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2012 International MUSE Conference
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Educational Presentations 1001 -‐ BCTA 101 Presenter: Mary Baker Organization: HCA -‐ The Healthcare Company, Nashville, Tennessee Abstract: Join us for an entry level overview of MEDITECH's BCTA (Bar Coded Transfusion Administration). If you are new to MEDITECH nursing or blood bank modules, or are considering implementing BCTA, this session will give you an overview of its functionality and implementation. Mary Baker is a Clinical Analyst with HCA TriStar Division. 1002 -‐ BMV 101 Presenter: Carole Weinstein Organization: The Valley Hospital, Ridgewood, New Jersey Abstract: Join us for an entry level overview of MEDITECH's Bedside Medication Verification functionality -‐ how it works, pitfalls to beware of, and what you'll need in the way of hardware to make scanning a breeze. Carole Weinstein is a Project Specialist at The Valley Hospital in Ridgewood NJ. She has installed and supported MEDITECH clinical, administrative and financial modules for the past 15 years.
1003 -‐ Clinical Review 101 Presenter: Sandy DePlonty Organization: War Memorial Hospital, Sault Ste. Marie, Michigan Abstract: Do know about Clinical Review? Do you want to know more? This session will be a basic tutorial going through each and every button/panel located on the clinical review screen. Sandy DePlonty, MT(ASCP), MBA, MPA IS Applications Director, first worked as a Medical Technologist in the lab for 11 years. She set up and supported the first lab computer. Sandy joined IS to implement MEDITECH in 1997; in later years she worked as a controller and the Director of Fiscal Reporting and Budgeting. She has participated in MUSE since 1997 as both a peer group leader and a presenter. 1004 -‐ EDM 101 Presenter: Michael Laidlaw Organization: The Valley Hospital, Ridgewood, New Jersey Abstract: Join us for a brief overview of EDM that will cover the basics of Trackers, Indicators, and documentation. The presentation will also give an explanation of some of the more in depth capabilities of the system. Mike Laidlaw is a long time MEDITECH analyst with expertise in a variety of different modules, including the clinicals and financials. 1005 -‐ NUR 101 Presenter: Mary Baker Organization: HCA -‐ The Healthcare Company, Nashville, Tennessee Abstract: If you are new to MEDITECH's nursing module or you support other MEDITECH modules that integrate with nursing, this presentation will give you an overview of its functionality and integration with other modules. Mary Baker is a Clinical Analyst with HCA TriStar Division. 1006 -‐ POM/CPOE 101 Presenter: Moshgan Jones Organization: Nathan Littauer Hospital and Home, Gloversville, New York Abstract: POM 101 will cover the basic set up and functionality of Provider Order Management (CPOE) and its integration to MEDITECH's clinical applications Moshgan Jones, MS, BS, MT is a Senior Clinical Application Analyst at the Nathan Littauer Hospital and Home in upstate New York, and an active volunteer with MUSE.
1007 -‐ Off to See the Wizard of EDM... A Journey Down the Yellow Brick Road Presenters: Deborah Lake and Paul Bleim Organization: Fitzgibbon Hospital, Marshall, Missouri Abstract: Moving to electronic documentation in the Emergency Department will increase patient safety, faster turnaround times, improved communication, and ensure proper documentation for reimbursement. Of course this did not come without resistance and fear. Even though we successfully have been LIVE with EDM Phase I we still have part of the Yellow Brick road ahead of us … but we now know most of the fear is gone, and the journey will become easier. Fitzgibbon Hospital is a small rural Facility 10 miles north of I-‐70 in mid-‐Missouri. We would like to share our travel down that Yellow Brick road and discuss our trials, tribulations, and success. This all was possible because of a pro-‐active ED Nurse Manager, and a positive EDM Core Team. Our presentation will discuss what we determined as our most important areas for success:
• Choosing the right Core Team Members • Assigning task to the Core Team • Reviewing Core Team Progress • Developing Educational Material • Education • Parallel Testing • Assignment of Reviewing Documentation • GO LIVE! • Post Go LIVE Lessons Learned
Off to see the Wizard of EDM … Fitzgibbon Hospital began their journey in February 2011 on the Yellow Brick Road. The EDM Core Team was selected by our ED Nurse Director, and training began. The first part of our project was focus on getting bedside nurses to understand MEDITECH language (CDS, query). The next step of most importance: determining what types of devices would be most effective to be used in the ED. Many hours were spent reviewing and researching the types of devices that were best of Fitzgibbon to travel down the Yellow Brick road to success! Our team reviewed their current paper method of documentation, and began to build their documentation screens in EDM. Parallel testing was most important to our success. In the beginning of the parallel phase most of the ED staff did not understand the importance, but it became very clear to the staff the more you practice the better you become! Fitzgibbon ED staff paralleled for about 30 days prior to go LIVE. On October 11, 2011 at 0800, Fitzgibbon ED went LIVE with EDM Phase I nursing documentation. The road down the Yellow Brick road is more than half way completed and that half was more successful than any person at the faculty ever dreamed! Thanks to a dedicated Core Team, Nurse Director, and hard work by the ED staff. Big Board …
Using a Big Board (Tracker) has shortened the wait times in the ED by about 30 minutes. Since everyone has the ability at a glance to review the patient load, resulted orders, and time waiting, EDM has made a HUGE difference in customer satisfaction to date. Ruby Slippers… Providers wanted to click their heels and stay in their paper world, but the EDM nursing staff gave the providers a heart! Like anything else change is hard! It is extremely difficult when the providers are accustomed to a piece of paper to give them the information they may need. Fitzgibbon providers came out of their tornado ridden house, and landed right on that Witch of the West and skipped right on down that Yellow Brick road with enthusiasm, cooperation, and skill! Deborah Lake, RN/BSN, IT Clinical Coordinator, has worked as a bedside nurse for over 20 years, but started her Nursing Informatics Career seven years ago. She worked at another facility that went with a “big bang” MEDITECH implementation, and since has been working at Fitzgibbon Hospital in Marshall, Missouri. 1008 -‐ How to Keep Your Cost Accounting Implementation Moving and Avoid the Dreaded “Stagnant” Status Presenter: Chad McLaughlin Organization: Stamford Health System, Stamford, Connecticut Abstract: The Cost Accounting application can be hard to take seriously. It is not required for a system go-‐Live, and, as in Stamford Hospital’s case, it can be implemented years after the main go-‐Live. Many customers do not even purchase the product. Those that do purchase it run the risk of a stagnant project because of the massive amount of effort involved in the implementation and the stress of making the right system configuration decisions. Attempts at pressing the MEDITECH team for answers and guidance can easily result in frustration due to the perception of “wishy-‐washy’ answers like “There’s no one right way to do it.” or “Customers have done this in many different ways – I can’t tell you which one is most popular.” But the benefits of Cost Accounting are immense: even a little insight into the true costs of procedures can be a great help when negotiating reimbursements with insurance companies and analyzing department performance. When embarking on a Cost Accounting implementation, it is important to realize that the MEDITECH Specialists are there to show you how the software works, not necessarily to consult you in the best configuration strategy, and it is very easy to find yourself leading a stalled project. This presentation will cover:
• The Cost Accounting implementation experience at Stamford Hospital from an IT perspective.
• Stamford Hospital’s methodical, step-‐by-‐step Cost Accounting processing guide. Future customers may use this document as a starting point for their own procedures, and current customers may use it to adjust existing procedures.
• Useful custom reports developed at Stamford Hospital that can aid in the Cost Accounting implementation and regular processing.
Chad McLaughlin is a Senior Systems Analyst at Stamford Hospital supporting various financial and administrative applications, including some MEDITECH products. In his previous position, he was employed at MEDITECH for nearly a decade implementing general financial applications and Scanning & Archiving. 1009 -‐ Tarot Cards and Tea Leaves – Reading Your Teams and Changing the Future Presenter: Yvonne Martin Organization: Betsy Johnson Regional Hospital, Dunn, North Carolina Abstract: Whether you are migrating, upgrading or implementing if you have teams you must know how to read them. Based on what you read you can guide them using your knowledge of their strengths and weaknesses. Harnett Health System went live on 6.02 on February 1, 2012. Teams were comprised of personnel recruited from their departments and many had never worked on the background of a computer system. This presentation will show how one IT support person examined her teams and made the most of what she had. Yvonne Martin is a Systems Analyst at Harnett Health System in Dunn, North Carolina. For the six migration she supported LAB, PHA, ITS and EDM and was lead for RD/RW. She began her experience with the MEDITECH system when she built the LAB module for a hospital in Baton Rouge in 1997. 1010 -‐ Tying It All Together: Discharge through ePrescribing Presenter: Sheila Smith Organization: Stamford Health System, Stamford, Connecticut Abstract: Stamford Hospital, a MEDITECH CS 5.65 site, has recently implemented ePrescribing and fully integrated the discharge & medication reconciliation processes. Join us in a lively discussion as we share our pearls, pitfalls, and lessons learned in automating the discharge process. Presentation topics:
• Design/Build • Testing • Training • Pilot • House wide Go-‐LIVE • User Adoption • Questions & Answers
Stamford Hospital is a 305-‐bed, not-‐for-‐profit provider of comprehensive healthcare services in lower Fairfield County and the region. Stamford Hospital is affiliated with New York Presbyterian Health System and is a major teaching affiliate of the Columbia University College of Physicians and Surgeons. We are a proud member of the Planetree Alliance, a group of hospitals nationwide focused on patient-‐centered care. Our areas of expertise include: cancer care, heart services, orthopedics and women's health Sheila Smith, Clinical Systems Analyst at Stamford Hospital, has 15 years of healthcare experience, with nine years being in the Information Systems field. 1011 -‐ Standardized Care Planning and the Clinical Information System (CIS) – Are they Frenemies? Presenter: Corey Tillyer Organization: Fraser Health Authority, Surrey, British Columbia Abstract: According to Wikipedia, a frenemy can refer to either an enemy disguised as a friend or to a partner who is simultaneously a competitor and rival. Fraser Health (FH) is one of six Health Authorities within British Columbia, Canada and services a population of 1.6 million people. FH has implemented an integrated clinical information system initiative called myHEALTHSystem. The vision of myHEALTHSystem is to integrate person-‐centred health information, across the continuum of care, in support of optimizing health care for Fraser Health citizens and providers. This discussion will include FH's CIS architecture, governance operating models to support standards for planning care and the CIS roadmap to support FH's mission of Better Health, Best in Health Care. Corey Tillyer is the Director of Health Informatics -‐ Advanced Clinical Systems with Fraser Health Authority and your MUSE Board Chair-‐elect. Corey has worked in Health Informatics and with MEDITECH since 1995. Corey's background in nursing along with a Graduate degree in Healthcare Leadership helps her to bring together the clinicians needs with IT's ability to support those needs. 1012 -‐ Utilizing Tools in CPOE to Meet Quality Initiatives Presenter: Jayne Cloutier Organization: Parkview Adventist Medical Center, Brunswick, Maine Abstract: Any one can roll out CPOE but optimizing it to improve quality initiates can be a real challenge. This presentation will assist you with strategies learned from real experiences. Focus will be on Care Measure and Meaningful Use Quality measures. Learn from what Parkview did right and what we have had to improve on to make CPOE the engine that drives all of our clinical initiatives. Jayne Cloutier, RN BSN is the Clinical Information Manager at Parkview Adventist Medical Center in Brunswick, Maine where she has been employed since 2000. She is the lead analyst supporting all the advanced clinical modules since 2005. Her clinical background includes critical care nursing, resource nurse as well as nurse educator.
1013 -‐ How to Win Friends and Influence Doctors: Physician Engagement Helps Beaufort Memorial Hospital Reach Stage 1 and Beyond Presenter: Ed Ricks Organization: Beaufort Memorial Hospital, Beaufort, South Carolina Abstract: As a technology leader in the healthcare market, the move to EMR was a foregone conclusion from the start at Beaufort Memorial Hospital. Yet, while the long-‐term benefits that a paperless environment would have on hospital efficiency, PHI security and improved patient outcomes were substantial, the immediate impact on caregiver workflow had the potential to turn clinicians away. New online systems would introduce more complex passwords to users already overburdened with remembering credentials. Multiple log ins/out, user lock-‐outs and time spent calling the help desk could frustrate users and jeopardize the EMR project. Any technology that reduced the amount of time spent caring for patients would be resisted by clinicians, and it was clear that electronic engagement was going to be a challenge, particularly with physicians. For Ed Ricks, Beaufort Memorial Hospital’s VP and CIO, understanding the physicians’ requirements and presenting a flexible solution that actually improved their productivity – while at the same time securing patient data – was key to their engagement, and ultimately attesting for Meaningful Use. By rethinking the way clinicians access the data they need, the IT team was able to develop an electronic system that delivered faster workflows and higher efficiency. Through a combination of virtual desktops, single sign-‐on and strong authentication, clinicians today have secure, one-‐touch access to roaming sessions that follow them throughout their shifts. Users access data at standalone office PCs, generic shared workstations, and virtual roaming desktops. They log in once at the start of their shifts, and move throughout their day during a predefined grace period, logging in and out of their sessions with a simple tap of their employee ID badges. Physicians have been delighted with the results as the information they need is always at their fingertips. They are spending more time with patients and less time clicking through applications to access patient records. As one doctor put it, “IT has finally done something for me instead of to me.” In this presentation, Ed Ricks, VP and CIO at Beaufort Memorial Hospital, will describe the path that his team took to reach Stage 1 Meaningful Use and how they won over doctors and nurses by redefining the parameters of access to PHI. Learning Objectives:
• Learn how to design a system that users will embrace • Understand the benefits and nuances of a virtualized desktop environment • Avoid common mistakes made during the implementation and deployment of EMR • Become familiar with technologies that can help speed EMR adoption by physicians • Recognize the value that different SSO and Strong Authentication solutions can bring to your
EMR project Ed Ricks, MHA, CPHIMS, CHPS, has more than 20 years of experience in healthcare information systems. Prior to becoming Vice President of Information Services and CIO at Beaufort Memorial, he served in the same roll at Samaritan Medical Center in Watertown, N.Y. Ricks earned a Bachelor of Science degree in computer science from Central Michigan University and a Master of Health Administration degree from the University of North Carolina in Chapel Hill.
1014 -‐ Security Risk Analysis: Toolkits for a Complex Project Presenter: Jim Sehloff Organization: Holy Family Memorial, Manitowoc, Wisconsin Abstract: HIPAA requires that we do a security risk analysis. ARRA and meaningful use places more emphasis on getting this done right. Doing a good security risk analysis requires a lot of time and the right tools for documentation. We will examine tools available and provide insight on how we made use of them. Jim Sehloff has worked in healthcare since 1973, first as a medical technologist and then in MIS supporting lab and other modules. About 10 years ago, him boss gave him the task of complying with the HIPAA security rules. Since then, Jim has worked with HIPAA COW, a collaborative of Wisconsin healthcare organizations to write whitepapers and model policies relating to compliance with the security rule. Jim is currently the co-‐chair of their security work group. He has a Master’s degree in computer medicine from Texas Tech University. He has also been active in MUSE, serving the central region board and doing both lab and security presentations. And like one security guru always says “Jim may be a little nerdy, but he is basically a nice guy”. 1015 -‐ Automating Medication Reconciliation Presenter: Kim Maples Organization: Citizens Memorial Hospital, Bolivar, Missouri Abstract: “Around here, however, we don’t look backwards for very long. We keep moving forward, opening up new doors and doing new things, and curiosity keeps leading us down new paths.” – Walt Disney at the end of Meet the Robinsons. That about sums up Citizens Memorial Healthcare (CMH) organization’s journey in developing an automatic medication reconciliation process. Med rec is a continual struggle for organizations around the country, but it is a struggle worth fighting through to ensure patient safety. This presentation will outline how CMH developed an automated med rec process using MEDITECH’s Client Server platform in 2008 and the journey they have been on to improve the process along the way. They will also review their anticipated expectations for the MEDITECH Phase II Med Rec process that comes with CS 5.65. They plan to take 5.65 in the Spring of 2012 and will be able to discuss how that update will impact their current med rec process, changes they encounter between the two phases of med rec, and if their expectations were met. Kim Maples, RN BSN has worked at Citizens Memorial Hospital in Bolivar, Missouri for 12 years. She has nursing experience in Med/Surg, ICU, and as a clinical nursing instructor. She has worked as a clinical information specialist for four years. She is the primary support specialist for PCS and QRM, and offers secondary support for ORM, EDM, LAB, and RAD for their MEDITECH C/S 5.64 PP20 platform soon to be migrating to 5.65.
