Shift Report Format Respiratory Therapy - Excel

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Shift Report Format Respiratory Therapy - Excel Powered By Docstoc
					UNIVERSITY OF UTAH
TRADITIONAL/ASC CPOE SCOPE RECONCILIATION

PRODUCT/FUNCTION UNIV_UT TRADITIONAL           LICENS IN TRAD          ASC SCOPE DIFFERENCE
     AL AREA               SCOPE                 ED    SCOPE
FOUNDATIONS
CORE
    Personnel        All personnel will be     Y       Y      SAME
                uploaded (completed in
                previous phase)
                      Personnel will be                        SAME
                added as Users for the
                areas being automated
   Security   Client can create additional   Y   Y   • Up to 5 Management Reporting Positions
               profiles without Cerner                (PowerVision)
               assistance as needed.                  • Up to 5 Registration Positions
                                                      • Up to 5 Scheduling Positions
                                                      • Up to 5 Health Information Management Positions
                                                      • Up to 10 ProFit Positions (Patient Accounting Users)
                                                      • Up to 20 Clinical Positions (PowerChart Electronic
                                                      Medical Record Users)
                                                      • Up to 10 Laboratory Positions
                                                      • Up to 10 Pharmacy Positions
                                                      • Up to 7 Radiology Positions (Diagnostic Imaging
                                                      Users)
                                                      • Service Resource Security for RadNet
                                                      implementations only
                                                      • Radiology users will be assigned access to all
                                                      service resources within their primary
                                                      physical working location
                                                      • Up to 10 Emergency Department Positions
                                                      • Up to 10 Surgical Services Positions
                                                      • Up to 10 Critical Care Positions
                                                      • Up to 10 PowerInsight Positions
                                                      • Up to 10 Clinical Supply Chain Positions
                                                      • Up to X PowerChart Office Positions
                                                      T1 = 225; T2 = 450; T3 = 900; T4 = 1575; T5 = 2250
                                                      • Additional detailed service resource security can be
                                                      implemented on a fee for service basis
                     Core Design session             Not in ASC Standard Sope Document
               to be presented by Cerner
               for Orders considerations
               for Security build.
     Pass                   Reference Text         Y   Y   Not in ASC Standard Sope Document
Results/Orders        viewer supporting HTTP
Context to Web        hyperlinks and ability to
applications          pass Order Catalog Item ID
                      will be implemented based
                      on code availability



    Standard Code       Client will build code     Y   Y   • Standard scope supports Cerner’s START Content
Sets               sets as required per Cerner               (e.g., hospital service)
                   recommendations.                          • Values not in START and in current use can be
                                                             added on a fee for service basis
     Organizations         Includes building of    Y   Y   Standard scope supports the build of all
                      all Organizations as follows           Organizations as appropriate for the Client based on
                      (as appropriate based on               areas being automated
                      product scope):
                            Employers               Y   Y
                            Hospitals               Y   Y
                            Insurance companies     Y   Y

                            Physician practices     Y   Y
                            Reference Labs          Y   Y
                            Schools                 Y   Y
     Locations             The following           Y   Y   Standard scope supports the build of all Locations as
                      locations will be built (as            appropriate for the Client based on areas being
                      appropriate based on                   automated
                      product scope):
                            Nursing Stations        Y   Y
                            Rooms                   Y   Y
                            Beds                    Y   Y
                            All ambulatory          Y   Y
                      locations
                           Internal departmental   Y   Y
                     locations will be built as
                     required by products being
                     implemented

    Alias Pools          Create alias pools as    Y   Y   Standard scope supports the build of all Alias Pools
                     appropriate based on                   as appropriate for the Client based on areas being
                     product scope:                         automated
                          Community Medical        Y   Y
                     Record Number
                          Facility Medical         Y   Y
                     Record Number
                          Financial Number         Y   Y
                          Visit Number             Y   Y
                          Media or Tracking        Y   Y
                     ID’s
Interface Code Set                                      N   Build inbound and outbound aliases from Client input
Aliasing                                                    on the ICA spreadsheet
      Event Codes         Client will provide     Y   Y   Included as appropriate for the Client organization
                     Event Codes available on               based on solution
                     spreadsheets as                        scope
                     appropriate based on
                     product scope:
     General              Client will maintain    Y   Y   All Event Codes for START PowerForm Content will
Document Event       the Document event codes               be included
codes                previously built and will
                     build additional as needed
                     as appropriate based on
                     product scope.
     Event Sets            Client will provide     Y   Y   Included as appropriate for the Client organization
                    and maintaine the Event                  based on solution
                    Sets spreadsheet for this                scope
                    Implementation as
                    appropriate based on
                    product scope:
     Basic                 Includes use of PM      Y   Y   Standard scope supports use of Cerner’s Patient
Registration        conversations previously                 Management HNA Registration
                    built, including modification            conversations from the START Content. This includes
                    and client build of additional           the following functions:
                    conversations needed for
                    workflow within current
                    license. This includes the
                    following functions:

                           Add/Modify               Y   Y   SAME
                    Encounter
                           Add/Modify Person        Y   Y   SAME
                           Modify Encounter         Y   Y   SAME
                           Modify Person            Y   Y   SAME
                           View Encounter           Y   Y   SAME
                           View Person              Y   Y   SAME
                           Add patient without a    Y   Y   SAME
                    registered name.
                    Combined into 1 patient
                    record based on match
                    criteria. Client is currently
                    licensed for EMPI.
    Reports,              Includes any reports     Y   Y   Standard scope supports any reports from the
Genviews & Audits   from the standard report                 Standard Reports Library accessed in
                    library                                  CERNWorks on CKN
                        Client can develop       Y   Y   SAME
                  ccl reports as needed but
                  the time required for this is
                  not included in work effort
                  estimates.
                       Client may chose to      Y   Y   SAME
                  use their own resources to
                  modify existing custom ccl
                  scripts for reports and gen
                  views. Time required for
                  this work is not included in
                  work effort estimates.
   Preferences         Standard                 Y   Y   SAME
                  preferences previously built,
                  to be modified by Client as
                  needed for:
                        Organizer
                        Viewer
                        Inbox
                        Clinical Notes
                        Flowsheet
                        Summary Sheet
                  View
                        Problem List
                        Allergy Profile
                        Medications Profile
                        Immunizations
                        Patient History
                        Encounter History
                        Forms Browser
                        Locator
    Cerner               Provides reference        Y   Y   START Content includes most recent reference and
Knowledge Index      and medical vocabulary                  medical vocabulary
                     content - absorbed into                 • Standard scope supports yearly update files for
                     Foundations/CORE Scope                  SNOMED-CT
                     for HNA Millennium
CHARGE SERVICES                                      Y   Y
   Charge Capture       Includes                   Y   Y   ASC scope supports charges generated by Cerner
                   modifications to existing                 applications for hospital services only.
                   charge capture as
                   appropriate based on
                   product scope.
                         Common:
                         Advanced Pricing           Y   N
                         Additional
                   professional services fees
                   are NOT required
                         Charge Preprocessor        Y   N

                           Additional work effort
                     and professional service
                     fees required
                           Charge Suspense          Y   N
                     Logic
                           Additional work effort
                     and professional service
                     fees required
                           Complex Tier Logic       Y   Y
                           Multiple Fee or          Y   N
                     Coding schedules
                           Additional work effort
                     and professional service
                     fees required
                           Departmental Billing     Y   N
                          Additional work effort
                   and professional service
                   fees required
                          Supports entry of        Y   Y
                   CDM, CPT and ICD9 code
                   identifiers
                          1 tier for Technical     Y   Y
                   and Professional charges
                          Credits against          Y   Y
                   existing charges as
                   appropriate within available
                   software functionality.

