muse international Winter 2011 - Norman Regional Health System Hosts BMV and CPOE Event - MUSE Members Visit Spokane for Inland Northwest Health System Event - Have you Attended a Webcast Yet? Ask me about CPOE, a Physician’s Story The Ascent: It can be Accomplished … Henry Mayo Newhall Memorial Hospital’s ACS Implementation The Ascent: It can be Accomplished … Henry Mayo Newhall Memorial Hospital’s ACS Implementation Play MUSE Clues
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muse international Winter 2011
- Norman Regional Health System Hosts BMV and CPOE Event
- MUSE Members Visit Spokane for Inland Northwest Health System Event
- Have you Attended a Webcast Yet?
Ask me about CPOE, a Physician’s Story
The Ascent:It can be Accomplished …
Henry Mayo Newhall Memorial Hospital’sACS Implementation
The Ascent:It can be Accomplished …
Henry Mayo Newhall Memorial Hospital’sACS Implementation
Applications Business Process Consulting Infrastructure Support
Achieve the power of MEDITECH.
For nearly 30 years, the MEDITECH Solutions Group, now within Dell Services, has been proud to collaborate with over 1000 MEDITECH hospitals to improve healthcare delivery.
• Hundreds of MEDITECH-dedicated professionals with singular focus on the MEDITECH community
• MEDITECH-recommended advanced clinicals consulting company
• Team of consultants with an average of 20 years healthcare experience
• Full range of technology and disaster recovery solutions including virtualization, hosting, and cloud computing
• Full suite of services to help you achieve meaningful use of EHR/EMR technology
• 6.0 related services including readiness assessments, infrastructure design and implementation, and clinician adoption services
• Full offering of application management services including NPR report writing, hosting, and monitoring • Deep expertise in all MEDITECH’s applications such as CPOE, BMV, eMAR, and revenue cycle
Learn more about the MEDITECH Solutions Group. Visit dell.com/meditechsolutions or call us at 781-401-2104.
Dell Services is growing its MEDITECH practice and is looking for Consultants. For more information or to receive a copy of the complete job description, email [email protected].
On the COVER - The Ascent: It can be Accomplished...Henry Mayo Newhall Memorial Hospital’s ACS Implementation- “I think at first most facilities may look at this (implementation) as a barrier, but it really facilitates good, safe medical practice. ”
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page 26 - A Touch of Class... A NewParadigm in Clinical Computing- “The world of clinical computing is at the beginning of a new
paradigm where a ‘touch’ will be at the core of ‘Meaningful Use.”
page 23 - Ask me about CPOE,a Physician’s Story- “We all have something to offer and we are ready to listen.”
page 13 - Norman Regional HealthSystem Hosts BMV & CPOE Event- “very informative with great interaction between attendees and presenters.”
9page
MUSE is committed to assisting the MUSE Membership in identifying products
and services that compliment and supplement their healthcare
information systems.
The MUSE Matters Magazine is published four times a year, along with one Conference Program. Published by the MUSE Board, the Magazine is internationally distributed to all MUSE members. All rights reserved; reproduction in whole or in part without written permission is strictly prohibited. Copyright 2003 by Medical Users Software Exchange.Editorial contributions are welcome, but Editors request that contributors query first. Please supply all contributions in text format accompanied by photos, captions and photo credits. MUSE reserves the right to use materials at its discreation and reserves the right to edit material to meet MUSE requirements. Contributor’s act of mailing contributions shall constitue express warranty that the material is original and no infringement on therights of others.
Any questions or comments should be directed to:
Jenni IsfanCommercial Member ManagerPh 877 491 4703 ext.2Email [email protected]
US Mailing AddressMUSE International#173 - 816 W Francis AvenueSpokane WA 99205
Canadian and International Mailing AddressMUSE International#101 - 1865 Dilworth Dr. Suite 350Kelowna BC V1Y 9T1
PublisherMUSE Board
Editor in ChiefAlan SherbininMUSE CEO
Commercial Member ManagerJenni Isfan
Winter 2011 Volume 3 Number 1Be Sure To Book Your Ad Space
NOW!DONʼT WAIT..Book early to ensure yourpreferred ad
space in MUSE Matters
Managing EditorAlicia Roberts
MEDITECH was introduced to the hospitals in
Newfoundland (where I am from) and Labrador
in the early 1980’s to support financial, admin-
istrative and clinical applications. From an I.T.
perspective, MEDITECH was the main system
supported. While the system was challenging
and there were many expectations, in most
organizations all I.T. staff knew the system and
could provide support to the various MEDI-
TECH modules. The network, storage and
server requirements were clearly identified by
MEDITECH and installation was fairly straight
forward.
