April 2 9 muse conference educational presentations

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April 2 9 muse conference educational presentations

  1. 1. 2013  International  MUSE  Conference  
  2. 2. 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  patients  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.    
  3. 3. 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  
  4. 4. 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  Youve  Got  to  Get  What  You  Want  Presenter:    Tammy  Burke  
  5. 5. 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  youve  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  
  6. 6.  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.  
  7. 7.  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  
  8. 8. • 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    
  9. 9. 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  AccessExcel.    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    
  10. 10. 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  Porters  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  Porters  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.  
  11. 11.      1013  -­‐  CPOE  Training  –  Its  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.  
  12. 12.  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  Couldnt  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.  
  13. 13.  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  Childrens  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.    
  14. 14.  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  
  15. 15. 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    
  16. 16. 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  trainers  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.      
  17. 17. 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  
  18. 18. • 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  EDs  and  the  Urgent  Care  setting.     Takeaways  from  Centuras  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:  
  19. 19. • 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  Colorados  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  Healths  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  
  20. 20. 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  

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