Clairvia for Nursing

Real-time information creates better care outcomes

Capturing information about current clinical conditions of individual patients and comparing that data to desired progress plans, caregiver teams can assign resources to achieve the best possible outcomes for each patient, at each moment in time. This patient-centric, outcomes-driven approach creates real, measurable improvements in care delivery:

  • As patients receive the right care, from the right people, at the right time, they recover more rapidly, enjoy a better in-hospital experience and the shortest possible length of stay
  • Schedules move from reactive response to proactive management, becoming more predictable and more reliable
  • Confident in the reliability of their schedules and knowing that their skills are being effectively applied to helping their patients get better faster, the nursing staff enjoys greater job satisfaction
  • Evidence-based allocation staff resources dramatically reduces operational inefficiencies and cuts overtime requirements, leading to superior financial performance
Featured Posts
 

2013 and beyond, why we’re excited to deliver innovations in Workforce and Operations.

More than ever before, health care organizations understand the need to develop highly efficient care teams to deliver the best care at the lowest cost. The Cerner Clairvia team is working hard to assist our clients with people, processes, and tools – enabling organizations to gain the highest value from the most valuable resource- the workforce!

From the feedback of our clients, we are excited to share new solutions and strategies on the horizon.

 

Patient-centric staffing models that leverage your rich clinical data to drive new efficiencies of care and improved patient outcomes

With an unprecedented number of new implementations, Clairvia’s EHR-Driven Outcomes Acuity continues to drive new data at point of care for personalized patient work assignments, while also ensuring quality transitions of care. We have standardized outcome sets and clinical mappings and are introducing a new Governance Council to ensure the evidence continues to grow for our clients.

Improved communication to our care teams drive new efficiencies of care

While Clairvia’s Patient Assignment delivers balanced and equitable assignments, we have upgraded the solution to Clairvia’s Assignment Manager which now enables assignments to caregivers, departments, and devices. You now have the opportunity to provide a seamless integration between patients, caregivers, and devices.

A new management system for total hospital efficiency where patient flow, staffing and care coordination are operating at equilibrium

With partnering clients, Clairvia is implementing the Command Center, an operational headquarters for resource staffing, patient flow, patient and equipment tracking, and care coordination. Central to the new headquarters is the Command Center Dashboard to provide the “pace of care” for the organization and key real-time indicators for proactive decision support and predictive algorithms. Data from the Command Center will feed Clairvia’s Care Value Analytics to support new analysis for performance improvement and feedback for a “learning system.”

New models of care for population health

We are working with our clients to build a workforce for new care delivery models including a focus on chronic disease management, transitions of care, and venues across the full continuum of care including extended care, medical homes, and clinics.

Clairvia end-users want fast, easy, and smart solutions

With each release, the Clairvia team is incorporating ideas from our clients to improve workflows, make solutions smarter, and upgrade the infrastructure to ensure optimal end-user experience and high solution value add.

New Management Services will enable you to focus on other priorities while ensuring the Clairvia solutions are continually optimized.

We now offer three new services including: (1) Application Management Services (AMS) offering 24×7/365 proactive monitoring, system management and world-class Level-2 production support. (2) Remote Hosting Options leveraging Cerner’s award-winning expertise gained from managing over 250 client systems. (3) Workforce and Operations Works providing highly experienced personnel to manage your operations on-site including leadership, performance improvement, and change management.

New client support tools to improve our communication and support to your team.

We have introduced new communication tools (1) UCern is a collaborative web site that uses social business technology to allow members to form communities based on professional role, Cerner solutions and special interests. Within uCern, you can create and share documents, discussions, polls, blog posts and videos. (2) A new support portal for logging and viewing service inquiries, and experienced Client Advocates who are committed to helping you navigate through unforeseen challenges.

We are excited about the work we are doing with our clients. It is through these partnerships that we are truly able to make a difference in health and care. For more information on the work we are doing or for questions on how we can serve your organization, please contact Bradley Cordes, Director of Client Operations, at 816-201-3257. We look forward to hearing from you.

Warmest Regards,

The Cerner Clairvia team

Creating a new model for health care resource management

This month, Nursing Administration Quarterly covered the implementation of Cerner Clairvia for workforce and operations and the new business processes resulting in over nine million dollars in cost savings over a two year period within the Catholic Health Initiatives (CHI) health system. Cerner’s partnership with CHI and their innovative nursing executive Barbara Caspers has led to transformational change at multiple sites within their organization.

…. read the whole story at the Cerner.Com Blog.

Thank You Nurses!

We are sending gratitude to Nurses everywhere who work tirelessly to improve health and care for patients and communities. From the Cerner Clairvia team, thanks for all you do!  Have a wonderful Nurses Week!

Nursing Week Challenge!

We want to hear your story! Has your nursing unit improved quality of care or created a new innovation in Patient Care with the help of Cerner Clairvia  solutions? This is your opportunity to boast, to brag, and to be creative in sharing what makes your nursing unit so great!

Submit your videos, essays, poetry, or even PowerPoints.  There are no restrictions on the types of entries accepted. The story that receives the most online votes will win $1000.  Second prize winner will receive $500.

