CERNERCERNER™™ PowerOrders PowerOrders Orders Status InterfaceOrders Status Interface

June 8, 2009 June 8, 2009

Purpose of ProjectPurpose of Project

In Response to Physicians’ Request to In Response to Physicians’ Request to provide a method in CERNER PowerChart provide a method in CERNER PowerChart and FirstNet to check status of orders that and FirstNet to check status of orders that have been placed in the STAR Order have been placed in the STAR Order Entry SystemEntry System

Scope of the InterfaceScope of the InterfaceLaboratory Orders – except BB & Cytology; Send out if they are Laboratory Orders – except BB & Cytology; Send out if they are orderable in STAR if they don’t they will see Send Out Test Code and orderable in STAR if they don’t they will see Send Out Test Code and order in Commentsorder in Comments– OrderedOrdered– In ProcessIn Process– CompleteComplete– CanceledCanceled

Radiology Orders Radiology Orders – OrderedOrdered– In Process – In Process –

OrderedOrderedExam Complete – No ResultsExam Complete – No ResultsExam Complete – In Progress (Preliminary)Exam Complete – In Progress (Preliminary)

– Complete – Complete - Final ReportComplete – Complete - Final Report– CanceledCanceled

Future StateFuture State – Optimizations of this functionality TBD – Optimizations of this functionality TBD

All Orders have similar Lay outAll Orders have similar Lay out for Status Review for Status Review

OrderedOrdered – Lab Not drawn yet or Pt not in – Lab Not drawn yet or Pt not in Radiology DeptRadiology DeptIn ProcessIn Process – Blood to lab or Patient to – Blood to lab or Patient to RadiologyRadiologyIn ProcessIn Process – – Exam CompleteExam Complete - Radiology - Radiology when exam is complete but no reportwhen exam is complete but no report or Preliminary Report Available or Preliminary Report Available CompleteComplete – Resulted or Reported – Resulted or Reported CancelledCancelled

PowerOrder Tab ReviewPowerOrder Tab ReviewBolded headings in Navigation List have Viewable Orders – Clicking on the Bolded headings in Navigation List have Viewable Orders – Clicking on the

Heading will bring those orders to top of windowHeading will bring those orders to top of window

Display OptionsDisplay OptionsDefaults are set to All orders 5 days Back – this is our Defaults are set to All orders 5 days Back – this is our

recommended setting and will show future orders as wellrecommended setting and will show future orders as well

Customize View WindowCustomize View WindowAllows customization of order and type of columns, Allows customization of order and type of columns,

Grouping of orders and Sort Order – Grouping of orders and Sort Order – Orange Boxed areas show defaultsOrange Boxed areas show defaults

Order Information WindowOrder Information Window

Order Details – Priority, Date Due Order Details – Priority, Date Due

Series Orders - Series Orders - BMP Daily X 5 Days BMP Daily X 5 Days

Displays Current Date Order and 3 days forwardDisplays Current Date Order and 3 days forward

Result Review from PowerOrdersResult Review from PowerOrdersNote! Currently if there is a comment associated with the result in this Note! Currently if there is a comment associated with the result in this view an * will display vs. a ^ which displays in the flowsheet views – view an * will display vs. a ^ which displays in the flowsheet views –

this will be corrected in the future.this will be corrected in the future.

Radiology Order ListRadiology Order List

Nuclear Med – Cardiolyte StudiesNuclear Med – Cardiolyte StudiesResults will be viewable in Flowsheet only – Why? Results will be viewable in Flowsheet only – Why?

Report dictated into another system so will not interface with status updates but Report dictated into another system so will not interface with status updates but will be viewable in Flowsheets Results upon Completionwill be viewable in Flowsheets Results upon Completion

Advanced Filters for PowerOrders Tab Advanced Filters for PowerOrders Tab Recommend leave at default settings with look back of 5 daysRecommend leave at default settings with look back of 5 days

FirstNet Results Status ColumnFirstNet Results Status Column

Icon will appear when all Results Icon will appear when all Results are Completeare Complete

Right Click on Cell to see Right Click on Cell to see Order InformationOrder Information

Left Click to Open and View Left Click to Open and View Results of TestResults of Test

FYI and Questions?FYI and Questions?

Orders are encounter specific - Results on Flowsheets are not so will pull 24 hours prior to admission to current or based on Search Criteria

Recommend leave defaults to look 5 days back - This will reflect future as well

The ABG orders at SJE should post initially because they are being performed in Horizon Lab.  Once Respiratory goes live with the Radiance system, the orders will not post at either facility