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Nursing

An EHR designed to improve the quality of coordinated care

Market pressures are driving health IT to support a connected, patient-centric health and care experience. Cerner’s solutions focus on advancing care coordination, nursing documentation and clinical workflows in a variety of settings and venues to facilitate personalized health management and care delivery to optimal outcomes.

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The Challenge

The demands of health care have never been greater. Nursing is no exception, and as the pulse of care delivery nurses are feeling it: long hours, tight budgets and high levels of burnout. As health information technology continues to evolve, we strive to support those who are on the front lines.

The Solution

Cerner’s solutions offer flexible yet robust functionality to help address all your strategic initiatives — managing your workforce, coordinating care delivery, connecting devices with the EHR, improving communication across patient care teams, complying with a dynamic regulatory environment or reducing the documentation burden among your clinical staff. In today’s dynamic health care environment, nurses must be agile, at the patient’s bedside and capable of operating at the top of license at all times.

Proven Results

Benefits

Cerner’s innovative leaders are devoted to achieving your organization’s goals (indeed, the goals of your care teams and patients alike) for today and tomorrow. With more than 900 nurse associates integrated throughout the organization, Cerner thinks the way you work. Alongside clients, Cerner nurses leverage clinical intelligence and data-driven strategies to design, implement and optimize meaningful solutions that provide a better technology experience for nurses and support quality patient outcomes.

Experience

Knowing how nurses work— We understand nurses because we are nurses. More than 900 nurse associates are integrated throughout Cerner, working alongside our clients to design meaningful solutions and provide an array of professional services to improve health and care.

Care in the right context— Cerner offers specialized workflows for nurses providing care in a variety of settings and venues. Our solutions support the unique needs of the clinician and patient population in women’s health, oncology, perioperative, ambulatory, critical care, emergency medicine, home health, long-term care and pediatric environments among others. Cerner solutions supporting nursing workflows are available in markets across the globe.


Quality

Collaborating across teams — Working collaboratively across teams is critical for quality patient care, but is sometimes a challenge. Working in silos can prevent clinicians from pulling comprehensive patient information together, which can put patient care at risk. Care planning provides clinicians with documentation-driven plans of care, including multidisciplinary clinical pathways and care protocols. Including expected outcomes and interventions allows for flexibility in customizing plans to patient-specific needs. This means the nurse can facilitate care that considers multiple aspects of a patient’s well-being.

Connecting care across the continuum — Patient data collected at one venue is not always accessible elsewhere, leading to repeat tests, missing patient data and incomplete medical history, which can also impact the quality of work for clinicians. We go where health care happens, which is sometimes beyond the four walls of the hospital. By making patient data shareable among primary care physicians, specialists, hospital physicians and patients, we’re helping to remove barriers that block effective care. One of the most practical applications of health IT for long-term post-acute care providers involves increasing electronic access to information that is already collected, either for documentation or reporting purposes.


Safety

Checking the rights — checking the five rights of medication administration—right patient, drug, dose, route and time —is critical in ensuring patient safety. With capabilities like barcode medication administration and medical dispensing cabinet integration, Cerner can help decrease the likelihood of an adverse drug event. When administering IVs, nurses perform a wristband check, medication check, dosage confirmation and device confirmation with a barcode scanner that is integrated with the EHR. Connected infusion pumps communicate with clinical documentation in real-time to ensure the right volume and rate are captured without manual intervention. When all of these things take place, organizations can better catch mistakes before they happen.

Infection isolation — Nurses are on the front lines of patient care, where both the patient and nurse are susceptible to infectious disease. However, it can be difficult to identify the subtle signs of the deadliest pathogens. Cerner Infection Control monitors patients to ensure they can be appropriately isolated from other patients. Cerner also offers St. Johns Sepsis Agent, which helps hospitals reduce sepsis cases through early detection of sepsis symptoms.

Monitoring patients, when you can’t — Falls are the most frequently reported adverse events among adult patients. It can be difficult and costly for nurses to monitor patients with a low risk of deterioration. But for patients with fall risks or other intermittent medical conditions, vigilance in critical moments can avoid dangerous events. By developing innovations like remote patient monitoring, nurses can rest assured that in the event of an emergency in a patient room, the monitoring technician can quickly send help.


Communication

Going where nurses go — Health care doesn’t stop and nurses need access to solutions whoever care is needed. To keep patient care moving forward, nurses can use CareAware Connect™ to send a secure message to other care team members asking them to review a patient’s status remotely if they’re not on-site.

Communicating across teams — we know that care rarely stays within one discipline during a patient visit. Cerner’s commitment to the care team encourages smoother communication across multi-disciplinary care teams. Our core mobile solution can display a patient’s care team members along with an option to contact them, making it easy to reach the right clinician. Our labor and delivery physician-geared solution, FetaLink+®, save time by allowing the nurse and physician to review the same data. No more describing a strip over the phone.

Reducing alarm fatigue — Nurses sometimes experience more than 350 alarms per patient, per day. As a nurse juggles multiple patients and multiple tasks throughout his or her shift, it can be difficult to keep track of the noises and demands coming from every direction. It’s no wonder that the addition of device alarms creates additional nursing fatigue. Preventing nuisance alarms and recognizing meaningful alarms is key to reducing fatigue. With our intelligent mobile solutions and client collaboration, only actionable, critical alerts get pushed to a nurse’s attention.


Efficiency

Optimization — Cerner’s model experience is the product of data analysis, regulatory expertise, technical expertise, industry best practices and innovations from 35 years of experience across thousands of clients, including leading health systems operating Cerner solutions. Combined with Continuous Advancement services, which identifies opportunities to enact change and measure progress to goals in an interactive fashion, organizations are able to improve their workflow efficiency and quality, enabling clinicians to spend more time at the bedside.

Intelligence: care prediction — Staff nurses across the nation are reporting a dramatic increase in the use of mandatory overtime as a staffing tool. This dangerous staffing practice, in part due to a nursing shortage, is having a negative impact on patient care, fostering medical errors and driving nurses away from the bedside. Cerner helps hospitals calculate a patient’s acuity, the care hours a specific patient needs, based on information captured in the electronic health record (EHR). Accounting for the level of care each patient needs helps the organization distribute fair and manageable workloads to nursing team members. In the critical care environment, effective measurement and reporting of outcomes is essential. Cerner’s APACHE® Outcomes allows a nurse to objectively evaluate the quality of care delivered in an ICU setting. With a focus on process improvement and resource optimization, APACHE provides access to the one of the largest outcomes databases in the world, containing over half a million contemporary admissions, with the greatest depth of benchmarking capabilities.

Planning for discharge — Seamlessly moving patients throughout the hospital as their needs change is a team effort, and nurses play a critical role in ensuring there is an appropriate level of care needed for each patient. Cerner’s centralized operations approach includes bed management from CareAware Capacity Management and digital unit dashboards in the Logistics Center, aligning nursing across the hospital with EVS, Transport, Care Management and other team members. Cerner’s Transitions of Care algorithm provides post-acute recommendations for patient placement, identifying a care facility best suited for that patient’s needs.

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