2013 International MUSE Conference
Jan 26, 2015
2013 International MUSE Conference
Educational Presentations 1001 -‐ Charting a Course: Restructuring Patient Admission Documentation Presenter: Ann Hanson Organization: William W. Backus Hospital, Norwich, Connecticut Scheduled: Thursday May 30 at 1:30 pm Abstract: Admission experience, overall, is dependent upon the tools available at the patient's point of entry to the hospital system. Diverse tools have been developed and implemented by various outpatient and inpatient units resulting in redundant data collection, inefficiencies in nursing admitting practices, and patient and staff dissatisfaction. In an effort to combat these outcomes, a multidisciplinary task force convened to address the current inefficiencies, dissatisfaction, and fragmentation of processes as they relate to the patient experience upon admission. The improvements have resulted in minimization of redundancy in data collection by 11 Interventions and up to 124 distinct queries. Time spent documenting patient admitting data has been reduced significantly. Standardization of data collection and documentation has facilitated location of patient information in the EMR by the entire multidisciplinary team. Ann M Hanson MSN, RN is the Nurse Informaticist at William W Backus Hospital in Norwich, CT. Learner Outcomes:
• Participants will be empowered to recognize redundancies, inefficiencies, and opportunities for improvement of admission practices at their respective facilities.
• Participants will identify strategies to improve admission documentation and practices. • Participants will be prepared to operationalize strategies to improve admission documentation
and processes. 1002 -‐ Using LEAN to Optimize PCS Presenter: David Holland Organization: Southern Illinois Health Care, Carbondale, Illinois Scheduled: Thursday May 30 at 2:30 pm Abstract: Learn how Southern Illinois Healthcare is using LEAN to improve its clinical process and to optimize its PCS implementation. See examples on how we developed Value Stream Maps, identified waste, and improved processes. Learn how IT played an important part in helping clinical staff understand how workflows and system flows interact and impact each other.
See how we are using Lean Daily Management to develop ideas and suggestions which we can integrate into our systems. Plus, benefit from lessons learned and hear suggestions for other health care systems that are looking to combine process improvement into their system optimization. Dave Holland is the VP/CIO-‐Chief Innovation Officer at Southern Illinois. He had led SIH through the MEDITECH Clinical Systems implementation, system upgrades and Meaningful Use. 1003 -‐ Strategies to Optimize Use of Bedside Medication Verification and Implementation in Outpatient Care Areas within a Community Hospital Presenters: Don Carpenter and Mohammad Siddqui Organization: St. Claire Regional Medical Center, Morehead, Kentucky Scheduled: Thursday May 30 at 1:30 pm Abstract: Bedside Medication Verification is an integral part of ensuring the safest patient care at your facility. During this presentation, we hope to provide critical insight to help other facilities avoid disastrous go-‐lives for BMV implementation by describing our processes. We will discuss the implementation and maintenance of the BMV portion of MEDITECH with emphasis on focused feedback to end users based on data. We will discuss the need for a unit based implementation for your outpatient areas and focus on the needs for success. Our goal is that the listener will be able to return to their institution with a better understanding of what is needed for a successful BMV implementation, expansion, and maintenance. Mohammad A. Siddqui, PharmD, MBA joined St. Claire Regional Medical Center in 2000 as Assistant Director of Pharmacy. He is currently serving as a member of the Project Management Team at St. Claire Regional that is overseeing Electronic Health Record implementation. Don Carpenter, BS, CPhT III earned his BS in biology from Morehead State University. He has been a technician at St. Claire Regional since 1996. He has been certified since 1997. He is a member of the Bedside Medication Verification team. Learner Outcomes:
• The learner will have a better understanding of what is needed for successful BMV implementation, expansion, and maintenance. This will allow them to return and properly plan a successful implementation.
• The learner will be able to identify the importance of expanding one unit at a time. This will allow the learner to understand why each outpatient unit requires specific needs and keep them from having pit falls during go-‐live.
• The learner will be armed with critical insight to help prevent them from any disastrous go-‐live for the BMV implementation. By utilizing our successes and mistakes the learner will be able to prevent their facility from creating a troubled go-‐live.
1004 -‐ It’s More than Flipping a Switch – Using a Four-‐Pronged Approach to Implement and Sustain an Electronic Health Record at a Multi-‐Site Facility
Presenters: Marilyn Sanli and Liza Zeljeznjak Organization: Hamilton Health Sciences Corporation, Hamilton, Ontario Scheduled: Wednesday May 29 at 1:30 pm Abstract: Hamilton Health Sciences, an academic hospital, continues to successfully implement an inter-‐professional electronic health record across five sites. Lessons learned over the last three years have led to the development of a four phased implementation plan. Our iterative approach combines integration of clinical standards, quality improvement, project management, and change management methodologies. Emphasis on the initiation and evaluation phases has resulted in more engaged leadership and clinician participation in adoption of electronic documentation. Creating inter-‐professional working groups of front-‐line clinicians, clinical leadership and practice specialists enabled the groups to evaluate, change and re-‐evaluate their clinical practice (documentation and processes) based on best practice and documentation standards, prior to the conversion to electronic documentation. Inclusion of Deming’s quality cycle (PDSA) and change management strategies has been crucial in helping clinicians transition these significant changes into their practice. Realizing these initiatives before implementation and continually assessing and reviewing the requirements after the implementation has maximized adoption and streamlined processes to integrate into nursing and allied professional best practices and documentation standards. Converting a multi-‐site MEDITECH hospital from paper to electronic documentation is more than just flipping a switch. The presentation will detail the key components of the implementation – clinical documentation standards and practices, project management methodology, quality improvement initiatives, and change management strategies incorporated in the early and post-‐live phases of implementation which have resulted in greater positive outcomes at Hamilton Health Sciences. Marilyn Sanli, BSc, PMP is the Project Manager, Clinical Informatics Projects. Prior to moving into the project management field, Marilyn was a systems analyst supporting MEDITECH and other vendor applications. In additional to electronic clinical documentation, Marilyn is currently the project manager for a variety of MEDITECH initiatives including the implementation of POM, PCM, NUR, TAR, BMV, and the electronic MAR. Liza Zeljeznjak, RN, BScN, CNCC(C) is a Clinical Informatics Specialist. Lisa is a Registered Nurse currently working in Clinical Informatics. She is part of the inter-‐professional team that is converting the hospital from paper to electronic. She is responsible for the planning, implementation and maintenance of MEDITECH NUR application. Prior to Clinical Informatics, Lisa was a front line clinician specializing in Neuro/Trauma Critical Care. Learner Outcomes:
• To understand the necessity of documentation standards and impact of documentation workflow processes on the implementation of an electronic health record
• To understand the importance of project, quality and change management strategies in the successful conversion of paper to electronic documentation.
• To understand the four key components to implementation and how to utilize them for the implementation of the electronic health record.
1005 -‐ Using What You've Got to Get What You Want Presenter: Tammy Burke
Organization: Rapid City Regional Hospital, Rapid City, South Dakota Scheduled: Wednesday May 29 at 2:30 pm Abstract: Under-‐utilization of available information resulting in follow up phone calls and pages to physicians for clarification of orders by ancillary departments has led to opportunities for improvement. Providing intelligent rules within a system at the time of order entry for physicians is key to helping users work smarter not harder. Increasing the functionality (using what is available or creating new functionality) to impact patient care decisions is one key to enhancing the processes that are in place and helps to allow the patient to get the very best quality consistent care. Implementing clinical decision smart rules improves efficacy of Computerized Provider Order Entry, time management, workflow, and order to report turn-‐around time. In addition, this improves clinician and staff experience by fully using the resources available to all players involved in patient care. The patient experience is improved by keeping them safe and expediting diagnosis to treatment time. This session will provide attendees with proof and testimonials that have been successful in improving the ordering process and the ultimate care of the patient. We hope this information will entice new thoughts and ideas of how CPOE intelligent rules can help you use what you've got to get what you want! Tammy Burke is a Clinical Informatics Specialist and Registered Respiratory Therapist that has been assisting physicians with Computerized Order Entry for three years. Tammy was a Respiratory Therapist at the bedside for 18 years when she decided to try to affect patient care on a more global level. She has realized that taking care of the whole patient is not just dependent upon care at the bedside. Tammy believes “To truly do what is best for the patient, requires evidence based and quality measures in patient care. Hardwiring excellence in patient care takes an incredible amount of ‘behind the scenes’ work.” Learner Outcomes:
• Creating effective smart rules for accurate results by utilizing multi-‐disciplinary participants to evaluate each rule.
• Creating meaningful rules that will impact the care of the patient by assisting the physicians and users at the time of order.
• Avoid excessive rules to eliminate pop up fatigue and avoidance of alerts. 1006 -‐ To Boldly Go Where No Documentation Has Gone Before Presenters: Chris Burke and Diane Folsom Organization: Boulder Community Hospital, Boulder, Colorado Scheduled: Thursday May 30 at 3:30 pm
Abstract: Boulder Community Hospital of Colorado began their PCS journey in January 2010, going LIVE with their documentation in March, 2011. We will review how we went from a paper system to a complete custom build of PCS MEDITECH clinical documentation. We will share with you how we built our vaccination assessments, fall and skin risk assessments and others. We will also review how we chart, within defined limits and what that does for us. Our lessons learned will be presented so that your hospital can avoid our pitfalls. Chris Burke, RN has been with Boulder Community Hospital for 15 years, working in the ICU. In February 2010, he became a PCS build team member and was instrumental in creating our clinical documentation. Chris moved to the IT department in June 2011 and is now the PCS analyst. He continues to work as a RN in the ICU 2-‐3 days a month. Diane Folsom, RN-‐BC came to Boulder Community Hospital in January 2009 as a clinical analyst, working on the Magic to 6.0 migration. During the early months, she was the EDM, OM, EMR, PCM and ORM analyst. She was the PCS analyst during the implementation of PCS and has since moved into the clinical analyst managerial role in June 2011. 1007 -‐ Challenges and Lessons Learned during Implementation of a New, Completely Electronic Medication Reconciliation Workflow at a Community Hospital on a MEDITECH 6.x Platform Presenters: Mohammad Siddiqui and Don Carpenter Organization: St. Claire Regional Medical Center, Morehead, Kentucky Scheduled: Friday May 31 at 1:30 pm Abstract: The main objective of performing medication reconciliation is to avoid medication errors, such as omission, duplication, drug interactions, etc. At our facility, we transitioned from a paper to a hybrid of paper and electronic method of performing medication reconciliation when we went live with physician care manager (PCMI) in early 2011. The process is cumbersome and requires involvement from physicians, pharmacists, and nurses to complete. With PCMII implementation, we use all electronic medium to collect, document, reconcile, and covert patient’s medications using MEDITECH 6.x platform. The new workflow lends itself to a more complete medication history and robust medication reconciliation process. The ingredients to success include education of users, building of dictionaries, and understanding of workflow for different practitioners. Our hope is to share our experiences, challenges, and lessons learned as we implemented the new, completely electronic medication reconciliation process at our institution. 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 the Project Management Team at St. Claire Regional that is overseeing Electronic Health Record implementation. Don Carpenter, BS, CPhT III earned his BS in Biology from Morehead State University. He has been a technician at St. Claire Regional since 1996. He has been certified since 1997. He is a member of the Pharmacy Core Team and Bedside Medication Verification team.
Learner Outcomes:
• List the three ingredients for a successful implementation of all electronic medication reconciliation process
• List examples on how pharmacists can assist in medication reconciliation process • Outline what workflow changes that are required to make the new all electronic medication
reconciliation process successful? 1008 -‐ Statistics Show Three Out of Two People are Confused by Rules Presenters: Chris Burke and Marjon Pekelharing Organization: Boulder Community Hospital, Boulder, Colorado Scheduled: Wednesday May 29 at 1:30 pm Abstract: Incorporating regulatory agency requirements into clinical software can be a significant challenge. In this presentation the application of custom built rules in MEDITECH 6.0 to evaluate criteria and perform a wide range of functions is discussed. The focus is on rules in PCS and OM, but other creative rule applications are included as well. PCS examples include requiring queries based on other query responses, preventing documentation from being saved unless other documentation has been saved previously, limiting recall of documentation to only the users own documentation, limiting recall to a specified time frame and calculating simple and complex values. OM examples include calculating values in Customer Defined Screens in OM, defaulting in values based on patients OM Location, making fields editable or required based on OM location and preventing an order from being placed more than once. We will also review the use of rules in the PCS discharge forms. Attendees can take advantage of “lessons learned” at Boulder Community Hospital. In addition, several rule examples that have been successfully implemented at Boulder Community Hospital to support and guide clinical staff members with decision making tasks during documentation and order entry will be demonstrated. Chris Burke is the PCS RN Clinical Analyst at Boulder Community Hospital. He has worked in the ICU as a clinical staff member for 18 years. Marjon Pekelharing is the PCS Core Team Leader at Boulder Community Hospital. She worked as a scientific researcher in the Computational Materials Science field for six years prior to becoming a registered nurse on the Inpatient Behavioral Health unit where she worked for three years. Both Chris and Marjon joined the MEDITECH build team in 2010. Learner Outcomes:
• Have a better understanding of how to use rules to support and guide clinical staff members with decision making tasks during documentation and order entry
• Improving compliance and accuracy of regulatory agency requirements related to documentation and order entry
• Expand knowledge of the options and limitations of rules in different modules 1009 -‐ Risk Management Patient Incident Reporting Provides Surprising Benefits – What You Need to Know to Successfully Implement Presenters: Emily Malerich and Katy Brown Organization: Henry Mayo Newhall Memorial Hospital, Valencia , California Scheduled: Thursday May 30 at 11:00 am Abstract: Your hospital is transitioning to becoming paper free and fully electronic which will improve patient care. Your mission is to implement an enhanced patient incident reporting module that will streamline the current incident reporting process. This session will outline the planning, patient safety benefits and implementation approach that Henry Mayo Newhall Memorial Hospital utilized. This presentation will include the following:
• Assembling your implementation team • Building your screens and layouts within MEDITECH C/S • Refining and improving the process for patient incident reporting • System Implementation • Post Go-‐Live Optimization • Identify key Patient Safety benefits
Emily Malerich is a Financial Systems Analyst for Henry Mayo Hospital. Emily has six years of healthcare related experience including; decision support, informatics and has been working in IT supporting clinical systems including MEDITECH C/S for the past 1.5 years. Katy Brown has been the Risk Coordinator for Henry Mayo Hospital for six years. Katy has 12 years of healthcare related experience including; finance, quality and risk management. She has worked in conjunction with IT in developing and implementing use of MEDITECH QM Module for enhanced incident reporting. Learner Outcomes:
• Looking at current state process and analyzing how the electronic functionality should be built to deliver the ideal future state of incident reporting
• Key decisions needed for system and design development • Key Benefits: Streamlined reporting process; Ease of use which encourages timely reporting
1010 -‐ Order Sets: The Key to Physician Satisfaction Presenters: Shera Hintzen and Amy Kemmerer Organization: Rapid City Regional Hospital, Rapid City, South Dakota Scheduled: Thursday May 30 at 1:30 pm
Abstract: In 2010, CPOE was implemented within the Regional Health network. Regional Health currently has five hospitals and two surgery centers, ranging in size from 11 beds to 400+ beds. This creates many unique situations that must be handled delicately through standardization. Knowing that CPOE adoption would be difficult for physicians, order sets gave us the opportunity to gain their trust and adoption. After CPOE was live, physicians started requesting additional order sets to be built and partnered with us to modify existing order sets. With evidence based practice, we were able to track CMS quality indicators along with Meaningful Use requirements and still keep physicians satisfied. Shera Hintzen is a Clinical Informatics Application Specialist specializing in Client Server Order Entry, POM, PDOC, PWM and Zynx. Amy Kemmerer is a Clinical Informatics Forms Analyst and Document Designer. 1011 -‐ Upgrade Toolbox Presenter: Robert Farrell Organization: Royal Victoria Regional Health Centre, Barrie, Ontario Scheduled: Thursday May 30 at 9:30 am Abstract: A new era in MEDITECH upgrades has been realized. The number of DTSs associated with updates has grown from 5,500-‐5,800 in 2006-‐2008 to 30,000 DTSs in 2012! Our most recent upgrade from 5.54 to 5.65 was by far our largest upgrade and our most successful upgrade ever. Royal Victoria Hospital has been a Client Server facility since 1997, and has been undergoing an expansion doubling the facility size during the 10-‐month upgrade window and adding 500+ staff during this time. We are partnered with three other hospitals, creating a single universe, multi-‐ring, multi-‐database setting for the update. Faced with these challenges, we selected several tools to work in concert to address multiple aspects of the update process. After 15 years with Client Server, we are finally doing upgrades right! This session will provide an overview of the upgrade process we used, and the tools that allowed it to be so successful for us. Our toolbox includes User Management Database, Learning Management System, DTS Management and Access\Excel. Learn from our experiences and take some new ideas back to your hospital. Rob Farrell has been supporting MEDITECH environments since 2000 from the server to the end user and everything in between. He has broad knowledge with system integration, process automation and programming. His areas of expertise include MCSA, A+, Network+, nine years healthcare IT, and four years Clinical Informatics. Rob earned his Computer Engineering Technician Diploma with Honours. He has been with Royal Victoria Regional Health Centre for 10 years. 1012 -‐ Oncology – A Journey Presenters: Jeff Madison, Robert Shea, Erika Anderson, Jean Olsen, and Deb Gardner Organization: Centura Health, Englewood, Colorado Scheduled: Wednesday May 29 at 1:30 pm
Abstract: Centura Health embarked on a journey to include the Oncology Clinics into the Electronic Health Record. MEDITECH is used extensively in Centura Health’s fourteen facilities and over 70 physician practices. With the use of Maestro, we also have Home Health information as part of the EMR. MEDITECH’s Oncology was our logical choice to ensure that the patient’s information flows appropriately no matter where the patient visits within our facilities (we have ONE database). Many challenges were encountered as we progressed on our journey, but with a joint effort with our clinic personnel, our IT Analysts, and MEDITECH, our journey is leading to a very special place and will greatly enhance the oncology process for our patients. Please join us to see where we are on this journey and what it takes to truly put a program like this in place. It is an exciting journey that we want to share with you. Jeff Madison RPh, PharmD has worked as a clinical pharmacist for 23 years. In 1998 he initiated a specialized oncology pharmacy practice for Centura Health Porter Adventist Hospital. The practice has since grown to become a comprehensive service for three outpatient cancer care centers, in addition to Porter's inpatient and infusion center. Oncology pharmacists at Porter provide consulting for chemotherapy order review, pain management, parenteral nutrition, antibiotic management, and palliative care. Since 2005 Jeff has also served as Porter's IT pharmacist and participates in a 14-‐hospital pharmacist project team for MEDITECH users. Jeff has been actively involved in the implementation of CPOE processes statewide, since 2011. Robert Shea is a Registered Nurse, involved in Oncology since 1995 when he cared for Oncology Inpatients. He then assisted with the development of an Infusion Center for two different facilities. In 2002, he was recruited to work as an Oncology Nurse at one of Centura Health’s physician oncology practices and has maintained that position as one of the lead Oncology Nurses. He is actively involved in the development of the Oncology Application for Centura Health Oncology practices as a member of the ONC Core Team. Erika Anderson RN, BSN, CRNI has worked in healthcare for 17 years. The last 10 years has been with Centura Health at Porter Adventist Hospital in Denver, Colorado as RN, IV Therapy Manager and Clinical Informatics Specialist. Erika has been part of the project team assisting with the standardization, design, build and implementation of the organization’s Electronic Health Record since we began the MEDITECH journey in 2005, including being actively involved in the Oncology application implementation. Erika has provided presentations at her facility, MUSE, HCAC and RMC/INS. Jean Olsen, RN, BSN after, working for 25 years within the clinical arena of healthcare, began implementing the Electronic Health Record nearly 20 years ago. During this time frame her focus has been on Project Management of implementations for Health Care organizations throughout the United States. For the past 4 years, she has been employed with Centura Health as a Program Manager with an emphasis on MEDITECH implementations and upgrades. The Oncology implementation is one of the projects she is currently leading for Centura. Jean has provided numerous presentations at MEDITECH and MUSE events and is currently on the Board of Directors for MUSE. Deb Gardner, RN, BSN has 30 years of healthcare experience, the last 15 years being in Healthcare IT. Deb is a Senior Clinical Analyst and has worked with McKesson Care Manager, CPSI and for the last seven years, MEDITECH. She has project managed, implemented, and supported PCS, EDM, ORM, OE, CPOE, PCM/PWM, RXM, NPR and Iatric’s Visual Flowsheet as well as supported PHA, Lab modules in MEDITECH C/S . Deb is currently working with Centura Health to help build and implement MEDITECH’s Oncology Module.
1013 -‐ CPOE Training – It's All About Logistics Presenter: Nancy Stimson Organization: Centura Health, Englewood, Colorado Scheduled: Thursday May 30 at 2:30 pm Abstract: This presentation will cover how to set up CPOE training for providers and hospital end-‐users including: personnel, content, space and engagement. Topics include:
• Determining the logistics of a CPOE training program including training space needs, who should attend, duration of training, etc.
• Determining best means of sign up for classes (internal vs. external websites) • Developing course content • Determining who will be trainers and proctors • Tracking sign ups and attendance • How to engage physicians (carrot and stick approaches)
Nancy Stimson, RN, BSN is the Director of CPOE training for the Denver North Operating Group of Centura Health in Denver, CO. She has been the training champion for CPOE and assisted with the implementation of CPOE in five hospitals in a 12-‐month time frame. 1014 -‐ From Zero to Sixty (Percent)… and Beyond: Rapidly Ramping up Voluntary Physician Adoption of CPOE Presenter: Thomas Kniss Organization: Community Memorial Health System, Ventura, California Scheduled: Thursday May 30 at 10:00 am Abstract: Every hospital IT executive shares the same, often-‐elusive goals: to dramatically increase both physician adoption of CPOE (and other EHR-‐related technologies) and physician satisfaction. Contrary to what some people believe, these goals are not mutually exclusive. In reality, both are pre-‐requisites for improving patient care and safety, decreasing the cost of delivery (increase value), and demonstrating Meaningful Use (and securing related incentive payments). Community Memorial Health System (CMHS), in Ventura, California, will describe how it is accomplishing these goals with its physicians on a voluntary basis, without heavy-‐handed mandates. CMHS’s IT approach centers on using MEDITECH Client/Server to meet the hospitals’ operational needs, in combination with a third-‐party, physician-‐facing front-‐end system to drive voluntary physician adoption. CHMS’s physician front-‐end system presents patient data and streamlines various physician workflows (order entry, documentation, sign-‐out) in a manner that is winning the hearts and minds of CMHS’s 500+ physicians, all of whom are independent affiliates.
Thomas Kniss is Director of Information Systems at Community Memorial Health System (CMHS) in Ventura, California. CMHS, which uses MEDITECH Client/Server, was established in 2005 when Community Memorial Hospital in Ventura merged with Ojai Valley Community Hospital; the system is comprised of these two hospitals along with twelve multi-‐specialty health centers serving various communities within Ventura County. Mr. Kniss has led the IT strategy and operations at CMHS since 1999. He holds a BS in Computer Science and a MBA in Organizational Behavior and Management from California Lutheran University. Potential Continuing Education session Learner Outcomes:
• Attendees will discover the merits of employing a “carrot” vs. a “stick” in driving physician adoption of EHR-‐related technologies.
• Attendees will learn the advantages/trade-‐offs associated with deploying a third-‐party physician front-‐end system as an “overlay” to the existing MEDITECH system.
• Attendees will learn the key features/functionality of a CPOE solution that drive physician adoption and streamline implementation for IT.
1015 -‐ NPR Report Writing – Reports We Couldn't Do Without Presenter: Regina Davison Organization: Murray-‐Calloway County Hospital, Murray, Kentucky Scheduled: Wednesday May 29 at 1:30 pm Abstract: Join us for a presentation of various NPR reports written from the BAR, PBR, and ADM modules. These reports include some that are used for exporting data to other vendors and/or auditors on an 'as needed' or daily basis. Our facility used NPR to create our own patient labels, bar-‐coded labels, requisitions, and so on from the very beginning of our MEDITECH go-‐live in 2002. All the reports are available for you to use! Murray-‐Calloway County Hospital has met Medicare and Medicaid Stage 1 requirements and has been live with CPOE since April, 2012 and currently maintains a 96% CPOE rate with inpatient orders. The hospital is also a participant in the Kentucky Health Information Exchange, where it was a recipient of the KY Pioneer Award in Sept 2011, for being one of the first participants of the program. Regina Davison is currently the Manager of Information Technology at Murray-‐Calloway County Hospital located in Murray, KY. She started her career with the hospital in October, 1996 as an entry level programmer, having completed her associate degree, with honors in Computer Information Systems. The hospital migrated from their ‘home grown’ system in 2002, switching over to a full MEDITECH Client Server HCIS. During the implementation and conversion period, Regina was responsible for not only the build of many dictionaries on the MEDITECH side (MIS/ADM/PP/AP/MM), but was also very involved in building conversion files off of the old system. It was also during this time that she used her very basic NPR skills to build reports and forms for MEDITECH, including Admission forms, vendor export files, and so on.
Regina served as Financial Systems Specialist for five years, Interim IT Director upon two separate occasions and then was promoted to Director Information Systems in May, 2008. Regina and her staff were featured in a MEDITECH Spotlight article in June, 2010 which highlighted the accomplishments of the entire IT team and their dedication to improving patient care at their facility. 1016 -‐ Overcoming the Challenges to Successful Implementation of BMV in the Emergency Department Presenters: Nancy Russell and Lynsi Garvin Organization: Cook Children's Health Care System, Fort Worth, Texas Scheduled: Thursday May 30 at 2:30 pm Abstract: Many hospitals have implemented Bar Code Medication Administration (BMV) in the inpatient setting but have shied away from implementing in the emergency department (ED). The rapid pace, high patient volumes, and the mobility of patients add to the challenges and complexity of BMV in this setting. Rapid patient throughput is essential to every ED since the next patient to enter the door may require immediate treatment. However, BMV in the ED can be successful with careful planning. A non-‐profit pediatric medical center with an ED volume of nearly 120,000 patients per year chose to employ BMV while simultaneously introducing the electronic health record. This session discusses the challenges that are unique to implementing BMV in an ED as well as those lessons learned from BMV in the inpatient setting. In addition, discussion covers specific strategies used including equipment, maximizing the efficiency of the BMV process, and changes in pharmacy processes. Objectives:
1. Describe three reasons why BMV in the ED is challenging 2. Discuss two helpful lessons learned from the inpatient setting 3. Describe three strategies used to successfully implement BMV in the ED
Outline:
• Challenges: Patient; Physical; Equipment; Pharmacy; Tight Time-‐frame; Staff • Overcoming the Challenges: Using lessons from the inpatient implementation; Equipment;
Interface Solutions; Populating the medication on the eMAR, and when to use each one; Pharmacy
• Conclusion: BMV Team; Scan rates • Q&A
Nancy Russell, RN-‐BC, MS, CPN has been in pediatric nursing for 32 years with the last 12 years in nursing informatics at Cook Children’s Health Care System in Fort Worth, Texas. She received her Master’s in Nursing Leadership from Regis University in 2007. Nancy presented at the 2012 ANIA Conference and 2012 unSummit on BCMA implementation. In addition, Nancy has displayed poster presentations at several Children’s Hospital Association of Texas annual conferences, and won the People’s Choice First Runner-‐Up award for her poster presentation of Hand-‐off Communication at the 2010 ANIA conference.
Lynsi Garvin, BSN, RN has been a pediatric nurse since 2003. She became involved in nursing informatics while working in the education department at Cook Children’s Healthcare System almost two years ago. She has since transitioned to the information services department to work full-‐time as a nurse informaticist. Lynsi is currently attending Duke University School of Nursing and will complete her masters of science in nursing with a focus in health informatics in August 2013. She is an active member of the Barcoding Core Team for the hospital and was a participant in the build and implementation of barcoding in the Emergency Department this past fall. Learner Outcomes:
• Describe three reasons why BMV in the ED is challenging • Discuss two helpful lessons learned from the inpatient setting • Describe three strategies used to successfully implement BMV in the ED
1017 -‐ The Nuts and Bolts of Connecting a New Laboratory Instrument in a Multi-‐Laboratory System on a Single LIS Database Presenter: Ximena Virgin Organization: Centura Health, Englewood, Colorado Scheduled: Thursday May 30 at 1:30 pm Abstract: The laboratory has ordered a new instrument and you have been handed the project to connect to LIS. Where do you start? The process of connecting a new laboratory instrument can sometimes be worrisome. This presentation will cover the nuts and bolts of connecting your instrument:
• Resources • MEDITECH dictionaries • How will instrument connect to MEDITECH…Serial or direct connect • Testing interface • Trouble shooting guide for LIS-‐IT • Training LIS-‐IT group on new instrumentation
Ximena Virgin (Mena) MT, ASCP works for Centura Health IT, Englewood, Colorado as a MEDITECH LIS Analyst. She is Medical Technologist College of Pathologist certified with over 25 years of experience. The most recent 10 years have been spent in IT as a MEDITECH LIS Analyst supporting the MEDITECH LIS Application with emphasis on new laboratory instrumentation across the Front Range. 1018 -‐ Achieving Continuity through Integration of Laboratory Services Presenters: Kathryn Wohnoutka and Tricia Pyle Organization: Citizens Memorial Hospital, Bolivar, Missouri Scheduled: Thursday May 30 at 9:30 am Abstract: Citizens Memorial Healthcare has implemented laboratory services in 14 of their 28 clinics. Patients are able to have their specimens ordered, obtained and resulted on-‐site at the clinic or
processed by the CMH Lab with results displaying in the patient’s electronic health record. This presentation will review in detail: the setup between the LAB, MIC, BBK, OE and RXM dictionaries; customer defined screens; use of interfaces; PRE CLI account creation and suppression; billing; after clinic hours lab; result notification; EHR view; and JCAHO. Kathryn Wohnoutka RN, LAB/ITS/EDM/PD Clinical Systems Analyst, has been employed by Citizens Memorial Healthcare, since 1995 and has been involved with their electronic health record implementation, as well as CMH’s 2005 Davies Award and HIMSS Analytics Stage 7 process. Katie has also served on MEDITECH’s Nurse and Interdisciplinary Advisory Councils and presented at a number of MUSE and mini-‐MUSE events. Tricia Pyle, APR/PWM/RXM Clinical Systems Analyst, has been employed by Citizens Memorial Healthcare, since 1993 and has been involved with their electronic health record implementation, as well as CMH’s 2005 Davies Award and HIMSS Analytics Stage 7 process. Tricia has also served on LSS Advisory Councils and presented at a number of LSS User Group events, MUSE and mini-‐MUSE events. 1019 -‐ Achieving Continuity through Integration of Imaging and Therapeutic Services Presenter: Tricia Pyle and Kathryn Wohnoutka Organization: Citizens Memorial Hospital, Bolivar, Missouri Scheduled: Wednesday May 29 at 2:30 pm Abstract: Citizens Memorial Healthcare has implemented digital radiology, ultrasound, and EKG capabilities in a number of their 28 clinics. Patients are able to have their studies ordered, obtained and resulted on-‐site at the clinic with images displaying in the patient’s electronic health record. Providers can also send studies digitally for overread by a CMH radiologist where the report is associated to the image in the EHR. CMH has also incorporated on-‐site scheduling for procedures to be performed at CMH. This presentation will review in detail: the setup between the ITS, OE, SCH and RXM dictionaries; customer defined screens; use of interfaces; PRE CLI account creation and suppression; billing; visiting Provider process; result notification; and EHR view. Tricia Pyle, APR/PWM/RXM Clinical Systems Analyst, has been employed by Citizens Memorial Healthcare, since 1993 and has been involved with their electronic health record implementation, as well as CMH’s 2005 Davies Award and HIMSS Analytics Stage 7 process. Tricia has also served on LSS Advisory Councils and presented at a number of LSS User Group events, MUSE and mini-‐MUSE events. Kathryn Wohnoutka RN, LAB/ITS/EDM/PD Clinical Systems Analyst, has been employed by Citizens Memorial Healthcare, since 1995 and has been involved with their electronic health record implementation, as well as CMH’s 2005 Davies Award and HIMSS Analytics Stage 7 process. Katie has also served on MEDITECH’s Nurse and Interdisciplinary Advisory Councils and presented at a number of MUSE and mini-‐MUSE events. 1020 -‐ Managing Users in a Complex and Ever Changing Environment Presenter: Kim Tilley Organization: Citizens Memorial Hospital, Bolivar, Missouri Scheduled: Friday May 31 at 2:30 pm
Abstract: Accurately managing employee access within MEDITECH alone can be resource intensive, but when you add all of the other software used in an organization and throw in non-‐employed users the issue becomes very complex, and full of risk. At this presentation you will learn some of the tricks that Citizens Memorial uses to manage users and minimize risk in an ever changing environment including the following: profiles access assigned based upon an employee’s contract in the HR module, expiration dates, and use of the credential field to validate that a Business Associate Agreement (BAA) is on file for non-‐employed users, review of reports used for monitoring compliance and account management procedures. Citizens Memorial will also share the vision and current state of automated, centralized account management procedures. Kim Tilley serves as the Healthcare Information Systems Manager and HIPAA Security Officer for Citizens Memorial Hospital, CMH. In 1997 she began her career at CMH in the revenue cycle arena, and in 2004 she joined the Information Systems team and supported the revenue cycle applications. In 2007 she assumed her current role. Kim earned a Bachelor of Social Work from Missouri State University in 2002, a Master of Business Administration from Southwest Baptist University in 2006, and became a Certified Professional in Healthcare Information and Management Systems, CPHIMS, in 2010. 1021 -‐ Cherry Pick Your PDOC Starting Point – PDOC in the Family Birth Place Unit Presenter: Ruth Swanson Organization: Swedish American Health System, Rockford, Illinois Scheduled: Friday May 31 at 11:00 am Abstract: This session will focus on our initial PDOC rollout to the Family Birth Place Unit. Learn how we engaged our OB and Peds providers to develop content for nine templates. See the process we followed for building the templates, and working with the Quality, HIMS, Clinical Informatics, and Coding departments to get their input. See if our on-‐line training module and support process could be helpful in your institution. Ruth Swanson RN MS is an Application Analyst at Swedish American Health System in Rockford IL. She has been with the Information Systems department for 18 years and has supported a variety of systems including iDX, Epic and most recently, MEDITECH, for the past three years. Ruth is the Project Manager for the PDOC implementation. Learner Outcomes:
• The learner will identify tips and tricks to engage physicians so they want to be a part of the PDOC project. They will learn how effective physician meetings can be facilitated for gathering PDOC content.
