Difference between revisions of "Cerner"

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'''Cerner''' is a supplier of health information technology (HIT) solutions.
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Cerner’s mission: to contribute to the systemic improvement of health care delivery and the health of communities. <ref name="Cerner Form 10k">Cerner Corp, Form 10-K, Annual Report, Filing Date Feb 5, 2014. http://pdf.secdatabase.com/2355/0000804753-14-000006.pdf</ref>
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'''Cerner''' Corporation is a supplier of healthcare information technology (HCIT) solutions, services, devices and hardware. Cerner solutions optimize processes for healthcare organizations. <ref name="Cern.O">Cerner Corporation Company Profile. http://www.reuters.com/finance/stocks/companyProfile?rpc=66&symbol=CERN. </ref>  Cerner solutions are licensed by approximately 14,000 facilities around the world, including more than 3,000 hospitals; 4,900 physician practices; 60,000 physicians; 590 ambulatory facilities, such as laboratories, ambulatory centers, behavioral health centers, cardiac facilities, radiology clinics and surgery centers; 3,500 extended care facilities; 150 employer sites and 1,790 retail pharmacies. <ref name="Cerner Form 10k"></ref>
  
 
== Introduction ==
 
== Introduction ==
  
Cerner was founded in 1979 by its current CEO Neal Patterson, Vice Chairman Cliff Illig, and Vice President Paul Gorup while they were a part of the Knowledge & Content Team at Arthur Andersen. <ref name="cerner history">Cerner Corporation History http://www.fundinguniverse.com/company-histories/cerner-corporation-history/</ref> The vision of these three founders was to create a patient-centered system that would serve as an alternative to paper processes or financially oriented systems.
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In1979, inspired by a short consulting project for a medical lab, former Arthur Andersen information systems consultants Neal Patterson, Clifford Illig, and Paul Gorup broke away from Arthur Andersen to form Cerner. Cerner’s name stems from the Latin word cernere, translated as “to sift or understand.<ref name="Strategic Report">Strategic Report for Cerner Corporation. http://economics-files.pomona.edu/jlikens/SeniorSeminars/oasis/reports/CERN.pdf </ref>  
  
=== Laboratory Information Systems ===
 
 
Cerner was initially known as a [[Laboratory Information Systems (LIS)|laboratory information system (LIS)]] developer, and its first product, PathNet, was installed in 1984. Besides automating general lab processes, PathNet encompassed microbiology, anatomic pathology and blood bank information. Cerner was commercially successful early on.  It was profitable in its second year following the introduction of PathNet, which was well received by the industry. Incorporated in 1980, Cerner was the market leader in LIS and by 1986 it had 30 client placements. Growth continued with 70 clients in 1987, reaching 250 installations by 1990. While competitors focused on narrower domain, best of breed systems, Cerner's architecture allowed for integration across domains and it rolled out MedNet, RadNet and PharmNet beginning in 1987. Cerner added more modules in the 1990s with SurgiNet, MRNet for records management and Open Management Foundation. <ref name="cerner history"></ref>
 
 
The company is headquartered in Kansas City, MO.  It is one of the largest employers in Kansas City and employs over 14,000 associates worldwide. <ref name="cerner community">Cerner Community Impact https://www.cerner.com/About_Cerner/Community_Impact/</ref>
 
  
 
=== Locations ===
 
=== Locations ===
  
Cerner is headquartered in Kansas City, Mo. Cerner's world headquarters  campus is across the street from North Kansas City Hospital, Cerner's second hospital client.
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Cerner is headquartered in Kansas City, Mo., neighbor of North Kansas City Hospital, Cerner's second hospital client. <ref name="Rand Study">Rand Study helps Cerner makes its case. http://www.bizjournals.com/kansascity/stories/2005/09/19/story1.html?page=all </ref>
 