                         Price schedules           Y   Y
                   limited to 1 per facility
   Billing File         Includes 1 billing file   Y   Y   SAME
                   per facility
Bill Code Schedule and Tiers                               Up to 4 Bill Codes per orderable procedure, selecting
                                                           from:
                                                           • CDM Schedule per facility
                                                           • CPT4 Codes - license fee applies
                                                           • CPT4 Modifiers - license fee applies
                                                           • ICD9 Codes
                                                           • HCPCS when ProFit is implemented in same phase
                                                           • Revenue Codes when ProFit is implemented in same
                                                           phase
                                                           • Note: Additional bill codes over 4 will require
                                                           additional work effort, unless ProFit is being
                                                           implemented in same phase
                                                           • 1 tier per facility for Technical Charges to include
                                                           technical component charge capture only,
                                                           unless ProFit is being implemented in same phase. If
                                                           Cerner ProFit is not being
                                                           implemented, the current Patient Accounting System
                                                           must be utilized to produce
                                                           professional billing services
                                                           • Standard scope supports up to 2 Price Schedules
                                                           per facility, unless ProFit is being
                                                           implemented in same phase. If Cerner ProFit is not
                                                           being implemented, the current Patient
                                                           Accounting system must be utilized to for price
                                                           schedule maintenance
                                                           • Professional billing for Anatomic Pathology,
                                                           Radiology, and/or Emergency Department will
WORKLOAD                                           N   N
REPORTING
    Workload              Includes basic level   N   N   SAME
Capture               workload capture with only
                      1 workload standard
     Reports &             Includes reports In   N   N
Audits                the Standard Reports
                      Library
CLINICAL                                           Y   Y
REPORTING
     Chart Formats          Includes the         Y   Y   Includes the Recommended Chart Format Practices
                      following Chart Formats:             • General Laboratory, Microbiology, and Blood Bank
                      existing, additional to be           Transfusion:
                      built by Client as needed.           • 1 Inpatient chart format
                                                           • 1 Outpatient chart format
                                                           • 1 Client defined chart format
                                                           • Anatomic Pathology:
                                                           • 1 Gross draft with history chart format
                                                           • 1 Inpatient final chart format
                                                           • 1 Outpatient final chart format
                                                           • Radiology (Diagnostic Imaging):
                                                           • 2 Formats
                                                           • Emergency Department:
                                                           • 1 Format
                                                           • Surgery Department:
                                                           • 1 Format
                                                           • Clinical Care Documentation:
                                                           • 1 Format
                                                           • Medical Transcription Management (or interfaced
                                                           Transcription):
                                                           • 1 Format
                                                           • PowerChart Electronic Medical Record (Master Chart
                                                           Format):
                                                           • 1 Format
                                                           • 1 ASCII chart format for External Server Outbound
                                                           • For multiple solution implementations, Cerner will build
                                                           up to 12 total chart formats to
      Printer              Includes up to 200    Y   Y   Standard scope supports up to 100 network printers
Definitions           printers per facility                per facility.
      Chart                             Y   N   General Laboratory, Microbiology, and Blood Bank
Distributions                                     Transfusion Distributions:
                                                  • 1 Inpatient Interim
                                                  • 1 Inpatient Cumulative
                                                  • 1 Final/Addendum
                                                  • 1 Outpatient
                                                  • Anatomic Pathology:
                                                  • 2 Distributions
                                                  • Radiology (Diagnostic Imaging) Distributions:
                                                  • 1 Physician Copy
                                                  • 1 Medical Records Copy
                                                  • 1 Inpatient Copy
                                                  • 1 Professional Billing Office Copy
                                                  • Emergency Department:
                                                  • Not applicable
                                                  • PowerChart Electronic Medical Record:
                                                  • Not applicable
                                                  • Professional Billing Office Copy:
                                                  • 1 Distribution
                                                  • Medical Record Copy:
                                                  • 1 Distribution
                                                  • User Defined:
                                                  • 1 Distribution
                                                  • For multiple solution implementations, Cerner will build
                                                  up to 12 total distributions to
                                                  include all of the above for the first facility and 6
                                                  distributions for each additional facility
                   Common:
                   Client Referred Out   Y   N
                   Discharge Final       Y   N
                   Family Physician      Y   N
      Expedite               Includes expedite      Y   N   General Laboratory, Microbiology, and Blood Bank
Clinical Reporting      charts                                Transfusion: • Up to 5 total expedites
                                                              • Anatomic Pathology
                                                              • Up to 2 total expedites
                                                              • Radiology (Diagnostic Imaging) Distributions:
                                                              • Up to 2 total expedites
                                                              • Emergency Department:
                                                              • Not applicable
                                                              • PowerChart Electronic Medical Record:
                                                              • Not applicable
                                                              • For multiple solution implementations Cerner will
                                                              build up to 9 total expedites to include all
                                                              of the above for the first facility and 5 expedites for
                                                              each additional facility
      Remote Report       Includes up to 500        Y   Y   SAME
Distribution         fax locations per facility and
                     up to 2 time schemes
                     created:
                     Note: Client can create
                     additional fax locations and
                     time schemes without
                     Cerner assistance as
                     needed in collaboration with
                     the Cerner team as it
                     relates to Scope
Medical Record             Use of MRP                Y   Y   SEE ASC MRP SCOPE
Publishing           functionality pending code
                     availability
DISCERN                                               Y   Y
   Expert              Clinical Rules – Up     Y   Y   Standard scope supports implementing 5 rules from
                 to 5 rules from the Rules               the Standard Package per licensed
                 Library by product line.
                 Additional rules may be built
                 by client if appropriate.
                 Discern Expert class from
                 Schedule 2 to be scheduled
                 as appropriate per project
                 plan.