• The learner will identify key departments to involve during PDOC development. Hospital departments such as Clinical Informatics, Nursing, Quality, HIMS, and Coding offer valuable input that strengthens the provider documentation tool.
• The learner will learn how on-‐line training can be beneficial to getting providers to attend training sessions as well as make the classroom trainer's job easier. Using the existing health system on-‐line training program to gain access to the Capture Point and Content Point software provides familiarity and consistency for provider training.
1022 -‐ The Physician Driven EHR Presenters: Grace Franz Organization: Boulder Community Hospital, Boulder, Colorado Scheduled: Wednesday May 29 at 3:30 pm Abstract: Boulder Community Hospital has successfully implemented a physician driven EHR project by utilizing a shared governance structure with physician, nursing and information technology leading in dual roles. The project team has worked closely with MEDITECH and hospital leadership to mitigate issues presented due to underutilized 6.X functionality. It has become apparent that, as we move forward, we must look to an integrated EHR to utilize MEDITECH to its fullest and provide the safest environment for our patients. Learner Outcomes:
• Five components of successful EHR project. • Integrating technical aspects into workflow, education, communication, metrics, order
sets/documentation. • Engaging clinicians to create a meaningful EHR.
Grace Franz is a Clinical Informatics at Boulder Community Hospital in Boulder, CO. She is the leader of the PCM Core Team which implemented CPOE and PDOC for 350 physicians in October of 2012. She was also a member of the team that implemented PCS documentation in 2010. Grace received her BFA from University of Colorado in 2002 and her BSN from Mount St. Mary’s College in 2008. Grace enjoys hiking, biking, and skiing. She lives in the foothills right outside Boulder with her husband, 15-‐month old son and her cat. 1023 -‐ Got BCMA in Your ED? It Can Be Done! Presenters: Anne Corbett and Jennifer Alexander Organization: Centura Health, Englewood, Colorado Scheduled: Thursday May 30 at 9:30 am Abstract: Are you considering BCMA (Bar Code Medication Administration) for your hospital or ED? Want to hear the lessons learned from a recent implementation in 18 hospitals? In February 2013, Centura Health hospitals in Colorado completed a big-‐bang deployment of medication scanning and a new eMAR in 18 emergency departments and Urgent Care clinics. This presentation will share the story of the six-‐month journey from drawing board through go-‐live, as well as current processes and lessons learned. The audience will hear tips on:
• Key players for the BCMA project team • CPOE – BCMA interface • Equipment needs/acquisition • Change management • Training strategies • Go-‐live process and resources needed
• Post go-‐live needs / next steps This presentation will provide useful information for:
• Hospital and ED leaders • Informatics personnel and Project Managers • Nurses/Pharmacists • Educators • IT Analysts -‐ PCS, EDM, ORM, OE, Pharmacy modules • IT entity/support personnel
Please join us for the “scoop” on things to consider when starting your BCMA project. Ladies and gentlemen, start your scanners … Anne Corbett, RN MSN has been an ED nurse and nursing educator for over 14 years. Anne is currently an IT Training Specialist for Centura Health in Colorado. She has been involved in the development of the EHR project with Centura since 2007, and specializes in MEDITECH EDM. 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. Learner Outcomes:
• Learners will hear a step-‐by-‐step chronology of an eMAR conversion and concurrent BCMA implementation in multiple ED settings. Discussion will include timelines, goal-‐setting, resource allocation, and change management in large and small ED's and the Urgent Care setting. Takeaways from Centura's project may assist learners in determining strategies for their own BCMA implementation.
• Identify training strategies for BCMA implementation in the ED. Learners will be exposed to Trainer/Superuser and classroom vs. on-‐the-‐spot models of training, and hear the pros/cons of each and how to identify key resources needed for training.
• Identify obstacles to implementing BCMA in the Emergency Department, and strategies to overcome these issues. Learners will hear about key stakeholder identification and types of discussions that are vital to the planning stages of BCMA implementation.
1025 -‐ Interface, Integrate, Innovate! Presenter: Sherry Montileone Organization: Citizens Memorial Hospital, Bolivar, Missouri Scheduled: Friday May 31 at 10:00 am Abstract: At Citizens Memorial Hospital, our goal is to provide the most efficient EMR possible. We believe that if you make the system the "one stop shop" for data -‐ people will use it. Come to this session to learn:
• How we use interfaces and integration to keep people in the MEDITECH system (we hate second logins).
• How we help patients and other facilities do the same by interfacing orders and results with them.
• How we are working to improve imaging interoperability by consolidating imaging interfaces. (i.e. the EMR Imaging Panel can contain more than x-‐rays!)
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 acute, clinic, LTC and home care settings. Learner Outcomes:
• MEDITECH interface availability. The attendee will learn what interfaces are available and how they improve MEDITECH workflow.
• Imaging system consolidation. The attendee will learn how you can consolidate imaging system to improve the interoperability and management of those systems.
• MEDITECH integration availability. The attendee will learn how you can integrate to other systems with a contextual launch (using existing MEDITECH login and displayed patient).
1026 -‐ How Does a Large Multi-‐Facility Entity Maintain Performance with a Single Database? Presenters: Tony Forkes and Ken Spaeth Organization: Centura Health, Englewood, Colorado Scheduled: Thursday May 30 at 3:30 pm Abstract: Follow the seven year journey of Colorado's largest health care provider as they teamed with MEDITECH to overcome obstacles and maintain performance for their 13 acute facilities on a single database system. Centura Health's key performance challenges and solutions will be presented in detail focusing on infrastructure and performance/tuning/monitoring for the MEDITECH environment. Tony Forkes has worked for Centura for over 25 years in various technical roles and managed the MEDITECH MIS team at Centura Health since MEDITECH was implemented in 2006. Ken Spaeth has served Centura in many technical roles and is currently part of the Performance and Capacity Planning team at Centura Health. 1027 -‐ CPOE/PDOC Project and Metrics Presenters: Scott Hearan and Scott Ellner Organization: Hospital Sisters Health System, Springfield, Illinois Scheduled: Thursday May 30 at 3:30 pm Abstract: As we developed the CPOE/PDOC Project and prepared for Go Live across 10 facilities, metrics became a component of the project for measuring success. Come see and learn about the governance
in place and reports developed from the Data Repository to show and monitor facility success and individual provider success. Scott Hearan is currently a Data Repository Report Developer for Hospital Sisters Health System (HSHS), a 13-‐hospital system located in Illinois and Wisconsin with 10 of them Live on Client Server 5.65PP11. Scott has been with HSHS for 13 years serving in clinical and business analyst roles as well as a PACS/RIS administrator before moving into his current position. Scott Ellner is currently the PCS/EDM Team Lead in IT for Hospital Sisters Health System, a 13-‐hospital system located in Illinois and Wisconsin with 10 of them Live on Client Server 5.65PP11. Scott has been with HSHS since 2007 serving in a variety of Project Management roles while HSHS implemented MEDITECH and during the initial phases of CPOE/PDOC implementation within the first three hospitals to go live. 1028 -‐ Going the Distance: The Transition from Paper to an Electronic Medical Record in the ER Presenters: Angela Schroeder and Dr. Charles W. Olson, Jr. Organization: Stillwater Medical Center, Stillwater, Oklahoma Scheduled: Thursday May 30 at 1:30 pm Abstract: This presentation will outline the implementation of CPOE, EDM, and PDOC in the Emergency Room at Stillwater Medical Center. We currently use MEDITECH C/S 5.65 pp 11. We will outline the importance of working with pharmacy to develop provider friendly order strings, decreasing customer defined screens for the providers, training, and the importance of an engaged physician champion. We will also cover the changes of communication within the ER and the development of PDOC templates using voice recognition. Angela Schroeder has been an Application Analyst at Stillwater Medical Center for six years. She is currently CPOE Project Manager and supports RXM, EDM, PDOC, PWM, PCM, and PPC. She works closely with providers and nursing staff to build relationships with IT. Charles W. Olson, Jr., MD has been an Emergency Physician at Stillwater Medical Center since 1999. He has interest in developing and promoting a physician and patient-‐friendly EHR, and currently serves as CPOE Champion. 1029 -‐ Bringing Outreach to the Health Neighborhoods in our Communities Presenter: Wanda Schroeder Organization: Centura Health, Englewood, Colorado Scheduled: Thursday May 30 at 10:00 am Abstract: Evolving healthcare initiatives encourage us to become stronger leaders in health and wellness in the communities that we serve. The MEDITECH Outreach Module offers some convenient features that separate hospital based work from outreach. Advanced planning will prevent wrong turns
and avoid the need to rework processes later. We will look at the MEDITECH Outreach Module and how it can work with the various parts of outreach, such as; logistics, ordering, processing, testing, reporting, billing, customer services and marketing. A successful outreach program will have a plan on how to handle all of these functions. Wanda Schroeder has worked in health care for 31 years. She has worked for Centura Health and affiliates for the last 18 years and in IT for the last 12 years. Prior to Centura Health she worked for a Commercial Laboratory for 13 years; for the last six years she has worked as a MEDITECH LIS analyst. 1030 -‐ Documentation of Labor and Delivery in a MEDITECH World Presenter: Kathy Hawkins Organization: Stillwater Medical Center, Stillwater, Oklahoma Scheduled: Wednesday May 29 at 2:30 pm Abstract: The process of transition from documenting Labor & Delivery on fetal monitor and paper to documenting in MEDITECH PCS has proved to be an ongoing process. From equipment needed to documentation, the process required planning and a lot of buy-‐in from staff. A discussion on who, how, and what helped achieve successes will be presented along with a look at some continuing issues for the future. Kathy Hawkins is an RN with 20 years of experience in ICU, ED, and Cardiac care. She has been an IT Analyst for four years in 5.65 CS MEDITECH, and has experience with PCS, OE, MRI, and ITS. Learner Outcomes:
• Identify solutions for documenting on more than one fetus during Labor and Delivery. The learner will be able to explore current solutions available and develop ones specific to their facility.
• Explore the importance of available equipment for the documentation process. Look at what is currently available and what will met the need for ongoing documentation.
• Look at continuing issues in this process as new and restructured processes, such as CPOE, PDOC, & Order Entry, are implemented. Examine how these affect the current work flow and documentation process of nursing.
1031 -‐ Monitoring Integration with MEDITECH Presenter: Becky Blevins Organization: Ephraim McDowell Regional Hospital, Danville, Kentucky Scheduled: Thursday May 30 at 1:30 pm Abstract: Are you tired of working in a data silo? Is your nursing staff required to manually document clinical data from an external system or external monitor into MEDITECH? Want to improve your patient
safety and data integrity? This presentation will detail the steps for the use of MEDITECH’s external source monitoring to integrate data from vital sign monitors as well as fetal monitors into MEDITECH's PCS module. This delivers time savings to nurses and other clinicians by eliminating tedious processes and making critical data readily available for patient care. Becky Blevins is project manager for Information Services Department at Ephraim McDowell Health, a multi-‐hospital health system, located in central Kentucky. She specializes in interfacing (both point to point and through an interface engine) various clinical systems to MEDITECH Client Server including Philips cardiac monitoring, AGFA radiology and cardiology (Heartlab) PACs, and Philips OB TraceVue. Becky also specializes in interfacing outbound lab, radiology, pathology, and dictated results from MEDITECH Client Server to various physician office EMR products including Allscripts, Meridian, Varian, GE Centricity, and the Kentucky Health Information Exchange. Learner Outcomes:
• NMI and PCS set up parameters for "monitor" interface. This information will allow the user to appropriately request MEDITECH set up parameters for time out and data retrieval in order to query for monitoring results.
• Query build for both the external source monitor as well as for PCS assessments. This will allow the user to appropriately build the necessary group response queries as place holders in addition to the assessment queries that will capture the monitoring values within MEDITECH.
• PCS Assessment build for PCS vital and fetal monitoring. This will allow the user to build new PCS assessments to capture this monitoring data or modify existing assessments to capture this information.
1032 -‐ EHR Implementation and Change Theory Presenter: Grace Franz Organization: Boulder Community Hospital, Boulder, Colorado Scheduled: Friday May 31 at 10:00 am Abstract: Over the past five years, Boulder Community Hospital has matured from an environment where IT was significantly underutilized, to having a fully functioning EHR for nursing, physicians and ancillary services. To do this our clinicians have had to undergo a significant amount of change which has produced considerable discomfort. Utilizing Kurt Lewin’s theory of change we analyze where we have succeeded and where our opportunities remain for the future. 1033 -‐ Scanning/Archiving Conversion Presenter: Debbie Mobley Organization: Hardin Memorial Hospital, Elizabeth Town, Kentucky Scheduled: Friday May 31 at 10:00 am Abstract: Hear our story of how we converted 15 years of data from our legacy scanning system to MEDITECH's scanning and archiving. We began the scanning process in registration in November 2010
with POC only. From that point forward, we struggled with issues around conversion of the old records and with the interfaces for the lab results and transcribed reports that were populating our legacy system. Debbie Mobley works at Hardin Memorial Hospital (a Client Server 5.6 site) in Elizabethtown, KY. She has worked in I.T. for 20 years. 1034 -‐ MEDITECH Magic 5.64 POM Quickscripts Setup Presenter: Clif Cunningham Organization: Bozeman Deaconess Hospital, Bozeman, Montana Scheduled: Thursday May 30 at 1:30 pm Abstract: Join us for insight on these topics: Building strategies
• What to do before building Quickscripts o Concise routes -‐ FSV routes; FDA standards for Routes of admin o Concise MIS directions
• Safe directions • Now/stat/one: PHA Units of measure linked to NCPDP code; Dosage forms; Continue from
ambulatory RXM PG 4 mapping; PHA drug dictionary • How much to build where to start • PHA Drug dictionary PG 8 Defaults • PHA order statistics
Naming
• Default capitalization of Quickscripts • How the a la carte med and fluid look up functions • Using naming conventions to limit choices on lookup • Utilizing PHA IV strings • Less dictionaries to maintain • ML/HR on Piggy backs
Medications
• Dosing – MG; ML; ML/HR; MG/KG; MG/M2 • Oral medications -‐ Other GI routes do not utilize PO QS; When to use PG 2 • IVPB: Premix; How to force bag into fluid spot(non-‐premix in PHA); Dosing; Fluid and additive -‐
Required fields Fluids
• Fluids tab • Rate vs. Volume • Bolus
Utilization of Global Favorites
Lead providers to better clinical/fiscal choices Using Quickscripts to make POM order sets more versatile Checking your build: View for all including non-‐entered names; QS counting Utility; Custom NPR report Clif Cunningham is new Informatics Pharmacist for Bozeman Deaconess Hospital in Montana with a background in desktop support and computer networking. His first major projects in informatics was preparing for and building Quickscripts for a hospitalist’s CPOE Go Live. Learner Outcomes:
• What to do to prepare to build Quickscripts • How medication and IV fluid generic and trade names function in a la carte medication look up • Tips on how to build medications and fluids in Quickscripts
1035 -‐ Physical, Occupational and Speech Therapy Documentation at an Outpatient Rehab Center Presenter: Barb Lambert Organization: Mount Sinai Hospital Medical Center, Chicago, Illinois Scheduled: Thursday May 30 at 1:30 pm Abstract: Documentation – the driving force for payment – can be time consuming, yet often does not capture all the required data. With members of the IT staff, working with key members of the rehab staff, documentation was totally reworked. By moving documentation from the Departmental module of MEDITECH to the PDOC module and creative use of the Nursing Status Board, documentation time decreased, and accuracy increased, and audits by outside entities were reduced. By getting by in from end users, MEDITECH's PDOC module can be implemented with success and end user satisfaction. Barbara Lambert, RN, BS, MA, started her nursing career as a pediatric nurse and more than 20 years ago, was asked to be a member of the MEDITECH implementation team at a suburban Chicago hospital. This implementation team work, piqued her interest in Informatics and has led to her current position of Supervisor of Applications at Sinai Health System in Chicago. Barb has three grown children and two grandchildren, who are the loves of her life. 1036 -‐ Oncology without the Oncology Module Presenters: Barb Lambert and Les Kawalko Organization: Mount Sinai Hospital Medical Center, Chicago, Illinois Scheduled: Wednesday May 29 at 11:00 am Abstract: Two non-‐chemo medication omissions in two weeks led to a total revamp of the documentation process in the outpatient oncology infusion center. The IT analyst, in conjunction with the Clinical Educator, implemented a complete nursing documentation process, including eMAR/BMV in an outpatient infusion center.
Not only has documentation improved, but medication errors have become non-‐existent. Patient safety has improved due to continuity of documentation from visit to visit and across modules, even without MEDITECH's Oncology module. Barbara Lambert, RN, BS, MA, started her nursing career as a pediatric nurse and more than 20 years ago, was asked to be a member of the MEDITECH implementation team at a suburban Chicago hospital. This implementation team work, piqued her interest in Informatics and has led to her current position of Supervisor of Applications at Sinai Health System in Chicago. Barb has three grown children and two grandchildren, who are the loves of her life. Les Kawalko has 35 years of experience HealthCare IT, including 10 years in a Rehab hospital setting, supporting primarily financial applications. He currently is supporting MEDITECH ADM/ABS/BAR and MRI modules and is responsible for Omtool, scanning/archiving, PICIS physican credentialing, inpatient tracking, and physician dictation, as well as Quantum, 3M and Optum CAC coding at Sinai Health System in Chicago. 1037 -‐ We Have to Get the Baby Out! The Implementation of CPOE/PDOC in Labor and Delivery Presenter: Crystal Doudera Organization: Stillwater Medical Center, Stillwater, Oklahoma Scheduled: Thursday May 30 at 2:30 pm Abstract: Learn from our mistakes and successes before going live with your moms and babies. This presentation will outline the implementation of CPOE and PDOC in the Maternal Child Health Unit at Stillwater Medical Center. We currently use MEDITECH C/S 5.65 pp 11. We will cover the build and the importance of physician and staff involvement. Learn how to create provider and nurse friendly order sets that also assist with Meaningful Use compliance. We will also discuss the training and implementation process. Crystal Doudera currently supports PDOC, POM, EDM and PWM at Stillwater Medical Center. She is a member of the CPOE core team. She is also a trained diagnostic medical sonographer. 1038 -‐ Home-‐Brewed Solution: Making the Move from Marker Board to Digital Whiteboard Presenter: Jonathan Moores Organization: Citizens Memorial Hospital, Bolivar, Missouri Scheduled: Thursday May 30 at 2:30 pm Abstract: At Citizens Memorial Hospital, we have learned how to get our patients more engaged and informed by deploying digital whiteboards throughout the hospital, completely built by our own staff. Being able to push pertinent, concise, and informative information to the patient, patients’ families, and medical staff can take your patient care to the next level.
Attend this session to learn:
• Benefits of utilizing “your own” staff to deploy a fully realized Digital Whiteboard solution • How to push unique content to each individual room – How to grab the appropriate data • Pitfalls to Avoid • The positive effects on patients and the medical staff
Jonathan Moores is a Network Administrator who has worked at Citizens Memorial Hospital since 2008. He is currently part of a team working on the HRSA Rural Health IT Network Development Grant. Key issues he is tackling include: Interoperability with eight network partners, Interoperability with the state, and patient engagement. 1039 -‐ Statewide Centura Health Physician Group Superuser Program Presenter: Lois Mote Organization: Centura Health, Englewood, Colorado Scheduled: Wednesday May 29 at 11:00 am Abstract: Centura Health is Colorado's largest family of hospitals and health care services and one of the state's largest private employers, operating 13 hospitals, seven senior living communities and home care and hospice services. Prior to the Centura Health Physician Group (CHPG) LSS Superuser Pilots, the only resource for providers and associates for issues regarding LSS was calling the Help Desk or putting in an Information Technology Request (ITR; aka ‘trouble ticket’). The Superusers submit so they can track the outcome and report back to the person/persons having the issue. This was neither efficient nor satisfying to the user or for IT analysts as it took multiple calls to clearly identify and respond to the issue. In response, CHPG had three separate pilots in place to explore improved satisfaction and efficiency:
1. Onsite Pilot at practices in the Parker Hospital practices 2. Phone/email Pilot in North Region 3. Three separate practices with Superuser embedded within the practice
In the goal is to implement the Statewide CHPG LSS Superuser Program to better serve the physicians and associates that use LSS financial and clinical modules. Attend this presentation to learn about the program initiatives, procedures, training, and especially, lessons learned. Lois Mote is both a Practice Manager and Centura Health Physician Group Manager representing practices across Centura Health. Her passion is to find meaningful ways to utilize our EHR in an integrated manner as well as support and educate end users to do the same. 1040 -‐ The Road Rolling Out ED Electronic Documentation using a Voice Recognition Program Presenter: Michelle Cochran
Organization: Ephraim McDowell Regional Hospital, Danville, Kentucky Scheduled: Wednesday May 29 at 1:30 pm Abstract: Our road with documentation started with inpatient online documentation. We learned many lessons throughout that process and were able to roll out the ED online documentation process very smoothly. From training to implementation, the physicians were on board building templates in Dragon for ease of use. This presentation will outline steps to take in order to make this a smooth transition. Michelle Cochran has been at Ephraim McDowell Regional Medical Center for almost 12 years. She started her journey in the Medical Records department and slowly discovered her true passion was IT and working with physicians. She is currently working with some clinical projects within MEDITECH as well as ADM/MRI/PWM. Michelle is a mother to two beautiful children, a son age 7 months and a daughter age 12. Learner Outcomes:
• Training the Dragon program in a very noisy environment is key to the success of this program. Learn the best practice to accomplish this.
• Hotkeys and microphone functionality is essential in making the process a quick one. Dragon has many key items that can make life easier, but the discovery of those takes time. Get those on the spot.
• Physician input. Receive the words and templates in order to get their physicians on board; key ideas to bring their attention to what is important; better documentation.
1041 -‐ Improving Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Scores with Nursing Electronic Alerts Presenters: Joshua Schmees and John Moore Organization: Hospital Sisters Health System, Springfield, Illinois Scheduled: Thursday May 30 at 3:30 pm Abstract: Healthcare institutions are currently searching for new ways to improve patient satisfaction scores at their facilities. One way to impact patient satisfaction scores is by scripting the education patients receive before each medication is administered. The purpose of this project was to improve medication education utilizing a pop-‐up box reminder at the point of care to efficiently and effectively communicate to the patient about medication uses and side effects. The community hospital’s electronic medication administration record was used to trigger a rule for each drug or drug class to create a pop-‐up box reminder. The alert trigger is generated at the patient beside so that nurses can provide efficient medication education to every patient before giving each medication. The pop-‐up box template includes the most common uses of the drug and the top side effects of the drug. The nurse then has one of the following ways to document the education:
• Patient given education • Patient not responsive/sedated and family educated • Patient not responsive/sedated no family present • Patient not cooperative
• Patient previously educated in this hospital stay The primary objective of the project is to increase the percent of “Always” responses for the two questions in the HCAHPS survey that ask how often the patient was educated about new medications and the side effects of their medications. The secondary objective of the project will be to track the “Usually”, “Sometimes”, and “Never” responses to see the difference in “non-‐Always” responses. The project was implemented on September 4th and data will be collected over the next six months following implementation. Josh Schmees, PharmD, is the HSHS Southern Illinois Division System Pharmacist of Informatics and Automation Services. Dr. Schmees received his Doctor of Pharmacy from the Ohio Northern University-‐ Raabe College of Pharmacy. Prior to joining HSHS, Dr. Schmees served as the St. Elizabeth Hospital-‐ Belleville Pharmacy Manager of Operations and Technology. John Moore is the HSHS Clinical System Team Lead for MEDITECH PHA/RXM & PYXIS. John has working in healthcare IT at HSHS for 25 years. Prior to that, he was a pharmacy technician at St. Johns Hospital in Springfield IL. He holds a Bachelor’s in Arts Degree in Healthcare Administration from the University of Illinois Springfield. Learner Outcomes:
• In a community hospital, we can't get to every patient on every medication. Pharmacists can create unique patient friendly terms for each education.
• Often we are already doing the education but aren't saying it the same way everytime. By educating multiple times in the same way we are re-‐enforcing the education key words.
• Important to not just build rule but also educate nursing. 1042 -‐ The Outage Cliff Presenter: David Tilley Organization: Citizens Memorial Hospital, Bolivar, Missouri Scheduled: Friday May 31 at 1:30 pm Abstract: Downtime planned or unplanned can be difficult to manage especially in an electronic environment. Learn how Citizens Memorial Healthcare handles downtime and avoids the Outage Cliff by 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 in Bolivar, Missouri. While working in healthcare IT over the last 11 years, David has served in a variety of roles and has been involved with numerous projects and IT initiatives at CMH. David is one of the key leaders for business continuance planning, SAN, and Network planning. 1043 -‐ Improving Implementation of CPOE through Effective Reporting Presenter: David Pruitt
Organization: Centura Health, Englewood, Colorado Scheduled: Friday May 31 at 1:30 pm Abstract: This presentation entails the evolution of CPOE reporting at Centura Health from MEDITECH standard reports to custom Data Repository reports. Each facility's implementation of CPOE brought new challenges and understanding of CPOE as a whole. With each implementation, the reports were refined and new standards were created. Using the data repository enabled the speed and flexibility to meet the reporting needs of all the different departments involved in CPOE. The reports became an important tool in CPOE implementation to categorically solve issues based off of effectively mined data. David Pruitt is the Manager of Business Intelligence for Centura Health IT. He has been the leader of MEDITECH reporting for three years and has overseen the development and maintenance of 1,250 active reports. He has an MBA from Regis University. Learner Outcomes:
• The best report definitions come from the people who use the information • With the right delivery method a massive amount of information can be digested very quickly • Be upfront with all calculations and methods of data gathering
1044 -‐ Using MEDITECH MM for Meaningful Business Intelligence Presenter: Allison Brown Organization: Halifax Health, Daytona Beach, Florida Scheduled: Thursday May 30 at 11:00 am Abstract: MEDITECH MM has the capacity to store countless transactions. Turning those transactions into meaningful information that can be used to make sound business decisions can be a challenge. This session is intended to discuss ways to maximize the value of the data and show how MM can do so much more to add value to our organizations. Allison Brown is the Team leader for Business Intelligence in the Supply Chain Services department at Halifax Health. She has worked for Halifax Health for 12 years and has been in her current role for three years. 1045 -‐ Maestro Homecare and the Benefits of Integration within MEDITECH Presenter: Rick Gagnon Organization: Centura Health, Englewood, Colorado Scheduled: Wednesday May 29 at 1:30 pm Abstract: Centura Health at Home implemented Maestro, MEDITECH’s homecare solution, at our first site in Pueblo in September of 2010 and most recently at Mercy Durango in October 2012. One of the benefits of using Maestro is the exchange of clinical information 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 savings and improved communications with the utilization of the medication interface and exchange of other clinical information as well as the impact that the interface has on improving the quality of patient care at the point of service and improved patient outcomes. 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 (MEDITECH), Rick worked on the Maestro design project and is presently a systems analyst with Centura Health Information Technology where he supports the Maestro Application. 1046 -‐ CPOE Rollout (Without Kicking and Screaming …) Presenter: Barbara Kilroy Organization: Jordan Hospital, Plymouth, Massachusetts Scheduled: Thursday May 30 at 11:00 am Abstract: From establishment of an electronic health record committee, to full CPOE for in, out and ED patients, the session will outline a robust project plan of development, workflow analysis, communication, building, training and support. A by-‐product of this action was attesting and receiving payment for Meaningful Use. Barbara Kilroy is Director, Clinical Informatics at Jordan Hospital in Plymouth, Massachusetts. With over 30 years in healthcare, her experiences have included critical care nursing, nursing leadership, financial management and information systems. Barbara has a BSN from Northeastern University and an MBA from Western New England College. She is also ANCC board certified in Nursing Informatics. 1047 -‐ Setting the Pace with MEDITECH Presenters: Vigneshwaran Cumareshan and Nissar Hussain Organization: HCA International, London, United Kingdom Scheduled: Wednesday May 29 at 2:30 pm Abstract: In May 2011, IT&S Applications at HCA International were approached to look at a solution for our Cardiology Departments which would be used at our hospitals to capture Implantable Cardiac Defibrillator (ICD)/Pacing device information.
The Department’s intention was to purchase an off the shelf solution, the cost of which would be approximately £300K ($500K) to implement and £30K ($50K) annual maintenance fee. Prior to this project, users were faced with the following:
• Poor data quality • Non-‐cohesive work flow process • Lack of reporting • Patient data fragmented across multiple databases • No ability to print forms and patient pacing information cards • Protracted processes to submit data to Central Cardiac Audit Database (CCAD)
Under the National Health Service (NHS) in the UK, all hospitals are expected to provide Heart Disease Audit Data to the CCAD, as part of the National Clinical Audit Support Programme (NCASP). IT&S Applications were approached to review the possibility of implementing this proposed solution. The question was put forward “Why is MEDITECH not being considered as a solution?” After initial scoping what began as a straight forward data collection, utilising a Customer Defined Screen became an in-‐depth, cross module solution that would streamline and standardise work processes across all facilities. This presentation looks at the journey taken to provide a fully MEDITECH-‐based solution for storing, reporting and exporting data. Nissar Hussain has been with HCA International since 2010, employed as an application analyst in the clinical team within the IT&S department. Prior to this Nissar worked for the NHS as an Application Support Analyst. Vigneshwaran Cumareshan has been with HCA International since 2007, working as an Application Analyst in firstly the Financial Team and presently the Clinical Team, gaining experience in both sets of applications. Prior to this, Vignesh comes from a Biomedical Science Background and graduated in Biomedical Engineering. 1048 -‐ ORM 101 Presenter: Carole Weinstein Organization: The Valley Hospital, Ridgewood, New Jersey Scheduled: Thursday May 30 at 3:30 pm Abstract: Join us for an entry level review of the Operating Room module, including ORM scheduling, big board, preference cards, and case records. Some advanced-‐beginner topics, such as a look at Time Charge Rules and some tips on inventory/MM items, will also be covered.
This presentation is applicable to Magic, C/S, and 6.0 ORM platforms and where possible screens from all three platforms will be shown. Carole Weinstein is a Project Specialist at The Valley Hospital in Ridgewood, NJ. She has installed and supported MEDITECH clinical, administrative, and financial modules over the last 15 years, and most recently implemented ORM in six departments and 30 operating rooms. 1050 -‐ Flow of a Patient 101 Presenter: Mike Laidlaw Organization: The Valley Hospital, Ridgewood, New Jersey Scheduled: Wednesday May 29 at 11:00 am Abstract: This presentation will follow a patient through the hospital system, showing how the different modules work together. Join us for a trip from admissions through to final billing. Michael Laidlaw is the Coordinator of Ancillary Services at the Valley Health System. He has 10 years of healthcare IS experience that includes years in the clinicals and financials. 1051 -‐ Technical Device and Process Considerations for EMAR/BMV Presenter: Charles Still Organization: Southwestern Vermont Health Care, Bennington, Vermont Scheduled: Thursday May 30 at 11:00 am 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 -‐ Linier and 2D Barcodes • Nursing, Pharmacy, and Information Technology Departmental Roles • Go Live Preparation
• Post Live Considerations Plus, a case study outlining:
• Pharmacy Medication Receipt / Check in Validation Process • Pharmaceutical Manufacturer Barcode Errors • Unplanned Downtime / Disaster Recovery • 2D Barcode Utilization • Labeling / Repackaging, Workflows for Safety • Post Live Analysis • Continuous Improvement • Results Statistics and Analysis
After e/MAR 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. Charles Still, MBA has spoken on the topic of BCMA in healthcare extensively in the US, UK and Canada. In 2011 he was a member of the Southwestern Vermont Health Care team that won the Way Paver award for Bedside Barcoding, published an article on workaround avoidance in BCMA systems in the Journal of Health Information Management, co-‐authored a second article in Patient Safety and Quality Healthcare, and was recognized by Mr. HIS-‐Talk as having the "Best presentation” for HIMSS International 2011. Charles works with Southwestern Vermont Health Care and is the primary for PatientSafeRx.com and TechnicalEducationSolutions.com 1053 -‐ Painting it in Your Own Color: TAR in the OR Presenter: Janice Schmidt RN, MSN Organization: Centura Health, Englewood, Colorado Scheduled: Wednesday May 29 at 10:30 am Abstract: Centura as a system has transitioned to the transfusion administration record (TAR in the OR) in the operating room at many of their facilities. This presentation will cover the keys to success, auditing and monitoring after go-‐live, and training tools for physicians and CRNA’s in the OR. TAR in the OR involves anesthesia and the CRNA’s to perform the blood administration check and then do the scanning process when blood needed to be given in the OR. The presentation will also cover the Failure Mode Event Analysis that were performed surrounding the different ideas for scannable armbands on the patient during surgery as well as methodologies for patient safety and the evidence based practice to support the TAR in the OR Process. Janice Schmidt RN, MSN has been a nurse for 32 years covering a wide variety of specialty fields. She has been with St Anthony Summit Medical Center for the last 10 years and serves as the clinical nurse informaticists since 2007. She has recently worked on implementation of PDOC, MED REC and prescriptions and CPOE implementation at Summit Medical Center. She is involved with many on-‐going projects within the Centura Healthcare System that comprises more than 20 hospitals and clinics.
Learner Outcomes: • To identify the importance of double banding patients in the OR and the different methods of
double banding. • Participants will be able to identify the necessary equipment in an operating room for successful
scanning for blood by anesthesia and CRNA’s. • Participants will be able to ID the training process for a physician for Scanning for blood
transfusion and the benefits of TAR in the OR for patient safety 1055 -‐ Using Mobile Devices to Collect Patient Information Presenter: Josh Johnston Organization: Jordan Hospital, Plymouth, Massachusetts Scheduled: Wednesday May 29 at 1:30 pm Abstract: With the ever increasing pace of healthcare, the abundance of mobile devices, and the move towards an electronic heath record (EHR) and electronic legal record (ELR), why are we still so occupied with collecting patient information in a non-‐electronic form? Why are we still having patients sign consent and Notice of Privacy Practice and other legal forms only to have them later scanned into the EHR and ELR? Is there a way that we can leverage technology that is available in the market place to put together a cost effective solution? The answer to this last question is yes, and, better yet, the solution doesn’t have to rely on vendor specific hardware. Learn fundamental knowledge to develop a cost effective solution that can collect patient data, submit patient signatures, and even automate some referral processes to increase patient satisfaction, and do so using mobile devices and mainstream technologies. Josh Johnston has worked in the healthcare industry for the last six years. His first three years he spent at MEDITECH as an Implementation Programmer for the General Financial applications. Three years ago he left MEDITECH to pursue a more rounded career and ended up at Jordan Hospital where he works as the Integration Specialist. During his time a Jordan Hospital, Josh has aided in the conversion from Magic to 6.0, worked on moving the hospital toward using the MEDITECH Data Repository for reporting, has implemented several interfaces and has written custom solutions to benefit both the hospital and patients. 1056 -‐ Designing a Robust IT Infrastructure Presenter: Jason Wilson Organization: Ozarks Medical Center, West Plains, Missouri Scheduled: Thursday May 30 at 2:30 pm Abstract: Being a MEDITECH C/S hospital that provides healthcare 24x7, we needed to design our IT Infrastructure for increased reliability and security. During this session, learn what we are using today as well as what we learned during implementation.
