MUSE Event - Toronto - Presentations

8/4/2019 MUSE Event - Toronto - Presentations

http://slidepdf.com/reader/full/muse-event-toronto-presentations 1/19

EducationalPresentations

101-MEDITECH6.0Conversion–TheWholeStory

MarkhamStouffvilleHospitalrecentlycompletedtheirmigrationfromMagictotheMEDITECH6.0

platform.AsoneoftheearlyMEDITECHcustomerstomigratetoM6.0andasthefirstCanadianmigrationsite,thereweremanyuniquechallenges.Wewouldliketoshareourexperience,andmanyof

thelessonslearned,bothfromanoverallprojectperspective,andwithallourMEDITECHmodules.

Thefirstgroupsessionwilldiscusstheinternalapprovalprocess,theprojectplan,staffing,trainingand

education,andcommonMIStopics(dictionaries,usersetup,access,faxing,printersandinterfaces).

Thiswillbefollowedbyfourconcurrentsessions:Financial,Clinical,AncillaryandAdministrative.These

sessionswillexamineindetailthechallengesandsuccesses,onamodulebymodulebasis.IT

professionalsanddepartmentkeyuserswillsharethelessonslearnedduringthemigrationprocess.

IssuesuniquetoCanadawillbehighlighted.

Comeandlearnwhatitwaslike.Withstrongcorporatesupportandawell-executedplan,wenotonly

survivedMEDITECH6.0,butarethriving,andarenowwellpositionedtomoveforwardonanumberof

keyadvancedclinicalinitiatives.

MorningSession

TopicswillincludeProjectPlanning,Process,MOXRetirement,andMIScommonissues(Dictionaries,

UserProfiles,Printing,Interfaces,Reports,etc.)

Presenters:

• TimPemberton,DirectorInformationTechnology

• SharonAvey,ManagerClinicalInformatics

• DianaGould,DatabaseAdministrator&ITTechnicalTeamLeadforMEDITECH6.0Project

• RickLambert,SystemsIntegrationConsultant

• ShirleyMalarenko,GRAConsultants



AfternoonSessions(concurrent)

101A-Financial

Presenters:

• HelenaVilan,ApplicationsConsultant-Financials

• ChristinaHazell,DecisionSupportAnalystandFinanceteamleadforMEDITECH6.0Project

101B-Clinicals(OM,PCM,PCS)

Presenters:

• BarbCluett,ApplicationsConsultant–OMandPCM

• ShirleyMalarenko,GRAConsultants

101C-Ancillary(Lab,ITS,Pharmacy)

Presenters:

• MeeMeeLowSin,ApplicationsConsultant–ITS,Lab,andCWS

• KimHaley,SystemsIntegrationConsultantandITSTeamLeadforMEDITECH6.0Project

• ClayAntliff,ApplicationsConsultant-Pharmacy• TedCaton,GRAConsultants

101D-Administrative(ADM,CWS,HIM,SCA)

Presenters:

• KathyMickeler,ApplicationsConsultant

• DonnaKoster,DataQualityAnalyst–HealthRecordsandHIMTeamLeadforMEDITECH6.0

Project

102-TransferofKnowledgefortheMEDITECHLearner

Presenter:DonnaWellsRNBScN

Organization:BeaconPartners

Abstract:Thispresentationwillincludeanoverviewofthecompositionofadultlearnersaswellasadult

learningprinciplesandstylesinrelationtothetrainingontheMEDITECHHISaseffectiveandsuccessful

transferofknowledgewhenworkingwithadultsischallenging;noteveryonelearnsinthesame

manner.Theexchangeofknowledgeandinformationisdifferentateachlevelanddepartment

requiringtheeducatortounderstandtherequirementsandhowtodeliverwhatisneeded.

Withtheuseoftheorybasedmaterialandgroupexercises,criticalreflectionofthoseinattendancewill

identifywhattypeofadultlearnertheyare.Transformationalleadershipqualitiesandrequirementswill

bepresentedinordertosupportthetransferofknowledgewithintheworkplacesettingatthevarious

levels.Thepresentationwillalsoincludethecreationofanoptimumlearningenvironmentwiththe

opportunitytodiscussanddevelopformalizedplansastothelayoutforvariousscenarios.

Instructionalstrategiesforthevisual,auditoryandkinestheticlearnerwillbedependentuponthe

learningstyle.Clinical,financialandadministrativeexpertisepresentsitselfinvariouslevelswithina



workenvironmentasdoestheassociatedlearning.OutcomesoflearningtheMEIDTECHHISwilldepend

onthelearninglevelofcompetenceaswellaschoiceto:

• Individualvs.smallgroups

• Typesofmaterialsandresourcesforthespecificscenario

• Levelofdifficulty

• Styleofpresentationofknowledgetransfer

DonnaWellsRNBScN,Consultant,BeaconPartners,has25yearsofhealthcareexperiencewitha

primaryfocusintheclinicalarea.ShehaspracticalandtechnicalexperiencewithmultipleMEDITECH

applicationswhichincludesimplementingandsupportingtheMEDITECHclinicalsystem.Building,

implementationandupgradingoftheEmergencyDepartmentManagement(EDM)module,Ministryof

HealthandLongTerm-CareinitiativeHealthOutcomesforBetterInformationandCare(HOBIC)in

additiontoVersion2Allergies,hadworkingwithnurses,physicians,alliedhealthandthevariouslevels

ofmanagementleadtosuccessfulprojectoutcomes.Effectiveidentificationofoptimalnursingpractice,

workflowandtranslatingprocedureswithintheMEDITECHNursing(NUR)applicationsupportedthe

necessarytransferofknowledgewithinanorganizationworkingwithvariousversionsofMEDITECH.

Ms.WellsrecentlycompletedherBScNatRyersonUniversityinToronto.Herinterestinthetransferofknowledgetotheadultlearnerhasledhertotheapplicationofherstudiestothoselearning,working,

teachingandutilizingtheMEDITECHsystem.

103-TheFlowtoEHRMeaningfulUse–Mapping,AnalysisandDesignofClinicalCare

Processes

Presenters:CatherineRenwickandCharlenePickles

Organization:HealthtechConsultants

Abstract:Theimplementationofelectronichealthrecords(EHR)canresultinaclinicaltransformation,improvedpatientsafetyandclinicaloutcomes,increasedefficienciesandoptimalresourceutilization.

