1. Provider Cerner Education Session 4
Eastern Maine Medical Center
Provider Cerner Education Session 4
Dr. Michael Ross

2. Blue Hill Training Web Page: http://ci.emhs.org/MIO_BlueHill
Provider Cerner Education Session 2

3. Curriculum Outline Week Topics
Navigation, Personalization, Note Creation Overview
Problems (Intro); Revenge of the Message Center, Centricity CCD
Orders and Favorites
Medications, Basic Mmodal
Patient Letters, Autotext, Smart Templates
Recommendations, Patient Care Advisor,Worklists
Family & Soc History, Advanced Mmodal, Q&A
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4. Test Patients for use: Go to Ambulatory organizer/Home
Be sure to use MAY 1st
Go to Ambulatory organizer/Home
Search for me in calendar; you will see my calendar filled with test patients.
Pick a test patient from the schedule for use today.
We will use this as a source of Test patient’s with Ambulatory encounters for future sessions as well.
Dr Z’s ->
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5. Overview: Topics to be Addressed Today
Medications and Prescriptions:
Med compliance/Reconciliation
Med changes during reconciliation
Efficient refills during a visit
New medications during a visit
Freetext meds
Pharmacy changes
Refilling meds via the message Center
Med Proposals in message center
Medication Filters
Medication Snapshot
Mmodal Training:
Feedback and Build:
ServiceNow changes
Survey results
Provider Cerner Education Session 3

6. Customizing View
Customizing your view will allow you to select the columns you want to see in view.
Right click anywhere in the med list or on the Column Headers
Select Customize View
Select columns from the left
Click Add to move to the right
Select Group/Sort orders
Click Ok
Provider Cerner Education Session 3

7. Medication History and Filtering Options
Click on Home Medications
Click on the blue hyperlink
Click the drop down arrow to reveal available filters
To Create Your Own Filter:
Click the New button
Name your filter
Select the options you would like included
Click Save
Provider Cerner Education Session 3

8. Reviewing Prior Medication: Using the Medication History Snapshot
Select Medication History Snapshot
Select Expand All
Select timeframe
Select medication you want to look at history of Rx
Provider Cerner Education Session 3

9. Reviewing Prior Medication: EASTER EGG: using the Black Diamond
Look for the “Black Diamonds” and expand them to show history of past prescription refills for same medication (thanks to Marianne Vandiver for this tip)
Provider Cerner Education Session 3

10. Real SOON™ now…. Timeline
Provider Cerner Education Session 3
This Photo by Unknown Author is licensed under CC BY-NC-ND

11. The Star of Today’s Class:
The Star of Today’s Class:
Provider Cerner Education Session 3

12. Different Roles for Medication Reconciliation:
MA Role: -Remove vastly out of date medications (i.e. old antibiotics) -Check and document compliance of all chronic medications -Sign off and send to provider Note: It is not within the MAs scope of licensure to remove medications a patient has been prescribed and is not taking.
Provider Role: -Review current medications -Decide the status of the medication: -continue -refille -stop -correct -acknowledge anything not directly continued/prescribed/discontinued.
Provider Cerner Education Session 3

13. Completing Medication Reconciliation
From the workflow page, select Home Medications.
Click Outpatient.
Continue, D/C or Create new Rx as applicable for each med.
Address compliance meds as applicable.
Address any In-Office Meds by always selecting Continue.
Click Sign.
= Complete Med Rec
= Partial Med Rec (Need to Continue In-Office Meds)

14. Changing a medication dose during med reconciliation.
Provider Cerner Education Session 3

15. Prescription Refills During an Office Visit
Same dose, instructions and dispense amount:
Different dose, instructions and/or dispense amount:
Provider Cerner Education Session 3

16. Adding New Medications During an Office Visit
From Med Rec screen:
Click the +Add button
Search for medication
Use Order Sentences
From Workflow Page:
Home Medications component
Click + sign
Search for medication
Use Order Sentences
Provider Cerner Education Session 3

17. Freetext Medications:
Easter Egg! Check this box to disable the Order Info hyperlink popups if they are driving you crazy!
Provider Cerner Education Session 3

