Download Add Fall Doc ePr • ditional NHI ls, Skin and cumentation rescribe

 •
Add
ditional NHIQM The Centers for Medicare annd Medicaid and The Jo
oint
Com
mmission jointly adopted addiitional criteria as their basis for
f
natioonal hospital I quality mea
asures (NHIQM
M).
Our changes to IV
View and mPag
ges will capturre
these additional core
c
measuress. Clinicians will
be able to now see
s these measures displaye
ed
on thhe NHIQM mPa
age.
High
hlights
• Expanded Adult
A
Dashboa
ard separates adult and pe
edi
content for Skin
S & Falls; vie
ew will now req
quire scrolling.
w now receive Skin and Fallss Dashboards.
• Pediatrics will
•
Top
pical Antifun
ngal and Eneema Transfer from Cen
ntral Supply to Pharmaccy Transsition of topica
al antifungals and enemas ffrom a Centra
al
Supp
ply distribution process to Meedication Dispeensing Cabinets
(Omnnicells).
Highhlights
• Transitioning these med
dications to a pharmacy)
dispensing p
process allowss them to be appropriately
y
captured onn the electronnic medication administrationn
record (eMA
AR).
patient safetyy measures w
will occur withh
• Additional p
pharmacy veerification of thhe order and a
allergy checking
g
against docuumented patiennt allergies.
Fallls, Skin and Restraints (FSR) Nursingg Doccumentation
n Revisions Reviised documenttation will imp
prove workflow and increa
ase
efficciency. This iss a major chhange requiringg two hours of
classsroom training for nurses in Critical
C
Care, Acute Care and
Women’s Health.
High
hlights
Increases efficiency: Eliminaates more than 5,000 active and
a
overdue FSR
R nursing taskks/day. It will also decrea
ase
“standard of care” orders..
•
Implements oour first electroonic care planss and continues
our goal to m
move away froom paper documentation.
Pedi stops ussing the Seton--created Pedia
atric at Risk for
Falls (PARF) assessment toool and starts using the Humpty
y
Dumpty asseessment, an eevidence-based
d tool provenn
valid and reeliable. The Joint Commissionn
and Instituute of Meedicine havee
recommenda
ations and/or requirementss
on assessing patients for fa
all risk.
a
for Interdisciplina
ary
Improves workflow: allows
on in FSR assesssments and mannagement. collaboratio
•
This process change is supp
ported by a neew protocol for
Topical Antiffungal creams. ePrrescribe Launches! ePreescribe allowss physicians and
a
mid-level providers to
elecctronically transsmit discharge prescriptions to
t the patient’s
desiired retail pharmacy. Presccription Writer will still be
available for phharmacies that cannot acce
ept electronicc
trannsmissions. This is a moderate process chang
ge requiring a
30-m
minute web ba
ased training for
f nurses.
High
hlights • Connects to 94% of retail pharmacies na
ationwide
•
controlle
ed
excludes
Initial
rollout
substances– these will remain writte
en
prescriptionss
until
ad
dvanced
use
er
authenticatio
on devices req
quired to safelly
transmit Schhedule 2 medications can be
b
assessed and implemented
d.
Re‐D
Design of "Sttroke Throm
mbolytic Alteeplase (TPA)
Proto
ocol" Orderss The ""Stroke Thromb
bolytic Altepla
ase (TPA) Prootocol" will be
e
updatted with smart rules to only d
display doses a
appropriate for
the pa
atient's weight.. TPA documeentation changees are planned
d
for thee June 2015 Q
Quarterly.
Highliights
• In the PowerPlan, the dosee will default appropriately
y
patient's weighht.
according to p
make sure dossing weight is
• Clinicians will need to m
documented ccorrectly.
Unlesss otherwise n
noted, all traiining will be ddelivered via TTips and Trickks Imp
plement Insttitute for Sa
afe Medicatiion Praactices (ISMP
P) best practtice for Orall Meethotrexate dosing/orde
ers •
The system will support
s
using a weekly dosage regimen
defa
ault for oral methotrexate
e. If oral me
ethotrexate is
ordeered for daily
y dosing, a hard stop veriffication of an
app
propriate oncologic indication will be require
ed.