However,widespreadadoptionanddeepuptakehasbeensluggish.Asclinicalbestpracticecontinues

itsmigrationtointerdisciplinarycare,basedonaccesstopatientinformationandsharedclinical

pathways,theavailabilityofanintegratedandcompleteEHRhasbecomeincreasinglycritical.

Healthcareorganizationsaremotivatedtodemonstrate‘meaningfuluse’ofEHRs,specifically:1)utilizing

theminasubstantialway,2)exchanginghealthinformationtoimprovethequalityofcaredeliveryand

3)toreportonclinicalmeasuresandoutcomes.Methodicalmappingandanalysisoftheflowofwork,

cliniciansandinformationcoupledwithadeepcontextualanalysisofthepatientjourneyare

foundationaltosuccessfulEHRplanning,implementationandadoption/uptake.Thispresentationwill

discussbothestablishedandnewmappingandanalysismethodologiesincludingvaluestream

enhancement,patientjourneymodeling,principlesofintegratedworkingandtheirimplicationsforEHR

planning,implementation,meaningfuluseandevaluation.

Anursewithover30yearsofhealthcareexperienceacrossthecarecontinuum,CatherineRenwickhas

providedguidanceandsupporttomanyorganizationsinthesuccessfulplanning,implementationproject

management,evaluationandoptimizationofelectronicclinicalinformationsystems.Withaconsistent

focusontheroleoftechnologytosupportprofessionalpracticeandenableclinicaldecisionmaking,

Catherinehascoachedcliniciansofmanyorganizationsintheirmigrationfrompaperbasedclinical

informationtoelectronicdocumentationandreporting.



CharlenePickleshasover20yearsclinicalexperienceinDiagnosticImaginganddeepexpertisein

MEDITECHasevidencedbyhernumeroussuccessfulengagementsinbusinessanalysis,clinical

implementationleadandintegratedhealthcareinformationsystemimplementations.Withherpatient

carefocusedmannerandinnateabilitytocommunicatewithcareandserviceproviders,Charlenehas

providedcommonsenseimplementationprojectmanagementandsubjectmatterexpertiseformany

healthcareorganizations.

104-CanadaHealthInfowayUpdate

Presenter:LynneZucker

Organization:CanadaHealthInfoway

Abstract:ThissessionwillupdateparticipantsonprogramsatCanadaHealthInfowaywithafocuson

currentinitiativestoexpandtheuseofelectronicmedicalrecordsolutionsincommunityand

ambulatorycaresettings.Pan-Canadianinitiativestointegratehospitalsystemswiththeelectronic

healthrecord(EHR)willalsobediscussed.

AsVicePresident,ClinicalSystemsIntegration,LynneZuckerisresponsibleforInfowayprogramsthat

promoteconnectingelectronicmedicalrecord,hospitalandpharmacysystemstotheElectronicHealth

Recordaswellasincreasingtheadoptionofelectronicmedicalrecordsolutionsincommunityand

ambulatorycaresettings.LynneisaprofessionalengineerwhobringstoInfowayarangeofexperience

intheinformationtechnologyindustry,includingleadershiprolesatSunMicrosystemsandApple

Computer.

105-BedsideMedicationScanningatthePointofCareYear5

Presenter:CharlesStill

Organization:SouthwesternVermontMedicalCenter

Abstract:Failuretoanticipatecommonworkaroundstobarcodemedicationadministration(BCMA)

systemswillresultintheirrealization.WorkaroundstoBCMAsystemscandrasticallyreducethe

effectivenessofthetechnologyinreducingpatientmedicationerrors.Numerousstudieshaveoutlined

hownursingworkaroundscanreducethesafety-enhancingfeaturesprovidedbyBCMA.Awardeda

grantfromtheAgencyforResearchandHealthCareQuality,SouthwesternVermontMedicalCenter

(SVMC)implementedtheirBCMAsystemaggressively,addressingtheoccurrence,reasonsandsolutions

toworkaroundsofbestpractices.SVMCnursesachievedaninpatientbarcodescanningrateinexcessof

99percentandamedicationscanrateinexcessof97percent.

ThispresentationwillreviewtheprocessesSVMCusedtoimplementBCMA,whichincluded

incorporating2-Ddatamatrixbarcodes,creatingtoolstomeasurescanrates,andidentifyingand



mitigatingworkarounds.Theseprocessenhancementsmayberapidlyadoptedbyotherorganizationsto

improvemedicationsafety.

CharlesJ.StillMBAisamemberoftheteamthatwonthe2011WaypaverAwardforBarcodingatthe

PointofCare.Hisworkmostrecentlyappearinginthe2011SummerJournalofHealthcareInformatics

andtheJuly/AugeditionofPatientSafetyandQualityHealthCare.

106-TheAscent:HenryMayoNewhallMemorialHospital'sEDMImplementation

Presenter:AdnanHamid

Organization:HenryMayoNewhallMemorialHospital,Valencia,California

Abstract:HenryMayoNewhallMemorialHospitallocatedinValencia,California,successfully

implementedEDMinsevenmonthsincludingCPOEandPhysicianDocumentation.Learnaboutthe

effortstakenbytheEDMCoreteamtomeetthisaggressivetimelineandwhatlifeisnowlikeinthe

EmergencyDepartment.

AdnanE.HamidistheITDirectorofApplicationServicesatHenryMayoNewhallMemorialHospital

(217-bedfacility)inValencia,CA.PreviouslyhewasaBusinessSystemsAnalystatHuntingtonHospital

(525-bedfacility)inPasadena,California.Priortothat,hewasaProjectManageratValleyPresbyterian

HospitalinVanNuys,California.HehasoverfourteenyearsofexperienceinthehospitalITsetting.

AdnanhasaB.Sc.inBiomedicalEngineeringfromBostonUniversityandaMBAconcentratedin

HealthcarefromthePaulMerageSchoolofBusiness,UniversityofCalifornia,Irvine.Heisrecognizedasa

CertifiedHealthcareChiefInformationOfficer(CHCIOe)withtheCollegeofHealthcareInformationManagementExecutives(CHIME),CertifiedProfessionalinHealthcareInformationandManagement

Systems(CPHIMS)andachievedFellowstatuswithHealthcareInformationandManagementSystems

Society(HIMSS).HecurrentlyservesastheChairmanoftheMUSEInternationalBoardofDirectors.



