Your voice and experience is important, and we want to hear from you. Please share your thoughts with us in Centura Health’s Associate Engagement Pulse survey, which goes live on tomorrow, July 8, 2020. Designed to measure key aspects of your experience, this pulse survey is an opportunity for you to share your story and make suggestions to strengthen our connected ecosystem with you. 

This brief (less than five minutes) and confidential online survey will run July 8 through August 2. Check your Centura Health email inbox the morning of July 8 (invitation will be sent on July 7 between 10 and 11:59 p.m. MT) for a message from our survey partner Glint (survey@glintinc.com). The survey invitation is your personal link to complete the survey. 

Your story, experiences and engagement are important. We are committed to building a community where you grow in your purpose and career with us. To achieve this, we need to hear from you. Share your story by participating in the pulse survey on July 8. 

Thank you in advance for making time to complete the associate engagement survey.

Questions?
Please contact your entity human resources director or email engagement@centura.org.

This Sunday, July 12, the Epic upgrade will deliver new features and functionality across most care and business settings. One of the new features is Storyboard, a new visual workspace layout. If you have not reviewed the Learning Home Dashboard (LHD) tip sheets for your area or viewed the LEARN training on Storyboard, please be sure to do so before July 12 so you are fully prepared to begin using the new functionality in Epic.

We are committed to continuing to improve the quality of patient care, leveraging efficiencies and delivering exceptional patient experiences. When the Epic upgrade goes live on July 12, here are some improvements you can expect to see:

• Most users will see a new workspace layout, Storyboard, which provides more patient information on a single screen and allows users to hover and discover more information to act from a single screen, creating efficiencies.
• Top changes for clinical users – Review the Brief Look at Epic Upgrade – Clinical Apps
• Top changes for Epic business users – Review the Brief Look at Epic Upgrade – Non-clinical apps

• Starting Friday, July 10 at 5 p.m. (1700 MT/1800 CT), certain customization features will not be available, including setting the favorite chart review filters, modifying NoteWriter macros, SmartPhrases and other similar tools. This is only temporary and will become available after the upgrade.
• Saturday, July 11 at 11:30 p.m. (2330 MT/0030 CT), the planned downtime for the upgrade begins.
• Epic will be unavailable for approximately two hours.

• Use the Epic SRO downtime procedures and the Epic Down 2 BCA web option during the two-hour planned downtime. 
• Community Connect end-users, use the Epic SRO downtime procedures during the downtime window and the Epic Downtime 3 BCA Web option.
• For Alaris interoperability recovery, utilize IV Pump Integration Downtime Recovery Checklist.

Starting July 12, in conjunction with the Epic upgrade, there will be a process change for ordering advanced imaging (CT, MR, NM, PET) to ensure we meet Appropriate Use Criteria (AUC) for the Protecting Access to Medicare Act (PAMA) mandate. Modifications have been made when ordering advanced imaging to provide valid exam options for sending an appropriate adherence modifier on the claim. Below are the details for meeting the new guidelines:

• Who is impacted: Any associate who enters imaging orders.
• What’s new: A structured reason for exam will be required for all advanced imaging orders. Reason buttons for the top 180 advanced imaging studies are being updated, such that any of the buttons in the Common or Trauma folders will result in an acceptable score for CMS purposes. Additionally, there will be an “Other – See Comments” button added to all common folders.  The free-text field will remain available to use in conjunction with the Other button, should the common and trauma indications not match the patient’s clinical scenario.
• Be prepared: If you have saved favorites of advanced imaging studies you will need to resave them after the upgrade. A tip sheet can be found on the Learning Home Dashboard (LHD) which will provide the new process to follow. Below is a quick view and steps to follow:

 Outpatient imaging joint ventures 

Our Get Moving campaign/contest ended Tuesday, June 30. Thank you to those who submitted photos of you and/or your family getting outdoors and getting moving. From these submissions, we’d like to highlight three contestants for their efforts:

• Most inspiring -  Trena Berube & the SAN ED team
• Most creative - Meena Krishnakumar
• Most devoted (longest distance) – Jackie Queen

	Trena Berube, Director of Emergency Services, Cardiac Cath Lab and Cardiopulmonary Rehab, St. Anthony North Health Campus, and ten of her colleagues, friends and family (and a dog) joined her on a walk outside their campus. During these extremely busy and challenging times, we’d like to thank Trena for her leadership and inspiring devotion of time.
	Meena Krishnakumar, Patient Account Representative 1, rode her bike around Expo Park. She submitted not only a photo of herself getting moving, but also a PowerPoint of practices she is currently doing to improve her mind, body and spirit. Thank you Meena for sharing so much about why you chose to participate and about your healthy lifestyle in such a creative way!
	Jackie Queen, Executive Assistant, went for a 4.27 mile run on Heart Walk day, Friday, June 5. Thank you Jackie for your devotion in getting out and getting moving for such a long distance!