•
Wo
omen’s Health Documen
ntation Imprrovements
Add
dition of a Bisshop’s Score and
a Reason fo
or Induction to
imprrove workflow
w. Inclusion of an initial feeding plan
docuumentation field to meet Perinatal Care Core
C
Measures
PC-0
05 and PC-05a
a.
High
hlights
• A Bishop’s Score,
S
received
d from OB GY
YN offices, will
be added to Women’s Health
H
docume
entation in an
effort to reduce the chance of a patient with a
scheduled elective inducction ending up with an
unplanned Cesarean
C
Sectio
on.
Infeection Preve
ention Syste
em – Sentri7
7 The documenntation in CO
OMPASS for “Reasons for
Induction” will be updated to meet curreent criteria for
Indications for Scheduled D
Deliveries. This supports the
e
“Scheduled D
Delivery Policyy (Induction oof Labor and
d
Cesarean Secction)”.
A field to capture the beneefits of exclusiive breast milkk
feeding and the risk of intrroducing formuula
was discussed
d with the motther prior to tthe
first feeding w
will be added. This information
will flow to the newborn’’s chart via tthe
Result Copy p
process in COM
MPASS.
Correection to Inttake and Ou
utput (I&O) d
during surgiical procedu
ures This uupdate will alllow for I&O captured durring a surgica
al
proce dure, including Women’s Health C-Secctions, to flow
w
accura
ately to iView (the universal location in CO
OMPASS for this
docum
mentation). Read
dmission Preevention Withh this nationnal clinical surveillance and
a
infection
prevvention projectt, Pharmacy annd Infection Prrevention staff
will be able to trrack and trend
d data, alertinng a physician
wheen a change in meds are necessary to fightt infection. This
system will be utillized solely by CEE Analytics,,
Pha
armacy & Infe
ection Preventio
on. Capability
to move to electtronic reporting to National
Hosspital Safety Network
N
(NHSN
N).
Evidennce-based doccumentation thhat uses an interdisciplinary
y
approoach to recognnize and identiify those patieents who are at
risk foor readmissionn within 30 da
ays in the acutte care setting.
This COMPASS solution incluudes: IView, PowerFormss,
PowerrPlans, and rrules to streamline the woorkflow of this
condittion along with a Readmissionn Risk Summaryy View to assist
with d
determining annd managing thhose patients a
at the greatest
risk off readmission, per evidence review. A small area of the
e
3rd fl oor at SMCA w
was the first Asscension Healthh department inn
the na
ation to adopt a Cerner Read
dmission Reducttion program inn
Octob
ber 2014. The next step is full rollout of thhe program onn
the 3
3rd floor of SSMCA on Feb
bruary 10, 20
015.
Furtheer rollout planss at SMCA annd the rest of the
netwoork are still und
der developmeent in coordina
ation
with the Seton Network Readm
mission Reducction
initiatiive.
New
w Registratiion System a
at UMCB All SSeton facilities are scheduled
d to transition from Invision to
Cernner Registration by the end of
o 2016. Cerner Reg is easierr
to uuse, reduces patient
p
duplication, and capttures better –
and more complette- patient datta. In July 2015, UMCB will
be tthe first Seton facility to use Cerner Reg. UMCB
U
is going
first primarily due to technical reasons. For example, UMCB is
our only site with its own dedicated registtration region.
Training for UMCB
B staff begins inn late spring.
Navicare Replaced by FetaLink & Docum
mentation by Ceerner Materrnity Inpatieent and ambuulatory areas will be integrated into our
contin uum of care w
when they beg
gin using Cerneer Maternity inn
Decem
mber 2015. TThis will give oour maternity p
patients a fully
y
integrrated medical rrecord.
Con
ntinuum of C
Care Commu
unication Mea
aningful Use Stage
S
2 requirrements for ca
aregivers have
the ability to dirrectly message
e the next prrovider in the
trannsition of care. Our direct me
essaging projecct is underway
and will initially innclude ARC, Lo
one Star Circle
e of Care, and
Atheena clinics. Tessting is underw
way with these
parttners and imp
plementation date(s) will be
drivven by successsful test outco
omes but are
aimeed at this summ
mer.
PACSS Integration
n By thee summer, PACS images will b
be available vvia a link on the
e
Radioology report in COMPASS.
Unlesss otherwise n
noted, all traiining will be ddelivered via TTips and Trickks