107-Registration:TheFoundationofHospitalBusiness

Organization:BostonSoftwareSystems,Inc.

Presenter:KimBottcher

Abstract:Thebasicpatientinformationgatheredintheregistrationprocessformsthebasisofcareand

revenue.WhetherpartofanEMRimplementationorasastrategicmovetowardsoperationalefficiency,moreandmorehospitalsareautomatingpartoralloftheirregistrationprocess-andinavarietyof

ways.Thesehospitalsarefindingtheycanimproverevenueandefficienciesthroughoutthe

organization.Duringthissessionwewillexplorethevariouswaysyoucanautomateregistrations,the

workflowstoconsiderduringimplementation,whattoexpectandthebenefittopatientsandstaff.

KimBottcherisaTechnicalSpecialistwithBostonSoftwareSystems,Inc.Kimhasover15yearsof

healthcareexperienceassistinghospitalswithavarietyofprojectsthatrunningthegamutfrombasic

dictionaryupdatestocomplexpaymentposting.PriortocomingonboardwithBostonSoftware

Systems,sheranaconsultingbusinessprovidingscripting,databasedevelopmentandtrainingservices.

Shehas10yearshospitalITexperienceworkingasaMEDITECHSystemsandClinicalApplications

Analyst.Duringthistimesheservedontheimplementationteamsforthehospital’sOrderEntry,PCIand

Schedulinggo-lives.

108-EasternHealthPhysicianPortal:ImprovingCommunicationswithPhysicians

Presenter:TerryMouland

Organization:EasternHealth,St,John’sNewfoundland

Abstract:ThepresentationwillprovideanoverviewofaPhysicianPortalandon-callsystemthatwas

developedandmadeavailabletoallphysicianscredentialedwithEasternHealth.Theportalcanbe

accessedviatheEasternHealthIntranetandInternet.

ThisportalhasbeendesignedwiththeassistanceoftheCommunityMedicalAdvisoryCommitteeand

ourInformationManagement&TechnologyandStrategicCommunicationsteamstoimprove

communicationswithourphysicians.Wearehopingthatthiswillbecomeago-tositeforphysicians

lookingforinformationonresourcesavailabletothemwithinEasternHealth.Thefirstphaseincluded

overallinformationaboutourservicesincludingcontactinformationforourprogramleadership&

physicians,accesstoformsandpolicies,informationregardingpublichealthissuesandpharmacyalerts

alongwithamessagingboardforurgentmessages.WearealsoplanningtohaveourlinktoMEDITECH

availablefromtheportalwiththeroleoutofoursecondphase.

TerryMoulandiscurrentlytheDirectorofInformationManagementandTechnologyatEasternHealth,

thelargestintegratedhealthorganizationinNewfoundlandandLabrador.EasternHealthemploysover

13,000healthcareandsupportservicesprofessionalsandoperates25acute,community,cancerand

longtermcarefacilities.IthasbothMagicandClientServerMEDITECHsystemsthatwereinheritedfrom

itslegacyorganizations.PriortoworkingwithEasternHealth,TerrywasManagerofApplications

DevelopmentwithNewfoundlandandLabradorHydro.

Terry’seducationincludesaComputerSciencedegreeandaMBAfromMemorialUniversityof

NewfoundlandaswellasaHealthServicesManagementdiplomafromTheCanadianHealthcare

Association.



109-AOM–AStepTowardsPaperlessRequisitioningforAmbulatoryPatients

Presenters:CharlenePicklesandJeannieBorg


Abstract:MEDITECH’sAmbulatoryOrderManagement(AOM)Moduleenablesmanagementofambulatorypatientreferrals,diagnosticprocedureordersandmedicationprescribingfacilitatedby

orderentrywithdecisionsupporttools,remindersandalerts.Patientsafetyandresourceutilizationare

enhancedbyintegrationwithotherMEDITECHmodules.UsedinconjunctionwithImagingand

TherapeuticServices(ITS)andLABmodules,AOMprovidesasteptowardspaperlessrequisitioningfor

ambulatorypatientsandmovesorganizationsclosertoapaperlessenvironment.Thispresentationwill

provideapracticaloverviewofAOMfunctionalityanddiscusskeycomponentstoachievesuccessful

implementationandpromoteuseradoptionanduptake.

CharlenePickleshasover20yearsclinicalexperienceinDiagnosticImaginganddeepexpertisein

MEDITECHasevidencedbyhernumeroussuccessfulengagementsinbusinessanalysis,clinical

implementationleadandintegratedhealthcareinformationsystemimplementations.Withherpatient

carefocusedmannerandinnateabilitytocommunicatewithcareandserviceproviders,Charlenehas

providedcommonsenseimplementationprojectmanagementandsubjectmatterexpertiseformany

healthcareorganizations.

JeannieBorghas13yearsofexperienceinthehealthcareindustrywithafocusonElectronic

DocumentationManagement,patientcareandinterprofessionalclinicalworkflow.Additionally,Jeannie

hassixyearsofMEDITECHexperiencewithMagic,ClientServerand6.0software.Thisexperience

includessupportandoptimizationofComputerizedProviderOrderEntry(CPOE),ProviderOrder

Management(POM),PatientCareInquiry/ElectronicMedicalRecord(PCI/EMR),Emergency

DepartmentManagement(EDM),ClinicalDocumentation(NUR)andmostrecentlya6.0OM/AOMnew

implementation.

110-ORM101

Presenter:CaroleWeinstein

Organization:TheValleyHospital,Ridgewood,NewJersey

Abstract:AnoverviewofthecomponentsoftheOperatingRoomManagementmodule(ORM)willbe

presented,includinginformationflowbetweenthecomponents,tipsondictionarydesign,available

interfaces,integrationwithMMandPHA,etc.ThemoduleoverviewwillbepresentedinMagic5.64,

butcomparisonsandscreensfromClientServerORMand6.0ORMwillalsobediscussed.Ifyou're

thinkingofswitchingtoORMfromanothersurgerysystem,orarenewlyresponsibleforsupporting

ORM,thispresentationwill"fillintheblanks"foryou.

