April 2 9 muse conference educational presentations
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 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.
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 Youve 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 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
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 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
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.
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.
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.
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.
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 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.
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 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:
• 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
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