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2013	
  International	
  MUSE	
  Conference	
  
Educational	
  Presentations	
  
	
  
	
  
	
  
1001	
  -­‐	
  Charting	
  a	
  Course:	
  	
  Restructuring	
  Patient	
  Admission	
  Documentation	
  
Presenter:	
  	
  Ann	
  Hanson	
  
Organization:	
  	
  William	
  W.	
  Backus	
  Hospital,	
  Norwich,	
  Connecticut	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  1:30	
  pm	
  
	
  
Abstract:	
  	
  Admission	
  experience,	
  overall,	
  is	
  dependent	
  upon	
  the	
  tools	
  available	
  at	
  the	
  patient's	
  point	
  of	
  
entry	
  to	
  the	
  hospital	
  system.	
  Diverse	
  tools	
  have	
  been	
  developed	
  and	
  implemented	
  by	
  various	
  outpatient	
  
and	
  inpatient	
  units	
  resulting	
  in	
  redundant	
  data	
  collection,	
  inefficiencies	
  in	
  nursing	
  admitting	
  practices,	
  
and	
  patient	
  and	
  staff	
  dissatisfaction.	
  	
  	
  
	
  
In	
  an	
  effort	
  to	
  combat	
  these	
  outcomes,	
  a	
  multidisciplinary	
  task	
  force	
  convened	
  to	
  address	
  the	
  current	
  
inefficiencies,	
  dissatisfaction,	
  and	
  fragmentation	
  of	
  processes	
  as	
  they	
  relate	
  to	
  the	
  patient	
  experience	
  
upon	
  admission.	
  
	
  
The	
  improvements	
  have	
  resulted	
  in	
  minimization	
  of	
  redundancy	
  in	
  data	
  collection	
  by	
  11	
  Interventions	
  
and	
  up	
  to	
  124	
  distinct	
  queries.	
  Time	
  spent	
  documenting	
  patient	
  admitting	
  data	
  has	
  been	
  reduced	
  
significantly.	
  	
  Standardization	
  of	
  data	
  collection	
  and	
  documentation	
  has	
  facilitated	
  location	
  of	
  patient	
  
information	
  in	
  the	
  EMR	
  by	
  the	
  entire	
  multidisciplinary	
  team.	
  
	
  
Ann	
  M	
  Hanson	
  MSN,	
  RN	
  is	
  the	
  Nurse	
  Informaticist	
  at	
  William	
  W	
  Backus	
  Hospital	
  in	
  Norwich,	
  CT.	
  
	
  
Learner	
  Outcomes:	
  	
  	
  
       • Participants	
  will	
  be	
  empowered	
  to	
  recognize	
  redundancies,	
  inefficiencies,	
  and	
  opportunities	
  for	
  
               improvement	
  of	
  admission	
  practices	
  at	
  their	
  respective	
  facilities.	
  
       • Participants	
  will	
  identify	
  strategies	
  to	
  improve	
  admission	
  documentation	
  and	
  practices.	
  
       • Participants	
  will	
  be	
  prepared	
  to	
  operationalize	
  strategies	
  to	
  improve	
  admission	
  documentation	
  
               and	
  processes.	
  
	
  
	
  
	
  
	
  
1002	
  -­‐	
  Using	
  LEAN	
  to	
  Optimize	
  PCS	
  
Presenter:	
  	
  David	
  Holland	
  
Organization:	
  	
  Southern	
  Illinois	
  Health	
  Care,	
  Carbondale,	
  Illinois	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  2:30	
  pm	
  
	
  
Abstract:	
  	
  Learn	
  how	
  Southern	
  Illinois	
  Healthcare	
  is	
  using	
  LEAN	
  to	
  improve	
  its	
  clinical	
  process	
  and	
  to	
  
optimize	
  its	
  PCS	
  implementation.	
  
	
  
See	
  examples	
  on	
  how	
  we	
  developed	
  Value	
  Stream	
  Maps,	
  identified	
  waste,	
  and	
  improved	
  processes.	
  	
  
Learn	
  how	
  IT	
  played	
  an	
  important	
  part	
  in	
  helping	
  clinical	
  staff	
  understand	
  how	
  workflows	
  and	
  system	
  
flows	
  interact	
  and	
  impact	
  each	
  other.	
  
	
  
See	
  how	
  we	
  are	
  using	
  Lean	
  Daily	
  Management	
  to	
  develop	
  ideas	
  and	
  suggestions	
  which	
  we	
  can	
  integrate	
  
into	
  our	
  systems.	
  Plus,	
  benefit	
  from	
  lessons	
  learned	
  and	
  hear	
  suggestions	
  for	
  other	
  health	
  care	
  systems	
  
that	
  are	
  looking	
  to	
  combine	
  process	
  improvement	
  into	
  their	
  system	
  optimization.	
  
