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© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 1

Copyright Scottsdale Institute 2014.

All Rights Reserved.

No part of this document may be reproduced or

shared with anyone outside of your organization

without prior written consent from the author(s).

You may contact us at

[email protected] / 952.545.5880.

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 2

Our Experience:

ADC Queuing in EMR

Kyle Townsend, PharmD, BCPS

Jacob Thiesse, PharmD, BCPS

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 3

Billings Clinic

Based in Billings, Montana, Billings Clinic is a not-for-profit,

community-owned healthcare organization that is also part of the

Mayo Clinic Care Network.

Billings Clinic is comprised of:

• Multi-specialty physician group practice

• 272 bed level II trauma & tertiary referral hospital

• 90 bed assisted living and rehab center

• 3600 employees, including 241 physicians and 87 PAs/NPs

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 4

Billings Clinic

Organizational Vision: Billings Clinic will be a national leader in providing the best clinical quality, patient safety, service and value

Obsessive dedication to our vision, resulting in awards including Ranked #1 for patient safety by Consumer Reports

Accredited Accountable Care Organization

Top 100 Hospitals by Truven Health Analytics

Pharmacy technology: EHR, ADCs, carousels, packager, IV room automation, smart pumps, BCMA

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 5

Problem

Interdisciplinary Medication Use Safety Team

Identified via review of medication administration errors

Cause: ADC had a pick list, but not the actual eMAR

Options:

Low tech solution: bring EHR to ADC (laptop)

High tech solution: queue ADC meds from EHR

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 6

High Tech Solution Description

New screen in EHR

EHR credentials link to Automatic Dispensing Cabinet

credentials

Screen lists doses due within specified window

Staff choose orders rather than product

ADC dispenses queued meds

Waste recorded back to Automatic Dispensing Cabinet

server

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 7

eMAR

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 8

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 9

Waste Documentation

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 10

Feedback

Nursing

More time spent at patient bedside

Less time finding meds on Automatic Dispensing Cabinet for med pass

Able to queue meds from a remote location and have them immediately

available when logging into the Automatic Dispensing Cabinet

Exactly replicates the eMAR

Can waste remotely where witness is available.

Pharmacy

Less medication errors related to “profile” vs. “eMAR” differences

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 11

Adoption

Deployed to TCU (Transitional Care Unit)

Near 100% utilization for med passes/scheduled meds

Less utilization for PRN meds

SSU (observation): <50%

ICC (oncology): ~70%

CVU (cardiac): <50%, no training, just turned on

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 12

Metrics

Medication not on profile change from BCMA

Early/late administrations

TCU, ICC, SSU, CVU

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 13

Future

Deploy to remaining units

Remove laptop from med rooms

Allowing range doses to be queued

Clinical Decision Support (CDS) at queuing

© 2014 Omnicell, Inc. Content is Confidential and Proprietary

Unparalleled device connectivity

© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent .

We do more than connect devices

• Surpass simple EHR

documentation

• A common platform

across venues and

workflows

• EHR agnostic and

vendor neutral

• Enables smart

transformative

workflows

© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent .

CareAware Architecture Overview

Services

© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent .

CareAware iBus Services

• Service Oriented Architecture (SOA)

• Java based service proxies and RESTful web service

bindings

• Over 50 different services available • Patient to Device

• Location

• Patient

• Encounter

• Orders

• Clinical Events

• RTLS

• Device Lifecycle

• Temporary Device and Event Data Stores

• Authentication

• Barcode

• Authorization

• Audit

• ……..

• Services are aggregated to create workflows

[1] http://martinfowler.com/articles/microservices.html

© 2014 Omnicell, Inc. Content is Confidential and Proprietary

Now lets hear from Omnicell

© 2014 Omnicell, Inc. Content is Confidential and Proprietary

Reaching Further

© 2014 Omnicell, Inc. Content is Confidential and Proprietary

What our customers tell us…..

Consolidation with increased

scale

Pressure to reduce duplicate

workflows

Continuing regulatory challenges

Broader spectrum of medication

control

© 2014 Omnicell, Inc. Content is Confidential and Proprietary

… And what we hear

True need for Connected Systems

Larger Institutions with complex populations

Solve for ROI and cost

Provide upgrade paths for

regulatory

Innovation for Scale, Workflow

© 2014 Omnicell, Inc. Content is Confidential and Proprietary

Interoperability Success - Commitment

• Resources

Technical teams dedicated to the project

Regular communication between development teams

• Customer Support

Jointly developed between Omnicell and Cerner

Omnicell supports OmniCenter system and connector

Cerner supports Millennium and iBus infrastructure

• Joint Testing

Performance testing in the Cerner Abilities Lab

Beta testing with key partners like Billings Clinic

• Experience

Applying our 20+ years of interfacing expertise in the development of the

connector to the CareAware iBus

© 2014 Omnicell, Inc. Content is Confidential and Proprietary

Interoperability Success

• Connection Benefits

23

Reduced system

complexity Access to data via iBus

not previously available

Integrated workflows

Streamlined

implementation

with minimal

customization

iBus connectivity enables smart transformative workflows

© 2014 Omnicell, Inc. Content is Confidential and Proprietary

The Future

• Executing swiftly on joint development roadmap

2012 2013 2014

Q4-2012:

Omnicell/Cerner

Agreement signed

Q4-2013:

Remote dispense

live @ Billings

Clinic

Q1-2014:

Omnicell iBus

Connector live @

Billings Clinic

Q2-2014: Remote

Dispense released

in OC18.5

Q4-2014: Targeted

Release of iBus

Connector in

OC19.0

More to come…

2015

© 2014 Omnicell, Inc. Content is Confidential and Proprietary

Summary

• Billings Clinic partnered with Omnicell & Cerner to test and refine

solution

• Results of collaboration - Features released to market quickly

• Joint development roadmap driving continued interoperability

between Omnicell & Cerner to transform workflows

© 2014 Omnicell, Inc. Content is Confidential and Proprietary

Questions?

26

Thank you for your time today