Cerner Power Chart Ambulatory Optimization March 11 2020

Cerner Power. Chart Ambulatory Optimization March 11, 2020

Ambulatory Optimization • Ambulatory Optimization is a multi-phase approach to create consistency through foundational enhancements, address unique specialty needs, and establish process for ongoing continuous advancement. • Goals: • Improve patient care and experience • Improve clinician efficiency and satisfaction • Create a system wide foundation across ambulatory venue • Modernize and optimize tools 2

Implementation Methodology Sprint • Address quick wins through upgrade enhancements • High impact minimal effort • Limited resource needs Foundation Uplift Service Line Uplift • Standardize workflow and tools across ambulatory venue • Optimize provider specialties • Align to Model recommendations • ROI critical path items • Update to current functionality • Streamline cross department integration • Build upon ‘Foundation’ workflows and tools • Address unique specialty needs • Standardize workflows and tools across service line • Align to Model service line recommendations Continuous Advancement • Continued governance and prioritization • Streamlining method for feedback and requests • Routine content review and updates • Evaluating upcoming enhancements 3

Post Cerner Upgrade Ambulatory Optimization • Significant Cerner upgrade paved way for quick wins and more thorough ambulatory overhaul Sprint (Quick Wins) - Completed 1. Auto-text Sharing/Copy Utility (Rollout 2. 17. 2020) 2. Message Center Summary View (Rollout 2. 17. 2020) 3. Quick Visit Pilot – HTN, DM, Pre. Op & URI. (Pilot in Progress since 1. 2020) 4. Image Capture (Pilot in Progress since 2. 2020) Sprint (Quick Wins) - Upcoming 1. Real Time Prescription Benefits 2. e. Renewals – Convert Free Text 3. Notifications Center 4. Ambulatory Organizer Upgrade to 2. 4 5. Fenton Growth Chart Upgrade 6. Growth Percentiles/Z-Scores 7. Patient Education Content Upgrade 8. In Between Visit Encounters Uplift Foundation Uplift (Phase I) – 6 months 1. Discharge Process Uplift (in and out patient) 2. Referral management Uplift 3. Provider Specialty - Dyn Doc uplift 4. Provider Specialty - workflow / Quick Orders Uplift 5. Provider Specialty - Customization (Peds, Internal Med, Gen Surgery) 6. Clinic Intake Process Optimization + Amb. MA and RN Uplift 7. Health Maintenance Optimization Foundation Uplift (Phase II) - 3 -4 months * Scoping in Progress 4

Proposed Roadmap 5

Thanks you 6

2. e. Renewals - Convert Free Text • Enable functionality to give prescribers the ability to accept electronic prescription renewal requests in a structured format in Cerner Millennium. • When a renewal request is successfully parsed, prescribers will be presented with the parsed details and an option to accept the renewal with those structured details or accept the renewal with details as special instructions. • 7

3. Notifications within Organizer Toolbar • A notification display at the organizer level. • You can select which notifications to display i. e. proposed orders, results, messages. • This will display message center items across all charts 8

Notifications within Workflow Viewpoint • Notification Center • Accessible from the viewpoint level of the chart • Provides quick access to the dialog window for endorsing these results 9

4. Ambulatory Organizer Upgrade • Upgrade Ambulatory Organizer to most recent release to adopt and utilize new capabilities • For example - the ability for the provider to view schedule across multiple locations 10

Phase 1_Provider Specialty – 3. Dyn Doc Uplift, 4. Workflow/Quick Orders Uplift, 5. Customization • Use a data-driven approach to identify provider specialty opportunities, align to Model recommendations, and deliver new innovations to enhance the provider user experience and satisfaction. • • Review available specialty specific dynamic documentation templates Specialty-focused workflow MPage Optimize Table of Contents for easier navigation Review current quick orders usage and optimize based on data and specialty feedback • Reduce time in EHR per patient • Increase physician satisfaction 11

Phase 1_6. Clinic Intake Process Optimization Amb. MA and RN Uplift • Create a standard intake process across the enterprise • Migrating intake process into the Workflow View to reduce intake process time • Use a data-driven approach to identify MA/RN position improvement opportunities, align to Model recommendations, and deliver new innovations to enhance the user experience and satisfaction. • Benefits • Ensure nurses are efficient EMR users, allowing more time for patient care • Ensure patients are moving through the clinic efficiently to reduce wait times and increase patient satisfaction • Ensure nurse tools support documentation and charging requirements accurately 12