CaroleWeinsteinisaProjectSpecialistatTheValleyHospital,a451-bedacutecarefacilityinnorthern

NewJersey.Overthelast13years,shehasimplementedmultipleMEDITECHclinical,administrative,

andfinancialmodules.Sheisjustcompletingatwo-site,fourdepartmentrolloutofORMin24

operatingrooms,andisstillsmiling.



111-AchievingStage7withMEDITECH

Presenter:DenniMcColm

Organization:CitizensMemorialHospital,Bolivar,Missouri

Abstract:JoinustodiscussthestepstoqualifyforrecognitionasaStage6andthenStage7hospitalon

theHIMSSAnalyticsEMRAdoptionModel(EMRAM).ThismodelappliestoboththeU.S.andCanada.HIMSSAnalyticsdevisedtheEMRAdoptionModeltotrackEMRprogressathospitalsandhealth

systems.TheEMRAMscoreshospitalsontheirprogressincompletingthe8stagestocreatinga

paperlesspatientrecordenvironment.CitizensMemorialiscurrentlytheonlyStage7hospitalusing

MEDITECHintheU.S.

DenniMcColmisChiefInformationOfficerforCitizensMemorialHealthcare.DennihasbeenatCitizens

Memorialsince1988,servingasDirectorofHumanResourcesandDirectorofFinancebeforemoving

intotheCIOroleinJune,2003.DenniservedontheCertificationCommissionforHealthInformation

TechnologyasaCommissionerfrom2006-2008.ShealsoservedontheDaviesAwardsofExcellenceOrganizationalSelectionCommitteefrom2006-2008andagainin2010.Denniisamemberofthe

BoardofDirectorsforMUSE,MedicalUsersSoftwareExchangeandtheEditorialBoardforHealthcareIT

News,publishedinpartnershipwithHIMSS.DenniholdsaMasterofBusinessAdministrationdegree

fromtheUniversityofMissouri-Columbia.



112-UsingExceltocreateIntermediateandAdvancedNPRReports–DictionaryDownload

Example

Presenter:SteveMogg

Organization:NorthBayRegionalHealthCentre,NorthBay,Ontario

Abstract:ThispresentationwillshowhowtouseExceltoquicklyaddcomputedfieldsandmacrologictoareportwhichcansavehoursofreportwritingtime.Theexampleusedwillbedownloadinganentire

mainsegmentofadictionarybyusingtheMEDITECHDataDefinitionfromtheMEDITECHwebsite.This

examplewillbeformattedforExcelsothedictionarydatacanbeeffectivelyanalyzedforerrorsand

anomalies.

SteveMoggisanApplicationsAnalystatNorthBayRegionalHealthCentre.HeisoriginallyfromSault

Ste.MariewherehestartedhiscareeratSaultAreaHospital.HeholdsaB.Sc.inComputerScienceand

hasbeenworkingwithMEDITECHforabout5years.Heenjoyscomputerprogramminganddoesn’t

mindtacklingdifficultreportingchallenges.HehaswrittenreportsforADM,PHA,LAB,MM,MIS,NPR,

NUR,OE,OPS,ORM,PCI,RADRW…andhasexperiencewithbothMAGICandC/Splatforms.

113-ClarityAboutCloud:LeveragingVirtualInfrastructureinHealthcareInformation

Systems

Presenter:JimFitzgerald

Organization:Dell

Abstract:Hospitaldatacentersandserviceproviderdatacentersaremovingtothecloudforallthe

rightreasons:moreefficientuseoftechnicalinfrastructure,bettermanagementtools,and

(theoretically)higheravailability.Withfouryearsofactiveimplementationofvirtualenvironmentsand

acloudhostingservice,wehavedevelopedanorganicsenseforwhatworks,whatdoesn’twork,andwhat’snextinthevirtualizationofHealthcareInformationSystems.Joinusforamoderatelytechnical

reviewoftopicsincluding:

• ThecurrentstatusofvirtualizationacrossallversionsofMEDITECH.

• Promisingevolutionsintheprovisioningandmanagementofservers,storage,andnetworking.

• The“myth”ofhighavailabilityinvirtualenvironmentsandwhatyouneedtodotomakeita

reality.

• Thereturnofthemainframe–doyouneedtightlycoupledphysicalinfrastructureforvirtual

environments?

• HowvirtualdesktopsareworkingatMEDITECHhospitals,

• Whichvirtualmanagementtoolsworkbestandwheretheyfit.

• Whatyouwillneedtobuildinyourcloud,whatyoucansourceinthecloud,andevolvingaservices-basedapproachtoIT.

JamesJ.Fitzgerald,ChiefTechnologyOfficer,MEDITECHSolutionsGroup,Dell,hasbeenworkingwith

computerssinceheprogrammedDEC-PDP8’sattheRoxburyLatinSchoolatage16.Ina25+yearcareer

hehasheldstaffandexecutiverolesinsales,marketing,andproductmanagementincompanies

includingMicrocom,InternetworkSystems,JJWild,PerotSystems,andnowDell.Jimhasbeenanintegral

partofthenetwork,systems,andstoragetechnologydesignteamforover400hospitalsusingthe



MEDITECHHealthcareInformationSystem,andhasenvisionedandshepherdedthecreationofa

solutionsportfoliothatincludesMEDITECH’ssupportVPN,turnkeyvirtualizedinternalprivateclouddata

centersforMEDITECHhospitals,self-hostedandmanageddisasterrecoveryservices,andMSite,Dell

Services’privateexternalcloudMEDITECHHostingService.

Jim’scurrentfocusisonexpandingthebenefitsofvirtualizedservers,clients,andnetworkstothe

healthcarecommunityandworkingwithhiscolleaguesatMEDITECHtodrivetowardszerodowntime

healthcareinformationsystems.JimholdsaBAinPsychologyfromBatesCollegeandanMBA

concentrationintechnologyentrepreneurshipfromBabsonCollege.Whileearninghisgraduatedegree

throughnightclassesin1992,JimwaswinneroftheprestigiousDouglassFoundationAwardrecognizing

hisbusinessplanforEvergreenTechnology,Inc.