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* 2005: Cerner acquired the Riverport Campus complex on the site of what was formerly the Sam's Town Casino above the Missouri River in North Kansas City, Missouri. <ref name="riverport">Riverport Campus Cerner Corporation. http://www.emporis.com/building/riverport-campus-cerner-corporation-inc-world-headquarters-in-north-kansas-city-mo-kansas-city-mo-usa </ref>
* 2005: Cerner acquired the Riverport Campus complex on the site of what was formerly the Sam's Town Casino above the Missouri River in North Kansas City, Missouri.
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* 2006: it also acquired the former Marion Laboratories complex in southeast Kansas City, Missouri, renaming the campus the Innovation Campus. <ref name="southcampus">Cerner Corporation South Campus Bldg. http://www.emporis.com/building/cerner-corporation-south-campus-bldg-i-kansas-city-mo-usa </ref>
* 2006: it also acquired the former Marion Laboratories complex in southeast Kansas City, Missouri, renaming the campus the Innovation Campus
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* 2013: the company opened the first building in a new campus development located in Kansas City, Kan. The company calls this the Continuous Campus. <ref name="continuous campus">Cerner Continuous Campus. https://foursquare.com/v/cerner-continuous-campus/4f96d3b8e4b0ba85ae7a81c5 </ref>
* 2013: the company opened the first building in a new campus development located in Kansas City, Kan. The company calls this the Continuous Campus.
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* 2014: the company announced that it had begun a $4.3 billion campus construction project on the site of the former Bannister Mall in south Kansas City near the Innovation Campus. <ref name="bannister mall">Cerner breaks ground for its Trail Campus in South Texas. http://www.kansascity.com/news/business/development/article3845781.html </ref>
* 2014: the company announced that it had begun a $4.3 billion campus construction project on the site of the former Bannister Mall in south Kansas City near the Innovation Campus.
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Cerner maintains a handful of additional offices in the United States, as well as offices in the UK, Australia, UAE, Saudi Arabia, Egypt, Germany, France and several other countries outside the United States.
 
Cerner maintains a handful of additional offices in the United States, as well as offices in the UK, Australia, UAE, Saudi Arabia, Egypt, Germany, France and several other countries outside the United States.
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# Structure, Store and Study the Evidence to Create New Knowledge
 
# Structure, Store and Study the Evidence to Create New Knowledge
 
# Close the Loop by Implementing Evidence-Based Care" <ref name="cerner annual report 2001">“Cerner Annual Report 2001” (March 2002) https://www.cerner.com/uploadedFiles/2001_Annual_Report.pdf</ref>
 
# Close the Loop by Implementing Evidence-Based Care" <ref name="cerner annual report 2001">“Cerner Annual Report 2001” (March 2002) https://www.cerner.com/uploadedFiles/2001_Annual_Report.pdf</ref>
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== From 1980s into the 90s ==
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By 1984, Cerner was ready to roll out its first application, the PathNet laboratory information system. PathNet provided a comprehensive information system for laboratory clinicians, allowing laboratories to automate their processes. PathNet, which grew to combine applications for general laboratory information, microbiology, blood bank transfusion and blood bank donation, and anatomic pathology, broke away not only from the traditional paper-based sharing of information, but also from the prevailing financial focus of data gathering systems. <ref name="history">Cerner Corporation History. http://www.fundinguniverse.com/company-histories/cerner-corporation-history/ </ref>
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In 1988, Cerner added the next component of its clinical management systems, RadNet, which focused on automating radiology department functions. The following year, pharmacy support was added with the PharmNet application. As with PathNet, each new component was based on the same application architecture, allowing applications to be seamlessly combined to share information across applications. <ref name="history"></ref>
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By 1990, more than 200 PathNet sites had been installed, solidifying Cerner's position as the leading maker of laboratory information systems. Cerner next moved to expand its product family beyond clinical management systems and into care management systems, with the introduction of its ProNet and CareNet products. ProNet provided automated support for patient management and registration, ordering, scheduling, and tracking processes. CareNet gave patient care planning, management, and measurement tools to nurses and other direct care providers. Care management was meant to play a central role in gathering information needed for the care process. With Cerner's care management tools, providers could more easily manage the many pieces of patient information, including demographic and financial data, health status, operations data such as treatment procedures and protocols, while linking this information to ordering, tracking, scheduling, and patient, case, and health records management. <ref name="history"></ref>
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By the end of 1993, Cerner had completed the largest part of its product family, with the 1992 introduction of its SurgiNet and Open Management Foundation (OMF) products, and the 1993 introduction of its MRNet product. SurgiNet, part of Cerner's clinical management product line, offered information management support for operating room teams. OMF extended Cerner's repository line with tools for supporting management analysis and decision-making based on process-related information. MRNet functioned to link the OCF and OMF products in automating the chart management process for the medical records department. <ref name="history"></ref>
  
