by providing additional analytical considerations without replacing intellectual competence, expertise, or scientific inquiry.
Presenter: Nicholas Trincia
Title: The Millennium Package Chase
Abstract: No longer are the days of going an extended period of time without taking new code. This is a brief look into how a large Millennium installation manages our package requests, approaches to testing, and presents some of our continual challenges in managing Millennium code across the enterprise. I will also cover steps we have taken to manage this by outsourcing some of the actual tracking and testing of packages with Cerner Upgrade Managed Services and our Cerner Alignment agreement.
Presenters: Carmen Pal and Robert Oakes
Title: Addressing the Opioid Epidemic in the Acute Care Setting
Abstract: Discuss the electronic solution developed at CCHS to help address the opioid epidemic in the acute care setting. Electronic process includes the use of powerforms, rules, alerts, powerplans, and more.
Presenters: Mark Gidman
Title: The Hidden Value of Interoperability
Abstract: In recent years media outlets, patient advocacy groups and government regulators have been shouting about the importance of interoperability between EMR systems. Most of the attention is focused on the need for portability of EHR data and a patient’s right to access and own their personal health record. But under the surface, interoperability related technologies are becoming a primary enabler for improved clinical workflows and better EMR experiences for providers. Come find out how interoperability can make a difference in your life and how the future is looking brighter because of it.
Presenter: Ricardo Rodriguez
Title: Going Back to Basics: Quality Assurance
Abstract: This presentation will focus on sharing information around quality assurance in regards to testing and validation. Back to basics is the method of returning to previously held values and stressing simplicity and adherence to fundamental principles. Testing software and applications with a quality assurance mindset allows us to ensure that the product we are delivering to the client meets expectations. It offers us the chance to see how the design and build decisions come together, from a database or unit perspective to an integration enterprise standpoint across multiple applications and software. Overall, this presentation will explore our current site processes and how we go through all aspects of testing solutions by critically reviewing the system to catch potential hazards, and evaluate benefit.
Presenter: Christine Sullivan
Title: Implementation of a Predictive Analytics Tool in an Acute Care Hospital Setting
Abstract: Our hospital implemented the Rothman Index to reduce mortality, assist in family discussions, mitigate failure to rescue and improve situational awareness on units.
Presenter: Cindy Swank
Title: MedStar Physician Practice Profile - MP3
Abstract: We at MedStar Health have developed an application, the MedStar Physician Practice Profile (MP3) – that hosts data from several of our major applications to include Cerner EMR, GE Centricity Business, EMR Link, BMC Remedy incident system, Echo as well as others. This application provides the end user with the ability to query a ‘practice profile’ that includes everything from the practice information from Cerner, demographics, lab acct information, billing information as well as a profile for every end user and provider within that location of care. From a reporting standpoint, an end user can run reports on any of the above pieces of data for a single location of care, a hospital facility or the entire ambulatory population within MedStar Health. It also offers metrics to include a GeoMap to search for all ambulatory practices, specific practices or by specialty. The application is robust and has been demo’d and is being utilized by users to include MedStar Health’s corporate teams (marketing, digital, planning and business development) as well as Information Technology, Information Systems and many practice managers and senior directors.
Presenters: Nancy DiBenedetto; Evelyn Nyarko-Ahlijah; Swetha Srinivasaraghavan
Title: Improving the Accuracy and Efficiency of CMS Reporting of Quality Measures with a Patient Level mPage
Abstract: The Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) report is an assessment used to collect admission and discharge data on all Medicare Part A fee-for-service patients who receive services under Part A from an inpatient rehabilitation facility. The Cerner IRF-PAI Export utility tool gathers data from PowerChart and Registration management and applies rules and logic to the data in accordance with Centers for Medicare & Medicaid Services (CMS) guidelines. We at MedStar have developed a Patient Level mPage that leverages Cerner’s code for the Organizer level IRFP PAI Report MPage. This gives us the flexibility to run the IRF-PAI utility report at the patient level, and review the accuracy of the quality measures that need to be reported. Key positions and management are able to review all the required quality measures and functional independent measures at the patient’s level ahead of time, making necessary corrections when needed to help reach our optimized reimbursement derived from documentation accuracy. The Cerner utility tool is run at the organization level by the PPS coordinator who reviews the final data and then exports the report to either eRehab or Uniform Data System (UDS), for final submission to CMS. The IRF-PAI Cerner utility is similar to other Cerner post acute care utilities such as the Minimum Data Set (MDS) for skilled nursing facilities or the Outcome and Assessment Information Set (OASIS) for home health agencies.
