Message Center Message Center can be accessed from your FirstNet toolbar. It enables you to perform tasks such as online results review, electronic signature of documents, and working with proxy authentication. For example, if residents enter PowerNotes, it routes to the physician’s inbox for electronic signature. Residents - Use Message Center to see the status of any PowerNotes submitted for signature and to sign. Attendings - Use Message Center to sign and approve orders and PowerNotes submitted for signature.

Message Center Other functionality of Message Center includes: All messages and notifications that require your attention, review or signature are routed to your Inbox and are organized in folders. Your Inbox can be accessed from any computer on your network that has Cerner Millennium installed on it. You can customize the items you want displayed in the Message Center by filtering by dates, types of results, etc.

Components #1 Inbox Summary -- The Inbox Summary provides you with a quick view of all of the items in your Inbox. #2 Message Center Toolbar -- The Toolbar provides access to actions that you can perform to a document. 1 2

Components Cont. #3 Key Notifications Toolbar --The Key Notifications Toolbar alerts you when specific notifications are received in your Inbox in Message Center. #4 Refresh Button--Refreshes the data that is currently being displayed. #5 Message Viewing Window -- Contains the Messages and General Messages Tab. Displays information and documents, depending on what is selected from the Inbox Summary. 3 4 5

Inbox Summary The Inbox Summary provides you with a quick view of all of the items in your Inbox. The Inbox Summary is displayed on the left side of the window and allows navigation through the Message Center. The Message Center has folders which are expanded/collapsed by clicking the +/- next to the folder. The numbers to the right of the folder name in parentheses indicates the number of unopened/unread items and total number of items in each folder respectively.

Inbox Summary Cont. The Inbox Items section will display the following: General Messages that need review Laboratory and Radiology Results that have been entered in the system Orders to approve (Physicians Only) Documents The Work Items section of our Inbox Summary will contain the following sections for physicians. Saved documents: Documents added to the Documents tab in PowerChart that have been saved instead of signed or submitted. PowerNotes that have been saved will appear in Saved Documents. Documents to dictate for physicians: These are anticipated documents that are added automatically or assigned by the HIM staff. The only documents that will appear in the Documents to Dictate folder are: For Residents RD H&P (resident dictate H&P), RD D/C (resident dictate discharge summary), RD OP (resident dictate operative report), and RD ED (resident dictate ED) For Attendings – Anticipated document for the op note (KD OPERATIV RPT) The Notifications section will contain the following sections for physicians. Sent items: Proxy notifications you have sent to another provider and forwarded documents. Trash: Deleted proxy notifications Notify receipts: Any notification receipts that you have requested.

Toolbar The following commands are available on the Message Center Toolbar. Toolbars will vary depending on what selection you have made under the Inbox tab. Communicate – Allows you to create new messages, reminders, and consults to be sent to other clinicians / providers using Message Center. Open – Opens the selected document. Delete – Erases the selected message. Restore – Enables you to restore a previous document. Empty Trash – Enables you to empty trash documents that were previously deleted. Select Patient – Displays only results, messages and other Inbox items particular to the selected patient. This option allows you to navigate through the items in the patient-specific inbox before returning you to the full-view inbox. Select All – Allows you to select all messages in the Viewing Window.

Viewing Window There are three ways to open a document: From the Message Viewing window, you can access consults, messages (responses and messages copied to yourself), and notes by double clicking. The document will open and display in the Message Viewing Window. There are three ways to open a document: Double click directly on the subject line. Click once to highlight and right click to open. Select the subject line highlighted and click the open icon.

Modify and Correct Prior to signing a document, if changes are needed the Attending can right click on the document to Modify or Correct the document.

Modify and Correct Cont. Selecting Modify – Opens the document and allows you to Insert an Addendum Selecting Correct – Opens the report structure so changes can be made. Preliminary Report Residents: You can verify and monitor the status of reports sent in your mailbox. Attending: PowerNotes sent to your mailbox from residents will be in a Preliminary Report status until they are signed.

Preliminary Report If you are an attending working with a Preliminary Report, right-clicking within the body of the PowerNote allows you to select Modif6y. This action will take you to the PowerForm so that any necessary changes can be completed and signed.

Key Notifications Toolbar The Key Notifications Toolbar alerts you when specific notifications are received in your Inbox in Message Center. This can display an indicator when Results, Messages, and Orders received in your Inbox. New results are indicated in bold and the number adjacent to the result type indicates the number of new notifications in that category. Clicking the notification name opens the corresponding Inbox folder allowing you to view the details of the notification.

Results Journal Recently endorsed results are displayed in Message Center by clicking the Result Journal button. It will allow you to run a query to display results you would like to view again. Enter the begin date and time from which you would like to retrieve previously endorsed results.

Refresh Button The Refresh button is used to refresh any data that is being displayed. It also displays the amount of time since the information was last refreshed. It is imperative that you Refresh the data after submitting changes.

This concludes the Message Center Lesson You are now ready to proceed to the Next Lesson