1016 -‐ Integrate, Interface, Innovate! Presenter: Sherry Montileone Organization: Citizens Memorial Hospital, Bolivar, Missouri Abstract: At Citizens Memorial Hospital, our goal is to provide the most efficient EMR possible. We believe that if you make the system fast, reliable and the "one stop shop" for data -‐ people will use it and that's good for everyone. Attend this session to see how we:
• Integrate data from other systems (link from the EMR, no additional login required) • Interface data with other systems (some standard interfaces and some not so standard..) • Innovate (send / receive data from a third-‐party vendor, get outside PACS images and OB
records into the system, etc.) Sherry Montileone has 30 years of IT experience. She has worked with Citizens Memorial Hospital since 2000 assisting with the award winning implementation of the MEDITECH system in multiple Acute, LTC and clinic settings. 1017 -‐ Personal Health Records and Patient Portals: To Infinity and Beyond! Presenter: Karrie Ingram Organization: Citizens Memorial Hospital, Bolivar, Missouri Abstract: In this technologically savvy age, patient portals and personal health records are a great way to engage our patients as part of their own healthcare team. Like Woody and Buzz, they are different, each having their own unique qualities and purposes. Patient Portals offer the convenience of accessing their medical record, communicating with their physician's office, keeping track of, requesting and rescheduling appointments, online bill pay, printing med list or immunization record from home or workplace, any time of day. PHR's can house their medical information as well as data they find pertinent, from ODL's to a record of preventative health measures, chronic disease management techniques and more. Benefits aren't just for the patient! Both can help you meet Meaningful Use measures. You’ve got a friend in Portals and PHR’s Come take part in a discussion about current use, benefits, engagement strategies, and what we need in the future as these two products evolve and help us take our patient’s records “to infinity and beyond”! Karrie Ingram joined Citizens Memorial Hospital (CMH) in 2002 to lead the MEDITECH implementation for CMH's long term care facilities. She transitioned to supporting the MPM Suite for CMH's 25+ clinics in 2008 and has led implementation projects including the Patient Portal, e-‐Prescribing, and external document scanning. Prior to CMH, she spent several years in Project Management and attained her PMP certification in 2011. Her next adventure is as Project Manager for a recently awarded HRSA Rural Health IT Network Development Grant.
1018 -‐ Stage 2 Meaningful Use Winnie the Pooh Halloween Movie Preview Presenter: Denni McColm Organization: Citizens Memorial Hospital, Bolivar, Missouri Abstract: Few people love Halloween candy more than Winnie the Pooh! However, when Tigger warns everyone about a monster who turns unsuspecting trick-‐or-‐treaters into jack-‐o-‐lanterns, Pooh thinks twice about venturing out for sweet treats. Will his sweet tooth get the best of them and cause them to risk becoming a jack-‐o-‐lantern in exchange for some sugary goodness? Similarly, few hospitals love incentive payments more than Citizens Memorial does! However, when the Advisory Board warns everyone about a monster timeline that can turn an unsuspecting incentive money hound into a jack-‐o-‐lantern – even Citizens was forced to think twice about venturing out for the sweet incentive dollars. Thankfully, that monster timeline has been pushed back, but the horror continues because Stage 2 of Meaningful Use will be upon us before we know it. The start date for meeting the Stage 2 requirements will be October 1, 2013. Unlike Stage 1, when we had a 90-‐day window during our first year of qualification, it is expected that we’ll be required to meet the Stage 2 requirements all year – meaning that we better be ready to hit the ground running. Come hear about the proposed Stage 2 requirements, the process for finalizing those requirements and participate in a discussion about how we all can meet them with our MEDITECH software. Denni McColm is Chief Information Officer for Citizens Memorial Healthcare (CMH). Denni has been at Citizens Memorial since 1988, serving as Director of Human Resources and Director of Finance before moving into the CIO role in June, 2003. Denni served on the Certification Commission for Health Information Technology as a Commissioner from 2006-‐2008. She also served on the Davies Awards of Excellence Organizational Selection Committee from 2006 -‐2008 and again in 2010-‐present. Denni is a member of the Board of Directors for MUSE, Medical Users Software Exchange and the Editorial Board for Healthcare IT News, published in partnership with HIMSS. Denni holds a Master of Business Administration degree from the University of Missouri-‐Columbia. CMH achieved Stage 1 of Meaningful Use in May, 2011. 1019 -‐ Support the System Presenters: David Tilley and Sherry Montileone Organization: Citizens Memorial Hospital, Bolivar, Missouri Abstract: Attend this session to find out what everyone REALLY wants to know! We’ll cover these real life, “in the trenches” topics and more:
• Tools (Help Desk and server / network performance monitoring that doesn’t cost a fortune) • Staffing (Our organizational hierarchy and how we handle on-‐call) • Service Initiatives (How we Walk A Mile in our users’ shoes and monitor user satisfaction) • MEDITECH Performance (How your module mix matters, new MEDITECH performance metrics,
and changes we’ve made that matter)
David Tilley, BSCS, serves as the IT Supervisor for Citizens Memorial Healthcare in Bolivar, Missouri. While working in healthcare IT over the last nine years, David has served in a variety of roles and has been involved with numerous projects and IT initiatives at CMH. Sherry Montileone has 30 years of IT experience. She has worked with Citizens Memorial Hospital since 2000 assisting with the award winning implementation of the MEDITECH system in multiple Acute, LTC and Clinic settings. 1020 -‐ Downtime Toolbox Presenters: David Tilley Organization: Citizens Memorial Hospital, Bolivar, Missouri Abstract: Downtime planned or unplanned can be difficult to manage especially in an electronic environment. Learn how Citizens Memorial Healthcare handles downtime using Report Scheduler, a read only EMR, and scripting tools to ensure vital clinical and operational data is available during an outage. David Tilley, BSCS, serves as the IT Supervisor for Citizens Memorial Healthcare (CMH) in Bolivar, Missouri. While working in healthcare IT over the last nine years, David has served in a variety of roles and has been involved with numerous projects and IT initiatives at CMH. 1021 -‐ Medication Administration – Reducing Documentation Overkill Presenters: Donna Haid, Lisa Marra, and Patti Grandinetti Organization: Butler Health System, Butler, Pennsylvania Abstract: The Electronic Medical Record (EMR) team evaluated the relevance of patient assessment and reassessments related to medication administration. Previously, we reassessed for narcotic medications efficacy forty-‐five minutes after administration and blood pressure and heart rate were assessed prior to giving many cardiac medications. The team reviewed this practice and identified opportunities to streamline the forty-‐five minute reassessment. Pain assessment was eliminated for patients receiving long acting scheduled narcotics or continuous epidural or patient controlled analgesia. The assessment function also prompts the staff to remove patches and measure mantoux (PPD) testing in 48 hours. After the revisions, the number of medication with attached documentation decreased by 60%, from 261 to 105. Donna Haid is the Informatics Manager at Butler Health System, a 296-‐bed acute care facility in Butler, PA. She has worked in a variety of nursing positions including med/surg, critical care and quality improvement. She developed an electronic medical record team consisting of front line staff members. This multidisciplinary team identifies revision opportunities in the MEDITECH documentation system to match the workflow for the end user. This team has been instrumental in developing computerized provider order entry. Haid is currently pursuing a Masters Degree in Nursing Informatics.
Lisa Marra is a registered nurse at Butler Health System, working as a telemetry/med/surg nurse. She serves as a front line staff member on the electronic medical record committee, a multidisciplinary team which identifies opportunities to improve the MEDITECH documentation system to match the workflow for the end user. This team was also instrumental in the implementation of computerized provider order entry. She is currently pursuing a Bachelors Degree in Nursing. Patti Grandinetti, a registered nurse at Butler Health System, works in the obstetrics-‐gynecology department. Grandinetti is a member of a multidisciplinary team which addresses opportunities to improve the MEDITECH documentation to match the workflow for the end user. This team was also instrumental in the implementation of computerized provider order entry. 1022 -‐ “All for One and One for All” Admission Assessment Presenters: Donna Haid, Lisa Marra, and Patti Grandinetti Organization: Butler Health System, Butler, Pennsylvania Abstract: The electronic medical record team identified an opportunity to streamline the admission assessment using lean methodology. The goal was to incorporate five adult admission assessments into one. Previously, inpatient, outpatient, and specialty units had their own assessments. By separating the assessment into three parts, History, Part I, and Part II we gained significant efficiency. The History and Part I information can be gathered over the phone prior to procedures or on arrival to outpatient areas. Part II only occurs if the out-‐patient becomes an admission. Dissecting the admission into three parts allows the process to match workflow and skill set. The results of this improvement have decreased questions asked of patients by six percent, decreased the pre-‐procedural arrival time for our outpatient procedures from 2 hours to 1 ½ hours. The screens needed to be entered decreased by 11% by rearranging and combining information collected. This limits the number of repeated questions to patients and families, increasing both staff and patient satisfaction. Donna Haid is the Informatics Manager at Butler Health System, a 296-‐bed acute care facility in Butler, PA. She has worked in a variety of nursing positions including med/surg, critical care and quality improvement. She developed an electronic medical record team consisting of front line staff members. This multidisciplinary team identifies revision opportunities in the MEDITECH documentation system to match the workflow for the end user. This team has been instrumental in developing computerized provider order entry. Haid is currently pursuing a Masters Degree in Nursing Informatics. Lisa Marra is a registered nurse at Butler Health System, working as a telemetry/med/surg nurse. She serves as a front line staff member on the electronic medical record committee, a multidisciplinary team which identifies opportunities to improve the MEDITECH documentation system to match the workflow for the end user. This team was also instrumental in the implementation of computerized provider order entry. She is currently pursuing a Bachelors Degree in Nursing. Patti Grandinetti, a registered nurse at Butler Health System, works in the obstetrics-‐gynecology department. Grandinetti is a member of a multidisciplinary team which addresses opportunities to improve the MEDITECH documentation to match the workflow for the end user. This team was also instrumental in the implementation of computerized provider order entry.
1023 -‐ One Discharge Intervention – Endless Possibilities Presenters: Donna Haid, Lisa Marra, and Patti Grandinetti Organization: Butler Health System, Butler, Pennsylvania Abstract: In the past year, the electronic medical record team identified an opportunity to streamline the discharge process using lean methodology. The process goal was to give better instruction using less nursing time. Previously the patient received discharge instructions for each diagnosis and or procedure. This duplicated the discharge medication list for each discharge instruction chosen. The team was able to decrease these instructions from sixty to one discharge form. The physician’s office phone number now defaults when the staff enter the physician’s mnemonic. Previously, when regulatory requirements changed, sixty discharge instructions required revisions; now only one needs to be revised. Discharge instructions can now have graphics and the font and format are no longer limited. The discharge instructions include required queries to meet CORE measures. The charge nurse/team leader can now complete the discharge instructions, print them, and have them ready to give to the nurse caring for the patient with time savings of thirty minutes per discharge. The change in the process has made the discharge instructions more focused and, we believe more understandable for the patient. Donna Haid is the Informatics Manager at Butler Health System, a 296-‐bed acute care facility in Butler, PA. She has worked in a variety of nursing positions including med/surg, critical care and quality improvement. She developed an electronic medical record team consisting of front line staff members. This multidisciplinary team identifies revision opportunities in the MEDITECH documentation system to match the workflow for the end user. This team has been instrumental in developing computerized provider order entry. Haid is currently pursuing a Masters Degree in Nursing Informatics. Lisa Marra is a registered nurse at Butler Health System, working as a telemetry/med/surg nurse. She serves as a front line staff member on the electronic medical record committee, a multidisciplinary team which identifies opportunities to improve the MEDITECH documentation system to match the workflow for the end user. This team was also instrumental in the implementation of computerized provider order entry. She is currently pursuing a Bachelors Degree in Nursing. Patti Grandinetti, a registered nurse at Butler Health System, works in the obstetrics-‐gynecology department. Grandinetti is a member of a multidisciplinary team which addresses opportunities to improve the MEDITECH documentation to match the workflow for the end user. This team was also instrumental in the implementation of computerized provider order entry. 1024 -‐ Engaging the Patient While Working with the Electronic Record Presenter: Kim Maples Organization: Citizens Memorial Hospital, Bolivar, Missouri Abstract: With the implementation of technology in healthcare, there is always the criticism by staff that the computer takes away from hands on patient care and is actually a barrier to effective healthcare. Citizens Memorial Healthcare (CMH) has been successful with their implementation of healthcare technology in their organization and continues to pursue effective ways to integrate technology to improve patient care. This success has led them to pursue ways to dispel the myth that
technology is a barrier to patient care and can actually be a great tool to provide better, more effective health care to patients. As the White Rabbit sings: “I'm late. I'm late. For a very important date. No time to say Hello. Goodbye. I'm late, I'm late, I'm late.” In healthcare’s fast paced world, CMH has been able to offer workshops to all of their clinical staff and new clinical employees to train on ways to provide patient care and utilize technology without adding any more time to their busy day. The benefit is improved patient healthcare, satisfaction, real time documentation, and staff satisfaction. Come see what a patient experiences as they begin in the ambulatory setting, proceed for a pre-‐op visit, and then come in for their day of surgery. This presentation will be a skit demonstration and overview of how CMH is training users with key changes to process and scripting to engage the patient during their healthcare visit while utilizing technology. Kim Maples, RN BSN has worked at Citizens Memorial Hospital in Bolivar, Missouri for 12 years. She has nursing experience in Med/Surg, ICU, and as a clinical nursing instructor. She has worked as a clinical information specialist for four years. She is the primary support specialist for PCS and QRM, and offers secondary support for ORM, EDM, LAB, and RAD for their MEDITECH C/S 5.64 PP20 platform soon to be migrating to 5.65. 1025 -‐ “I Believe in Being an Innovator” – Walt Disney Presenter: Alexa Thompson Organization: Golden Valley Memorial Hospital, Clinton, Missouri Abstract: Isn’t innovation what having an EHR is all about? As HIT professionals we have the responsibility and clinical expertise to improve health care information through technology. Aggressive timelines and stringent requirements associated with Meaningful Use along with limited budgets require this. We must be innovative and creative in our approach to meeting MU. Unless you’re one of the fortunate organizations with unlimited resources or you’re advanced in your EHR journey, you have most likely not implemented all of the necessary modules to meet MU “by the book.” The only way to meet Stage 1 Meaningful Use without the recommended modules is to be innovative. When the perfect solution isn’t an option, then an option or solution that works for your organization must be achieved. Golden Valley Memorial Hospital has met all Stage 1 MU requirements, including patient education and discharge instructions without the RXM module. Attend this presentation to learn:
• MEDITECH options to meet MU without all modules being implemented, i.e. RXM, CPOE. • Uses of technology to remind patients about outpatient appointment through phone calls and
texting. • How MU has influenced the implementation of modules. It is our responsibility, as HIT
professionals, to create an environment for staff and physicians to use the EHR to benefit in such a way that requires us to be innovative. Phase II of MU has totally changed the implementation plan for meaning facilities.