Presenter: Subin James
Title: Quality Optimization work in PowerChart
Abstract: MedStar implemented PowerChart to all their ambulatory locations in 2016 and went with the Cerner’s model content of Power Chart Ambulatory. Moving from Centricity EHR, Cerner’s platform lacked with gaps in Quality reporting workflows. Many of the documentation tools were not linked to the correct filters. Health Maintenance component was used with its basic functionality and with the vendor provided “Health Adult” content. Most of the quality measure satisfiers were a manual process in PowerChart and this drove users with poor performance. A group was formed in early 2017 to optimize the Quality workflow in PowerChart and to improve reporting score. The group also focused on all areas of improvement including workflow correction, education, fixing broken forms and adding existing functionality from Cerner that is not turned on. The group created enhancements to PowerForms, Health Maintenance recommendations, new note types, and new workflows based on each value based payment models. This presentation will cover a high level overview of all areas of measures taken in PowerChart to improve the overall quality measure scores and enhanced the provider and staff workflows. It will also cover the successful strategies taken in the quality optimization and how MedStar improved their quality scores.
Presenters: Wannetta Edwards and Eric Miller
Title: PowerInsight Delivers Advanced HIM Reporting Solution
Abstract: Universal Health Services, Inc. (UHS) has designed a powerful new PowerInsight reporting option for Health Information Management (HIM) which exceeds capabilities available through Cerner Explorer Menu and Discern Analytics. UHS initiated a scan of its 26 facilities to determine reporting requirements for operational efficiency and precision. This session will describe how UHS Information Services developed a custom PowerInsight HIM Universe to meet the unique HIM standards. The team delivered a comprehensive reporting package with custom security access levels. Learn how the reengineered HIM reports can be scheduled, and then distributed to business users via e-mail or secured network folder in an Excel format.
Presenters: Jason Aronovitz, DO and Taylor Dorman
Title: HealtheRegistries Implementation Experience from Einstein Care Partners
Abstract: Einstein Care Partners is the ACO for Einstein Healthcare Network in Philadelphia region. We implemented HealtheRegistries and HealtheRecord starting in July 2017 and have been live since November 2017. Come hear about out our experience with implementing HealtheRegistries. Our objective was to provide our Primary Care practices Accurate, Accessible, and Actionable data to improve the care of our patients. Additionally, we wanted to expand our visibility of care happening outside our Network by integrating Payer Claims data. We will share our successes and lessons learned along the way. The topics we will cover include Data Integration, Changes to Power Chart, Performance Monitoring, Outreach for Services Due, and Point of Care Decision Support.
Presenter: Alison Martin & Bob Rose
Title: Adding Dictation and Mobility Can Increase Productivity
Abstract: Introducing dictation software into the environment brings the cost of transcription down and improves the turnaround time of updating patient charts. It also adds mobility and flexibility which improves the adoption of dictation as well as giving time back to the physicians.
Presenters: Neil Bhattarai, Lisa Jones, RN and Emanuel Ghebremariam
Title: Conducting “Report Build Day” - Hackathon Event Featuring HealtheIntent and Cerner Data Extraction
Abstract: Frontline providers and quality improvement professionals struggle to extract meaningful data from Electronic Health Records. As a result, information Technology departments often struggle to provide timely and robust analytics support to fuel improvement projects due to competing priorities. Cerner users often complain about inaccessibility of data extract and resort to manual chart audits which costs time and money. HealtheIntent, a cloud-based software platform leveraging SAP Business Objects aims to solve this problem. The Quality and Safety Department and the Bear Institute at Children’s National, in partnership with Cerner, facilitated a “Hackathon” event where users were able to advance knowledge on building reports through HealtheIntent. Users were able to create meaningful reports that will aid in their quality and research work. This presentation will discuss how we conceptualized and executed this successful event.
