Jim Donohue, an international Cerner consultant, has worked on Cerner projects both in the US and the UK for The HCI Group. In this presentation Jim shares his insights on CPOE Cerner Powerplan Building 101.

2. 

Best Practice is to investigate and design the plan in
advance on a spreadsheet or Word document.
Once the orders/order details are completed then use
of the powerplan tool can be used to prepare the orders
for CPOE.

3. Log into Cerner Citrix
 Open DCPTools>


Go to Order Management> Powerplan Tool
Search for an existing plan…Right click on the folder in
the upper left hand corner of the tool>

4. 
Enter a title to search, for example here I used “Powerplan
101”…See that there are no matches for this name…
Creating a new plan…go to Task>New Plan…default is to Single
Phase…

Only Single Phase powerplans can be later
converted to a sub phase so they can be
embedded (nested) when creating a multiple
phase plan.
Whether a facility wants to create Single phase
or Multiple phase plans is decided individually….

5. For training purposes
 Name the plan; Keep the plan Single phase;
select Plan type: “Medical “; Display Method:
“Clinical Category”; choose status as “Testing”

6. Orders Tab
 Add an order
For example Vital signs

Here I’ve added some examples of other orders and how
they display based on their clinical category…

7. Notes Tab
 Notes are remarks you add for the ordering physician
to see, while they are in the powerplan ordering
phase…
The Note will not
be seen by the nurse
once the plan has
been ordered and
initiated
 Once it is added in the powerplan tool it will appear
under the clinical category selected as shown here…


8. 


To move an order or a note within the category click on the
item you wish to move and use the up/down arrows…
Here I moved the NOTE to the top of the Patient Care
Clinical category…
To move it back down to press the down arrow

9. Outcomes Tab
 Used to demonstrate an expected outcome to be
monitored…Click on the outcome tab…select the details
for your outcome…

See display like this in the powerplan tool,
demonstrating an expected outcome to be monitored…

10. Order Sentence Tab
 In some instances orders may already have order
sentences built that you can select from a list…as
shown here for the medication Ambien…

By selecting the sentence and moving it to the current
list field, and adding…it will display as an available
option in the list of sentences for the order…

11. 

If a desired order sentence doesn’t appear as an option
for the plan an individual order can be added to the
plan… by RIGHT clicking on the sentence line…and
adding… among other options…as shown below…
Selecting “add” allows the builder to create customized
order sentences…choose the order details and add…

12. Copy Components Tab
 An alternative to adding individual orders to a
powerplan, clusters of orders can be added all at once
when you are aware of an existing plan or set of orders
that you want to include in this new powerplan…

Select the source you want to copy… from caresets or
plan components…
In this instance
we’ve selected
components of
an existing
powerplan named
Blood
Administration….


13. 

After selecting Copy/Import we see a list of order from
the Blood Administration Powerplan those orders and
the associated order sentences from the existing plan
will be copied over….
Seen here in the new plan under the laboratory field
are the PT and PTT order with their respective order
sentences…

14. SubPhase Tab
 To include subphases
in a powerplan the
subphase must exist as a
single phase plan…

Select the Clinical Category and the Subphase by
name…and select Add…
The sub phase and all its
components will display in
the new powerplan…seen
here with powerplan icons
within the plan we are creating…You won’t be able to view
the orders for these nested plans…but you may look them
up separately…


15. Prescription Tab
 Click Prescription tab…
Select the product in the
Search Results box you want to
add to the PowerPlan and move it
from the search to the current list

Now you will see it displays as a prescription icon in the
plan

16. “Include” or “Exclude”
 By checking any box to the left of an order means that
this particular order will always be included, without
the clinician having to check it every time the plan is
opened…

As seen here, where in every instance of this plan the
Laboratory orders will be ordered with whatever else
the physician selects for the patient…

17. Printing a Plan…
 Once your plan is built, you can print an
paper/electronic copy by selecting Reports>Print
Plan…
Finding the New Powerplan…
 Subsequent visits to the powerplan tool will now
display the newly created powerplan
Validating a Plan as an User…
 For validation of the build, go to the physician log on
for the powerchart and search the name of your new
powerplan.