 
== Cerner EHR ==
 
== Cerner EHR ==
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== Acute care Electronic Medical Record==
 
== Acute care Electronic Medical Record==
  
According to reports Cerner’s EMR delivers a comprehensive set of capabilities to healthcare providers. The EMR is built with Cerner Millennium® architecture that is unified, measurable and patient oriented. <ref name="cerner acute"></ref> It is an enterprise-wide, multi-facility, longitudinal EMR. The design included a built-in expert medical knowledge which increases productivity in healthcare delivery. Further, the EMR integrates laboratory, radiology and pharmacy data into a single enterprise clinical data repository which helps caregivers reduce the risk of medical error and improve overall care quality. On top of that, the report states that it provides a secure real-time access to patient results and other clinical information whenever and wherever it is needed. <ref name="cerner acute">Acute Care Electronic Medical Record http://www.cerner.com/solutions/hospitals_and_health_systems/acute_care_emr/</ref>
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The Cerner electronic medical record (EMR) is an integrated database that provides a comprehensive set of capabilities with the following key benefits:
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1.Improve patient care as clinicians can focus on the patient’s overall health and not just the encounter
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2. Increase efficiency by placing real-time, updated information with the care team in time to make fast and effective decisions
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3. Increase access to information from multiple venues in the health system. <ref name="acute care">Acute Care Electronic Medical Record. https://www.cerner.com/solutions/Hospitals_and_Health_Systems/Acute_Care_EMR/</ref>
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The EMR was created to allow healthcare professionals to electronically store, capture and access patient health information in both the acute and ambulatory care setting. It allows the users to provide real-time access to patient results and clinical information across care disciplines, enable that healthcare organizations meet The Joint Commission requirements for patient confidentiality, access patient information securely from wherever and whenever it is most convenient for the care team. <ref name="acute care"></ref>  
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== Cerner Laboratory solution==
 
== Cerner Laboratory solution==
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Medical calculators integrated in EHR are invaluable assists for care providers, reports a Cerner website. In order to address this need, a group of physicians at Cerner started to work on integrated medical calculator solutions. In order, to accomplish that they partnered with MedCalc300. As a result, this new solution provides all Cerner clients access to more than 600 calculators, clinical criteria and decision trees. To name one example of such clinical calculator is Apgar score for determining the well being of a new born.  
 
Medical calculators integrated in EHR are invaluable assists for care providers, reports a Cerner website. In order to address this need, a group of physicians at Cerner started to work on integrated medical calculator solutions. In order, to accomplish that they partnered with MedCalc300. As a result, this new solution provides all Cerner clients access to more than 600 calculators, clinical criteria and decision trees. To name one example of such clinical calculator is Apgar score for determining the well being of a new born.  
 
<ref name="cerner med calculators">Integrating medical calculators into the EHR http://www.cerner.com/blog/integrating_medical_calculators_into_the_ehr/?langtype=1033</ref>
 
<ref name="cerner med calculators">Integrating medical calculators into the EHR http://www.cerner.com/blog/integrating_medical_calculators_into_the_ehr/?langtype=1033</ref>
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== Awards ==
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• UX Award, 2013, Best Clinical Health Care Experience, Powerchart Touch <ref name="powertouch">2013 UX Awards. http://userexperienceawards.com/ux-awards-2013-winners/#powerchart/ </ref>
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• Information Week Elite100, 2014, <ref name="infoweek">Cerner clients recognized as elite and innovative users of IT. http://www.cerner.com/blog/cerner_clients_recognized_as_elite_innovative_users_of_it/?langtype=1033 </ref>
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• Most Innovative Companies, 2014 <ref name="forbes">The World’s Most Innovative Companies List. http://www.forbes.com/innovative-companies/list/ </ref>
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== References ==
 
== References ==

Revision as of 07:48, 17 January 2015

Cerner’s mission: to contribute to the systemic improvement of health care delivery and the health of communities. [1]