Alexa Thompson RN is a Clinical Systems Analyst at Golden Valley Memorial Healthcare in Clinton, Missouri. She is a current member of MEDITECH’s Nursing Advisory Board. She has ARRA HITECH certification (pending) and will graduate as Project Management in May 2012. Alexa’s current responsibilities include implementation, continued support, and education of all advanced clinicals for nursing, ancillary services and physicians. 1026 -‐ The Challenges of Integrating and Implementing CPOE in MEDITECH 6.0 Presenters: Leigh Shipper and Dana Monroe Organization: Beaufort Memorial Hospital, Beaufort, South Carolina Abstract: To be prepared for a successful CPOE implementation, it is important to understand some of the challenges and issues you might encounter in your CPOE implementation. This presentation will include the integration challenges between Order Management and the other MEDITECH modules to include supporting the functionality of the other modules while meeting the ultimate goal of CPOE. Process and communication issues that became apparent while implementing CPOE, and how we addressed these issues, and the challenges of building codified data into the system to meet meaningful use requirements will also be discussed Leigh Shipper is a Senior Programmer/Analyst at Beaufort Memorial Hospital with 12 years of MEDITECH experience and a graduate of Louisiana Tech University. Dana Monroe RN is a Clinical Analyst at Beaufort Memorial Hospital with 16 years nursing experience and five years in IT. 1027 -‐ Use of PDoc for Clinical Pharmacist Documentation Presenter: Connie Saltsman Organization: HCA -‐ The Healthcare Company, Nashville, Tennessee Abstract: This session will provide an overview of the use of PDoc for Clinical Pharmacist Documentation. Our facilities implemented PDoc for provider documentation and pushed the physicians to use PDoc 100%. As part of this implementation, we took the opportunity to include Clinical Pharmacist documentation in PDoc as well. This session will discuss the process to identify what documents needed to be built, how the templates were drafted and the pilot process to implement. We will review the change control process and what lessons were learned as part of the pilot and overall implementation process. Connie L. Saltsman is the Electronic Health Record Medication Management Expert Lead for Hospital Corporation of America (HCA) in Nashville, Tennessee. She is also an Assistant Professor at the University of Tennessee College of Pharmacy. She received her Doctor of Pharmacy degree from Albany College of Pharmacy, her MBA from the University of Baltimore and recently became CPHIMS certified. Dr. Saltsman spent 10 years at The Johns Hopkins Hospital in Baltimore, Maryland; five years as a Clinical Pharmacist and five years as the Division Director of Pharmacy in the Medicine/Neurosciences/GYN-‐OB
Pharmacy, supporting over 400 patient beds and managing a staff of over 40 pharmacists and certified pharmacy technicians. The EHR Medication Management Expert Lead supports the HCA Clinical agenda and reviews and coordinates the medication modules for the various systems included in the Electronic Health Record. Dr. Saltsman provides leadership for enterprise wide adoption for the following projects: Medication Reconciliation, CPOE, reviewing and helping to update and standardize medication management across the HCA facilities, review of computer system upgrades as they affect the electronic health record, and the review of the medication modules for new computer systems. 1028 -‐ Integrating Real Time Charge Estimation into Your CWS/ARM Workflow Presenter: Bryan Martin Organization: Southeastern Ohio Regional Medical Center, Cambridge, Ohio Abstract: We are going live with version 6.06 in April 2012. Part of our transition will be to interface a real-‐time charge estimation tool into the CWS/ARM module. Learn how we created exception-‐based workflows, validate insurance benefits at the point of scheduling with live 270/271 feeds and create .pdf estimates that we can email to the patients prior to arrival at our facility, or mail to them. This is a part of our Point of Service collections initiative here at Southeastern Ohio Regional Medical Center. Bryan Martin joined Southeastern Ohio Regional Medical Center in 2009. Southeastern Med is a non-‐profit facility located in Cambridge, Ohio and licensed for 171 acute care beds. His healthcare career began over 15 years ago as the Operations Manager for a multi-‐specialty physician group. Then a couple years later he began his endeavors as Director of Patient Financial Services in hospitals in West Virginia and Ohio. During his time at Southeastern Med he has developed and implemented various initiatives to increase reimbursement as well as efficiencies throughout the revenue cycle. In 2011 Southeastern Med has accomplished record lows in A/R days at 33 and record cash collections. In his current position he is responsible for contract negotiation and management, financial counseling, scheduling, registration, billing, collections and nurse auditing. He is active in the revenue enhancement arena by serving on various committees within the hospital. Bryan has a bachelor’s degree from West Virginia University. He is an active member and past president of the Central Ohio Patient Account Managers (COPAM). Bryan has given revenue cycle presentations to various Quadramed User Groups, HFMA and AAHAM. 1029 -‐ BCMA Implementation and Success Presenters: Jennifer Alexander and Erika Anderson Organization: Centura Health, Englewood, Colorado Abstract: This panel presentation will provide information about the process Centura Health clinical personnel used to implement BCMA (bar code medication administration). Jennifer Alexander, RN, is a Clinical Informatics Specialist at Porter Adventist Hospital in Denver, CO. She has been involved in the standardization and development of the EHR project with Centura Health since 2006.
Erika Anderson, RN, CRNI is a Clinical Informatics Specialist at Porter Adventist Hospital in Denver, CO. She has been involved in the standardization and development of the EHR project with Centura Health since 2005. 1030 -‐ Breaking Down Module Silos: Becoming Connected with Restraint Policies, Documentation and Data Collection Presenters: Jan DeBruin and Lisa Stevenson Organization: Centura Health, Englewood, Colorado Abstract: This presentation will provide information about the process Centura Health clinical personnel used to standardize system restraint policies, EDM, ORM and PCS clinical documentation in behavioral and non-‐behavioral restraints and providing reports to monitor restraint use documentation. Centura Health is a multi-‐facility healthcare organization in Colorado, with a single data base, that implemented MEDITECH applications in 13 hospital facilities over the past five years. An upgrade to MEDITECH C/S 5.56 PP5-‐8 was completed in October 2010. Jan DeBruin RN is a Clinical Informatics at Avista Adventist Hospital in Louisville, CO. Jan has over 35 years of clinical experience in healthcare. She has been involved in the standardization and development of the EHR project at Centura Health since 2005. Lisa Stevenson RN is a Clinical Informatics at Parker Adventist Hospital in Parker, CO. Lisa has over -‐-‐-‐-‐years of clinical experience in healthcare. Lisa has over 10 years of clinical experience in healthcare. She has worked with MEDITECH in the ED, Acute Care, and Quality settings since it was instituted at Parker in 2007. 1031 -‐ Make That to Go – How Secure Roaming Desktops Transformed Technology from Adversary to Productivity Tool for Clinicians at Augusta Health Presenter: Bruce Hall Organization: Augusta Health, Fishersville, Virginia Abstract: Care providers are constantly on their feet, moving between shared workstations in offices, hallways and patient rooms. And while the benefits of CPOE, Clinical Documentation, Bedside Medication and other electronic systems are huge, accessing Protected Health Information (PHI) when and where it is needed has been a thorn in the side of clinicians. For care providers at Augusta Health – in particular the hundreds of nurses who were spending 10 seconds per log-‐in, 20-‐30 times day – technology had become their adversary. Optimized workflows translate directly into increased efficiency and more time spent with patients and IT knew that in order for users to adopt the new systems that they planned to deliver, they needed to find a way to make technology portable and transparent.
After assessing a range of alternatives, roaming Citrix desktops with no-‐click access were implemented, transforming technology into a productivity tool and creating a welcomed attitude shift among clinicians. With thin clients in every patient room, care providers tap their badges to log-‐in once at the beginning of the shift. When their work is completed, they tap out to suspend their session, securing the PHI until they access it again with a tap of their badge at their next location. Sessions are timed to run throughout a user’s shift, requiring a PIN as a second factor every three hours for strong authentication. Workflows are more efficient. More time is spent with patients as opposed to logging in and out of computers. PHI is more secure. And physicians, nurses and other care providers are happy and more inclined to adopt new technology. Attend this session to learn the details of Augusta Health’s Big Bang go-‐live implementation of Roaming Desktops. Attendees will learn:
• The pros and cons of thin clients vs. portable devices for fast and secure access to PHI • The underpinnings of the infrastructure that has given technology a new lease on life in the eyes
of physicians, nurses and other care providers • The methodology behind the phased approach to deployment • What you can expect to gain in terms of improved productivity, increased security and reduced
costs Bruce Hall has 25 years of experience in healthcare IT. Prior to joining Augusta Health as CIO, he was the CIO at Cayuga Medical Center in Ithaca New York and worked as a consultant for five years. 1032 -‐ Meaningful Use Public Health Reporting Using the Centralized Immunization Management Method Presenter: Wally Dickson Organization: Lake Regional Health System, Osage Beach, Missouri Abstract: This presentation will be a step-‐by-‐step walk through of the set-‐up of Meaningful Use Public Health reporting of immunizations, using the Centralized Immunization Management Method. We will then explore how the interfacing was constructed, through other vendor interfacing. Wally Dickson RN, MS-‐HSA currently works for Lake Regional Health System, Osage Beach, Missouri as a Clinical Applications Specialist. He has been an RN for 26 years with primary emphasis in emergency care. The most recent 16 years have been spent in IT as an analyst focusing on MEDITECH clinical applications. While in Denver, Colorado, he supported and implemented Magic clinical applications. For the past six years, while at Lake Regional, he has assisted in the conversion from Magic to Client Server Platform and implemented EDM along with advanced clinical applications. Recently, he has turned his attention to ARRA Meaningful Use, concentrating on the implementation of its measures.
1033 -‐ LSS Physician Experience Presenters: Louise E Schottstaedt, MD and Marty Schultz Organization: Centura Health, Englewood, Colorado Abstract: Although the concept of managing a patient’s health information electronically for efficiency and safety reasons is attractive to any physician, the reality of changing from paper to an electronic system is anything but easy. Centura has brought over 130 physicians and other practitioners onto LSS in the past two years. This talk will discuss the transition from the physician’s perspective, and from the implementation team’s perspective. For the physician, there are developmental stages to learning and use of an EHR, and there are stages of grieving and loss that must be dealt with. Both the provider and the implementation team members must be aware of these in order to make the transition smooth. Louise E Schottstaedt MD, MBA has practiced family medicine for 28 years in a variety of settings, including a community health center, a residency teaching practice, a private group practice, and now as an employed physician at Centura Health. She has practiced the full spectrum of family medicine, including OB and newborn care, inpatient care, office practice, nursing home, and home care. She has used LSS in her current practice for three years. She is the Physician Champion for LSS at Centura and the co-‐CMIO. Marty Schultz is the Director of IT Applications for LSS for Centura Health and is responsible for the implementation and adoption of LSS in our practices. She has worked in healthcare for over 20 years, and has an extensive background in physician practice management, and IT applications management both in hospitals and office practices. Her deep understanding of the ambulatory aspect of healthcare has served Centura well in meeting the IT needs of employed physicians. 1034 -‐ Implementation of LSS across Multiple Specialties and Geographic Areas Presenters: Louise E Schottstaedt, MD and Marty Schultz Organization: Centura Health, Englewood, Colorado 90 minutes Abstract: Centura Health has embarked on an ambitious project of bringing all of it employed providers onto LSS financials and clinicals within a 3 year time frame. Over 300 providers in 20 specialties and 12 geographical areas will be ultimately woven into one group practice without walls using the shared EHR. This is the story of our journey. Topics to be discussed include: project design, management and oversight, implementation and training, support structure and adoption strategies, content development and management, turning on functionality, and integrating with our hospitals and home health partners. Our approach to each of these facets of the project has matured as we learn what works and strive to meet ever-‐changing needs of our healthcare environment over time. We will describe where we started and how we have adjusted for success. Louise E Schottstaedt MD, MBA has practiced family medicine for 28 years in a variety of settings, including a community health center, a residency teaching practice, a private group practice, and now as an employed physician at Centura Health. She has practiced the full spectrum of family medicine, including OB and newborn care, inpatient care, office practice, nursing home, and home care. She has used LSS in her current practice for three years. She is the Physician Champion for LSS at Centura and the co-‐CMIO.
Marty Schultz is the Director of IT Applications for LSS for Centura Health and is responsible for the implementation and adoption of LSS in our practices. She has worked in healthcare for over 20 years, and has an extensive background in physician practice management, and IT applications management both in hospitals and office practices. Her deep understanding of the ambulatory aspect of healthcare has served Centura well in meeting the IT needs of employed physicians. 1035 -‐ Upping the Game: Take Your EMR to Major League Status Presenters: Leslie Brooks and Pamela Owens Organization: Hanover Hospital, Hanover, Pennsylvania Abstract: The HIM checklist used in the beginning of a project will assist in integrating administrative and clinical systems. This checklist will ask questions that cover topics of HIPAA compliance, medical records, charging, release of information, coding, etc. Used in the initial and planning stages of a change, it helps to identify time, dollars and resources that will be needed. It maximizes uncovering the risks and constraints. It minimizes change control and scope creep. Who doesn't have limited time, money and resources? By using a checklist, we coordinate our (HIM/EMR) piece of the project or change with less frustration and more efficiency. Department Directors and vendors will be assured that all bases are covered in HIPAA Privacy and Security, Payer Contracts and Core Measures, Data Creation, Correction, and Conversion, Document Authentication and Printing, and Interfaces. Leslie Brooks, MLT, ASCP, MT(HEW), is a HIM System Specialist/Project Coordinator at Hanover Hospital in Hanover, PA. Leslie has 30 years of experience including Laboratory Generalist, LIS Coordinator and MIS Applications Analyst, of which the last 10 years have been with MEDITECH products (both CS and Magic) including LIS, PCS, PCI, EMR, EDM, OE, PHA, and MIS. Pamela Owens, RHIA, is the Director, HIM and HIPAA Privacy Officer at Hanover Hospital in Hanover, PA. She has 30 years of experience spanning HIM, HIPAA Privacy, HIE, Case Management, Compliance, and Systems Integration. Her MEDITECH CS module responsibilities include ABS, B/AR, EMR, ITS, and MRI. 1036 -‐ Processes for CPOE in the Peri-‐operative Arena Presenter: Nancy Stimson Organization: Centura Health, Englewood, Colorado Abstract: The processes for CPOE in the peri-‐operative arena present many challenges. Patients may have both pre-‐op testing and procedural visits, mandating different order sets. Inpatient post-‐operative orders may include PACU, the inpatient floor or both. Centura Health has recently implemented CPOE in multiple facilities and has refined the peri-‐procedural processes. Nancy Stimson, RN, BSN has worked with Centura Health on the build, implementation and multiple upgrades of the OR module. She has worked extensively with process improvement and change in the course of implementing and expanding the role of the HER in a 14 hospital system.