18. Pharmacy changes: From the Banner Bar or during prescription writing:
Provider Cerner Education Session 3

19. Prescribing/Refilling Medications from a Message Center Message
Double click on Message
Select Summary View to bring you to the Workflow page
Navigate to Home Medications
Click on Outpatient
Add new meds using the +Add, button or refill existing med using then Create New Rx radio button
Select Inbox View to return to message
Provider Cerner Education Session 3

20. Alternative: “Launch Orders” for Medications from a Message Center Message
Launch Orders then click the Medication List tab
Go to Documented Medication by Hx
Right click the medication of interest- full menu available
You can also get to Med Rec screen from here if you prefer that format
Click +ADD to add New meds and ALSO can order labs or other tests from same Phone message (be sure you have Between Visit FIN!)
Provider Cerner Education Session 3

21. Addressing Proposed Medications/eRx Renewals
Medication proposals will fall under Renewal Requests or eRx Renewals in Message Center
= Accepts this proposal only
= Rejects this proposal only
= Accepts this proposal only, with modifications. This will prompt the order details window to open for modifications
= Rejects all proposals in the message
= Accepts all proposals in the message
= Accepts all proposals in the message and moves to the next proposal message
Provider Cerner Education Session 3

22. Mmodal Training:
Provider Cerner Education Session 3

23. Provider Cerner Education Session 3

24. Speech Mike Setup
Be sure Record button is set to “Hold to Talk” EOL is COMMANDs only! F1 – leave at “Correct Selection” Other F buttons can be set to different key combinations
Provider Cerner Education Session 3

25. Set up Microphone with Advanced Setup
Add buttons to your Speechmike or Mobile Phone
Provider Cerner Education Session 3

26. Provider Cerner Education Session 3

27. Creating Commands
1. Highlight the text you would like to save for later use with the mouse or select the text via voice command (such as “Select All”) 2. Hold down the EOL “Command” button; and Say the command “Save this text.” This will open the Command Details box. 3. Dictate or type the command name in the Name field. Dictating is preferred to ensure proper spelling. a. Use an “action verb” at the beginning of each command name (i.e. "Insert", "Print", “Macro”, “HPI”, “PE”, “ROS”, “Instructions” etc.). b. Make sure the command is more than one word. (i.e. “PE Vandiver 1”). Best to use a phrase you would never say in straight dictation. 4. Click OK to save the command 5. The exact Name of the command must be dictated to have it execute i.e. “Insert physical exam”, not just “Physical exam” 6. To see all of your personal commands, click on the Control Bar (your name) > Commands or say “Open commands.” Here you can create new commands or edit existing ones.
Provider Cerner Education Session 3

28. Build you own Command for “PE Full”.
General: A [ Well developed, well nourished, ] [in no acute distress. Appears stated age.] Head: [Normocephalic, atraumatic.] Eyes: [Pupils are equal and reactive to light and accommodation. Conjunctiva are clear. Vision grossly normal.] Ears: [TMs clear AU, EACS WNL] Nose: [Patent, without discharge.] Mouth: [There are no ulcers or lesions noted. No inflammation, no post nasal drip, no plaques nor exudates.] Neck: [Supple, no adenopathy or thyromegaly.] Lungs: [Clear to auscultation bilaterally. No rales, rhonchi or wheeze noted. Good air flow in all fields.] Heart: [Regular rate and rhythm. No murmurs, click, rubs or gallops are noted. ] Abdomen: [Bowel sounds present in all quadrants. The abdomen is soft, nontender, with no masses or organomegaly noted. No hernias are noted. ] Msk: [Joints are nontender, without swelling, redness, nor effusions. Range of motion is observed to be normal. ] Pulses: [Peripheral pulses are equal and palpable bilaterally. ] Extremities: [No clubbing, cyanosis nor edema is noted. ] Neurologic: [Gait and station normal. Cranial Nerves 2-12 intact. Motor strenth grossly symmetrical and intact. No sensory loss. Balance normal. ] Skin: [No rashes, ulcers, or sinister lesions noted. Turgor is good. Skin color is good. Hair and nails are without abnormalities.] Psych: [Normal eye contact, affect and mood appropriate, and normal interactions. Patient is alert and appropriate to context.]
Provider Cerner Education Session 3