Jason Wilson has over 15 years of IT experience, with 13 years focused on healthcare IT. He enjoys all aspects of technology, but has a special interest in high availability and disaster recovery design. 1057 -‐ BAR 6.0 – Automating BAR Reports Presenters: Robert Reynolds and Julia Carter Organization: Mary Rutan Hospital, Bellefontaine, Ohio; Jacobus Consulting Scheduled: Thursday May 30 at 10:00 am Abstract: Up to your eyeballs in manual B/AR reports and files, looking for some automated solutions without going outside the MEDITECH “box?” Is your facility moving to MEDITECH from another system and you’re not sure how to replace some critical financial reports? Billing departments can always benefit from automating processes, so if your facility is new to MEDITECH or if you want to reduce paper and eliminate manual processes from staff workloads, join us in this session! For users in the B/AR module who live and die by financial reports, the challenges of generating reports are compounded by how report-‐intensive a previous system was and proportionally by the number of users relying on those reports. MEDITECH’s “turn-‐key” philosophy of user-‐built, integrated yet self-‐reliant modules can turn billing departments on their ear with the valuable but often under-‐utilized Compiled Reports routine. Financial users accustomed to requesting a report from an IT analyst are expected to become “report writers” or “programmers” in addition to billing and collecting. Generating output files for statement vendors or outsource companies, previously handled “over in IT” are considered routine B/AR functions. Mary Rutan Hospital, a 105 bed/700 employee facility in Bellefontaine, OH, faced these challenges head on, fought the good fight and survived to tell the tales. Automation and reduction of manual processing were two high-‐level needs, as well as a lack of ad hoc reporting in the current system. Financial leadership looked to IT or consultants, not billing staff, for reports or figures. Accepting MEDITECH’s concept of a more autonomous billing department and reducing reliance on IT was challenging. We will share our front line experiences on how we met the needs of key B/AR reports and users. Robert Reynolds is the Director of Information Technology at Mary Rutan Hospital and was Project Manager for the recent conversion from other vendors to MEDITECH 6.0. Robert's 12 years of healthcare experience have been in IT moving from technician through network and system administration before becoming director in 2008. This IT career bookends an eight-‐year adventure as a Senior Business Analyst, DBA and Report Writer for a national telecommunication company, where he dedicated his employment to automation, optimization and delivery of the data required to manage the business. He has brought his desire "to put data at the fingertips of the decision makers" to Mary Rutan Hospital. Julia Carter is a Senior Management Consultant for Jacobus Consulting. In her 30 years of hospital experience, Julia has a breadth of experience ranging from financial services to IT to revenue cycle. In the past six years as a consultant, she has served clients from MAGIC to Client Server to 6.0. She is experienced in a wide variety of hospital departments, MEDITECH modules, and third-‐party software. Julia is a past presenter at International MUSE as well as conducting Tuesday Training sessions. Julia’s zeal for optimizing work flows and automating processes coupled with her innate understanding of technology and ability to demystify high-‐tech solutions enables her to relate to a wide variety of less
experienced users. Julia is CPAR-‐certified, a member of the Georgia HFMA Chapter and is the MEDITECH-‐L mailing list moderator. 1058 -‐ Ambulatory PCS: Training and Post Live Support for Ambulatory Care Staff (On-‐site and Community) Presenter: Margaret Burns Organization: Bloorview Kids Rehab, Toronto, Ontario Scheduled: Thursday May 30 at 11:00 am Abstract: A successful PCS roll out involves detailed training and pre and post live support available at a time that suits ambulatory clinicians, many of whom are on site less than once a week. This presentation will outline our training and support strategy, including initial training for test users, e-‐learning modules, super-‐user training, tip sheets, pre and post live drop in sessions, practice-‐based education in screen use and post live communication of user FAQs. Measurements of success –help desk tickets, issues list, staff feedback, superuser involvement and our "Pulse" survey to measure uptake. Presentation includes: outline of identification of training needs, provision of various training methods including test training, e-‐learning, collaborative role of IS and practice in providing training in functionality and use of screens. Post Live support – superuser model, expanded IS Help Desk (1-‐1 support sessions), early identification of staff who are struggling through reports, etc. Margaret Burns is an Occupational Therapist who has worked with PCS since 2006. For the last five years, she has worked at Holland Bloorview Kids Rehabilitation Hospital in Toronto, Ontario as Clinical Application Specialist. She was involved in the implementation of PCS in the in-‐patient units in 2009, and was instrumental in the ambulatory care implementation in 2012. Learner Outcomes:
• An understanding of the specific training challenges facing ambulatory care staff who work in the community, and possible ways of meeting their needs -‐an understanding of a variety of training and support strategies for ambulatory care PCS implementation
• An understanding of the specific training challenges facing ambulatory care staff who work in the community, and possible ways of meeting their needs -‐an understanding of a variety of training and support strategies for ambulatory care PCS implementation
• A clear idea of the difference between user training and superuser training -‐valuable information about collaborating with e-‐learning software providers
1059 -‐ Ambulatory Care: Post Live PCS Request Process Presenter: Margaret Burns Organization: Bloorview Kids Rehab, Toronto, Ontario Scheduled: Wednesday May 29 at 3:30 pm
Abstract: With the entire facility and its community staff using many hundreds of PCS screens starting Hallowe’en 2012, the IS department at Holland Bloorview Kids Rehab had to come up with a smooth, safe and effective way for staff to request new screens, and/or changes to existing screens. This presentation will chart our progress from informal individual requests for change, made directly to the IS department, to a formal electronic process that involves all stakeholders and ensures consistency and best practice and meets Health Records Committee and Medical Advisory Committee guidelines. Measurement of success: reduction in multiple rebuilds, increased adoption of system by staff, evidence that practice leads are experts in PCS content. The presentation includes; description of the old process, risks, benefits and adverse effects. Give reasons for changing it (must be practice-‐led, time spent redoing work already changed). Describe the new process and measures of how effective it is (rebuilds of rebuilds, reduced patient safety incidents?) Margaret Burns is an Occupational Therapist who has worked with PCS since 2006. For the last five years, she has worked at Holland Bloorview Kids Rehabilitation Hospital in Toronto, Ontario as Clinical Application Specialist. She was involved in the implementation of PCS in the in-‐patient units in 2009, and was instrumental in the ambulatory care implementation in 2012. Learner Outcomes:
• An understanding of how change request can evolve as an informal process • An understanding of the challenges and benefits inherent in an informal change request process • An understanding of the development, testing and education required to create a formal
automated process 1060 -‐ iPads for Everyone? How to Select the Right Tool for the Job Presenter: Linda Hatton Organization: Bloorview Kids Rehab, Toronto, Ontario Scheduled: Wednesday May 29 at 2:30 pm Abstract: Late 2012, Holland Bloorview implemented ambulatory PCS for all allied health professionals (staff working on site and in the community). We will discuss the choices that staff had, education provided, pre and post survey results, final recommendations, the use of simulation to remove perceived barriers and uptake of the tool. Our goal was to provide tools to help clinicians achieve contemporaneous documentation. Come out and see how we did! At the end of the session participants will have
• An understanding of the factors involved in selecting hardware for an ambulatory care implementation
• An understanding of the hardware challenges facing community-‐based staff • An awareness of the assessment parameters used to determine which hardware should be used
and by whom • An understanding of the roll out process and of the post live review
Linda Hatton is the Senior Director, Information Systems at Holland Bloorview Kids Rehabilitation Hospital. 1061 -‐ Measuring Change Adoption for an Ambulatory Electronic Health Record Implementation Presenter: Nancy Killey Organization: Bloorview Kids Rehab, Toronto, Ontario Scheduled: Wednesday May 29 at 2:30 pm Abstract: Holland Bloorview Kids Rehabilitation Hospital recently implemented an ambulatory electronic health record supported by a change management framework. A pulse check survey tool was designed and implemented to measure the change adoption based on three criteria: Acceptance, Utilization and Proficiency. In this presentation we will share the framework, implementation strategy, pulse survey tool and the key findings related to change adoption. Nancy Killey is the Director of Organization Development and Learning at Holland Bloorview Kids Rehabilitation Hospital in Toronto, Ontario, Canada. Nancy has worked in the health care field in training, development and change management for more than 20 years. She has a Masters of Adult Education and is certified in Organization Development and Change Management. Nancy was the internal change management consultant to the ambulatory electronic health record change team at Holland Bloorview for the recent E.H.R. implementation. Learner Outcomes:
• Understand the role of change management in successful technology implementations • Understand how the change adoption curve can inform your implementation strategy • Takeaway: One easy measurement tool for change adoption
1062 -‐ Challenges in Translating Paper Forms into Electronic Documentation for Ambulatory Care Presenters: Margaret Burns and Micaela Cigliutti Organization: Bloorview Kids Rehab, Toronto, Ontario; GRA Consultant Scheduled: Wednesday May 29 at 11:00 am
Abstract: Prior to the implementation of ambulatory PCS, all our outpatient forms were paper based or created in Word. Many forms contained charts and tables that do not easily translate into our current MEDITECH release. We will discuss the use of repeatable labels, report formatting, charts, group assessments vs intervention sets, program specific vs. discipline specific nomenclature/groupings and the discontinuation of "note" functionality. Margaret Burns is an Occupational Therapist who has worked with PCS since 2006. For the last five years, she has worked at Holland Bloorview Kids Rehabilitation Hospital in Toronto, Ontario as Clinical Application Specialist. She was involved in the implementation of PCS in the in-‐patient units in 2009, and was instrumental in the ambulatory care implementation in 2012. Micaela Cigliutti (GRA Consultant) Learner Outcomes:
• An understanding of the practice challenges facing ambulatory care staff working towards PCS implementation
• An understanding of the technical challenges facing IS staff in this process, and solutions found 1063 -‐ A Process Design to Manage Future and Recurring Lab Orders Using Available Microsoft Office Applications Presenter: Sandra Swanson Organization: Swedish Covenant Hospital, Chicago, Illinois Scheduled: Thursday May 30 at 2:30 pm Abstract: Healthcare legislation has created an opportunity for hospital-‐based laboratories to expand outreach activity into nursing and rehabilitation facilities. Managing future and recurring lab orders can be difficult and labor-‐intensive without a digital solution. Our laboratory has designed a process using existing Outlook and Access software applications to manage patient demographics, schedule orders, create requisitions, and modify billing with minimal labor. Sandra Swanson has been the Transfusion Service Manager at an independent community hospital since 1991. She routinely uses multiple MEDITECH modules, Word, Excel, and Access. She provides the design and support of Access databases for Laboratory outreach facilities. 1064 -‐ CPOE from the Lab Point of View – CPOE’s Effect on Nursing Specimen Collection Processes Presenters: Jennifer Alexander and Nancy Williams Organization: Centura Health (Porter Adventist Hospital) in Denver, Colorado; Navin Haffty & Associates Scheduled: Thursday May 30 at 11:00 am
Abstract: Topics to be discussed … • OE CDS Queries
o How does CPOE affect the “Nurse to Collect” query? What is the importance of that query? What is the impact for the lab as well as nursing when it is not answered?
o Downstream processes affected by those query responses o Significance of other “required” queries
• Short term solutions o Impact on Doctors ordering process o How this affected laboratory processes o How this affected nursing specimen collection processes o Potential impact on patient care
• Long term resolution – MEDITECH/Centura IT solution using attribute, macro and programming change
• Required changes to lab dictionary builds • Changes implemented to nursing specimen collection process
Jennifer Alexander, RN is a Clinical Informatics Specialist, as well as a clinical nurse at Porter Adventist hospital in Denver, CO. She has been a nurse for ten years. She has been involved in the standardization and development of the EHR project with Centura Health since 2006. Nancy Williams, MT, Senior Consultant with Navin Haffty & Associates, has over 25 years of experience as a Clinical Laboratory Professional as well as 12 years as a MEDITECH Laboratory Implementation Specialist. She has spent the last eight years in a traveling consultant capacity. 1066 -‐ RXM – A Facelift for Medication Reconciliation? Presenter: Therese Hawes Organization: Inland Northwest Health Services (INHS), Spokane, Washington Scheduled: Wednesday May 29 at 2:30 pm Abstract: Join us on the MEDITECH journey of Medication Reconciliation. Using new features and functionality within RXM, this demonstration will provide insight into the full process from Admission, Transfer and Discharge. Secrets will be shared related to clinical workflow adoption, matching medications within Continue from Ambulatory, and what is available within discharge. Quality Measures, Patient Education, and Clinical Decision Support will weave their way into the discussion in an effort to maximize clinician time, while leveraging this powerful integrated program. Therese Hawes, RN serves as a Nursing Analyst for Inland Northwest Health Services. She provides implementation support for Nursing, BMV, RXM, CPOE and ED CPOE. Her passion for improved patient safety through Medication Management, has led her to work directly with MEDITECH on improving functionality and work flow for clinicians in RXM. Her implementation experiences cross all MEDITECH platforms.
1067 -‐ CPOE – So Have You Visited the HIM Offices Yet? Presenter: Gina Ruise Organization: Inland Northwest Health Services (INHS), Spokane, Washington Scheduled: Wednesday May 29 at 2:30 pm Abstract: This program will focus on the impact of CPOE on the legal record, specifically within the auspices of HIM and Providers. esign, MEDITECH reports, provider clean-‐up will all be covered. Attendees will receive an example training guide for review with HIM covering the multiple areas impacted when going live with CPOE. Gina Ruise is a CPOE Specialist with Inland Northwest Health Services. Having spent the past five years implementing CPOE in a variety of hospital settings, Gina has developed extensive knowledge regarding the impact of CPOE on the legal record. Gina worked as a Health Unit Coordinator as well as in hospital HIM settings, and brings these experiences with her to optimize hospital implementations. 1068 -‐ Quality Measures – From Digging through Detail to Liberation of Data Presenter: Stacey Stockton Organization: Inland Northwest Health Services (INHS), Spokane, Washington Scheduled: Thursday May 30 at 2:30 pm Abstract: Learn how multiple competing organizations joined forces to digest and decipher clinical quality measures, while targeting workflow to ensure an adaptive design. This session will step through the depths of detail necessary to position quality measure criteria into the MEDITECH system, guiding care practitioners in supportive documentation. PHA, CPOE, PDOC, NUR/PCS and EDM all play a key role in the gathering and sharing of data elements for successful demonstration of care quality. Stacey Stockton RN serves as manager of Clinical Application Services Division at Inland Northwest Health Services. Stacey practiced bedside nursing for over 25 years, and has been in health care informatics for the past eight years. Stacey led a multidisciplinary team of analysts, programmers, and hospital leads, to design and develop a clinical workflow approach for Quality Measure Documentation. Stacey provides leadership for many hospitals as they move multiple technology programs forward throughout their institution. 1069 -‐ The ARRA Journey – So You Thought You Were through with Stage 1; Surviving a CMS Audit for MU Stage 1 Presenter: Sandy Ebert Organization: Inland Northwest Health Services (INHS), Spokane, Washington Scheduled: Friday May 31 at 11:00 am
Abstract: The presentation will outline in detail the questions asked during the audit process of nine different facilities. Documentation steps used to successfully pass the audit, along with discussions of how the steps of the audit process added confusion and interruption of Stage II activities. Examples of MEDITECH reports, screen shots and narrative content will be shared. Sandy Ebert has worked within health care and health care technologies for the past decade. A leader in Meaningful Use strategies, including implementations, monitoring and attestation, she now has become an advisor for sites working through CMS audits. Sandy has worked with a variety of MEDITECH modules and platforms, and focuses her time with sites, looking to meet regulatory requirements. 1070 -‐ Climbing to HIMSS Stage 7 – A Partnership with MEDITECH Presenter: Marcia Cheadle Organization: Inland Northwest Health Services (INHS), Spokane, Washington Scheduled: Friday May 31 at 10:00 am Abstract: This discussion will share the journey of two Critical Access Hospitals, currently on the MEDITECH Magic platform, and their journey toward HIMSS 7 Certification. A review of the current HIMSS 7 criteria within the MEDITECH platform will be discussed in detail, along with strategies used throughout the application process for successful demonstration of a "paperless environment". Marcia Cheadle, RN is the Director of Clinical Applications at Inland Northwest Health Services. Her work entails oversight for multiple program implementations from individual module implementations to large multi module programs such as ARRA Stage I and Stage II and HIMSS 6 -‐ 7. She works in collaboration with hospital executives, and clinical staff to align hospital IT strategic plans with achievement of program goals and objectives, focusing on patient safety, quality care and cost reduction. She continues her bedside practice, working as a nurse in a local emergency department. 1071 -‐ Leveraging Patient Safety with MEDITECH Module Enhancements Presenters: Dawn Shea and Sharon Mullett Organization: Eastern Health, St. John's, Newfoundland Scheduled: Wednesday May 29 at 11:00 am Abstract: Eastern Health is the largest integrated health organization in Newfoundland and Labrador. We provide the full continuum of health services to a regional population of 290,000 and are responsible for a number of unique provincial programs. Our 13,000+ health care and support services professionals believe in providing the best quality of care and health service delivery in our region and in the province. Eastern Health extends west from St. John's to Port Blandford and includes all communities on the Avalon, Burin and Bonavista Peninsulas. Eastern Health is in the process of consolidating three MEDITECH systems into one. Standardization and implementation of best practices will create operational efficiencies and enhance patient safety. High level improvements are:
• One Master Patient Index • Standardized unit number throughout • Single facility setup • Transfers between sites • Implementation of V2 allergies • Standardized documentation processes • Change management strategies used • Lessons learned
Dawn Shea, RN has been a Registered Nurse in Medicine and ICU for 20 years. She has implemented Order Entry, PCI, Departmental, Nursing and CWS modules. She is the Project Manager with Healthcare Technology and Data Management department and currently the Project Manager – MEDITECH Consolidation. Sharon Mullett, CHIM is a Health Information Management Professional. She has worked as a Health Record Technician Manager of Health Records, Regional Director of Health Records Manger, Record Retention & Processing, and Health Information Services & Informatics. She is currently a Project Manager – MEDITECH Consolidation. 1072 -‐ The Patient Experience: An Integrated Process for Complaints/Grievances Presenter: Chris Santana Organization: Centura Health (Avista Adventist Hospital), Louisville, Colorado Scheduled: Thursday May 30 at 11:00 am Abstract: This presentation will introduce a method to track Complaints and Grievances as part of the Occurrence module currently utilized by MEDITECH. The need for a new method was identified due to manual tracking and inconsistent practice in resolving grievances within Centura facilities. This resulted in a few compliance and regulatory issues in the area of Complaints/Grievances within the system. A defined structure was established by initiating a monthly Patient Relations Committee amongst the Patient Advocates within Centura. The development of consistent work processes and standardized policies were implemented to meet regulatory requirements and to support a successful IT roll-‐out. With IT and MEDITECH support, an infrastructure was developed. The patient relations module was piloted by multiple facilities before final roll out to all Centura Facilities. Reports were built based upon Patient Advocate needs and regulatory requirements. The result has been an improved and consistent process for tracking and resolving Complaints/Grievances amongst all Centura Facilities. This new process has supported improved integration between Patient Safety and Complaints/Grievances. The result of these updates has improved our ability to identify Service Excellence initiatives and improve patient satisfaction. Chris Santana is the Patient Relations Manager at Avista Adventist Hospital in Louisville, CO. Avista is part of the Centura Health network in Colorado. He has been in the healthcare industry for the last five years. He received a degree in Finance from Walla Walla University, WA and an MBA from La Sierra
University, CA. He has been happily married for nine years. He is originally from Colorado and enjoys sports, hiking and camping. 1073 -‐ Incorporating Report Queries into the Electronic Health Record for Upload Presenters: Debbie Belowitz, Kelly Pearce, Rosalee Quinn, and Chris Andrews Organization: Hamilton Health Sciences Corporation, Hamilton, Ontario Scheduled: Thursday May 30 at 1:30 pm Abstract: Hamilton Health Sciences, a 1,200-‐bed multisite facility servicing Hamilton and surrounding areas, provides various specialty services and programs. Prior to the implementation of the electronic record staff were required to enter the information in the paper chart and then re-‐enter it on the web site. These questions are now included in the electronic record, a report has been created which is then uploaded into the appropriate data base, eliminating the need for staff to document the same information twice. Hamilton Health Sciences participates in providing patient information to Better Outcomes Registry & Network Ontario (BORN)® and Health Outcomes for Better Information and Care (HOBIC). The purpose of BORN is to facilitate and improve care for mothers, children and youth, be an authoritative source of accurate, trusted and timely information to monitor, evaluate and plan for the best possible beginnings for life-‐long health, provide scientific and technical leadership for Ontario’s maternal, child and youth health system, mobilize information and expertise to optimize care and contribute to a high-‐performing healthcare system. The objectives of HOBIC is to improve the quality of care through the provision of high-‐quality information about health outcomes, to enable the measurement of the impact that nurses, occupational therapists, pharmacists and physical therapists have on health outcomes in a variety of health care settings and to make their contribution visible at a health system level. Staff collect and enter data while doing their routine electronic documentation in NUR. Through the use of CDS attributes staff are moved through the system to answer the appropriate questions related to the patient diagnosis. Clinical educators provide education sessions to ensure staff are aware of how and what questions are required to be completed. Two NPR reports are used to create an output file for BORN. These files are based on the file specifications provided by BORN; one file for mother and one file for child. An onsite staff member reviews the report(s) prior to the upload process to identify and correct documentation errors either by correcting them directly in the file or contacting the staff member to make the appropriate correction. These reports are then manually uploaded into the respective registry via the Born Website upload interface. An NPR report for reconciliation/validation have also been created and used as a part of this process. An NPR is used for HOBIC to create an output file based on the file specifications provided by HOBIC. This report is scheduled in MIS and sent via SPOOL to an FTP site for import into the database. Kelly Pearce RN, BScN Rosalee Quinn RN, BScN, PNC (C)
Debbie Belowitz, RN, BScN, has been a Registered Nurse for 35 years working in a variety of clinical areas. She has been a Clinical Informatics Specialist at Hamilton Health Sciences for the past five years. Chris Andrews is a Technical Specialist with a background in Enterprise System Administration, Networking and Application Support over the past 12 years. Chris is currently working with the Clinical Informatics team on the implementation of Advanced Clinicals across HHSC as well as NPR Report writing and Mobile Application Development. 1074 -‐ The Roman Candle Approach to CPOM Implementation Presenters: Tracy Clark and Trevor Clere Organization: UHHS/CSAHS-‐Cuyahoga, Inc. (Mercy Medical Center), Canton, Ohio Scheduled: Wednesday May 29 at 3:30 pm Abstract: Mercy Medical Center in Canton, Ohio is a 476-‐bed hospital that is a part of the Sisters of Charity Health System. A medical staff of 670 physicians provides care via multiple service lines such as Orthopedics, Maternity, Pediatrics, Cardiac, Oncology, Surgery, Psychiatry and Rehabilitation. The challenge presented was to implement inpatient Computerized Provider Order Management (CPOM) on the MEDITECH Magic 5.64 platform with limited IT and clinical resources. A Clinical Transformation Team was created, as well as six physician led work groups, focusing on work flow, devices, metrics, order sets, communication, training and support. Instead of the conventional Big Bang approach to implementation, Mercy chose the Roman Candle approach where multiple steps led to the CPOM implementation. Those steps included Stop Print, eSign mandate, network authentication and conversion to biometric authentication (satisfying the Ohio Board of Pharmacy regulations). A nursing unit conducted the pilot study after which all nursing units were implemented for all written, telephone and verbal orders. Over 500 corrections/additions were made based on the nursing implementation. A physician pilot group was then conducted using the Hospitalist group which had the largest volume of orders and admissions. Next, all physicians were offered to become early adopters 8 weeks prior to the scheduled all physician go-‐live. Forty physicians were selected for this milestone. Finally, all inpatient areas with the exception of maternity and surgery went live. These two areas will complete their go-‐live in the second quarter of 2013 due to more complex work flows. In the fourth quarter 2013, MEDITECH RXM and PDOC will be implemented. To date, Mercy has reached all hospital based and system milestones related to CPOM. It was felt that the Roman Candle approach has strengthened our clinical staff and provided the support needed for successful implementation. Tracy Clark, MSN, RN is a Master of Science in Nursing with an administration and leadership focus, who has been a nursing director at Mercy Medical Center in Canton, Ohio for the last four years. She has an additional 11 years management experience at other facilities and has been a nurse for 27 years. She also has been the Nursing Joint Commission lead. In 2011, Tracy was named as the Director of Clinical Transformation for Mercy Medical Center. The Clinical Transformation Department is unique in that it reports to Medical Affairs and takes its interdisciplinary team of nursing, pharmacy and information systems to focus on the transformation of the physician migration from a paper environment to an electronic environment along with all the nursing and ancillary changes needed to support the physicians
in the deployment and migration to Computerized Provider Order Management, Electronic Medication Reconciliation and Electronic Provider Documentation. Trevor M. Clere, BS, MBA is a service-‐based leader in healthcare IT with a focus on balance in an exploding segment of the industry. As the Director of Information Services in a mission-‐based community hospital, he is working to blend cultural changes in care giving with excelling capacity in, and desire for, technology. Connectivity, communication, integration and workflow are encompassed in the diversity of the teams in which he is fortunate to participate at Mercy Medical Center, the Sisters of Charity and through membership in the Akron Regional Hospital Association. Factoring mission and margin often requires resourcefulness in utilizing scarce resources to effectively and efficiently sustain business processes. With a Bachelor of Science in Cytotechnology and a Master of Business Administration from The University of Akron, and approximately ten years of experience in healthcare IT, Trevor is an engaged and motivated member of a team determined to succeed. 1075 -‐ TAR -‐ Opportunities and Challenges Presenter: Susie Thibeault, Gidget Carlin, and Mary Kokoski Organization: Hamilton Health Sciences Corporation, Hamilton, Ontario Scheduled: Wednesday May 29 at 1:30 pm Abstract: Hamilton Health Sciences recently went LIVE with TAR functionality for Magic 5.64. This includes scanning all unique and non-‐unique products. The module delivered "out of the box" did not support our non-‐unique and manipulated unique products. This required working closely with Nursing, Blood Bank, and MEDITECH in order to deliver a solution that met all our requirements. Susie Thibeault, RN, MISt is the IT Clinical Application Support with experience in IT, management and nursing. Gidget Carlin, RN, BScN is the Project Leader and Clinical Informatics Specialist with experience in ED, management and nursing. Mary Kokoski, BSc, MLT is a Laboratory Information Specialist. Her main focus on the LIS team is to support the computer needs for Transfusion Medicine where she is passionate about using information systems as an enabler for advancing Transfusion Medicine Services in the Hamilton hospitals. Prior to joining the LIS team, Mary worked as a Medical Laboratory Technologist in Transfusion Medicine. 1076 -‐ Getting to the Core of VTE – Meeting Core Measure VTE Requirements Using POM Presenter: David Baclawski Organization: UHHS/CSAHS-‐Cuyahoga, Inc. (Mercy Medical Center), Canton, Ohio Scheduled: Thursday May 30 at 3:30 pm
Abstract: Learn how to use POM to collect physician documentation and drive order management to meet Core Measures requirements based on best practices presented by MEDITECH. We will demonstrate the functionality for a VTE (venous thromboembolism) Order Set as it appears to physicians and clinical staff as well as review and provide all technical specifications required to reproduce the process in the attendee’s own MEDITECH systems. Kathleen Frampton MSN, RN is a nurse who has practiced at Mercy Medical Center in Canton, Ohio for the last 23 years. During that tenure, she has functioned as a nurse and as a nurse practitioner working closely with the physicians in Infectious Disease and Pediatrics. Kathleen has also functioned as a nursing informatics resource building MEDITECH customizations including Nursing Documentation and Order Entry. In 2011, Kathleen became part of the Clinical Transformation Team and has been instrumental in customizing MEDITECH to bridge the gaps between physician needs and Nursing and Ancillary processes to help us reach our goals for Physician Electronic Order Management. Kathleen has also been indispensable with developing materials for and training physicians and other staff as needed. David Baclawski DPM is a Senior Systems Analyst/Database Administrator at Mercy Medical Center in Canton, Ohio. David practiced as a Podiatrist prior to migrating to a Technology Consulting role where he worked as a Database Administrator and Systems Engineer for seven years prior to joining Mercy Medical Center. In his seven years at Mercy Medical Center, David has performed many roles, from supporting the Lawson Human Resources and Payroll System and Kronos Time Keeping system to the clinical systems Emergisoft in the Emergency Department and several different MEDITECH Modules. David was instrumental in migrating the Operating Room module for Mercy Medical Center, St Vincent Charity Medical Center and St John Medical Center from MEDITECH Client Server to MEDITECH Magic. In 2011, David was promoted to Senior Systems Analyst and named as the Information Systems representative on the newly formed Clinical Transformation Department. This department was tasked with leading the migration of physicians and other clinical staff from our then current paper environment to an electronic environment. 1077 -‐ What Do You Mean BKG-‐Running? Presenter: Lori Oelschlager Organization: Cook Children's Health Care System, Fort Worth, Texas Scheduled: Thursday May 30 at 3:30 pm Abstract: This is an intermediate-‐level discussion of tidbits, tips and tricks related to C/S MIS Alerts – those little known places to find additional setup and tweaking options for alerts including the infamous BKG-‐Running Alert. (A basic understanding of MIS Alerts is helpful.) Lori Oelschlager is a MEDITECH Specialist at Cook Children's Health Care System in Fort Worth, Texas. She has anchored the clinical applications support team since Cook Children’s went live with MEDITECH in 2003, specializing in EMR, PCS and POM. As a former application tester, Lori works to learn how systems work and how they interact with other systems so changes and updates go smoothly. Lori hopes to see the Texas Rangers win the World Series sometime in her life. 1078 -‐ Leaps Forward with Patient Safety Presenters: Rebecca Peery and Jill Frazier-‐Farnsworth Organization: Centura Health, Englewood, Colorado Scheduled: Friday May 31 at 11:00 am
Abstract: This presentation will provide the audience with the following:
• What is Leapfrog Group and how do they measure an .EHR’s patient safety • Key areas within your CPOE (Computerized Provider Order Entry) system that are tested
o Medication Safety, (partial list): § Drug/Drug § Allergy/Drug § Diagnosis/Drug § Contraindication based on age and weight § Contraindicated based on lab studies § Therapeutic Duplication § Simple and cumulative dose limits § Contraindicated route of administration
o Over alerting (nuisance alerts) • How to test your CPOE system to maximize medication order safety
o What is required to complete this testing • What is learned from the testing that will help make the system safer • Lessons learned from our testing
Centura has achieved the designation of “fully implemented” on all facilities tested to date. Rebecca (Becky) Peery, RPh is a licensed pharmacist who has 25 years of experience in hospital pharmacy. She was integral in implementing the MEDITECH Client Server modules, BMV, PCS eMAR, and PHA, for Centura in 2006. In 2011 she migrated to a Clinical PHA IT Team Analyst with Centura and has been leading the standardization of the formularies and processes for CPOE across the 13 Centura hospitals. Jill Frazier-‐Farnsworth, a PMP certified Project Manager, has 18 years of project management experience and 16 years of healthcare specific project management experience. She has proven experience with new hospital builds and multi-‐vendor, multi-‐application, high risk projects. She is an experienced manager of people, projects and change management and is an excellent facilitator between the C-‐Suite, business units and the clinical and technical teams. Ms. Frazier-‐Farnsworth is experienced in Full Life Cycle Project Methodology and is currently assisting Centura Health with Leapfrog Group Testing. 1079 -‐ Avoiding Pharmacy Faux Pas – Solutions to Difficult Pharmacy POM Builds Presenters: Trevor Clere and Kathleen Frampton Organization: UHHS/CSAHS-‐Cuyahoga, Inc. (Mercy Medical Center), Canton, Ohio Scheduled: Thursday May 30 at 2:30 pm
Abstract: This presentation will offer a few solutions to some difficult pharmacy medication order builds, specifically how we address Total Parenteral Nutrition (TPN), Sliding Scale Insulin and Weight Based Heparin orders in Physician Order Management. The presenters will demonstrate the functionality of our solutions to these traditionally difficult scenarios and answer any questions on the backend build and workflow. Ted Rhodes, RPh is a Registered Pharmacist, who has practiced at Mercy Medical Center in Canton, Ohio for more than 20 years. Ted has assisted with the configuration and deployment our Medication Robot, Pharmacy Dictionary builds, Medication Cart and Medication Cabinet deployments. In 2011, he was named as the Pharmacy Informatics lead and since has been an indispensable part of our Computerized Provider Order Management building team. Kathleen Frampton MSN, RN is a nurse who has practiced at Mercy Medical Center in Canton, Ohio for the last 23 years. During that tenure, she has functioned as a nurse and as a nurse practitioner working closely with the physicians in infectious disease and pediatrics. Kathleen has also functioned as a nursing informatics resource building MEDITECH customizations including Nursing Documentation and Order Entry. In 2011, Kathleen became part of the Clinical Transformation Team and has been instrumental in customizing MEDITECH to bridge the gaps between physician needs and Nursing and Ancillary processes to help us reach our goals for Physician Electronic Order Management. Kathleen has also been indispensable with developing materials for and training physicians and other staff as needed. 1080 -‐ Can Providers Follow Rules? Presenters: Bob Beagley and Rebecca Peery Organization: Centura Health, Englewood, Colorado Scheduled: Thursday May 30 at 11:00 am Abstract: This presentation will provide background information in general rule building in MEDITECH C/S. An introductory overview of the MIS override comments and override categories dictionaries and the PHA rule dictionary (Line Editor and NPR editor) will be presented. Practical examples of the rules used by Centura to display information for providers, pharmacists, and nursing in a CPOE world will be covered. Bob Beagley is a licensed pharmacist who has over 30 years of experience in the healthcare industry, including over 10 years of healthcare information system experience utilizing MEDITECH Magic, Client Server and 6.0. Bob has implemented the Pharmacy MEDITECH system, converted Pyxis Dispensing Machines and other pharmacy systems to MEDITECH pharmacy and implemented CPOE, BMV, eMAR, EDM. Rebecca (Becky) Peery, RPh is a licensed pharmacist who has 25 years of experience in hospital pharmacy. She was integral in implementing the MEDITECH Client Server modules, BMV, PCS eMAR, and PHA, for Centura in 2006. In 2011 she migrated to a Clinical PHA IT Team Analyst with Centura and has been leading the standardization of the formularies and processes for CPOE across the 13 Centura hospitals.