	
  
Dave	
  Holland	
  is	
  the	
  VP/CIO-­‐Chief	
  Innovation	
  Officer	
  at	
  Southern	
  Illinois.	
  	
  He	
  had	
  led	
  SIH	
  through	
  the	
  
MEDITECH	
  Clinical	
  Systems	
  implementation,	
  system	
  upgrades	
  and	
  Meaningful	
  Use.	
  
	
  
	
  
	
  
	
  
1003	
  -­‐	
  Strategies	
  to	
  Optimize	
  Use	
  of	
  Bedside	
  Medication	
  Verification	
  and	
  Implementation	
  in	
  
Outpatient	
  Care	
  Areas	
  within	
  a	
  Community	
  Hospital	
  
Presenters:	
  	
  Don	
  Carpenter	
  and	
  Mohammad	
  Siddqui	
  
Organization:	
  	
  St.	
  Claire	
  Regional	
  Medical	
  Center,	
  Morehead,	
  Kentucky	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  1:30	
  pm	
  
	
  
Abstract:	
  	
  Bedside	
  Medication	
  Verification	
  is	
  an	
  integral	
  part	
  of	
  ensuring	
  the	
  safest	
  patient	
  care	
  at	
  your	
  
facility.	
  During	
  this	
  presentation,	
  we	
  hope	
  to	
  provide	
  critical	
  insight	
  to	
  help	
  other	
  facilities	
  avoid	
  
disastrous	
  go-­‐lives	
  for	
  BMV	
  implementation	
  by	
  describing	
  our	
  processes.	
  We	
  will	
  discuss	
  the	
  
implementation	
  and	
  maintenance	
  of	
  the	
  BMV	
  portion	
  of	
  MEDITECH	
  with	
  emphasis	
  on	
  focused	
  feedback	
  
to	
  end	
  users	
  based	
  on	
  data.	
  We	
  will	
  discuss	
  the	
  need	
  for	
  a	
  unit	
  based	
  implementation	
  for	
  your	
  
outpatient	
  areas	
  and	
  focus	
  on	
  the	
  needs	
  for	
  success.	
  Our	
  goal	
  is	
  that	
  the	
  listener	
  will	
  be	
  able	
  to	
  return	
  to	
  
their	
  institution	
  with	
  a	
  better	
  understanding	
  of	
  what	
  is	
  needed	
  for	
  a	
  successful	
  BMV	
  implementation,	
  
expansion,	
  and	
  maintenance.	
  
	
  
Mohammad	
  A.	
  Siddqui,	
  PharmD,	
  MBA	
  joined	
  St.	
  Claire	
  Regional	
  Medical	
  Center	
  in	
  2000	
  as	
  Assistant	
  
Director	
  of	
  Pharmacy.	
  He	
  is	
  currently	
  serving	
  as	
  a	
  member	
  of	
  the	
  Project	
  Management	
  Team	
  at	
  St.	
  Claire	
  
Regional	
  that	
  is	
  overseeing	
  Electronic	
  Health	
  Record	
  implementation.	
  
	
  
Don	
  Carpenter,	
  BS,	
  CPhT	
  III	
  earned	
  his	
  BS	
  in	
  biology	
  from	
  Morehead	
  State	
  University.	
  He	
  has	
  been	
  a	
  
technician	
  at	
  St.	
  Claire	
  Regional	
  since	
  1996.	
  He	
  has	
  been	
  certified	
  since	
  1997.	
  He	
  is	
  a	
  member	
  of	
  the	
  
Bedside	
  Medication	
  Verification	
  team.	
  
	
  
Learner	
  Outcomes:	
  	
  	
  
       • The	
  learner	
  will	
  have	
  a	
  better	
  understanding	
  of	
  what	
  is	
  needed	
  for	
  successful	
  BMV	
  
              implementation,	
  expansion,	
  and	
  maintenance.	
  This	
  will	
  allow	
  them	
  to	
  return	
  and	
  properly	
  plan	
  a	
  
              successful	
  implementation.	
  
       • The	
  learner	
  will	
  be	
  able	
  to	
  identify	
  the	
  importance	
  of	
  expanding	
  one	
  unit	
  at	
  a	
  time.	
  This	
  will	
  
              allow	
  the	
  learner	
  to	
  understand	
  why	
  each	
  outpatient	
  unit	
  requires	
  specific	
  needs	
  and	
  keep	
  them	
  
              from	
  having	
  pit	
  falls	
  during	
  go-­‐live.	
  
