Customer TestimonialMedWest Health SystemNorth Carolina • Paragon HIS Dale Chernich Chief Information OfficerUser Satisfaction: The Key to Meaningful Use“I have been working with best-of-breed systems for most of mycareer, but when I first started out, there wasn’t anything that couldbe considered a complete system. I was quite happily surprised whenI first started working with the Paragon® hospital information system(HIS) from McKesson because it’s probably the most complete systemI’ve seen for the number of dollars that you spend to get it.” - Dale Chernich
User Satisfaction: The Key to Meaningful Use By Dale Chernich MedWest Health SystemAt a Glance I first started out working in Explore Your Options information technology nearly Keeping up with new demandsOrganization 45 years ago when most of the being placed on information work was done behind the scenes technology management meansMedWest Health System: with the primary focus being you cannot just rely on system on system operations and data upgrades or even established vendor- MedWest-Swain, Bryson, N.C. collection. Times have changed. relationships. You have to rethink Now healthcare IT is more about where you are, where you must • 48 beds getting information to those on the go, the needs of your users and front line of healthcare delivery in the capabilities of vendors in an- MedWest-Harris, Sylva, N.C. a way that is most useful to them. effort to identify the best fit to meet • 86 beds That has never been as true as those increasing demands … with it is in today’s age of ARRA and the meaningful use deadline clock- MedWest-Haywood, Clyde, N.C. “meaningful use.“ all the while ticking in your head. • 189 beds I have been working with best- Meaningful use itself is a relatively of-breed systems for most of my simple concept: demonstrate that career, but when I first started out,Critical Issues caregivers are utilizing the system in there wasn’t anything that could be a meaningful way. Like most things considered a complete system. I was- Satisfying frontline users though, especially in information quite happily surprised when I first technology, the devil is in the started working with the Paragon®- Achieving ARRA meaningful use details. I feel that we in IT have an hospital information system (HIS) objectives obligation to provide information from McKesson because it’s to people who need it, when they probably the most complete system- Consolidating health system onto need it and in the way they need I’ve seen for the number of dollars a single platform it. It’s a lot more difficult to get to that you spend to get it. meaningful use if your users cannot (or will not) easily engage and Two of our hospitals that make embrace the system as part of the up the recently formed MedWestResults way that they deliver care. Health System, MedWest-Harris and MedWest-Swain, have been- Innovative system design frees So first and foremost it’s about successfully running the Paragon users to create their own reports making the frontline users happy. system for nearly six years. The It’s my belief, therefore, that system experience at these facilities has- Trusted vendor that delivers on attributes like user-friendliness, been so good that the third hospital commitments ease of access to information and in the MedWest Health System is ability to adapt to clinical workflows now in the process of converting to- Paragon selected for all should all be key elements in Paragon from a different legacy HIS MedWest facilities selecting a healthcare information vendor. system. In addition, selecting a vendor with whom your team can We anticipate being completely up establish a constructive working and demonstrating meaningful use relationship is a critical factor to stage 1 with Paragon in all three of putting your institution on the path our facilities by July 2012, well in toward demonstrating meaningful advance of the July 2013 deadline. use by the Stage 1 deadline of Importantly, when we went live at July 1, 2013. Harris and Swain, we didn’t pull everyone off their jobs and have them do nothing but build Paragon.
I’m not saying it was easy, but we I don’t have to have someone,had them working with Paragon somewhere else run that reportwhile doing their day jobs and for me. I can go right into theit still worked. To me, that’s the system and immediately get thathallmark of a great system … one information in a timely manner.”that makes it possible for users toembrace it and incorporate it into On the clinical side, the flexibilitytheir normal workflow despite the built into the Paragon system shinesheavy demands they face every day. by allowing the staff to work withBased on the feedback I continue the system to make it function into receive from our staff, I’m not the way that the staff needs it tosurprised it has been selected as function, not the other way around.Best in KLAS1 for Community HIS Our clinical analyst, Angie Baldwin,every single year since 2006. once told me something that stuck MedWest-Haywood with me. She said, “We weren’tValue the Opinion of Frontline just handed a system and told toUsers adapt; we were able to take ourFrom the beginning, our staff current method of how we workedappreciated the thinking that went and Paragon adapted to that.into the design of Paragon to make As we continue to make processit user-friendly, able to provide ready improvements, Paragon has beenaccess to information and adapt to able to adapt to those, too.” That’sthe needs of users. a pretty tall order for any system, but Paragon seems to take it all inOur director of pharmacy services, stride.Mark Brudenell, has said that thesimple Microsoft® structure of I think Debbie Jefferies, our ISParagon means necessary data clinical coordinator, summarized theis just “one click away.” It also feelings of the staff best when sheallows his staff of pharmacists said, “We were very happy whenand technicians to set up reports the entire MedWest organization MedWest-Harrisin the way that they need to see decided to go with Paragon. At thatthem, often saving them five to 10 point, we knew we would have aminutes in report preparation for system that would work well for useach report. Considering the volume and that would allow us to meetof reporting required in Pharmacy, meaningful use stage 1.”those minutes can add up to a lotof time over the course of each day Consider the Importance of thethat his staff can now redirect to Working Relationshippatient care or clinician support. A successful hospital has a lot of moving parts and most of them areClaire Dills, our medical record people. They are the big variablesdirector, sees it this way: “If the in making it all work. Once theCEO walks into my department, he decision of an HIS vendor is made,doesn’t want to know how many it’s one that you and your team willcharts have been coded. He wants have to live with for several years.to know the dollars on hold and You therefore need a vendor that isdoesn’t have two hours to wait not stuck in only one prescribed way MedWest-Swainfor the information. With Paragon, of doing things. The vendor