Cerner Corporation is a supplier of healthcare information technology (HCIT) solutions, services, devices and hardware. Cerner solutions optimize processes for healthcare organizations. [2] Cerner solutions are licensed by approximately 14,000 facilities around the world, including more than 3,000 hospitals; 4,900 physician practices; 60,000 physicians; 590 ambulatory facilities, such as laboratories, ambulatory centers, behavioral health centers, cardiac facilities, radiology clinics and surgery centers; 3,500 extended care facilities; 150 employer sites and 1,790 retail pharmacies. [1]

Introduction

In1979, inspired by a short consulting project for a medical lab, former Arthur Andersen information systems consultants Neal Patterson, Clifford Illig, and Paul Gorup broke away from Arthur Andersen to form Cerner. Cerner’s name stems from the Latin word cernere, translated as “to sift or understand.” [3]


Locations

Cerner is headquartered in Kansas City, Mo., neighbor of North Kansas City Hospital, Cerner's second hospital client. [4]

  • 2005: Cerner acquired the Riverport Campus complex on the site of what was formerly the Sam's Town Casino above the Missouri River in North Kansas City, Missouri. [5]
  • 2006: it also acquired the former Marion Laboratories complex in southeast Kansas City, Missouri, renaming the campus the Innovation Campus. [6]
  • 2013: the company opened the first building in a new campus development located in Kansas City, Kan. The company calls this the Continuous Campus. [7]
  • 2014: the company announced that it had begun a $4.3 billion campus construction project on the site of the former Bannister Mall in south Kansas City near the Innovation Campus. [8]

Cerner maintains a handful of additional offices in the United States, as well as offices in the UK, Australia, UAE, Saudi Arabia, Egypt, Germany, France and several other countries outside the United States.

Mission statement

Cerner's Vision has 4 pillars:

  1. Automate the Care Process to Eliminate Paper
  2. Connect the Person by Providing Virtual Personal Health Systems
  3. Structure, Store and Study the Evidence to Create New Knowledge
  4. Close the Loop by Implementing Evidence-Based Care" [9]


From 1980s into the 90s

By 1984, Cerner was ready to roll out its first application, the PathNet laboratory information system. PathNet provided a comprehensive information system for laboratory clinicians, allowing laboratories to automate their processes. PathNet, which grew to combine applications for general laboratory information, microbiology, blood bank transfusion and blood bank donation, and anatomic pathology, broke away not only from the traditional paper-based sharing of information, but also from the prevailing financial focus of data gathering systems. [10]

In 1988, Cerner added the next component of its clinical management systems, RadNet, which focused on automating radiology department functions. The following year, pharmacy support was added with the PharmNet application. As with PathNet, each new component was based on the same application architecture, allowing applications to be seamlessly combined to share information across applications. [10]

By 1990, more than 200 PathNet sites had been installed, solidifying Cerner's position as the leading maker of laboratory information systems. Cerner next moved to expand its product family beyond clinical management systems and into care management systems, with the introduction of its ProNet and CareNet products. ProNet provided automated support for patient management and registration, ordering, scheduling, and tracking processes. CareNet gave patient care planning, management, and measurement tools to nurses and other direct care providers. Care management was meant to play a central role in gathering information needed for the care process. With Cerner's care management tools, providers could more easily manage the many pieces of patient information, including demographic and financial data, health status, operations data such as treatment procedures and protocols, while linking this information to ordering, tracking, scheduling, and patient, case, and health records management. [10]

By the end of 1993, Cerner had completed the largest part of its product family, with the 1992 introduction of its SurgiNet and Open Management Foundation (OMF) products, and the 1993 introduction of its MRNet product. SurgiNet, part of Cerner's clinical management product line, offered information management support for operating room teams. OMF extended Cerner's repository line with tools for supporting management analysis and decision-making based on process-related information. MRNet functioned to link the OCF and OMF products in automating the chart management process for the medical records department. [10]

Cerner EHR

The founders created Cerner Millennium, the industry's first person-centric integrated architecture. [11] Cerner Millennium is a partnership of Cerner and HP. The architecture of Millennium allows caregivers and supporting providers the ability to view results, problems, diagnosis, medications, and other pertinent information in real-time as well as share clinical and management data across multiple disciplines and facilities. This architecture has been referred to as Health Network Architecture (HNA), providing 12 major system applications operating by this means, fitting into 4 interrelated groups [12].

