Clients can use existing functionality within CareAware Connect to aid in care coordination and communication. Dynamic Role profiles can be utilized to aid in the identification of and communication with key roles such as Infectious Disease, House Supervisor. Speed Dial entries should be reviewed to ensure critical, static contacts are readily accessible, such as Lab, Pharmacy, Security. Event Routing and Millennium Discern Alert integration should be considered to distribute result notifications that can aid in expediting isolation protocols and bed placement.

COVID-19: CareAware Connect Updated 4/07

Additional Resources:

• CareAware Connect User Community

Clients can use existing Clairvia functionality to aid in care coordination and staffing resources for the influx of demand. Clairvia can help you identify the right caregivers and communicate staffing needs across your facility. If your organization would like to review patient needs for the unique clinical environment, Clairvia can help you document special considerations and monitor exposure via assignments. We have created a quick reference site to target the information you might need most to support current and new disaster locations for staffing and patient needs.

COVID-19: Workforce Management

Additional resources:

• Cerner Clairvia Client Community
• Emergency Operations Center and Incident Command Tool Kit
• Surge Staffing Projection Tool
• Workforce Management Reference Pages

Clients can use existing functionality within CareAware RoomLink to aid in care coordination to create awareness among clinicians, family members and guest around Isolation restrictions. By utilizing lab results associated with COVID-19, an association of the result to an existing Airborne or Droplet isolation indicator can increase awareness. Clients can also create new Isolation indicators associated with the Lab results.

Please reference the following link for defining any new Patient Attributes or Indicators based upon DTAs.

COVID-19: Device Connectivity Updated 4/15

Additional resources:

• CareAware RoomLink Community Page
• CareAware RoomLink Reference Pages

Clients can use existing functionality/hardware of Cerner Patient Observer to limit unnecessary exposure of staff as well as conserve PPE supplies. By utilizing the camera and 2-way communication a staff member would be able to view a patient or quarantine area without being present. CPO allows you to maintain real-time contact with a COVID-19 population while limiting exposure. When the appliance is on a rolling cart it allows you to continue virtual observation care across your organization. Place cameras at intake areas to replace greeter or be able to provide a preliminary triage without undo exposure to staff. Additionally, utilize CPO cameras in areas that have not been used as patient care areas previously may require power and network.

COVID-19: Device Connectivity Updated 4/15

Additional resources:

• Cerner Patient Observer Reference Pages
• Cerner Patient Observer Community Page

Clients can use existing Soarian Clinicals functionality to assist with operational readiness and communication in responding to the need for surge capacity, staff and volunteer training, and communicating patient specific information related to COVID-19 status.

Healthcare organizations throughout the country are exploring options to increase their bed capacity. Clients may access the link below for a recommendation page on setting up healthcare units as well as beds. It is important to also refer to information from your patient access system in addition to the information provided in this quick reference guide. 

The communication of patient conditions, such as isolation and COVID-19 status, can be accomplished with model visit and patient level indicators, as well as eighteen client definable patient indicators. These indicators can be updated directly in Soarian Clinicals, a transaction from your patient access system, as well as via Workflow Engine processes. The patient indicators are visible throughout Soarian Clinicals to aid in interdisciplinary communication.

To support the training of temporary staff and volunteers in the use of Soarian Clinicals, we have created a uLearn site to allow access, without a uLearn license and log on, to a library of clinical workflow topics. The courses offer guided instruction in the key solutions in Soarian Clinicals including, but not limited to, order entry, allergy management, and assessments.

Understanding Healthcare Units and Beds in Soarian Clinicals and COVID-19

Understanding Patient Indicators in Soarian Clinicals and COVID-19

The HealtheLife^SM patient portal can serve as a key resource to help you stay engaged with consumers. Specific features you can leverage include:

CDC self-checker feature
We have collaborated with the CDC to embed its self-symptom checker tool for people to use directly within their HealtheLife portal.

Self-enrollment waiver
To help you increase your HealtheLife enrollment, we have waived the previous requirement to sign a self-enrollment waiver; instead, a new feature has been added in the admin tool to allow you to enable self-enrollment.