114-DevelopmentandImplementationofanElectronicWarningScoringSystemtoDetect

EarlyClinicalDeterioration

Presenter:MaryBaker

Organization:CentennialMedicalCenter(afacilityofHCATriStarDivision),Nashville,Tennessee

Abstract:Tofacilitateearlydetectionandtreatmentofclinicaldeteriorationofadultpatientsinmedical

surgical(MS)andstepdown(SD)patientcareareas,anelectronicEarlyWarningScoringSystem(EWSS)

wasdevelopedandimplementedbyaninterdisciplinaryteaminalargetertiary,urbanhospital.The

EWSSutilizessixphysiologicalparameters(temperature,heartrate,respiratoryrate,systolicblood

pressure,oxygensaturationandneurologicalstatus).

Basedonpre-determinedcriteria,theelectronichealthrecord(MEDITECH)assignsascoretothe

physiologicalparameterandcalculatesanaggregatescore.Scores>5andincreasingscoresmaybe

associatedwithanincreasedriskofclinicaldeterioration.Thesystemassignsthescoresandcalculationsviatraditionalattributesandincludesminimaluseofmacros.OAmessagingand@W.errkeywordsare

usedtoprovideautomatedalertsthatguidedirectcaregiversandmembersoftheCriticalCare

OutreachTeam(CCOT)towardsappropriateaction.

CustomizedNPRreportsguidedirectcaregiversandmembersoftheCOCCTtowardsprioritizationof

careandroundingactivities.TheEWSSwasimplementedwithoutadditionalsoftwareandhardware

expenditures.TheEWSSpromotesuseofhealthinformationforclinicaldecisionsupportatthepointof

care.UseoftheEWSShasdecreasedtheArrestRate(respiratoryandcardiopulmonary)inpatients

locatedinMSandSDpatientcareareas.

MaryBakerRN,BSN,hasover30yearsofexperienceinhealthcaresettingsthatincludessevenyearsin

healthcareinformatics.MaryisaclinicalapplicationsmanagerintheClinicalApplicationsServicesof

HCATriStarDivisionInformationTechnologyandServices.Marycoordinatestheactivitiesofthehospital

clinicalanalystsandprovidessupportforMEDITECHapplicationswithafocusonthenursingmodule.

MaryhasprovidedITdevelopmentandsupportfortheITcomponentsutilizedintheElectronicEarly

WarningSystem.



115-BenchmarkingEHRSuccess

Presenters:DenniMcColmandTJTemple

Organization:CitizensMemorialHospital,Bolivar,Missouri;OzarksMedicalCenter,WestPlains

Missouri

JoinustolearnaboutmeasuringandbenchmarkingtheusageofelectronichealthrecordsforhospitalsinCanada.

TheU.S.hasadoptedmeasuresofsuccessintheimplementationanduseofelectronichealthrecordsto

drivenation-wideadoption.TheU.S.governmenthasincentivizedthatadoptionwithfinancialrewards

forhospitalsandphysicians,butonlywhenhospitalsandphysiciansmeetspecificmeasuresthatare

definedas“meaningfuluse.”ThosemeasuresincludefunctionalmeasuresonuseoftheEHRsystemand

qualityofcaremeasuresthatcanbeextractedfromtheEHRsystem.CitizensMemorialHospitalwasthe

firstMEDITECHhospitalintheU.S.toachievethesemeasuresandqualifyfortheincentivepayments

andOzarksMedicalCenterisonthepathtoqualifyfortheincentiveswithinafewyears.

WewillreviewthesemeasuresandleadadiscussiononhowtheymightbehelpfulforCanadian

hospitals.

DenniMcColmisChiefInformationOfficerforCitizensMemorialHealthcare.DennihasbeenatCitizens

Memorialsince1988,servingasDirectorofHumanResourcesandDirectorofFinancebeforemoving

intotheCIOroleinJune,2003.DenniservedontheCertificationCommissionforHealthInformation

TechnologyasaCommissionerfrom2006-2008.ShealsoservedontheDaviesAwardsofExcellence

OrganizationalSelectionCommitteefrom2006-2008andagainin2010.Denniisamemberofthe

BoardofDirectorsforMUSE,MedicalUsersSoftwareExchangeandtheEditorialBoardforHealthcareIT

News,publishedinpartnershipwithHIMSS.DenniholdsaMasterofBusinessAdministrationdegree

fromtheUniversityofMissouri-Columbia.

TJTempleisITApplicationsManageratOzarksMedicalCenterinWestPlainsMissouri.HehasanundergraduatedegreeinMedicalTechnologyandaMastersdegreeinbusinessadministration.Ozarks

MedicalCenterisa110-bedClientServerhospitalmovingtoversion5.65inDecemberofthisyear,

planningtoattesttomeaningfuluseinMarchof2012.TJwasappointedtotheMUSEeducation

committeein2010andcontinuestoservein2011.

116-BeyondVNA–BuildingaCompleteEnterpriseHealthcareArchiveforMEDITECHData

andMore

Presenter:CharlesMallioOrganization:BridgeHeadSoftware,Inc.

Abstract:YoumayhaveheardtheindustrybuzzaboutVendorNeutralArchives,orVNAs.These

solutionsarepromotedasbeingabletofreeyoufromthe“tyrannyofyourPACSvendor”andenabling

youtotakecontrolofyourmedicalimagedata.Alaudablegoal,butmostofthesesolutionsfocussolely

onmedicalimagesandneglectthelargerissueofmanagingtheentiretyofhealthcaredatainyour



organization.Inthissession,wewilldiscussthefullscopeofdatagrowthproblemsfacingHealthcareIT

todayandofferstrategiesforcopingwiththisprobleminacost-effectiveandscalablemanner.

CharlesMalliohasworkedinhealthcareforover20years,specializinginITspecificallysince1995.AsVP,

ProductStrategy&BusinessDevelopment,Charlieisresponsibleforunderstandingmarketneedsto

enhanceandexpandBridgeHeadSoftware’sproductset.HeisalsoresponsibleforallianceswithkeyISV

andtechnologypartnersthatcomplementBridgeHeadsolutions.

Charliepreviouslymanagedworldwidetechnicalsupportforcoreinfrastructureatthehealthcare

informationsystemsvendorMedicalInformationTechnology,Inc.(MEDITECH).Priortojoining

MEDITECH,heservedinavarietyofpositionsattheAmericanRedCrossBloodServices.Charlieholdsa

BAinHistoryfromFraminghamStateUniversityinMassachusetts.