       • The	
  learner	
  will	
  be	
  armed	
  with	
  critical	
  insight	
  to	
  help	
  prevent	
  them	
  from	
  any	
  disastrous	
  go-­‐live	
  
              for	
  the	
  BMV	
  implementation.	
  By	
  utilizing	
  our	
  successes	
  and	
  mistakes	
  the	
  learner	
  will	
  be	
  able	
  to	
  
              prevent	
  their	
  facility	
  from	
  creating	
  a	
  troubled	
  go-­‐live.	
  
	
  
	
  
1004	
  -­‐	
  It’s	
  More	
  than	
  Flipping	
  a	
  Switch	
  –	
  Using	
  a	
  Four-­‐Pronged	
  Approach	
  to	
  Implement	
  and	
  
Sustain	
  an	
  Electronic	
  Health	
  Record	
  at	
  a	
  Multi-­‐Site	
  Facility	
  
Presenters:	
  	
  Marilyn	
  Sanli	
  and	
  Liza	
  Zeljeznjak	
  
Organization:	
  	
  Hamilton	
  Health	
  Sciences	
  Corporation,	
  Hamilton,	
  Ontario	
  
Scheduled:	
  	
  Wednesday	
  May	
  29	
  at	
  1:30	
  pm	
  
	
  
Abstract:	
  	
  Hamilton	
  Health	
  Sciences,	
  an	
  academic	
  hospital,	
  continues	
  to	
  successfully	
  implement	
  an	
  inter-­‐
professional	
  electronic	
  health	
  record	
  across	
  five	
  sites.	
  	
  Lessons	
  learned	
  over	
  the	
  last	
  three	
  years	
  have	
  led	
  
to	
  the	
  development	
  of	
  a	
  four	
  phased	
  implementation	
  plan.	
  Our	
  iterative	
  approach	
  combines	
  integration	
  
of	
  clinical	
  standards,	
  quality	
  improvement,	
  project	
  management,	
  and	
  change	
  management	
  
methodologies.	
  Emphasis	
  on	
  the	
  initiation	
  and	
  evaluation	
  phases	
  has	
  resulted	
  in	
  more	
  engaged	
  
leadership	
  and	
  clinician	
  participation	
  in	
  adoption	
  of	
  electronic	
  documentation.	
  
	
  
Creating	
  inter-­‐professional	
  working	
  groups	
  of	
  front-­‐line	
  clinicians,	
  clinical	
  leadership	
  and	
  practice	
  
specialists	
  enabled	
  the	
  groups	
  to	
  evaluate,	
  change	
  and	
  re-­‐evaluate	
  	
  their	
  clinical	
  practice	
  
(documentation	
  and	
  processes)	
  	
  based	
  on	
  best	
  practice	
  and	
  documentation	
  standards,	
  prior	
  to	
  the	
  
conversion	
  	
  to	
  electronic	
  documentation.	
  Inclusion	
  of	
  Deming’s	
  quality	
  cycle	
  (PDSA)	
  and	
  change	
  
management	
  strategies	
  has	
  been	
  crucial	
  in	
  helping	
  clinicians	
  transition	
  these	
  significant	
  changes	
  into	
  
their	
  practice.	
  Realizing	
  these	
  initiatives	
  before	
  implementation	
  and	
  continually	
  assessing	
  and	
  reviewing	
  
the	
  requirements	
  after	
  the	
  implementation	
  has	
  maximized	
  adoption	
  and	
  streamlined	
  processes	
  to	
  
integrate	
  into	
  nursing	
  and	
  allied	
  professional	
  best	
  practices	
  and	
  documentation	
  standards.	
  	
  	
  	
  
	
  
Converting	
  a	
  multi-­‐site	
  MEDITECH	
  hospital	
  from	
  paper	
  to	
  electronic	
  documentation	
  is	
  more	
  than	
  just	
  
flipping	
  a	
  switch.	
  	
  The	
  presentation	
  will	
  detail	
  the	
  key	
  components	
  of	
  the	
  implementation	
  –	
  clinical	
  
documentation	
  standards	
  and	
  practices,	
  project	
  management	
  methodology,	
  quality	
  improvement	
  
initiatives,	
  and	
  change	
  management	
  strategies	
  incorporated	
  in	
  the	
  early	
  and	
  post-­‐live	
  phases	
  of	
  
implementation	
  which	
  have	
  resulted	
  in	
  greater	
  positive	
  outcomes	
  at	
  Hamilton	
  Health	
  Sciences.	
  
	
  
Marilyn	
  Sanli,	
  BSc,	
  PMP	
  is	
  the	
  Project	
  Manager,	
  Clinical	
  Informatics	
  Projects.	
  Prior	
  to	
  moving	
  into	
  the	
  
project	
  management	
  field,	
  Marilyn	
  was	
  a	
  systems	
  analyst	
  supporting	
  MEDITECH	
  and	
  other	
  vendor	
  
applications.	
  In	
  additional	
  to	
  electronic	
  clinical	
  documentation,	
  Marilyn	
  is	
  currently	
  the	
  project	
  manager	
  
for	
  a	
  variety	
  of	
  MEDITECH	
  initiatives	
  including	
  the	
  implementation	
  of	
  POM,	
  PCM,	
  NUR,	
  TAR,	
  BMV,	
  and	
  
the	
  electronic	
  MAR.	
  