Embedded email feature
To enable you to expedite communication with your population, we have released a feature to help you send a quick email to every address in your_ HealtheLife_ portal.

Scheduled video visits
Scheduled video visit capabilities are available to empower people to have a virtual visit with their established provider.

Communication features
The marketing image and text on your HealtheLife homepage screen can be used to promote information; the alert banner and quick links features can point people to critical information.
To learn more, contact us at populationhealth@cerner.com

Clients can use existing functionality within the Clinical Inventory Management suite to aid in supply management and track spend across COVID-19 related supplies. For those using our purchasing application, the Project Track functionality can be utilized to monitor spending for supplies related to COVID-19. For those using Surgical Management or Point of Use, supply usage can be reported on and transmitted to a foreign materials system.

COVID-19: Clinical Inventory Management

Drug Shortages have been an ongoing issue for health care organizations, which may be further exacerbated due to the current situation and potential supply chain limitations. The video provided in the Link field below provides some configuration methods to provide alerting and/or configuration updates if it becomes necessary.

Solutions: Orders, Inpatient Pharmacy, Bedrock

Video: Managing Drug Shortages and Formulary Changes

COVID-19: Medication Process  Updated 4/15

Provider Portal is an open and interoperable community outreach solution. It increases business to service lines by providing electronic orders, referrals, results, and secure communication to enhance connectivity and care coordination outside of the enterprise.

COVID-19: Provider Portal

Understand Provider Portal to Communicate COVID-19 Results

Clients can utilize the Cerner Command Center dashboard to help visualize and optimize operations in a centralized location by leveraging near real-time data and predictive analytics that provide situational awareness and decision support to address key operational indicators. The Cerner Command Center dashboard is powered by Cerner.AI™ and predictive analytics, to align throughput, staffing and resources and drive action back into clinical and operational workflows.

Emergency Operations Center/Incident Command tool kit

Cerner released enhancements to Millennium to help clients effectively screen and monitor patient populations. It’s encouraged to immediately incorporate the latest update in the Infectious Disease Travel Screen PowerForm within Millennium. See FLASH20-0073-3 for more information.

Both the World Health Organization (WHO) and Centers for Disease Control and Prevention (CDC) recommend enhanced transmission precautions for patients with Coronavirus Disease 2019 (COVID-19).  Therefore, Cerner recommends that clients use Enhanced Droplet and Contact precautions for these patients to indicate additional measures are required.  Additionally, we recommend that COVID-19 be added as a reason for isolation.

WHO
CDC

COVID-19 Worklist: Clients can use existing functionality within the Worklist Framework product solutions to aid in patient screening and tracking, and care coordination. This worklist will leverage the latest Infectious Disease content to alert the clinician of patients’ recent travel or infectious disease screening. The worklist will also provide clinical data within the columns to aid in screening and monitoring patient population.

Cerner recommends implementing a rule that populates a problem to the problem list when a COVID-19 test is ordered, and a rule to update the problem when the result is positive.

COVID-19: Acute Care

Infectious Disease - COVID-19 Risk Exposure

Infectious Disease - COVID-19 Pre-Admission Risk Exposure

Infection Control Content Package 195892 or its replacement

Infection Control Content Package 195892 or its replacement

With Cerner Acute Case Management, clients can utilize existing functionality to document COVID-19 within the clinical documentation improvement, utilization management, and discharge planning processes. Please reference the following link for additional information and recommendations as it pertains to Cerner Acute Case Management.

COVID-19: Acute Case Management

Cerner’s Ambulatory Strategy team has published configuration and Model Experience workflows for screening and monitoring COVID-19 patients.  Clients can leverage PowerForms to document patients’ recent travel or contact risk screening precautions (see FLASH20-0073-3 for more information). Health Maintenance Recommendations can be leveraged to monitor patients at risk or confirmed for COVID-19.  Population management or optional patient outreach can be achieved leveraging Dynamic Worklists and/or Invitations. Active or passive clinician alerting is available via SmartZone and/or Discern Alerts for patients who have been confirmed positive for COVID-19.