117-StandardizedCarePlanningandtheClinicalInformationSystem(CIS)–Arethey

Frenemies?Presenter:CoreyTillyer

Organization:FraserHealth,Surrey,BritishColumbia

Abstract:AccordingtoWikipedia,afrenemycanrefertoeitheranenemydisguisedasafriendortoa

partnerwhoissimultaneouslyacompetitorandrival.

FraserHealth(FH)isoneofsixHealthAuthoritieswithinBritishColumbia.FHishometoMEDITECH’s

largestsinglestandardizedC/Sdatabase,whichhasanMPIcontainingover1.6millionpersons.FH

currentlyhas14hospital’srunningthefoundationalMEDITECHmodules.

Butnowcomesthefunpart…it’stimeforFHtolooktowardadvancingMEDITECHtoensurehealthcareprovidershavetheinformationtheyneedforclinicaldecision-makingatthepointofcare.

InJanuaryandJuly2011,FraserHealthmetwithMEDITECHexecutivestodiscussthelessonslearned

fromotheradvancedclinicalsystemsimplementations(thatwouldbeallofyou!).Comelearnwhat

MEDITECHhadtotelltheFHteamandstayforadiscussionabouthowFHisusingthoselessonslearned

tomoveforwardwithStandardizedCarePlanningwithintheMEDITECHCIS.Thisdiscussionwillinclude

GovernanceoperatingmodelstosupportStandardsforPlanningCareandaMEDITECHAdvancedCIS

roadmap.

CoreyTillyeristheMUSEInternationalBoardSecretaryandDirector-at-largeforCanada.Coreyhas

workedinhealthinformaticsfor15yearsandhasworkherwayfrombeingaClinicalInformation

SpecialisttotheDirectorofHealthInformaticsforFraserHealthAuthority;homeofMEDITECH’ssingle

largestC/SStandardizeddatabase.Corey’sbackgroundasaRegisteredNursehelpshertoensure

cliniciansandpatientsarealwaysattheforefrontoftheinformationsystemsFraserHealthimplements.



118-ChamplainAssociationofMEDITECHPartners(CHAMP)–ARegionalMEDITECH

Implementation

Presenters:HeatherSkanesandKirstenHeilmann-Stille

Organization:BruyèreContinuingCare,Ottawa,Ontario

Abstract:In2008-2009,BruyèreContinuingCaredecidedasanorganizationtoacquire,andbeginthepreparationfortheimplementationofanelectronicpatientrecordtosupportbetterpatientcare.When

fullyimplementedin2014,itwillbethefirstcontinuingcarehospitalinCanadatolaunchthelatest

versionfromthesoftwareproviderMEDITECH.

ThismonumentalprojectwasidentifiedbytheacronymBRIDGEandstoodfor”Bruyère

InterprofessionalDataGeneratedElectronically.”Ahospitalsteeringcommittee,physicianadvisoryand

implementationcommitteewerestruckandwereworkingdiligently.Acharterdocumentrefined,a

high-levelprojectplancommunicated,officespaceobtainedandcorestaffsecured,andclinicalpre-

workunderway,theBRIDGEteamwasset,orsotheythought…

Whilestayinginsidescopeisaprojectmanagementmantra,anopportunitytoworkcloselywithour

peerorganizationstomaximizeourresources,talentandtechnology,andtoliveourvalueof

collaboration,transformedthissingleorganizationprojecttoaLHIN-wideregionalprojectrelatively

overnight.TheBRIDGEprojecthadnowgrownintotheChamplainAssociationofMEDITECHpartnersor

theCHAMPProjectwiththeinclusionofQueenswayCarletonHospital,ArnpriorDistrictMemorial

Hospital,andCarletonPlaceandDistrictMemorialHospital.

Learnaboutwhatittakestomakethiskindofelectronicpatientrecordprojecttransitionfromthe

perspectiveoftheoriginalBruyèreContinuingCareBRIDGEteammembers.Giventhemandateto

createastructureandrelatedprocessestosupportthevisionof“APartnershipofEquals”amongst

hospitals,hearabouthowthisisbeingachievedandlesson’slearnedto-dateinthechangefromasingle

organizationtoaLHIN-wideproject.

KirstenHeilmann-Stille,BScN,RN,istheClinicalInformaticist,NursingatBruyèreContinuingCareandis

acoreteamleadwithCHAMP(ChamplainAssociationofMEDITECHPartners),agroupofsixpeer

hospitalsintheChamplainregionofOntario.Alife-longlearner,havingcompletedagraduatelevel

courseinhealthinformatics,Kirsten’sdeepappreciationofnewtechnologiesanditsabilitytoimprove

theefficiency,safetyandqualityofpatientcareandemployeesatisfactionspurredhertodevelopan

expertiseinadultlearningandtopursueaMastersDegreeinDistanceEducation.Herextensive

experienceasaRegisteredNurseandclinicalleaderallowshertosupporttheCHAMPProjecttowards

thesuccessfulimplementationofanelectronicpatientrecord.

HeatherSkanes,MHSC,SLP,istheClinicalInformaticist,HealthProfessionalsandPhysiciansatBruyère

ContinuingCareandisacoreteamleadwithCHAMP(ChamplainAssociationofMEDITECHPartners),a

groupasixpeerhospitalsintheChamplainregionofOntario.Withanextensivebackgroundin

professionalpracticeasaSpeech-LanguagePathologist,inclinicalprogramdevelopment,management,

anddocumentationredesign,Heatherappreciatestherelationshipbetweenstrongclinicalpracticesand

processes,patientoutcomes,andqualitycare.Thisbroadclinicalandmanagementbackgroundallows

hertosupporttheCHAMPProjecttowardsthesuccessfulimplementationofanelectronicpatientrecord.



119-FacilitatingaProjectPlanningWorkshop

Presenter:TerriCahill


Abstract:Haveyoueverstartedtoleadaprojectwithoutanunderstandingofwhatwillberequiredto

besuccessful?Howoftenhaveyoufoundyourselfleadingaprojectthatiswellunderwayandyouarestrugglingwithstakeholderengagement,accountability,teammemberswithdifferingviewsofthe

projectscope,andaprojectbudgetthatisunderattack?Allofthisdespitesolidprojectplanningand

management?Youcanfacilitateaprojectplanningworkshopasakickofffortheprojectandsetupyour

projectforsuccess.