Fast forward to 2011 and we see a very different
healthcare environment. In Canada there
continues to be a move to regionalization
resulting in very large organizations. For
example, the hospital I worked at in the early
1980’s had about 2,000 employees and five I.T.
staff. Today that hospital is part of a regional
authority with more than 13,000 employees
and 110 I.T. staff. In the U.S. large organizations
have developed from mergers and acquisitions.
While MEDITECH is still a dominant player in
our organizations, it is now part of a very com-
plex I.T. environment consisting of numerous
applications from MEDITECH and other
vendors as well as tight integration with many
medical devices. Diagnostic Imaging, Laboratory,
Cardiology and others are all implementing digital
solutions that integrate with the information tech-
nology environment for networking, storage and
electronic records management. When you add
Provincial, State and National initiatives such as
‘Meaningful Use’ to the mix, the end result is a very
complex and busy environment.
If there ever was a time that we needed to be
networking with our colleagues it is now. The old
expression “why reinvent the wheel?” is very relevant
to our environment. Where possible we need to
leverage the efforts of others and share what we are
doing with them. Through this networking and sharing
organizations are able to be more efficient resulting
in better utilization of resources.
The many offerings by MUSE give us the opportunity
to network and share solutions. The MUSE Interna-
tional Conference May 31st to June 3rd in Nashville is
another great opportunity for us to network and
share our successes and challenges. I look forward to
meeting many of you in Nashville, and I am sure that
my organization will benefit from what I will learn
Beacon Partners can help you successfully navigate the signi� cant challenges of a MEDITECH 6.0 migration. We are a MEDITECH-approved advanced clinicals consulting vendor who understands your patient care strategy. We have helped many MEDITECH customers throughout North America work through the same challenges you will face. No one knows healthcare, or MEDITECH, better than Beacon Partners. For access to the latest thinking on this and other healthcare topics, visit www.BeaconPartners.com today. 1-800-4BEACON x7419
Norman Regional Health System, located in Norman, Oklahoma,
graciously hosted 76 MUSE members October 28-29 to learn
about its recent eMAR and BMV implementation, as well as its
brand new CPOE project. The event was opened by John Meharg,
Director HIT, who welcomed attendees and provided an event
summary. He introduced David Whitaker, the CEO of Norman
Regional, who discussed the importance of BMV and CPOE to the
Health System Board and Executive Management and how this
degree of importance is communicated to all levels within the
health system. He explained why these projects have a much
better chance of success, if it is fully supported by the Board and
Executive Management.
Next, nursing administration staff elaborated about the tremen-
dous process change for the nursing department, and why
support for the project has to be clearly communicated to the
staff for the project to be successful. The Director of Nursing
Informatics then discussed the structure of the installation, what
teams were needed, who the decision makers were and why the
installation must involve all the stakeholders to be successful.
Panelists from the pharmacy department described how BMV
affects them, what processes are impacted, what equipment is
needed, and what it really means to barcode your medications. This
session was interactive and included questions from the audience.
During the lunch break, attendees had an opportunity to visit
exhibitor displays and learn about related products and services.
Additionally, at each lunch table a representative from Norman
Regional Health System, who was familiar with the installation,
was available to answer questions.
Norman Regional Health SystemHosts MUSE Members foreMAR,BMVand CPOE Event
13 WINTER 2011 MUSE INTERNATIONAL
CLUESCLUES
WINTER 2011 MUSE INTERNATIONAL 14
The afternoon sessions included presentations
about other non-medication uses of BMV (such as
breast milk) and how BMV can present unique
challenges for non in-patient departments (day
surgery, PACU, etc.). A panel of experts discussed
some of the issues they faced in these areas and
how those were resolved.
The final presentation was an interactive session
led by a panel of bedside nurses, who discussed
their use of BMV, including the good, the not so
good, and the downright ugly of using the
system. Each nurse offered a short and informal
perspective from his or her standpoint, and the
panel answered questions from the audience.
Attendees then traveled to the Norman Regional
HealthPlex, a just-opened 152-bed, state-of-the-
art specialty hospital to see demonstrations of
BMV and tour the new facility.
The second day was kicked off by an exciting
presentation about CPOE. Brian Yeaman, M.D.
discussed the importance of CPOE relative to
patient safety and the financial implications of
doing, and not doing, CPOE, in the time of “Mean-
ingful Use.” Dr.Yeaman is a practicing family
medicine doctor and is the health system’s CMIO.
His presentation was followed by an eye-
opening look at how CPOE changes many
processes in nursing and pharmacy. This session
included both nursing and pharmacy staff and
highlighted the processes that must change, and
how those changes can be put into place. Order
sets were also discussed during this session.