Cerner’s Quick Visits product, available with the standard MPages release, supports the grouping of items that are commonly ordered and/or documented as part of routine patient visits. A clinician can use these groupings to quickly complete visits that are performed on a regular basis. To help contribute to our Model Experience related to COVID-19, Cerner is making content available through the Quick Visits solution to provide clinicians a single place to chart items for routine visits. The Configure COVID-19 Quick Visits page can be accessed for further instructions and recommendations on building out this content.

COVID-19: Ambulatory Updated 4/15

Ambulatory – COVID-19 Screening and Management

COVID-19 Curbside Screening and Management

Cerner’s Behavioral Health Strategy team is leveraging the Cerner Ambulatory and Cerner Acute Model Experience recommendations related to coronavirus disease (COVID-19). Please refer to the following for additional treatment guidance:

• Substance Abuse and Mental Health Services Administration (SAMHSA) 
• American Psychiatric Association (APA)
• National Council for Behavioral Health

As additional guidance is made available, the Model Experience COVID-19: Behavioral Health page will continue to provide up-to-date information about how Cerner products, resources, and partnerships can assist clients during this time. 

• COVID-19: Behavioral Health 

Cerner released enhancements to Cerner ECG Management and Cerner Cardiovascular Imaging Management to help clients effectively screen and monitor patient populations in dealing with COVID-19. Isolation Status can now be easily viewed in the Patient Profile of the Cardiovascular Workflow Manager (CVWFM). QTc discrete data can now be viewed to track significant changes.

COVID-19: Cardiovascular

Cerner released enhancements to Millennium to help clients effectively screen and monitor patient populations. It's encouraged to immediately incorporate the latest update in the Infectious Disease Risk Screen PowerForm within Millennium. See FLASH20-0073-1 for more information.

Cerner's Long-Term Care Strategy team has published information regarding our Model Experience related to Coronavirus (COVID-19) and the waivers being issued for Skilled Nursing Facilities by CMS. Recommendations for Skilled Nursing Facility (SNF) patients being admitted under the waivers of the 3-day hospitalization, PASRR, and physical environment requirements, monitoring for respiratory illness, and telemedicine visit documentation are included. Recommendations for a COVID-19 Worklist to aid in patient screening and tracking, and care coordination is also included. CareTracker recommendations are also available for screening and tracking.

If adopting the latest Infectious Disease Travel Screen PowerForm, update your C-CDA template configuration to include recorded data in the Functional Status section of the documents and ensure the appropriate COVID-19 results are configured to populate the Laboratory (Results) section. C-CDA configuration guidance can be found HERE.

Completing these steps will allow your organization to exchange this information with other care providers through avenues such as Direct Messaging, CommonWell, Resonance, and other exchanges.

If needing to push patient data to a city, county, or state health departments or a regional collaboration; a modified version of the Transition of Care (TOC) operations job (ops job) can be configured. The modified TOC ops job can be configured to qualify patients based on COVID-19 or related results to send out a CCD/CCDA document to a specified direct address. Configuration for the COVID-19 TOC Ops job can be found here.

Cerner is continuing to evaluate methodologies for recording and exposing critical COVID-19-related data points through Cerner Hub, Cerner HIE and CommonWell. If you have questions, reach out to your Interoperability Solution Operations Manager.

COVID-19: Interoperability

Additional resources:

• COVID-19 Results
• Configure the Continuity of Care Document

Existing functionality within Cerner Emergency Medicine solutions aid in patient screening and tracking, care coordination, and result follow up related to COVID-19.

At the point of entry, PowerForms document patients’ recent travel or infectious disease screening, which immediately triggers the appropriate isolation precautions order and tracking event. In addition, the problem alert column in ED LaunchPoint can display an icon when a COVID-19 problem is documented.

If your Emergency Department(s) are creating Field EDs, we recommend creating a specific Field ED tracking list or zone, to effectively manage patients outside the regular ED and avoid exposure.

COVID-19: Emergency Medicine Updated 4/15

During the Preadmission Testing and/or Preoperative Intake process, PowerForms can be used to document patients’ recent travel or infectious disease screening, which immediately triggers the appropriate isolation precautions order. Subsequently, an Isolation event can be manually set on the Perioperative Tracking board to further draw attention to isolation patients. It’s encouraged to immediately incorporate the latest update in the Infectious Disease Travel Screen PowerForm. See FLASH20-0073-1 for more information.

