b'CLINICAL INFORMATICS :An Essential Partner in CareHolly EllisonRN, MS I CHIEF NURSING INFORMATICS OFFICER As we look back over the last year, the Clinical Informatics Team has been a critical partner in advancing many patient care initiatives to become an integrated health system. While integration was a main focus for the Informatics team, there was continued support for COVID-19 and surge capacity care needs, as well as strategic initiatives to help support organizational goals.Integration to One CernerStandard evidenced based workflows across the health systemhad in place was adopted in Concord to align withwas a guiding principle of moving Concord Hospital - Laconiabest practices;and Concord Hospital - Franklin over to the Concord instanceCode status orders were aligned across all threeof Cerner. This project required engagement from clinical staff,hospital sites;leadership, and all areas in IT and Informatics to engage inInsulin management orders and interventions were discussions and planning on how to move to a single version ofaligned across all three hospital sites. This requiredCerner for the health system. In order to minimize the impactcollaboration between nursing, nutrition, pharmacy,for clinical staff on the August 2022 transition day, we evaluateddiabetes education, informatics and provider leadershipkey clinical workflows that could be implemented ahead of timeto educate and implement changes related to evidenceto allow for the appropriate education, auditing and support tobased diabetes management.spread over a period of months rather than all at once at go live time. There was additionally, an opportunity to learn from ourThe move to One Cerner platform engaged clinical departments teams in Laconia and Franklin and identify clinical workflowsacross the enterprise both inpatient and ambulatory to work that could be implemented at Concord to support standardtogether to standardize workflows and align best practices,workflows across the system. Here are a few examples of said Ellison.those initiatives: In addition to moving nursing and provider workflows to oneElectronic specimen collection was implemented in the Cerner platform, there was also a move to one platform for Concord practices to align with the ambulatory workflow Radiology PACS imaging, one Pharmacy formulary and a single in Franklin and Laconia practices; platform for outpatient Rehab Therapy. The team worked to Heparin drip orders were revised and changed from units implement the use of ProVation, a documentation and order per hour to standard weight based dosing;set management software, in Laconia and Franklin for the management of our evidenced-based content in Cerner. With Nursing Tasks were evaluated and approximately 40 percentapproximately 1,000 order sets,this system allows forof routine nursing tasks in Laconia and Franklin wereauthoring and enhancement of order sets across the enterprise modified, which allowed for a reduction in alert fatigue with providers, pharmacy, nursing and clinical care specialty for nursing and increased standard nursing interventions; stakeholders. In the upcoming year, we will continue to work Venous Thromboembolism (VTE) prevention ordering and with clinical departments to identify integration opportunities point of care decision support that Laconia and Franklin that were not included in Phase 1 of this Cerner implementation. P E O P L E | I N T E G R A T I O N | T R A N S F O R M A T I O N20'