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CERNER LIS To know it is to love it?

CERNER LIS To know it is to love it?. Melissa Marcelle Jung Shin Karen Lea. New Process for introducing Cerner. To provide information at the right time Approximately 2 weeks into training Help staff understand how Cerner works We will want your feedback Understand how FHS Lab works.

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CERNER LIS To know it is to love it?

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  1. CERNER LISTo know it is to love it? Melissa Marcelle Jung Shin Karen Lea

  2. New Process for introducing Cerner • To provide information at the right time • Approximately 2 weeks into training • Help staff understand how Cerner works • We will want your feedback • Understand how FHS Lab works

  3. Today’s Training Goal • To provide a knowledge base as you continue to train • To improve and facilitate your early training experiences • To allow you to think critically about what you see in Cerner

  4. Cerner Order Entry Cerner Transactions Cerner Reports A bird's-eye view is an elevated view of an object from above, with a perspective as though the observer were a bird, Cerner- a bird’s eye view

  5. Function Key Assignment

  6. Keypad Assignments NUM LOCK....Forward/Next Page (aka PF1) /….......Backward/Previous Page *……....Abort/EXIT/Return to Previous Menu (aka PF3)

  7. Cerner Order Entry System Ordering, Canceling, and Order Inquiry • What are some of the 3-letter codes? • Priorities in Cerner • ST, RT, AM, others? • Collected Y/N? • Status in Cerner • What code would you use to inquire • Receiving specimens

  8. Cerner Collection Reports • Specimen Transfer Lists • Collection Lists • Collection Pending Reports • Work center pending • Unit/Specimen Log in or Transfer (units of blood)

  9. Modules to submenus

  10. Submenu – General Lab (LB)

  11. Submenu – Order Entry (OE)

  12. Submenu – Specimen Collection (CS)

  13. Patient Registration

  14. Submenu - Order Entry 1

  15. Submenu – Quality Control

  16. Lab Model for Sample Flow Each hospital lab performs testing that could be urgent • SJMC --hub for high volume routine testing • SJMC --cross-matching for all hospitals except St. Elizabeth (Enumclaw) • SJMC performs all Microbiology • If possible, send out testing is processed at SJMC using automated line • All PAML testing is sent out from SJMC

  17. Sample flowchart

  18. Sample flowchart

  19. Result Review Flowchart

  20. Lab Report Flow

  21. Work Queues • CPR – Collection Pending Report • Users – Lab Assistants • Reviews collections that are overdue for receipt in lab • SA/SF/SC samples not yet to SJMC • WCP – Workcenter Pending Rpt • Users – Techs • Reviews orders in received status not yet verified • PLR – Pending log-in report • Cultures that have been SPR’d (received in lab, but not yet MSU’d (received in Micro) • PTR – Pending test report • Overdue Reference testing results (SJMC Client Svc)

  22. Monitoring our work • RRR – Result Review Report • Can pull at any time to look for CCALL comments (Critical called and documented) Shows abnormals/CVs only • ERR – Error Correction Report • Prints daily at SJMC – includes all result corrections/comments made after a test is verified

  23. Taking it down a level Exploring Cerner examples to review key concepts • Types of patients in Cerner • How Inpatients display • Outpatient display • Determining test Status • Receiving specimens

  24. Lab Patients-2 Requisition types LAB registered outpatients Inpatients and hospital registered outpatients

  25. Hospital Patient Accounts • Registered and billed by the hospital • Each Hospital has it’s own number • (0000) St. Joseph • (0001) St. Francis • (0002) St. Clare • (0003) St. Anthony • STAR label

  26. Inpatient or Hospital outpatient accounts • Patient registered by FHS admitting • Displays as a unique patient type (I,E,O,H,T,S, etc) in Cerner • A financial # (new every visit) is assigned • STAR Labels on tubes • Get assigned a location code/nursing floor & rm #

  27. Cerner Patient Types • I Admitted inpatient • E Emergency room • S Hospital Series (coumadin) • H Hospital out patient (GI lab procedure, same day surgery) • O Hospital OP (Radiology) • T Oncology series • R Renal series You MUST order on the correct account!!

  28. How can you know what the correct account is?

  29. Star Label-what information does it contain? • Patient Name* • DOB* • MRN • Financial account number • Admitting provider • Admit date

  30. Patient Types

  31. Cerner Location CodeIndicates IP nursing station or what kind of OP account it is

  32. Many Location Codes • COUF-coumadin clinic SFH (S) • COU, COUC • ONCC-oncology clinic Clare (T or O) • ONC, ONCF, ONCA • ECU-Emergency Care Unit SJ (E) • ECUF, ECUC, ECUA • 6D-Critical Care 6 floor, quad D SJ (I) • LABA • LABF, LABC, LABJ

  33. Patient Type/Nursing Station

  34. Patient type/Location code

  35. STAR Financial Numbers New every visit

  36. Which account can be ordered on? Use Hospital ID#,Pt. type, Pt. location and Financial # to determine

  37. Which accounts should not be ordered on? • Discharged accounts • Patient location CAN, or patient type X

  38. Paclab Out Patient Accounts Patients registered by lab staff PSCs Billed by lab, not hospital; Each hospital lab site has it’s own number (0350) St. Joseph ( 0351) St. Francis (0352) St. Clare (0347) St. Anthony Why not 0353?

  39. Paclab Out Patient • Who is Paclab? • Registration done by lab staff • Including insurance information • Patient type “P” • Assigned a location code- • Often a PSC location; • Printed on the requisition • Main lab OP- LABJ, LABC, LABA, LABF • No financial number-why?

  40. Second Level in OID-Patient type Patient Medical record #

  41. OP Location Codes • Location must be used that is printed • Assures that client gets reports the way they want them • Electronically? • Auto-fax schedule? • Printed?

  42. Out patientlocation codes

  43. How to decide?Hospital #,MRN

  44. More than one MRN listed in COE? Choose the most recent number Most recent should be the 1st one Can use this same number for multiple account types Goal is to only have one MRN per patient

  45. New MRN each time

  46. Out patientSpecial Accounts (0353) SAP/BAT (0500) Employee Health (0700) Puyallup Tribal Health (0880) Auburn Regional (0525) Enumclaw (0640) VA American Lake

  47. Out patientSpecial Accounts Minimal registration Billed to Entity, not patient Employee exposure Analyzer down

  48. Q & A slide

  49. SPECIMEN STATUS PD DIS DSPTCH RECVD CN COL RM COL TRANST PROCESS CMPLT

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