In a continued effort to reduce waste and friction in healthcare, Cerner has developed many solutions including employee health, life sciences, medical devices, clinical trial management, and biosurveillance. In 2012, Cerner announced the launch of Millennium + which combines the enterprise platform with the secure Cerner Cloud. [13]

Millenium+

In 2012, Cerner launched Millennium+, which uses the Cerner Cloud to provide a user experience that is “fast, smart and easy”, enabling caregivers to have personalized, intuitive and moment relevant clinical work flows via desktop, tablet or smartphone with minimal orientation to begin usage. [13]

PowerChart

As a part of the initial launch of the Millennium+ platform, PowerChart+ Touch was released the same year.

Finances

With a total revenue $2.8B including $391M globally (Cerner Corporation 2013 Annual Report), organizations ranging from single-doctor practices to hospitals to corporations to local, regional, national and global government agencies and organizations use Cerner solutions. As of 2012, Cerner works with more than 9,300 facilities worldwide, including 2,650 hospitals, 3,750 physician practices and 500 ambulatory clinics [14]. Associates span 7,300 worldwide with business in Argentina, Aruba, Canada, Cayman Islands, Chile, Puerto Rico, Saudi Arabia, Singapore, Spain and the United Arab Emirates. [15]

Siemens acquisition

In a press release on August 5, 2014, Cerner Corporation announced that they would be acquiring Siemens Health Services for $1.3 billion. This acquisition will allow Cerner to provide health IT to 20,000 associates in more than 30 countries and 18,000 client facilities, greatly expanding their global presence. [16] This deal will increase Cerner's annual revenue form about 3 billion last year to more than 4.5 billion on annual revenue in 2014.

Based on 2014 estimates, Cerner and Siemens Health Services have combined totals of more than: [17]

  • 20,000 associates in more than 30 countries
  • 18,000 client facilities, including some of the largest health care organizations in their respective countries
  • $4.5 billion of annual revenue
  • $650 million of annual R&D investment

Oracle

The partnership between Cerner and Oracle helps to provide a number benefits to Cerner customers such as: [18]

  • industry-leading scalability and reliability in both clustered and single system configurations
  • high performance
  • fault tolerance
  • heavy online processing loads
  • the ability to handle a large number of users

Cerner Millennium applications use an Oracle database and provide a common data model to enable data sharing between applications and to eliminate redundant data, while maximizing reliability and performance. This implementation runs on a variety of networks, processors and operating systems, including Windows XP Professional and any Internet browser.[8] All Millennium installs take advantage of the full Oracle database stack (9iEE, RAC, and the Management Packs). Oracle’s Real Application Clustering (RAC) enables both reliability and scalability by allowing the addition of servers to the host cluster.

Cerner also uses Oracle’s Tuning Pack, Diagnostic Pack, and Change Management Pack to help protect the integrity, confidentiality, and availability of its Millennium healthcare data. Oracle’s EAL 4 (Evaluation Assurance Level 4) rating also attests to its robust security. Additionally, Cerner's Remote Hosting Facility uses the full Oracle database stack (9iEE, RAC, and the Management Packs) as well and in an exclusive manner [18]

Certification Commission for Health Information Technology (CCHIT) performs rigorous inspection of EHR's integrated functionality, interoperability, security and is intended to serve health care providers looking for maximum assurance that a product will meet their complex needs. These listed products have CCHIT Certification but have not been tested against the applicable proposed Federal standards in existence on the date of certification for certified EHR technology of its type under the American Recovery and Reinvestment Act of 2009 (ARRA):

  1. Cerner Millennium FirstNet 2007.19 (Expired April 22, 2011)
  2. Cerner Millennium PowerChart 2007 (Expired January 22, 2011)
  3. Cerner Millennium FirstNet 2007.19 (Expired April 22, 2011)
  4. Cerner Millennium PowerChart/PowerWorks EMR 2007.19 (Expired April 22, 2011). [12]

Millennium Objects

Clients can create custom applications on the Cerner Millennium architecture with MillenniumObjects. [19] MillenniumObjects utilizes Java and XML services for Application Programming Interfaces (API) development by client developers. MillenniumObjects can be used to create custom applications and additional features on existing processes. This allows the user to create a unique application tailored to their specific needs using data already present within Cerner Millennium. Third-party extensions are available to create new workflows.