All entries are due by Saturday April 27, 2013.  Email entries to Nurses@Cerner.com.  The top nominations will be selected by Cerner and final candidates will be posted on Cerner’s Facebook page.  Voting will be open April 29 through May 3rd. 

Additional information is available in the Nursing Community on uCern.

Cerner Clairvia is excited to see our many clients and colleagues at AONE 2012

Cerner Clairvia is excited to see our many clients and colleagues at AONE 2012: On the Precipice of Change the Courage to Lead. We look forward to sharing with you how our clients use Clairvia Workforce and Performance solutions to accelerate the health care system’s ability to shift towards a value-based payment system. Please join us in the conversation and come see our NEW Patient-Centric Workflows at AONE Booth 600.

You won’t want to miss Catholic Health Initiatives colleagues Kathleen Sanford, Senior Vice President and CNO, and Barbara Caspers, Director of Nursing Research and Practice, sharing their success in Managing Care Value through Technology Enabled Practice at 2:45 PM EST on Thursday, March 22. We commend the work they have done with transformational business processes and technology for our nurses at point-of-care.

Please join Cerner Clairvia in our congratulations to John Welton, PHD, RN, recipient of the 2012 AONE Foundation Nurse Research Award. Dr. Welton has been both inspirational and visionary to Cerner Clairvia clients and associates in his passion for leveraging evidence and data to drive value-based nursing.

By driving patient acuity on clinical documentation, United Regional matches staffing care to individualized patient needs

“Clairvia’s integrated CVM systems support our commitment to providing quality, safe patient care because the systems align staffing care directly with the real-time clinical status of patients,” says Pamela Bradshaw, RN, CCRN, NE-BC, CNO and Vice President of Nursing and Clinical Services at United Regional. “CVM Patient Acuity is the foundation of this approach. Since it drives acuity measurements straight from our clinical documentation, we receive seamless patient acuity based on actual patient condition, and not on subjectivity or nurses’ instinct.” With accurate patient acuity, United Regional relies on CVM Patient Assignment to match the specific clinical needs and requirements of each patient to the specific characteristics, skills, and workload of each caregiver. “The integration between these two CVM systems helps support patient safety and quality care,” says Bradshaw. “Our charge nurses rely on patient acuity when making assignments. The assignments reflect what is most clinically appropriate and needed for each patient.” In addition, “We’re able to take better advantage of our staffing resources and align them more equitably and fairly while we meet patient needs,” emphasizes Justin Keeter, one of United Regional’s critical care unit managers and the organization’s patient acuity implementation leader. “We no longer have one nurse significantly overloaded in caring for very sick patients when another, similarly qualified nurse has a very light workload. “Also,” he says, “nurses have more trust in the staffing process because they know they are being assigned based on actual, documented patient acuity. So beyond supporting safer, better care for our patients, Clairvia is promoting higher levels of satisfaction among our staff nurses.”

Download the full story (PDF)

Nursing Productivity or Nursing Utilization?

Measuring and managing nursing “productivity” has been around for a long time. But is it really “productivity” we’re measuring, or “utilization”? Productivity is defined as “output” divided by “input”. So how is output represented for nursing? One can easily argue that true nursing “output” is positive patient outcomes of the patients they are taking care of (including the avoidance of HAC’s and readmissions).

But traditionally, the “output” of “productivity” is represented as the amount of nursing time the patients “should” have received. This is usually based on patient acuity, or census times budgeted nursing hours per patient day. Either way, it’s our best guess at how much nursing time those patients “needed”.

Time “needed” divided by time “supplied” is really utilization: how well the nurses were “utilized”. If utilization was 90%, then it’s assumed that the patients didn’t really “need” all the time supplied, and some was wasted. And if 110%, they didn’t get enough.

There’s a critical assumed link here that if the patients are provided with the hours we believe they need (utilization is 100%), positive patient outcomes (and lack of bad things) will occur. And, if utilization is 90%, what? Same outcomes? And if utilization is 115%, what? Same outcomes? We don’t really know.

To get to true productivity, we need a measure of output that speaks to patient outcomes directly. Something like, did patients with this DRG get through their stay on the ICU as quickly as some benchmark, and was their clinical condition on transfer from the ICU what we want it to be? What was their satisfaction level? Did they go home with education enabling them to continue recovering? How long from admission did it take them to reach acuity level “x”. Or the like.

We’re not there yet on these measures, but it’s food for thought.

And we really should appreciate the difference between nursing productivity and nursing utilization.

Testimonials

  • "By combining an innovative, team-oriented approach with the real-time staff management capabilities of Clairvia software, nursing leaders at Mount Sinai Hospital’s medical service have significantly reduced overtime costs while supporting safer, higher-quality staffing and increasing staff satisfaction."

    - Carol Porter, DNP, Chief Nursing Officer, The Mount Sinai Hospital
  • "Clairvia is acutely focused on creating innovative software and moving nursing ahead for the future."

    - Janet Spunt, Chief Nursing Officer, University of Illinois Medical Center