Cerner Millineum

Unknown
in CDI Talk Archive
Is there anyone that has a fully electronic record with Cerner Millineum? If so, how are you leaving clarifications (queries) for your physicians?
Linda Haynes
Legacy Health System
Portland, Oregon

Comments

  • bonnie.diehrbonnie.diehr
    edited May 2016
    Martha Jefferson Hospital has Cerner and we are still using paper
    queries, then scanning them after discharge to have on file if audited.


  • Unknown
    edited May 2016
    We have created a power note brief clarification template that then can be sent directly into the physicians inbox to agree or disagree with. We are trying to figure out a way that the physician can open this up and then have access to directly document. Has anyone figured that out?


  • fostermafosterma
    edited May 2016
    Linda, Portland Adventist and the University of Washington both have Cerner. A contact at Adventist is Cindy Fessler, RN [fesslerCM@ah.org] and the contact for U of W is Holly Flynn [hollyf1@u.washington.edu]. Hope this helps.
    Roberta Fosterman RN
    Clinical Documentation Specialist
    Mail Code OP17A
    Phone 503-418-4024
    Fax 503-494-8439
    fosterma@ohsu.edu




  • lspryszaklspryszak
    How are you handling the queries as pertains to complying with the AHIMA brief, e.g., no yes/no questions (except POA) and offering multiple choice options?

    I think this will be a big issue with the RAC requesting queries so I'm hoping you have the solution!
  • mannb1mannb1
    edited May 2016
    Our pre-formatted queries from Navigant have several options, as well as a "check here if unable to determine" box for the providers.
    We also have a "blank" documentation clarification query that the CDS staff write in free text, giving examples of possible dx and the same unable to determine option.




  • Unknown
    edited May 2016
    Thanks Roberta, I'll contact them.




  • Unknown
    edited May 2016
    So, are you using paper queries or are they online with Millineum or are you faxing...?


  • Unknown
    edited May 2016
    So how are you getting the queries to the physicians?


  • Unknown
    edited May 2016
    And do you have problems with physicians reading their inbox clarifications(not looking at them)?




  • bonnie.diehrbonnie.diehr
    edited May 2016
    We leave the queries on the charts while the patients are in house. If not answered the Lead Coder sends it back thru their IN-BOX, but we have to type it again and then place the deficiency in their Physician Def piece within Cerner. It is alot of work if they miss it on the floor.


  • Unknown
    edited May 2016
    Thank you for that information. It sounds like you still have some sort of paper chart available while the pt is inhouse then, correct?

    Linda




  • dallend@einstein.edudallend@einstein.edu
    edited May 2016
    We are also moving to Cerner - we are only in the infancy stages though. We are going to start with MD orders and nursing documentation - probably won't go live for about 9-12 months.
    When you leave the concurrent queries are they electronic or on paper. I can't seem to get a straight answer from anyone at my end regarding Cerner's ability to handle electronic queries while patient is still in house or if it can handle the query templates that we have developed.
    Thanks


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