1081 -‐ Standard Drip Administration Criteria Development for CPOE Presenter: Jessica Dana Organization: HCA -‐ The Healthcare Company, Nashville, Tennessee Scheduled: Thursday May 30 at 11:00 am Abstract: As CPOE is implemented, paper processes must become part of the new electronic healthcare workflow. This transition presents many challenges for various reasons but also allows for the ability to innovate. In a paper environment, titrateable drip administration criteria are often outlined on a written protocol and providers simply write an order for the protocol when ordering the drip. In a CPOE environment, protocols can be created, however for a simple titrateable drip utilization of the administration criteria functionality in CPOE provides an opportunity to standardize and streamline provider order entry. Standard drip administration criteria were created, vetted through an approval process, rolled out company wide, and are currently undergoing enhancements for a new version release. Jessica Dana Pharm.D., BCPS 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 previously served as an EHR Medication Management Clinical Pharmacist with HCA and as a Belmont University School of Pharmacy Assistant Professor of Pharmacy Practice. Currently she is serving as a Senior Product Analyst with HCA IT&S Product Development. 1082 -‐ MEDITECH 6.0 Implementation – Electronic Health Records Through Collaboration Presenters: Cory Bell and Michael Cohen Organization: Queensway-‐Carleton Hospital, Ottawa, Ontario Scheduled: Thursday May 30 at 11:00 am Abstract: In 2010, the Queensway Carleton Hospital (QCH), in collaboration with other hospitals in the Ottawa region, created a partnership to deploy a single instance of MEDITECH 6.0 across multiple hospitals. Now with the transition from Magic platform completed for the first wave of hospitals, QCH is in the process of implementing advanced clinicals as well as on-‐boarding new partner hospitals to the 6.0 platform. Presenters will discuss the structure of the collaborative as well as highlight the successes and challenges encountered through the migration to 6.0 and highlight the workings of the plan to create a regionally shared electronic health record across participating hospitals. Michael Cohen – Vice President Cory Bell – Project Director
1083 -‐ Physician Engagement – How Big is the Diamond? Presenters: Lindsey Robertson and Dr. Patrick Sankovitz Organization: Centura Health, Englewood, Colorado Scheduled: Wednesday May 29 at 1:30 pm Abstract: Centura Health is the largest healthcare system in the state of Colorado, and is fully integrated on a MEDITECH client-‐server platform. Centura Health will complete a 20 month roll-‐out of CPOE and Provider Documentation in all of its facilities in August 2013. We will discuss our experience of physician engagement in this context. We will review strategies and tactics for engagement that support and maintain physician commitment to a successful patient-‐centered EMR. We will review relative literature, key preparatory steps, methodologies and outcomes. In addition, we look forward to passing along our pitfalls, regrets and lessons learned. Participants will:
• Receive general overview of the subject matter along with a bibliography of relevant current literature on the subject of physician engagement
• Learn to plan the strategic and tactical elements of physician engagement • Learn common techniques, tricks and pearls that initiate, engage and captivate physicians in the
context of EMR adoption. • Learn common pitfalls and mistakes to avoid. • Learn to integrate EMR functionality with medical staff bylaws, rules and regulations. • Learn how to establish a sustainable IT-‐positive medical staff community.
Lindsey Robertson, RN BSN, a Physician Trainer, earned her degree from the Walla Walla University. She has worked as an RN at Seattle Children’s Hospital in the Organ Transplant & Cardiac Surgery Unit; and at Centura Health; and as a Physician Training Specialist at St. Anthony North Hospital. She has taught 200+ hours of Computerized Provider Order Entry (CPOE) education for Centura Health’s launching of MEDITECH CPO. Patrick Sankovitz, MD, is the Physician Director of Informatics. A graduate of Marquette University with a BS in Biomedical Engineering, Dr. Sankovitz went to medical school at the University of Wisconsin. His experience includes Family Medicine, faculty Family Medicine Residency, Program Director Family Medicine Residency, and Chief Medical Officer. 1084 -‐ Optimizing EDM for Peak Performance Presenters: Jodi Bush and Tracy McKinnon Organization: Children’s Health Care System, Fort Worth, Texas Scheduled: Thursday May 30 at 1:30 pm Abstract: Upon implementation of the EDM module, we discovered additional pieces that required optimization to enhance system performance in our busy emergency department, including specific cleanup of patient indexes, toolbox parameter settings, and evaluating tracker and assessments for optimal processing. This presentation will include the specific indexes to be concerned with, what toolbox parameters actually mean and tips for tracker and assessment redesign.
Jodi Bush is a senior clinical business analyst, having worked on MEDITECH since its implementation at Cook Children’s Health Care System in Fort Worth, Texas in 2003. Over her 17 year career at Cook’s, Jodi has implemented and supported MEDITECH and other systems for many departments, including the hospital nursing staff and physicians, Emergency Department, and Cook Children’s Physician Network. Her recent efforts included successful implementations of EDM, RXM with Dr First and PDOC for the Emergency Department. Jodi was recently promoted to Business Analyst/Specialist in recognition of her broad MEDITECH system knowledge and leadership role in the IT clinical applications group. Tracy McKinnon, LPN is a clinical business analyst, having worked with MEDITECH at Cook Children's Health Care System in Fort Worth, Texas since 2012. Her recent efforts included successful implementations of EDM, RXM with Dr First and PDOC for the Emergency Department. As a former Emergency Room Nurse, and MEDITECH application analyst, Tracy brings clinical experience with EDM module from another facility. 1085 -‐ MIS Alerts 101 Presenter: Lori Oelschlager Organization: Cook Children's Health Care System, Fort Worth, Texas Scheduled: Wednesday May 29 at 11:00 am Abstract: Join us for some basic training on C/S MIS Alerts. Learn who, what, when, where and how MEDITECH Alerts are setup and monitored. This session will discuss the dictionaries involved in setting up alert parameters, settings and notifications. We will also discuss how you can monitor the alerts. Lori Oelschlager is a clinical applications analyst at Cook Children's Health Care System in Fort Worth, Texas. She has anchored the clinical applications support team since Cook Children’s went live with MEDITECH in 2003, specializing in EMR, PCS and POM. As a former application tester, Lori works to learn how systems work and how they interact with other systems so changes and updates go smoothly. Lori hopes to see the Texas Rangers win the World Series sometime in her life. 1086 -‐ Clinical Quality Measures for Successful Meaningful Use Attestation Presenter: Mickey Waters Organization: Conway Medical Center, Conway, Arkansas Scheduled: Thursday May 30 at 3:30 pm Abstract: Conway Medical Center, a patient centric, forward thinking facility, set a goal to attest for Meaningful Use Stage 1 at the end of the third quarter in 2012. Many core set and menu set objectives were attainable however there were a few gaps that needed to be filled. To close these gaps and ensure a successful attestation to CMS, Conway Medical Center faced more than one challenge as reporting Clinical Quality Measures requires collecting data elements from numerous systems. Learn how Conway Medical Center was able to attain their attestation goal on a very tight timeline. The journey’s emphasis was on commitment, cooperation, collaboration, and communication.
Mickey Waters has been a CIO/IT Director for over 20 years and his current employment at Conway Medical Center spans nine years. Mickey’s wealth of experience and passion for health care is evident in the smooth operation of his department, performance of his staff and by the excellent outcomes they achieve. Mickey is a natural leader, organizing teams from several areas of expertise, to provide the best possible outcome for the project at hand. Mickey is also the HIPAA Security Officer at Conway, ensuring that all patient information is respected and kept confidential. 1087 -‐ Physician Care Manager/Advanced Clinicals (CPOE, MEDREC, eRX, PWM, and PDOC), Navigating Development and Optimization Opportunities Presenter: Chad Turner Organization: HealthNET Systems Consulting, Inc. Scheduled: Friday May 31 at 9:30 am Abstract: From maximizing reimbursement to achieving clinical excellence in the organization, MEDITECH’s Physician Care Manager (PCM) is a suite of products with incredible benefit to the organization for achieving Meaningful Use, clinical excellence, and data sharing goals. Automating processes, designing documentation that is streamlined and efficient for physicians, providing clinical decision support, and assuring data flow between nursing staff and physicians in both the ED and the in-‐patient setting are all crucial in developing an optimal system. Come see how your organization can develop PCM, maximize quality, accomplish Joint Commission goals, and develop the system to meet Meaningful Use criteria to accomplish financial and clinical excellence. This session will cover the necessary steps of planning and development, the importance of standardization, and implementation strategies. Key topics will include:
• Documentation methodology • Nomenclature • Medical Problem Development and implementation strategies (ICD9/ICD10/SNOMED/IMO
Planning/Prep/Staging) • Computerized physician order entry (CPOE) • ePrecribing (eRX) • Online medication reconciliation (MEDREC) • Physician on-‐line documentation (PDOC)
Technology, clinician/physician buy in, optimal data flow, and Clinical Documentation Improvement Program (CDIP) development will also be discussed. Chad Turner currently serves as an Advanced Clinical Specialist at HealthNET Systems Consulting, Inc. Chad has over 17 years of experience in healthcare IT that includes project management, IT planning, IT assessments, clinical systems implementation, system upgrades, process redesign, training, HCIS and hardware selections. Chad has extensive experience in the areas of project management, advanced clinical information systems, multi-‐facility implementations. Learner Outcomes:
• Data Sharing Pathways/Planning -‐ Nursing documentation structure and specificity can differ significantly from the structure and specificity needed with PCM/PDOC. A key outcome of this presentation will be to help attendees understand some of the common areas for developing standards to promote data sharing between Clinical and Medical staff and reduce redundant documentation and how to stage development/re-‐development with various clinical disciplines (NUR/RT/PT/etc.)
• MPL Strategies -‐ Optimizing development of the medical problem routines and how to utilize standard functionality to incorporate medical problems into physician documentation can be challenging. A key takeaway for attendees will be methods for development, ways to get physician by-‐in for migration to MPL documentation, and how to use augmentation tools (such as IMO) versus manual methods to map/link together variable clinical nomenclatures such as ICD9, ICD10, SNOMED, or DSM-‐IV to promote easier utilization.
• CPOE/MedREC -‐ Navigating optimization of CPOE and the Medication Reconciliation process can be challenging, especially with focus on meeting Meaningful Use criteria. Key takeaways for attendees will be to understand options/pros&cons for quality measure capture in PDOC versus CPOE, or combination of the two, reporting considerations (NPR vs DR vs third party vendor), variations in process for MedRec, options for outputs/reporting of key stages of MedRec and also options for patient outputs (standard vs custom NPR). Also how staging the roll out of various components of PCM can lead to success as opposed to a "Big Bang" approach.
1088 -‐ The Last Resort: Rebuilding, Our Only Solution for a Successful CPOE Activation Presenters: Egan Lasley and John Vergato Organization: Santa Rosa Memorial Hospital, Santa Rosa, California; Dearborn Advisors LLC Scheduled: Friday May 31 at 2:30 pm Abstract: With the implementation of CPOE, many sites are discovering the pharmacy build they did as long as six years ago is very inadequate. This discovery may even have been made during the PCS/BMV implementation, but with the addition of Order Strings, many sites are realizing the hardships they are going to go through when implementing CPOE, or even worse, are experiencing because they forced CPOE upon their staff. The project this presentation is based on, and just recently completed, detail the almost overwhelming need to rebuild the entire drug formulary, with new mnemonics, how to replace them in the OE and Pharmacy Order Set dictionaries, the Order String dictionary, and other dictionaries that contain the drug mnemonics. We will discuss how to test, coordinate with vendors and implement the changes needed to be successful. We will also discuss how MEDITECH went beyond its comfort zone and how they helped us achieve our goal. This endeavor is not easy and should be considered a “last resort.” Egan Lasley, CphT and Pharmacy Analyst at Santa Rosa Memorial Hospital in Santa Rosa, California has many years and multiple vendor CPOE implementation experience in addition to both the clinical and technological experience needed to participate in the massive CPOE Project recently completed. Fresh off a CPOE implementation at Saint Alphonsus RMC in Boise, ID, Egan was hired to assist in fixing the pharmacy related issues with the CPOE project. Egan took on the serious challenges of both time and resources to make all the modules work well together.
John Vergato has over eight years of implementation and sales experience with Healthcare Information Systems, specializing in MEDITECH’s Pharmacy and Patient Care Systems. Having implemented systems both from the vendor and consulting perspectives in addition to having acted as a Marketing Consultant for a major vendor, Mr. Vergato has a distinct understanding of the MEDITECH environment. Mr. Vergato has assisted in the support and implementation of dozens of MEDITECH Patient Care System and Pharmacy applications in through all sizes of organizations, from critical access hospitals through Independent Delivery Networks with 14 facilities. In addition to implementation assistance, Mr. Vergato has led multiple streamline (quick implementations) Pharmacy accounts and also handled large CMS installs. John has experience with MAGIC, C/S and 6.X, full service implementations, migrations, updates, and end-‐user support. Prior to joining Dearborn Advisors, John worked for major healthcare information systems vendor. 1089 -‐ CPOE – Curves, Steep Uphills, the Amazing Views, and Ultimate Reward of Getting There! Presenter: Greta Dietrich, Dr. Andy West, and Kim Eldred Organization: Hospital Sister’s Health System, Springfield, Illinois; Dearborn Advisors LLC Scheduled: Wednesday May 29 at 10:30 am Abstract: On the road to a CPOE activation there are numerous small and large things that can make the trip very successful. There are also some pretty dangerous curves and steep uphill climbs to reach the destination. With careful planning and navigation the trip can be very rewarding. This presentation will be helpful for those in the process of or considering implementing CPOE. We will discuss the importance of following a detailed plan that encompasses governance, communication, process redesign, evidence based content, technical readiness, training and support. There will be time devoted to lessons learned in a multi-‐entity health system during the activation of CPOE to include standardization of orders and order sets, evidence-‐based order sets, and building those sets in MEDITECH. (This presentation will not be version specific. For demonstration purposes 5.6x will be used.) Greta Dietrich is a Medical Informaticist with Hospital Sister’s Health System. She has clinical experience with medical laboratory science and in healthcare management in performance/quality improvement arena. She has been System Project Lead for content development, standardization, adoption, implementation, and change management for order sets for CPOE. Andy West is a pediatrician with over ten years of experience with EHR use. Originally he was a physician superuser within his clinic, but over the past five years has been focusing on implementation and physician acceptance and adoption of the EHR and particularly CPOE. He is currently working with a 10 hospital health system on CPOE activation. Kim Eldred has nearly 20 years of experience in hospital information technology. She has extensive experience in implementing clinical information systems. Her focus has been on clinical systems with the majority of work in OE, ITS, LAB, and BAR as it pertains to those modules and interfaces. Beyond implementations she is currently working with a 10 hospital health system on implementing Standards and CPOE activation.
1090 -‐ CPOE and Evidence-‐Based Order Sets: The Less Obvious Impacts Presenter: Dan Hatcher, Christ Kokinos, and Alison Samia Organization: Enloe Medical Center in Chico, California; Dearborn Advisors LLC Scheduled: Friday May 31 at 1:30 pm Abstract: We probably have all been in conversations with the brave souls that launched CPOE before us and we have all heard the cautions about build design, physician involvement, nurse involvement and pharmacy involvement, but is any organization really aware of the significant change to their world CPOE can bring? The perception at Enloe Medical Center was that no workflow changes have EVER been as dramatic as the launch of the CPOE project. Even with this perception and all the planning and reading that went along with it, the SHOCK to the processes was far more dramatic than anyone really expected. There was opposition from all clinical areas, pharmacy included. Give a physician ‘free text’ space and be prepared for everything imaginable to be ordered, regardless where the text field resides. Drug orders in a ‘unit secretary to coordinate’ and lab orders within label comments on a drug. Getting the correct level of decision support alerts to ensure adoption and prevent errors is a fine blade to walk. And that is just the beginning. Pharmacy; Nursing … these are areas that can really wreak havoc on patient care if the proper attention is not given to them during implementation of CPOE with or without Evidence-‐Based Order Sets (EBOS). There is often a large focus on how orders are going to be entered by the physician but not enough attention given to what they will look like when the nurse needs to process those orders. A similar situation often occurs with Pharmacy. Organizations are very focused on making the medication ordering process “easy” for physicians without enough thought for how this easier ordering for physicians may create harder processing for Pharmacy. This again can have a downstream effect on patient care. This presentation will include discussions about implementing CPOE/EBOS with the big picture in mind and will highlight some of the areas organizations should be focused on related to Nursing and Pharmacy impacts when implementing CPOE/EBOS. Dan Hatcher, PharmD is a Clinical Pharmacist in the Clinical Informatics Department at Enloe Medical Center in Chico, CA. Enloe Medical Center is a free-‐standing 350-‐bed regional medical center in northern California. The facility is running Client/Server 5.66 and has implemented CPOE (6/2012) and eMAR/BMV (11/2011). Dan has extensive experience in hospital pharmacy management and operations. He is currently working on development of evidence based order sets (EBOS) and completing implementation of CPOE and eMAR/BWV. Christ Kokinos, PharmD is a Clinical Informatics Pharmacist at Enloe Medical Center for 25 years. The past eight years with the MEDITECH C/S product line, starting with initial build in 2005 and then through multiple upgrades. Some recent projects include eMAR/BMV, IV Spreadsheet, and current projects include PDOC, POM, EBOS (with Provation). Responsibilities also include development and support of Pyxis automation, Pyxis Connect, Pyxis NurseLink, Pyxis Anesthesia System, Sigma smart pumps, Pandora VIA, Summit Downtime, First Data Bank updates to multiple systems, ARIA Outpatient Oncology, Lexi Online Formulary. Alison Samia has over nine years of MEDITECH experience including seven years of implementation experience and two years of vendor experience. She has been involved in various MEDITECH
implementations including, new installs, upgrades, conversions, as well as support. She has worked with the Client/Server, Magic and 6.x platforms in CMS and non-‐CMS controlled environments. Alison’s area of expertise includes Emergency Department Management, Ambulatory Order Management, Order Management, Patient Discharge Instructions, Patient Care Systems and eMAR/BMV. 1091 -‐ Navigating Regulatory Agency Requirements for Laboratory Information Systems (LIS) Presenter: Willa Roberts Organization: HealthNET Systems Consulting, Inc. Scheduled: Friday May 31 at 10:00 am Abstract: In the era of ARRA and Meaningful Use requirement, it is easy to forget the role that IS plays in helping organization navigate requirements with regulatory agencies such as CAP, AABB, Joint Commission (JC), and the Federal Drug Administration (FDA). This session will cover the necessary steps of planning and development of reporting, LIS development and optimization, IS requirements, the importance of standardization, and preparation strategies. Key topics will include: Methods for proactively preparing for regulatory audit/inspection, Technology needs for future growth requirements (i.e. ICD10 migration, LOINC code mapping, ISBT, BBK validation, TAR requirements, etc.), optimal data flow, and improve clinical documentation, report automation and development will also be discussed. Willa Roberts, MBA, MT(ASCP) currently serves as a consultant at HealthNET Systems Consulting, Inc. Willa is a Medical Technologist by background with over 20 years of experience in Healthcare including 12 years in of IT experience. Her expertise includes project management, IT planning, IT assessments, clinical systems implementation, system upgrades, process redesign, training, HCIS and hardware selections, LIS migration, and CAP/AABB/FDA readiness. 1092 -‐ BMV 101 -‐ (Building in Magic) When PHA is a Foreign Language? Presenter: MiChelle Franzen, RN Organization: Vitalize Consulting Solutions, Inc. Scheduled: Wednesday May 29 at 3:30 pm Abstract: As we hurl through the Information Age, we are, at times, expected to perform miracles when building Advanced Clinicals. You may end up fumbling around; trying to figure out what to do in a module you know nothing about. This session will give you the steps needed to build BMV along with helpful hints to streamline your implementation. Join us in learning how to “get it done” without breaking much of a sweat. MiChelle Franzen, RN, has worked in healthcare for the past 28 years. She joined the ever growing ranks of Information Technology in 2007 and now works as a consultant for Vitalize Consulting Solutions. She has been involved in multiple implementations for MEDITECH Magic including NUR/eMAR/BMV/TAR, EPS, PWM/POM, RXM.
Learner Outcomes:
• Will be able to efficiently document EVERY drug in their facility by NDC# • Will be able to correctly set up “zero dose” drugs (such as insulin and ointments) for eMAR/BMV
documentation • Will have tools needed for complete end-‐user training and documentation of competencies
1093 -‐ DR 101 – The Data Repository Overnight DBA Presenter: Ian Proffer Organization: Acmeware Inc. Scheduled: Thursday May 30 at 10:00 am Abstract: For MEDITECH system administrators that are new to the Data Repository (DR), you may have found yourself scratching your head if you haven’t supported Microsoft SQL Server before. Database backups? Index maintenance? Transaction log files? We’ve got you covered in this session, where we’ll teach you the basics of database administration, especially as they apply to the unique database design of MEDITECH’s DR. We’ll look at routine DBA best practices, including how to manage security and basic database maintenance. We’ll also review optimal DR server configuration according to MEDITECH guidelines, as well as ways to intelligently manage routine tasks like index defragmentation and disk space and database capacity planning. If you’re a DR system administrator and want to learn more about managing your SQL Server databases, come to this informative session. Acmeware Vice President Ian Proffer spent seven years in healthcare IT at Jefferson Healthcare in Port Townsend, WA (a MEDITECH C/S site) and Harborview Medical Center in Seattle before joining Acmeware in 2007. Ian has over 18 years of experience as a database analyst, administrator and architect, including four years at Microsoft Corp., where worked extensively with SQL Server starting on version 4.21. His practical work experience in healthcare includes database analysis and administration, report and application authoring and development, and user education and training. 1094 -‐ Maximize Revenue Cycle Efficiency Utilizing MEDITECH Software You Already Own! Presenter: Amy Morrow Organization: Santa Rosa Consulting Scheduled: Thursday May 30 at 3:30 pm Abstract: With all the reimbursement cuts maximizing staff efficiency in the Revenue Cycle is key. We will cover how to utilize the Revenue Cycle Modules of MEDITECH to decrease denials and days in AR while increasing staffing efficiency. Amy Morrow, Senior Consultant at Santa Rosa Consulting, has been supporting the Revenue Cycle modules of MEDITECH for five years. She has supported ABS, BAR, MRI, and QM in the acute and long term care ring as well as ARM, PBR and MEDITECH Home Care. Prior to her support role she was a billing supervisor where she supervised the Medicare, Medicaid and Commercial Billers for a 76-‐bed hospital.
1095 -‐ RXM 101 Presenter: Lucy Nelson Organization: Santa Rosa Consulting Scheduled: Wednesday May 29 at 1:30 pm Abstract: The implementation of RXM is instrumental in achieving Meaningful Use, but there is a lot of confusion around implementation. Otherwise known as AOM, Ambulatory Order Management, which was originally created for use in the outpatient setting, the improved functionality includes Medication Reconciliation, e-‐prescribing and electronic discharge, all of which are valuable inpatient tools as well as being required for Meaningful Use. This presentation provides an entry level review of the functionality and unique aspects of the dictionary build in RXM, MIS, PHA and OE/OM/POM. If your facility has been trying to navigate this functionality, join us and let us lead the way! Lucy Nelson is a Healthcare IT Consultant with 30 years of practice as a healthcare professional and an RN including over 14 years of experience working with MEDITECH including 6.x, Client Server and MAGIC platforms. Lucy possesses a wealth of applicable clinical, practical, training and implementation experience with extensive hands-‐on experience in several clinical modules. She has served as Coordinator of MEDITECH teams for ARRA preparation and also offers a depth of knowledge on meeting Meaningful Use requirements using MEDITECH. She has managed multiple projects for the Implementation of RXM in the inpatient setting, as well work with sites using the AOM functionality in the office/clinic setting. Currently a Senior Consultant with Santa Rosa Consulting, Ms. Nelson is eager to share her knowledge with fellow MUSE members. 1096 -‐ Information Technology in Africa: Challenges and Opportunities Presenter: David Ranney Organization: Vitalize Consulting Solutions -‐ an SAIC Company Scheduled: Friday May 31 at 11:00 am Abstract: As a single entity, Africa has received much attention over the lack of growth in its information technology ecosystem. Critics point to a lack of internet availability, lack of knowledgeable users, lack of IT infrastructure, and more. What is missing from this criticism is anything positive. This presentation is designed to elicit comments and promote discussion about the state of affairs in Africa while considering where today's companies might enter the market. David Ranney is a 20+ year veteran of the supply chain / healthcare / information technology arena. He has applied his expertise in military, academic, and professional roles ranging from US Navy Supply Corps officer, to Yale Fellow working with the Clinton Foundation, to senior consultant for Vitalize Consulting Solutions. In 2012, David presented findings on Essential Medicines and Millennium Development Goals at the World Federation of Public Health Associations in Addis Ababa, Ethiopia. Though David has recently been “upgraded” to doctoral candidate at Central Michigan University, he prefers working with staff in a pharmacy warehouse over writing about the next leadership theory.
1097 -‐ CMS 101 Presenter: Vicki Munro Organization: Santa Rosa Consulting Scheduled: Thursday May 30 at 11:00 am Abstract: Are you having trouble keeping your TEST and LIVE environments synchronized? Do you find yourself frustrated that you can’t test accurately in your TEST environment because your dictionaries are out-‐of-‐date? Are you testing in your LIVE environment? MEDITECH Corporate Management Software (CMS) doesn’t just have to be for the big health systems. If you are a single facility, why not use CMS to keep your TEST and LIVE rings completely synchronized? Why not build big changes in one place to populate in TEST and LIVE? Not sure what has been customized, nor which fields are CDS’s anymore? You can have not only a TEST environment, but a DEMO environment with standard content for getting back to the basics when testing. Don’t really want to change anything in TEST? Play in the SANDBOX. Learn the basics of CMS. How it works, how it propagates, and how it can help your organization save time with limited resources trying to keep your TEST and LIVE environments synchronized. We will walk you through a CMS build. Consider CMS! Vicki Munro, MA is a Senior Consultant with Santa Rosa Consulting with over 25 years of healthcare experience from the front line to management and healthcare IT. Prior to Santa Rosa Consulting, Vicki was a Director of Patient Financial Services for a regional community hospital and served as the Administrative/Financial Coordinator for their MEDITECH 5.65 build. 1098 -‐ Are You Underutilizing Your UR Desktop? Presenter: Vicki Munro Organization: Santa Rosa Consulting Scheduled: Wednesday May 29 at 1:30 pm Abstract: Are you a specialty hospital? Is your Utilization Review staff tired of dragging around an Interqual book when they only use 10 pages? Can’t afford a third-‐party Utilization Review/Case Management software? The answer might lie in MEDITECH’s UR Desktop! Think outside the box to see how you can customize your UR Desktop with built-‐in Interqual criteria you create using customer defined screens linked to levels of care. Real examples for an orthopedic surgical hospital will be used. The CDS’s will address the severity of illness, intensity of service, and discharge plan criteria. Document, maintain and store your Interqual criteria right in MEDITECH! Vicki Munro, MA is a Senior Consultant with Santa Rosa Consulting with over 25 years of healthcare experience from the front line to management and healthcare IT. Prior to Santa Rosa Consulting, Vicki was a Director of Patient Financial Services for a regional community hospital and served as the Administrative/Financial Coordinator for their MEDITECH 5.65 build.
1099 -‐ Integrating Electronic Medical Records to MEDITECH Presenter: Aurel Kleinerman, M.D. Organization: Blue Iris (MITEM Corporation) Scheduled: Friday May 31 at 9:30 am Abstract: The health IT component of the 2009 Stimulus Bill, the HITECH Act, appropriates $19.2 billion dollars to encourage the adoption of Electronic Health Records (EHR) starting in 2011 to be distributed over a five-‐year period. While only 17% of physicians had access to such a system in 2010, it is estimated that more than 50% of physicians had access to an EHR by the end of 2011. To continue receiving payments from the HITECH Act, as part of the Meaningful Use requirements, beginning in 2013, the EHR systems must demonstrate the ability to interoperate with hospital based systems. Beginning in 2015, penalties are going to be imposed by the Centers for Medicare and Medicaid Services (CMS) if the participating health care provider is not using a Meaningful Use EHR. It is no surprise therefore, that while in 2009 there were about 100 companies offering an EMR/EHR, currently it is estimated that more than 200 different companies are offering such systems. This has significantly increased the complexity of the integration problem. Wide and rapid adoptions of EHRs are going to strain the health IT resources for integration. How to integrate? What is the most efficient way to integrate? Who is going to integrate? What is the role of hospitals IT? How will standards help integration? This presentation is designed to be a primer on integration and an attempt to answer the questions above without going into complex technical details. Topics:
• EMR/EHR Integration Challenge • Integration 101
o Workflow Integration (integration must benefit all organizations involved) o Systems Integration Methods (integrating computers and software): Point to Point
Integration; Interface engines; Application Service Provider (ASP) integration o Barriers to Integration o Integrations Standards
Aurel Kleinerman, M.D., Ph.D. is the founder and CEO of MITEM Corporation. He is the inventor and architect of MITEM’s application integration technology and holds several US patents. Dr. Kleinerman has worked in computer science and systems architecture for more than 40 years, with particular emphasis on non-‐invasive integration of various disparate systems. The Blue Iris family of products from MITEM Corporation addresses and solves the complex problems of integration in the healthcare industry. Dr. Kleinerman received a Ph.D. in mathematics in 1977 from Cornell University, an M.D. in 1981 from Johns Hopkins University and completed his residency in medicine at Stanford University Medical Center. He is currently licensed to practice medicine in the State of California.
1100 -‐ Why Not MEDITECH? Save Money and Use the Denial Management Desktop to Manage Accounts and Track BAR Productivity Presenter: David Fain and Vicki Munro Organization: Santa Rosa Consulting Scheduled: Thursday May 30 at 2:30 pm Abstract: Are you thinking of purchasing a third-‐party software for functions that already exist in MEDITECH? Why spend dollars on software that doesn't perform as presented? With the Denial Management Desktop, you can keep your AR down, eliminate duplicate efforts using third-‐party software, and track user productivity and denials – all within MEDITECH! MEDITECH has great function with their Denial Management Desktop that is often under-‐utilized. We will demonstrate the set up and use of the Denial Management Desktop along with an NPR report that automatically produces a rolling productivity graph of not only the number of denials by user over time, but also an accurate number of accounts that were worked by users. This data can be utilized in concert with Microsoft Excel or web based tools to provide real time user productivity feedback that is relevant to the real world. Other industries are light years ahead of healthcare in making use of these business intelligence tools that most facilities already own and rarely use. Why not join us here in the 21st century? David Fain, a recent addition to the Santa Rosa Consulting team, has years of experience with a range of MEDITECH modules as a consultant, clinical analyst and business applications analyst. He has participated in the implementation, upgrade, conversion, support, and process improvement of every MEDITECH module except those that make up advanced clinicals. He has a deep understanding of the MEDITECH software and knows what it takes to make MEDITECH the truly integrated solution that it was designed to be across the entire range of Client/Server offerings. Vicki Munro, MA is a Senior Consultant with Santa Rosa Consulting with over 25 years of healthcare experience from the front line to management and healthcare IT. Prior to Santa Rosa Consulting, Vicki was a Director of Patient Financial Services for a regional community hospital and served as the Administrative/Financial Coordinator for their MEDITECH 5.65 build. 1101 -‐ Meaningful Use Compliance Audit Manual Presenters: Michael Gardner and Chris Blakemore Organization: Cornerstone-‐Advisors Scheduled: Friday May 31 at 10:00 am Abstract: Now that you've captured the Meaningful Use compliance information, how will you organize it into an easily usable resource if you are audited? What items will you need to prove that you did indeed meet Meaningful Use criteria? This presentation will provide clear examples of how to create an audit friendly attestation manual where you can document your facility's Meaningful Use compliance. Michael Gardner is currently a Senior Consultant with Cornerstone Advisors Group. Most recently he was the Director of Informatics for Mercy Hospitals of Bakersfield and has over 20 years healthcare experience.
Chris Blakemore has over 25 years of healthcare experience including Associate CIO for CHRISTUS Health. 1102 -‐ Meaningful Use Stage Two – The Journey Continues Presenter: Craig McCollum Organization: Vision Consulting Scheduled: Friday May 31 at 1:30 pm Abstract: Organizations and MEDITECH are getting ready for implementing the various requirements for Meaningful Use Stage Two. The presentation will focus on reviewing the Stage Two requirements along with different ways that organizations can meet the objectives. The presentation will include both MEDITECH and application information plus operational approach and structure necessary to complete the implementation. Gain a better understanding of the Stage Two requirements and ways to meet the objectives. Craig McCollum is the MEDITECH Practice Director for Vision Consulting. Mr. McCollum has worked with the MEDITECH HCIS for the last 20 years. Mr. McCollum has managed large scale implementations for Meaningful Use Stage One along with various other system implementations and upgrades. Mr. McCollum currently is Project Director for Community Health Systems and is responsible for implementation of the Meaningful Use Stage Two projects for their MEDITECH hospitals. 1103 -‐ ICD-‐10: Reviewing Your Clinical Documentation Presenter: Liz Morgan Organization: Consultant People, LP Scheduled: Wednesday May 29 at 2:30 pm Abstract: The implementation of ICD-‐10 in the United States is coming – if we are ready or not – on October 1, 2014. The transition from 17,000 ICD-‐9 codes to 141,000 ICD-‐10 codes will be cause for most to pause in their job. Join me to review what must be included in clinical documentation to make certain abstracting can work efficiently and get billing out on time. Liz Morgan is a Vice President with the MEDITECH centric consulting organization, CPeople. With administrative, financial, and clinical consultants with decades of experience, we know MEDITECH. Ms. Morgan has over 15 years in a variety of roles in healthcare IT and has experience managing the changing role of IT in healthcare. She currently resides in Rockville, Maryland with her husband and three children.