   Explorer            Uses a full-featured,   Y   Y   SAME
                 fourth-generation, English-
                 like procedural language to
                 maintain and extract data
                 from both Cerner Health
                 Network Architecture (HNA)
                 and Client-developed
                 databases. There are a
                 number of predefined
                 reports that are available to
                 the Client. Client to create
                 custom ccl scripts as
                 needed for datawarehouse
                 extracts or other uses. No
                 Cerner project resources
                 planned to support that.
                 Client may obtain
                 assistance if needed with
                 database structure by
                 logging points to the IAC.


POWERCHART ELECTRONIC MEDICAL RECORD PRODUCT SCOPE
ENTERPRISE ORDER                                   Y   Y   Offering for multiple facilities will be PowerOrders with a
MANAGEMENT                                                 full order catalog. It is assumed that the Client will
                                                           standardize the order catalog and the charge master
                                                           across multiple facilities. Utilize START content.

     Ordering          Client will be using      Y   Y   ASC Does Not Spell out Departments, Start content
Departments        PowerOrders for Provider                available for all listed departments except as noted.
                   Order Entry for the following
                   departments from inpatient
                   and outpatient locations:

                         Pharmacy                 Y   Y
                         Laboratory including     Y   Y
                   Blood Bank, General Lab,
                   Microbiology, Anatomic
                   Pathology, Outside
                   laboratories, School of
                   Medicine Laboratories

                        Radiology including       Y
                   Breast, CT, Fluoro, MRI,
                   MEG, Nuclear Medicine,
                   OB Diagnostic, Specials
                   (Angio), Ultrasound,
                   Vascular
                        Respiratory Therapy       Y   Y

                         Pulmonary (Blood         Y   Y
                   Gas)
                         ADT orders (not          Y   Y
                   interfaced)
                         Cardiology including     Y   Y
                   Cath Lab, Non-invasive,
                   Preventive
                      Consults                 Y   Y
                      Dialysis                 Y   Y
                      Endoscopy                Y   Y
                      EEG                      Y   Y
                      EMG                      Y   Y
                      Nursing                  Y   Y
                      Nutrition Care           Y   Y
                      Orthopedic Therapy       Y   Y
                      Rehab including          Y   Y
                 Physical Therapy, Speech
                 Therapy, Occupational
                 Therapy
                      Social Work              Y   Y
                      Pastoral care            Y   Y
                      Child Life               Y   Y
                      Recreation Therapy       Y   Y
                      GI Lab                   Y   Y
                      Apheresis                Y   Y
                      Infusion                 Y   Y
                      Teachers                 Y   Y

                        Radiation Oncology     Y   Y
                        Storeroom              Y   Y
     Order             Cerner will train      Y   Y   Based on Cerner’s START Content
Management       Client in the tools to build
Reference Data   and/or modify reference
                 data in addition to previous
                 build completed, within
                 software limitations of
                 quantities.
                        Activity Types –       Y   Y   Based on Cerner’s START Content
                        Catalog Types –        Y   Y   Based on Cerner’s START Content
                          Clinical Categories –      Y   Y   Up to 5 additional Clinical Categories can be added

                          Order                      Y   Y
                    Categories/Selection –
                    Client specific build required

   Order Catalog          Allows for the build of   Y   Y   Standard scope supports the use of Cerner’s START Order
                    all orderables required for               Catalog and allows for the build
                    the facilities. Cerner will               of all orderables (except medication orders) required for the
                    train Client in the tools to              organizations facilities
                    build and modify the order
                    catalog
                           Care Sets – Up to         Y   Y   Care Sets - 100 Client defined Care Sets
                    300 care sets (Order sets)
                           Duplicate Checking –      Y   Y   SAME
                    Client specific definition
                    required of the parameters
                    to be checked, within
                    available functionality.
       Order Entry Formats      Y   Y   START Content
– 3 per department on
average for non-net
departments, 1 for consults,
10 for Patient Care, 4 for
Dietary, 10 formats will be
recommended for Lab
orderables and 10 formats
for Radiology orderables.
All format and order
conversation functionality
may be used as identified
as a need during design
analysis. Order Entry
Formats will retrieve
information (client-defined
such as height/weight,
allergies, lab results,
problems) on each patient
so no data reentry is
needed

      Order Sentences -         Y   Y   Up to 2 Order Sentences per orderable for non-med orders
Up to 5 Order Sentences
average per Orderable with
some exceptions, ie certain
medications.
      Reference Text –          Y   Y   50 orders may be referenced from START and/or Client
Client specific build required           defined
                             Synonyms –Primary        Y   Y   START Content and up to 2 Additional per Orderable
                        Synonyms to be loaded
                        from spreadsheets and no
                        more than 2 Synonyms
                        average per Orderable

     Reviews                  Nurse Orders           Y   Y   Nurse orders review
                       Review, Medical Student                 Pharmacy verify
                       order holds, and Physician
                       Co-sign
     Virtual Order            Virtual views or       Y   Y
Catalogue              orderables can be defined
                       for facilities
     Integration with         Orders to Enterprise   N   N
Radiology Scheduling Scheduling integration for
                       Radiology orders and
                       schedules
     Order                    Order status updates   Y   Y   SAME
Processing
                               Conditional or order   Y   Y
                       spinoff based on results (if
                       used in conjunction with a
                       Net product or through the
                       utilization of Discern Rules)


                              Decision support        Y   Y
                        during the order entry
                        process using the Multum
                        database (e.g. Drug to Drug
                        and Drug to Allergy
                        interaction checking)
                              Linking ICD9 codes      Y   Y
                        to orders
     Order Sheets            1 format is available    Y   Y   1 Per START
                       from the Standard Library.
                       Custom programming hours
                       will be on a time and
                       materials basis

     Requisitions            Formats are              Y   Y   1 standard requisition format is available in versions that
                       available from the Standard              print for parent orders, child orders
                       Library. Custom                          or parent and child orders
                       programming hours will be                • In addition, up to 5 Client defined formats from the
                       on a time and materials                  Standard Library can be selected.
                       basis. Client may elect to               Information for each requisition will require custom
                       create customized versions               programming. Custom programming
                       of the formats. All available            hours will be on a time and materials basis
                       functionality for requisitions
                       may be utilized. A
                       requisition format will be
                       used for each department.

                       Note: All customized printed             SAME
                       items are designed to print
                       on postscript printers

 Requisition Routes          Greater than 10          Y   Y   Maximum of 50 for ASC
                       requisition routes

                              For specific
                       departments, logic will be
                       built to determine if the
                       requisition should be printed
                       in the ancillary department
                       or at the ordering location.
     Requisition           Cerner currently           Y   Y
Routing              provides the ability to route
                     requisitions to multiple
                     printers within a location via
                     custom scripting without
                     requiring the addition of
                     “dummy” patient locations.
                     The custom scripting
                     enables a printer select that
                     contains appropriate printer
                     locations and if no selection
                     is made a device default is
                     utilized. Cerner will provide
                     the custom scripting to
                     Client within the scope of
                     this agreement at no
                     additional cost to Client.