1037 -‐ Technical Device Considerations for EMAR/BMV Systems Implementation Presenter: Charles Still Organization: Southwestern Vermont Medical Center, Bennington, Vermont Abstract: The presentation will go into considerable detail outlining technical considerations for the best possible performance in your EMAR/BMV environment. Topics will include:
• Scanners • Bluetooth Settings • Tablet computers and tools to make them more user friendly • Hardware Monitoring in the clinical environment • Printing 2D barcodes without middleware from any environment • Direct Label examples • Printing Tips • Armbands that work and simplify positive patient ID • Generating Keyboard shortcuts via barcode scanning • Known Workarounds to Bedside Scanning and how to spot and stop them • Auditing needs • Reporting • Disaster Recovery / Downtime planning. • Barcode Considerations
o Linier and 2D Barcodes • Nursing, Pharmacy, and Information Technology Departmental Roles • Go Live Preparation • Post Live Considerations • Case Study
o Pharmacy Medication Receipt / Check in Validation Process o Pharmaceutical Manufacturer Barcode Errors o Unplanned Downtime / Disaster Recovery o 2D Barcode Utilization o Labeling / Repackaging, Workflows for Safety o Post Live Analysis o Continuous Improvement o Results Statistics and Analysis
After a full year of EMAR BMV Implementation, many hospitals have seen a significant reduction in administration errors and an improvement in patient safety. We will review the results in detail for one such organization. Site discussions will focus on a MEDITECH Magic HIS environment. We will focus on real world experience and practical applicability; what worked and what didn't. This presentation has been developed by and for Hospital Providers. Charles J. Still, MBA is a Project Manager for Southwestern VT Healthcare. He was the 2011 winner of the Waypaver for Bedside Barcoding Award. 1038 -‐ Business Intelligence at Centura Health
Presenters: Lisa Camplese and David Pruitt Organization: Centura Health, Englewood, Colorado Abstract: Through this presentation we will explore the power of basic reporting including the relationships between writing, scripting and report delivery. We will discuss the ability to use advanced reporting and features such as cube drill down and dash boarding to drive outcomes. We will also discuss the importance and ability to provide these BI tools and functionality while promoting regulatory compliance with protection of Protected Health Information (PHI), core measure abstraction, and providing ongoing provider practice review data. Lisa Camplese is a seasoned health care executive with 27 years of experience in health care administration. She holds a bachelor’s degree in nursing and is a Registered nurse practitioner as well. She went on to receive her MBA in Health services Administration from Brenau University in Georgia. Lisa joined Centura Health in 2006 as the Vice President of Clinical Quality and Care Coordination after serving as a COO, Administration and Quality executive in hospitals in Atlanta and Tucson. David Pruitt is the manager of Business Intelligence for Centura Health IT. He has a Master’s in Business Administration from Regis University. David was introduced to the world of MEDITECH reporting by managing the conversion of 7,000 active reports from CS 5.5 to 5.6 1039 -‐ KOIN (Knowledge Orders Interventions Notes) Plan of Care Presenter: Carol Butler Organization: Centura Health, Englewood, Colorado Abstract: Centura Health had five different methods for planning patient care, none of which made full use of the capability of the MEDITECH system. A multidisciplinary team with representatives from all the Centura acute inpatient facilities was formed to accomplish a standardized and efficient method of care planning which maximizes efficiency and reduces nursing time required. The method utilizes a Plan of Care Intervention which pulls associated data from documentation, and a Status Board which pulls key elements of interdisciplinary documentation. Carol Butler RN, MSN-‐HCA is a professional Health Care Administrator with over 20 years of experience in patient care, quality and risk management, clinical informatics and program development and implementation strategies. As a CNO, Carol led clinical operations, very successfully, through the process of opening two new hospitals. 1040 -‐ TAR in the OR Abstract Presenter: Janice Schmidt
Organization: Centura Health, Englewood, Colorado Abstract: St Anthony Summit Medical Center was chosen as the pilot site for the transfusion administration record in the operating room because of size and volume of blood products administered. The TAR in the OR would involve anesthesia and the Certified Registered Nurse Anesthetists (CRNAs) to do the blood administration check and then do the scanning process when blood needed to be given in the OR. This presentation will include the challenges we encountered, the training involved, the need to maintain efficiency for the physicians and anesthesiologists, and the current state of this implementation. The final result was a successful implementation with buy in to the point that other electronic pilots were requested by this group of physicians as well. Janice Schmidt RN, MSN has been a nurse for 32 years covering a wide variety of specialty fields including ER, PACU, ICU, Transplant, and CVICU. The last five years have been in the field of Clinical Nursing Education and Informatics Manager for a 32-‐bed facility and three urgent care mountain clinics. In this role, Janice manages the challenges of a facility in a remote location with shared resources electronic support from the system as a whole. Responsibilities include support for managers, the computer charting system, web based training administrator, orientation of new employees for the facility and mountain clinics, MEDITECH projects and pilots, physician support and training, staff training for MEDITECH updates, and education and certifications for employees. She completed her MSNed in 2007 and is currently planning to take the nurse informatics exam in 2012. 1041 -‐ MEDITECH and Home Care: Enabling Point of Care Assessment and Clinical Documentation in the Community Presenters: Mark Helmak and James Weir Organization: Alberta Health Services, Edmonton, Alberta Abstract: Mobile technologies are evolving rapidly, transforming conventional work processes to enable agile service delivery. Learn how Alberta Health Services implemented MEDITECH in our Home Care Services area. This was a project that included in its scope point-‐of-‐care access for more than 1,000 nurses and other service providers who provide care to our 22,000 active clients. This presentation will provide an opportunity for other organizations using MEDITECH to learn from the experiences of a successful project and facilitate the dialogue for future initiatives. With a focus on mobility, our presentation will profile the specific strategies for initiating a mobile deployment, executing an effective project and creating sustainable work processes for our users. The presentation will focus on:
• The steps taken in the selection of our mobility solution. • Our strategy for the implementation and support of 800+ mobile devices. • The mobile user landscape: What information is collected and what information is available to
those working in the community? • Transition of both device and MEDITECH support from project to operations.
• An overview of our aggressive approach to training which included not only MEDITECH but use of the Resident Assessment Instrument for Home Care (RAI-‐HC) assessment tool and mobile technology.
• Lessons learned, including both the challenges we have faced and the optimizations achieved. • Where we are at in terms of user-‐adoption, data quality, and user compliance including the
evaluation metrics/KPI’s that were developed both project and post project. • Next steps and the continuing quest for opportunities for improvement.
Mark Helmak, Director Community Care Support, Alberta Health Services, has been involved in clinical Information Systems since 1989 supporting implementations in Acute and Community Care settings. Technology settings have been many from mainframe to web based solutions and is a graduate from the Computer Systems program from the Northern Alberta Institute of Technology (NAIT). James Weir, Manager Community Operations Support, Alberta Health Services, has been involved in supporting community-‐based solutions since 1997 initially in the role of an Application Analyst and later as a manager, overseeing the operational support for Community Services, including Home Care. Most recently James led the technical team responsible for the implementation of MEDITECH in Edmonton Zone Home Care. That project successfully saw the implementation of the RAI Home Care assessment tool and Point of Care Clinical Documentation. James has a Bachelor of Science degree from the University of Alberta and is a graduate of the Computer Systems Technology program at the Northern Institute of Technology (NAIT). 1042 -‐ The “Impossibility” of Physician Engagement Presenters: Christi Rousseau and Mallory Brown Organization: Magnolia Regional Health Center, Corinth, Mississippi Abstract: When Magnolia Regional Health Center began working on implementation of a computerized physician order entry system, in-‐house critics told us it would never work and the physicians would never adopt an ERM. A mere month into our limited go live we had physicians volunteer to go on a waiting list for training. We learned what worked to obtain physician buy in, and what did not. We also learned valuable lessons about identifying which physicians would be our champions and which would resist implementation. Physician engagement is a critical part of any new CPOE implementation. Let us share our success stories and difficulties with you so you might learn from our experiences. “It’s kind of fun to do the impossible.”-‐ Walt Disney Christi Rousseau, RN, had 30 years of surgical management experience before transferring to the IT department as a clinical analyst in October of 2009. Her first assignment was project manager for the PCM implementation – a successful implementation of Phase I (PWM, E-‐signature, and Pocket PC) in January 2010 was followed by a successful implementation of Phase II (CPOE and PDoc) in June 2011. Implementation of RxM and E-‐Prescribing are set for March 2012.
Mallory Brown, RN, BSN is a registered nurse with 10 years Emergency Department experience before beginning her career as a Physician Liaison in the IT Department. Her role has been crucial to successful physician engagement and implementation of PCM through her efforts with training, on-‐boarding, physician contact, and issue resolution. 1043 -‐ MEDITECH Interconnectivity Improves Quality of Care While Saving Clinician’s Time Presenters: Andrea Englund and Rick Gagnon Organization: Centura Health, Englewood, Colorado Abstract: Centura Health at Home implemented Maestro, MEDITECH’s homecare solution, at our first site in Pueblo in September of 2010 and then with Colorado Springs in October of 2011. One of the benefits of using Maestro is the interfacing capability with the acute Centura Health facilities. In particular, the medication interface has proven to decrease the amount of time the clinician’s spend entering and reconciling medications in the patient’s home. This presentation focuses on the time saving aspect with the utilization of the medication interface as well as the impact that the medication interface has on improving the quality of patient care at the point of service and improved patient outcomes. Andrea Englund MSN, RN, COS-‐C is a graduate of the University of Nebraska Medical Center with a BSN in 2001 and a MSN in 2008. Andrea received her Masters of Science in Nursing as a Health Systems Nurse Specialist with a focus in Nursing Informatics. In 2009, Andrea certified as an OASIS specialist in home health and received the designation of Certified OASIS Specialist-‐Clinical. Andrea has worked in the hospital setting in the critical care step down unit, in homecare as a informatics nurse specialist, a home care nurse, clinical information systems trainer, liaison between clinical needs and information technology, and has served as a clinical preceptor and mentor for hospital staff as well as homecare staff. In her current role as the statewide manager of clinical informatics at Centura Health at Home, Andrea is very involved in process structuring, improvement, and the implementation of the Maestro product. Rick Gagnon is a graduate of Sonoma State University as a Family Nurse Practitioner and a Public Health Nurse. Over his 30-‐year career, he has worked as a clinician in acute care, public health and home health care, and has been a small business owner, manager, supervisor and mentor in public, private and corporate settings. Rick has worked in home care informatics on both the software vendor and the software user sides of the business for more than 15 years. In his work with Patient Care Technologies, Rick worked on the Maestro design project and is presently a systems analyst with Centura Health Information Technology where he supports the Maestro Application. 1044 -‐ Transfusion Administration Record: The Journey from Paper Lost to Documentation Found for Blood Products Presenter: Kathy Hawkins Organization: Stillwater Medical Center, Stillwater, Oklahoma
Abstract: From LAB to PCS, walk through the building and learning process of documenting blood products in a Client Server 5.64 PP20. This presentation will look at the ins and outs of building an integrated TAR and how important teaching to use TAR was for implementation. The steps made to insure cohesive and seamless documentation will be explored. Also a brief look at what comes next in 5.65 PP11 and how this will affect staff, nursing, and lab. Kathleen Hawkins, RN, BSN, MHCA, has worked at Stillwater Medical Center for 20 years. She has served as a nurse in ED, ICU, Cath Lab, and house supervisor. For the last three years, Kathleen has worked in the IT department helping implement CPOE/POM in ED, BMV/eMAR and TAR for inpatient and outpatient areas. 1045 -‐ Partnering with Surgeons’ Offices Presenter: Karen Cordeiro Organization: Headwaters Health Care Centre, Orangeville, Ontario Abstract: Attend this presentation to learn how Headwaters Health Care Centre (HHCC) partnered with surgeons and MEDITECH to collect data for the purposes of managing surgical wait times. Learn about Headwaters Health Care Centre and the key players (and their roles) in this project. Topics:
• Wait Time Information System (WTIS) and the purpose of data collection • Methodology
o Time lines o Using MEDITECH for the necessary data collection o Collaboration with other facilities o Teaching o Implementation o Support strategies for the surgeon offices
• IT Involvement – MEDITECH accesses; ROAM accesses; Procedure Mapping strategy • Customer Defined Screens – Screen creation for patient data elements • MEDITECH Customs – Learn how MEDITECH was able to meet our unique requests to allow for
data collection • Recommendations – Pros/cons of the implementation; Lessons learned from this
Karen Cordeiro, RN, BScN, is an Applications Specialist (ORM & EDM) at Headwaters Health Care Centre in Orangeville, Ontario. 1046 -‐ Connecting MEDITECH 6.0 to a Statewide Health Information Exchange Presenter: Arthur Hauser Organization: Boulder Community Hospital, Boulder, Colorado
Abstract: Boulder Community Hospital (BCH) is the first data provider to the new Colorado Regional Health Information Organization (CORHIO). We will present how MEDITECH functionality allowed us to easily and securely connect and send patient information to the regional Health Information Exchange (HIE) so that our providers have access to patient information from facilities outside BCH. Arthur Hauser is Certified Medical Technologist with 25 years' experience with laboratory and hospital information systems, interfaces, implementations and project management. 1047 -‐ Navigating the Interoperability Waters – It’s Not So Rough After All Presenter: Edward Ricks Organization: Beaufort Memorial Hospital, Beaufort, South Carolina Abstract: Is your organization facing any of the following integration projects or mandates this year?
• Migrating to MEDITECH 6.0 • Achieving Meaningful Use • Connecting 3rd party ancillary systems with MEDITECH • ED HCIS integration into MEDITECH • Vital Sign monitoring devices • Physician Office Integration • HIE/RHIO Integration
Well you aren’t alone. Whether you are a small critical access hospital, large IDN or community based facility, interoperability is a “buzz” word that isn’t going away! Learn about the interoperability road map at Beaufort Memorial Hospital (BMH). Starting with MEDITECH 6.0 planning in early 2009, Go-‐Live in March 2011, and achieving stage one Meaningful Use by July 2011, BMH continues to travel down this much talked about integration path. This presentation will highlight our strategic integration goals, accomplishments, and what’s still left to tackle. We will also highlight how technology plays a role. Learn how your organization can do more than just stay afloat in the interoperability waters without stressing your staff or breaking the bank. Edward D. Ricks, MHA, is the Vice President of Information Services and Chief Information Officer for Beaufort Memorial Hospital in Beaufort, SC. Prior to joining Beaufort Memorial in 2008, he filled the same role for Samaritan Medical Center in Watertown, NY. Ed has over 20 years of health care information systems experience, with the last ten years at a senior level. Ed earned a Bachelor of Science degree in computer science from Central Michigan University in Mt. Pleasant, Michigan and a Master of Health Administration degree from the University of North Carolina in Chapel Hill. Ed was selected as a Premier 100 IT Leader by Computerworld magazine in 2011. He was selected as a winner of the “Game Changer” award by Health Data Management magazine in December, 2011. He is a member of HIMSS and CHIME.
For the ninth year in a row, Beaufort Memorial Hospital was named one of the nation’s Most Wired Hospitals according to the 2011 Most Wired Survey and Benchmarking Study printed in the July issue of Hospitals & Health Networks magazine. Healthcare IT News magazine ranked Beaufort Memorial Hospital at #4 nationally as a “Best Places to Work for Hospital IT Departments” in the medium hospital category as part of their inaugural program. 1048 -‐ Post Discharge Call Tracking in MEDITECH Presenters: Saheyala Gleason and Kathleen Jedlicka Organization: Rapid City Regional Hospital, Rapid City, South Dakota Abstract: With the new Hospital Value-‐based Purchasing (HVBP) Program, post discharge calling is more important than ever. Instead of purchasing standalone software we were able to use MEDITECH to create a post discharge call tracking system that we could report off of and manage all in one centralized location. A team of nurses call all adult discharges and even specific discharges from the Emergency Department, Pediatrics, and Labor and Delivery. The data is entered on custom built assessments in PCS and reporting off of it is done via Data Repository and NPR. In the year of 2011, statistics have shown a 2% decrease in readmits and an overall increase in patient satisfaction. Regional Health is the largest health care provider in western South Dakota and provides a continuum of care through its hospitals, clinics, nursing homes, specialty institutes, and assisted living facilities. Within the integrated delivery system Regional Health also includes the Regional Cancer Care Institute, Regional Rehabilitation Institute, Regional Behavioral Health Center, Rapid City Regional Hospital Auxiliary Hospice House, Spearfish Regional Surgery Center and other health care services, all serving communities in western South Dakota and surrounding five state areas. Rapid City Regional Hospital is a regional referral center with 417 licensed beds, is the busiest emergency room in South Dakota, and is the largest hospital located between Sioux Falls, South Dakota and Billings, Montana. Kathleen Jedlicka RN has been a Registered Nurse for over 25 years. She has married for 22 years and has two teenage children. Kathleen’s expertise in nursing has been an Orthopedic / Neurological / Surgical nurse and a Case Manager at Rapid City Regional Hospital. She is a Certified Professional in Utilization Review. During the past two years, she has helped launch the Discharge Call Nurse position for Rapid City Regional Hospital. It started out as a department of one and has grown to a department of three. They call all inpatient discharges including adult, pediatric, Obstetrical and Rehabilitation, and recently they included the Emergency room discharges. The calls are very rewarding in that they have seen customer satisfaction increase as well as readmission rates decrease. Saheyala Gleason BS MIS knows that life is no fun without challenges, so is always pushing herself to the limits. She and her husband have five healthy, active, great children. Saheyala is currently employed by Regional Health as an Applications Analyst. She began her employment here as an intern while she was completing her Bachelor of Science in Management Information Systems. Her initial experience within MEDITECH was as an NPR report writer; she also used Visual Studio to script data into the MEDITECH dictionaries. In 2010, Saheyala was hired on full-‐time, during which she has supported a variety of MEDITECH applications including ITS, PCS, and OE/POM. She recently finished her Health Information Technology
(HIT) Management Certification and is actively working towards my Certified Associate of Project Management (CAPM) certification. Kathy and Saheyala worked together to create specific assessments within the PCS application. They recently implemented an NPR report that prints a letter to send to patients that the team was not able to reach via phone. 1049 -‐ Implementing CPOE in the Rural Setting Presenters: Shera Hintzen and Tammy Burke Organization: Rapid City Regional Hospital, Rapid City, South Dakota Abstract: Bringing CPOE to any setting has its challenges, but add in a 60-‐mile radius of network facilities that cover the majority of the western half of South Dakota and you will encounter many different opportunities to create best practices for the patient. Regional Health has five hospitals ranging in size from 11 beds to 300+ beds; this creates many unique situations that must be handled delicately through standardization, evidence based medicine, quality measures, and best practices. Composing the correct team, and building and testing thoroughly prior to implementation, are the first keys to a successful CPOE rollout. Dedicating hours and staff for training, elbow support, and continued availability to providers cultivates a positive setting to continue to build and maintain a usable system. Last, but by no means least, is follow-‐up. Taking the feedback from providers to make improvements and actually implementing changes increases the functionality of the electronic system and can breakdown invisible barriers that exist throughout hospitals. A rural area provides geographic challenges but doesn’t limit us from accomplishing great goals for the patient. Shera Hintzen, Clinical Informatics Application Specialist specializes in Client Server Order Entry, POM, PDoc, and Zynx. Tammy Burke, RRT, CPFT, Clinical Informatics Specialist is a Provider trainer and advocate for POM and PWM. 1050 -‐ Connecting with Rural Communities – Success of Telehealth eICU at Avera Health Presenter: Ross Stolle Organization: Avera Health, Sioux Falls, South Dakota Abstract: Avera Health is a large healthcare organization based in Sioux Falls, South Dakota. While Sioux Falls may be a bustling town with access to advanced healthcare, there are many rural areas in the neighboring cities and states with limited access to specialized care. In 2004, Avera Health created an eICU (Central ICU Monitoring Station) staffed with intensivist physicians providing critical care to over 34 hospital facilities located in the various states of North Dakota, South Dakota, Wyoming, Nebraska, Minnesota and Iowa. The eICU model has lowered mortality rates, decreased length of hospital stay and quickly demonstrated ROI.