	
  
Liza	
  Zeljeznjak,	
  RN,	
  BScN,	
  CNCC(C)	
  is	
  a	
  Clinical	
  Informatics	
  Specialist.	
  Lisa	
  is	
  a	
  Registered	
  Nurse	
  currently	
  
working	
  in	
  Clinical	
  Informatics.	
  She	
  is	
  part	
  of	
  the	
  inter-­‐professional	
  team	
  that	
  is	
  converting	
  the	
  hospital	
  
from	
  paper	
  to	
  electronic.	
  She	
  is	
  responsible	
  for	
  the	
  planning,	
  implementation	
  and	
  maintenance	
  of	
  
MEDITECH	
  NUR	
  application.	
  Prior	
  to	
  Clinical	
  Informatics,	
  Lisa	
  was	
  a	
  front	
  line	
  clinician	
  specializing	
  in	
  
Neuro/Trauma	
  Critical	
  Care.	
  	
  
	
  
Learner	
  Outcomes:	
  	
  	
  
        • To	
  understand	
  the	
  necessity	
  of	
  documentation	
  standards	
  and	
  impact	
  of	
  documentation	
  
               workflow	
  processes	
  on	
  the	
  implementation	
  of	
  an	
  electronic	
  health	
  record	
  
        • To	
  understand	
  the	
  importance	
  of	
  project,	
  quality	
  and	
  change	
  management	
  strategies	
  in	
  the	
  
               successful	
  conversion	
  of	
  paper	
  to	
  electronic	
  documentation.	
  
        • To	
  understand	
  the	
  four	
  key	
  components	
  to	
  implementation	
  and	
  how	
  to	
  utilize	
  them	
  for	
  the	
  
               implementation	
  of	
  the	
  electronic	
  health	
  record.	
  
	
  
1005	
  -­‐	
  Using	
  What	
  You've	
  Got	
  to	
  Get	
  What	
  You	
  Want	
  
Presenter:	
  	
  Tammy	
  Burke	
  
Organization:	
  	
  Rapid	
  City	
  Regional	
  Hospital,	
  Rapid	
  City,	
  South	
  Dakota	
  
Scheduled:	
  	
  Wednesday	
  May	
  29	
  at	
  2:30	
  pm	
  
	
  
Abstract:	
  	
  Under-­‐utilization	
  of	
  available	
  information	
  resulting	
  in	
  follow	
  up	
  phone	
  calls	
  and	
  pages	
  to	
  
physicians	
  for	
  clarification	
  of	
  orders	
  by	
  ancillary	
  departments	
  has	
  led	
  to	
  opportunities	
  for	
  improvement.	
  
Providing	
  intelligent	
  rules	
  within	
  a	
  system	
  at	
  the	
  time	
  of	
  order	
  entry	
  for	
  physicians	
  is	
  key	
  to	
  helping	
  
users	
  work	
  smarter	
  not	
  harder.	
  Increasing	
  the	
  functionality	
  (using	
  what	
  is	
  available	
  or	
  creating	
  new	
  
functionality)	
  to	
  impact	
  patient	
  care	
  decisions	
  is	
  one	
  key	
  to	
  enhancing	
  the	
  processes	
  that	
  are	
  in	
  place	
  
and	
  helps	
  to	
  allow	
  the	
  patient	
  to	
  get	
  the	
  very	
  best	
  quality	
  consistent	
  care.	
  	
  
	
  
Implementing	
  clinical	
  decision	
  smart	
  rules	
  improves	
  efficacy	
  of	
  Computerized	
  Provider	
  Order	
  Entry,	
  time	
  
management,	
  workflow,	
  and	
  order	
  to	
  report	
  turn-­‐around	
  time.	
  In	
  addition,	
  this	
  improves	
  clinician	
  and	
  
staff	
  experience	
  by	
  fully	
  using	
  the	
  resources	
  available	
  to	
  all	
  players	
  involved	
  in	
  patient	
  care.	
  The	
  patient	
  
experience	
  is	
  improved	
  by	
  keeping	
  them	
  safe	
  and	
  expediting	
  diagnosis	
  to	
  treatment	
  time.	
  	