1104 -‐ Nomenclature Mapping with MEDITECH Presenter: Joe Grinstead Organization: Cornerstone Advisors Scheduled: Wednesday May 29 at 1:30 pm Abstract: Nomenclature Mapping is widely known to be a critical component of meeting Meaningful Use as well as addressing ever expanding quality, regulatory and payer reporting requirements. This presentation will explore the idea of nomenclature mapping with MEDITECH, the challenges organizations can expect as they implement and the value that organizations should expect to receive from Nomenclature Mapping. In 2012, MEDITECH announced a partnership with Intelligent Medical Objects (IMO) to support MEDITECH customers in integrating Nomenclature Mapping to support meeting stage 2 MU requirements. According to MEDITECH, Nomenclature Mapping with IMO will help provide “… seamless mapping of clinician-‐friendly diagnosis and procedure terminologies to medical concepts, resulting in high usability and the most accurate and robust report offerings …” We will share lessons learned by working with hospitals to evaluate, acquire, and implement Nomenclature Mapping. We will answer many common questions encountered so far as the MEDITECH community gets to know Nomenclature Mapping. There will also be an opportunity for attendees to participate in an open discussion Q&A. Participants will leave this presentation armed with new information to help their organization make choices about how to address Nomenclature Mapping, how to integrate it into MEDITECH and progress towards MU stage 2 as well as ideas for getting value out of Nomenclature Mapping beyond meaningful use. Topics … What is Nomenclature Mapping?
• Healthcare Terminology • Comprehensive data sets • Problem List Enhancement with Mapping (ICD-‐9, ICD-‐10, SNOMED, etc.) • Procedure Mapping to Other Coding Sets (ICD, CPT, LOINC, SNOMED, UNII, HL7, etc.) • Mapping other domains: Allergies, Specimen Source, Organisms (SNOMED, etc.) • Standardized Content
Value Proposition
• Reduces significant financial burden of continuous terminology maintenance. • Maximizes granularity of diagnoses in MEDITECH. • Eases the transition to ICD-‐10 for providers.
When / How You Do It
• As part of the MEDITECH Upgrade • Roles: Hospital; MEDITECH Application Owner; IT Administrator; Vocabulary Maintenance
Coordinator; Nomenclature Mapping Provider; Project Management; MEDITECH; HCIS Coordinator
Joe Grinstead, Cornerstone Advisors, LLC Mr. Grinstead has over 18 years of experience working with MEDITECH healthcare organizations around the world. His primary areas of focus are typically leadership, strategic planning and project management. Learner Outcomes:
• Clearer understanding of Nomenclature Mapping as it relates to MEDITECH and MU • More information about the implementation process for Nomenclature Mapping with
MEDITECH. • Better understanding of the value proposition of Nomenclature Mapping. Why it's important
and what the organization can achieve with Nomenclature Mapping. 1105 -‐ Macro Writing: Creating Global Programs that Can Be Accessed from Anywhere Presenter: Brian Schmit Organization: Interface People, LP Scheduled: Wednesday May 29 at 2:30 pm Abstract: Join leading report writers as we demonstrate and educate you on the best practices for developing global macros that make key data accessible to all MEDITECH applications. During the session, we will create utility macros that access common patient information such as NUR Documentation, LAB Results, PHA Orders, RAD/ITS Exams, and OE Orders. These macros can then be called from any NPR Report without the need for fragments, leaving you to feel complete and as one with your MEDITECH data. The session will cover topics such as:
• Do loops and other Magic programming syntax • Macros as an alternative to fragments • MV Arrays
This presentation is appropriate for both Magic and C/S users. Brian Schmit is a skilled MEDITECH Analyst for Interface People with over 17 years of experience working as a programmer within the MEDITECH industry, including employment with MEDITECH. An expert NPR Report Writer, Brian also excels at developing Customer-‐Defined Screens, interfaces and custom applications.
1106 -‐ Using NPR Reports to Include Data from $T MAGIC Applications Presenter: Brian Schmit Organization: Interface People, LP Scheduled: Thursday May 30 at 3:30 pm Abstract: Some MEDITECH Applications such as PCI, OPS and $T RAD are written in an older development tool commonly referred to as $T MAGIC. Although some of the syntax is the same as NPR Procedures, NPR programming Macros cannot be used. Join us and learn how an NPR Report can be used to print out $T Programs and Macros. Topics:
• Using NPR Reports to print out $T MAGIC Programs and Macros • Review of Data Structures • Example of NPR Reports using PCI data • Example of NPR Reports using OPS data • Review of Footnotes, NPR Report Macros, and MAGIC Programming Basics
Brian Schmit is a skilled MEDITECH Analyst for Interface People with over 17 years of experience working as a programmer within the MEDITECH industry, including employment with MEDITECH. An expert NPR Report Writer, Brian also excels at developing Customer-‐Defined Screens, interfaces and custom applications. 1107 -‐ Report Designer and NPR Tips and Tricks Presenter: Joe Cocuzzo Organization: Iatric Systems, Inc. Scheduled: Wednesday May 29 at 10:30 am Abstract: Save some keystrokes and retire early! This year’s NPR and RD tips will show how to save time and keystrokes (and mouse clicks) in both tools, including:
• Report Designer navigation shortcuts. • Converting specifications to code with file conversion and search and replace. • Converting CDS data to NPR code with an NPR report, no more query typos! • Intervention independent NUR/PCS reports that are still speedy. • Force reports directly to a printer, preview, or download.
Joe Cocuzzo is the Vice President of the Report Writing Services division of Iatric Systems, where he has worked since 2000. Before that he was a Senior Programmer Analyst at Newton-‐Wellesley Hospital for nine years, where he did a variety of magic NPR and $T report writing, VB Scripting and VB programming. Before that he was an Applications Consultant at MEDITECH where he supported ABS/ADM/MRI/MIS and also taught NPR RW classes.
1108 -‐ PCS in ORM: Does it Make the Cut? Presenters: Alice Rogers and Cathy Alvarez Organization: Uvalde Memorial Hospital Scheduled: Friday May 31 at 11:00 am Abstract: Uvalde Memorial Hospital was on a Magic platform with a third-‐party vendor for its OR documentation software. We decided to change over to the MEDITECH Operating Room module during our 6.0 migration that went LIVE September 1, 2012. Our goal was to try and have as much integration as we could within MEDITECH. We wanted our registration process to improve. We needed the integration with Material Management to work better than it had in the past. Our staff was committed to see that this happened. We loved the idea of being able to use PCS to document our assessments. So, come hear our story to find out if PCS made the cut or not. We continue to be a work in progress. Alice Rogers RN is the Clinical Information Coordinator at Uvalde Memorial Hospital. She has worked with all Clinical modules in MEIDTECH since July 2004. She has just finished her second implementation (migration) from Magic to 6.0. Cathy Alvarez RN employed at Uvalde Memorial Hospital since 1997. She worked as LDR nurse until moving over to Clinical IS Analyst in 2011. Her MEDITECH experience includes some building and staff education with Magic go-‐live in 1999. She was the PCS Team Lead for the September 2012 go-‐live. 1109 -‐ CPOE Implementation Presenter: Tonya Girdler Organization: Ephraim McDowell Regional Hospital Scheduled: Wednesday May 29 at 1:30 pm Abstract: This presentation highlights our journey to CPOE. We will outline the steps that we implemented and the planning involved becoming compliant with physician order entry. We will discuss which specialties were included in our "pilot" go live date as well as detail the order of specialties we chose to incorporate and timelines for each group of providers. Learn some of the difficulties that we faced and how we overcame each of the obstacles. We include our current data for compliance with physicians and electronic orders. Tonya Girdler was a Registered Nurse on the Telemetry unit for six years prior to becoming a "super user" for physician order entry. During the physician order entry training process, she rounded with the physicians and learned first-‐hand of the challenges and difficulties they faced with electronic order entry. Tonya changed positions and is now the Clinical Information Services Manager and continue with our outstanding efforts to be completely electronic. Learner Outcomes:
• Ideas for implementation of CPOE • An idea of the training process and go live times for physicians • An idea of compliance expectations for physician order entry
1110 -‐ Business Continuity and Disaster Recovery for MEDITECH Client Server Environments Presenter: Stephen Cellini, CISSP Organization: Versaworks Scheduled: Wednesday May 29 at 11:00 am Abstract: As the healthcare industry continues its rapid adoption of EHR technology, hospitals are relying on their health care information system (HCIS) to perform their day to day operations and deliver quality patient care services. The mission to maintain the availability of MEDITECH and to implement disaster recovery has never been more critical to the hospital operation and patient safety. Traditional downtime procedures that rely heavily on paper-‐based workflow and patient record retrieval can no longer meet the needs of hospital. The most effective solution for your downtime procedure is to make your MEDITECH system highly available to reduce downtime risk and implement the proper disaster recovery mechanism to minimize downtime and rapidly return to normal operation. The objectives of implementing MEDITECH disaster recovery and business continuity measure can be a significant effort and often requires intense resource and capital investment. This session will provide an overview of how these objectives can be met while maintaining a higher level of flexibility and agility without over-‐provisioning your MEDITECH infrastructure and heavily burdening your IT resources. Topics covered in this session:
• How to present MEDITECH Business Continuity planning to senior leadership • How to plan and conduct a test MEDITECH recovery without impacting operations • Maximizing your Storage Area Network investment • Using Business Continuity environments for testing upgrades • We initiated our Business Continuity Plan – now what? How to return to normal operations?
Stephen Cellini is the Vice President of Operations at Versaworks. Steve has over 15 years of experience in Information Security, infrastructure management and data center operations. He has been leading the Health IT Consulting practice at Versaworks centered on MEDITECH infrastructure optimization and disaster recovery. Steve is a Certified Information Systems Security Professional (CISSP) accredited by the International Information Systems Security Certification Consortium (ISC). 1111 -‐ For Your Eyes Only: Best Practices for Balancing Privacy and Productivity at Memorial Healthcare Presenter: Frank Fear Organization: Memorial Healthcare, Owosso, Michigan Scheduled: Thursday May 30 at 11:00 am Abstract: When it comes to patient data, availability inherently conflicts with security. Care providers need fast and easy access, yet HIPAA and other privacy measures require layers of protection. Now HIEs present further challenges by asking hospitals to share data that has been safeguarded with a passion for years. Memorial Healthcare, a HIMSS Analytics Stage 6 hospital, has taken many approaches to striking that balance between user convenience and data security. In this session, we will share our
experience with solutions and techniques that have satisfied our physicians and nurses, and allowed us to sleep at night. Topics:
• Virtualized personal desktops that appear and disappear with the tap of a badge • Walk-‐away-‐security technologies such as facial recognition and fading screen locks • 2-‐factor authentication, when a password is not strong enough • Fast user switching at shared workstations • Protecting data on personal devices • Change Management techniques for a diverse base of technology users
Frank Fear is the VP IS at Memorial Healthcare. 1112 -‐ MEDITECH Disaster Recovery: Real World Disasters and Key Lessons Learned Presenter: Chris Welch Organization: BridgeHead Software, Inc. Scheduled: Friday May 31 at 10:00 am Abstract: As healthcare organizations depend more and more on applications and data for patient care and day-‐to-‐day operations, backup and disaster recovery becomes more important. In this presentation, we will discuss several real world disasters involving healthcare organizations -‐ what led to them, what the results were, and how the customers recovered -‐ or didn't recover. We will discuss key lessons learned-‐ including some surprising ones. We will also present some "best practices" for protecting healthcare data and some customer designs which make recovery from disasters simpler and more predictable. Chris Welch is an expert in MEDITECH Backup, Archiving, and Disaster Recovery/Business Continuity. In his visits to hundreds of MEDITECH hospitals throughout North America, he has worked with all of the recent versions of MEDITECH and implemented all of BridgeHead's MEDITECH solutions. His deep familiarity with the MEDITECH ISB, IDR, and MBF processes and understanding of the challenges hospitals face has added value at hospitals around the country. Chris also architected and implemented the first FileStore for MEDITECH Scanning and Archiving (SCA) customers, and he has been called on many times to speak about SCA in front of hospitals and partner organizations, including several times to MEDITECH staff groups. Chris is a private pilot and resides with his wife in upstate New York. 1113 -‐ R UR DOCS TXTING? Presenter: Ed Ricks Organization: Beaufort Memorial Hospital, Beaufort, South Carolina Scheduled: Thursday May 30 at 1:30 pm Abstract: Doctors are gravitating towards text messaging at work for the same reasons that they use text in other facets of our lives – it is simply faster and more efficient than the old way of communicating. Texting allows them to quickly collaborate with the care team, consult with specialists,
receive notifications on lab reports, check patient status, and more. Texting can improve the speed at which they treat their patients, raise patient satisfaction and increase the quality of care. Yet, traditional texting poses a serious security risk, using text messaging to send protected health information (PHI) violates the security regulations of the HIPAA because texts are sent and stored in clear text rather than encrypted. HIPAA requires that PHI at rest and in transit be encrypted. So, often hospitals are faced with either forbidding the practice of texting, or turning a blind eye. Understanding that the benefits of texting were far too attractive to hold doctors at bay, Beaufort Memorial Hospital decided to face the challenge head-‐on. They began piloting a secure texting solution in the summer of 2011 and by year-‐end, doctors and nurses in Cardiology, Radiology, Anesthesiology were communicating and collaborating via HIPAA compliant text messaging. In this session, we will describe the progress that has been made since then, explain the path that Beaufort took to replace pagers with text messaging, and outline the processes and policies that worked for care providers and IT at Beaufort Memorial Hospital. Edward D. Ricks, MHA, is the Vice President of Information Services and Chief Information Officer for Beaufort Memorial Hospital in Beaufort, SC. Ed has over 20 years of health care information systems experience working for four health systems, with more than 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, and also a member of the MEDITECH 6.X Service Advisory Board, Centurylink Customer Advisory Board, Imprivata Customer Advisory Board, and the Technical College of the Lowcountry CPT Advisory Committee. 1116 -‐ Equipping Your EHR with Integrated Patient Education Resources to Achieve Quality Initiatives Presenters: Kathryn Wohnoutka and Laura Harter Organization: Citizens Memorial Healthcare, Bolivar, Missouri; Truven Health Analytics Scheduled: Thursday May 30 at 2:30 pm Abstract: Equipping your EHR with high-‐quality resources to deliver effective patient education is essential to achieve Meaningful Use (MU). This presentation will review the MU objectives related to patient education as well as highlight considerations when choosing a patient education vendor. We will discuss the benefits of integrated patient education as it relates to clinical consistency, time savings, decreased risk and liability and enhanced patient engagement. Finally, we will share implementation best practices and observations from an acute care setting. Kathryn Wohnoutka RN, LAB/ITS/EDM/PD Clinical Systems Analyst, has been employed by Citizens Memorial Healthcare, since 1995 and has been involved with their electronic health record implementation, as well as CMH’s 2005 Davies Award and HIMSS Analytics Stage 7 process. Katie has
also served on MEDITECH’s Nurse and Interdisciplinary Advisory Councils and presented at a number of MUSE and mini-‐MUSE events. Laura Harter has worked in the healthcare marketplace for 19 years. Over the last 11 years she has focused on clinical decision support and patient education solutions working both in marketing management and sales capacities. For the last five years she has been a product specialist with Truven Health Analytics, supporting Micromedex Solutions including Patient Education (CareNotes). 1117 -‐ Meaningful Use 101 Presenter: Denni McColm Organization: Citizens Memorial Healthcare, Bolivar, Missouri Scheduled: Thursday May 30 at 10:00 am Abstract: Just getting started or new to Meaningful Use? Or, just want a refresher on Meaningful Use Stage 1? In this presentation, we will cover the basics of Meaningful Use and Stage 1. We’ll discuss the origins of Meaningful Use, how it impacts hospitals and physicians, reporting options for meaningful use, and how to meet the Meaningful Use Stage 1 measures using MEDITECH. We’ll also discuss the changes to Stage 1 Meaningful Use that were published with the Stage 2 Meaningful Use rules. Denni McColm is Chief Information Officer for Citizens Memorial Healthcare. 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 currently serves on the National Advisory Board for the Health Record Bank Alliance, on the HIMSS Davies Awards of Excellence Organizational Selection Committee, on the KLAS Advisory Board and on the Dr. First Customer Advisory Board as well as on the Board of Directors for Medical Users Software Exchange (MUSE). Denni participates on the HIT Committee for Missouri Hospital Association and on the American Hospital Association Health IT Network. Denni previously served on the Certification Commission for Health Information Technology as a Commissioner from 2006-‐2008. Denni holds a Master of Business Administration degree from the University of Missouri-‐Columbia. 1118 -‐ Meaningful Use 102 Presenter: Karrie Ingram Organization: Citizens Memorial Healthcare, Bolivar, Missouri Scheduled: Thursday May 30 at 11:00 am Abstract: Just when you thought you had Meaningful Use whipped, along comes Stage 2. This presentation will cover the new measures required to meet Meaningful Use Stage 2 in 2014. We will discuss the differences in Meaningful Use Stage 1 and Stage 2 and when hospitals and physicians will need to be ready to meet the new measures. Learn, in detail, the measures that are expected to be most challenging to meet, including Transitions of Care and Patient Online Access. Along with a review of the measure details, we will discuss strategies for meeting those measures using MEDITECH and project planning for success.
Karrie Ingram is the Project Manager for a HRSA Rural Health IT Network Development grant; assisting CMH and eight network partners in implementing the tools and processes needed to meet the Meaningful Use requirements. She joined 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. 1119 -‐ Meaningful Use 103 Presenter: Pamela McNutt Organization: Methodist Health System, Dallas, Texas Scheduled: Wednesday May 29 at 1:30 pm Abstract: Meaningful Use … it’s not over yet. Stage 3 Meaningful Use is already in the works. We will give you a preview of what has been published already and what we foresee for Meaningful Use going forward as we enter the next phase of Meaningful Use. In Stage 3, the incentive payments end and we enter the penalty phases of the Meaningful Use program. You won’t want to miss this opportunity to get an understanding of the likely framework for Meaningful Use in the future. Pamela McNutt has been in the field of healthcare information technology for 31 years, the last 20 of which in the role of Chief Information Officer (CIO). She has worked for Medicus/HBOC, Hermann Hospital and is currently the Sr. Vice-‐President and CIO with Methodist Health System in Dallas, Texas. Ms. McNutt has served as a Director on the Healthcare Information and Management Systems Society (HIMSS) national Board (1998-‐2001), on the College of Healthcare Information Management Executives (CHIME) as a Trustee (2007-‐2009) and as Chair of the Healthcare Information Systems Executives Association. Pamela is a fellow in CHIME and HIMSS. She was awarded the John Gall CIO of the year award in 2002, the HIMSS Leadership award in 2001 and the HIMSS Information Systems award in 1998. She participated as faculty in the CHIME Healthcare CIO Boot Camp 2003-‐ 2006, served as Chair of the CHIME Advocacy Leadership Team (2008 -‐ 2009) and Chaired the CHIME Policy Steering Committee (2009 – 2011). Modern Healthcare named Pamela one of the Top 25 Women in Healthcare in 2011 and she was named as “56 Women Hospital & Health care Leaders to Know” by Becker's Hospital Review magazine. She is a frequent speaker on the topic of the implications of the ARRA HITECH incentives and HIPAA regulations.
1120 -‐ MEDITECH 5.6.6 Early Adopter Experiences Presenter: Adnan Hamid Organization: Henry Mayo Newhall Hospital, Valencia, California Scheduled: Thursday May 30 at 1:30 pm Abstract: 5.6.6 is the newest version of MEDITECH’s C/S software and the version that will be required for Meaningful Use in 2014 for both MU Stage 1 and Stage 2. Henry Mayo Newhall Hospital has been at the leading edge as early adopters of this new version, including the IMO (Intelligent Medical Objects) nomenclature. Learn about the 5.6.6 experiences with us in this informative presentation. Adnan E. Hamid is the IT Director of Application Services at Henry Mayo Newhall Memorial Hospital (238-‐bed facility) in Valencia, CA. Previously; he was a Business Systems Analyst at Huntington Hospital (525-‐bed facility) in Pasadena, California. Prior to that, he was a Project Manager at Valley Presbyterian Hospital in Van Nuys, California. He has over fourteen years of experience in the hospital IT setting. He has a B.Sc. in Biomedical Engineering from Boston University and a MBA concentrated in Healthcare from the Paul Merage School of Business, University of California, Irvine. He is recognized as a Certified Healthcare Chief Information Officer (CHCIOe) with the College of Healthcare Information Management Executives (CHIME), Certified Professional in Healthcare Information and Management Systems (CPHIMS) and achieved Fellow status with Healthcare Information and Management Systems Society (HIMSS). He currently serves as the Chairman on the MUSE International Board of Directors. Recently, Adnan was recognized by the Santa Clarita Valley Business Journal as one of 40 dynamic community leaders under 40. 1121 -‐ DCS in DC – Automating Collection Streams and Agency Interfaces in MEDITECH C/S and 6.0 Presenters: Debbie Andrews and Kimberly Scaccia Organization: King’s Daughters’ Health, Madison Indiana; Jacobus Consulting Scheduled: Thursday May 30 at 1:30 pm Abstract: Tired of manually sending accounts to early out or bad debt? Want to ensure that agencies work for your facility instead of working twice as hard on agency accounts? Do you desire to have agency comments in your MEDITECH environment to increase satisfaction in your customer service department? Within the MEDITECH C/S & 6.0 BAR Application, there lies a series of dictionaries that are designated to automate collection activities. Partnered with these dictionaries, MEDITECH’s DCS interface allows facilities to optimize external account assignment. This optimization allows business office employees to get back to the business of collecting (instead of working on outside agency requests). Come learn how King’s Daughters’ Health automated their assignments, eliminated custom NPR Downloads, automated agency posting, received agency comments into MEDITECH and more. Outline:
• Objectives • DCS Information (Outbound; Inbound; Notes; Remits)
• Impact on Collection Streams • Collection Group Dictionary (Event Selects; High Dollar Reminders; Automating the Transfer) • Gotchas • Questions
Debbie Andrews, System Analyst/Business Operations Center for King’s Daughters’ Health began her career in 1986. She worked second and third shifts for the Business Office with various duties. After 18 months, she moved into Insurance/Billing, where she processed and billed reoccurring accounts to all payors plus clients. A year later she was given the opportunity to move into billing management with responsibilities for government payors and a staff of four billers. In 1995, she served as a committee member advisor to select a new facility wide operating system and later served as a core team member for implementation of the MEDITECH Magic software going LIVE in 1997. She continued to be part of all updates/upgrades to that system. In 1998, the hospital began acquiring multiple physician practices and their computer systems with an eventual conversion over to the LSS software by 2001. During this time she led a team of up to 18 staff members in the areas of physician coding, auditing, chargemaster, data entry, reimbursement and electronic remittances along with postal mail communications. In 2010, KDH began its journey into the conversion to MEDITECH 6.0 where she continued as a core team member with a final go-‐live date of 01/01/12. During which she was part of the team’s redesigns of multiple areas and dictionaries for the new system, many job processes, assisted with staff training sessions and the building and/or reviewing the BOC policy and procedures. She currently serves as the System Analyst for the Business Operations Center. King’s Daughters’ Hospital and Health Services has recently changed its corporate name to King’s Daughters Health and most everyone is busy preparing to move into their new facility which is scheduled to open on Feb 23, 2013. Kimberly Scaccia is a Senior Management Consultant with Jacobus Consulting. She has been involved in Healthcare Finance and Operations Management for 16 years. She has served as the Director of Patient Financial Services, Billing Supervisor, Revenue Cycle Director as well as IT Analyst and Project Manager. Her strong technical skills and background include implementation expertise within Magic, Client Server and MEDITECH 6.0 along with the development of SSI, ePremis, Ascent, Boston Workstation and IPeople among others. Kim has a sincere passion for the Revenue Cycle and is dedicated to harnessing technologies, optimizing processes, and enabling users via process based education. 1122 – More MUSE Explore the numerous opportunities of involvement and engagement available to you as a MUSE member Presenter: Alicia Roberts Organization: MUSE Abstract: During this session, attendees will learn how to connect with their peers on a more in-‐depth and meaningful level. Participants will gain an understanding of the flexible, countless opportunities to interact and exercise year-‐round ownership in MUSE, and realize why the ability to identify and network with colleagues is more important than ever.
Discussion topics include: • Participating in MUSE Programs – What is available to me besides the International Conference? • Hosting a MUSE Event – How do I arrange a meeting with my peers or in my community? • Presenting and Attending Webinars – Is it challenging to offer or attend a webinar? • Understanding Continuing Education Opportunities – How can I earn CEUs through MUSE?
Alicia Roberts is the Director of Education and Marketing with MUSE International. 1123 -‐ PDOC Usage in a Busy ED Presenter: Dr. Robert Schmidt Organization: Centura Health, Englewood, Colorado Scheduled: Wednesday May 29 at 2:30 pm Abstract: Physician documentation within MEDITECH’s platforms can be completed on a near real time basis in a busy Level 1 trauma center. The documents completed can more effectively relay the ED care provided and improve charge capture. Provider efficiency, throughput and patient satisfaction can still be maintained. Using few PDOC templates, a robust voice command library and specific focused discreet data elements can lead to 100% utilization, consistent provider notes, regulatory compliance and provider satisfaction. Robert Schmidt, MD earned his medical degree at the Medical College of Virginia, and completed his residency at Denver Health Medical Center. He has worked in emergency medicine at St. Anthony Hospital system in the Denver metro area since 1991, becoming the assistant Medical Director and Medical Director for both St. Anthony Central and North Hospitals up until 2006. Dr. Schmidt has been the physician champion for a number of MEDITECH implementations at Centura Health, including ED, CPOE, PDOC, and medication management project. He has been a physician advocate to MEDITECH since September 2011. Dr. Schmidt is an expert in front-‐end speech products in Emergency Medicine. He is the founder and managing member Schmidt and Associates -‐ its primary focus is to implement Dragon on MEDITECH platforms. He has been a physician advocate to Nuance since February 2010. 1124 -‐ The Birth of CPOE on the Family Centered Unit Presenters: Kelly Marks and April Kroll Organization: Southcoast Hospitals, New Bedford, Massachusetts Scheduled: Thursday May 30 at 1:30 pm Abstract: There are many challenges to implementing CPOE in the Family Centered Unit. This presentation will focus on those challenges and describe the work involved to bring us to a successful implementation in Labor & Delivery, Post Partum, Level I and Level II nursery. As a MAGIC 5.64 site, after two weeks of implementing CPOE on this unit, the provider ordering compliance was up to 93%. This
presentation will bring you through the challenges we faced, the steps we took to prepare for implementation, as well as our lessons learned. Kelly Marks RPH is the Pharmacy Informatics Manager for Southcoast Hospitals. She holds a B.S. in Pharmacy from the University of Rhode Island, as well as a BS in Biology from Boston College. She has experience in Retail Pharmacy, Nursing Home Consulting, Home Infusion, hospital pharmacy and pharmacy management. Her MEDITECH informatics experience includes eMAR/BMV, Medication Reconciliation, and CPOE. April Kroll started her career in 1999 working at MEDITECH in the Implementation Division. Throughout her 12 years at MEDITECH, she implemented and supported Community Wide Scheduling, Operating Room Management and Physician Care Manager. During her last few years at MEDITECH as a Senior Supervisor in the Physician Care Manager group, she lead a group who worked directly with customers to implement Physician Desktop, Clinical Review, Provider Order Management, Ambulatory Order and Prescription Management and Physician Documentation. For the past three years, April has continued her career at Southcoast Hospitals group as a Project Leader and recently Team Leader in the Physician Initiatives group. Most recent accomplishments include implementing CPOE in all three facilities’ Emergency Departments as well as on one inpatient Family Centered Unit. 1126 -‐ The Lightning Round: Six Technologies Impacting Healthcare IT Presenters: Jim Fitzgerald, Joe Kelly, Matt Donahue, Rob Bruno, Mark Middleton, and Jayson Stokes Organization: Park Place International Scheduled: Wednesday May 29 at 3:30 pm Abstract:
• Why should you go to version 5.1 of everybody’s favorite hypervisor? • When will SSD’s start really making a difference in your storage systems? • Is there a better way to do systems and storage replication? • How do I make sure my security posture will handle patient access to the EHR? • Is that cool new system I’m looking at marketecture or architecture? • Do I really need 40 or 100 GB Ethernet? • What are the best practices out there for systems and application performance monitoring?
Join us for a lively, interactive discussion about the impact of evolving technologies on healthcare information systems. Each panel member brings a unique perspective to the conversation -‐ engineer, consultant, executive, systems manager, customer, user -‐ based on years of MEDITECH experience in a variety of roles. Listen, challenge, and participate as we prime the pump for an engaging “Genius Bar” environment. Bring your tough questions about virtually any technology issue in the MEDITECH space. Jim Fitzgerald is Executive Vice-‐President and CTO of Park Place International where he is responsible for technology solutions strategy, development, and quality spanning the entire Park Place portfolio of Technology Integration, Technical Consulting, and Cloud Services. Jim has been working with Information Systems since he crashed the Digital Equipment PDP-‐8 at The Roxbury Latin School as a Junior in 1977 and had to reload the binary bootstrap code one byte at a time from the front panel switches. In a 28 year career spanning Microcom, Internetwork Systems, JJWild, Perot Systems, and Dell,
Jim has enjoyed the opportunity to observe and participate in the evolution of network computing platforms and their application to business and healthcare workflows. His current passion is helping hospitals developing the right mixture of local and cloud-‐delivered services in order to achieve operational sustainability. Jim holds a B.A. in Psychology from Bates College and an M.B.A. with high distinction and a concentration in technology from Babson College where he was awarded the Douglass Foundation Prize for Entrepreneurship in 1992. Joseph Kelly is the Director of Technical Consulting at Park Place International. Joe has been working with Healthcare providers and/or payers since the mid 1980’s and focused solely on MEDITECH and MEDITECH hospitals since 1997. Joe has provided technology consulting, architecture, design and planning services while at organizations such as EDS, JJWILD, Perot Systems, Dell Services, and now Park Place International. Joe’s overall all goal is to bring the leveraged, cloud based virtual universe down to earth to most effectively meet real world objectives for MEDITECH hospitals. Joe has a BS in Computer Information Systems from Bentley University. Mark Middleton serves as Director of Cloud Services at Park Place International. Mark served 29 years at CHRISTUS Health in the fields of Biomedical Engineering and Information Technology, leading projects such as a $30 million data center build, relocations, centralization of IT operations, and operating one of the largest MEDITECH Client/Server 5.X implementations in the nation. Mark’s current work is the development of an array of managed service offerings to enable MEDITECH customers to provide sustainable and cost effective operations for their facilities. Mark is a multi-‐time finalist in the Data Center Executive Excellence Awards and holds degrees in Biomedical Technology and Business Administration, as well as the highest level ITIL Expert Certification. Matt Donahue serves as Senior Engineer in the Office of the CTO at Park Place International. Matt has been working with MEDITECH and their hospital customers for over 10 years across multiple roles as both an end user customer at Saints Medical Center and as service provider with JJWild, Perot Systems, Dell Services and Park Place International. Matt’s current professional goal is to redefine traditional backend infrastructure technologies used by hospitals to allow true adoption of cloud services and achieve an “always available from anywhere” architecture. Matt studied Applied Mathematics and Physics at the University of Massachusetts Lowell and is a regular guest speaker to in their Operations and Information System department. Rob Bruno is Senior Technical Principal in the Office of the CTO at Park Place International. Rob has extensive MEDTITECH experience. He has closely worked with MEDITECH senior engineering since 1991 while working for Gandalf Systems. After joining JJWild in 1993, and subsequently Perot Systems and Dell Services, he has continued to work closely with engineering resources to develop customer support networks, disaster recovery procedures, and cloud based hosting facilities. Rob shares a common goal of making the cloud computing model work in the real world of Healthcare Information Systems. Rob holds a B.A. in Computer Information Sciences and Mathematics from Iona College.
1127 -‐ The Right Image at the Right Time – Automating the Accessibility, Placement and Compliancy of Clinical Imaging Data Presenter: Terry McCauley Organization: Comport Scheduled: Wednesday May 29 at 1:30 pm Abstract: Learn how to gain control of medical images in a centrally managed archive, create business continuity, and protect against disaster risks. You'll see how to solve workflow issues, facilitate image sharing anytime/anywhere across departments and facilities, consolidate storage, and cut costs in multi-‐PACS environments. Discussions include use cases, solutions, and preparing for meaningful use Terry McCauley, Healthcare IT Solution Architect for Comport Consulting, specializes in healthcare information management. Drawing on over 30 years of corporate experience with Hewlett-‐Packard and IBM, he brings both technical and business perspectives to the design and implementation of successful IT solutions. For the past six years, Terry has focused on the healthcare industry and the unique set of requirements imposed on healthcare providers in managing patient data, particularly clinical image data and patient records. He is certified as a professional in healthcare information management and systems (CPHIMS). Terry is a member of the New York Chapter of the Healthcare Information Management and Systems Society, and a regular participant in local and national HIMSS events. He has presented at the Hewlett-‐Packard Worldwide Health & Life Sciences Symposium as well as HIMSS Virtual Conference and webinars addressing the integration of the application silos in hospitals to take advantage of virtualization technologies to lower the cost of HIT for the enterprise. 1128 -‐ DATA, DATA Everywhere! Now What? Presenter: John Orefice Organization: Polaris Strategic Solutions Scheduled: Friday May 31 at 1:30 pm Abstract: With the increasing complexity of health care computing, hospitals have more data than ever before. The need for meaningful reporting is growing rapidly. Many organizations find they have a myriad of reporting initiatives but struggle to bring them together into a cohesive and lasting system. They have invested in data warehouses, dashboards, KPIs and business intelligence but are underwhelmed by their usefulness. As a result, people spend hours generating spreadsheets that are often inconsistent and little used. In this education session, we will examine ways to replace current efforts with successful efforts. We will identify the essential elements for developing a reporting solution that works at every level. The end result – a blueprint for an effective, coordinated and automated system. John Orefice commands a deep knowledge of the reporting needs of the health care industry. With years of experience in health care decision support and enterprise reporting, Mr. Orefice knows the challenges that hospitals face and he knows the value of information clarity in overcoming those challenges.
Mr. Orefice leverages his analytic skills to assist hospital senior management in monitoring and analyzing their organizations’ performance. Mr. Orefice also has extensive experience in data visualization, with a foundational Master’s Degree in Health Systems Management Engineering from Rensselaer Polytechnic Institute. John Orefice is the founder and president of Polaris Strategic Solutions, a firm specializing in health care enterprise reporting. Learner Outcomes:
• The learner will understand the pitfalls that are inherent in health care reporting along with effective remedies for each
• The learner will be able to identify the essential elements for developing a reporting solution that works throughout the organization
• The learner will have a blueprint for an effective, coordinated and automated reporting system 1129 -‐ Electronic Patient Signature: How to Go Paperless, Reduce Liability and Speed Throughput Presenter: Cody Strate Organization: Access Scheduled: Thursday May 30 at 3:30 pm Abstract: Patient Electronic Signature is becoming all the rage in the MEDITECH world in parallel with the expanded implementations and utilization of HIM focused scanning solutions. While this is a fantastic development it is very important to know that not all Electronic Signature solutions are equal. E-‐Signature technologies have been available for a while across many industries, but what might work for retail stores, grocery stores, and is like is not a good technology fit for healthcare. In this session, we'll explore the following functions with respect to Electronic Signature and how it directly relates to the needs and concerns of healthcare:
• Front-‐end E-‐Signature integration with MEDITECH • Server-‐based vs. workstation-‐based Electronic Signature solutions • Integration into your scanning solution • Legal concerns (this is a biggie) • A focus on the patient experience • Ups and downs of common E-‐Signature device manufacturers
Cody Strate, Sr. Account Executive has spent over 10 years in the field of healthcare Electronic Forms and Electronic Signature. During that time Cody has helped a multitude US & Canadian based multi-‐facility and single facility healthcare organizations achieve their paperless goals.