Curious about the business model and technology platform to support this connectivity? Join our presentation to find out! While the results are astonishing; the path to get up and running was not as difficult to achieve as you can imagine. This presentation geared toward clinical staff including IT. We will also discuss the technology to support this model including interface management requirements. Ross Stolle is a Supervisor on the Integration Team at Avera Health based in Sioux Falls, SD. He has 17 years of MEDITECH experience and 10 years of interfacing experience. 1051 -‐ Triage – An Important Skill That Can One Day Save a Life Presenters: Krystle Salao and Bryan Tiongson Organization: The Scarborough Hospital, Scarborough, Ontario Abstract: Many of you who have worked in the Emergency Department (ED), or have been a patient in the ED, know that it can be a very chaotic place. At The Scarborough Hospital (TSH), we see over 100,000 patients per year – an average of 180-‐200 patients on a daily basis at each campus. Triage is required for the effective management of an emergency situation. This means patients are not seen according to when they arrive at the hospital, but are seen according to guidelines which determine who needs care most urgently. The ability to triage is an important skill that a nurse can have because it involves critical thinking, excellent assessment skill and being able to prioritize as well as multitask. The ED is a very fast paced environment and things can take a turn for the worse within minutes or even seconds. The Canadian Emergency Department Triage and Acuity Scale (CTAS) has been recognized in standardizing triage in Canadian ED’s to improve patient care through more appropriate triaging of patient by implementing a 5 Level Triage guideline. CTAS helps guide the nurse through triage to help ensure patient safety. We at TSH have incorporated this 5-‐level triage system in to our MEDITECH Magic EDM module. This design includes guided questions and algorithms as well as auto-‐calculating CTAS scores. Join us as we discuss how we have developed and redesigned our own triage system to meet the CTAS standards. Let us show you the power and functionality of MEDITECH Magic 5.63 and the modifications that were implemented to the specific requests of the users and the flow of the department. The integration of CTAS calculations using 1st order and 2nd order modifiers in our ED’s that will benefit both staff and patients alike, improving accessibility, ensuring best practice and improving quality patient care. Krystle Salao, RN, BScN, graduated in June 2009 with a Bachelor of Science in Nursing. She first started out studying sports and human kinetics working towards a bachelor of science in Kinesiology, but switched after two years to nursing due to the wide range of career opportunities. Krystle started her career at Sunnybrook Science Center on an inpatient stroke/general medicine unit. Soon after, she joined the Scarborough Hospital working in the Emergency Department in January 2010 to follow her passion as an emergency nurse. She loved the quick decision making and the fast pace environment. She then recently joined the Clinical Informatics team in July and is now working with the rest of the team as an Application Analyst.
She is currently working on the Clinical Electronic Documentation project for the Emergency Department focusing on building and redesigning triage. This is all new to her but she is up for the challenge and is excited to work with an amazing team. She is looking forward to using her creativity, originality and clinical background to put together an outstanding triage program within EDM and moving the Emergency Department documentation electronically that will benefit both the staff and the patients’ alike, improving accessibility, ensuring best practice and improving quality patient care. Bryan Tiongson RN graduated from the nursing program and began his career at The Scarborough Hospital in 1999 on 4A Surgery (Birchmount Campus) where he worked fulltime. Following that, he decided to work casual to explore other opportunities, and took on a new challenge as a Case Manager at another organization. Bryan joined the Clinical Informatics team in 2006. He worked in conjunction with such areas like the Emergency Department, Diagnostic Imaging, OR and Pre Admission, Registration, Nutrition and Food Services in hopes to improve the patient care experience, by learning different modules and providing support. With the current focus on Electronic Documentation, Bryan will be working with Krystle on the triage assessment program for the Emergency Department. Taking on this new project, Bryan is looking forward to using his imagination and creativity, along with his clinical background in building a triage program that is efficient, user friendly, and promotes best practice and patient care. 1052 -‐ TSHone – One User ID, One Password, One E-‐mail system at The Scarborough Hospital Presenters: Alison Gonsalves and Denmark Robles Organization: The Scarborough Hospital, Scarborough, Ontario Abstract: The presentation is intended to give insight to hospitals on how a large Toronto, Ontario, Canada hospital integrated their Active Directory with MEDITECH in a cost effective manner. Additionally, we accomplished replacing MOX with Outlook while keeping the needs for much loved functions such as distribution groups and canned text in mind. The Scarborough Hospital (TSH) is situated in the most diverse community in Canada. TSH delivers innovative, high-‐quality patient care at two hospital campuses and six satellite sites. Our vision is to be recognized as Canada’s leader in providing the best healthcare for a global community. With over 100,000 Emergency visits annually and over 3,500 staff and physicians the ability to have one user id, one password and one email system was critical in the continued growth of the hospital. The hospital has been on MEDITECH since the early 90s and is a mixed platform which provides all core applications in Magic and utilizes ITS in Client Server. A key IT project was undertaken to eliminate MOX and all of the beloved applications that were utilized including Distribution Groups, Canned Text and Cabinets and move all users to Microsoft Outlook. At the same time we were challenged to integrate MEDITECH to our Active Directory platform so that users only need to remember one user id and one password for MEDITECH and any other applications we have. We also needed to ensure that passwords could be changed easily and remotely to improve customer satisfaction.
This presentation will demonstrate the planning and implementation of what we wanted to accomplish, some of the obstacles and issues we encountered along the way, and how we resolved these to provide a positive user experience. This was accomplished with a minimal budget and an amazing team of application analysts and technical staff who rose to the challenge. Their innovative thinking and tenacity enabled them to design a system to support the needs of the end-‐users. Alison Gonsalves -‐ Biography to Follow Denmark Robles -‐ Biography to Follow 1053 -‐ The ABCs of BMV Presenter: Rene Gibbs Organization: Adirondack Medical Center, Saranac Lake, New York Abstract: Adirondack Medical Center began using the electronic medication administration record (eMAR) in partnership with the Bedside Medication Verification (BMV) application within the MEDITECH computer system, and discontinued documenting medication doses on the paper computer generated MAR for inpatients. A rolling go-‐LIVE phase for the inpatient nursing areas began on September 7, 2011. Other inpatient units followed throughout the month as the functionality and effectiveness of the design was confirmed, so that all inpatient areas were utilizing this new system before the end of September. The outpatient Ambulatory Care Center was added in November, and the Emergency Department will go LIVE in early February. Currently, RNs, LPNs and Respiratory Therapists are using BMV/eMAR to identify, process and document medication administration. A very dedicated team of nursing, pharmacy and IS staff have been actively working since mid-‐March with an installer from our computer vendor MEDITECH, to learn, design and train for this conversion. This team continues to meet bi-‐weekly to evaluate the installation progress to date, resolve issues that have developed and prepare for the next units to go LIVE. This presentation will discuss the key concepts associated with our successful installation of BMV, including:
• Vision and goals • Leadership • Resource allocation • Best practices review • Equipment evaluation and selection • Staff training • Medication preparation • Evaluation
Rene Gibbs, RN MSN is a Senior Clinical System Analyst Information Systems at Adirondack Medical Center. She was the Project Manager for the conversion to MEDITECH, and has installed or managed these MEDITECH clinical applications: OE, PCI, LAB, RAD, PHA, NUR, and BMV.
Rene has worked in the Nursing Department Faculty at North Country Community College, Keuka College, and Syracuse University. She worked in the Patient/Family Nurse Education Home Dialysis Training Unit at Upstate Medical Center and is a Captain with Army Nurse Corps, US Army Reserve. Rene earned a BS at State University of New York at Albany and an MSN at Syracuse University. 1054 -‐ CPOM and Evidence-‐Based Order Sets Presenter: Melissa Biggers Organization: CHRISTUS Health, Houston, Texas Abstract: This presentation will cover the reasoning behind CHRISTUS Health’s decision to use Computerized Patient Order Management (CPOM) and Evidence-‐Based Order Sets and move away from paper based and physician specific order sets. Included in the presentation will be a discussion regarding our evaluation of current dictionary builds, the enterprise governance structure, project management and issues identified. Determination of operational readiness through facility assessments will be presented as well as regional rollout strategy, and tips for overcoming clinician resistance. Melissa Biggers started as a MEDITECH Super User while performing her duties as a Registered Nurse in the Neonatal Intensive Care Unit. She then moved into Information Management as a Sr. Clinical Analyst followed by a Sr. Process Analyst for Clinical Ancillary areas and now assumes the role of Program Manager for Clinical Nursing. She has been with CHRISTUS Health for seven and a half years of which nine months have been in her current role. As Program Manager she is responsible for the evaluation of new and existing clinical technologies and incorporating those platforms into the strategic vision of the enterprise. 1055 -‐ H.I.V.E – Health Information Viewed Electronically Presenter: Sharon MacSween Organization: The Scarborough Hospital, Scarborough, Ontario Abstract: The goal of the presentation is to share with the MUSE community how a large Toronto, Ontario, Canada hospital scanned all of its paper records and significantly changed the way that Health Records at the hospital works. All paper charts are scanned externally, deficiencies placed on each patient record and physicians complete these deficiencies online. Subsequent retrieval is made easy as a universal chart order was implemented and each page scanned is indexed individually allowing users the ability to find what they are looking for quickly and easily. During the presentation we will review the difficulties we faced, obstacles that we overcame and share with you lessons learned on the project. The Scarborough Hospital is situated in the most diverse community in Canada. The Scarborough Hospital (TSH) delivers innovative, high-‐quality patient care at two hospital campuses and six satellite sites. The Scarborough Hospital’s vision is to be recognized as Canada’s leader in providing the best healthcare for a global community.
The hospital has been a MEDITECH hospital since the early 90s and is a MIX environment which provides all core applications in Magic and ITS in Client Server. We have over 100,000 Emergency visits per year and 500+ inpatient beds. Upon embarking on our Scanning and Archiving project, a shared RFP was issued for the scanning service as well as the viewing and workflow software. The CELHIN Hospitals (9 in total) came together and selected both viewing software and scanning service vendors. The Scarborough Hospital negotiated the main contract and was first to implement with the Emergency Department records first from April 1, 2010. All Surgical Day Care and Inpatient discharges came next and went live on June 1, 2011. Deficiencies are placed on the charts and physicians have been completing their charts online since June 1, 2011. Outpatient charts followed and went live December 1, 2011. Due to efficiencies realized within the system The Scarborough Hospital was able to eliminate 11 full time equivalents from Health Records and has changed the way we do business in Health Records. The records are now available throughout the organization and as well via our external portal. Presenters Biography: TBD -‐ will send along next week 1056 -‐ e-‐MAR and BMV Implementation – How to Do It Effectively in a Community Hospital Setting Presenters: Mohammad Siddiqui and Don Carpenter Organization: St. Claire Regional Medical Center, Morehead, Kentucky Abstract: e-‐MAR (electronic Medication Administration Record) and use of Bedside Medication Verification present many different challenges for implementation teams and users in healthcare organizations. This presentation will share with you, how to implement e-‐MAR and BMV effectively in a community hospital setting. We will provide valuable insight into the preparation and implementation of the e-‐MAR and BMV modules. The discussion will entail the complete procedure including project team selection, workflow assessment, change management, dictionary building, and post go live considerations. During this presentation we hope to share with our audience valuable lessons that we have gained during our implementation process to help making the transition and implementation of e-‐MAR and BMV at their respective organizations. Mohammad A. Siddiqui, PharmD, MBA joined St. Claire Regional Medical Center in 2000 as Assistant Director of Pharmacy. He is currently serving as a member of Project Management Team at St. Claire Regional that is overseeing Electronic Health Record implementation. Don Carpenter, BS, CPhT III has a Bachelor’s in Biology and has been a pharmacy technician at St. Claire Regional Medical Center in Morehead, KY since 1996. He has been a certified technician since 1997 and a member of the Bedside Medication Verification Implementation team. 1057 -‐ Converting To V2 Allergies: It's Nothing To Sneeze At
Presenter: Kim Frick Organization: Licking Memorial Hospital, Newark, Ohio Abstract: In July 2011, Licking Memorial Hospital converted from MEDITECH's version 1A allergies to version 2. This presentation will show the basic functionality of the V2 allergy management system in the Magic platform. Kim Frick has been a registered nurse for 30 years. She has worked the past 10 years as a clinical systems analyst and nursing project coordinator. 1058 -‐ Moving to MEDITECH 6.1 – Practical and Workable Advice to Help you Achieve Your Project Goals Presenter: Pamela Reese Organization: Interior Health, Kelowna, British Columbia Abstract: As the first organization to go live with MEDITECH 6.1, Interior Health – a Canadian health authority employing more than 18,000 staff – has developed effective strategies to navigate the challenges, risks and opportunities associated with managing a project of this magnitude and complexity. Learn about the process, lessons learned and practical advice. Topics:
• How to develop a project migration strategy. • How to manage the risks of being an early adopter for 6.1. • Effective strategies for physician and staff engagement and training. • Why managing the change is critical for success.
Interior Health (IH) is a Canadian health authority serving a large geographic area covering almost 215,000 square kilometers and spanning four mountain ranges. Now over three years into the phased implementation of MEDITECH 6.1, more than 50 per cent of IH’s 18,000 active employees (12,000 MEDITECH users), including more than 1,471 physicians, are live in the new system. Pamela Reese BSc. (Honors), PMP is Senior Project Manager for CONNEX, a four year initiative in Interior Health to migrate to MEDITECH 6.1 from MEDITECH Magic 5.6. With more than 30 years IT systems experience, including 20 years project management, Pamela has a solid understanding of the risks, challenges and opportunities associated with a project of this magnitude and complexity. Pamela is the overall initiative project manager for the Interior Health migration, which comprises over 30 project teams. She coordinates the planning, execution, monitoring, change management and engagement activities of the overall project, and acts as the key liaison with MEDITECH. Prior to joining Interior Health in 2005, Pamela was responsible for managing software development and complex software package installations for companies based in the UK and Canada. Pamela lives in Kelowna, British Columbia with her husband Dave and their three children.