Additionally, a summary of the COVID-19 airway recommendations as defined by Anesthesia Patient Safety Foundation (APSF) and the American Society of Anesthesiologists (ASA) has been condensed into a single anesthesia action, which can be developed locally across Cerner's client base.

COVID-19: Perioperative Updated 4/15

Leveraging 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. Please reference this uCern post COVID-19 Patient Education to access single instructions related to COVID-19 that can be uploaded into your domain as a custom instruction. We will be updating this post continuously as new or updated content is provided by the Patient Education vendors. For details on how to update your Patient Education content and map custom instructions to Diagnosis codes, see the Configure Patient Education reference page.

COVID-19: Patient Education Updated 4/02

Additional resources:

• Configure Patient Education
• COVID-19 Patient Education

Millennium and Soarian Patient Access solution areas offer variety of existing application functionalities to manage the screening of patients as well as supporting facility operations during coronavirus disease 2019 (COVID-19). For more information, select the appropriate solution area below.

• COVID-19: Millennium Scheduling
• COVID-19: Millennium Registration
• COVID-19:  Soarian Scheduling
• COVID-19: Soarian Patient Access
• COVID-19:  INVISION Patient Management

For clients utilizing Cerner's Automated Messaging services, organizations can request appointment reminders with screening criteria and information on who should not come into the health care facility for their appointment. Additional information is available within the COVID-19: Millennium Scheduling page.

The HealtheLife^SM patient portal can serve as a key resource to help you stay engaged with consumers. Specific features you can leverage include:

CDC self-checker feature
We have collaborated with the CDC to embed its self-symptom checker tool for people to use directly within their HealtheLife portal.

Self-enrollment waiver
To help you increase your HealtheLife enrollment, we have waived the previous requirement to sign a self-enrollment waiver; instead, a new feature has been added in the admin tool to allow you to enable self-enrollment.

Embedded email feature
To enable you to expedite communication with your population, we have released a feature to help you send a quick email to every address in your_ HealtheLife_ portal.

Scheduled video visits
Scheduled video visit capabilities are available to empower people to have a virtual visit with their established provider.

Communication features
The marketing image and text on your HealtheLife homepage screen can be used to promote information; the alert banner and quick links features can point people to critical information.
To learn more, contact us at populationhealth@cerner.com

Cerner’s Care Pathways product, available with the standard MPages release, leverages a robust build tool to combine clinical evidence, EHR data, and interactive communication with the clinician, to make condition-specific treatment recommendations.  This allows for the integration of evidence-based medicine into clinical practice.  Today, a majority of Care Pathways clinical content is client-developed.  However, to help contribute to our Model Experience related to Coronavirus SARS-CoV-2 (COVID-19), Cerner is making content available through the Care Pathways solution specific to the initial assessment and screening process.

Cerner content developers and the Care Pathways team have published initial risk assessment content based on CDC guidelines, along with instructions for how to import the content and build the Care Pathway within the client domain.Through the use of the Care Pathways build tool, this content can be quickly modified to meet the rapid changes in recommendations related to COVID-19.  As additional content is defined, Care Pathways can be used beyond the initial assessment and screening process, to provide clinicians with guidance, recommendations and orders, as appropriate.  The Configure COVID-19 Care Pathways' will be utilized to distribute the content, instructions and updates going forward.

COVID-19: Care Pathways Updated 4/03

Additional resources:

• Care Pathways uCern Group

Cerner is offering a suite of virtual and on-site services to screen, test and treat COVID-19 to help mitigate risks across organizations managing workforce health. The suite of services includes virtual primary care, care coordination, on-site temperature screenings and COVID-19 testing. Learn more.

Cerner released enhancements to Millennium to help clients effectively screen and monitor patient populations. It’s encouraged to immediately incorporate the latest update in the Infectious Disease Travel Screen PowerForm within Millennium. See FLASH20-0073-1 for more information.