The event was wrapped up with an engaging
presentation by Patricia Trumm, Manager in Mar-
keting for MEDITECH, Navigating Meaningful Use
and Beyond with MEDITECH. This session
provided an overview of ARRA's HITECH Mean-
ingful Use criteria and how attendees’ current
MEDITECH systems can help position their orga-
nizations for achieving their mean-ingful use
goals. Also discussed was how the advanced
clinicals systems continue to evolve to enhance
quality, safety & efficiency within health care
organizations.
Quotes from attendees:The event was …
“very informative with great interaction between
attendees and presenters.”
Harold Gottlieb, CMO, CHRISTUS Health
“great exposure to an unfamiliar process. The
blending of disciplines focused on the process as a
whole and not segmented or compartmentalized.”
Kathy Hawkins, RN Applications Analyst,
Stillwater Medical Center
“informative, well presented, and answered many
of the questions I have about converting to the
MEDITECH BMV product.”
Liz Michael, CNO, Stillwater Medical Center
“The event was informative, wellpresented, and answered many of thequestions I have about converting to
the MEDITECH BMV product.”
Liz Michael, CNO,Stillwater Medical Center
continue
Quotes from attendees (CONTINUE):The event was …
“worthwhile and very beneficial to me. It was great to have it in Oklahoma so that we could send more people to it and spend less money traveling. The Norman Regional Healthcare System had a great facility for hosting an event of this type and I hope will do this again.”
David Parker, Director, IT Department,Jackson County Memorial Hospital
“very informative and shared some go-live steps we will use to bring BMV on with less stress to our staff. We really appreciated how candid, humble and gracious the Norman leadership were at this event.”
Toni Robinette, Business Systems Analyst, Cook Children’s Health Care System
“very insightful for our team. Our facility is going live on BMV in Feb. 2011 and it was good to hear what worked and what didn't work during the Norman Regional go live. I also felt that we received some very good information on CPOE to help us as we move towards its implementation. I found it both beneficial and educational.”
Cindy Carreno, Clinical Coordinator, ICU, Stillwater Medical Center.
Overall comments and highlights from attendees:
•This really focused on the importance of and process of navigating to BMV and CPOE. Many of our nursing staff went. This was the first time many had seen MEDITECH used at a different facility. The feeling as they came away was "We are not alone.” It also gave them more confidence to see that BMV can be done. With the informal setting many of nursing staff were able to get questions and concerns addressed by people who had been there.
15 WINTER 2011 MUSE INTERNATIONAL
•Although we already have eMAR and BMV, there
was very good information about Norman's planning
and implementation.
•It was beneficial for everyone in attendance to be on
the same MEDITECH page, maybe not the same
version, but honesty in sharing obstacles and chal-
lenges with function/design were meaningful.
•Lessons learned were very valuable as our corpora-
tion was headed down some of the same roads.
•This event really allowed us to understand the
project preparation and highlighted the bumps in the
road to help prevent in our own project.
•Our facility is getting ready to implement BMV in
about three months so this was very helpful. It
allowed us to bring some staff nurses that were able
to ask questions and hear how the process worked. It
also allowed us to hear what worked and didn't work
for Norman Regional.
•The staff members were very dedicated to their jobs
and knew their information well. They were very
willing to share all their information.
•The facility was fantastic and all of the staff at
Norman Regional was very willing to help. I enjoyed
the presentation by MEDITECH on their direction for
meeting Meaningful Use.
•The interactive model was excellent. Asking questions
was advocated. It was better than just listening to a
presentation.
•The smaller group was conducive to a more "round
table" type atmosphere. This allowed more in-depth
pursuit of questions, answers, and ideas.
WINTER 2011 MUSE INTERNATIONAL 16
Norman RegionalHEALTH SYSTEM
•I was really impressed with the enthusiasm of
personnel at Norman Regional
•I especially appreciated how everyone from Norman
was so accommodating. I especially liked that during
the lunches they spread themselves out to all the
tables so we could ask questions.
•Facility is beautiful, functional, and very hospitable.
Non-conference associates were very aware, engaging
and hospitable to our group of attendees
•Schedule/agenda was tightly and respectfully main-
tained.
•Location, preparation, information shared...great
job, very well done.
•Excellent exchange between presenters and the user
group audience. Very open to questions and honest
discussion
•I really liked having everyone together in the same
sessions. This allowed IT, Pharmacy, Nursing and
physicians to hear more than their processes. We
forget sometimes how what we want can affect
another area and this allowed that picture to be
painted for everyone.
•Considering the time commitments that your care
providers had to put forth in addition to running their
respective areas of practice. The "Real Time" agenda
The two-day event was formatted into tracks so attendees
could choose sessions that best suited their needs; these tracks
included Advanced Clinical, Technology & Support, Administra-
tive and Site Visits. Various presentations were offered, such as
these highlights: Cloud Computing, The Security Landscape in
Healthcare, Improving Clinician Mobility and Productivity,
Paperless Hospital – Not Just the EMR Anymore, plus many
others.