1059 -‐ Moving to MEDITECH 6.1 – Real Life Solutions and Strategies to Guide You Through Potential Technical Challenges Presenter: Anne Brunton Organization: Interior Health, Kelowna, British Columbia Abstract: Interior Health – a Canadian health authority covering almost 215,000 square kilometers and spanning four mountain ranges – is the first organization to go live with MEDITECH 6.1. Learn about the hardware procurement and configuration challenges, the changes to universe and MIS, as well as the nuances of the roles based desktop. Topics:
• Architectural challenges in moving to MEDITECH 6.1. • How to optimize this new environment for better performance. • Why NPR and Advanced Technologies (AT) have to work together and the challenges this
introduces. • How to leverage the physician web portal and data repository.
Anne Brunton is Regional Manager, Acute Systems at Canadian health authority, Interior Health. Interior Health is currently migrating its 12,000 MEDITECH users from MEDITECH 5.6 to MEDITECH 6.1. The health authority has adopted a phased approach to implementation and is currently in the final year of a four year initiative. As part of her role, Anne is responsible for MEDITECH support of Order Management, Enterprise Medical Record, Community Wide Scheduling, Registration, Medical Records and Abstracting throughout Interior Health’s vast geographic area. Anne has almost 30 years of experience working in information management and technology, 17 of these in health care. During this time she has experienced MEDITECH $T, MEDITECH Magic (various versions) and now MEDITECH 6.1. Anne lives in Kelowna with her husband Ramsay and their two teenagers. 1060 -‐ Moving to MEDITECH 6.1 – Learn More About the New Applications in MEDITECH 6.1 from the Perspective of an Early Adopter Presenter: Cheryl Spelliscy Organization: Interior Health, Kelowna, British Columbia Abstract: Hear firsthand the experiences and lessons learned from an early adopter of the new applications contained in 6.1 (Registration, Abstracting, Community-‐Wide Scheduling and Billing/Accounts Receivable). Topics:
• How Interior Health has implemented the new applications in MEDITECH 6.1 (and the not so new applications of 6.0).
• How users are responding to the new applications. • The benefits and challenges presented by the new applications. • How to manage the hybrid world of NPR and Advanced Technologies (AT).
Cheryl Spelliscy is Regional Manager, MEDITECH Systems at Canadian health authority. Interior Health is currently migrating its 18,000 employees (12,000 users) from MEDITECH MAGIC 5.6 to 6.1. The health authority has adopted a phased approach to implementation and is currently in the final year of a four year initiative. As part of her role, Cheryl is responsible for the MIS and Universe applications, conversions and coordinates the technical activity. The server infrastructure is currently over 150 virtual servers, and growing as the migration to 6.1 continues. Cheryl is an IT professional with over 30 years of IT experience in health care, with 21 year of those years implementing and supporting MEDITECH applications and systems. Cheryl lives in Kelowna with her husband Dan and three children. 1061 -‐ Lessons Learned for MEDITECH Magic 5.6.4 CPOE Implementation Presenter: David Allinder Organization: HCA -‐ The Healthcare Company, Sanford, Florida Abstract: This presentation provides a brief overview of how to engage key players to help with adoption of CPOE. It also covers the steps needed to collect information to build an intuitive and easy to use system for providers order entry. MEDITECH Magic specific details are discussed in relation to optimization of order sets which also leads to higher adoption among providers. Key reminders and quality assurance items are discussed in depth to ensure that the providers confidence level is boosted. David Allinder RN, BSN, MHSA has 13 years of experience with CPOE, physician documentation, project management, Nursing and provider education and support. He has implemented CPOE at over 16 facilities with four health care systems and three different vendors. He has also been in nursing leadership for five years and has been a nurse since 1996. He received his Masters in Health Care Administration from Strayer University in 2010. He received his BSN with a 3.7 GPA in 1996. He has also received an Associates in small business management. 1062 -‐ Tips About Scripts Presenter: Michael Laidlaw Organization: The Valley Hospital, Ridgewood, New Jersey Abstract: This presentation will review getting a satisfactory ROI on scripting tools. It will touch upon uses for simple one-‐time scripts, scheduled recurring scripts, and how we saved a forest and moved to paperless distribution of MEDITECH Reports. Michael Laidlaw is an Application Analyst at The Valley Hospital in Ridgewood, NJ. In his nine years at Valley, he has supported clinical, financial and administrative modules of MEDITECH as well as other vendor systems and programming in support of the systems. In his spare time, he has just completed his Masters degree.
1063 -‐ The Ultimate CPOE Survival Guide Presenter: Jeanne Muellman Organization: HCA -‐ The Healthcare Company, Clearwater, Florida Abstract: Our division implemented CPOE in eight of our facilities – come and learn all of the details from one of the project managers. This presentation will cover in detail our CPOE implementation experience, looking at the planning process, identifying key team players, discussing the necessary tools, reviewing process analysis, building coordination, implementation steps, training, support, and go live – and there will be a question and answer session. Jeanne Muellman has been working in healthcare for the majority of her career. She was employed at a large level 1 Trauma Center in Chicago for several years in various departments and positions until she became a RN in the early 90s. She then worked in critical care units gaining valuable nursing experience. Jeanne relocated to Florida as a travel RN working at three facilities: Brandon Regional Hospital, Fawcett Memorial Hospital, and St Petersburg General Hospital. In 1995, Jeanne was recruited to be the Order Entry Team Lead for her facility’s initial MEDITECH implementation and she has been working with MEDITECH ever since. She has headed her facility’s MEDITECH related projects including Nursing (PCD), BCMA (eMAR), CMI, EDM, QM, and Scheduling. Jeanne transferred to her current position as a Clinical Specialist at West FL Division IT&S in 2006, and led several major projects including eMAR (BCMA) Optimization, ePOM in the ED, Inpatient CPOE, pDOC, GE MUSE, and HPF (Horizon Patient Folder). 1064 -‐ Following the Yellow Brick Road of Meaningful Use Presenter: Michael Burke Organization: The Valley Hospital, Ridgewood, New Jersey Abstract: Join us to take a look at The Valley Hospital's journey down the yellow brick road of qualification for MU Phase I. Hang on tight through the tornado of reconciling CMS MU documentation and MEDITECH Best Practices (and try to stay awake through the poppy field of massive regulations). Stop in Munchkinland to review Project Organization. Journey through the Enchanted Forest of operational process changes to support MU, watch out for the Winged Monkeys of "Gotchas" and search for a heart (nursing support), a brain (system changes), and some nerve (physician support). Finally, we'll arrive in the Emerald City of Phase I Attestation and Acceptance, visit the Wizard for ongoing monitoring, and see if clicking the ruby slippers three times will help us move on to the next phase of Meaningful Use. Michael Burke, RN is the Director of Applications Support at The Valley Hospital, a 451-‐bed acute care facility in Bergen County, New Jersey.
1065 -‐ Weighted Evaluation Matrix: As Much a Tool as It is a Process Presenter: JJ Cruz Organization: Angleton Danbury Medical Center, Angleton, Texas Abstract: Nursing Documentation, Bedside Medication Verification, Computerized Physician Order Entry, eMAR, e-‐Prescribing, Enterprise Forms Management, Decision Support Solutions, Network Infrastructure, WiFi arrays, server virtualization, ICD-‐10 … and the list goes on and on. Whether driven by fixing a problem, achieving the Electronic Medical Record or meeting Meaningful Use objectives and other deadlines, healthcare organizations are making decisions regarding solutions and services like never before. These decisions will involve both dollars and implementation resources that are not easy to come by. Furthermore, the solutions and/or services selected today may be around for years to come paving the way for other systems, building a foundation to grow on or providing much needed data for decision makers … or not. Question: With solutions in high demand, deadlines looming “… and miles to go before I sleep”, how do you minimize the risk of making a mistake? What is the cost of failure associated with making the wrong selection decision? How devastating is one bad choice to an organization, a plan, and even a career? Bottom line: We (healthcare) do not have the money, time or resources to invest in the wrong decision. Answer: Weighted Evaluation Matrix. A weighted evaluation matrix is as much a tool as it is a process:
• Right Team • Establish Criteria • Create Tool • Engage vendors • Evaluate • Document IT • Decide
JJ Cruz has 20+ years of healthcare experience, a BS in Management of Information Systems from University of Houston, and well-‐rounded knowledge and experience in hospital IT, Project Management, Implementation Consulting, and Sales and Marketing. 1066 -‐ The Importance of Pharmacist Involvement in the Implementation of Electronic Medical Records Presenter: Pamela Hughes Organization: St. Claire Regional Medical Center, Morehead, Kentucky Abstract: This presentation will discuss the vital role that pharmacists play in the implementation process. The pharmacist has specific qualifications that make he/she crucial to this process. Many other modules rely heavily on the information contained in dictionaries located within the PHA module. A pharmacist trained in the PHA dictionaries will be able to assist other departments better than any other employee. Overall collaboration between departments is crucial when using a system as inter-‐connected as MEDITECH. The pharmacist is in a unique position to facilitate this collaboration.
Pamela Hughes is a clinical pharmacist at St. Claire Regional Medical Center in Morehead, Kentucky. She completed her pre-‐pharmacy studies at Morehead State University in 2002 and graduated with her PharmD degree from The Ohio State University in 2006. She completed her Bachelor's degree in Chemistry from Morehead State University in 2008 and obtained board certification status in pharmacotherapy in 2010. Dr. Hughes is a core team member both the PHA and EDM modules and assists the BMV core team when needed. 1067 -‐ Is Timely Reporting a Problem? Not Anymore! Presenter: Rachel Tomkowicz Organization: Berkshire Health Systems, Pittsfield, Massachusetts Abstract: Timely reporting is no longer a problem at Berkshire Health Systems (BHS). We no longer wait days or weeks for key information. It’s waiting for us-‐-‐ every morning. Our CFO starts each day with a quick, 3-‐4 minute review of up-‐to-‐the minute metrics – even on her iPad. In fact, over 350 people at BHS (the CEO, all levels of management and select end users) utilize our automated reporting system in their daily activities. We now have a valuable tool that enables us to spot problems before they become major challenges. This presentation explains how we solved our reporting frustrations. We’ll explain the options we tried and what ultimately worked for us. We’ll share what we learned along the way and show examples of reports we can no longer live without. Rachel H. Tomkowicz is the Manager Business Applications, Information Technology at Berkshire Health Systems in Pittsfield, Massachusetts. She has been an employee of BHS for 15 years. Her responsibilities include: Support various MEDITECH modules, including the data repository; Support many non-‐clinical applications; Revenue cycle department liaison; SQL Report writer. 1068 -‐ Connecting to your State Health Information Exchange Presenter: Becky Blevins Organization: Ephraim McDowell Regional Hospital, Danville, Kentucky Abstract: This presentation will detail Ephraim McDowell Health’s journey in connecting to the Kentucky Health Information Exchange (KHIE). Including how to begin the process of contacting the exchange and completing the participation agreement; what type of data will HIE's accept, how to make the connection, HIE team members and considerations for the various data feeds to the HIE. Discussion will include direct connections supplied by MEDITECH and/or the use of an interface engine. This presentation will also detail how HIE data is used throughout our organization by a variety of users from ED physicians to Infection Control Specialists. Standardization of data will be discussed along with data mapping. Additional functionality that may be available through the HIE will be reviewed as well. Becky Blevins is the Information Services Project Manager at Ephraim McDowell Health, a multi-‐hospital healthcare system in central Kentucky. In addition to managing all IT related projects for the healthcare system, she specializes in interfacing (both point to point and through an interface engine) various clinical systems to MEDITECH Client Server. She has interfaced outbound lab, radiology, pathology, and
dictated results from MEDITECH Client server to various physician office EMR products and the Kentucky Health Information Exchange. She is experienced in producing and directing various flat file and/or HL-‐7 feeds to external sources. 1069 -‐ Using MEDITECH Technology to Optimize Clinical Pharmacy Initiatives Presenters: John Timmins and Shannon Roest Organization: HCA -‐ The Healthcare Company, Clearwater, Florida Abstract: Join us for a demonstration of how we have successfully used MEDITECH technology to support the Clinical Pharmacy Team. This technology has improved patient therapy while reducing costs through the use of rules, CDSs and reports as illustrated in an increase of clinical interventions. John M. Timmins Jr. graduated with a PharmD from University of Maryland in 1999. He has spent the last seven years working for HCA as a pharmacist. Presently, he works for the IT&S department supporting the West Florida Division. Shannon Roest has worked in the pharmacy arena for 20 years starting as a pharmacy tech while obtaining a computer science degree. Shannon landed a position in a software development warehouse where she gained experience in all facets of the software development life cycle. This led her to obtaining a pharmacy position on the clinical side of IT&S at HCA. 1070 -‐ NPR Reports That Don't Break (as much) Presenter: Clarence Weddle Organization: Ephraim McDowell Regional Hospital, Danville, Kentucky Abstract: Tired of having to fix NPR reports broken by “hard-‐coded” values that are no longer relevant? Learn techniques to write your NPR reports smarter, minimizing future maintenance. This presentation will demonstrate several techniques for writing NPR reports that break less often. Clarence Weddle is a Clinical Systems Programmer at Ephraim McDowell Regional Medical Center in Danville, KY. 1071 -‐ Tapping into the Hidden Potential of the MEDITECH Sign on Graphic Presenter: TJ Temple Organization: Ozarks Medical Center, West Plains, Missouri Abstract: Communication is a challenge in any organization, hospitals are no exception. By utilizing "change MEDITECH sign-‐on graphic" routine in MEDITECH Client Server, Ozarks Medical Center has tapped into a FREE tool to communicate, market, recognize employees, and even shape hospital culture This presentation will explain how to change the sign on graphic, what free tools can be used for graphic development, generate ideas for sign on screen uses, and discuss some FAQ's.
TJ Temple, MT/MBA is IT Applications Manager at Ozarks Medical Center in West Plains, Missouri. He has worked in hospital IT for seven years and is currently concentrating on advanced clinical implementation. He is also currently serving as a member of the MUSE education committee. Ozarks Medical Center is a 110-‐bed Client Server hospital located in southern Missouri. 1072 -‐ 5.64 to 5.65 – A Small Step or a Giant Leap? Presenter: TJ Temple Organization: Ozarks Medical Center, West Plains, Missouri Abstract: Ozarks Medical Center recently made the move from MEDITECH Client Server 5.64 PP16 to 5.65 PP10. Though this seems like a small move, there were several large changes that impacted the organization. This move for our organization included the ARRA priority packs. This presentation will detail some of the bigger changes with emphasis on the changes that were not well highlighted in the update documentation. The presentation will discuss changes found in clinical and non-‐clinical modules. We will share information we wish we would have had to help prepare other facilities prepare for the 5.65 transition. TJ Temple, MT/MBA is IT Applications Manager at Ozarks Medical Center in West Plains, Missouri. He has worked in hospital IT for seven years and is currently concentrating on advanced clinical implementation. He is also currently serving as a member of the MUSE education committee. Ozarks Medical Center is a 110-‐bed Client Server hospital located in southern Missouri. 1073 -‐ Training Pharmacists for CPOE Go-‐Live Presenter: Jessica Dana Organization: HCA -‐ The Healthcare Company, Nashville, Tennessee Abstract: This session will provide an overview of the pharmacist training strategy and agenda provided for our facilities implementing CPOE. Physicians are typically a major focus for CPOE training efforts however pharmacist training is also an essential component in ensuring CPOE implementation is successful. As our facilities have started the process of implementing CPOE, a proactive approach to providing pharmacist specific training on CPOE was essential. The goal of the training is to allow pharmacists not only to navigate the CPOE MEDITECH module but also to understand the clinician workflow changes occurring with CPOE implementation. This session will discuss the process to identify and meet pharmacist-‐centered training logistical needs, training content needs, how to provide training for the trainer, and strategies to improve training. Jessica Dana received her Doctor of Pharmacy degree from the University of Mississippi after receiving her Bachelor of Science in Pharmaceutical Sciences from the University of Mississippi. Prior to her current position, Dr. Dana completed a medication use safety pharmacy residency at the Hospital Corporation of America (HCA)/University of Tennessee in Nashville, Tennessee. She also completed a pharmacy practice residency at Huntsville Hospital in Huntsville, Alabama. She is currently serving as an EHR Medication Management Clinical Pharmacist with HCA and as a Belmont University School of Pharmacy Assistant Professor of Pharmacy Practice.