St. John Sepsis Agent

Sepsis affects 750,000 patients per year in the United States alone. [20] It also states, nearly $17 billion annual healthcare expenditures in the U.S. goes to health problems associated with sepsis.

However, studies show sepsis can be handled better if it is diagnosed in the first six hours after contracting germs. In order to make this detection as early as possible, Cerner now has come with a solution. St. John Sepsis Agent, created in co-operation with Methodist health care in Memphis, Tennessee speeds up early detection and diagnosis of sepsis. How the system works?

It gathers information from different sources such as: physician practices, ambulances, emergency department ,lab results and patient electronic health record’s vital signs.The integrated system analyzes all the information gathered from the above sources which includes Glucose level, Respiratory rate, Temperature, Heat rate, and Lab results. An alert fires when the system finds three out of range criteria. Then the agent sends a message to the hospital’s clinical team which reviews the data and begins the appropriate treatment.

In addition to the alert, there are enhancements that complement St John’s Sepsis Agent. One of such is The Millennium Light house. This program includes sepsis management power plan with orders for intravenous fluid, diagnostic tests and an empiric therapy adviser. This adviser guide clinicians to a variety of treatment option based on the source of infection.The agent offering also includes Significant Events mpage component which provides up front view of the patient’s most recent lab results, vital signs and significant treatment event. [21]

Finally, to follow up cases of sepsis, Cerner offers the Sepsis Confirmation Power form which is designed to use by organization’s quality officers during case review and quality reporting. [20] Reports show using the St. John Sepsis Agent can improve healthcare organizations in the following ways:

  • 24 percent reduction in in-hospital patient mortality rate.
  • 21 percent reduction in length of stay.
  • $5,882 medical savings per treated patient.

Acute care Electronic Medical Record

The Cerner electronic medical record (EMR) is an integrated database that provides a comprehensive set of capabilities with the following key benefits: 1.Improve patient care as clinicians can focus on the patient’s overall health and not just the encounter 2. Increase efficiency by placing real-time, updated information with the care team in time to make fast and effective decisions 3. Increase access to information from multiple venues in the health system. [22]

The EMR was created to allow healthcare professionals to electronically store, capture and access patient health information in both the acute and ambulatory care setting. It allows the users to provide real-time access to patient results and clinical information across care disciplines, enable that healthcare organizations meet The Joint Commission requirements for patient confidentiality, access patient information securely from wherever and whenever it is most convenient for the care team. [22]


Cerner Laboratory solution

The PathNet laboratory information system delivers to clinicians a comprehensive and fully integrated technology that covers both the managerial and the operational sides of the laboratory. [23] The system operates on the unified Cerner Millennium architecture. As a result, information links seamlessly with the patient's electronic medical record. PathNet serves the needs of different sections under pathology departments umbrella such as Blood Science, Microbiology, Cellular Pathology and Blood Transfusion functions. The technology has a capability to store, retrieved and disseminated patient specific information to and from health care system. Aside from that, the system is continually updated based on national standards and guidelines. Reports enumerates the different kinds of benefits PathNet® laboratory information system provides. Some are: it has a capability to process large quantities of specimens efficiently with minimal error possible. It integrates lab results with patent's EMR which allows the availability of full patient records on the EMR. Finally it ensures the rapid availability of patent results to care providers.

Device Connectivity

Medical devices contain critical health information reports a Cerner’s website, However, it can be a challenge to get that information into the care giver’s hand. As a result Cerner come up with medical device connectivity solution which alleviate this challenge. The company implemented the CareAware iBus, a core component of the CareAware connectivity architecture which acts as a USB for health care devices. In doing so, the solution connects medical devices with EMR enabling two-way communication between the two systems. This solution improves care by allowing care providers to focus on patients rather than paper work and data entry associated with it. [24]

Integrating medical calculators into the EHR

Medical calculators integrated in EHR are invaluable assists for care providers, reports a Cerner website. In order to address this need, a group of physicians at Cerner started to work on integrated medical calculator solutions. In order, to accomplish that they partnered with MedCalc300. As a result, this new solution provides all Cerner clients access to more than 600 calculators, clinical criteria and decision trees. To name one example of such clinical calculator is Apgar score for determining the well being of a new born. [25]