     Labels               Client will utilize label   Y   Y
                     generation upon order
                     based on available
                     functionality
     Consent Form         Formats are                 Y   Y   START
                     available from the Standard
                     Library. Custom
                     programming hours will be
                     on a time and materials
                     basis
    Task List              Includes the Multi      Y   Y   To support Nursing and departmental documentation tasks.
                      Patient and Single Patient             Single and Multi-patient task
                      Task List                              lists are utilized to support Nursing and departmental
                                                             processing. Included in scope is 1 task
                                                             list view per position:
                                                             • Task list to support forms documentation
                                                             • Task list to support “done/not done” charting
     Shift                Unlimited number of      Y   Y   Standard Views from START
Assignment/PAL        PAL views for each position.

 Medication Orders       Medication orders to      Y   Y         Medication orders to PharmNet
Integration with      PharmNet
PharmNet
                            Assumes                             Assumes PowerOrders, Enterprise Care
                      PowerOrders, Enterprise                Documentation, and PharmNet have been licensed.
                      Care Documentation, and                PowerOrders must be utilized for meds integration
                      PharmNet have been
                      licensed. PowerOrders
                      must be utilized for meds
                      integration
                            Wt Based dosing         Y   Y         Wt Based dosing
                            Sliding Scale           Y   Y         Sliding Scale ordering
                      ordering
                            Chart Lock              Y   Y         Chart Lock functionality for medication ordering
                      functionality for medication
                      ordering
                            Utilization of Order    Y   Y         Utilization of Order Sentences to facilitate Physician
                      Sentences to facilitate                order entry
                      Physician order entry
                            Viewing lab results     Y   Y         Viewing lab results during the order conversation
                      during the order
                      conversation
                            Verification of order   Y   Y         Verification of order by Pharmacist
                      by Pharmacist
      Physician co-sign for   Y   Y        Physician co-sign for medications
medications
      Contra-indication       Y   Y        Contra-indication checking using Medi-source
checking using Medi-source             Pharmacy Foundations Data base. Print outs of Patient
Pharmacy Foundations                   information in the form of “Leaflets”
Data base. Print outs of
Patient information in the
form of “Leaflets”

       Duplicate Therapy      Y   Y         Duplicate Therapy checking, Drug to Drug
checking, Drug to Drug                 interaction checking, Drug to Allergy checking, Drug to
interaction checking, Drug             Food interaction checking through the Multum database
to Allergy checking, Drug to
Food interaction checking
through the Multum
database
       Soft and Hard stop     Y   Y         Soft and Hard stop on orders defined by Client
on orders defined by Client            policies and procedures
policies and procedures

      Ability to handle       Y   Y         Ability to handle medical student orders – “new
medical student orders –               orders”
“new orders”
      Creation of on-line     Y   Y       Creation of on-line MAR (eMAR) and IV
MAR (eMAR) and IV                      Documentation
Documentation
      Charging on             Y   Y        Charging on Administration
Administration
      Documentation on an     Y   Y        Documentation on an on-line MAR either through
on-line MAR either through             the Task list or on the MAR Flowsheet
the Task list or on the MAR
Flowsheet
      IV Charting             Y   Y        IV Charting
       IV rate and “Infuse       Y   Y         IV rate and “Infuse Over” Calculations
Over” Calculations
       IV Admixture              Y   Y         IV Admixture compatibility
compatibility
       Multi-ingredient IV       Y   Y         Multi-ingredient IV ordering
ordering
       Frequencies at the        Y   Y         Frequencies at the Nursing Unit Level
Nursing Unit Level
       Ability to view           Y   Y         Ability to view Discharge Meds Profile as well as
Discharge Meds Profile as                 inpatient meds profile
well as inpatient meds
profile
       Interface to Omnicell     Y   Y         Interface to Omnicell

        Virtual Order            Y   Y         Virtual Order Catalogue for multiple facilities
Catalogue for multiple
facilities
        Ability to enter “free   Y   Y         Ability to enter “free text” medications
text” medications
        Ability to modify a      Y   Y         Ability to modify a medication order – The original
medication order – The                    order is modified, new parameters applied and a new
original order is modified,               signature applied to the order
new parameters applied
and a new signature applied
to the order
        Dose Range               Y   Y        Dose Range Management/checking and Smart
Management/checking and                   Dosing (for PharmNet only)
Smart Dosing (for
PharmNet only)
        Pediatric Dose           Y   Y        Pediatric Dose Range checking (dependant upon
Range checking (dependant                 code availability)
upon code availability)
CARE                                                   Y   Y
DOCUMENTATION
    Basic                   Cerner will assist the   Y   Y   Cerner will assist the Client to automate the following
Documentation         Client to automate up to 3               processes for Nursing or Ancillary
                      processes for Nursing or                 Departments based on START Content:
                      Ancillary Departments that               • Admission Process
                      will include Electronic                  • Ongoing Assessment Process
                      Medical Administration                   • Intake and Output
                      Record with supporting                   • Medication Administration Documentation (eMAR)
                      clinical data, vital signs,              • Routine Care and Functional activities
                      intake and output                        • Non Scheduled Documentation – Ad Hoc Charting
                                                               • Shift Report
                                                               • Patient Assignment
                                                               • Results Viewing




                             Powerforms will be               PowerForms from START
                      built to allow documentation
                      for completion of Orders in
                      a pilot department.

   Flowsheet Entry        Documenting                Y   Y        Documenting discrete values into a cell of the
                    discrete values into a cell of             Flowsheet is supported if applicable to the clinical process
                    the Flowsheet is supported
                    if applicable to the clinical
                    process
   Results Viewing        Result flow sheets         Y   Y   SAME
                    for labs, radiology, vital
                    signs, intake and output
    Clinical              For progress notes -     Y   Y   START
Documents           Up to 5 note types and 15
                    templates across facilities in
                    addition to those already
                    existing in the Cerner
                    database.
    I&O Flowsheets        Included in scope are    Y   Y   Included in scope is the I&O tab. The I&O Flowsheet
                    2 different I&O forms (ICU               automatically calculates Intake,
                    and general care) from                   Output and Fluid Balance with a graphic view
                    Cerner’s START Content.                  • Direct Charting is NOT supported in standard scope
                    I&O Flowsheet
                    automatically calculates
                    Intake, Output and Fluid
                    Balance with a graphic view