  
	
  
This	
  session	
  will	
  provide	
  attendees	
  with	
  proof	
  and	
  testimonials	
  that	
  have	
  been	
  successful	
  in	
  improving	
  
the	
  ordering	
  process	
  and	
  the	
  ultimate	
  care	
  of	
  the	
  patient.	
  We	
  hope	
  this	
  information	
  will	
  entice	
  new	
  
thoughts	
  and	
  ideas	
  of	
  how	
  CPOE	
  intelligent	
  rules	
  can	
  help	
  you	
  use	
  what	
  you've	
  got	
  to	
  get	
  what	
  you	
  
want!	
  
	
  
Tammy	
  Burke	
  is	
  a	
  Clinical	
  Informatics	
  Specialist	
  and	
  Registered	
  Respiratory	
  Therapist	
  that	
  has	
  been	
  
assisting	
  physicians	
  with	
  Computerized	
  Order	
  Entry	
  for	
  three	
  years.	
  Tammy	
  was	
  a	
  Respiratory	
  Therapist	
  
at	
  the	
  bedside	
  for	
  18	
  years	
  when	
  she	
  decided	
  to	
  try	
  to	
  affect	
  patient	
  care	
  on	
  a	
  more	
  global	
  level.	
  She	
  has	
  
realized	
  that	
  taking	
  care	
  of	
  the	
  whole	
  patient	
  is	
  not	
  just	
  dependent	
  upon	
  care	
  at	
  the	
  bedside.	
  Tammy	
  
believes	
  “To	
  truly	
  do	
  what	
  is	
  best	
  for	
  the	
  patient,	
  requires	
  evidence	
  based	
  and	
  quality	
  measures	
  in	
  
patient	
  care.	
  Hardwiring	
  excellence	
  in	
  patient	
  care	
  takes	
  an	
  incredible	
  amount	
  of	
  ‘behind	
  the	
  scenes’	
  
work.”	
  
	
  
Learner	
  Outcomes:	
  	
  	
  
       • Creating	
  effective	
  smart	
  rules	
  for	
  accurate	
  results	
  by	
  utilizing	
  multi-­‐disciplinary	
  participants	
  to	
  
              evaluate	
  each	
  rule.	
  
       • Creating	
  meaningful	
  rules	
  that	
  will	
  impact	
  the	
  care	
  of	
  the	
  patient	
  by	
  assisting	
  the	
  physicians	
  and	
  
              users	
  at	
  the	
  time	
  of	
  order.	
  
       • Avoid	
  excessive	
  rules	
  to	
  eliminate	
  pop	
  up	
  fatigue	
  and	
  avoidance	
  of	
  alerts.	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
1006	
  -­‐	
  To	
  Boldly	
  Go	
  Where	
  No	
  Documentation	
  Has	
  Gone	
  Before	
  
Presenters:	
  	
  Chris	
  Burke	
  and	
  Diane	
  Folsom	
  
Organization:	
  	
  Boulder	
  Community	
  Hospital,	
  Boulder,	
  Colorado	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  3:30	
  pm	
  
 
Abstract:	
  	
  Boulder	
  Community	
  Hospital	
  of	
  Colorado	
  began	
  their	
  PCS	
  journey	
  in	
  January	
  2010,	
  going	
  LIVE	
  
with	
  their	
  documentation	
  in	
  March,	
  2011.	
  	
  We	
  will	
  review	
  how	
  we	
  went	
  from	
  a	
  paper	
  system	
  to	
  a	
  
complete	
  custom	
  build	
  of	
  PCS	
  MEDITECH	
  clinical	
  documentation.	
  	
  We	
  will	
  share	
  with	
  you	
  how	
  we	
  built	
  
our	
  vaccination	
  assessments,	
  fall	
  and	
  skin	
  risk	
  assessments	
  and	
  others.	
  	
  We	
  will	
  also	
  review	
  how	
  we	
  
chart,	
  within	
  defined	
  limits	
  and	
  what	
  that	
  does	
  for	
  us.	
  	
  Our	
  lessons	
  learned	
  will	
  be	
  presented	
  so	
  that	
  
your	
  hospital	
  can	
  avoid	
  our	
  pitfalls.	
  
	
  
Chris	
  Burke,	
  RN	
  has	
  been	
  with	
  Boulder	
  Community	
  Hospital	
  for	
  15	
  years,	
  working	
  in	
  the	
  ICU.	
  	
  In	
  February	
  
2010,	
  he	
  became	
  a	
  PCS	
  build	
  team	
  member	
  and	
  was	
  instrumental	
  in	
  creating	
  our	
  clinical	
  documentation.	
  	
  
Chris	
  moved	
  to	
  the	
  IT	
  department	
  in	
  June	
  2011	
  and	
  is	
  now	
  the	
  PCS	
  analyst.	
  	
  He	
  continues	
  to	
  work	
  as	
  a	
  RN	
  
in	
  the	
  ICU	
  2-­‐3	
  days	
  a	
  month.	
  