Presenters: Caroline Brozak and Sonja Burroughs, MD
Title: Achieving Population Health through Interoperability
Abstract: Children’s National Health System will describe its advancement of their population health strategy through interoperability tools. This comprehensive strategy includes:
Presenter: Pete Celano
Title: The Alliance for Genomics (TAG)-- All Cerner Systems
Abstract: TAG stands for The Alliance for Genomics. It brings together a set of US healthcare systems that use the Cerner EMR, to share best practices, leverage our collective size especially relating to genetics software we might need, and potentially build a Shared Research Database.
Presenter: Hatim Barma
Title: Cerner Ambulatory Implementation: Integration Points with other solutions, and unique configurations needed for Clinic Providers.
Abstract: When doing an ambulatory implementation, it is important to understand how ambulatory integrates with the acute venue, and the unique differences in configuration that drive an optimal provider workflow. During this time I would like to discuss how clients can have a successful ambulatory implementation, and what are the items that are unique to the ambulatory venue that provide maximum provider satisfaction.
Presenters: Kayla Jubic, Lisa Meyer, Carmen Furfaro
Title: Children’s Connect – Patient Engagement/Education
Abstract: Children’s Connect is CHP’s new patient education/ entertainment system available to the patients and families on a Television and a Tablet device. In 2016, the system was piloted in the Emergency Department, Observation Unit, Two Inpatient Units (6A & 9B), 1 Infusion Unit (Infusion Orange) and 1 Outpatient unit (Frog Pod). The Children’s Connect system is fully integrated with the Children’s Hospital of Pittsburgh of UPMC eRecord (Cerner) and ADT system (Medipac). With the EMR integration, the system is able to prescribe patient education videos automatically to the TV or Tablet device i.e. when a child is admitted to an inpatient unit, his or her physician or nurse can “assign” the patient/family an educational video or a series of educational videos related to their care through Children’s Connect system. Apart from patient education, the Children’s Connect system also provides access to TV (Comcast), entertainment (on-demand movies), relaxation videos, music and other Pediatric friendly content. The Children’s Connect system is now live on all inpatient and outpatient area TV’s (ED, Acute Care units, Intensive Care units, Same Day Surgery, Infusion, Dialysis) and on Tablet devices (Inpatient units, Ambulatory exam rooms and Ambulatory waiting areas).
Presenter: Heather Makowski-Horsky and Brian Haggerty
Title: Transitioning Provider Education from Classroom to Blended Learning
Abstract: In this presentation, we will identify the benefits of transitioning EMR education for providers from complete in-person sessions to blended learning sessions and explain the process of transitioning the curriculum content to video modules. We will also examine the technology aspects of build and implementation, and complete the session by sharing the results we’ve seen for both provider satisfaction and the impact on education resources.
Presenter: Matt Health
Title: Softek Charge Capture: Is your system creating a charge for every order? How would you know?
Abstract: Accurate charge capture is a real, and often elusive, problem for many healthcare organizations. But ignoring it can lead to significant revenue losses. Matt Heath, VP for Softek Solutions, talks about the main causes of charging irregularities as well as the technology that provides real-time visibility into the source of your charging capture issues.
Presenter: Bob Martinez
Title: Closing the Loop: ED Results Call Back mPage
Abstract: This presentation will explain one busy emergency department's transition from a paper process to Cerner's ED Results Call Back mPage.
Presenter: Kas Brazie
Title: Dynamic Documentation Design Concepts and Project Success Measurements
Abstract: Key concepts for MPage Workflows and Dynamic Documentation design and build by medical service to deploy a viral implementation through Physician adoption. Discharge Optimization - Adoption of new MPage Discharge Workflows for Physicians and Nursing. Key points to measure project success through decreased Physician time spent in the EMR, average turn-around time to write notes, reduction in transcription costs and meeting Meaningful Use Measures.