Haveyoueverbeeninvitedtoaprojectplanningworkshopandthoughtitwouldbeawasteoftime

becauseyoualreadyknowwhatyouneedtodofortheproject?Thissessionwilldemonstratethata

projectplanningworkshopisnotjustabouttheto-dolist.

Theprojectplanningworkshopisavaluabletooltokickoffyourproject.Theworkshopwillengage

stakeholders,ensureasharedunderstandingoftheprojectobjectives,clarifyrequirements,outline

projecttasks,gatherresourcerequirements,identifyprojectrisksanddemonstratecommitmenttothe

project.Youcanleavetheworkshopreadytowriteyourprojectcharter,budget,timelineandplansto

managerisk,communication,andresources.

Theprojectplanningworkshopdemonstratesthepowerofchangemanagementinaction.Yourproject

stakeholderswillleavetheworkshophavingsharedincreatingtheprojectvision,andhowtheproject

willcometolife.Youwillhavestartedtheprocessofbuildingaccountability.Theprojectworkshopand

thesharedexperiencesoftheparticipantswilllaythegroundworkforthose”tough”conversationsthat,

eveninthebestrunproject,inevitabilitymustoccur.Theprojectworkshopcanbeyourfirstchange

managementdeliverable.

Thissessionwillshowyouhowtoplanandrunaprojectplanningworkshopthatwillcreateclarityanddirectionforyouandyourprojectteam.Thesessionwillcoverplanningandfacilitatingtheworkshopas

wellasavarietyoftoolstoengageparticipants,eventhemostdoubtful!Usingacombinationof

presentation,reallifeexamples,andfacilitatedexercise,thissessionwilldemonstratethevalueofa

projectplanningworkshop.

TerriCahillisaseasonedinformationtechnologyconsultantwithover20yearsofexperienceinthe

healthcaresector.Terri’sareasofexpertiseincludeprojectmanagement,performancemanagement,

andfinancialandadministrativeapplicationconsulting.Terrihaspresentedinternationallyonstrategies

forsuccessfulprojectmanagement.

TerriisaCertifiedProfessionalinHealthcareInformationandManagementSystems(CPHIMS-CA)anda

CertifiedProjectManagementProfessional(PMP).Terriiscurrentlyprovidingleadershiptoavarietyof

clientprojectsaswellasHealthtech’sProjectManagementOffice.



120-TheStoryofa5.6.5C/SUpgrade

Presenter:JeanOlsen

Organization:CenturaHealth,Englewood,Colorado

Abstract:Afullreviewoftheprojectfrombeginningtoendofa5.6.5C/SUpgradewillbepresented.

Projectplans,responsibilities,andlessonslearnedwillbeshared.Aquestion/discussiontimewillalsobeprovided.Thisprojectwascompletedovera12-monthtimeframeforalargehealthcare

organizationinColorado.Itinvolvedtrainingover13,000usersthroughoutthe12hospitals,60+

physicianoffices,andanumberoffreestandingclinics.TheUPTtoolwasusedbytheITpersonnelasa

meansofupdatingtheLIVEenvironment.

JeanOlsen,RNBSN,hasbeeninvolvedwiththeElectronicHealthRecordforover17years.Asthe

ProgramManageronthisproject,itwasimportanttoprovidecommunicationsandleadershipthat

encompassedallapplications,endusers,andexecutiveleadership.Withover25yearsofclinicalnursing

experienceinvolvingmanyareasofhealthcare,threeyearsofauditandB/ARexperienceandthepast

yearsofInformationTechnology,Jeanprovidesabroadbasedbackgroundoftheintegrationinvolvedin

producinganeffectiveEHRsystem.JeaniscurrentlyemployedatCenturaHealth,Colorado'slargest

healthcareorganization,asaDirectorPrograms.

121-AnIntegratedOperationalAssessmentbyMEDITECH

Presenter:JeanOlsen

Organization:CenturaHealth,Englewood,Colorado

Abstract:CenturaHealthinvitedMEDITECHtodoanIntegratedOperationalAssessmentinvolvingall

applicationsduringthesametimeframe.This2½-dayOperationalAssessmentinvolvedover20

MEDITECHApplicationSpecialistsonsite.Discussionsandsitevisitstookplace.Thepurposeofdoingan

IntegratedOperationalAssessmentwillbepresentedalongwiththeprocessusedforsettinguptheassessment.Someoftheresultsoftheassessmentwillbepresentedwithcurrentfollowthrough

completedorinprocess.AdditionalinformationaboutMEDITECH'snewOperationalAssessment

offeringswillalsobepresented.

JeanOlsen,RNBSN,hasbeeninvolvedwiththeElectronicHealthRecordforover17years.Asthe

ProgramManageronthisproject,itwasimportanttoprovidecommunicationsandleadershipthat

encompassedallapplications,endusers,andexecutiveleadership.Withover25yearsofclinicalnursing

experienceinvolvingmanyareasofhealthcare,threeyearsofauditandB/ARexperienceandthepast

yearsofInformationTechnology,Jeanprovidesabroadbasedbackgroundoftheintegrationinvolvedin

producinganeffectiveEHRsystem.JeaniscurrentlyemployedatCenturaHealth,Colorado'slargest

healthcareorganization,asaDirectorPrograms.



PeerGroupMeetings

EDM–EmergencyDepartmentManagement

PeerGroupLeader:SusieThibeaultBScNMISt,ApplicationSpecialist

Organization:HamiltonHealthSciences,Hamilton,Ontario

ED-PIP/DARTandBusinessIntelligence

Presenter:NoelDevost

Organization:HopitalRegionalSudburyRegionalHospital,Sudbury,Ontario

Abstract:EmergencyDepartmentProcessImprovementProgram(ED-PIP)isastructuredprogramto

supportimprovementsinEDLengthofStay(LOS)metricsandbuildcapabilitieswithinhospitalsforlong

termsustainablechangethroughLEANmethodologies.Theprogramfocusesoncreatingsustainable

processimprovementswithinthehospitaltoimprovepatientflow.