1074 -‐ Dissolving the “Paper Clot” – An Anticoagulation Center’s Practice Transformation from Traditional Paper Charting to Care Activity Charting using MEDITECH Presenters: Charles Geibig, Jerry Lopez, Denise Bowie, and Kern Low Organization: St. Mary-‐Corwin Medical Center, Pueblo, Colorado; Centura Health, Denver, Colorado Abstract: We will describe the experience of a long-‐established anticoagulation center (ACC) moving from tradition paper driven processes of clinical assessments, laboratory data collection, billing and dissemination of information to new processes that use MEDITECH applications exclusively. By way of background, the prevention of venous Thromboembolism, (also known as unwanted clots that cause potentially catastrophic roadblocks in the bloodstream), with anticoagulation therapy is of paramount importance. To this end, many healthcare systems have developed specialized care strategies and multi-‐disciplinary teams determined to optimize patient outcomes when they have underlying risk factors for clots. The scope of this concern is wide-‐reaching because both inpatients and outpatients can be at risk and there is a plethora of underlying medical trigger points. Many practice specialties must be aware of clotting dangers, including but not limited to cardiology, emergency medicine, internal medicine, neurology, orthopedics, and oncology. Quality and Safety Departments are also attuned to clot prevention as anticoagulation prevention is specifically highlighted in the Joint Commission’s National Patient Safety Goals. Our organization has a physician directed and pharmacists-‐led ACC that has over a decade of experience centering on the complex issues described above. Patients are admitted to the ACC by primary care referral and patient-‐ACC service relationships can be acute or long-‐term. We feel that the two essential ingredients that makes the anticoagulation service successful is access to real time information and then communication of care plans to all parties involved. We will describe the enormous relieve that we experienced after we cut a dependence on paper processes and became more skilled in using all the MEDITECH applications relevant to providing our complex patient care service. Our presentation will highlight early planning steps, development of standard of care interventions related to an ACC, the play-‐by-‐play on “conversion” day, and the subsequent discovery of new efficiencies, as well as opportunities for improvements. For other ambulatory based practices such as physical therapy, family practice, and wound care to name a few, we feel that many of the same issues that we faced, such as providing continuity of care across many different settings, orchestrated by tapping into the robust information system of MEDITCH, will also be of great interest to those care givers. Charles Geibig, Pharm.D. is the lead Clinical Pharmacist for the Anticoagulation Center at St. Mary-‐Corwin Medical Center. He is a graduate of the Ohio State University school of Pharmacy. Dr. Geibig is interested in using information technology to optimize patient outcomes. Jerry Lopez, RPh., is a Clinical Pharmacist for the Anticoagulation Center at St. Mary-‐Corwin Medical Center. He is a graduate of the University Of Colorado School of Pharmacy and has specialized in providing anticoagulant therapy for over 10 years. Shirley Denise Bowie, is an RN, Clinical Informatics Specialist that assisted with the setup of this paperless process at the Anticoagulation Clinic. She has a BSN from Colorado Technical University and has 16 years of clinical experience with an additional 5 years in Clinical Informatics. Currently she is very involved in
an inpatient CPOE Pilot project at St Mary – Corwin Hospital in Pueblo, CO. She has also had past experience as a paramedic ground and fixed-‐wing air ambulance transport. Kern Low, MD is the Medical Director for the Anticoagulation Center at St. Mary-‐Corwin Medical Center. He graduated the Chicago Medical School and practices at the Southern Colorado Family Medicine Clinic. 1075 -‐ Migrating to 6.0: Successful Change through Interprofessional and Interdepartmental Collaboration Presenters: Sharon Avey and Nancy Fletcher Organization: Markham Stouffville Hospital, Markham, Ontario Abstract: Using a planned change strategy, the information technology and professional practice teams at a multi-‐site community hospital collaborated to facilitate the successful migration to 6.0 -‐ the first 6.0 migration in Canada. A project charter was developed linking the software upgrade and migration to the organization's strategic plan. Opportunities and benefits were defined; project scope, stakeholders, deliverables, timelines and resources were identified, and a comprehensive transition and training plan was developed. A key driver for success was engagement of departments, clinicians and physicians. The implementation was led and championed by a team of key departmental users. A project council oversaw the project and was comprised of implementation team leaders, a physician liaison, and the Directors of Professional Practice and Information Technology. This presentation will provide practical information highlighting the importance of interprofessional and interdepartmental collaboration when implementing a system-‐wide significant change initiative. The described processes and tools can be used as a template by others. Sharon Avey, RN, BScN, MN(c) is the Manager, Clinical Informatics at Markham Stouffville Hospital, Ontario, Canada. She was responsible for developing and implementing the transition and training plan for the 6.0 migration. Nancy Fletcher, RN, BScN, MEd, is the Director of Professional Practice and Clinical Informatics at Markham Stouffville Hospital, Ontario, Canada. 1076 -‐ Bed Management Implementation, Benefits, and Pitfalls Presenters: Patrick Burke and Justine Cavanaugh Organization: HCA -‐ The Healthcare Company, Nashville, Tennessee Abstract: Increasingly, hospital reimbursements are dropping and hospitals are forced to seek out means to increase efficiency. In that pursuit, many organizations have found maximizing resources it already has is preferable in a cost conscious business environment. Bed management systems have the potential to increase ER throughput, visibility to beds, and maximize bed use.
Managing beds and patients in a busy hospital can be at times an insurmountable task. There are many obstacles to insuring that Emergency Department throughput is maintained and that the quality of patient care is maintained both in perception and actuality. Now it is not only important that we treat a patients illness, but also that we keep the perception of timely service up for patients. Patient perception is shortly to become a part of reimbursements through HCAPS scores. This is no more evident than in the Emergency Department (ED) where roughly 55% to 65% of inpatients originate. Throughput is essential to enable responsiveness of care in the ED and the rest of the hospital. The key is implementing a real time bed management system that provides a just in time service for bed placement, increasing patient visibility and throughput. This is accomplished via the Bed Management application in MEDITECH’s Admissions module. Through the implementation of the Bed Management Application, MEDITECH facilities are able to:
• Improve patient care delivery • Increase timely placement of patients to appropriate level of care. • Increase patient throughput and decrease LOS. • Increase visibility of available beds in the hospital. • Decrease ED hold hours. • Decrease the occurrence of hiding beds.
In this presentation, we intend on providing a high level view from a division (multi-‐hospital implementation) and a facility perspective. This will cover the general purpose for implementation, benefits, and pitfalls of technical and process driven issues. References -‐ Cowan, R M, Trzeciak S. (2005) Clinical review: Emergency department overcrowding and the potential impact on the critically ill. Critical Care 2005, 9:291-‐295 Patrick M. Burke RN, BSN has been a nurse for six years. For the last 1.5 years, he has been managing a facility’s nursing documentation/EMAR/BCTA/Bed Management processes. He has implemented the Bed Management system from scratch, and assisted at three other facilities. Justine Cavanaugh 1077 -‐ Medication Reconciliation for Clinicians Presenter: Tracey Rainwater Organization: HCA -‐ The Healthcare Company, Florida Abstract: The Agency for Healthcare Research and Quality (AHRQ) reported that 33% of patients have had a moderate harm potential and 6% a severe harm potential related to an unintended medication discrepancy at the time of hospital admission. (PSN, 2012) In 2005, the Joint Commission (TJC) included medication reconciliation as a National Patient Safety Goal and in 2006 mandated “all accredited organizations were to implement a process for obtaining and documenting a complete list of the patient’s current medication upon admission into the organization with the assistance of the patient or their representative” (PSN, 2012).
With consensus from the ACEP (American College of Emergency Physicians), the American Academy of Emergency Medicine (AAEM), and the Emergency Nurses Association (ENA), in 2007, TJC clarified the expectation of role the emergency department (ED) would take in the process of home medication reconciliation upon admission to the ED. (ACEP, 2012) Using information technology, such as the Medication Reconciliation feature and Medication Claims History in MEDITECH to reconcile home medications upon admission, as a medication transfer record and a discharge home medication list has proved to decrease the number of patient medication discrepancies and errors. (NCBI, 2012) In this presentation, we will demonstrate a safe and effective workflow process for clinicians to reconcile home medications and use the Medication Reconciliation to transfer throughout the organization as well as reconcile inpatient medications to the patient’s discharge medication record. References -‐ Retrieved from: http://www.acep.org/content.aspx?id=30046 Retrieved from: http://www.ncbi.nlm.nih.gov/books/NBK2648/pdf/ch38.pdf Retrieved from: http://psnet.ahrq.gov/primer.aspx?primerID=1 Tracey Rainwater, BSN, RN has been a Clinical Nurse Informatics Specialist for 12 years. She currently works as the Senior Clinical Systems Analyst at a 422-‐bed hospital. She has significant experience with system design and build, QA testing and implementation of multiple EMR's. She is a seasoned software applications trainer and has led multiple EHR projects in various matrix organizations. She has a certificate in Project Management and is currently completing her Masters of Science in Nursing with a focus on Nursing Informatics at Walden University. 1078 -‐ Worklist Magic: Enhancing QRM Workflow Presenter: Rosemary Bloomfield Organization: HCA -‐ The Healthcare Company, Nashville, Tennessee Abstract: Learn about creating efficient workflow processes to manage and enhance review and data abstraction/analysis in QRM through the use of the compiled reports and worklist functions. Rosemary Bloomfield is a Registered Nurse of 36 years with Obstetrical and Surgical Pre/Post Operative care clinical background. She has Utilization Management experience and worked as a Director of Quality, and then Director of Risk Management. Rosemary is Florida Licensed Healthcare Risk Manager and a Certified Professional in Healthcare Risk Management (CPHRM). She has 30 years of experience with HCA, 16 years of experience with MEDITECH, and 12 years with the QRM module. After 29 years at the same hospital, Rosemary transitioned from Director of Risk Management to Division IT&S as the QRM module clinical support specialist for the division's 16 hospitals.
1079 -‐ Revenue and You Presenter: Lee Ann Smith Organization: Angleton Danbury Medical Center, Angleton, Texas Abstract: Attend this presentation for an overview of the Revenue Cycle …
• Determine how processes impact the Revenue Cycle • Define ways to ensure accurate charge capture • Introduce the structure model of the Revenue Management department • Learn strategies for developing partnerships within your organization to increase cash flow
Lee Ann Smith, RN has served as the Director of the Revenue Management Department and Case Management Department at Angleton Danbury Medical Center utilizing her 20 years of clinical expertise as a registered nurse to identify opportunities for improvement in documentation and charge capture. She then utilizes the findings to educate both physicians and clinicians to make a positive impact on retained revenue. Under her leadership, the Revenue Management Department pursues the 5-‐6% of revenue that is typically left on the table. The divisions of the Revenue Management Department include Charge Audit, Code Base Reimbursement, Denial Management, Early Out Insurance and Process Improvement. As the Director of Case Management, Lee Ann ensures healthcare services and resources utilized in the delivery of those services conform to governmental regulations. Lee Ann is also involved with the Chargemaster and serves on multiple teams including the RAC Team. She was project manager for the implementation of the electronic documentation solution in the Emergency Department and the implementation of Advance Beneficiary Notice of Non-‐Coverage for outpatient ancillary services. Her clinical experience includes Charge nurse in the following areas: ICU, PACU, and Med Surg, and she has served in the capacity of Nursing Supervisor. 1080 -‐ Starting From the Very Beginning … Scheduling, Admissions and Authorization/Referral Management Presenter: Kim Tilley Organization: Citizens Memorial Hospital, Bolivar, Missouri Abstract: In this session, you will learn about welcoming patients into the healthcare system efficiently using MEDITECH’s integrated tools. For scheduling patients, this session will cover the use of community wide scheduling (CWS) and the authorization/referral management (ARM) to make it easy for patients to access care from your organization. These tools include the use of CWS and ARM for:
• Scheduling appointments from clinics using linked orders in the MEDITECH MPM/AOM module • Streamlining scheduling for those clinics using non-‐MEDITECH software • Use of the patient portal to initiate and track appointments • Use of pending appointments to facilitate follow up appointments for the emergency room,
walk-‐in clinic and upon patient discharge from the hospital
• Use of ARM to facilitate centralize and streamline the process of obtaining, assuring and recording pre-‐authorizations for radiology and rehab visit
Once the patient arrives, we all want to get them checked in ASAP. To do so, the integration within MEDITECH Admissions can help. Here are some of the topics that will be covered:
• Use of a boarding pass along with the patient reminder/instruction letter • Patient identification using patient-‐friendly identification cards and patient photos • Obtaining and verifying consent using a patient-‐friendly card, expiring consents and pre-‐view
tools • Promoting consistency in screens and efficiency using demo recall • Patient-‐less pre-‐registration to queue up quick reminders • Alternatives for obtaining insurance verification • Use of collection notes to promote organization-‐wide payment collection
Kim Tilley, HCIS Manager, has been a member of the Citizens Memorial Healthcare (CMH) team since 1997. She began her career at CMH in the Patient Access and Revenue Cycle arena (1997 to 2007). She has served as the HCIS Manager and HIPAA Security Officer since 2007. Kim earned a Bachelor of Social Work from Missouri State University in 2002, a Master of Business Administration, with a Healthcare Administration concentration, from Southwest Baptist University in 2006, and the CPHIMS credential in 2010. 1081 -‐ Providing Care … Using MEDITECH’s Integration to Help Nurses, Physicians and Other Clinicians Deliver Care Efficiently and Effectively Presenters: Kim Maples and Karrie Ingram Organization: Citizens Memorial Hospital, Bolivar, Missouri Topics will include:
• Medication management, including how the integration within MEDITECH using one home medication list can be used to facilitate medication history, reconciliation, continue from ambulatory, convert to ambulatory and ePrescribing
• Demo recall, promoting use without abuse • Allergies management and accuracy • Use of the problem list organization-‐wide • Creating consistency and consensus around patient patient/social/family history • Use of the integrated data within physician documentation • Use of PACS interfaced with the EMR for tracking and trending of ambulatory radiology and EKG
images Kim Maples, RN BSN, has worked at Citizens Memorial Hospital in Bolivar, Missouri for 12 years. She has nursing experience in Med/Surg, ICU, and as a clinical nursing instructor. She has worked as a clinical information specialist for four years. She is the primary support specialist for PCS and QRM, and offers
secondary support for ORM, EDM, LAB, and RAD for their MEDITECH C/S 5.64 PP20 platform soon to be migrating to 5.65. Karrie Ingram joined Citizens Memorial Hospital (CMH) in 2002 to lead the MEDITECH implementation for CMH's long term care facilities. She transitioned to supporting the MPM Suite for CMH's 25+ clinics in 2008 and has led implementation projects including the Patient Portal, e-‐Prescribing, and external document scanning. Prior to CMH, she spent several years in Project Management and attained her PMP certification in 2011. Her next adventure is as Project Manager for a recently awarded HRSA Rural Health IT Network Development Grant. 1082 – Afterward … Using MEDITECH’s Integration to Streamline Billing so That It is Patient-‐Friendly and Efficient for the Organization Presenter: Amy Morrow Organization: Citizens Memorial Hospital, Bolivar, Missouri Abstract: Learn about how Citizens Memorial Hospital and other organization use the integration to achieve positive metrics in for billing and accounts receivable. Topics include:
• Use of interim billing for rehab services • MPM billing for lab tests drawn at the physician clinic, but resulted in the hospital lab • Use of the LTC integration account to Lab billing for LTC • MEDITECH BAR for radiology, anesthesia and ED physician professional billing • Online bill pay on the LSS patient portal
Also, some sites go even further and combine billing from MPM into BAR. A speaker will discuss how this works, how to set it up and the pros and cons of this approach. Amy Morrow has worked at Citizens Memorial Hospital in Bolivar, Missouri for 12 years. She has registration and hospital billing experience and was the Billing Coordinator before moving to the Information Systems department. She has been a Revenue Cycle Information Specialist for four years and has participated in the MEDITECH Home Care Billing Advisory board. Currently, she is primary support for ABS , BAR, and MRI for the Acute and Long Term Care ring as well as ARM, and PBR, and secondary support for ADM, QRM, SCH, and MEDITECH Home Care in the CS 5.64 PP 20 platform.
