Cerner

Current Time Inside Cache Tag Helper: 9/20/2020 4:13:46 AM and Model.VendorId = 61112

Cerner's Current COVID-19 Response and Solutions

The following information was supplied by the vendor and has not been validated by KLAS.

Various COVID-19 resources

COVID-19 specific updates to Millennium, testing and triage functionality, public health reporting, patient education, consumer engagement, and telehealth

Please visit Cerner’s COVID-19 recommendations page for in-depth descriptions of Cerner’s ongoing activity, application updates, recommendations and links to all necessary workflow, configuration, and client community resources (https://www.cerner.com/covid-19/). You can navigate to this page from the Cerner.com homepage as well. Specific initiatives include but are not limited to:


Respond and Recover Resources


U.S. County-Level Utilization Forecasting – Cerner developed this model to assist in COVID-19 response planning at the county level, helping to enable stronger planning since state level projections often most represent urban areas. The model predicts the peak utilization date, hospital beds, ICU beds, and ventilators needed within each county and compares to actual county capacity to identify potential shortages. The model runs a modified version of Penn Medicine’s CHIME (COVID-19 Hospital Impact Model for Epidemics) Model. Public data sources are updated at 7 p.m. CT daily, and the Cerner model is then updated the following morning at 8 a.m. CT. Cerner is also actively maintaining reopening and social distancing projections to be used as inputs into reopening of elective non-COVID-19 care services, planning for potential re-surges and for shaping public policy and guidance.

 

Disaster Documentation Guide – This resource contains recommendations for Ambulatory, Emergency Medicine, Acute Care and Critical Care. Recommendations include a simplified ED Triage intake, updates to nurse medication witness workflows, a checklist for expanding a Bedside Medical Device Integration footprint, end user training guides and a specific Disaster Nurse Position. This guide also encompasses formal standards of care recommendations for Cerner clients to evaluate their current policies during a disaster. Additionally, to help providers have access to shortened patient intakes, Cerner has established an expedited service offering to provide the Essential Clinical Dataset to all clients for their Acute Care and Critical Care admission intakes. Lastly, a lighter version of the Essential Clinical Dataset Physical Assessment has been included, which helps streamline and drive documentation efficiency.  

 

Staffing Projection Tool – This tool supports emergent staff planning as provider clients respond to the need to open more surge beds at each facility. The Staffing Projection Tool allows staff projects for licensed and unlicensed vacancies and identify additional support needed from other care settings or additional labor resources.

 

ICU Team Model Projection Tool – This tool is intended to complement the COVID-19 Staffing Projection Tool, allowing an organization to evolve to an ICU team model from standard service line ratios. This helps an organization project staffing needs for a team inclusive of a provider, licensed and unlicensed vacancies and identify additional support needed from other care settings or additional labor resources. The solution is an Excel-based tool to project staffing needs as an organization prepares for surge levels. The tool models staffing needs based on the data elements an organization inputs into the tool.

 

Clinical Assist – This service offers an organization adoption support and informatics in addition to surge strategic support. Adoption support provides virtual coaching and assistance tailored to the clinician from the convenience of their workspace. Informatics and surge strategic support allows an organization to receive remote informatics and surge strategic support from clinical informatics experts who can help develop strategy and coordinate surge activities. Clinical Assist also provides remote EHR training to client clinicians who are being deployed from other areas, those added to the contingent workforce, and client trainers who have shifted to provide patient care.

 

Recovery Package – The Recovery Framework content provides a series of recommendations and considerations for health systems as they enter the recovery phase of the COVID-19 crisis. It is organized in a manner of general operational recommendations and considerations for the organizations and then more detailed, venue-specific recommendations and considerations. The package contains the following guides:

·       Financial Recovery Guide: a wealth of stimulus opportunities, relief legislation and other funding programs applicable to health systems

·       Operational Readiness and Care Delivery Preparedness: recommendations and considerations to guide clinicians and facilities in developing the initial functional plans needed to restart aspects of in-person care for non-COVID-19 patients

·       Ambulatory Recovery Guide: recommendations and considerations to guide clinicians and facilities in their resumption of care where health services or acute care services are provided on an outpatient basis

·       Surgery Recovery Guide: recommendations and considerations to guide clinicians and facilities in their resumption of care in operating rooms and all procedural areas

·       Outpatient Diagnostics and Procedures Recovery Guide: recommendations and considerations to guide clinicians and facilities in their resumption of imaging, laboratory or other specialty tests as well as same day surgeries

·       Behavioral Health: recommendations and considerations to guide clinicians and facilities in their resumption of care where outpatient and inpatient behavior services, as well as wrap around services, are provided

·       Physical Rehabilitation: recommendations and considerations to guide clinicians and facilities in their resumption of care in outpatient therapy services

·       Long Term Care: recommendations and considerations guiding clinicians and facilities in their resumption of care for patients at skilled nursing facilities, nursing homes, adult care facilities, etc.