	
  
Diane	
  Folsom,	
  RN-­‐BC	
  came	
  to	
  Boulder	
  Community	
  Hospital	
  in	
  January	
  2009	
  as	
  a	
  clinical	
  analyst,	
  working	
  
on	
  the	
  Magic	
  to	
  6.0	
  migration.	
  	
  During	
  the	
  early	
  months,	
  she	
  was	
  the	
  EDM,	
  OM,	
  EMR,	
  PCM	
  and	
  ORM	
  
analyst.	
  	
  She	
  was	
  the	
  PCS	
  analyst	
  during	
  the	
  implementation	
  of	
  PCS	
  and	
  has	
  since	
  moved	
  into	
  the	
  clinical	
  
analyst	
  managerial	
  role	
  in	
  June	
  2011.	
  
	
  
	
  
	
  
	
  
1007	
  -­‐	
  Challenges	
  and	
  Lessons	
  Learned	
  during	
  Implementation	
  of	
  a	
  New,	
  Completely	
  
Electronic	
  Medication	
  Reconciliation	
  Workflow	
  at	
  a	
  Community	
  Hospital	
  on	
  a	
  MEDITECH	
  6.x	
  
Platform	
  
Presenters:	
  	
  Mohammad	
  Siddiqui	
  and	
  Don	
  Carpenter	
  
Organization:	
  	
  St.	
  Claire	
  Regional	
  Medical	
  Center,	
  Morehead,	
  Kentucky	
  
Scheduled:	
  	
  Friday	
  May	
  31	
  at	
  1:30	
  pm	
  
	
  
Abstract:	
  	
  The	
  main	
  objective	
  of	
  performing	
  medication	
  reconciliation	
  is	
  to	
  avoid	
  medication	
  errors,	
  such	
  
as	
  omission,	
  duplication,	
  drug	
  interactions,	
  etc.	
  	
  At	
  our	
  facility,	
  we	
  transitioned	
  from	
  a	
  paper	
  to	
  a	
  hybrid	
  
of	
  paper	
  and	
  electronic	
  method	
  of	
  performing	
  medication	
  reconciliation	
  when	
  we	
  went	
  live	
  with	
  
physician	
  care	
  manager	
  (PCMI)	
  in	
  early	
  2011.	
  	
  The	
  process	
  is	
  cumbersome	
  and	
  requires	
  involvement	
  
from	
  physicians,	
  pharmacists,	
  and	
  nurses	
  to	
  complete.	
  	
  With	
  PCMII	
  implementation,	
  we	
  use	
  all	
  
electronic	
  medium	
  to	
  collect,	
  document,	
  reconcile,	
  and	
  covert	
  patient’s	
  medications	
  using	
  MEDITECH	
  
6.x	
  platform.	
  	
  The	
  new	
  workflow	
  lends	
  itself	
  to	
  a	
  more	
  complete	
  medication	
  history	
  and	
  robust	
  
medication	
  reconciliation	
  process.	
  	
  The	
  ingredients	
  to	
  success	
  include	
  education	
  of	
  users,	
  building	
  of	
  
dictionaries,	
  and	
  understanding	
  of	
  workflow	
  for	
  different	
  practitioners.	
  	
  Our	
  hope	
  is	
  to	
  share	
  our	
  
experiences,	
  challenges,	
  and	
  lessons	
  learned	
  as	
  we	
  implemented	
  the	
  new,	
  completely	
  electronic	
  
medication	
  reconciliation	
  process	
  at	
  our	
  institution.	
  	
  	
  
	
  
Mohammad	
  A.	
  Siddiqui,	
  PharmD,	
  MBA	
  joined	
  St.	
  Claire	
  Regional	
  Medical	
  Center	
  in	
  2000	
  as	
  Assistant	
  
Director	
  of	
  Pharmacy.	
  He	
  is	
  currently	
  serving	
  as	
  a	
  member	
  of	
  the	
  Project	
  Management	
  Team	
  at	
  St.	
  Claire	
  
Regional	
  that	
  is	
  overseeing	
  Electronic	
  Health	
  Record	
  implementation.	
  
	
  
Don	
  Carpenter,	
  BS,	
  CPhT	
  III	
  earned	
  his	
  BS	
  in	
  Biology	
  from	
  Morehead	
  State	
  University.	
  He	
  has	
  been	
  a	
  
technician	
  at	
  St.	
  Claire	
  Regional	
  since	
  1996.	
  He	
  has	
  been	
  certified	
  since	
  1997.	
  He	
  is	
  a	
  member	
  of	
  the	
  
Pharmacy	
  Core	
  Team	
  and	
  Bedside	
  Medication	
  Verification	
  team.	
  