1131 -‐ Advanced Clinical Training for Providers: P2P (Peer-‐to-‐Peer) Presenter: Michael Stefanchik Organization: maxIT Healthcare LLC Scheduled: Wednesday May 29 at 3:30 pm Abstract: Training providers is typically the last big step before a piece or all of the Advanced Clinicals Go-‐Live. CPOE, PDoc, AOM, Med Reconciliation, and the like, are all components of the Advanced Clinical suite of modules to engage providers to step up and contribute to Meaningful Use. For many good and valid reasons, these training session take place ‘Just in Time’, or just before the big go-‐lives so that the providers can retain the most from their training. But the process to be successful in your training approach starts many months before with budgeting, scheduling rooms, building curriculum, scheduling the providers and then praying that all the curriculum-‐trainer-‐trainee-‐room-‐proctor pieces come together. This extended period of time, simply listed as ‘Training’ in the plan, also comes right before the biggest stressor in your career – the Go-‐Live. Please attend and listen to a team of clinicians and informatics’ specialists present a novel approach to training providers. Typically, in adult learning, instruction from a peer has advantages. Perhaps more important than the content or the delivery, is the empathy that this person “Walks in my shoes,” and understands the challenges of re-‐designing the healthcare delivery process to support the electronic health record. The focus of the presentation will be on how to establish and set-‐up a P2P program, including laying the foundation (Governance), getting the word out (Communication, Recruitment and Remuneration), and assuring the deliverable (Curriculum, Scheduling and Competencies). While curriculum(s) from multiple 6.0 site sources will be shown as part of the overall P2P effort, the intent is not to dive deep on the content, but rather to provide governance, structure and the final product to assure success. It promises to be a lively discussion with training scenarios, like ‘herding the cats into the middle of the pool’, and ‘how to beat the bushes to find that one trophy – a physician trainer.’ Come join us and help continue to craft this novel approach to delivering provider training. Michael Stefanchik has 19 years healthcare informatics experience specializing in the design, development, integration, support, and implementation of clinical applications. Dr. Stefanchik has presented a number of times at MUSE, and served as Senior CPOE Project Manager, Business Design Analyst, ER Application Specialist, Chief Information Officer, Director of Clinical Research, Manager of Data Administration, Marketing Analyst, and ER Technician. He earned a BS/BA Degree with a major in Biology/Chemistry and a PhD in Epidemiology with a focus in Biostatistics.
1132 -‐ Prepare Your Blender! Blending Training Content through Blended Approaches! Presenter: Bruno Neal Organization: Sedona Learning Solutions Scheduled: Wednesday May 29 at 2:30 pm Abstract: In this presentation, we will teach how to use adult learning principles to blend clinical and/or didactic content with MEDITECH application training, thought blended delivery methods. Blended learning solutions is not a novelty, however we are taking “blending” to the next level and blending the subject matters as well. The concept is based on the multitasked day in the life of healthcare practitioners. Observing a nurse in her unit for two hours, we determined that she performed tasks learned in five different training sessions – that was when we had the idea to “blend” the content of several learning initiatives in just one session, and try to duplicate the learners’ real work environment, and design a relevant learning experience. The delivery methods are also blended. We will in this session review interactivities, problem solving learning (PBL), instructor lead training (ILT), web-‐based training (WBT), mentoring, coaching, QR codes, and social media. Bruno Neal, MS, CPLP, PhD, Learning Strategist for Indiana University Health Learning Solutions, is an author, Instructional Systems Designer, and a Training and Performance Improvement Specialist. He has been appointed to the 2010, 2011, and 2012 Board of Examiners for the Malcolm Baldrige National Quality Award; and as a judge of the 2011, and 2012 ASTD BEST Award. Mr. Neal was awarded with the highly esteemed American Society of Training and Development BEST Award in 2009 and part of the team awarded with the same achievement in 2011. Mr. Neal also serves as contributor columnist for T+D (Training and Development) Magazine. He was recently awarded with the highly recognizable Champion of Learning Award Certification for his contribution to learning and professional development in 2011. Mr. Neal has spoken on ASTD International Conference & Exposition, local chapters of ASTD across the country, the Training and Education chapter of the National Association of Electric Distributors (NAED), (Medical Users Software Exchange) MUSE, and “Learn from the BEST” conferences. 1133 -‐ Case Studies in Emergency Department Optimization Presenter: Dr. David Whitling Organization: Boulder Community Hospital, Boulder, Colorado Scheduled: Thursday May 30 at 10:00 am Abstract: When it comes to EHR's, Emergency Departments are not tolerant places. Time is constantly in short supply and demands are many. Any inefficiency in the design of your EHR will quickly cause significant delays in patient care and throughput, and create some very frustrated providers at the same time. Using real-‐life case studies from multiple hospitals, we will show a number of examples of build styles that cause delay and frustration, and show how to optimize and streamline MEDITECH software in the Emergency Department. Emphasis will be placed on clinical trackers, order sets and physician documentation, with the goal of passing along some concrete tips to take back to your ED.
Dr. David Whitling is a Board-‐Certified, practicing Emergency Physician at Boulder Community Hospital in Boulder, Colorado, which has been live with 6.x for approximately two years. He works as a physician consultant for MEDITECH and has assisted in implementation and optimization events around the country. Learner Outcomes:
• Attendees will learn how to organize and display important clinical data in a busy Emergency Department environment.
• Attendees will learn to identify key features of Emergency providers' practice patterns and how to design order sets to match this workflow.
• Attendees will learn how to incorporate clinical decision support into CPOE. 1134 -‐ A Primer on Implementing and Using Dose Range Checking in MEDITECH Presenter: Charles Downs Organization: Meritus Hospital, Hagerstown, Maryland Scheduled: Thursday May 30 at 9:30 am Abstract: Enabling dose range checking in MEDITECH has always been a challenge. This presentation will focus on how Meritus Health has enabled dose range checking for pharmacy using formulary service dose range checking. There are several challenges in using dose range checking since not every medication dose range check utilizes weight based dosing or max single or daily doses. In this case, rules must be built to cover these exceptions. Also, the units of measure in pharmacy do not always match those of the formulary service. There are also issues of disease state specific dose range checking and loading doses to which there are no good solutions; in which case possible solutions requiring FSV vendor and MEDITECH cooperation will be discussed. Charles Downs, Pharm.D. is the Informatics Pharmacist at Meritus Hospital in Hagerstown, Maryland. Meritus is a 5.64 Magic hospital. He also serves on the MEDITECH pharmacy advisory committee and has worked with MEDITECH since 1991. 1135 -‐ Integrating Our Hospital Enterprise – The Avera Health Story Presenter: Ross Stolle Organization: Avera Health, Sioux Falls, South Dakota Scheduled: Wednesday May 29 at 3:30 pm Abstract: Many MEDITECH organizations from small community hospitals to large IDN profiles are all faced with integration, data exchange and interoperability projects daily. Avera Health is no exception! Avera Health is made up of five facilities that each have unique integration needs and large scale projects to support. In 2004, we embarked on a telehealth project that would enable a remote monitored ICU station staffed with an Intensivist physician to provide remote critical care to over 34 hospital facilities. This project forecasted outcomes and measures for our patient community and it was
now on the Avera Health IT department to ensure this level of integration was streamlined, efficient and cost effective. With this large scale integration project approved and a continued growing need to manage our interface landscape, Avera Health was faced with evaluating interface engine technology that could support our needs today and into the future. We went through an evaluation process and brought our current interface engine technology live in 2008. In the past five years, we have some astonishing numbers to report! We went live with 30 interfaces and have now grown to over 250 with plans for even more. Our message transactions have grown from 1 million transactions a week to over 2.5 million a day. We could not have maintained this type of model in a point to point environment or weak interface engine technology in place. Learn the importance of having a solid integration technology foundation that can grow and adapt to your organizations many needs. Avera Health has seen considerable cost savings, extreme flexibility and control over such a crucial part of our hospital data exchange. As we look toward the future we are well positioned to handle healthcare reform with meaningful use data exchange and the goal to communicate with all stakeholders. Ross Stolle has over 18 years of experience in the healthcare technology industry. During his tenure at Avera’s ITC Department, Ross has held positions that span from Senior System’s Analyst to Senior Integration Engineer and now more recently Manager of Avera’s Enterprise Systems and Integration Team. 1136 -‐ “I’m So Tired of Alert Fatigue” Presenter: Dr. Andy West Organization: Dearborn Advisors Scheduled: Thursday May 30 at 11:00 am Abstract: Clinical Decision Support (CDS) often starts with alerts – allergies, drug interactions, dose ranges … and frequently it ends there, in no small part due to the large number of provider complaints about alert fatigue. While alerts are part of CDS, CDS can be much more than alerts! We will review some examples of CDS and discuss strategies for implementing a CDS workgroup to help with implementation and optimization. Andy West is a pediatrician with over ten years of experience with EHR use. Originally he was a physician superuser within his clinic, but over the past five years has been focusing on implementation and physician acceptance and adoption of the EHR and particularly CPOE. He is currently working with a 10 hospital health system on CPOE activation.
1137 -‐ Improving Patient Care through Concurrent Review Presenter: Nancy Fogarty Organization: Roger Williams Medical Center, Providence, Rhode Island Scheduled: Wednesday May 29 at 3:30 pm Abstract: Roger Williams Medical Center has implemented several new processes in an effort to streamline the delivery of quality patient care. We strive to use pro-‐active, data driven efforts to monitor care that has been delivered or not yet delivered, while a patient is still in the hospital. As the reporting requirements continue to exponentially increase for quality measures and pay for performance it became imperative to sue automated, electronic data that is provided near real time on patient to help structure our efforts and maximize resources. Using concurrent review processes has dramatically reduced the manual collection of data from multiple sources helping to make our staff more focused, efficient and improving care. Detailed individual patient clinical information at a glance gathered from hospital care documentation and compared to established evidenced based guidelines has helped in daily patient safety rounding and closing gaps in care. As a result we have received $298, 400 from the APU distribution, reduced or readmission rate to 11%, reduced central line infections in our ICU and hospital wide, and have had 100% compliance with all core measures, SCIP, AMI, CHF and PNE consistently for the past six months. Nancy C. Fogarty BS, CCPHQ, CEHRS is the Director of Quality and Performance Improvement Department at Roger Williams Medical Center in Providence, R.I. Roger Williams is an affiliate of CharterCare Health Partners, a patient centered health system that operates along with Our Lady of Fatima Hospital. In the midst of one of the city's oldest neighborhoods, Roger Williams is a community-‐owned and governed health care organization that provides some of the most advanced speciality care available today. Nancy was appointed to the Director position in 2002. Nancy Fogarty holds a bachelor's degree in Health Policy and Management from Providence College. Nancy and her husband Paul reside in Harmony, Rhode Island. They have three grown sons. Learner Outcomes:
• Understand how an automated alert system can be used to accomplish concurrent review • Understand the reporting requirements for quality measures and pay for performance/value
based purchasing • Explained how an automated alert system can be used to accomplish concurrent review
1138 -‐ Data or Voice – Which Comes First? Presenter: Martha Sullivan Organization: Harrison Memorial Hospital, Cynthiana, Kentucky Scheduled: Thursday May 30 at 10:00 am Abstract: The Information Services Department at Harrison Memorial Hospital was a complete data shop until just recently when a new phone system was purchased. Upon choosing a Voice over IP (VOIP) solution and deciding to change phone service carriers, the Information Services Department now has to
juggle the criticality of voice and data and figure out how to prioritize the calls which all go to one centralized Help Desk. We will discuss their preparation, implementation and current “State of the Union” from a laymen’s technical standpoint. All the information provided will be from the actual experiences gained at Harrison Memorial Hospital. We will walk you through what went well and what she would change if doing the project again. Topics:
• Implementation -‐ Why change systems? Why move to VOIP? Return on Investment • VOIP vs. Digital and Analog Systems -‐ Voice Advantages; Infrastructure Advantages; Workflow
Advantages/Disadvantages • Problems Encountered • Staffing issues -‐ No increase in FTEs; How to prioritize data and voice • Going Forward
Martha Sullivan has been at Harrison Memorial Hospital for over 35 years. Martha graduated from Indiana Wesleyan University with a degree in management. She also has an Associate’s Degree from the University of Kentucky in Computer Science. Currently, Martha is the Chief Information Officer at Harrison Memorial Hospital. 1139 -‐ Implementing MEDITECH Interoperability into an HIE during the Biggest Transformation in US Healthcare Presenters: Phil Wasson and Bradley Swenson Organization: Winthrop Resources Corporation Scheduled: Wednesday May 29 at 2:30 pm Abstract: This presentation gives voice to the experience of the effort and level of effort it requires to implement a MEDITECH Client-‐Server system into an IHE-‐based Integrated Health Information Exchange. Additionally, the presentation will discuss strategies that have allowed TriRivers to thrive in a challenging era of healthcare reform and economic uncertainty. TriRivers Health Partners in Rockford, IL has been integrating an HIE which is based upon the model that has been deployed in the European Union for over 10 years. epSOS (European Project for Smart Open Systems) attempts to offer seamless healthcare to European citizens. Key goals are to improve the quality and safety of healthcare for citizens when travelling to another European country. Moreover, it concentrates on developing a practical eHealth framework and information and communication technology infrastructure that enables secure access to patient health information among different European healthcare systems. epSOS has made a significant contribution to patient safety in the EU by reducing the frequency of medical errors and by providing quick access to documentation. In emergency situations, this documentation provides the medical personnel with life-‐saving information and reduces the (sometimes needless) repetition of diagnostic procedures. Beginning in 2012 TriRivers Health Partners began to evaluate and then begin implementation of software which is based upon the epSOS model in a private HIE domain among 3 healthcare provider organizations using 4 different EMR products. This presentation will discuss the trials and efforts of integrating competing vendor products
for the exchange of continuing care documents and outline key learnings that organizations should take as they approach interoperability among diverse vendor products. TriRivers Health Partners HIE initiative is just one example of how the health system has not only survived -‐ but actually thrived in the face of one of the largest economic crisis and transformation of our healthcare system. As TriRivers Health Partners expand their technical capabilities, they utilize a rigorous process around selecting vendors whose products and services are accretive to "thrive vs. survive" philosophy. This presentation will also outline the sequences, steps, costs, and technology model for implementing MEDITECH and other products into an IHE “standards-‐based” HIE. It will also outline an HIE approach that provides for more appropriate financial sustainability that supports HIE development and ongoing operational survival. Phil Wasson, FACHE, is the President and CEO of TriRivers Health Partners in Rockford, IL. An accomplished healthcare Chief Information Officer with more than 20 years of healthcare experience Phil Wasson has a history of providing for broad-‐based executive and strategic leadership in both large multi-‐hospital and single hospital based systems. He has a background of finding and developing innovative technology options and solutions and has led a variety of technical and strategic activities. Starting originally in healthcare as a Respiratory Therapist his background and interest in clinical development has led him to the development of a high energy and dynamic leadership style. Joining the CHIME organization in 1994 during the transition to Health Care Information systems in the early 1990’s Phil led the systems development at Affinity Health Systems and later developed the first CIO position at Mercy Medical Center in Cedar Rapids, IA. Today Phil is the President and CEO of TriRivers Health Partners which is a unique joint venture Health I.T. organization located in Rockford, IL Phil holds Bachelor’s in Health Care Management from Southern Illinois University and has had graduate level studies in Public Administration from the University of Wisconsin-‐ Oshkosh. Phil has also achieved Fellowship status in the American College of Healthcare Executives and is certified in Healthcare Management. In his role as Winthrop Resources’ Chief Strategy Officer, Brad Swenson is responsible for ensuring that forward-‐looking strategy is embedded into all of Winthrop’s internal and external activities including the firm’s financial services, core value proposition and market approach. He makes sure Winthrop enables provider organizations to use state-‐of-‐the-‐art technology by deploying strategies that ensure effective procurement and technology refresh. Prior to Winthrop, Brad held sales and management roles at AMICAS, Cerner and LUMEDX. Some of his most unique experiences in healthcare informatics include several years in Europe helping to set up national databases for cardiovascular surgery outcomes and the opportunity to meet with the White House Medical Staff. He has presented at dozens of regional HIMSS, HFMA, state hospital associations and other professional trade conferences. Learner Outcomes:
• Understand the key technical components for a true integrated HIE exchange and how exchange is impacted by IHE Profiles and Standards. Including developing an understanding of key workflows and alternative methods for exchanging data within an HIE.
• Learn about epSOS and progress that has been made in the European Union in the HIE area. Understand key Interoperable component interfaces that are offered in the MEDITECH Interoperable Interface suite and how these are applied to exchange data from the HIE
• Learn how to increase your facility's technical capabilities while combating financial, competitive and regulatory pressures.
1140 -‐ Achieving Patient Privacy: Lessons Learned from the Ongoing Implementation of a Provincial Auditing Solution Presenter: Linda Levesque Organization: Guysborough Antigonish Strait Health Authority, Antigonish, Nova Scotia Scheduled: Wednesday May 29 at 1:30 pm Abstract: In 2008, Nova Scotia's Department of Health and Wellness (DHW) and 10 District Health Authorities (DHW/IWK) identified the need for a standardized electronic privacy auditing tool that would improve the ability to audit user access not only for their MEDITECH Magic & CS systems but across all their applications that contained electronic health information in order to protect patient privacy and maintain public trust. In seeking to implement the tool across different health care organizations and clinical applications and satisfy various legislative, policy and funding requirements, it became increasingly apparent that enhancing privacy auditing capacity involved educating people and enhancing processes as much as delivering the technology solution itself. In this educational session, we will discuss the lessons learned and the strategies that were put in place, before, during and after the implementation in the areas of people, processes and technology in their efforts to protect patient privacy. Areas we will address include determining where privacy risk management expertise exists in the organization to determine what to audit, be it for a given system or as part of an organization-‐wide privacy risk mitigation strategy; what education is needed for system users and auditors; what policies need to be put in place and processes need to be built and resourced in moving from a purely reactive complaints-‐based auditing model to a model that now includes a proactive auditing component. Most importantly is the need to maximize accountability to patients and the Board given available resources and legislative or policy requirements. Linda Levesque is the Manager of Health Information Services and Privacy Lead at St. Martha's Regional Hospital and the Privacy Lead at Guysborough Antigonish Strait Health Authority. Her career began in accounting, budget analysis, payroll, and management in the seafood and manufacturing sector. After approximately 15 years in the accounting field, Linda changed careers to what was known back then as Health Record Science. From there, she relocated to New Brunswick, supervised a small staff and had her introduction to MEDITECH -‐ Magic -‐ and lawyers and patients. Later, she accepted a position as a Health Data Analyst with the regional hospital in Fredericton. An opportunity presented a move back to Nova Scotia after nine years where she remains today with the Guysborough Antigonish Strait Health Authority that contains five hospital facilities. Linda was hired as the Manager of Health Information Management for the regional site, St Martha's Regional Hospital which evolved to include, Privacy Lead for the District and Decision Support. Privacy is a complex web of legislation, policy and best practice and compels us to be vigilant and accountable in the security and protection of personal health information. Learner Outcomes:
• Share lessons learned from the experience of implementing an auditing solution across a District Health Authority and for a provincial EHR
• Enhance awareness of the role that user access auditing plays in protecting patient privacy in healthcare organizations
• Ongoing focus on a privacy risk mitigation strategy involving the people, processes, and technology within your healthcare organization
1141 -‐ Implementations, Project Management and Governance: Ensure a Solid Foundation, Communications Structure and an On Time/On Budget MEDITECH Implementation Presenter: John Billings Organization: Beacon Partners Scheduled: Wednesday May 29 at 1:30 pm Abstract: Any migration, HCIS implementation or system upgrade requires extensive planning and a thorough understanding of the benefits realization of the organization, department and patient census. Optimization and standardization assist organizations in developing a solid foundation to ensure a successful implementation. This presentation provides recommendations for implementing a project governance structure, benefits of standardization, such as formally authoring a Project Charter, Scope Statement, Work Breakdown Structure, Dictionary Decisioning, Risks & Issues Logs and an assortment of project templates and tools. Workflow analysis should be initiated to determine current and future state process flows; this will ensure that existing, refined or newly adopted processes are solidified and seamless. Whether your organization is just beginning your implementation or you’re already Live and upgrading or gearing up for your inaugural MEDITECH HCIS implementation, this presentation will provide suggestions to ensure that the project is communicated to all teams and is implemented on-‐time, on-‐budget and within the scope of the original statement of work. John F. Billings, MBA is an Associate Practice Director with 18 years of healthcare experience. His HCIS experience ranges from MEDITECH Magic, Client Server and 6.x HCIS platforms along with an assorted range of third party vendors. His work has included the specialty areas of pediatrics, obstetrics, general medicine, clinic and emergency department which have solidified his understanding of the workflow of the care provider at the bedside. Mr. Billings possesses practical and technical experience with multiple MEDITECH Magic, Client Server and 6.0 applications, including Pharmacy (PHA), Medical Information Systems (MIS), Patient Care System (PCS), electronic medication administration record (eMAR), Computerized Physician Order Entry (CPOE), Physician Care Manager (PCM), Emergency Department Management (EDM), and Electronic Medical Record (EMR). He has an in-‐depth knowledge of hospital workflows and requirements and possesses a true sense of the needs of the bedside care provider in regards to technology. Mr. Billings currently works for Beacon Partners, a healthcare management consulting firm. Prior to joining Beacon Partners, John has served as a Consultant, Project Lead and Project Manager on multiple migrations, implementations and advanced clinical systems implementations. John now serves as the Associate Practice Director for the MEDITECH Practice at Beacon Partners. Learner Outcomes:
• Discuss benefits of standardization and optimization as they relate to Systems Implementation. • Discuss pros and cons of adopting project management methodologies prior to undertaking a
HCIS Implementation, Upgrade or Advanced Clinical Systems implementation. • Discuss key workflows to consider during the implementation: system wide business process
assessments and workflow analysis.
1142 -‐ Project Management Methodology Smorgasbord Presenter: Terri Cahill Organization: Healthtech Consultants Scheduled: Wednesday May 29 at 11:00 am Abstract: How many times have you heard “we’re different”. Well, really, we are all different. Every organization is a little bit different. Every department is a little bit different. In that same way, every project is a little bit different and every project manager is a little bit different. So, doesn’t it stand to reason that project management tools, techniques, methodologies are a little bit different for every project? Then which methodology is right? Agile? PMBOK? PRINCE2? I propose that it makes sense that we pull a mix of tools and techniques from various methodologies to best fit the differences we deal with on every project? In order to successfully manage eHealth projects into the future, project managers need to expand their toolkit and embrace these differences and drive change. This presentation examines the various sources of project management tools, techniques and methodologies, and the opportunity to pick and choose to build the best toolkit for your project. Examples of projects benefiting from the application of specific niche project management techniques will be examined including what was different, the techniques applied and the results achieved. Healthcare project managers need to embrace differences, broaden their project management toolkit and combine ideas from various methodologies and bodies of knowledge to positively impact the success of eHealth projects. Terri Cahill is a seasoned information technology consultant with over 20 years of experience in the health care sector. Terri’s areas of expertise include project management, performance management, and application consulting. Terri has presented internationally on strategies for successful project management. Terri is certified as a CPHIMS-‐CA, PMP and PRINCE2 Practitioner. Terri is currently providing leadership to a variety of client projects as well as Healthtech’s Project Management Office. 1143 -‐ Is My Project Red? I Think it Feels Yellow? Let’s Put Some Science in Project Status Reporting Presenter: Terri Cahill Organization: Healthtech Consultants Scheduled: Friday May 31 at 11:00 am Abstract: We’ve all become accustomed to interpreting stoplight coloured status reporting. We all know Green is good, Red is bad, and Yellow is somewhere in between. Wow, doesn’t that tell you a lot! What happens in your organization if you report on a project as Red? Do you just get a whole lot more work to do? In order to make project reporting meaningful, we need to:
• Put some science behind the colour. We need to clearly define and agree on project indicators that related to the change we are making and how we should measure them; and
• Teach that science to our audience so we can communicate project status effectively and encourage the kind of support we really need.
This presentation will examine a variety of project indicators. It will look at how to define your indicators up front, how to measure them throughout your project, and report on so the process is easy for you and clear for your audience. In short, we’re going to talk about meaningful project reporting. That’s just one side of it. This presentation will also take a look at how to read and evaluate project status reporting. We’ll take a look at some real life examples to illustrate how various project status reporting methods (science) and formats (art) can support delivery of meaningful project information, and help get the support a project needs. I’m sure is Green ... very Green! Terri Cahill is a seasoned information technology consultant with over 20 years of experience in the health care sector. Terri’s areas of expertise include project management, performance management, and application consulting. Terri has presented internationally on strategies for successful project management. Terri is certified as a CPHIMS-‐CA, PMP and PRINCE2 Practitioner. Terri is currently providing leadership to a variety of client projects as well as Healthtech’s Project Management Office. 1144 -‐ The Trouble with Normal: Rethinking IT Services Management in the Cloud Era Presenter: James Fitzgerald Organization: Park Place International Scheduled: Friday May 31 at 11:00 am Abstract: IT models in healthcare are historically complex hybrids with reactive management: I need this for that system, that for this system, and oh, and don’t forget that other application that IT is only allowed to “help” with when it breaks. One, two, or three year technology management plans attempt to create themes and some semblance of order underneath the chaos but are subject to the vicissitudes of government regulation, varying user adoption rates, and unpredictable growth. Sometimes the technology vendors and outsourcers are the only winners, and when the smoke clears, the hospital IT staff is left with severe systems and application management challenges. Join us for a discussion of how flexible provisioning models that view applications as an interconnected set of services offer hope to stabilize performance, budgeting and daily operations. Move away from static models of cloud as an “all or nothing” proposition to thinking of the hybrid cloud as an integral extension of your own IT services platform. Jim Fitzgerald is Executive Vice-‐President and CTO of Park Place International where he is responsible for technology solutions strategy, development, and quality spanning the entire Park Place portfolio of Technology Integration, Technical Consulting, and Cloud Services. Jim has been working with Information Systems since he crashed the Digital Equipment PDP-‐8 at The Roxbury Latin School as a Junior in 1977 and had to reload the binary bootstrap code one byte at a time from the front panel switches. In a 28 year career spanning Microcom, Internetwork Systems, JJWild, Perot Systems, and Dell,
Jim has enjoyed the opportunity to observe and participate in the evolution of network computing platforms and their application to business and healthcare workflows. His current passion is helping hospitals developing the right mixture of local and cloud-‐delivered services in order to achieve operational sustainability. Jim holds a B.A. in Psychology from Bates College and an M.B.A. with high distinction and a concentration in technology from Babson College where he was awarded the Douglass Foundation Prize for Entrepreneurship in 1992. 1145 -‐ Creating the Foundation for Your Hybrid Private Cloud Presenter: Matthew Donahue Organization: Park Place International Scheduled: Friday May 31 at 2:30 pm Abstract: IT infrastructure has historically treated like a necessary evil by most hospitals, seen as just something that was there to enable other IT services to be provided. With the move to cloud-‐based services, whether they be public, private or hybrid, onsite or remote, IT infrastructure is now becoming a critical factor in defining what services IT can provide to their end users. High Availability, Disaster Recovery, Virtual Desktop, Ambulatory EHR Integration, Mobility and Patient Access are common place services that IT is now being asked to provide. Join us for an overview of some of the new technologies that are key to offering these services and the impact that these new technologies can have in delivering them. Matt Donahue serves as Senior Engineer in the Office of the CTO at Park Place International. Matt has been working with MEDITECH and their hospital customers for over 10 years across multiple roles as both an end user customer at Saints Medical Center and as service provider with JJWild, Perot Systems, Dell Services and Park Place International. Matt’s current professional goal is to redefine traditional backend infrastructure technologies used by hospitals to allow true adoption of cloud services and achieve an “always available from anywhere” architecture. Matt studied Applied Mathematics and Physics at the University of Massachusetts Lowell and is a regular guest speaker to in their Operations and Information System department. 1146 -‐ Implementing a Patient Portal that meets Meaningful Use Stage 2 Requirements Presenter: Suma Krishnaprasad Organization: The Shams Groups (TSG) Scheduled: Friday May 31 at 3:30 pm Abstract: After months of speculation, the final rule for Meaningful Use stage 2 and the standards and certification criteria have finally been released. Unlike the first stage of meaningful use incentive program, for which hospitals mostly had to demonstrate they were capable of performing certain tasks with their electronic health record systems, stage 2 will require practices to actually perform those tasks. Hospitals that have already achieved stage 1 and are looking to achieve stage 2 in 2014 must start preparing now. There are lots of questions around what is required and how these requirements can be met with MEDITECH HIS alone or by augmenting other vendor applications and tools. This presentation mainly addresses the requirements of core objectives:
• 6 -‐ Provide patients the ability to view online, download, and transmit information about a hospital admission.
• 12 -‐ The eligible hospital or CAH who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care provides a summary care record for each transition of care or referral.
Implementing a patient portal can provide the ability to patients to access their chart online, but also provide the ability to download a summary of care record. It sifts through the various requirements and explains in simple language what a hospital must do to implement a portal that is easy and intuitive for patients to use and adopt. Suma Krishnaprasad is the Director of Software Development at The Shams Group Inc. As the Director of research and development, she is responsible for the entire development team at TSG. Suma works closely with software architects, product technical leads, product managers and developers both off-‐shore and on-‐shore to manage projects, resources, timelines and budgets. She has lead all major projects for this organization where her team has built several applications on various platforms starting from VB5/VB6, Microsoft SQL server 6.5, 7.0 and 2000 and now the team currently builds web applications on DotNetNuke (DNN) platform. Suma is a talented Senior Executive with comprehensive experience delivering high technology solution to the healthcare industry. She is able to mobilize and lead technical teams of engineers, IT specialist, and quality assurance experts to develop new software programs. Suma holds a B.S. degree in Computer Science and Engineering from Bangalore University, India (1996) and MBA in Healthcare and IT from the University of Dallas (2010). 1147 -‐ MEDITECH DR – Maintenance, Data Verification, Resources and Usability Presenter: Zia Shams Organization: The Shams Groups (TSG) Scheduled: Thursday May 30 at 1:30 pm Abstract: Hospitals that have Data Repository (DR) from MEDITECH will require policies and procedures to maintain the health and performance of the repository as well as need processes or software to verify that the data in DR is accurate. Many hospitals also have plans to upscale and enhance their DR to become an enterprise-‐wide DR by adding data from other vendor Physician Practice Management (PPM) and EMR software and on any other vendor solutions. MEDITECH Data Repository or the enterprise-‐wide DR can further add tremendous value and knowledge for the hospital when it is used to introduce dashboards, Key Performance Indicators, departmental Data Marts and analysis cubes, and other simple to complex workflow desktop and mobile applications. All this is achievable with a well performing DR system. This will require the hospital to acquire appropriate resources and skills to build and maintain the system optimally. The following presentation will address these questions and requirements in detail by reviewing and discussing:
• Hardware needs and support needed by Microsoft SQL Server and a Data Repository’s applications
• Software and application upgrade, maintenance that will be required as part of Windows OS, SQL Server and MEDITECH upgrades
• What to consider in order to keep SQL Server healthy and performing with your Data Repository; what to do to ensure maximum uptime for your DR
• What tools from Microsoft and third-‐parties are available to facilitate database optimization and maintenance
• What to consider when creating the backup and disaster recovery strategy for the MEDITECH DR • Data Verification considerations and techniques to validate the data in DR • How to go about building an enterprise-‐wide data repository and integrate data from PPM/EMR
software and other vendor software with MEDITECH DR • What can you do with your Data Repository besides mining it for data; various useful IT and
departmental applications will be reviewed that can be done with a well-‐functioning Data Repository
Zia Shams is the CEO at The Shams Group (TSG). During his 18 years with TSG, he has worked in and directed the Finance, Technology, Development, Product Support, Consulting, Marketing, Sales and other Departments of TSG. Zia is also the CIO for TeletrakMT (a partner company for Medical Transcription and Coding Products and Services). Additionally, Zia oversees the operations of SHS, SSS, TeletrakMT and other companies that do majority of their business by servicing TSG contracts and investments. Zia serves as a member of several national/international organizations. He presents at technical conferences throughout the United States. Zia has 25 years of telecommunication, system/application software and web-‐based software development and network implementation experience. Prior to joining TSG, Zia worked at McMillan/McGraw-‐Hill Software Publishing Company for nine years in the role of a Systems Manager where he managed and led a team of software engineers and technical writers who designed, developed and maintained a software suite for school and public library automation. Zia holds a B.S. in Computer Science from University of Regina in Canada. 1148 -‐ The Whole World’s a Stage … At Least When it Comes to Meaningful Use and HIMSS Analytics Presenter: Lorna Green RN, BSN Organization: Hyland Software Scheduled: Friday May 31 at 11:00 am Abstract: Have you ever wondered, “What is HIMSS Stage 7? Isn’t it the same thing as Meaningful Use?” The term “Stage” is used to describe both the steps in Meaningful Use as well as the HIMSS EMR adoption model (EMRAM). This presentation will provide an overview of the HIMSS EMRAM stages, the differences and similarities between the two and areas where they overlap. Understanding the mission of HIMSS Analytics and the structure of the EMRAM stages will give organizations needed information that can be utilized when planning future technology implementations.
Lorna Green RN, BSN received her Bachelors in Nursing in 1981 from Valdosta State University in Valdosta, Ga. Over the years, she has worked in ICU, OR, Home Health, Med/Surg, and as a school nurse. She began working at MEDITECH hospitals in 1995 and in 2000 transitioned to the informatics side of nursing. She has worked in Clinical Informatics and IT management since then. In 2010, she made the transition to the vendor world and works as a Healthcare Informatics Executive at Hyland Software, the makers of OnBase enterprise content management. Learner Outcomes:
• The attendee will be presented with similarities and differences between the Meaningful Use stages and the HIMSS EMRAM stages. This information will give hospitals concrete steps to take as they meet Meaningful Use and work to achieve HIMSS Stage 7. The attendee will also be given specific points that will help them understand that much of the work they are doing to meet Meaningful Use can also help them meet stages in the EMRAM.