SudburyRegionalHospital(HRSRH)hasimplementedDART(DailyAccessReportingTool)usingadvanced

businessintelligenceandwebtechnologiestoautomateandstreamlinethecaptureofand

disseminationofperformancemeasuredatadirectlyfromMEDITECH.Thisdecisionmakinginformation

isprovidedwithtrendgraphing,performancehistory,thresholdalertingandevendrilldowntosource

patientdataofferinganindustryleadinguserexperience.

NoelDevosthasbeenanI/Tprofessionalforthepast23yearsandhasworkedasacorporateconsultant,

softwaredesigner,programmer,DatabaseAdministrator(DBA)andTeamLead.Hehasworkedbothin

theprivateandpublicsectorandhasservedtheSudburyRegionalHospitalsinceearly1999.Hehasbeen

achampionforbusinessintelligence,MEDITECHintegrationandsoftwaresolutiondevelopmentat

HRSRHwithastrongfocusonperformanceimprovementinitiatives.Theintegrationofwebbased,

businessintelligenceandvalueaddedsolutionswithMEDITECHhasbeenandcontinuestobeafocal

pointofhisdevelopment.

NPRReportWriter

PeerGroupLeader:SteveMogg,ApplicationsAnalyst

Organization:NorthBayRegionalHealthCentre,NorthBay,Ontario

ORM-OperatingRoomManagementPeerGroupLeader:KennethTam,ClinicalSystemsAnalyst

Organization:PeterboroughRegionalHealthCentre,Peterborough,Ontario

PCS/NUR–PatientCareSystem/Nursing

PeerGroupLeader:OliverDelapaz,Coordinator,ClinicalInformatics




PCI/EMR–PatientCareInquiry/ElectronicMedicalRecord

PeerGroupLeader:ReneCampbell,SeniorConsultant,HealthInformatics&KnowledgeManagement


SCA–ScanningandArchiving

PeerGroupLeader:BrianNelligan,ISSystemsAnalyst

Organization:HumberRiverRegionalHospital,WestonON



Workshops

701-WhatisYour6.0LearningProjectPlan?

Instructor:KerryKuehn

Organization:SedonaLearningSolutions

Abstract:InordertoachieveoptimalusersuccesswhenimplementingMEDITECH6.0,itisimportantto

designandpresentacarefullyplannedlearningprogram.Thisworkshopwillhelpyoutoselectthemost

appropriateoveralleducationalstrategyforyour6.0upgrade.

KerryKuehnistheFounderandDirectorofLearningforSedonaLearningSolutions,LLC,aneducational

consultingfirmfocusedsolelyonthelearningneedsofhospitalsandmedicalgroups.Kerrygraduated

fromtheUniversityofWisconsin–EauClairewithaBAinEducationin1992.Hemovedintocorporate

andadultlearningin1996,comprehensivelymanaging,designinganddeliveringITeducationforthe

insuranceindustry.

KerrymadethetransitiontothefieldofInformaticsandElectronicMedicalRecordeducationin2002,

acceptingarolewithCerner’sVirtualUniversity,andworkedwithavarietyofhospitalclientsnationwide

intheirpathstoEMRimplementation.

KerryfoundedSedonaLearningSolutionsin2006,combininghiseducationalfoundationandadecadeof

adultlearningexpertise-includingseveralyearsofindependentconsultingonEMRimplementationsin

theareasofprojectmanagement,curriculumdesignandinstructionaldelivery.

702-ProviderDocumentation/ProviderComputerOrderEntry:“Focus”onLessonsLearned

atCanadianSites

Instructor:CarolDueck


Abstract:ImplementationofaCPOEsystemandProviderDocumentationaresomeofthemost

complexprojectsthathealthcareorganizationswilltackle.Successfuladoptionbycliniciansrequiresa

majorshiftinadministrative,clinicalpoliciesandpracticesandastrongorganizationalculture

committedtosupportingongoingchange.Awell-designedimplementationplanmustincludeawell-

developedprojectdesignandmanagementplan;adetailedworkflowanalysis;anapprovedtemplatefor

ordersets;aprocesstoengagephysicians;acustomizabletrainingplanandorganizationwide

communicationandengagementthroughouttheproject.Benefitstotheorganizationadoptingthis

technologyincludeimprovedefficiency,datadrivendecisionmaking,enhancedteamwork,improved

interdisciplinarycollaborationandareductioninmedicalerror.

Thispresentationwilloutlinethecriticalelementsandthelessonslearnedduringtheimplementation

CPOE/ProviderDocumentationattwoCanadiansitestopromoteasuccessfuladoptionofthenew

advancedclinicaltechnology.Theinteractiveworkshopwillinclude:



• DesignideasforCPOEsystemandordersetswitheyetolinkclinicaldecisionsupportsystem

(CDSS)toensurebestpracticeinformationguidesprovidersattheorderstage;

• Examiningresistancetochangeandthesignificantrolethatmanagingchangefactorsintothe

adoptionoftechnology;

• Tipsforattentiontoworkflowandperceivedshiftsinpowerrelatedtoworkredistributionand

safetyinitiatives;

• Templatesthatfocusonquality,reportingcriteriaandstandardizationwithoutslowingthe

documentationprocess;

• Guidelinesforchoosingdevices

CarolDueckisanexperiencedhealthcareconsultantwithover30yearsofexpertiseinimprovingpatient

careandhealthcaredeliveryinCanada.Sheispassionateaboutthetransferofknowledgerelatedto

clinicalpracticeandpatientsafety.Carolisleadingmanyinitiativesgearedtowardstheadoptionof

electronichealthrecordsandsafemedicationmanagementsystems.

Overthepastfouryears,Carolhasledsixreadinessassessmentsforenhancedtechnologyinmedication

managementsystemsandComputerizedProviderOrderEntryatmid-sizecommunityandlargetertiary

hospitals.CarolwastheClinicalLeadfortheimplementationofaprovince-widewait-timeimprovementinitiativefortheNovaScotiaDepartmentofHealth.Carolisactivelyparticipatingwiththeteamtobuild

andimplementAdvancedClinicalSystemsandProviderComputerOrderEntryfortheMEDITECH6.0

installationintheTerritoryofNunavut.CaroljoinedHealthtechin2006.

Documents

MUSE Event - Toronto - Presentations