The three hospital Site Visits took attendees to either Provi-
dence Sacred Heart Medical Center & Children’s Hospital, Provi-
dence Holy Family Hospital or the INHS Help Desk/Data Center.
The Providence Sacred Heart Medical Center & Children’s
Hospital tour demonstrated how providers are utilizing nursing
documentation and including in workflow processes to meet
these rapidly approaching deadlines. The Providence Holy
Family visit showed the inner-workings of the emergency
department and how they are utilizing HIT systems, including
CPOE, to provide efficient patient flow and care. The Data
Center tour demonstrated how the INHS Help Desk supports
more than 45,000 users - and how they maintain quality
customer service. While there, attendees saw a virtual tour of
the INHS Data Center.
Attendee feedback from MUSE Events provides a gauge of the
value in attending. This event received rave reviews, including
the following:
If Meaningful Use, technology and support topics were on your 2010 education ‘to-do’ list, this was the event for you! Inland Northwest Health Services (INHS), located in Spokane Washington, hosted 120 MUSE members October 5-6 for two days of Site Visits, presentations and networking.
• Each and every presenter was well versed in his or her material, and happy to speak with us after the presentations.
• Several speakers did a great job of keeping everyone's attention. There was a lot of useful information in a short amount of time. Everyone is so willing to help, share information and teach.
• Good opportunity to speak with peers at other sites.
• Well-organized. Location was great. Pertinent information.
Thank you to Inland Northwest Health Services for your generosity and hospital-
ity in hosting this MUSE Event!
Want to see presentations from the event? Power Point presentations are available for download on the MUSE website in the library section.
The International MUSE Conference is just around the corner, May 31st - June 3rd, in Nashville, where Music City Becomes MUSE-ic City!
Expect networking with your peers, education, training and some fun, too.
Don’t miss the one-of-a-kind opportunity!
NASHVILLE, TENNESSEE
International MUSEConference
2011 May 31- June 3, 2011
MUSE-ic City
Centennial Medical Center Learn about the facility's nursing documentation tools - including demos of variety of tools for nursing documentation such as MEWS (early warning screen), vaccine assessment tool, VTE screening, chemo administration, clinical reminders, etc. www.centennialmedicalcenter.com
The year's conference is featuring Site Visits to some of Nashville's top hospitals:
Skyline Medical Center Learn about the facility's inpatient CPOE - including a general overview of the project and then discussions along three tracks: nursing impact, pharmacy impact, and physician impact. www.skylinemedicalcenter.com
Southern Hills Medical Center Learn about how the facility uses MEDITECH in the ED - including an overview of usage along two tracks: nursing documentation in EDM and BCMA, and CPOE in the ED. www.southernhills.com
Summit Medical Center Learn about the facility's throughput processes - including utilization of the system to address throughput including three tracks: Bed Management, OR, and Radiology.www.summitmedicalcenter.com
Are you Gleaning ALL the Benefits … of Your MUSE membership?
Throughout the past six years MUSE
has been offering webcasts as a
supplement to educational opportu-
nities for members. {Webcasts are a
web-based conference that includes a
presentation via the internet and
audio either through internet or
telephone}. This format is much more
economical than traditional meetings,
for obvious reasons, but it also allows
one to attend a session from the com-
fort of one’s own office, or conference
room. Additionally – some hospitals
broadcast MUSE webcasts using a
projector and speakerphone so many
can attend the presentation.
MUSE provides three webcasts per
month – on average- relating to topics
from NPR report writing to 6.0 imple-
mentation. These topics and present-
ers are recruited based on what the
need is for the MUSE membership.
Webcasts also feature participant and
presenter interaction through live Q&A
after the presentation and live Chat
during the session. These tools
enhance the webcast to bring the
‘networking’ feel to the virtual
environment.
If you have not participated in a MUSE
webcast, you are not fully benefitting
from your MUSE membership. Emails
are regularly sent announcing upcoming
webcasts, but you can check the
website: www.museweb.org, at
any time to learn about webcasts.
Also, if you are considering presenting
at a face-to-face meeting, consider a
webcast as a great outlet to practice
your presentation skills. Many
presenters thoroughly enjoy the
webcast format to hone their techniques.
Check out the upcoming webcasts.
For example, during the past several
months the following webcasts have
been presented:
• Intermediate Visual Basic for Applications• Clinical Documentation in EDM• Cultivating Physician Champions• Creating Graphs in NPR Reports• Project Management (series)• ARRA and Meaningful Use• Achieving the Seemingly Impossible Move to 6.0• Boldly Go Where no Canadian Hospital has Gone• Scanning and Archiving