• The attendee will be presented a complete overview of the eight stages of the HIMSS EMR adoption model and come away with an understanding of the HIMSS Acute Care EMR adoption model. This information can then be utilized to help with roadmap planning of their technology systems.
• The attendees will be given practical ideas on how to get started with their pursuit to achieve HIMSS Stage 7. Practical ideals to be discussed will include process changes as well as software implementation needs for the future.
1149 -‐ Data Repository: The Journey to 6.0 and Beyond Presenter: Jamie Gerardo Organization: Acmeware Inc. Scheduled: Thursday May 30 at 1:30 pm Abstract: The transition from Client/Server and MAGIC platforms to M-‐AT (6.0) within the MEDITECH Data Repository brings numerous changes for storing and accessing data. In this session, you will learn about important application changes and be introduced to the new database that holds the M-‐AT data. Examine key tables in the 6.0 database and learn which C/S and MAGIC tables have been replaced. Gathering data between the MEDITECH multiple databases can be difficult. Discover how to bring data together from both the C/S and 6.0 SQL databases seamlessly. Focusing on both the MEDITECH Core tables and tables that are used for ARRA Meaningful Use reports, this session promises to put attendees one step ahead of the move to 6.0, within the data repository. “A new era of discovery is about to begin”. Jamie Gerardo spent six years at Hays Medical Center (MEDITCH C/S) in the IT and Decision Support departments. She helped implement and support the MIS, OE, and BAR applications, and specialized in NPR report development. Jamie implemented MEDITECH’s DR at Hays Medical Center in 2005 and its DR reporting is now an integral part of daily operations. Jamie brought her combination of MEDITECH knowledge and healthcare process experience to Acmeware Inc. in 2008. Jamie is a Microsoft certified Technical Specialist in Business Intelligence.
1150 -‐ Data Repository Mapping Presenter: Shawn Kenny Organization: Blue Elm Company Scheduled: Thursday May 30 at 11:00 am Abstract: You have MEDITECH’s Data Repository, so now what? Knowing where to look for data is one of the biggest obstacles with DR report development. This session will familiarize you with the Data Repository schema. We will create a solution for mapping Data Repository columns and tables to NPR elements and segments using your existing system SQL Server and Data Repository tables. Along with this, we will explore the differences between M-‐AT and the CS schema information. We will start with some very simple SQL queries that will pull mapping information out of the Data Repository and then turn these simple queries into a small but powerful SQL Server Reporting Services (SSRS) application. The end goal is a SSRS application which will help you navigate and map the Data Repository schema to the corresponding MEDITECH transactional schema. Shawn Kenny is the Manager of Implementation and Service for Blue Elm Company. He has been working with the Data Repository for 5+ years. Prior to working at Blue Elm Shawn was a specialist in the Data Repository group at MEDITECH. 1151 -‐ Using SSO and Advanced Authentication as a Catalyst for Clinician Adoption of Technology Presenter: Lee Howard Organization: Forward Advantage, Inc. Scheduled: Friday May 31 at 1:30 pm Abstract: The business challenge facing many MEDITECH facilities is getting its clinical staff (physicians, nurses, and other clinicians) to utilize systems in a way that is convenient, fast, and secure. For some hospitals, the use of Single Sign On (SSO) and Advanced Authentication solves the business challenge and becomes a catalyst for system adoption as well as bridges the gap between user convenience and security. In this session, attendees will review the following:
• Single Sign On and Advanced Authentication possibilities and limitations • Common approaches used by MEDITECH facilities • Where is the single sign on market headed in relation to virtualization technologies? • Hosted environments and the challenges they present
This pragmatic review is intended to provide attendees with the tools to better plan and prepare for their upcoming projects in order to increase their chances for successful deployment of single sign on and advanced authentication. Lee Howard is the Vice President of Client Services for Forward Advantage, Inc. and has over 20 years of experience in healthcare information technology.
1152 -‐ Change Management: A Symbiotic Relationship with Your Projects Presenter: Marie Franko Organization: HealthNET Systems Consulting, Inc. Scheduled: Friday May 31 at 1:30 pm Abstract: Understanding change management: what is it, why change is feared, and how it can affect your projects? Prior to the initiation of project(s), no matter how big or small the size the project, the utilization of change management can pave a smooth path for projects to successfully reach its target destination. This session will define change management; discuss why change is feared in the workplace; the symbiotic relationship of change management and projects; and how it can impact projects if the stakeholders are not on board. Marie Franko, RN BSN serves as Clinical Specialist at HealthNET Systems Consulting, Inc. Marie has over 12 years of experience in healthcare, eight in the clinical setting as an ER nurse, a Clinical Instructor, and Home Health and Hospice and four years of which is in Healthcare IT. Besides her clinical background, Marie has experience with project management, clinical systems implementation, build and support, system upgrades, process redesign, system selections and training. 1153 -‐ Pay for Performance – Facts and Fantasies Presenter: Anita Karcz Organization: Institute for Health Metrics Scheduled: Friday May 31 at 2:30 pm Abstract: For most hospitals, the amount at risk in federal pay for performance programs over the next five years is 2 to 3 times the total dollars received in Meaningful Use incentives. Linking payment to quality metrics is designed to be a powerful motivator for hospitals to improve performance. The Value Based Purchasing Program and the Readmission Penalty Program began in October of 2012; the Hospital Acquired Condition Penalty Program begins in October of 2014. This session will provide a practical overview of these programs, how they affect hospitals and strategies for effectively addressing the challenges they present. Anita Karcz MD MBA is Chief Medical Officer and co-‐founder of the Institute for Health Metrics. She spent several years as a practicing emergency physician and was active in hospital and professional society leadership roles. She has performed research and product development in the areas of clinical outcomes and decision support. She was Vice President of Clinical Product Development at InterQual Inc., a company that developed utilization criteria for hospitals and managed care. She served as a member of the AHRQ advisory panel on severity adjustment research. She has a BS and an MD from the University of Massachusetts and an MBA from Northeastern University. Learner Outcomes:
• Understand the structure and evidence base of the federal pay for performance programs • Learn about the implications of federal pay for performance programs for hospitals • Learn about strategies for improving performance
1154 -‐ Physician EMR Integration – Handling Inbound Orders into MEDITECH Presenters: Tara Marchi and Matt Johnson Organization: Summit Healthcare Services, Inc. Scheduled: Wednesday May 29 at 3:30 pm Abstract: Is your organization facing unique workflow challenges related to inbound orders from your physician offices? You may have thought integrating your physician clinics would be a breeze but when you mapped out the integration there was really more to the picture? We will discuss real client examples of how organizations have successfully tackled the unique workflows tied to bi-‐directional physician EMR integration. Learn workflow answers such as:
• Options for tackling orders inbound-‐ matching and release • Overcoming challenges related specifically to the MEDITECH inbound orders interface • Controlling duplicate records • Handling the patient registration process • Auto notifications to physicians of missed patient tests • Result routing and general “101” on integration setup
Join this informative presentation on one of the hottest topics facing the healthcare industry today. Tara Marchi, Director of Marketing, Summit Healthcare Tara has worked in the healthcare information technology (HIT) industry for 11 years, the past five of which have been with Summit Healthcare as the Director of Marketing. She leads all marketing communications, PR, social media and external industry events. She holds a BA in Marketing from Miami University. Matt Johnson, Integration Product Manager, Summit Healthcare Matt has worked in the healthcare information technology (HIT) industry for 12 years, the past seven of which have been with Summit Healthcare in the product management division. Matt supports the Summit Healthcare integration product line and is instrumental in product development and direction. Matt is proficient in HL7 technology, scripting and various coding languages. 1155 -‐ Business Continuance – Why You Need It Presenter: Doug Hogue Organization: Interbit Data, Inc. Scheduled: Friday May 31 at 11:00 am Abstract: Having up-‐to-‐date patient information available whenever you need it ensures you can deliver quality patient care even when your systems or networks are unavailable. By ensuring access to critical data during periods of system failure or extended downtime, healthcare organizations mitigate risks to patient care and safety. This presentation will look at what a business continuance application should provide to help ensure that clinicians have access to essential patient information when access to the organizations HCIS is down.
1156 -‐ Strategies to Achieve Stage 2 Meaningful Use Attestation using the Emergency Department Presenter: Robert Hitchcock, M.D., FACEP Organization: T-‐System Scheduled: Friday May 31 at 1:30 pm Abstract: Only 47 percent of hospital and health system business leaders are “somewhat confident” they will meet stage 2 meaningful use (MU) requirements, according to a recent poll by consultancy KPMG LLP. Thirty-‐six percent said they were confident, 4 percent said they were not confident at all and 11 percent said they didn't know what their level of readiness was. Against this backdrop of industry unrest, the speaker will explain why hospitals should consider the emergency department (ED) an important part of their enterprise MU strategy. He will delineate strategies on how to use the ED to achieve compliance thresholds more easily and quickly. As previously done with stage 1, many hospitals plan to comply with stage 2 using their enterprise EHR, believing that MU is singularly an inpatient issue and thus should be the focus of their MU strategy. However, that compliance path represents the more challenging and time-‐consuming for three primary reasons. First, adoption rates of computerized provider order entry (CPOE) in the inpatient setting from 40 to 70 percent are far less than compared to the nearly 100 percent CPOE adoption in the ED. Second, the inpatient setting generates fewer patient visits and discharges, making it more difficult for the hospital to meet thresholds. Whereas the ED’s patient volume, albeit fluctuating depending on location, incurs the majority of patient visits and discharges, which eases the compliance for the entire organization to meet the higher percentage thresholds of stage 2. Third, the ED setting’s singular workflow, dedicated physician staff and relatively small numbers of employees and contracted physicians can lead to easier change management and monitoring for enterprise-‐wide compliance. MU allows hospitals to choose which ED patients to count in their MU data through one of two ways: 1) the “all ED patients” method that counts all ED patients and all patients discharged from the ED for which follow-‐up care is expected in MU denominators, and 2) the observation method which only ED patients admitted or placed in observation are counted in denominators. We will demonstrate that by choosing the “all ED patients” method hospitals have documentation for 85 to 95 percent of their patients in their EDIS. As opposed to a standalone hospital system, facilities that deploy an emergency department information system (EDIS) equipped with CPOE and embed discharge instructions into their ED workflow will more easily meet many of the clinical MU requirements that concern them the most. Some of those requirements are routinely capture electronically by EDs, deemed critical to patient care and outcomes:
• Using CPOE for at least 60 percent of all medication orders and for at least 30 percent of laboratory and radiology orders.
• Making information of more than 50 percent of patients available online within 36 hours of discharge.
• Providing a summary of care record for more than 50 percent of transitions of care and referral.
• Recording blood pressure (for patients age 3 and over only) and height and weight (for all ages) as structured data for more than 80 percent of all unique patients admitted to the eligible hospital's or critical access hospital’s inpatient or ED.
• Documenting smoking status as structured data for more than 80 percent of all unique patients 13 years old or older admitted to the eligible hospital's or critical access hospital's inpatient or ED.
• Performing medication reconciliation on 50 percent of patient visits Another benefit of focusing on emergency department patients – and a benefit of stage 2 in general − is that it offers hospitals additional opportunities to address interoperability of shared clinical information between best-‐of-‐breed and enterprise EHR systems. Today, for example, facilities using an EDIS to share information in a discrete, codified fashion with the inpatient EHR must implement costly Health Level Seven (HL7) interfaces. To gain stage 2 certification, EHR vendors are required to use a single standard for electronic data sharing, the consolidated Clinical Document Architecture (C-‐CDA). They also must reconcile medications, allergies and problem list elements as structured data from C-‐CDAs received. Equally important, transmission standards for the C-‐CDA are well defined and do not include HL7. Instead, XDM and XDR web-‐based standards will require vendors to support point-‐to-‐point transmission of electronic documents without requiring unique and costly interface development and maintenance. In short, EHR solutions certified for data sharing will produce, transmit, receive and reconcile data contained in a single e-‐document. All of this points to stage 2, as it progresses, as marking the industry’s first real foray into true interoperability and a truly connected healthcare environment-‐-‐the ultimate goal. Moreover, the impact of interoperability mechanisms will reduce and eventually eliminate vendor influence. Decreased technical integration difficulties, declining interface build costs and changes to the vendor certification process will further enable hospitals to choose specialty systems to meet their clinical and business needs. As T-‐System’s Vice President and Chief Medical Informatics Officer, Robert Hitchcock, M.D., FACEP, is committed to advancing EHR adoption and healthcare IT public policy to improve the quality, safety and efficiency of emergency medicine. In addition, he provides counsel and guidance to clients for defining strategies to address these issues with T-‐System services and solutions. Dr. Hitchcock is a frequent contributor to highly regarded industry print and online publications, and he was the reader’s choice #3 pick for ONC National Coordinator in a poll conducted by Modern Healthcare. He has more than 20 years of experience in healthcare and has been a practicing emergency physician for more than a decade. Dr. Hitchcock serves on the board of the Emergency Department Practice Management Association. In 2011, he earned recognition for excellence in teaching from internal medicine residents, and in the early 2000s, he trained basic and advanced life-‐support EMS providers. Throughout his two-‐decade old medical career, Dr. Hitchcock has held rising physician management positions at many institutions leading complex IT projects. Dr. Hitchcock’s goal is to advance system adoption and usability skills to improve the quality and efficiency of ED delivery. Learner Outcomes:
• Understand the reasons why hospitals should consider the emergency department an important part of their enterprise MU strategy.
• Assess compliance strategies to determine whether a best-‐of-‐breed ED information system or enterprise EHR offer the most efficient route to stage 2.
• Comprehend the benefits of the “all ED patients” method including the interoperability of shared clinical information between systems and the forecasted effects on vendors and hospitals.
1157 -‐ Improving the Patient Admission Experience and Point of Service Collections Presenter: Glenn Gross Organization: Provider Advantage NW Scheduled: Friday May 31 at 11:00 am Abstract: The pressure is higher than ever to find ways to improve collections from payers and patients. Government cutbacks, rising insurance costs and increasingly complex regulatory requirements have led us into challenging times for patient access management. Learn how combining critical information from inside and outside your hospital walls can enable your staff to reduce errors leading to denials, improve patient address and identity confirmation, communicate patient out-‐of-‐pocket responsibility and your pre-‐service payment expectations and collect significantly more from the patient prior to treatment. Come prepared to participate, share your original ideas and network with other revenue cycle professionals so you can go back to your healthcare organizations and exceed your objectives! Glenn Gross, Vice President, Provider Advantage, oversees sales and was a key strategist in the development of products. He brings over 25 years of sales and management experience to Provider Advantage. Through his work with some of the nation’s leading healthcare organizations, Mr. Gross has evangelized the need to automate these tedious tasks to reduce AR days, bad debt and improve upfront cash collections. In his role with Provider Advantage, Mr. Gross identifies key strategic partners interested in helping their customers provide transparent solutions for automated eligibility verification. Outside of work, Glenn competes in several adult soccer leagues and Southeast regional tournaments. He enjoys taking advantage of the Florida sunshine all year long with his wife, Jamie, and their friends and family. He’s got an extra room if you want to escape the winter snow! 1158 -‐ The “I Do’s” of Patient Engagement Presenter: Mike Elvin Organization: Iatric Systems, Inc. Scheduled: Friday May 31 at 2:30 pm Abstract: Most likely, you are considering or reviewing your options on how to address the Meaningful Use criteria for patient access to medical records. Of particular interest might be the new criteria for Stage 2, which requires more than 5% of patients accessing their records. Current rates of adoption fall well below this mark, so how do you plan to get your patients to say “I do” when it comes to accessing their medical data online?
There are many questions to consider when determining the best way to address these requirements. What are the considerations to look for in a patient portal to ensure the greatest level of patient engagement? What does a “patient-‐centered” care model really look like, and what is the actual impact on your organization? All of these questions and more will be answered in this educational session. You will learn:
• Methods for meeting and exceeding the patient engagement criteria of Meaningful Use • Specific marketing techniques for promoting patient engagement • How to train hospital personnel for changes in workflow and how they can help to promote your
portal directly to your patients • Key features to look for in a patient portal that will ensure patients will use the portal • Best practices and real life examples of successful patient engagement • The benefits of patient engagement to the bottom line of your hospital or practice, not to
mention the satisfaction of your patients • About industry studies that show patients want to be engaged in their healthcare • About the impact of a patient portal on daily operations, including your clerical staff and
revenue potential. Learn how you can successfully engage patients so they will say, “Yes, I do want to access my records via an online portal.” Mike Elvin, a Patient Engagement Specialist at Iatric Systems, oversees the operations of the company's Patient Engagement Service, a unique marketing and training program extended to Iatric Systems customers. Mike comes from an intensive hospital marketing background, including development marketing at Boston's Dana-‐Farber Cancer Institute and patient/employee engagement at Hospital for Special Surgery in New York City. 1159 -‐ Gap Workflow – Maximizing Performance through Integrated Data Presenter: Jordan Miller Organization: FORMFAST, Inc. Scheduled: Friday May 31 at 11:00 am Abstract: As hospitals struggle to adhere to increasing standards amid declining reimbursements, efficiency is no longer a luxury but a necessity. Unfortunately manual processes and disparate data hinder performance and expose liability. Healthcare organizations must find ways to optimize processes in order to protect revenue and prevent risk. Join us as we explain how hospitals are using automation technologies to do more with less. Learn how workflow automation is being used to enhance MEDITECH systems to diagnose issues with patient safety, identify revenue loss, and streamline communication enterprise-‐wide. Jordan Miller is a workflow specialist with nearly a decade’s tenure in healthcare. Jordan has worked for leading providers of healthcare IT solutions such as Cerner and Perceptive and is currently employed by
FormFast. In his role with FormFast, he works with hospitals to identify operational inefficiencies and correct them with workflow automation solutions. 1160 -‐ Business Continuity during MEDITECH or Network Downtime Presenters: Tara Marchi and Brian Rogers Organization: Summit Healthcare Services, Inc. Scheduled: Friday May 31 at 11:00 am Abstract: As organizations strive for a comprehensive online electronic medical record, the impact of a MEDITECH downtime or network downtime for patient care can be extreme. Many organizations are reviewing their disaster recovery plans and identifying upfront how to ensure business continuity for their staff. This presentation will look at real examples of your hospital peers have addressed business continuity and setup a plan to address downtime. Highlights:
• Sampling of how organizations are handling downtime today/now • Best practices/model reports of the type of data clinicians need to see in the event of a
downtime • How do you ensure this data is accessible to all types of caregivers during a downtime? • What are your technology options available today? • Testing, training and rollout of your procedures and system • After downtime – best practices to ensure your approach is working
Secure, real time access to data can no longer be an afterthought-‐ patient care depends on it. Join our presentation to get a plan in place. Tara Marchi, Director of Marketing, Summit Healthcare Tara has worked in the healthcare information technology (HIT) industry for 11 years, the past five of which have been with Summit Healthcare as the Director of Marketing. She leads all marketing communications, PR, social media and external industry events. She holds a BA in Marketing from Miami University. Brian Rogers, Director of Product Management, Summit Healthcare Brian has worked in the healthcare information technology (HIT) industry for 12 years, the past eight of which have been with Summit Healthcare in the product management division. Brian supports the Summit Healthcare automation product line and is instrumental in product development and direction. Brian is proficient in HL7 technology, scripting and various coding languages.
1161 -‐ Introduction to Interdisciplinary Discharge and Medication Reconciliation in 5.66 (Client/Server) Presenter: Kerri Nash Organization: MEDITECH Scheduled: Thursday May 30 at 9:30 am Abstract: Over the last year, MEDITECH has made significant investments in strengthening the usability of our Medication Reconciliation, e-‐Prescribing, and Discharge solutions. Come see an overview of the newly redesigned Multidisciplinary Discharge functionality, based on the feedback and participation we received from our Discharge Customer Focus Group, as well as usability enhancements to the Medication Reconciliation routines. 1162 -‐ Introduction to Interdisciplinary Discharge and Medication Reconciliation in 5.66 (Magic) Presenter: Jessica Chartoff Organization: MEDITECH Scheduled: Wednesday May 29 at 11:00 am Abstract: Over the last year, MEDITECH has made significant investments in strengthening the usability of our Medication Reconciliation, e-‐Prescribing, and Discharge solutions. Come see an overview of the newly redesigned Multidisciplinary Discharge functionality, based on the feedback and participation we received from our Discharge Customer Focus Group, as well as usability enhancements to the Medication Reconciliation routines. 1163 -‐ Delivering Data: Extracting Information with Data Repository and Report Writer Presenter: Rob Sagerian Organization: MEDITECH Scheduled: Wednesday May 29 at 2:30 pm Abstract: As the complexities of healthcare increase, so too does the need for robust and efficient access to critical data. Join us, and discover the breadth and power of MEDITECH's reporting solutions: the NPR Report Writer and Data Repository. Learn the differences between each product, best practices for optimizing results, and how to overcome the multitude of challenges facing today's healthcare IT experts.
1164 -‐ Quality Boards: Increased Patient Safety through Active Surveillance Presenter: Dan Seltzer Organization: MEDITECH Scheduled: Friday May 31 at 11:00 am Abstract: Come get the information you need to leverage your MEDITECH Nursing and Patient Care System Status Boards for the surveillance of patient populations. Learn how to optimize your Status Board to track core measures and quality information. You’ll also be introduced to newly designed Status Boards for quality health metrics such as VTE, Stroke, CHF, and VAP. 1165 -‐ Health on the Go: Mobile Rounding and the Patient & Consumer Health Portal Presenters: Sharon Metzger and Jessica Haller Organization: MEDITECH Scheduled: Friday May 31 at 10:00 am Abstract: MEDITECH's Patient and Consumer Health Portal helps you engage patients and families more actively in their care by providing a secure, confidential web-‐based tool for accessing health information and communicating with providers. The Mobile Rounding solution is a web-‐based product for physicians to view clinical information for patients on their rounding list -‐-‐ much like they would from the Physician Desktop or EMR/Clinical Review, but from a handheld device or tablet. Physicians have easy access to real-‐time patient information from their mobile device from inside or outside of the hospital. See this and other key components of Mobile Rounding and the Patient Portal during this session. 1166 -‐ Solving The Problem List (Magic) Presenter: Jenny Capizzi Organization: MEDITECH Scheduled: Wednesday May 29 at 3:30 pm Abstract: As patients transition through care settings, or users access the problem list from different entry points throughout the system, problems are shared and suggested to help decision support. For this reason, it's essential to have effective problem list coordination between the ambulatory, emergency department, and acute environments. Attend this session and see a LIVE demonstration of MEDITECH's new streamlined, efficient, and integrated problem list entry solution. We’ll also cover our 5.66 Physician Documentation enhancements.
1167 -‐ Solving the Problem List (Client/Server) Presenter: Jenny Capizzi Organization: MEDITECH Scheduled: Thursday May 30 at 11:00 am Abstract: As patients transition through care settings, or users access the problem list from different entry points throughout the system, problems are shared and suggested to help decision support. For this reason, it's essential to have effective problem list coordination between the ambulatory, emergency department, and acute environments. Attend this session and see a LIVE demonstration of MEDITECH's new streamlined, efficient, and integrated problem list entry solution. We’ll also cover our 5.66 Physician Documentation enhancements. 1168 -‐ On the Move to Stage 2 Presenter: John Valutkevich Organization: MEDITECH Scheduled: Friday May 31 at 11:00 am Abstract: 1169 -‐ IT Department Transformation – Getting Organization Buy-‐in Presenter: Robert Aubin Organization: Beacon Partners Scheduled: Friday May 31 at 1:30 pm Abstract: In the past, evolutionary development of an IT department was a responsive approach to satisfying an organization's need to keep its systems, technology and support plans in step with the organization’s operational plans. It usually did not change radically overnight, but evolved as the regulatory and patient care environment around it changed. With the arrival of ARRA and other healthcare pressures, the IT department is pressured to evolve at a much quicker pace than the organization, in preparation for meeting organizational needs and expectations in a timely manner. For all MEDITECH clients, the IT mission, support methodology and service delivery process will typically need a major “transformation” to adequately prepare for and successfully address the ever increasing systems and technology demands. Long and short term planning, staff skills and experience, project management and delivery methodologies need to be truly integrated into the organization’s operations. Small and large multi-‐facility IT departments (and everything in between) are facing the same demands and challenges. Most MEDITECH shops have had to increase their staffing, install more robust technology and develop additional application experience, but has it been enough, and have future needs been built into the IT department expansions? The strategy, approach and benefits for transforming the IT department to a “right-‐sized” level of organizational integration will require IT leadership to communicate and “sell” its
technology vision. This presentation will discuss the author’s observations and experiences, and present strategies for developing a comprehensive, but realistic, IT organization transformation plan. Robert Aubin is a Client Service Manager at Beacon Partners. He has over 25 years of experience as a senior manager of Healthcare Information Systems (HIS) and seven years in the capacities of Interim IT Management, Project Manager and Senior IT Consultant. Previous positions include Director, CIO and Vice President in hospital settings. Mr. Aubin’s professional background encompasses all aspects of IT management, with particular emphasis on assessing, selecting and deploying technology to enhance services and operational processes within a healthcare enterprise. He has performed full-‐cycle project management in the development of IT strategic/tactical assessments and multi-‐facility, multi-‐vendor HIS implementations. Mr. Aubin has a proven ability in the development and integration of the IT strategic plan with the Enterprise strategic plan, workflow problem analysis and resolution, effective facilitation of cross-‐departmental and multi-‐disciplinary teams and operational integration of information systems. 1170 -‐ Being at Ease with Your H&P – Making MEDITECH's Physician Documentation Module Work for You! Presenter: Walt Smith Organization: Consultant People, LP Scheduled: Friday May 31 at 2:30 pm Abstract: With everyone’s focus on CPOE, our physicians’ need for a well-‐organized tool to complete their documentation must come to the forefront. Physician Doc has come a long way since Magic 5.61. Take the leap from MEDITECH’s standard content to an integrated template design that will maximize the efficiency of your electronic tools. Discussion will include: template organization, physician workflow, normals, and voice dictation. Walt Smith, Staff Consultant, has comprehensive experience with MEDITECH Magic, Client Server and 6.X platforms in the design, implementation and support of the complex clinical software systems. Understanding the needs of clinicians, Mr. Smith works to improve and maximize the efficiency with workflow improvement by the use of technology. 1171 -‐ Leveraging Health Information Exchange to Facilitate Patient Care and Support MU Stage 2 Presenter: Mike Murphy Organization: Forward Advantage Scheduled: Friday May 31 at 1:30 pm Abstract: This session focuses on the benefits of electronic health information exchange between health care organizations to support patient care coordination and meet Meaningful Use requirements, including discussion of a variety of sample use cases.
Building interoperability among healthcare systems to seamlessly and easily exchange information in near real time is critical to making meaningful improvements in healthcare delivery. The combination of a community patient index, consolidated medical records, network connectivity and record locator capabilities helps achieve this goal by providing the ability to query the location of a patient’s health records and retrieve them for coordinated patient care. This approach also supports the aggregation and analysis of data for population health management, medical research and public health surveillance. These will be critical elements in increasing the effectiveness, quality and efficiency of health care delivery in support of Meaningful Use objectives. For Stage 2 Meaningful Use, eligible hospitals and critical access hospitals should provide a summary of care record for each transition of care or referral. The target objective is to provide these for over 65% of all transitions of care and referrals. More than 10% of these must be transmitted electronically using Certified EHR Technology to a recipient with no organizational affiliation and using a different Certified EHR Technology vendor than the sender. This will require implementation or upgrades of existing health information systems in many cases to meet these requirements. The first requirement can be fulfilled by a paper/fax process. However, there will be a need to track the actual nominator and denominator for reporting the MU measures. The second requirement can be fulfilled by Direct, a point-‐to-‐point interface or a comprehensive HIE. Again, statistics on actual electronic transmissions must be collected and reported for MU compliance. In both cases, patient care coordination and health outcomes can be significantly enhanced through health information exchange. Mike Murphy is Director of HIE for Forward Advantage Inc., and has more than 25 years of experience in information technology and telecommunications. Over the past seven years, he has focused on the application of these tools to the health care domain. 1172 -‐ Successfully Navigating the HIE Landscape Presenter: Rick Edwards Organization: Iatric Systems, Inc. Scheduled: Friday May 31 at 2:30 pm Abstract: Are you having difficulty figuring out which way is up or down when it comes to determining how to proceed with participating in a state or regional HIE, implementing an enterprise HIE, or even figuring out if you need one? There are so many different definitions and types of HIEs. For example: What is the difference between a public and private HIE? What is a community HIE? Enterprise HIE? Is HIE a noun or a verb? What about ACOs? How do they fit in with an HIE strategy? There are so many terms and descriptions and conflicting information about what an HIE is and why you may need one. This session will make sense out of the confusion and give you tools to help you determine what kind of HIE is right for you. We will show you:
• Comparisons between Public and Private HIEs • Differences between a centralized, federated, and hybrid HIE • How an HIE can help with an ACO
Learn how to navigate this complex sea of HIEs and get the tools to start you in the right direction.
Rick Edwards is the Director, Integration Strategy at Iatric Systems. In this capacity, his primary role and responsibility is to formulate and oversee the company’s strategy in regards to products and services for Health Information Exchange (HIE). Before, joining Iatric Systems, Rick has been in the healthcare IT industry for nearly 30 years – mostly in CIO or IT Director roles in hospitals or health systems. Most recently, Rick was the CIO at an acute care community hospital in Maryland. 1173 -‐ How Your Peers Reduced Patient Privacy Breaches Presenter: James Lawson Organization: Iatric Systems, Inc. Scheduled: Friday May 31 at 2:30 pm Abstract: Healthcare institutions are at greater risk of falling short on patient privacy compliance than ever before. HIPAA has the requirement for organizations to map where their Protected Health Information (PHI) is located, but the requirements and enforcements under the HITECH rules are getting more and more specific. Greater emphasis is being placed on the government term “reasonable effort,” knowing whether a hospital truly assessed the risk to the information properly and is taking appropriate measures to protect PHI. Implementing a successful patient privacy program requires a commitment. Failing to implement one has a huge cost. Hospitals face severe penalties for breaches, including financial, criminal, and harm to reputation. This session will discuss challenges hospitals are facing in implementing a successful patient privacy monitoring program and how your peers have overcome hurdles by using industry best practices. Case study discussions will include how hospitals have reduced patient privacy breaches such as reducing medical identity theft; eliminating snooping and inappropriate behavior, and protecting their hospital’s reputation. We will discuss challenges hospitals are facing:
• Catching inappropriate behavior such as snooping and medical identity theft with random and audits that are not comprehensive
• Managing the increased number of privacy breaches that damage a hospital’s bottom line and reputation
• Keeping up with the changing HIPAA/ARRA regulations (breach notification rules, penalties, Meaningful Use rules)
We will discuss success stories highlighting how hospitals are:
• Automating the review of thousands of patient records to decrease inappropriate access by 75% • Proactively catching medical identity theft • Conducting comprehensive education to limit snooping, VIP access, and inappropriate behavior
James Lawson is Senior VP of Software Solutions at Iatric Systems. In this capacity, he has many responsibilities, including leadership of the implementation of many compliance solutions including Patient Privacy monitoring and Meaningful Use. Before joining Iatric Systems, James was the principal of HCT Consulting, assisting HIM departments across the nation. He has more than 15 years of experience in the healthcare industry and is providing integration and application security expertise to the Iatric
Systems community. Mr. Lawson's commitment and contributions to Patient Privacy thought leadership have been acknowledged by selection as a speaker at AHIMA, Microsoft HUG, and InSight 2012. 1174 -‐ Using Virtualization to Lower the Costs for Healthcare Providers Presenter: Richard Foster Organization: Interbit Data, Inc. Scheduled: Friday May 31 at 2:30 pm Abstract: As healthcare organizations look for new ways to squeeze out inefficiencies and reduce costs, some of the primary tools they are turning to are new advances in technology. Virtualization is a hot IT trend that enables organizations to consolidate resources and do more with less expense across a wide variety of applications and industries. Virtualization of information delivery is a fast growing healthcare technology solution provides multiple benefits over traditional information delivery systems. Many healthcare organizations are implementing or exploring virtualization of information delivery as a cost-‐effective and cost-‐saving alternative. This session will show how a hospital uses Virtualization to save cost, reduce space and maintain efficiencies. 1175 -‐ MU Stage 2: Transition from Quality Measurement to Informatics – Implications for Practice of Performance Improvement Presenter: Paulette Di Angi, PhD Organization: Institute for Health Metrics Scheduled: Friday May 31 at 3:30 pm Abstract: Implementing the Meaningful Use Stage 1 requirements felt like taking some of the Core Measures, adding of a few administrative measures and reporting on both. It did not initially appear as really ‘new’ work if you have spent any length of time as a quality professional. Quality Professionals have been gathering data and hospitals have been submitting measures to CMS and TJC since 1997. However, Meaningful Use Stage 2 is another thing altogether. Stage 2 will powerfully push quality professionals, whether they are aware of it or not, right into the center of the field of informatics and IT. In order to successfully collect the right data to provide the right measurements, the quality professional who is responsible for Meaningful Use compliance must be familiar with more than just the intent of the measures, but must also understand the data elements which make up those measures and the workflow that can possibly capture that data entry. This presentation will provide a detailed overview of the changes from Stage 1 to Stage 2 and its impact on the practice of quality measurement. Using an adapted ‘change process’ as a model to explain this migration, and a touch of humor, this is an absolute must attend for quality professionals who have experienced the pain of Stage 1 and want to brace themselves for Stage 2.
Paulette Di Angi, PhD, RN, CPHQ is the Chief Clinical Information Officer and Vice President, Product for the Institute for Health Metrics. She migrated into Nursing Informatics from a strong clinical care and quality measurement background. She has served as the Director of Health Care Quality at Newton Wellesley Hospital, a member of the Partners Healthcare System, and the Executive Director of Psychiatric and Mental Health Services for Cape Cod Healthcare. She has also served as an AVP of Provider Relationships and Contracting with CIGNA Healthcare, an AVP of Nursing at Valley Hospital and Director at Hamot Medical Center. Dr. Di Angi received her PhD in Nursing from Case Western Reserve University, her Masters in Psychiatric Nursing from the University of Iowa and her BSN from Villa Maria College. She has a Certificate in Management from Smith College and has been a Malcolm Baldrige Examiner with the Mass Excellence Center. For entertainment she has a spice and rubs business on Cape Cod, is an international award-‐winning vintner and is chef and host of two Cape Cod TV Channel 99 cooking shows. Her website contains updates, hints and all the recipes prepared on the show. Learner Outcomes:
• Objective: Understand the subtle career move for the quality professional from quality measurement/performance improvement to informatics. Take Away: Stage 2 delivers more standards and more data elements than Stage 1. The quality professional must manage and leverage technology more than ever before in order to succeed in compliance with Meaningful Use Stage 2. This shift begins to move the quality professional directly into the field of informatics, whether he/she is aware of it or not.
