Cerner to Enhance SurgiNet Solution with Standardized Documentation Framework
February 1, 2010
In a move to enable care providers with streamlined documentation capabilities in the perioperative care settings, Cerner Corporation has partnered with the Association of periOperative Registered Nurses (AORN) and Computer Sciences Corporation (CSC), to incorporate AORN’s Standardized Perioperative Framework (SPF), AORN SYNTEGRITY™, with Cerner Millennium SurgiNet® solution.
SurgiNet perioperative and anesthesia information system provides tools for nursing documentation across pre-surgery, intra-surgery, post-surgery areas, and post anesthesia care unit (PACU). The information system also supports material management and surgical scheduling, apart from automating surgery case tracking.
Leveraging the SYNTEGRITY guidelines through the current contract, SurgiNet is expected to aid care facilities in decreasing the time required for the establishment and management of electronic documentation-related guidelines, and workflow procedures, while ensuring the aligning of the perioperative care documentation with AORN recommendations. It is expected that with SYNTEGRITY, hospitals will require up to 80% less time to support and configure electronic health record (EHR) perioperative documentation.
As a combined creation of CSC and AORN, SYNTEGRITY, an electronic reference dataset, has been designed to automate critical patient data collection across hospital perioperative care areas, ambulatory surgery centers and outpatient facilities. The framework is touted to enable caregivers with the capability to quickly identify and record patient care elements starting from the preadmission phase to preoperative, intraoperative, and postoperative phases of the perioperative care continuum. Complying by regulatory requirements, clinical standards, and accreditation terms, the SPF framework has been created to promote consistent patient care and continued compliance. Other features of the SPF are enumerated below.
• Perioperative Nursing Data Set (PNDS): Acting as the foundational basis for the development and functionality of SYNTEGRITY, PNDS, the standardized nursing vocabulary, aids perioperative nurses to deliver evidence-based care. Additionally, it allows capturing and mining of data for performing research investigation, financial justification, operational analysis, and establish regulatory compliance. The vocabulary aids in aligning nursing documentation with national standards, and regulatory and accreditation criteria. Further, using PNDS in an XML overlay allows the mapping of SYNTEGRITY into an EHR, thereby equipping hospitals with a standardized language for perioperative care documentation.
• Data fields: This allows reporting of appropriate regulatory, quality, and operational data.
• Companion guide: A Web-based manual, which aids nurses with easy access to clinical information and documentation requirements in relation to specific documentation fields. This allows nurses to quickly clarify queries while documenting vital information at the bedside.
• Data recording method: Through the data recording method enabled by the framework, organizations will be in a position to benchmark and evaluate the outcomes, quality, and effectiveness of care delivered. It also enables organizations to compare their surgical aspects like surgical outcomes, turnover time, etc., with other facilities across the nation.
Backing the integration of the SPF framework into SurgiNet, CSC Healthcare Group’s president Deward Watts states that, while the combined offering can enhance the efficiency and safety of hospital operating rooms, providing AORN SYNTEGRITY to its clients could roll out reliable documentation tools.
The SYNTEGRITY project, started off as the Standardized Perioperative Record and Direct Repository System initiative in 2008, with the combined efforts of AORN’s team of informatics specialists and nurses, CSC, and other collaborators. SYNTEGRITY now forms a key part of CSC’s health information technology portfolio.
With care quality and patient safety arising as the prime issues of interest across the perioperative care areas, Cerner, which has a worldwide client base of 8,000, hopes that the current partnership will help further enhance its SurgiNet solution as a valuable perioperative documentation tool for hospitals.
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