Cerner Transition

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Message from Cerner Transition Task Force

Post Cerner go live launch has had impact on medical imaging department’s key operations, IT services, dept. revenue and patient safety related issues. These challenges are being aggressively tackled by amazing teams on multiple levels in DMI and with our colleagues and collaborators from key areas across the network. Our teams are actively collaborating closely with Banner corporate PACS and IT systems plus industry programmers and engineers. We are working side-by-side helping steer this complex array of people and processes. Our integrated team of radiologists, residents admins, techs and other support staff are working to solve problems, predicted and unexpected.

On the operational side the DMI Cerner Transition Task Force team was implemented to evaluate root causes for Medical Imaging work flow break downs and the impact on our patients and to formulate corrective actions. This work has led to documentation and presentation of proposals that are being evaluated and used for implementing solutions by our network. We are focused on solutions impacting DMI and, also, elements of key functions in other areas of our system.

Highlights

  1. Ambulatory and patient data workflow integrity has multiple points of failure, from manual ordering through to execution and interpretation of imaging studies.
  2. Radiologist's Imaging work flow has multiple levels of breaks, such as advanced protocoling, PACS-Cerner desk top integration, customizable subspecialty work lists, auto migration of technologists notes, interventional radiology work flow process and radiology reports transfer errors to Cerner PowerChart.
  3. Current RADNET- RIS (radiology information systems) manages Cerner acute care but does not manage Cerner ambulatory, resulting in system fragmentation. As a result, several imaging chain breaks are affecting ambulatory studies. This is generally recognized across our service lines and has become a major focus for formulating solutions.
  4. We recognize that we are tasking our internal DMI IT team with effort and challenges that have this group stretched.
  5. The Academic Medical Council (lead by our Dean) has instituted a new committee, called the “The Academic Technology Advisory Group”. This group has representation from key areas and service lines and is tasked with analysis and recommendations and with direct communication to Banner leadership. We have representation on the ATAG, with Bobby Kalb as a designated member and Reddy Gopireddy and Khalil Salman as associate members.
  6. We have been developing closer partnership with key members in the Banner Informatics Team, who oversee PACS and radiological informatics systems.

Key Overarching solution pathways:

The most impactful solutions that are being evaluated and moving towards implementation include:

  1. Order to scheduling Automation
  2. Ambulatory Cerner RIS expansion
  3. Primordial PRISM solutions
  4. Informatics team expansion
These recommendations will provide solutions or marked improvements to all of the challenges listed in “Highlights”. As we continue to make progress on the ground, DMI committee will communicate with you all, listen and solve the post Cerner issues. Please email to: BUMCTSDMIWorkProjectsCommittee@bannerhealth.com

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