• Objective: Evaluate the changes that Stage 2 will precipitate in their organization. Take Away: Stage 1 and the CEHRT pushed technology first followed by workflow. If the technology was there, at times the workflow didn't always have to be. However, Stage 2 demands an expanded use of technology that is built upon effective workflows. In this case if the workflow isn't in place, the technology will not be able to support compliance.
• Objective: Calculate next steps in planning for Stage 2 implementation at their hospital. Take Away: A key to success in Stage 2 is planning for implementation given all the changes in the requirements. Estimating the planning steps for their organization given an overview of Stage 2 is a critical next step in preparation for Oct, 2013 implementation.
1176 -‐ Living Real Disaster Recovery in the Cloud Presenter: Mark Middleton Organization: Park Place International Scheduled: Friday May 31 at 3:30 pm Abstract: In the last 30 years, there have been close to 700 natural disasters in the United States alone. This number excludes other man-‐made disasters such as fire, hazardous materials, terrorism, and utility failures. Do you have a Disaster Recovery plan for your facility and its mission critical systems? Is your plan real, or just a collection of ideas and cool techno-‐gizmos, which never been tested as a whole, much less exercised through a real disaster crises? Join us as we probe the components of a Business Continuity Plan, Business Impact Assessment, and an IT Service Continuity plan which will assist you in thinking through your own facilities readiness should disaster strike. In addition to reviewing recovery options for MEDITECH, we’ll also explore what you’ll need to make it work at the time of disaster in light of real-‐world experiences with Hurricanes Rita and Katrina.
Mark Middleton serves as Director of Cloud Services at Park Place International. Mark served 29 years at CHRISTUS Health in the fields of Biomedical Engineering and Information Technology, leading projects such as a $30 million data center build, relocations, centralization of IT operations, and operating one of the largest MEDITECH Client/Server 5.X implementations in the nation. Mark’s current work is the development of an array of managed service offerings to enable MEDITECH customers to provide sustainable and cost effective operations for their facilities. Mark is a multi-‐time finalist in the Data Center Executive Excellence Awards and holds degrees in Biomedical Technology and Business Administration, as well as the highest level ITIL Expert Certification. 1177 -‐ HIPAA Privacy and Security Enforcement: Expert Advice for those Preparing and Responding to the OCR Audit Program Presenter: Chuck Burbank Organization: FairWarning Scheduled: Friday May 31 at 2:30 pm Abstract: In this educational session, we will address responding to the KPMG/OCR HIPAA Audit. We will cover the audit process/timeline, challenges, best practices, and offer real world examples of select areas and responses. The presenter was the target of one of OCR's audits and will share his experiences, challenges, and lessons learned. He will address how organizations can prepare and what they can expect for this type of audit as well as how organizations can address the broader privacy and security challenges. Chuck Burbank is a healthcare privacy and security expert currently serving as Director of Managed Services at FairWarning Service, LLC. where he leads a team offering managed and professional services to customers to assist them in achieving a culture of privacy and security of electronic protected health information. Chuck has over 34 years of experience in the healthcare industry covering clinical, administrative, privacy and security. Prior to coming to FairWarning, Chuck served as Manager, Information Security and Enterprise Network Services, Privacy Specialist for a multi-‐hospital healthcare system; HIPAA Privacy and Security Contractor for the U.S. Air Force covering two medical facilities; and Chief, Patient Administration (including HIPAA Privacy Officer and Director of Medical Records responsibilities). Chuck is a Certified HIPAA Professional and Certified HIPAA Security Specialist. 1178 -‐ On Data Repository Errors and Exceptions Presenter: Alex Walker Organization: Blue Elm Company Scheduled: Friday May 31 at 2:30 pm Abstract: The error and exception logs in Data Repository can cause confusion for even the most experienced Data Repository users. This presentation will take an in depth look at the various message types that the Data Repository application can report to its error and exception log. We’ll discuss some key differences and similarities between the Magic, CS and MAT DR error logs. We will cover where the error log data exists within each platform, how to process the errors and exceptions and relate messages to one another. Finally we’ll design an error log database within SQL Server that can be used
to aggregate DR error and exception messages. The goal of our error data mart will be to provide a consolidated view of the variety, frequency and severity of errors being reported by the DR application. Alex Walker is a Senior Software Developer at Blue Elm Company. Alex has been working with the Data Repository for over six years, and has spent the past two years working on Blue Elm's product. Prior to joining Blue Elm, Alex was the Programming Supervisor within the Data Repository group at MEDITECH. 1179 -‐ EHR Meaningful Use 2014 (Stage 2) DR Reporting Strategies Presenter: Glen D’Abate Organization: Acmeware Inc. Scheduled: Friday May 31 at 3:30 pm Abstract: How thorough is your understanding of the Stage 2 (2014) CMS Eligible and Critical Access Hospital Final Rule and its impact on reporting requirements for the next fiscal year and beyond? Clinical Quality Measures have been broadened to new areas, Core Objectives have been consolidated and in some cases eliminated, Menu Set Objectives have been expanded. This session will explore report writing challenges that face those interested in using the MEDITECH Data Repository to produce and electronically submit EHR measures to CMS. We will demonstrate tricks and techniques to identify and accurately extract EHR Meaningful Use data entered in clinical applications and filed in the DR. Report development strategies for coping with practices and procedures that do not perfectly match MEDITECH’s recommended best practices will be discussed. We will also explore strategies for validating and documenting results to instill confidence in your practices and submitted performance rates when the auditors arrive. If you plan to use your DR for FY14 (Stage 2) reporting, you will benefit from this session. Glen D’Abate is founder and President of Acmeware, Inc. Glen has 25+ years of experience working in the healthcare IT field including 13 years at MEDITECH where he led development of the Data Repository (DR) application. Under Glen’s guidance, Acmeware has earned a reputation as a leader in DR consulting field and is recognized for developing innovative DR-‐based reporting, custom application, and interfacing solutions. He has also developed a DR report writing training program that has been attended by participants from dozens of DR sites. Glen has an undergraduate degree in Engineering and Economics from Trinity College and graduate degrees in Biomedical Engineering and in Finance from R.P.I. and Boston College respectively. 1180 -‐ Optimization & Standardization: Building a Solid Foundation for CPOE Presenter: Katey Ortlieb Organization: Beacon Partners Scheduled: Friday May 31 at 3:30 pm Abstract: A CPOE implementation requires extensive planning and a thorough understanding of the needs of the provider. Optimization and standardization assist organizations in developing a solid foundation to ensure a successful implementation. This presentation provides recommendations for optimizing MEDITECH dictionaries with CPOE in mind, benefits of standardization, as well as a review of
MEDITECH functionality organizations should consider prior to their CPOE implementation. Workflows such as medication reconciliation and admission/discharge/transfer are discussed as they provide a foundation for success and can enhance and promote use of CPOE by providers if they are solidified and seamless. Whether your organization is just beginning your implementation or you’re already Live with CPOE, this presentation will provide suggestions to optimize your system and promote the use of CPOE. Katey Ortlieb is a registered nurse with 10 years of healthcare experience. Her clinical experience in the areas of pediatrics, obstetrics and neonatal care has instilled in her an understanding of the workflow of the care provider at the bedside. Ms. Ortlieb possesses practical and technical experience with multiple MEDITECH Client Server applications, including Patient Care System (PCS), electronic medication administration record (eMAR), Computerized Physician Order Entry (CPOE), and Electronic Medical Record (EMR). She has an in-‐depth knowledge of hospital workflows and requirements and possesses a true sense of the needs of the bedside care provider in regards to technology. Ms. Ortlieb currently works for Beacon Partners, a healthcare management consulting firm. During her tenure with Beacon Partners, Katey has served as a consultant on multiple CPOE implementations. Katey now serves as the Associate Practice Director for the MEDITECH Practice at Beacon Partners. Learner Outcomes:
• Discuss benefits of standardization and optimization as they relate to CPOE as well as the pros and cons of optimizing/standardizing prior to implementing CPOE and how the process continues post-‐implementation. In addition, the presentation will identify MEDITECH dictionaries to consider during optimization.
• Discuss key workflows to consider during the implementation: admission/discharge/transfer and medication reconciliation and how these workflows can make or break the implementation.
• Review additional MEDITECH functionality to consider during the implementation, such as the “Transfer” routine and “Continue from Ambulatory” functionality.
1181 -‐ Hook It Up: Integrating Electronic Workflow in the ED Presenter: Walt Smith Organization: Consultant People, LP Scheduled: Friday May 31 at 3:30 pm Abstract: Did your EDM system move LIVE without CPOE? Looking to bridge the gap between nursing and physician workflow? In order to take full advantage of what’s available to you, you’ll need to update your Emergency Department’s build with an eye towards CPOE. Discussion will include: Nursing Orders/Workflow, Paper-‐to-‐Electronic Order flow, Order Sets, Tracker improvement, Indicator best practice. Walt Smith, Staff Consultant, has comprehensive experience with MEDITECH Magic, Client Server and 6.X platforms in the design, implementation and support of the complex clinical software systems. Understanding the needs of clinicians, Mr. Smith works to improve and maximize the efficiency with workflow improvement by the use of technology.
1182 -‐ Direct -‐ What You Need to Know Presenter: Michael Henricksen and John Valutkevich Organization: Forward Advantage, Inc.; MEDITECH Scheduled: Thursday May 30 at 2:30 pm Abstract: Direct messaging is quickly emerging as a viable method for exchanging health information and is required to help meet Meaningful Use requirements for Continuity of Care Document (CCD) exchange. This easy-‐to-‐implement solution provides a way to exchange information with other providers who have no other means for a secure information exchange, such as a Health Information Exchange (HIE). This session will help you understand Direct and how it can apply to your facility. In this presentation, you will learn:
• What Direct is • Overview and background of the Direct Project initiative • What makes Direct messaging secure • How it works – Technically speaking • How to evaluate if Direct is a good fit for your facility
Michael Henricksen is the Director of Product Management and Marketing at Forward Advantage, Inc. and has over 20 years of experience in the healthcare industry. 1183 -‐ Patient Engagement and Meaningful Use Presenter: Richard Foster Organization: Interbit Data, Inc. Scheduled: Friday May 31 at 3:30 pm Abstract: All major business segments are using the Internet to engage with their customers, to increase efficiency, drive productivity and for convenience. Hospitals, other health care organizations, and physicians are doing the same thing. This session discusses the value that patient engagement brings to your hospital, physicians, and clinical staff. It will address how achieving patient engagement will enable health care organizations to move yet another step closer towards achieving Meaningful Use. It will demonstrate how implementing Patient Portals allows patients to received medical records, such as lab data, allergy and medication information, discharge instructions, etc. in an easily and universally accessible manner.
1184 -‐ CMS and Standardization – Better Together Presenters: Kelly Moxon and Cindy Willis Organization: Santa Rosa Consulting Scheduled: Thursday May 30 at 1:30 pm Abstract: You are faced with the task of telling your physicians that they have to give up their way of documenting and they will conform to the “IT” way of doing it. You are telling the MD’s how to do their jobs, how to practice medicine, how to deliver care AND that they now have to do a secretary’s job and enter the orders in the computer. To top it all off you have multi-‐facility and multi-‐state sites to standardize. Well, good luck with that. We will share our experience with utilizing Corporate Management Software (CMS) to implement your next MEDITECH release. Bring your players to the tables to develop a charter that includes the scope of the project, define an approval process, escalation process, and work out process and design. The challenge is to standardize. Many facilities feel that they have defined the best process for order sets and documentation, whether it is online or on paper templates. To ask them to undo what they have defined and rework their current process is frustrating to those involved in the project. 80% CMS standardization and 20% site customization allows for flexibility and physician ownership of the system. Developing this balance is the key to success. The defined custom dictionaries can be either region or site specific. Change management will be a challenge for the customized dictionaries as the sites may not follow the regulations defined by the project approval process Training the physicians will always be complicated because physicians have greatly varying computer skills. Some feel that entering orders is a meningeal task that may be beneath them. More importantly studies have shown that it is more difficult to bring about change to the educated professional, especially those in the health profession. It is thought that the heath care professional truly believes that they are doing the very best for their patient. To suggest such radical change suggest that they are indeed not do the best for their patient; therefore they resist the change. It is your task to teach physicians to recognize the benefits of the system and to understand the positive impact of change. Provide them with the support needed as they adjust during training and implementation. If you have successfully given your champions the ownership they need and if you have a support system for your physicians your project will be a huge success! Kelly Moxon, RN is a licensed nurse in the state of Texas for 15 years. She has worked in Med/Surg, Telemetry and ICU. She has been in health care IT for 11 years and has supported several MEDITECH implementations/optimizations as an applications analyst and process analyst. She has completed a CMS standards implementation with 6 regional implementations and is currently working on another multi-‐facility/multi-‐state CMS implementation. Cindy Willis, RN is a licensed nurse in the state of Texas for over 20 years. She has been in health care IT for 16 years and 10 years of MEDITECH consulting. She has successfully implemented magic, C/S and 6.0 advance clinical module applications. She has presented in MUSE, HIMMS and written various articles for Dell: Inside Perspective.
1185 -‐ RXM: An Approach to Build and Design for Advanced Clinical Use Presenter: Karl Frohlich Organization: Santa Rosa Consulting Scheduled: Wednesday May 29 at 3:30 pm Abstract: The MEDITECH best practice build recommendations for RXM has rapidly evolved over the recent years for ePrescribing, Medication Reconciliation and CPOE integration. This presentation details the dictionary build and design for this type of advanced clinical use. Solutions for non-‐formulary medication management and IT maintenance are covered as well as to tips and template models for creating a ‘drug dictionary style guide’ and global medication favorite list designed for nursing and physician ease of use. Karl Frohlich, a senior consultant with Santa Rosa Consulting, has over 15 years of healthcare IT experience as a MEDITECH senior applications specialist, industry consultant and project manager. He specializes in pharmacy and RXM database optimization/implementation as well as MEDITECH’s advanced clinical applications. Learner Outcomes:
• Provide pharmacy experienced IT staff with options and recommendations for creating an RXM drug dictionary style guide and global medication favorite list. Takeaway -‐ The intent of the presentation is for the leaner to understand the integration between the RXM drug dictionary, ePrescribing interface and POM medication ordering process. Recommendations for creating a global user medication favorite list and drug dictionary style guide will be discussed in order for the leaner to able build and maintain an RXM formulary designed for nursing and physician ease of use.
• Understanding the RXM drug dictionary build considerations for ePrescribing, Medication Reconciliation and POM integration. Takeaway -‐ The intent of the presentation is for the leaner to understand the integration between the RXM drug dictionary, ePrescribing interface and POM medication ordering process. Recommendations for creating a global user medication favorite list and drug dictionary style guide will be discussed in order for the leaner to able build and maintain an RXM formulary designed for nursing and physician ease of use.
• Detail solutions for non-‐formulary medication management and formulary maintenance by IT. Takeaway -‐ The intent of the presentation is for the leaner to understand the integration between the RXM drug dictionary, ePrescribing interface and POM medication ordering process. Recommendations for creating a global user medication favorite list and drug dictionary style guide will be discussed in order for the leaner to able build and maintain an RXM formulary designed for nursing and physician ease of use.
1186 -‐ PCS: From Magic to 6.0 to 6.1 Presenter: Susan Haviland Organization: Santa Rosa Consulting Scheduled: Friday May 31 at 2:30 pm Abstract: Many hospitals are moving from Magic to 6.x these days. Now, 6.1 is coming down the pike. What does this mean? For PCS, this can be a challenge. Moving from CDS’s to Documentation Sections, Magic Attributes to 6.x rules, functionality loss, functionality gain, whether to migrate and use existing queries or start anew. It’s a whole new world with all new opportunities. Let us walk you through the pros and cons – learn what worked and what didn’t. Plus, we will give you a peek into what will be coming with 6.1 for PCS! Susan Haviland is a Registered Nurse with over 20 years of relevant professional experience serving in various nursing management, operational and informatics roles with a track record of successful outcomes. Her experience includes 15 years of end user experience with MEDITECH MAGIC Nursing, Order Entry, EMAR and Pyxis Medication, three years of implementing and supporting MEDITECH Client Server 5.5, two years of 5.64, over a year of implementing 6.06 Patient Care System and is currently working on implementing PCS at a 6.1 site. Susan has a strong understanding of operational workflows and MEDITECH functionality enabling successful system implementations. 1187 -‐ Managing and Securing Cloud Applications and Services Presenter: Joseph Christopher Organization: The Shams Groups (TSG) Scheduled: Friday May 31 at 3:30 pm Abstract: As IT takes center stage in healthcare reform, CIOs are tasked with finding new and innovative approaches to operations management. Between stringent regulatory requirements and the growing need for real-‐time data and applications access, however, this is easier said than done; so how can you deliver a more flexible, super-‐secure IT environment to clinical staff without draining the corporate wallet? This educational sessional explores how managing access to your organization’s cloud services effectively meets today’s healthcare challenges without compromising on healthcare IT unique needs. Examples will be provided of the correct practices that allow for significant operational benefits, more efficient adoption of regulatory mandates, more collaborative clinical staffing, and more data-‐empowered decision making speed. Also discussed will be a few of the key challenges to consider when implementing your management solution Joseph Christopher has been the ITS Director of The Shams Group, Gold Certified Microsoft Partner for over a decade. Joe has successfully deployed virtualized applications and services from local office services to global infrastructure environment. He is experienced and sensitive to the concerns of the clinical environment having been directly involved in managing hospital datacenters, and implementing MEDITECH-‐centric solutions for the past 15 years.
1188 -‐ Empowering Caregivers: Aligning People, Processes and Technology to Improve Care Delivery Organization: Dell Services Presenter: Charlotte Hovet Scheduled: Friday May 31 at 3:30 pm Abstract: While technology is a powerful catalyst for change, its benefits will only be realized if it is used in support of the people and processes that deliver care, and the patients that receive it. Hear real-‐world lessons from a multi-‐hospital health system who is successfully empowering caregivers to lead true clinical transformation through healthcare IT. When you attend this session, you will learn:
• Drivers of healthcare transformation and how to optimize technology adoption for enhanced care delivery;
• Lessons from a multi-‐hospital health system that has successfully engaged physicians—who are leading their peers—and driving clinical transformation;
• Foundations of organizational transformation and the importance of collaborative IT and physician leadership
Charlotte Hovet, MD, MMM, CPE Medical Director, Clinical Informatics is a physician executive within Dell Healthcare & Life Sciences with extensive experience in medical management leadership and medical staff governance. In her current role, Dr. Hovet partners with health system customers to implement and optimize clinical information systems to support excellence in patient care. With a focus on physician engagement, she provides an experienced clinician peer perspective, informatics knowledge, skill and physician alignment strategies that drive change in a complex medical environment. Dr. Hovet provides customer education on physician adoption of Electronic Health Records (EHR), leading project teams in the development of enterprise governance, knowledge management and change management solutions. 1189 -‐ Physician Governance & Leadership – The Support Structure Required for Your Electronic Health Record (EHR) Organization: Dell Services Presenter: Charlotte Hovet Scheduled: Friday May 31 at 1:30 pm Abstract: The successful implementation of a clinical information system requires activities to build physician commitment and adoption in a manner that integrates both project and organizational goals with physician needs and requirements. Physician governance is the primary “driver” of these activities and involves designated leadership roles, visible and active decision making, and physician alignment strategies that demonstrate the value of the new technology in a manner that facilitates physician adoption. We will outline the tactics for effective physician governance and the key steps to secure physician ownership and adoption of an EHR at your facility.
When you attend this session, you will learn: • An effective EHR physician governance structure that enhances accountability • A collaborative EHR leadership model that facilitates interdisciplinary decision making • EHR physician champion roles and responsibilities that engage physicians in change
Charlotte Hovet, MD, MMM, CPE Medical Director, Clinical Informatics is a physician executive within Dell Healthcare & Life Sciences with extensive experience in medical management leadership and medical staff governance. In her current role, Dr. Hovet partners with health system customers to implement and optimize clinical information systems to support excellence in patient care. With a focus on physician engagement, she provides an experienced clinician peer perspective, informatics knowledge, skill and physician alignment strategies that drive change in a complex medical environment. Dr. Hovet provides customer education on physician adoption of Electronic Health Records (EHR), leading project teams in the development of enterprise governance, knowledge management and change management solutions. 1190 -‐ Cloud Computing in Hospital Data Management and Integration Organization: Dell Services Presenter: John Ebel Scheduled: Friday May 31 at 3:30 pm Abstract: Cloud computing is a growing force in healthcare and, while many organizations understand the opportunity that the cloud offers, why and how to get there is widely debated. As providers evaluate the pros and cons of cloud based solutions, several adoption strategies are emerging. Taking the right approach is critical to determining future readiness as healthcare becomes more information-‐driven and connected, and moves towards collaborative care models and payment reform. This session will examine key applications of cloud computing in healthcare (including hosting, security/privacy and medical image archiving), highlight change management strategies from a technical/operational/process perspective, and identify the pros and cons of different cloud models including public vs. private. The workshop will be divided into vignettes that include didactic presentations and real-‐world case studies with interactive discussions. Key topics:
• Understand how and why cloud computing is a growing force in healthcare, and the potential benefits it offers
• Explore which cloud applications make sense for your organization, and how to navigate regulatory and security concerns
• Identify the pros and cons of different cloud-‐based models, and how to leverage the cloud to expand capabilities without adding IT infrastructure
• Learn proven cloud strategies directly from healthcare thought leaders and through real-‐world case studies
John Ebel, Senior Manager, Product Group manages the team responsible for Dell MEDITECH Solutions Group’s product strategy, development and management. John is directly responsible for the definition
and rollout of data management solutions for MEDITECH hospitals. These solutions focus on data protection, security, archival, and Healthcare Operational Continuance. John has spent the last 25 years providing technology solutions for healthcare, and his professional background includes business development, product management, and direct sales at technology start-‐ups as well as large enterprises such as IBM and Sybase. 1191 -‐ Using MEDITECH’s Scanning and Archiving to its Fullest Organization: Dell Services Presenter: Dan Trott Scheduled: Friday May 31 at 11:00 am Abstract: MEDITECH’s Scanning and Archiving (SCA) has been selling in like hot cakes since its introduction in 2007. Finally, there was an integrated solution available to MEDITECH’s clients that took advantage of the solid integration available in all the other applications. Back then, we all thought everyone was going to have an Electronic Health Record (EHR) by now. Why has it not happened? The vast majority has implemented the Archiving functionality of SCA and several have implemented Point of Contact (POC) scanning at registration but very few have taken advantage of the full functionality. Healthcare organizations are typically very dependent on paper and it might seem like an extremely tall order to achieve the paperless environment. Get the recommendations form a consultant that has worked with several organizations in order to achieve the electronic health record and share the lessons learned from the few that have achieved it. Topics covered will include system functionality, change management, clinical adoption and planning. This presentation will help you break down the barriers in your organization and help you plan your own EHR’s implementation strategy. Dan Trott is a Worldwide Strategy and Business Development Executive for Dell’s Unified Clinical Archive Solution. He is responsible for guiding the development and implementation of Dell’s solutions for enterprise archiving of clinical information. Dan leads a team that works with customers and partners to identify strategies and technologies for clinical data management, long term archive, and secure data sharing and collaboration. Prior to joining Dell in October of 2010, Dan spent seven and half years at IBM as part of the healthcare infrastructure team at IBM and more than 30 years in companies addressing the needs of the medical imaging and healthcare IT markets. Dan began his healthcare career as a Physicians’ Assistant in Diagnostic Radiology and holds a Bachelor’s Degree in Biology from the University of Texas at Austin and an MBA from River College in Nashua, NH.
1192 -‐ What's Up Front Counts Presenter: Karla Gebo Organization: Cornerstone Advisors Scheduled: Friday May 31 at 2:30 pm Abstract: Learn how to identify problem areas within the Patient Revenue Cycle process, what to do with this information, and how to proceed with implementing change within the organization. Often there are sufficient resources to optimize the Revenue Cycle process, but the resources are not in the optimal positions in order to be successful. Often all of the work effort is focused in the Billing Office to "try" and collect money for services already rendered rather than working the process from the beginning and assuring that there will be a high percentage of clean claims that will go out that will be paid without additional work effort. The more the rules change around healthcare reimbursement, the more it will become critical for healthcare providers and organizations to review how they run their business. The Patient Revenue Cycle "life" within an organization provides great insight as to how prepared that organization is to look closely at itself and implement change where it is needed in order to maximize the revenue generated. How can you make your Patient Revenue process the best in the business, and actually collect the revenue from services that you are already providing for free? What does true Revenue Cycle optimization involve and how can reallocating resources make your organization more money? Where to start, who to involve, and where to look for the money? What tools does MEDITECH provide to assist with this optimization, from Magic to 6.0? Anyone involved in Scheduling, Admissions, Charge Entry, Coding, Billing and Collections, Revenue Cycle, strategy or planning will benefit from this presentation. Karla Gebo has over 20 years of experience in the healthcare industry with Revenue Cycle Management with 12 of those years in Information Services. She has extensive experience with managing teams of varying skill sets, software implementation, training, process analysis and redesign, policy and procedure development and implementation, and HIM Scanning and Archiving implementations. Karla possesses strong skills as a clinical test analyst for various medical software systems and has experience with Project Management Methodology. 1193 -‐ Revenue Reconciliation – From Charge Capture to Validation Organization: Dell Services Presenter: Jeanette Frank Scheduled: Friday May 31 at 1:30 pm Abstract: The successful implementation of all information systems, as well as the financial health of any organization depends on the appropriate capture of patient charges. Often there seems to be some communication breakdown in terms of what is meant by “Revenue Reconciliation”. As a result, there is confusion as to what to do. Accountability for revenue moves to each department as opposed to a
more central office. Thus, users of MEDITECH must understand how to enter charges and how to ensure what they entered is moving through the system correctly. When you attend this session, you will learn:
• The significance of mapping charge procedures • Concepts and procedures for reconciling revenue • Common breakdown points on revenue validation
Jeanette Frank, Professional Services Leader, Dell Services, Healthcare Consulting has more than 27 years of healthcare information systems and finance experience. She has worked specifically with MEDITECH applications for the last 24 years. Her expertise has been developed through various roles such as Director of Information Technology and Financial Systems Analyst. Jeanette’s work on the Dell Services team includes project management of MEDITECH implementations, revenue cycle assessments and optimizations, as well as management of regulatory and system updates. 1194 -‐ Effective Electronic Multidisciplinary Discharge Planning with Magic 5.66 Presenter: Nichole Malone Organization: HealthNET Systems Consulting, Inc. Scheduled: Friday May 31 at 1:30 pm Abstract: The hospital discharge process is a challenging and complex process for caregivers as well as patients. There is a heavy industry focus to improve this process for quality of patient care, decreasing readmission rates, etc. Goals of meeting ARRA requirements have added another level of complexity with the necessity for the multidisciplinary discharge plan to be captured electronically in a structured manner. With this industry demand, software vendors like MEDITECH have been tasked with creating software that enables caregivers to efficiently document a discharge plan. This session will cover the process for an effective discharge planning system, the barriers that effect hospital discharge, and the necessary steps of planning and developing software to meet clinicians’ needs. Key topics will include: The transition from MEDITECH Magic 5.64 to MEDITECH Magic 5.66, key areas to focus on when upgrading your system, and tips on how to develop MEDITECH’s new multidisciplinary Discharge Desktop to enable caregivers to efficiently document their discharge plan. Nichole Malone is a Consultant at HealthNET Systems Consulting, Inc. with experience in various clinical and ancillary applications. She has played a variety of roles in implementations and upgrades including coordinating, training, testing, and troubleshooting. Nichole’s Healthcare IT experience also includes LIS, CPOE, RXM, PDOC, IT assessments, system upgrades, process redesign, and HCIS selections.
1195 -‐ Successful Build and Optimization of OE Order Set Build Presenters: Pam Herrick and Casey Jepsen Organization: Vision Consulting Scheduled: Friday May 31 at 2:30 pm Abstract: This presentation will explore the topics surrounding a successful build and optimization of OE Order Sets from a Non-‐Med and Med perspective. Outline:
• Review the work efforts needed to build OE Order Sets; discuss both facility-‐based and evidence-‐based types for both non-‐med and med build.
• What is the Order Set Build Philosophy? Starting with and modifying Order Sets or building facility defined order sets?
• How to establish a consistent look and feel of the OE Order Sets -‐ Using a streamlined content design approach, removing content that might be standard of care, reduce number of medication choices (beta blockers, antibiotics, items that are therapeutically subs or Non-‐Formulary).
• Discuss the important of “governance” of the order sets with an affective evaluation/change control process -‐ How facilities can effectively use the governance committee to improve the quality of the order sets; by using the members (SME, providers, nurses and pharmacists) to clean order sets. Discuss the governance of adding new order sets with emphasis on every order set added not only must be built, but maintained in the future and how it affects current and future resource needs.
• Discuss changing workflow for Providers, Pharmacists and Nurses -‐ Discuss how workflow changes and culture changes such as; looking to a status board or other electronic indication for new orders rather than a physical chart across departments; Using reports to review how long before an order is acknowledged; holding staff accountable for facility determined goals; Recommend starting culture change of acknowledging orders from status board as long before go live as possible. Explore the importance of strong physician partnership, leadership and engagement with an emphasis on communication.
• Discuss implantation success factors -‐ Discuss the importance of training and support; Completing Order set reviews by SMEs and physicians prior to go live.
• Discuss Lessons Learned -‐ PHA formulary changes do not update the order sets, unless the sets are refilled. Setting Favorites -‐ the pros and cons; Nurse Communication -‐ necessary but ends up being a “catch all” and orders don’t make it to appropriate departments; Activity -‐ having multiple procedures, one for each activity type results in multiple activities being ordered on same patient, may be better to have just “Activity” with CDS to indicate type.
• Wrap with Group Discussion/Q&A Pam Herrick graduated from Fayetteville Technical Community College with an Associate degree. She became a Certified Pharmacy Technician. She has worked at VA hospitals, National Institute of Health, and at other healthcare facilities. She started her IT career in 1998 working with MEDITECH as a system manager, went into consulting starting with a 5.6 client server install and is currently working on a 6.0 install for one of the largest healthcare companies in the U.S. Casey Jepsen graduated from Briar Cliff University in Sioux City, IA with a Bachelor of Science in Nursing. His clinical background is in pediatrics and pediatric intensive care. For three years, he worked in the
clinical informatics field. Casey worked primarily with PCS, EMR, POM, and OE within the MEDITECH realm. He worked with a hospital system in South Dakota in the informatics area for two years and then started working as a consultant. 1196 -‐ Now I’ve Met Meaningful Use – Now What? Managing Clinical Transformation – the Barriers in Your Way and Delivering the Paradigm Shift Presenter: Dena Banhart Organization: Vision Consulting Scheduled: Friday May 31 at 2:30 pm Abstract: This session will be given from the clinical staff leading a team prospective. You are the team lead for clinical transformation and now you need to form a group around your clinical processes and include staff from laboratory, radiology and other areas that interact with MEDITECH. Lab can no longer act independently and decide that they don’t like the name of CMP or your Cardiology department can’t pair up with IT to purchase an interface without delving into the clinical impact to your newly transformed providers that are happily entering orders. We will discuss how to get your team to look at the impact on the clinical process of decisions made in other modules/departments. What if I change this flag from No to Yes? Does the design and setup of interfaced reports impact physicians? Let’s look at this with a totally different perspective … Dena Banhart has over ten years of experience in healthcare information systems with all the MEDITECH platforms, Magic, C/S and 6x. She began her career as a Registered Nurse with over 18 years in inpatient, outpatient and ED at a children’s hospital in south central Texas. She has worked on full implementations, system upgrades, single module implementations, optimizations, and most recently with a major healthcare organization in advanced clinicals implementing CPOE/Provider Documentation. 1197 -‐ Hemodynamic Interface with PCS and ORM Presenter: Debbie Martin Organization: Cornerstone Advisors Scheduled: Friday May 31 at 1:30 pm Abstract: Most of us are aware that a MEDITECH hemodynamic interface for assisting with documentation of patient vital signs is available, but fewer of us have had the experience to see or opportunity to discuss the details of implementation, process for documentation, or display of the results in the patient operative record and EMR. This session will take you through our set-‐up and implementation experience, and demonstrate the results of interfacing through both PCS and ORM on the 6.x platform. You are sure to walk away from this session with a better understanding of how a hemodynamic interface works and whether it would be a benefit in your environment.
Debbie Martin is a Senior Principal with Cornerstone Advisors. She has over 35 years of experience in healthcare, 25 of which have focused on healthcare information technology design and implementation. She has a broad range of clinical applications implementation and management experience, along with depth of knowledge in systems design and healthcare operations. Learner Outcomes:
• Details of implementation, process for documentation, and display of vital sign results in EMR and ORM.
• Discussion of a 6.x implementation experience. • An understanding of how a hemodynamic interface works and whether it would be a benefit in
your environment. 1198 -‐ Clinical Verification of Charge Posting Presenter: Vicki Munro Organization: Santa Rosa Consulting Scheduled: Friday May 31 at 3:30 pm Abstract: How often do you have to ask someone from BAR to check to make sure your charges posted? Wouldn’t you like to know how to verify charges yourself? Wouldn’t you like to know what reports to look at to trouble shoot why your charges didn’t post? Learn the basics of using BAR Process Account to verify the charges from your module have posted. Discover how to pull up a rejection batch to find out what the problem was. Understand how the procedures in your dictionaries interact with the Charge Master Procedure dictionary. It’s sometimes easier to just ask someone, but wouldn’t you like to know so you can do it yourself when inclined or no one is available? Don’t be afraid to enter the dark side of the BAR! Vicki Munro, MA is a Senior Consultant with Santa Rosa Consulting with over 25 years of healthcare experience from the front line to management and healthcare IT. Prior to Santa Rosa Consulting, Vicki was a Director of Patient Financial Services for a regional community hospital and served as the Administrative/Financial Coordinator for their MEDITECH 5.65 build. 1199 -‐ Meaningful Use Presenter: John Valutkevich Organization: MEDITECH Scheduled: Wednesday May 29 at 11:00 am As our customers continue to successfully attest to Meaningful Use Stage 1, MEDITECH is actively preparing for Stage 2. Join us to learn the current Eligible Hospital and Eligible Professional recommendations for Stage 2 and how MEDITECH will assist you in navigating the next phase of Meaningful Use.