 
Learner	
  Outcomes:	
  	
  	
  
     • List	
  the	
  three	
  ingredients	
  for	
  a	
  successful	
  implementation	
  of	
  all	
  electronic	
  medication	
  
          reconciliation	
  process	
  
     • List	
  examples	
  on	
  how	
  pharmacists	
  can	
  assist	
  in	
  medication	
  reconciliation	
  process	
  
     • Outline	
  what	
  workflow	
  changes	
  that	
  are	
  required	
  to	
  make	
  the	
  new	
  all	
  electronic	
  medication	
  
          reconciliation	
  process	
  successful?	
  	
  
	
  
	
  
	
  
	
  
	
  
1008	
  -­‐	
  Statistics	
  Show	
  Three	
  Out	
  of	
  Two	
  People	
  are	
  Confused	
  by	
  Rules	
  
Presenters:	
  	
  Chris	
  Burke	
  and	
  Marjon	
  Pekelharing	
  
Organization:	
  	
  Boulder	
  Community	
  Hospital,	
  Boulder,	
  Colorado	
  
Scheduled:	
  	
  Wednesday	
  May	
  29	
  at	
  1:30	
  pm	
  
	
  
Abstract:	
  	
  Incorporating	
  regulatory	
  agency	
  requirements	
  into	
  clinical	
  software	
  can	
  be	
  a	
  significant	
  
challenge.	
  In	
  this	
  presentation	
  the	
  application	
  of	
  custom	
  built	
  rules	
  in	
  MEDITECH	
  6.0	
  to	
  evaluate	
  criteria	
  
and	
  perform	
  a	
  wide	
  range	
  of	
  functions	
  is	
  discussed.	
  The	
  focus	
  is	
  on	
  rules	
  in	
  PCS	
  and	
  OM,	
  but	
  other	
  
creative	
  rule	
  applications	
  are	
  included	
  as	
  well.	
  PCS	
  examples	
  include	
  requiring	
  queries	
  based	
  on	
  other	
  
query	
  responses,	
  preventing	
  documentation	
  from	
  being	
  saved	
  unless	
  other	
  documentation	
  has	
  been	
  
saved	
  previously,	
  limiting	
  recall	
  of	
  documentation	
  to	
  only	
  the	
  users	
  own	
  documentation,	
  limiting	
  recall	
  
to	
  a	
  specified	
  time	
  frame	
  and	
  	
  calculating	
  simple	
  and	
  complex	
  values.	
  	
  	
  
	
  
OM	
  examples	
  include	
  calculating	
  values	
  in	
  Customer	
  Defined	
  Screens	
  in	
  OM,	
  defaulting	
  in	
  values	
  based	
  
on	
  patients	
  OM	
  Location,	
  making	
  fields	
  editable	
  or	
  required	
  based	
  on	
  OM	
  location	
  and	
  preventing	
  an	
  
order	
  from	
  being	
  placed	
  more	
  than	
  once.	
  	
  We	
  will	
  also	
  review	
  the	
  use	
  of	
  rules	
  in	
  the	
  PCS	
  discharge	
  
forms.	
  
	
  
Attendees	
  can	
  take	
  advantage	
  of	
  “lessons	
  learned”	
  at	
  Boulder	
  Community	
  Hospital.	
  In	
  addition,	
  several	
  
rule	
  examples	
  that	
  have	
  been	
  successfully	
  implemented	
  at	
  Boulder	
  Community	
  Hospital	
  to	
  support	
  and	
  
guide	
  clinical	
  staff	
  members	
  with	
  decision	
  making	
  tasks	
  during	
  documentation	
  and	
  order	
  entry	
  will	
  be	
  
demonstrated.	
  	
  
	
  
Chris	
  Burke	
  is	
  the	
  PCS	
  RN	
  Clinical	
  Analyst	
  at	
  Boulder	
  Community	
  Hospital.	
  	
  He	
  has	
  worked	
  in	
  the	
  ICU	
  as	
  a	
  
clinical	
  staff	
  member	
  for	
  18	
  years.	
  	
  
	
  
Marjon	
  Pekelharing	
  is	
  the	
  PCS	
  Core	
  Team	
  Leader	
  at	
  Boulder	
  Community	
  Hospital.	
  She	
  worked	
  as	
  a	
  
scientific	
  researcher	
  in	
  the	
  Computational	
  Materials	
  Science	
  field	
  for	
  six	
  years	
  prior	
  to	
  becoming	
  a	
  
registered	
  nurse	
  on	
  the	
  Inpatient	
  Behavioral	
  Health	
  unit	
  where	
  she	
  worked	
  for	
  three	
  years.	
  	
  
	
  
Both	
  Chris	
  and	
  Marjon	
  joined	
  the	
  MEDITECH	
  build	
  team	
  in	
  2010.	
  
