Medical/Dental Professionals

Information Technology

Optimizing the Electronic Medical Record (EMR)

A Message from Cheryl Klass, RN, Nursing Sponsor, Executive Vice President and Chief Nurse Executive, Kaleida Health, and Peter Winkelstein, MD, MBA, Physician Sponsor, Vice President and Chief Medical Informatics Officer, Kaleida Health

We experienced great success with the Nursing and Provider Optimization that went live on February 26, 2019. Despite the fact that more than 4,000 healthcare professionals were impacted, technicians and support personnel reported fewer calls than expected and no major glitches during the three days that the command center was open.

“We conducted more than 60 classes in about three weeks,” said Michael Thogmartin, a physician alignment executive with Cerner. “Over 400 providers attended.” The 93 percent attendance rate compares favorably to the 75 percent rate other healthcare systems would have been happy to achieve. “It’s a testament to the enthusiasm our caregivers are showing for the project,” he added.

The EMR Optimization team is tracking a number of performance measures including time-per-patient, after-hours time and adoption of new features. “We have coaches ready to provide elbow-to-elbow support for providers and nurses interested in maximizing their time savings,” said Thogmartin.

“I like having to search less for results, labs, diagnostics. Much easier to have everything on just one page.” – Bradley McKernan, PA

Quick reference guides were created for the benefit of the 3,412 nurses who were impacted by the optimization. “I’m very proud of the input our teams had on the design of the optimization,” said Cheryl Klass, RN, nursing sponsor of the project. “I think their efforts are reflected in the high approval rating the changes have received so far.”

Positive changes in the EMR continue to advance with four new go lives happening in the next few months. Stay tuned for more details. These include:

  • Blood Product Administration: Tuesday, April 9
  • Meds Management Alerts: Tuesday, April 23
  • Acute Case Management: Tuesday, April 30
  • Referral Management: Tuesday, May 28

Stay up to date with news and developments in the EMR Optimization and CommunityLink projects by visiting the EMR Investment page on KaleidaScope. Back issues of all previously published Expanding & Advancing the EMR newsletters are also archived there.

Reference Lab Network Announcement

Reference Lab Network (RLN) refers to the Quest and LabCorp interface with PowerChart. As of March 13, Quest and LabCorp results display in PowerChart (and InfoClique) in Kaleida Health ambulatory clinics which are on the PowerChart EMR.

Providers now see Quest and LabCorp results in Results Review when those patients present to any other Kaleida Health clinic, the ED, or are hospitalized. These labs are labeled as "nonKHlab2" (resulted by Quest) and "nonKHlab3" (resulted by LabCorp).

What's new

  • Quest and LabCorp orders can be placed in the EMR in the Kaleida Health ambulatory clinics
  • Kaleida Health, Quest and LabCorp results can be viewed in the EMR
  • Patients can view their lab results from Kaleida Health, Quest and LabCorp in the MyKaleida Patient Portal
  • Insurance information is viewable on the Patient Information tab in PowerChart

Who is impacted?

  • Kaleida Health ambulatory clinic front office staff, caregivers and providers, and our patients

Why this is important to you

  • There is now one place in the EMR for clinical staff to look for Kaleida Health Laboratories, Quest and LabCorp results
  • RLN electronic results will eliminate the scanning of paper results

CommunityLink and Continuous Advancement: What’s the Difference?

In a nutshell, the CommunityLink EMR is being built from the ground up for all of our Great Lakes Health partners, while Continuous Advancement refers to changes and optimizations taking place within Kaleida Health’s existing EMR.

The goal of these two initiatives is the same: to bring all facilities to Cerner Model Experience, a set of strategic recommendations to help Great Lakes Health achieve its performance goals and deliver high-quality care. Model Experience recommendations were developed from sources such as healthcare organizations operating Cerner solutions; regulatory requirements, industry standards and councils; and Cerner’s more than 35 years of implementing healthcare IT. The projects do, however, have two different starting points and two different timetables. The Continuous Advancement optimization timetable will bring many components of Model Experience content, capabilities and workflows to Kaleida Health’s facilities before CommunityLink goes live.

By the end of this multi-phased, multi-year project, not only will the EMR experience be almost identical, but the EMR will be interoperable and system-wide. It will deliver real-time patient data from anywhere in the system to anywhere in the system.

Model Experience is evolving as healthcare innovations and regulations evolve. So it is possible that CommunityLink’s EMR and the Kaleida Health EMR might be on slightly different versions of Model when CommunityLink goes live, depending on when the Continuous Advancement optimizations were completed. Eventually, those small gaps will close as future updates in Model occur in sync across the new integrated system.