INBOX W/                                             Y   N
ESIGNATURE
InBox                                                        Phone Messages
                                                             • Email
                                                             • New Results
                                                             • Inbox Proxy

Esignature                                                   Documents to sign/review
                                                             • Documents to dictate (Medical Transcription
                                                             Management must be licensed)
                                                             • Results to endorse
PATIENT ACCESS                                       Y   N
LIST
Shift Assignment                                             Assigning patients to a group of care givers or an
                                                             individual care giver to drive the PAL
                                                             view of their patient assignments
Patient Access List    Standard views from the START Content to assist the
                       care provider to work more
                       effectively by providing a high level overview of key
                       information, notification source, for
                       important interval data and a launch pad to vital and
                       related applications
Task List              To support Nursing and departmental documentation
                       tasks. Single and Multi-patient task
                       lists are utilized to support Nursing and departmental
                       processing. Included in scope is 1 task
                       list view per position:
                       • Task list to support forms documentation
                       • Task list to support “done/not done” charting




Patient Care Summary   Standard scope supports 1 Standard Patient Care
                       Summary view per START
Medication Charting    Medication charting (MAR) will be completed through
                       the use of an automated paper MAR
                       if not implementing the eMAR
Reports                Active Order Report
                       • All Task Report
                       • Overdue Task Report
                       • Diet Report
                       • Intake and Output Summary Report (available is 8 or
                       12 hour versions)
                       • Shift Assignment Reporting utilizing PowerVision
                       • Note: Report availability may vary based on the
                       revision of START implemented
Charge Services             Documentation Management will support the capture
                            of charges based upon completion of
                            tasks
                            • Alpha response billing as defined in the Charge
                            Services scope section
ELECTRONIC          Y   N
MEDICATION
ADMINISTRATION
RECORD
Organizer View              • The following types of Patient Lists are included:
                            • Location
                            • Personal
                            • Visit Relationship

Patient Chart Tab           • Patient Information Tab consists of:
                            • Allergy List Tab – includes configuration of this tab
                            with update capabilities • Form Browser – included in
                            scope are forms required for support of eMAR (height
                            &
                            weight, pain, pulse, etc…from Cerner’s START
                            Content)
                            • Flowsheet Tab - 1 all results view
                            • Patient Provider Relationship Tab
                            • Visit List and Demographic Tab – 1 system-wide
                            format
Shift Assignment            • Assigning patients to a group of care givers or an
                            individual care giver to drive the Patient Activity List
                            (PAL) view of their patient assignments specific to
                            medication tasks
I&O Flowsheets                • Included in scope is the I&O tab
                              • The I&O Flowsheet automatically calculates Intake,
                              Output and Fluid Balance with a graphic
                              view

Medication Charting           • Online medication charting
                              • Contra-indication checking using MediSource
                              Pharmacy Foundations database
                              • Print outs of patient information in the form of
                              “Leaflets”
                              • Charging on administration
                              • Documentation on an on-line MAR either through the
                              Patient Access List or on the MAR Flowsheet
                              • Standard scope supports limited documentation of
                              additional information required during
                              charting of medications utilizing Cerner’s START
                              Content (Pain, Pulse, etc…)
                              • Standard scope supports the creation of an
                              Electronic Medication Administration Record and IV
                              Documentation



Patient Access List           • Standard view from Cerner’s START Content
                              • Solution to assist the care provider to work more
                              effectively by providing a high level overview of key
                              information, notification source, for important interval
                              data and a launch pad to vital and related applications


PROFILE DEFICIENCY    Y   N
MANAGEMENT
Deficiency Management                • Tracking Completion of provider’s patient charts
                                     • Electronic Signature is standard feature
                                     • Cerner Transcription integration when Medical
                                     Transcription Management is licensed and
                                     implemented
                                     • Standard scope supports up to 1 Allocation Rule per
                                     facility
                                     • Standard scope supports the creation of 2
                                     Deficiency Letters per facility
                                     • Client will be trained and will be responsible for
                                     building any additional letters



MEDICAL RECORD              ??   N
PUBLISHING


Medical Record Publishing            • Standard scope supports printing of:
                                     • The patient's Cerner medical record supported by
                                     available Clinical Reporting chart sections
                                     • Selected portions of the patient's Cerner medical
                                     record supported by available Clinical Reporting chart
                                     sections • Allows for selection of specific encounters
                                     and time frames
                                     • Can be invoked through PowerChart Electronic
                                     Medical Record or through PowerChart Office
                                     • Logs all pertinent information about the release of
                                     information




Master Chart Formats                 • Standard scope supports 1 master chart format for
                                     each facility
Categories                           • Standard scope supports up to 25 categories
                                     without PowerForms, and up to 50 categories
                                     with PowerForms

Audits                               • MRP gives the Client the ability to audit chart
                                     requests that have been placed
                                     • Clinical Reporting Disclosure Log - This log tracts
                                     the following information: Chart request type, Chart
                                     request ID, Patient Name, Medical Record Number,
                                     Financial Number, Request Name, Request User ID,
                                     Patient Consent, Resubmitted, Free text Comments,
                                     Destination of chart, Output Device, Reason, Request
                                     Date and Time, and Requested sections of the chart



Header Page and Face Sheet           • Header Page - generates a standard cover page for
                                     identification of the print job
                                     • 1 Cerner standardized Face Sheet is included.
                                     Enterprise Registration Management must be licensed
                                     and implemented
Chart Servers                        • Standard scope supports time for training and
                                     configuration of 2 chart servers is included
                                     • Hardware is not included
INET                         Y   N
Bed Capacity                         • Licensing based on bed capacity per facility. This
                                     will assist with the definition of temporary
                                     storage

PreRequisite Functionality           • Clinical Data Repository
                                     • PowerOrders
                                     • Chart Review/Browsing
                                     • PowerForms (Documentation)
Care Documentation                     • Standard scope includes the following from START
                                       Content:
                                       • 3 ICU Interactive Views are provided, with the ability
                                       to create 10 additional Interactive
                                       views for other positions/locations
                                       • Custom Interactive View Flowsheets can include:
                                       • Embedded complex calculations
                                       • Ability to document patient data
                                       • Required fields for task completion and ability to
                                       update tasks from view
                                       • Ability to view graph and interactive view in split
                                       screen
                                       • Defaults from last charted or bedside medical device
                                       interfaces
                                       • IV drip dose/rate conversions
                                       • Filtering of results
                                       • Ability to customize view for the patient
                                       • Ability to flag results on view
                                       • Ability to place orders from view
                                       • No predefined graphs available

Intake and Output Flowsheets           • Included in scope is an I&O from Cerner’s START
                                       Content. I&O Flowsheet automatically calculates
                                       Intake, Output and Fluid Balance with a graphic view