·       Care at a Distance: recommendations and considerations to guide clinicians and facilities in their practice of caring for patients remotely. This includes when the provider and patient are not physically present with each other but clinical services are still being rendered including remote triaging, intervention, monitoring, etc.

HealtheCRM℠ COVID-19 Recovery Package – Cerner has designed an offering to help automate outreach to patients, encouraging them to reschedule appointments and procedures missed during the pandemic. Insights from the HealtheAnalytics℠ COVID-19 recovery dashboard are embedded in HealtheCRM to help provide personalized, automated outreach to those in an organization’s population who need to reschedule an appointment. HealtheCRM also provides organizations with resources to help build and execute outreach campaigns tailored to their brand.

 

HealtheIntent℠ Dashboards – This tool leverages HealtheAnalytics℠ to understand the monthly, quarterly, and annual impact of COVID-19 on cost, utilization, risk adjustment and quality metrics. The enhancements are designed to support an organization in discussions with CMS, state government and commercial payers as they go through financial and other COVID impacts to patient populations. The following dashboards have been released:

·       HealtheAnalytics: Post-COVID-19 Appointment Analysis dashboard allows a client to understand what appointments are being held, cancelled, confirmed, or put on hold

·       COVID-19 Episode Cost Discovery dashboard provides visibility into the cost and utilization of COVID-19 patients, and post COVID-19 spending is analyzed along with population stratification by chronic condition

·       HealtheAnalytics: COVID-19 Screening and Symptoms dashboard provides visibility into testing for COVID-19 and related conditions, as well as patients presenting with COVID-19 symptoms

Reopening and Social Distancing Projections – Cerner developed this model to monitor community, state and country COVID-19 risk level trends and forecast based on various social distancing relaxation scenarios. The tool aggregates publicly available reporting data from multiple sources to be used as inputs to evaluating reopening of elective non-COVID-19 care services, planning for potential re-surges and for shaping public policy and guidance. Cerner has compiled a Reopening Risk Index (CRRI) with four risk categories. The index is based on the trend of COVID-19 cases within the last 14 days and provides guidance to stakeholders evaluating the potential consequences of reducing social distancing.

 

LON Dashboard – The Lights On Network dashboards provide visibility to recommended COVID-19 content and adoption. It enables organizations to find opportunities to direct further adopt recommendations. The following dashboards encompass COVID-19 related recommendations and metrics:

·       Overview: this dashboard provides a holistic view on COVID-19 recommendations and if/where they are in use by the organization

·       Awareness: this dashboard displays which COVID-19 solution recommendations have been viewed on the Model Experience website by your organization and the number of page views

·       Alignment: this dashboard provides a summary of all COVID-19 related package recommendations available and reports on which packages a client has installed

·       Adoption: dashboard displays usage of COVID-19 content and capabilities such as MPages, forms and rules, broken down by category and solution

 

Health Systems Operations Solutions – Cerner is quickly deploying Health Systems Operations solutions for clients facing an immediate need. They include:

·       Cerner Command Center dashboard powered by Cerner.AI™ and predictive analytics leverages near real-time data to provide situational awareness and visibility to critical resources to help improve patient throughput

·       CareAware Patient Flow® provides real-time metrics of the current operational state of the facility and gives visibility to bed status, location attributes to support patient needs and confirmed discharges

·       CareAware CareView™ helps improve communication and eliminate documentation redundancies and is designed to be used by the entire interdisciplinary team to address barriers to discharge and emphasize a patient-centered focus of care

·       Clairvia® ShiftAlert and Advisory Services helps notify caregivers of urgent, short-term staffing requirements, assists in streamlining workflows with best practices to adjust solution settings to meet evolving workflows, and aids in creating custom tools for staff projections and identifying addition support needs 

Clinical Screening and Treatment

Cerner has developed and pushed a COVID-19 update to Cerner Millennium clients to help actively manage the ongoing threat of the virus in their communities. The updated package for the Infectious Disease Travel Screen PowerForm within Millennium alerts providers when a patient is at risk, based on criteria like travel advisories indicated by the CDC, so clinicians can take appropriate isolation precautions.

Cerner has developed COVID-19 specific content delivered through the Care Pathways to support the initial assessment and screening process. This initial risk assessment content is based on CDC guidelines and currently available along with instructions for how to import and build the Care Pathway within a client’s unique domain. This content can be quickly modified to meet the rapid changes in recommendations related to COVID-19 and potentially extended beyond the initial assessment and screening process to provide clinicians with guidance, recommendations, and orders as appropriate.