Cerner’s Rehab Strategy team has published information regarding our Model Experience related to Coronavirus (COVID-19) and the waivers being issued for Inpatient and Outpatient Rehabilitation by CMS. Recommendations for Inpatient Rehabilitation Facility (IRF) patients being housed off unit and telemedicine are included. Recommendations for a COVID-19 Worklist to aid in patient screening and tracking, and care coordination is also included.

COVID-19: Rehabilitation Updated 4/15

Cerner released enhancements to Millennium to help clients effectively screen and monitor patient populations. It's encouraged to immediately incorporate the latest update in the Infectious Disease Travel Screen PowerForm within Millennium. See FLASH20-0073-1 for more information.

COVID-19 Worklist: Clients can use existing functionality within the Worklist Framework product solutions to aid in patient screening and tracking, and care coordination. This worklist will leverage the latest Infectious Disease content to alert the clinician of patients' recent travel or infectious disease screening. The worklist will also provide clinical data within the columns to aid in screening and monitoring patient population.

COVID-19: Critical Care Updated 4/15

Clients can use existing Soarian Clinicals functionality to assist with patient screening using Provider Documentation and Nursing Assessment content. The model Provider Documentation and Inpatient Nursing Assessment communicable disease screening questions support clients in the screening process. Clients can modify the model content to add disease specific questions. In addition to communicable disease screening, Provider Documentation content includes a Sepsis Screen as well as a Sepsis Care checklist. The use of Provider Documentation can automatically update the Tracking Board icons and statistics.

Understanding Provider Documentation Model Templates in Soarian Clinicals and COVID-19

Soarian ED

The use of Soarian ED, including solutions which automate the update to the Soarian ED Tracking Board, support our clients in efficiently managing patient triage, prioritization, treatment, and throughput.

All About Soarian Emergency Department

Laboratory

The purpose of this page is to provide clients with some tips to help expedite and monitor coronavirus disease 2019 (COVD-19) testing. 

Understanding NOVIUS Lab and COVID-19 Tips

Workflows

Clients can use Soarian Clinicals Workflow Engine processes to support the orchestration of complex processes involving cross team communication such as the processes in monitoring COVID-19 testing, positive COVID-19 results, isolation, and ventilator weaning management.

Understanding Workflow Engine and COVID-19 Recommendations

Cerner’s Oncology Strategy team is leveraging the Cerner Ambulatory Model Experience recommendations related to coronavirus disease (COVID-19). Please refer to the National Comprehensive Cancer Network (NCCN) and the American Society of Clinical Oncology (ASCO) for additional treatment information. As additional guidance is made available, this site will continue to provide up-to-date information about how Cerner products, resources, and partnerships can assist clients during this time.

COVID-19: Oncology

Cerner's Women’s Health strategy team is actively following updates from the American College of Obstetricians and Gynecologists (ACOG); the Society for Maternal Fetal Medicine (SMFM); the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN); California Maternal Quality Care Collaborative (CMQCC); Royal College of Obstetricians and Gynaecologists (RCOG); and the CDC for overall COVID-19 guidelines as it relates to caring for pregnant women and neonates.

Existing functionality within PowerChart Maternity aid in patient screening and tracking related to COVID-19. At the point of entry, PowerForms document patients’ recent travel or infectious disease screening, which immediately triggers the appropriate isolation precautions order and tracking event on the OB Tracking Board.

If your OB clinics are considering virtual health options for prenatal visits, please review the considerations for workflow and configuration options on the Model Experience COVID-19: Women’s Health page:

COVID-19: Women's Health Updated 4/15

Cerner released enhancements to Millennium to help clients effectively screen and monitor patient populations. It's encouraged to incorporate the latest update in the Radiology Online Worklist Enhancements for Isolation Status in the Radiology applications, see FLASH20-0215-0 for more information as well as updates to the Isolation code field for the Radiology RadNet Paper Requisition, see FLASH20-0230-0. Radiology Model Experience recommendations have been published related to Isolation Workflows in regard to Coronavirus (COVID-19).