Awards

• UX Award, 2013, Best Clinical Health Care Experience, Powerchart Touch [26]

• Information Week Elite100, 2014, [27]

• Most Innovative Companies, 2014 [28]


References

  1. 1.0 1.1 Cerner Corp, Form 10-K, Annual Report, Filing Date Feb 5, 2014. http://pdf.secdatabase.com/2355/0000804753-14-000006.pdf
  2. Cerner Corporation Company Profile. http://www.reuters.com/finance/stocks/companyProfile?rpc=66&symbol=CERN.
  3. Strategic Report for Cerner Corporation. http://economics-files.pomona.edu/jlikens/SeniorSeminars/oasis/reports/CERN.pdf
  4. Rand Study helps Cerner makes its case. http://www.bizjournals.com/kansascity/stories/2005/09/19/story1.html?page=all
  5. Riverport Campus Cerner Corporation. http://www.emporis.com/building/riverport-campus-cerner-corporation-inc-world-headquarters-in-north-kansas-city-mo-kansas-city-mo-usa
  6. Cerner Corporation South Campus Bldg. http://www.emporis.com/building/cerner-corporation-south-campus-bldg-i-kansas-city-mo-usa
  7. Cerner Continuous Campus. https://foursquare.com/v/cerner-continuous-campus/4f96d3b8e4b0ba85ae7a81c5
  8. Cerner breaks ground for its Trail Campus in South Texas. http://www.kansascity.com/news/business/development/article3845781.html
  9. “Cerner Annual Report 2001” (March 2002) https://www.cerner.com/uploadedFiles/2001_Annual_Report.pdf
  10. 10.0 10.1 10.2 10.3 Cerner Corporation History. http://www.fundinguniverse.com/company-histories/cerner-corporation-history/
  11. HP & Cerner http://h20338.www2.hp.com/enterprise/us/en/partners/cerner-millennium.html
  12. Cite error: Invalid <ref> tag; no text was provided for refs named cerner_history
  13. 13.0 13.1 Cerner Announces Next Evolution of Cerner Millennium 2012 http://www.cerner.com/about_cerner/newsroom/cerner_announces_next_evolution_of_cerner_millennium/
  14. Cerner EMR Solutions - An Overview. (May, 2012) Excite Health Partners
  15. Cerner Corporation" (September, 2013) New York Times Business Day
  16. Cerner to Acquire Siemens Health Services for $1.3 Billion” (August, 2014) Cerner News Release http://www.cerner.com/About_Cerner/Investor_Relations/News_Releases/
  17. Cerner To Buy Siemens Health IT Business For $1.3 Billion http://www.forbes.com/sites/matthewherper/2014/08/05/cerner-to-buy-siemens-health-it-business-for-1-3-billion/
  18. 18.0 18.1 http://www.cerner.com/About_Cerner/Partnerships/Oracle/, 2014)
  19. MillenniumObjects http://www.cerner.com/solutions/Hospitals_and_Health_Systems/MillenniumObjects/?LangType=3081
  20. 20.0 20.1 http://www.cerner.com/solutions/hospitals_and_health_systems/acute_care_emr/st_john_sepsis_agent/
  21. Youtube: Cerner Sepsis Program https://www.youtube.com/watch?v=_-P6DZos9UU
  22. 22.0 22.1 Acute Care Electronic Medical Record. https://www.cerner.com/solutions/Hospitals_and_Health_Systems/Acute_Care_EMR/
  23. Laboratory http://www.cerner.com/solutions/Hospitals_and_Health_Systems/Laboratory/
  24. Healthcare Devices http://www.cerner.com/solutions/Healthcare_Devices/?langtype=3081&WT.mc_id=audevice
  25. Integrating medical calculators into the EHR http://www.cerner.com/blog/integrating_medical_calculators_into_the_ehr/?langtype=1033
  26. 2013 UX Awards. http://userexperienceawards.com/ux-awards-2013-winners/#powerchart/
  27. Cerner clients recognized as elite and innovative users of IT. http://www.cerner.com/blog/cerner_clients_recognized_as_elite_innovative_users_of_it/?langtype=1033
  28. The World’s Most Innovative Companies List. http://www.forbes.com/innovative-companies/list/