Testing and Triage

For testing, Cerner has published test configurations (including test naming conventions) and model workflows for monitoring pending and in-process tests for clients to consume. Additionally, Cerner is providing a standard report for laboratory staff to monitor the incidence of positive and negative COVID-19 test results with related rules that can notify personnel via email when a positive COVID-19 result is published. Subsequent documentation will immediately trigger the appropriate isolation precautions order and tracking event.

Cerner clients that are extending their Emergency Department(s) by creating “Virus Centers” through temporary structures can add the new patient locations to existing ED location views to create a specific tracking list or zone. This helps facilitate prescreening to divert influenza-like illness patients directly to the “Virus Center” and avoid exposure to the regular ED patient population. The problem alert column in Cerner’s ED LaunchPoint can display an icon when a COVID-19 problem is documented. Active or passive clinician alerting is available via SmartZone and Discern Alerts for patients who have been confirmed positive for COVID-19.

Limiting Unnecessary Clinician Exposure

With existing technology, clients can use Cerner Patient Observer (CPO) to limit unnecessary exposure of staff as well as conserve personal protective equipment supplies. This technology allows for the use of a camera and two-way communication between a provider and a patient or quarantine area without being present.

Waiving Fees for Emergency Expansion Capacity and Mobile Offerings

As clients need to urgently expand their capacity to care for higher volumes, Cerner is waiving fees for clients that need increased licenses for expanded emergency capacity and offering to connect critical care devices at no cost. This also includes temporarily suspending all limits on licenses for Cerner mobility applications.

IT Support Assistance

As the COVID-19 virus continues to spread, the loss of a single resource among hospital and health systems’ IT departments could have implications to clients’ ability to adapt and support their IT systems. Cerner Assist provides temporary services, such as Help Desk Support, Application Management Support for Cerner and non-Cerner applications and technical support to clients that are experiencing shortages in staff or technology resources.

Field Hospital Support

Cerner is supporting hospitals’ and health systems’ unique needs as they establish field hospitals and surge locations in places like parking lots, hotels, and previously closed health facilities. Cerner teams are working around the clock to help establish secure digital infrastructure to allow clients to have the ability to triage and document each patient regardless of where they are treated. Cerner’s surge capacity guidance can be found at https://www.cerner.com/pages/covid-19/surge-capacity-guide.

Public Health Reporting

Cerner’s Public Health team supports reportable laboratory results and syndromic surveillance (ED and Urgent Care) submissions to local, state, and federal public health authorities. Any laboratory ordering and/or performing the tests can submit an eService request to add the new tests to their reportable lab feeds. As clients await an official LOINC release and subsequent code packages to be made available, Cerner Public Health platforms can add LOINCs to the messages outside of Millennium prior to submission to authorities.

In addition to laboratory results, the Cerner Public Health team has collaborated with the Center for Disease Control and Prevention (CDC) National Syndromic Surveillance Platform (NSSP) to include travel history in the syndromic surveillance messages.

Patient Education

Results Callback can be used to promptly follow up with patients about their COVID-19 results post-discharge from the ED. With Cerner’s Patient Education Workflow Component and Patient Education window in the Depart Module, clinicians can select Patient Education that is specific to COVID-19. These instructions can be selected and reviewed with the patient at any time or included in their Discharge Instructions.

Consumer Engagement

Cerner clients can use existing functionality within the HealtheLife patient portal, such as Custom Pages, Quick Links, and Banner Alerts, to inform or notify users of information their organization is publishing regarding COVID-19.

Virtual Health/Telehealth

Cerner is collaborating with virtual health care partners to offer the following resources to assist clients in helping address patient questions and concerns related to COVID-19.

  • American Well: Cerner and American Well are supplying clients a module designed to help diagnose COVID-19 patients using telehealth. The package includes access to a preconfigured practice on American Well staffed with providers of the American Well Medical Group, engagement materials to drive patient adoption, and reporting on enrollments and utilization.
  • Health Dialog: Cerner is collaborating with Health Dialog to provide 24/7 telephonic access to a NCQA-certified and URACaccredited registered nurse line. Health Dialog will create a toll-free number specific to each organization, and registered nurses will answer calls in line with the provider organization’s branding. This nurse line can help address patient inquiries and questions on COVID-19, perform symptom checking, and direct patients to the most appropriate level of care: whether it’s self-care at home following the appropriate self-quarantine guidelines or an appointment with a provider, such as visiting urgent care or calling 911.

Current Time Inside Cache Tag Helper: 9/20/2020 4:13:46 AM and Model.VendorId = 61112

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Current Time Inside Cache Tag Helper: 9/20/2020 4:13:46 AM and Model.VendorId = 61112

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