EXECUTABLE                     N   N
KNOWLEDGE
INCLUDING ADE PKG
Executable                     Regulatory Standards (Foundation
Knowledge for                  Package)
Regulatory Standards           • This package includes evidence based order sets,
                               rules, physician documentation and standard
                               reports for the acute care and ambulatory care
                               settings around regulatory reporting metrics.
                               Chose any of the 6 conditions covered by the
                               Regulatory Standards package:
                               • Abdominal Aortic Aneurysm Repair
                               • Acute Myocardial Infarction
                               • Asthma – Pediatrics
                               • Cartoid Endarterectomy
                               • Coronary Artery Bypass Graft
                               • Diabetes Mellitus
                               • Heart Failure
                               • Immunizations – Influenza/Pneumovax
                               • Percutaneous Coronary Interventions
                               • Pneumonia (CAP, Adult)
                               • Resection – Esophagus (Esophagectomy)
                               • Stroke (Ischemic)
                               • Stroke (Ischemic; Elevated ICP)
                               • Stroke (Ischemic; Thrombolysis)
                               • Term Pregnancy
                               • Breast Cancer Screen
                               • Surgical Antimicrobial Prophylaxes
                               • ADE Prevention Alert Foundation
PharmNet Clinical      Y   N   • Delivery of Clinical Rules and Alerts based on the
Documentation
SYSTEM INTEGRATION Product Scope

       Product
      Functional                 Standard Product Scope                                           Protocol
        Area
                                                                            OPen Port (Foreign systems interfaces)
     All interfaces meet Universal Interface (UI) specifications using HL-7 and TCP/IP Protocol.
     Foreign systems must be able to trigger and accept interface messages.
     Client responsible for inbound/outbound design/coding/testing of non-Cerner systems.
     Each message type, Inbound and Outbound, will be in a single format per channel sent or received from an Engine. E.g. ADT OUT, Result Out, Ord
     Preliminary estimates for interfaces have been provided based on limited information. A complete analysis of the required interfaces and preliminar
     Each interface transaction type will be in a single and consistent format sent or received to/from an interface engine or router e.g. all orders will be c
                                                                                      INbound Interfaces
     Orders (with             HL7 using UI Specification                                        TCP/IP
statuses)
                              Laboratory (Blood Bank,
                              Blood Gas
                              Respiratory
                              Nutrition
                              EKG
                              Radiology
                                                Outbound Interfaces (recommended as is including up to 300 hours for custom scripting)
          Orders (with            HL7 using UI               TCP/IP                                                                                 Real Tim
   statuses)                 Specification
                                   Additional
                             channels to the following
                             departments:
                                   Laboratory (Blood
                             Bank, General Lab,
                             Anatomic Pathology and
                             Microbiology

                                   Blood Gas
                           Respiratory
                           Nutrition
                           EKG
                           Radiology
The total hours for    
Cerner interface
resources under this
fixed fee agreement
includes up to 300
hours of custom
scripting.


Learning SErvices Scope
        Enterprise ORDER Managament       N   N   1
             POWERORDERS WBT
   Standard WBT

             Care Documentation           N   N   1
          Document Management WBT
   Standard WBT
IN SCOPE RECOMMENDED BY DESIGN CENTER




                 N


                  Y
In addition to current build:• Up to 5 Management
Reporting Positions (PowerVision)
• Up to 5 Registration Positions
• Up to 5 Scheduling Positions
• Up to 5 Health Information Management
Positions
• Up to 10 ProFit Positions (Patient Accounting
Users)
• Up to 20 Clinical Positions (PowerChart
Electronic Medical Record Users)
• Up to 10 Laboratory Positions
• Up to 10 Pharmacy Positions
• Up to 7 Radiology Positions (Diagnostic Imaging
Users)
• Service Resource Security for RadNet
implementations only
• Radiology users will be assigned access to all
service resources within their primary
physical working location
• Up to 10 Emergency Department Positions
• Up to 10 Surgical Services Positions
• Up to 10 Critical Care Positions
• Up to 10 PowerInsight Positions
• Up to 10 Clinical Supply Chain Positions
• Up to X PowerChart Office Positions
T1 = 225; T2 = 450; T3 = 900; T4 = 1575; T5 = 2250
• Additional detailed service resource security
                          N
                        N




• Standard scope supports Cerner’s START
Content (e.g., hospital service)
• Values not in START and in current use can be
added on a fee for service basis
Standard scope supports the build of all
Organizations as appropriate for the Client based
on areas being automated

                        Y
                        Y
                        Y

                       Y
                       Y
                       Y
Standard scope supports the build of all
Locations as appropriate for the Client based on
areas being automated

                        Y
                        Y
                        Y
                        Y
Internal departmental locations will be built as
required by solutions being implemented



Standard scope supports the build of all Alias
Pools as appropriate for the Client based on
areas being automated
                        Y

                         Y

                         Y
                         Y
                         Y

Build inbound and outbound aliases from Client
input on the ICA spreadsheet
Included as appropriate for the Client
organization based on solution
scope


All Event Codes for START PowerForm Content
will be included
Included as appropriate for the Client
organization based on solution
scope



Standard scope supports use of Cerner’s Patient
Management HNA Registration
conversations from the START Content. This
includes the following functions:




                        Y

                        Y
                        Y
                        Y
                        Y
                        Y
                        Y




Includes any reports from the standard report
library (START)
Y




Y




Y
START Content includes most recent reference
and medical vocabulary
• Standard scope supports yearly update files for
SNOMED-CT


ASC scope supports charges generated by
Cerner applications for all clinical services both
inpatient and outpatient.




                        N
                    Delete row


                         N

                    Delete row


                         N

                    Delete row


                         Y
                         N

                    Delete row


                         N
               Delete row


                     Y


Review and add up to one tier if needed.

                     Y




                     Y

    Includes 1 billing file per facility
Up to 4 Bill Codes per orderable procedure,
selecting from:
• CDM Schedule per facility
• CPT4 Codes - license fee applies
• CPT4 Modifiers - license fee applies
• ICD9 Codes
• HCPCS when ProFit is implemented in same
phase
• Revenue Codes when ProFit is implemented in
same phase
• Note: Additional bill codes over 4 will require
additional work effort, unless ProFit is being
implemented in same phase
• 1 tier per facility for Technical Charges to
include technical component charge capture
only,
unless ProFit is being implemented in same
phase. If Cerner ProFit is not being
implemented, the current Patient Accounting
System must be utilized to produce
professional billing services
• Standard scope supports up to 2 Price
Schedules per facility, unless ProFit is being
implemented in same phase. If Cerner ProFit is
not being implemented, the current Patient
Accounting system must be utilized to for price
schedule maintenance
                            N

