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Transitioning Radiation Oncology from ARIA to Cerner for Clinical Documentation: A Cancer Institute’s Journey - Part 1
Paul Lindeman, MD Medical Director of Informatics - Baptist Health/South Florida-Miami Cancer Institute
This presentation will provide a high-level summary of how Miami Cancer Institute planned and implemented Radiation Oncology’s clinical documentation transition from ARIA EMR to Cerner EHR over an 18-month period. We will focus on project planning; interdisciplinary team involvement; training; use of interfaces; implementation and follow up. Pre- and Post-Analysis of workflows and integration of the EMR and EHR to create documentation that supports continuity of patient care throughout the Cancer Institute will be highlighted.
Transitioning Radiation Oncology from ARIA to Cerner for Clinical Documentation: A Cancer Institute’s Journey – Part 2
Lorrie A. LeGrand, MHSc, RTT - Baptist Health/South Florida-Miami Cancer Institute
Oncology patients are oftentimes complex, may be seeing more than one oncologic specialist and be receiving multiple therapeutic modalities. Data sets are large and varied. This information can be spread across the EMR creating a click intensive process. This presentation will demonstrate how the creation of a custom mpage brought this varied information to a single space with the custom Oncology History at the center and helped to surface data otherwise buried.
Transforming the Preprocedure Nursing Workflow with Clipboard and Surgical Valet
John Fraker, MD, Medical Director, Physician Informatics – BayCare Health System
This presentation will review how BayCare evaluated improvement opportunities for day of surgery cancellations and delays. The operational steps as a future state for this improvement included a high-level summary of how BayCare Health System planned and implemented the Preprocedure Workflow Mpage, Clipboard, and Surgical Valet in their preadmission testing areas.
Reducing the Burden of Nursing Documentation
Nicole Gitney, Director Nursing Informatics – BayCare Health System
This presentation will summarize a recent optimization effort targeted to reduce the burden of documentation and give the nurse additional time for patient care. The content will review methodologies for determining areas of the EMR that could be optimized and the process for completing the work in the EMR.
The Journey to a Centralized Bed Placement and Transfer Center and Implementation of Capacity Management
Anna Morgan, Director eICU and Central Patient Placement – BayCare Health System
I will describe the process of centralizing a patient placement center in a large healthcare system, including the challenges, lessons learned, and present state. I will also discuss how we implemented a new application, Capacity Management, across a large healthcare system. Lastly, I can discuss our use of the Command Center Dashboard.
Heparin Advisor
Laura Zarlenga, Advanced Clinical Informatics Specialist – BayCare Health System
This presentation will provide an overview of the clinical decision support tool and new workflows implemented to improve heparin infusion management. The content will also explore the importance of multi departmental collaboration and lessons learned during the roll out of the system wide changes.
Growing Our Own: The Starting and Evolution of a Clinical Informatics Trainee Program
Greg Boberg BSN, RN-BC, SMC, Clinical Informatics Development Program Supervisor - Moffitt Cancer Center
This presentation summarizes the financial incentive, learning experiences, and work effort that has gone into the initiation and development of a Clinical Informatics Trainee program. This program intends to supply a larger core team with employees that are formally trained and already accustomed to the workflows of the organization.
Implementation of an Evidence Based Patient Mobility Program
Katie Patel, MSN, RN-BC, CPHQ, Supervisor, Clinical Informatics - Moffitt Cancer Center
H. Lee Moffitt Cancer Center’s Nursing Professional Development Team works with Bedside Nurses to implement Evidence Based Practice. This project was selected by Sarah Hidey, BSN in response to her patient’s needs on a Medical/Surgical Unit to improve patient mobility, thereby decreasing length of stay, reducing complications, and improving patient outcomes. Working in collaboration with Clinical Informatics, Nursing, and Rehab Therapies the Clinical Users participated in the Re-design of their workflow, EHR documentation, and communication surrounding patient mobility.
Project Roadmap Best Practice
Kristin Stillman, Cerner Application Analyst - Tallahassee Memorial Hospital
The presentation will discuss project approach to implementing new HER application software in general, using examples of implementing Surginet, Anesthesia, Supply chain key steps. Discussion on making sure all the right parties and key stakeholders are engaged during team building, the importance of knowing current state and how it will affect future state and gaining the best adoption rates possible via a successful rollout.
Community Works: Tissue Analytics
Darian Ireland, Project Manager - Community Works: Tissue Analytics
As wound care documentation rapidly evolves, an artificial intelligent software helps alleviate the clinicians time spent tracking wound measurements. In this session, Crisp Regional Health Services outlines the AI software implemented at their organization as the first Communityworks client to have a discrete data integration between the AI software and Cerner’s Powerchart..
Utilizing Lean Process Management to Improve Multidisciplinary Workflows in Behavioral Health Documentation
Brittany Luther-Jones, LPC, Executive Director - St. Francis- Emory Healthcare
This presentation will review the Process Improvement Project journey of The Bradley Center of St. Francis, a behavioral health hospital utilizing a combined Medical/BH EMR. Through the utilization of Lean Process Management tools and techniques, the facility optimized the shared therapeutic documentation workflows of nursing, behavioral health therapist, and intake counselors to improve patient and staff experience, reduce work redundancies, lessen documentation time, and improve patient outcomes.
Implementing OBGYN-Specific Provider Dynamic Documentation and MPage Content with Nursing Documentation Integration in the Acute Venue
Michael Francavilla, MD, Chief Medical Information Officer for Radiology and Children's and Women's Hospital - USA Health Hospital
This presentation will review the process used at University of South Alabama Hospital (USA) to introduce OBGYN-specific Dynamic Documentation templates and workflow MPages in the acute setting. It will focus on the design process, which involved provider and nursing champions; how USA worked to integrate nursing and provider documentation for chart integrity and documentation efficiency; and the optimization of workflow MPages and surrounding functionality.
Implementing Ambulatory Cross-Position Flow of Documentation through MPages and Dynamic Documentation
Kristen Noles, Performance Improvement Manager, USA Health
This presentation will review the process used at University of South Alabama Hospital (USA) to integrate the flow of documentation from the nursing staff to the providers, specifically in the Ambulatory Internal Medicine setting. It will focus on areas of shared documentation and the design/build process used to achieve this level of integration with input from both groups of clinicians, which included optimizing existing Workflow MPage content and introducing new parts, such as concept CKI mapping.
Implementing Spanish-Language Dynamic Documentation for Nursing Workflow Discharge Patient Instructions
Kristen Noles, Performance Improvement Manager, USA Health
This presentation will review the process used at University of South Alabama Children’s and Women’s Hospital (USA) to introduce a Spanish-language Discharge Patient Instructions DynDoc template for our Pediatric patient population. We will focus on the development of our Nursing Discharge Workflow mPage, technical design considerations for creating a Spanish-language DynDoc template, maintenance strategies for integrating Cerner’s Spanish EMR content into your standard English DynDoc manifest, and practical considerations for implementing this new documentation into existing nursing workflows
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