Spending time at home can be highly enjoyable and productive, whether you’re cooking up a delicious meal, curling up on the couch to stream your favorite entertainment, expanding your horizons through an online course or organizing your home gym or office space.

Whatever your stay-at-home activities may be, you can save time and money by shopping through BenefitHub, Centura Health’s website for associate discount offers. A few example areas where you can save BIG, from the comfort of your own home:

• Meal delivery and kits
• Home fitness equipment and trackers
• Virtual workout programs
• Cell phone plans
• Various holiday gift ideas
• Nationwide store products and services – Costco, Sam’s Club, Wal-Mart and more

Centura Health is welcoming Kalli Creitz as an Administrative Resident with the AdventHealth Residency Program. She will spend three years working with several of our entities to assist in administrative roles and learn about health care operations.
 
Though based at Porter, Kalli will also be participating in rotations at the Centura corporate offices, as well as Avista, Castle Rock, Littleton, and Parker. She graduated this year from Walla Walla University with a Bachelor of Business Administration in Marketing and a minor in Spanish. 

Her preceptor for the program, Porter Adventist Hospital CEO Todd Folkenberg, said, “Kalli learned a lot last year as a Centura intern, and she realized that the Residency program is a fabulous setting and balance between business and clinical, two areas that interest her.”

Specific areas Kalli would like to emphasize in her residency include marketing, human resources, and business development, as well as learning more about clinical operations.

If there are experiential projects that could both support your department in achieving our 2025 Aspirations as well as provide Kalli great experience and exposure to health care, please pass along your ideas to Kalli or to Todd. He will be working with her to prioritize and sequence these projects. 

Kalli can be reached by emailing KallieCreitz@centura.org. You may also email questions to Todd Folkenberg at ToddFolkenberg@centura.org.
 

Information Technology (IT) will perform monthly maintenance on Tuesday, July 21 from 12 p.m. (1200) until Wednesday, July 22 at 2 a.m. (0200) MT. This will involve planned downtime for the following applications (please reference the workaround for each application):

Tuesday, 7/21/2020 12 p.m. (1200) until 4 p.m. (1600) MT
 

Application	Workaround
DI/Data Innovations (Lab Instrument Interface Manager)	Laboratory test results in Epic may be delayed. Lab – Follow downtime procedures.
Epiphany	The system is unavailable.  Please initiate downtime procedures.
ImmuLINK (Lab Blood Bank Instrument Interface Manager)	Lab to manually enter results in HCLL (Blood Bank Software).
Lenel	The Lenel video security system will be unavailable; plan accordingly. Lenel facility badging will be available.
TempTrak	Maintain a manual process for each device during the planned downtime to maintain quality compliance.

Tuesday, 7/21/2020 6 p.m. (1800) until 10 p.m. (2200) MT
 

Application	Workaround
Medication Order Management (MOM)	Use Faxing or Tube Stations to send orders to pharmacy if MOM is needed during downtime.
MM Hayes / Quick Charge	The system will be unavailable to accept credit card payments.  Users can open the drawer to accept cash.
Patient monitoring integration for Epic	Vital Signs and Patient data will NOT be sent to Epic during this planned downtime.  Data will require manual entry into Epic.
Stanley MobileView	The system is unavailable with no workaround.
Zoll RescueNet	The application will be unavailable.  Zoll devices will not be impacted.

Tuesday, 7/21/2020 10 p.m. (2200) until Wednesday, 7/22/2020 at 2 a.m. (0200) MT
 

Application	Workaround
Clairvia	The system is unavailable with no workaround.
Computrition	The system is unavailable with no workaround.
CPACS	CPACS will experience multiple brief interruptions from 23:30 until 02:00 MT (00:30 until 03:00 CT).
Dragon	The system is unavailable with no workaround.
Epic Faxing	Faxing within Epic are unavailable.  Pending faxes will automatically send once the system is available.
Flight Vector	The system is unavailable.  Please initiate downtime procedures.
Kronos	The system is unavailable with no workaround.
Lawson	The system is unavailable with no workaround.
Midas+	The system is unavailable with no workaround.
PACS	Fuji will experience multiple brief interruptions from 00:00 until 02:00 MT (01:00 until 03:00 CT).
Policy Tech	The system is unavailable with no workaround.
Powerscribe	PowerScribe will be available, however, users may get logged out as the servers are restarted. You may simply log back in if this occurs.
TeraRecon	The system is unavailable.  Please initiate downtime procedures.
TraumaOne	The system is unavailable with no workaround.

We appreciate your patience as we conduct these maintenance activities to keep our incredible people equipped with the latest tools and to ensure you can provide the highest quality, whole-person care.

Questions?
If you have any questions regarding this Monthly Maintenance Window, please contact your Clinical Informaticists by Facility.