                        N
                         N


                          Y

Includes the Recommended Chart Format Practices
based on organization needs:
• General Laboratory, Microbiology, and Blood Bank
Transfusion:
• 1 Inpatient chart format
• 1 Outpatient chart format
• 1 Client defined chart format
• Anatomic Pathology:
• 1 Gross draft with history chart format
• 1 Inpatient final chart format
• 1 Outpatient final chart format
• Radiology (Diagnostic Imaging):
• 2 Formats
• Emergency Department:
• 1 Format
• Surgery Department:
• 1 Format
• Clinical Care Documentation:
• 1 Format
• Medical Transcription Management (or interfaced
Transcription):
• 1 Format
• PowerChart Electronic Medical Record (Master
Chart Format):
• 1 Format
• 1 ASCII chart format for External Server Outbound
• For multiple solution implementations, Cerner will
Standard scope supports up to 100 additional
network printers per facility.
• Medical Record Copy: 1 distribution; User
defined: 1 distribution




                        N
                        N
                        N
                        N
                    N




                    Y



                    Y




SEE ASC MRP SCOPE
Standard scope supports implementing 5 rules
from the Standard Package per licensed - SAME




Uses a full-featured, fourth-generation, English-
like procedural language to maintain and extract
data from both Cerner Health Network
Architecture (HNA) and Client-developed
databases. There are a number of predefined
reports that are available to the Client. Client to
create custom ccl scripts as needed for
datawarehouse extracts or other uses. No Cerner
project resources planned to support that. Client
may obtain assistance if needed with database
structure by logging points to the IAC.
Offering for multiple facilities will be
PowerOrders with a full order catalog. It is
assumed that the Client will standardize the order
catalog and the charge master across multiple
facilities. Utilize START content.
Start content available for all listed departments except
as noted.
no START content available, usually done via
consult orders.



Based on Cerner’s START Content




Based on Cerner’s START Content
Based on Cerner’s START Content
Up to 5 additional Clinical Categories can be added




Standard scope supports the use of Cerner’s START
Order Catalog and allows for the build
of all orderables (except medication orders) required
for the organizations facilities. This includes audit and
cleanup of current catalog, with utilization of START
content.
Care Sets – Disease, Procedure, Convenience up to
total 350
Duplicate Checking – Client specific definition
required of the parameters to be checked, within
available functionality.
Order entry formats utilizing START content.




Up to 2 Order Sentences per orderable for non-med
orders. Order Sentences for meds are obtained from
Multum, must be reviewed by client before loading.


50 orders may be referenced from START and/or
Client defined
START Content and up to 2 Additional per Orderable.




Nurse orders review
Pharmacy verify, Med Student orders. Physician co-
sign is addressed below.

                         Y


                         N



                         Y

                         Y




                         Y




                         Y
1 format is available from START. Custom
programming hours will be on a time and materials
basis



1 standard requisition format is available in versions
that print for parent orders, child orders
or parent and child orders
• In addition, up to 5 Client defined formats from the
Standard Library can be selected.
Information for each requisition will require custom
programming. Custom programming
hours will be on a time and materials basis. Design
Center assessment indicates unlikely to need custom
programming for requisitions.



                           Y



Maximum of 50
More information needed, review needs and current
functionality.




                         Y



START content
To support Nursing and departmental documentation
tasks. Single and Multi-patient task
lists are utilized to support Nursing and departmental
processing. Included in scope is 1 task
list view per position:
• Task list to support forms documentation
• Task list to support “done/not done” charting
Standard Views from START


                           Y


                      Delete row




                           Y
                           Y

                           Y


                           Y


                           Y


                           Y
Y

Y




Y




Y



Y


Y


Y

Y



Y
Y

Y

Y

Y

Y



Y

Y


Y

Y




Y



Y
Cerner will assist the Client to automate the
following processes for Nursing or Ancillary
Departments based on START Content:
• Admission Process
• Ongoing Assessment Process
• Intake and Output
• Medication Administration Documentation
(eMAR)
• Routine Care and Functional activities
• Non Scheduled Documentation – Ad Hoc
Charting
• Shift Report
• Patient Assignment
• Results Viewing
• Note: any customization to the START Content
will require additional work effort and fees

PowerForms from START, needs review to
determine extent of customization required if any.
Up to 10% of forms customization is in scope.


                        Y




Results viewing from START content in addition
to review & cleanup of current flowsheets.
Utilize START content.




Included in scope is the I&O tab. The I&O
Flowsheet automatically calculates Intake,
Output and Fluid Balance with a graphic view
• Direct Charting is supported in standard scope




Phone Messages
• Email
• New Results
• Inbox Proxy, also co-sign orders and
Documents to endorse
Documents to sign/review
• Documents to dictate (Medical Transcription
Management must be licensed)
• Results to endorse


Assigning patients to a group of care givers or an
individual care giver to drive the PAL
view of their patient assignments
Standard views from the START Content to assist
the care provider to work more
effectively by providing a high level overview of
key information, notification source, for
important interval data and a launch pad to vital
and related applications
To support Nursing and departmental
documentation tasks. Single and Multi-patient
task
lists are utilized to support Nursing and
departmental processing. Included in scope is 1
task
list view per position:
• Task list to support forms documentation
• Task list to support “done/not done” charting

Standard scope supports 1 Standard Patient Care
Summary view per START
Medication charting (MAR) will be completed
through the use of an automated paper MAR
if not implementing the eMAR
Active Order Report
• All Task Report
• Overdue Task Report
• Diet Report
• Intake and Output Summary Report (available is
8 or 12 hour versions)
• Shift Assignment Reporting utilizing
PowerVision
• Note: Report availability may vary based on the
revision of START implemented
Documentation Management will support the
capture of charges based upon completion of
tasks
• Alpha response billing as defined in the Charge
Services scope section
                         Y




• The following types of Patient Lists are
included:
• Location
• Personal
• Visit Relationship
• Patient Information Tab consists of:
• Allergy List Tab – includes configuration of this
tab with update capabilities • Form Browser –
included in scope are forms required for support
of eMAR (height &
weight, pain, pulse, etc…from Cerner’s START
Content)
• Flowsheet Tab - 1 all results view
• Patient Provider Relationship Tab
• Visit List and Demographic Tab – 1 system-wide
format
• Assigning patients to a group of care givers or
an individual care giver to drive the Patient
Activity List (PAL) view of their patient
assignments specific to medication tasks
• Included in scope is the I&O tab
• The I&O Flowsheet automatically calculates
Intake, Output and Fluid Balance with a graphic
view

• Online medication charting
• Contra-indication checking using MediSource
Pharmacy Foundations database
• Print outs of patient information in the form of
“Leaflets”
• Charging on administration
• Documentation on an on-line MAR either
through the Patient Access List or on the MAR
Flowsheet
• Standard scope supports limited documentation
of additional information required during
charting of medications utilizing Cerner’s START
Content (Pain, Pulse, etc…)
• Standard scope supports the creation of an
Electronic Medication Administration Record and
IV Documentation