1083 – MEDITECH Tools to Promote Success in the Patient Financial Services Area Presenter: Cathy Mulloy Organization: Inland Northwest Health Services, Spokane, Washington Abstract: Inland Northwest Health Services (INHS) has created numerous tools to assist the Chief Financial Officer and Patient Financial Service (PFS) Leadership manage AR days, Unbilled Revenue, and Cash Collections along with identifying and managing any accounts that would possibly be identified in a RAC audit. INHS has also worked with MEDITECH to create custom code, which allows facilities using a Guarantor-‐based system to work multiple Guarantor accounts at a time. This presentation will review three of the many tools created by INHS and will give CFO’s and PFS leadership an opportunity to examine and appreciate the value of each one. The first tool consists of a trio of custom Period End and Daily Dashboard reports that can be used to identify, at a glance, both the areas of achievement and areas of concern. The second tool was designed for Guarantor-‐based systems and is a custom MEDITECH routine that allows staff to view information about a specific guarantor and print either summary or detail information about that guarantor’s accounts. Finally a Custom Defined Screen and a series of custom reports that allows the facility to identify accounts to be reviewed to possibly prevent an audit and to follow the RAC audits from notification through the appeal process. Cathy Mulloy has been with Inland Northwest Health Services since 2006. Her primary responsibility is as a B/AR Analyst and also works in ADM, ABS, MIS and MRI. Cathy came to INHS from a large hospital system where she was the Supervisor of Account Transactions. Ms. Mulloy has more than 13 years of experience in a 600+ bed hospital including Managed Care Contracting, Cash Posting, Transaction Posting, Credit Balance resolution, Charge Entry and Document Storage. In her current position, she has daily responsibility for all B/AR dictionaries, troubleshooting issues, report scheduling and development and project leadership. She has a key role in all INHS network MEDITECH upgrades. Recently she was the team co-‐lead for implementation of the regulatory required HIPAA Administrative transaction sets upgrade to the 5010 format. In her role as a lead analyst at INHS, she is also a key member of the Revenue Cycle Consulting team who provide Business Office Best Practice solutions. Her primary focus on this team is in Account transactions. 1084 – Get the Most Out of Compiled Reports Presenter: Karen Long Organization: Inland Northwest Health Services, Spokane, Washington Abstract: Compiled reports are often under-‐utilized within a facility because users find it challenging to create efficient reports they can use. Learn how to make your reports run quickly and select the data you’re looking for. We'll review some tips for better reporting, review some sample reports and custom print formats, and when to throw in the towel and hand it off to the NPR report writer. Karen Long has been with Inland Northwest Health Services since 1998. Her primary responsibility is as an ADM/ABS/MRI/MIS Analyst and also works in B/AR. Karen came to INHS from a large hospital system where she was a Senior Applications Analyst for Admitting, Medical Records, and Abstracting in a system other than MEDITECH. Ms. Long has more than 23 years of experience in the Heath Information Systems industry with 15 of those years highlighting Admitting and Heath Information Management. Karen has
acted as primary analyst on 13 MEDITECH implementations including Magic, C/S and 6.0 MEDITECH platforms for MIS, Registration and HIM areas of focus. Some of these implementations were for multi-‐hospital systems and required heavy customization. In her current position, she also has daily responsibility for all ADM, ABS, MRI and MIS dictionaries within the INHS network to include troubleshooting, maintenance, customization, report scheduling and development and project leadership. She has a key role in all INHS network MEDITECH upgrades. In her role as a lead analyst at INHS, she is also a key member of the Revenue Cycle Consulting team who provide Financial Application Best Practice solutions. Her primary focus on this team is in Admitting and Health Information Management. 1085 – Using the Awesome Potential of General Ledger to Its Fullest Presenter: Anita Gow Organization: Inland Northwest Health Services, Spokane, Washington Abstract: Many times some of the most powerful tools within the GL go unused or under-‐utilized. In this presentation, we will explore all of the following and more:
• Balance monthly feeder application transactions to GL • Import external budget files • Import Other Vender money and statistic batches • Use GL Report Writer to its full potential • Build allocation tables
Anita Gow serves as Senior Financial Systems Analyst at Inland Northwest Health Services (INHS). As an expert in MEDITECH General Ledger and Budgeting, she has successfully completed numerous implementations, including multiple facility health care organizations. Often personally requested by name, Anita provides consulting services to several hospitals outside the INHS network, assisting with statistical implementation and GL report writing. She easily builds rapport with clients, which ensures a solid foundation for continued association. Prior to her current position, Anita earned a business degree from the Kaufmännische Schule in Munich, Germany and worked 24 years in health care accounting. She draws extensively from her hands-‐on experience performing financial analysis and zero based budgeting. Anita enjoys applying her expertise interacting with financial management at all levels. She is well-‐qualified to train and guide organizations in the use of financial analytical tools that control operating costs and improve overall efficiency and outcome.
1086 – Are you Taking Advantage of All the Tools Available Within MEDITECH’s Payroll/Personnel System? Presenters: Susan Hammond and Anita Gow Organization: Inland Northwest Health Services, Spokane, Washington Abstract: MEDITECH’s Payroll/Personnel system can help you navigate complex issues and provide automated solutions. In this presentation, we will review all of the following tools that are at your disposal.
• Increase withholding and earning capabilities through the use of tables and special expressions • Use Group Responses to provide custom report security and additional personnel functions • Use withholdings to administer FSA accounts which will reduce the need for a third party vendor • Demonstrate option for importing Withholdings, Miscellaneous fields and Customer-‐Defined
fields • Explore secure way to allow employees to see check/direct deposit information and eliminate
the need to mail direct deposit notices Susan Hammond has been with Inland Northwest Health Systems for nine years, with the past four of those years in the position of Senior Financial Analyst. Her primary responsibility is as a payroll analyst for over 25 hospitals which have employee counts ranging from 100 to over 7,000 employees. During this time, she has been instrumental in a number of MEDITECH Payroll implementations. She also is accomplished at custom report writing, plus has experience supporting and implementing MEDITECH Materials Management, Accounts Payable, and General Ledger applications. Susan has a Bachelor of Science degree in Education with nine years teaching experience in the public school systems. She has a Masters Degree in Business Administration with an emphasis in marketing and information systems. Susan has applied her education in her past career opportunities as a business owner, a trainer and implementation specialist for a manufacturing software company as well as a financial analyst for another MEDITECH consulting firm. Anita Gow serves as Senior Financial Systems Analyst at Inland Northwest Health Services (INHS). As an expert in MEDITECH General Ledger and Budgeting, she has successfully completed numerous implementations, including multiple facility health care organizations. Often personally requested by name, Anita provides consulting services to several hospitals outside the INHS network, assisting with statistical implementation and GL report writing. She easily builds rapport with clients, which ensures a solid foundation for continued association. Prior to her current position, Anita earned a business degree from the Kaufmännische Schule in Munich, Germany and worked 24 years in health care accounting. She draws extensively from her hands-‐on experience performing financial analysis and zero based budgeting. Anita enjoys applying her expertise interacting with financial management at all levels. She is well-‐qualified to train and guide organizations in the use of financial analytical tools that control operating costs and improve overall efficiency and outcome.
1087 – Community Wide Scheduling: How to Send an OA Message Based on a Query Response Presenter: Sherri Charneski Organization: Inland Northwest Health Services, Spokane, Washington Abstract: Have you ever wondered if it is possible to send a message based on a specific response to a query? How do I notify another department when a patient requires an interpreter to be scheduled along with their appointment? Prior to this new setup, phone calls were made, messages left, emails sent and the list goes on. Come and learn how to complete this setup so that it can all be automated and there is no additional time wasted coordinating resources. Sherri Charneski is a senior analyst for Community Wide Scheduling at Inland Northwest Health Services (INHS). Ms. Charneski has 17 years of experience utilizing Community Wide Scheduling (CWS) as both a super user and an analyst. She has been the core team leader for multiple successful implementations for both hospitals and physician clinics. Ms. Charneski has significant experience with upgrades to include both ring releases and priority pack upgrades. Her major strengths include strong leadership, excellent communication and project management skills. Ms. Charneski has also been involved in the migration from Magic 5.63 to MEDITECH 6.0 as the core team leader. 1088 – Calming the Tsunami of CPOE Transition in the ED – The Stillwater Experience Presenter: Angela Schroeder Organization: Stillwater Medical Center, Stillwater, Oklahoma Abstract: This presentation will outline Stillwater Medical Center's implementation of CPOE in the ER. We currently use MEDITECH C/S 5.64 pp20. Working with Pharmacy to develop provider friendly order strings, decreasing customer defined screens, training and the importance of an engaged Physician Champion will all be discussed. Dr. Charles W. Olson is Board Certified by the American Board of Family Medicine and has been a member of the Active Medical Staff in the Emergency Department at Stillwater Medical Center since 1999. He is currently the CPOE Physician Champion for Stillwater Medical Center. Angela Schroeder is an Application Analyst at Stillwater Medical Center. She supports EDM, PCM, PDOC and RXM at SMC. She is currently the Core Team Lead for the implementation of CPOE.
1089 – Falling Down the Rabbit Hole, Into the World of 6.0 – Lessons Learned Presenter: Jennifer Foreman Organization: Randolph Hospital, Asheboro, North Carolina Abstract: Randolph Hospital was considered a conversion site for 6.0. However, coming from 5.63 to the world of 6.0 was no small feat. In fact, it felt more like a brand new install. Join us to look back into the year that overtook our lives, challenged our mental capabilities, sent some of us running to a psychiatrist (joking! or am I?), but left us with a feeling of accomplishment and excitement. As Alice said, "well, after this I should think nothing of falling down stairs". Jennifer Foreman is the Director of IT Applications at Randolph Hospital since 2008. Prior to that, Jennifer served in the roles of Clinical Systems Coordinator, Project Integration Analyst, and Registered Nurse. With nearly 12 years of experience in healthcare, Jennifer enjoys the challenges that information systems presents and strives to face the challenges head on and with a smile. Jennifer has an Associate Degree in Nursing from Randolph Community College; a Bachelor of Science in Health Sciences: Health Care Management from the former Touro University International; and has taken master level courses through Strayer University. 1090 – Product and Integration and Parallel ... Oh My! Presenter: Jennifer Foreman Organization: Randolph Hospital, Asheboro, North Carolina Abstract: Successful implementations come from thorough testing. Join us to learn tips and tricks on all phases of testing -‐ product, integration and parallel. Topics shared: documentation, scheduling, involving end users, developing plans, using what you've learned in testing. Lessons learned from a recent 6.0 LIVE site will prove valuable whether you are implementing 6.0, client server, or an ancillary system. Jennifer Foreman is the Director of IT Applications at Randolph Hospital since 2008. Prior to that, Jennifer served in the roles of Clinical Systems Coordinator, Project Integration Analyst, and Registered Nurse. With nearly 12 years of experience in healthcare, Jennifer enjoys the challenges that information systems presents and strives to face the challenges head on and with a smile. Jennifer has an Associate Degree in Nursing from Randolph Community College; a Bachelor of Science in Health Sciences: Health Care Management from the former Touro University International; and has taken master level courses through Strayer University.
1091 – Denial Management 101 Presenter: Jordan Russell Organization: Satilla Regional Medical Center, Waycross, Georgia Abstract: Electronic remittances give us the opportunity to greatly increase efficiency in the Billing department. This presentation will give an overview of how we implemented the Denial Management Desktop at Satilla Health Services to organize and track remittance advice codes with great success! Jordan Russell has been the Financial Applications Analyst at Satilla Health Services for the past three years. In the past year, he has lead implementation of the Denial Management Desktop, Scanning, and 5010 in the Business Office. He is the primary support analyst for all the financial modules as well as DR, MM, and SCA. Satilla Health Services, located in Waycross, Georgia, is made up of an acute care hospital licensed for 231 beds, several specialty physician practices, two long-‐term care facilities and a rehabilitation facility. 1092 – Multiple Module Management – Navigating the 100 Acre Woods of a 6.0 Conversion Presenter: Wendy Chriscoe Organization: Randolph Hospital, Asheboro, North Carolina Abstract: Become the Christopher Robin of leading your multiple teams comprised of both clinical and non-‐clinical personnel. Work with teams setting up training and build times, developing educational documents, implementing training classes for the whole facility, reporting up to PIAs, working closely with your MEDITECH specialists and keeping your teams on target and meeting the goals of the project plan and time lines for your organization. Time management is an essential skill to make it through this project successfully. If you or your organization has analysts that support multiple modules, clinical and non-‐clinical, this will be an invaluable session. Wendy Chriscoe is currently employed with Randolph Hospital and serves as a Systems Clinical Analyst. She has worked in health care for more than 20 years with a range of experience. She has served as a Practice Manager, IT Implementation Consultant, beta tester for software and has clinical experience too. Wendy’s most recent experience has offered the challenge of being the lead analyst for seven modules and teams that were converting to 6.0 and going live in phase 1. She supports the Admissions, Abstracting, MRI/HIM, QM/RM, Scanning & Archiving and ITS modules. Supporting these areas and implementing for the conversion was challenging and presented opportunities for continued advancement of knowledge within each module and the integration that they have in 6.0 environment. Previous experience has given Wendy the opportunity to implement EMR software and consult with physician offices, both Part A and B providers, on a range of practice management solutions using a variety of software. Systems experience include MEDITECH 6.0, MEDITECH MG/CS, CCA-‐Chart Revolution, CCA-‐Practice Revolution, Forward Advantage & The Find It Solution, Emdeon, CBAY, CCA-‐Practice Express, Valco, 3M, Impac, Experian, Phillips PACS, Ophthalmic EMR, Iatrics, Per-‐Se Technologies, and Practice Data System.
1093 – Don’t Let Your MPI Conversion and Validation Process Become a Tower of Terror Presenter: Wendy Chriscoe Organization: Randolph Hospital, Asheboro, North Carolina Abstract: Validating the MPI conversion in multiple rings and working the errors is time consuming but also critical to having a successful conversion for your move to the 6.0 environment. This session will break down the steps to putting a successful team in place and the processes we used to hold back the horror of incomplete or bad data that would have impacted our entire phase one go live. Timelines and data maps will also be key elements to this presentation to ensure that multiple conversions for the MPI stay on track and to ensure the integrity of your data. Wendy Chriscoe is currently employed with Randolph Hospital and serves as a Systems Clinical Analyst. She has worked in health care for more than 20 years with a range of experience. She has served as a Practice Manager, IT Implementation Consultant, beta tester for software and has clinical experience too. Wendy’s most recent experience has offered the challenge of being the lead analyst for seven modules and teams that were converting to 6.0 and going live in phase 1. She supports the Admissions, Abstracting, MRI/HIM, QM/RM, Scanning & Archiving and ITS modules. Supporting these areas and implementing for the conversion was challenging and presented opportunities for continued advancement of knowledge within each module and the integration that they have in 6.0 environment. Previous experience has given Wendy the opportunity to implement EMR software and consult with physician offices, both Part A and B providers, on a range of practice management solutions using a variety of software. Systems experience include MEDITECH 6.0, MEDITECH MG/CS, CCA-‐Chart Revolution, CCA-‐Practice Revolution, Forward Advantage & The Find It Solution, Emdeon, CBAY, CCA-‐Practice Express, Valco, 3M, Impac, Experian, Phillips PACS, Ophthalmic EMR, Iatrics, Per-‐Se Technologies, and Practice Data System.