COVID-19: Radiology

As COVID-19 continues to spread across the nation, patients and families are experiencing a variety of financial, social and emotional impacts that can be devastating to their quality of life and wellbeing. Cerner has developed the WellRx Questionnaire PowerForm to help you screen and document needs related to food insecurity, housing, utilities, employment, safety and more..

• Content reference page for the package
• WellRx Questionnaire
• PRAPARE

Package Number: 202915 - Social Determinants (May 2020)

The coronavirus disease 2019 (COVID-19) demographics bar was developed to give clinicians a face-up indicator of a patient's COVID-19 status. Users can quickly and easily view if an order has been placed or view the patient's test result if available. With this enhancement, the COVID-19 demograpahics bar looks across the patient's orders and encounters to return the latest documented result. If the most recent result is collected within the same hour of another result, the higher critical result will display. Four different statuses are displayed based on the status of the COVID-19 order. In addition to the result associated with the order, if no order exists but a previously documented result does, then the COVID-19 field displays the previously documented result.

COVID-19: Demographics Banner Bar

Cerner’s Care Pathways product, available with the standard MPages release, leverages a robust build tool to combine clinical evidence, EHR data, and interactive communication with the clinician, to make condition-specific treatment recommendations.  This allows for the integration of evidence-based medicine into clinical practice.  Today, a majority of Care Pathways clinical content is client-developed.  However, to help contribute to our Model Experience related to Coronavirus SARS-CoV-2 (COVID-19), Cerner is making content available through the Care Pathways solution specific to the initial assessment and screening process.

Cerner content developers and the Care Pathways team have published initial risk assessment content based on CDC guidelines, along with instructions for how to import the content and build the Care Pathway within the client domain.Through the use of the Care Pathways build tool, this content can be quickly modified to meet the rapid changes in recommendations related to COVID-19.  As additional content is defined, Care Pathways can be used beyond the initial assessment and screening process, to provide clinicians with guidance, recommendations and orders, as appropriate.  The Configure COVID-19 Care Pathways' will be utilized to distribute the content, instructions and updates going forward.

COVID-19: Care Pathways

Additional resources:

• Care Pathways uCern Group

Leveraging 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. Please reference this uCern post COVID-19 Patient Education to access single instructions related to COVID-19 that can be uploaded into your domain as a custom instruction. We will be updating this post continuously as new or updated content is provided by the Patient Education vendors. For details on how to update your Patient Education content and map custom instructions to Diagnosis codes, see the Configure Patient Education reference page.

COVID-19: Patient Education Updated 4/02

Additional resources:

• Configure Patient Education
• COVID-19 Patient Education

Digital health / telehealth offering

Cerner is offering HealthTap, a digital primary care experience, to help organizations address their own workforce questions and concerns related to COVID-19. By combining digital technology with high-quality in-person care, employers can provide their employees and members 24/7 digital access to care anytime, anywhere through HealthTap through May 31, 2020. With HealthTap, employees receive personalized guidance about COVID-19 related symptoms using the HealthTap artificial intelligence-powered symptom checker, can search provider-written answers to questions about COVID-19 and other health questions or concerns, post their own written questions (including COVID-19 symptoms or concerns) and enroll in COVID-19 care guides updated daily with guidance from the CDC and WHO. Employees can choose to connect with a U.S. based board-certified physician 24/7 (consult fee may apply). The HealthTap opportunity provides fast access to further extend health care experiences beyond on-site and near-site health. For more information contact us at workforcehealth@cerner.com

Cerner is offering a suite of virtual and on-site services to screen, test and treat COVID-19 to help mitigate risks across organizations managing workforce health. The suite of services includes virtual primary care, care coordination, on-site temperature screenings and COVID-19 testing. Learn more.

Multum supports investigational drugs and vaccines for the treatment or prevention of coronavirus disease 2019 (COVID-19) when sufficient information is available to provide adequate clinical checking, such as drug-drug interactions. If the Multum clinical editorial team determines that the information is inadequate, Cerner recommends that you create non-reference drugs to take advantage of Cerner Millennium alerts indicating that clinical checking does not occur. For more information and updates, please refer to Understand Multum Support for COVID-19

COVID-19: Medication Process