• Standard view from Cerner’s START Content
• Solution to assist the care provider to work
more effectively by providing a high level
overview of key information, notification source,
for important interval data and a launch pad to
vital and related applications
• Tracking Completion of provider’s patient charts
• Electronic Signature is standard feature
• Cerner Transcription integration when Medical
Transcription Management is licensed and
implemented
• Standard scope supports up to 1 Allocation
Rule per facility
• Standard scope supports the creation of 2
Deficiency Letters per facility
• Client will be trained and will be responsible for
building any additional letters




• Standard scope supports printing of:
• The patient's Cerner medical record supported
by available Clinical Reporting chart sections
• Selected portions of the patient's Cerner
medical record supported by available Clinical
Reporting chart sections • Allows for selection of
specific encounters and time frames
• Can be invoked through PowerChart Electronic
Medical Record or through PowerChart Office
• Logs all pertinent information about the release
of information




• Standard scope supports 1 master chart format
for each facility
• Standard scope supports up to 25 categories
without PowerForms, and up to 50 categories
with PowerForms

• MRP gives the Client the ability to audit chart
requests that have been placed
• Clinical Reporting Disclosure Log - This log
tracts the following information: Chart request
type, Chart request ID, Patient Name, Medical
Record Number, Financial Number, Request
Name, Request User ID, Patient Consent,
Resubmitted, Free text Comments, Destination of
chart, Output Device, Reason, Request Date and
Time, and Requested sections of the chart

• Header Page - generates a standard cover page
for identification of the print job




• Licensing based on bed capacity per facility.
This will assist with the definition of temporary
storage

• Clinical Data Repository
• PowerOrders
• Chart Review/Browsing
• PowerForms (Documentation)
• Standard scope includes the following from
START Content:
• 3 ICU Interactive Views are provided, with the
ability to create 10 additional Interactive
views for other positions/locations
• Custom Interactive View Flowsheets can
include:
• Embedded complex calculations
• Ability to document patient data
• Required fields for task completion and ability to
update tasks from view
• Ability to view graph and interactive view in split
screen
• Defaults from last charted or bedside medical
device interfaces
• IV drip dose/rate conversions
• Filtering of results
• Ability to customize view for the patient
• Ability to flag results on view
• Ability to place orders from view
• No predefined graphs available
• Included in scope is an I&O from Cerner’s
START Content. I&O Flowsheet automatically
calculates Intake, Output and Fluid Balance with
a graphic view
                  Yes, if licensed
Contingent on licensing of Knowledge catalog
except for ADE which is licensed in Schedule 1.
Regulatory Standards (Foundation
Package)
• This package includes evidence based order
sets, rules, physician documentation and
standard
reports for the acute care and ambulatory care
settings around regulatory reporting metrics.
Choose any of the 6 conditions covered by the
Regulatory Standards package:
• Abdominal Aortic Aneurysm Repair
• Acute Myocardial Infarction
• Asthma – Pediatrics
• Cartoid Endarterectomy
• Coronary Artery Bypass Graft
• Diabetes Mellitus
• Heart Failure
• Immunizations – Influenza/Pneumovax
• Percutaneous Coronary Interventions
• Pneumonia (CAP, Adult)
• Resection – Esophagus (Esophagectomy)
• Stroke (Ischemic)
• Stroke (Ischemic; Elevated ICP)
• Stroke (Ischemic; Thrombolysis)
• Term Pregnancy
• Breast Cancer Screen Y
                                                                       Licensed
                                       Type




E.g. ADT OUT, Result Out, Orders Out and/or Billing Non HL7
quired interfaces and preliminary design assessment will need to
or router e.g. all orders will be consistently formatted and contain
                                                                       Y
                                    Real Time                          y

                                                                       y
                                                                       y
                                                                       y
                                                                       y
                                                                       y
                                                                       Y
 custom scripting)                                                     Y
                       Real Time                                                  Y

                                                                                  Y


                                                                                  Y




                                                                                  Y
    Y
    Y
    Y
    Y




1




1
    In Scope




                   Phase
    Y              1
    y              1

    y              1
    y              1
    y              1
    y              1
    Y              1
    Y              1

Y              Y           1

Y              Y           1


Y              Y           1




Y              Y           1
Y   Y   1
Y   Y   1
Y   Y   1
Y   Y   1
    y   1
1

1


1




1
1
1
1
1
1
Initial reconciliation document prepared by Travis Dalton March 3, 2005

Stated assumptions and concerns:
ASSUMPTIONS

Started with the Current Traditional Scope
Compared Against Standard ASC Scope
Assumed Foundations and PowerChart EMR Orders and Doc in UT Traditional Scope
Assumed We are Adding Emar/PAL/MRP/ProFile Deficiency Mgt/Inet/InBox&Esig/Executable Knowledge per ASC Standard
            Based this assumption on the price quote Lisa produced a few weeks ago

KEY HIGH LEVEL POINTS OF CONSIDERATION

This will be ASC build so all reference to client build should be void
ASC has much more clearly defined parameters in a number of areas
ASC content is all based on START

KEY AREAS OF RECONCILIATION

CORE - ASC Has More Clearly Defined Parameters Around START
Clinical Reporting - Traditional Includes 200 Priniters Per Facility - ASC Assumes Build of 100 Per Facility
Order Management
            Order Sets - Traditional Includes 300 Order Sets - ASC Includes the Build of 100 Order Sets ( My experience says y
                        you have the better your chances of success ASC Includes 2
            Order Sentences - Traditional Includes 5 per Orderable - with physicians.) per Orderable and Does Not Include Meds
Care Documentation
            ASC Automates More Processes Than Defined in Traditional
            ASC Includes All Forms As Is in START (Experience Says you are going to have to customize some to meet client
            Client Will Have Access to Content via CernWorks but Will Not have Services Via ASC to Customize (May Want to

Explanation of columns:
UNIV_UT TRADITIONAL SCOPE                     this is the scope that was signed off on in the original project agreement for CPO

ASC SCOPE DIFFERENCE                          identifies areas where current ASC standard scope differs

NEEDED PER DESIGN CENTER                      this column to be filled in after assessment to indicate recommendations for scop
ble Knowledge per ASC Standard




100 Per Facility

00 Order Sets ( My experience says you need at least 200)



ve to customize some to meet client need)
Via ASC to Customize (May Want to Leverage CinC Resource)


e original project agreement for CPOE (March, 2003)

 scope differs

o indicate recommendations for scope of Care Transformation project

				
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Description: Shift Report Format Respiratory Therapy document sample