	
  
Learner	
  Outcomes:	
  	
  	
  
        • Have	
  a	
  better	
  understanding	
  of	
  how	
  to	
  use	
  rules	
  to	
  support	
  and	
  guide	
  clinical	
  staff	
  members	
  
              with	
  decision	
  making	
  tasks	
  during	
  documentation	
  and	
  order	
  entry	
  
•    Improving	
  compliance	
  and	
  accuracy	
  of	
  regulatory	
  agency	
  requirements	
  related	
  to	
  
            documentation	
  and	
  order	
  entry	
  
       •    Expand	
  knowledge	
  of	
  the	
  options	
  and	
  limitations	
  of	
  rules	
  in	
  different	
  modules	
  
	
  
	
  
	
  
	
  
	
  
1009	
  -­‐	
  Risk	
  Management	
  Patient	
  Incident	
  Reporting	
  Provides	
  Surprising	
  Benefits	
  –	
  What	
  You	
  
Need	
  to	
  Know	
  to	
  Successfully	
  Implement	
  
Presenters:	
  	
  Emily	
  Malerich	
  and	
  Katy	
  Brown	
  
Organization:	
  	
  Henry	
  Mayo	
  Newhall	
  Memorial	
  Hospital,	
  Valencia	
  ,	
  California	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  11:00	
  am	
  
	
  
Abstract:	
  	
  Your	
  hospital	
  is	
  transitioning	
  to	
  becoming	
  paper	
  free	
  and	
  fully	
  electronic	
  which	
  will	
  improve	
  
patient	
  care.	
  	
  Your	
  mission	
  is	
  to	
  implement	
  an	
  enhanced	
  patient	
  incident	
  reporting	
  module	
  that	
  will	
  
streamline	
  the	
  current	
  incident	
  reporting	
  process.	
  	
  This	
  session	
  will	
  outline	
  the	
  planning,	
  patient	
  safety	
  
benefits	
  and	
  implementation	
  approach	
  that	
  Henry	
  Mayo	
  Newhall	
  Memorial	
  Hospital	
  utilized.	
  	
  This	
  
presentation	
  will	
  include	
  the	
  following:	
  
     • Assembling	
  your	
  implementation	
  team	
  
     • Building	
  your	
  screens	
  and	
  layouts	
  within	
  MEDITECH	
  C/S	
  
     • Refining	
  and	
  improving	
  the	
  process	
  for	
  patient	
  incident	
  reporting	
  
     • System	
  Implementation	
  
     • Post	
  Go-­‐Live	
  Optimization	
  
     • Identify	
  key	
  Patient	
  Safety	
  benefits	
  
	
  
Emily	
  Malerich	
  is	
  a	
  Financial	
  Systems	
  Analyst	
  for	
  Henry	
  Mayo	
  Hospital.	
  	
  Emily	
  has	
  six	
  years	
  of	
  healthcare	
  
related	
  experience	
  including;	
  decision	
  support,	
  informatics	
  and	
  has	
  been	
  working	
  in	
  IT	
  supporting	
  clinical	
  
systems	
  including	
  MEDITECH	
  C/S	
  for	
  the	
  past	
  1.5	
  years.	
  
	
  
Katy	
  Brown	
  has	
  been	
  the	
  Risk	
  Coordinator	
  for	
  Henry	
  Mayo	
  Hospital	
  for	
  six	
  years.	
  	
  Katy	
  has	
  12	
  years	
  of	
  
healthcare	
  related	
  experience	
  including;	
  finance,	
  quality	
  and	
  risk	
  management.	
  	
  She	
  has	
  worked	
  in	
  
conjunction	
  with	
  IT	
  in	
  developing	
  and	
  implementing	
  use	
  of	
  MEDITECH	
  QM	
  Module	
  for	
  enhanced	
  incident	
  
reporting.	
  	
  	
  
	
  
Learner	
  Outcomes:	
  
     • Looking	
  at	
  current	
  state	
  process	
  and	
  analyzing	
  how	
  the	
  electronic	
  functionality	
  should	
  be	
  built	
  
           to	
  deliver	
  the	
  ideal	
  future	
  state	
  of	
  incident	
  reporting	
  
     • Key	
  decisions	
  needed	
  for	
  system	
  and	
  design	
  development	
  
     • Key	
  Benefits:	
  	
  Streamlined	
  reporting	
  process;	
  Ease	
  of	
  use	
  which	
  encourages	
  timely	
  reporting	
  
	
  
	
  
1010	
  -­‐	
  Order	
  Sets:	
  The	
  Key	
  to	
  Physician	
  Satisfaction	
  
Presenters:	
  	
  Shera	
  Hintzen	
  and	
  Amy	
  Kemmerer	
  
Organization:	
  	
  Rapid	
  City	
  Regional	
  Hospital,	
  Rapid	
  City,	
  South	
  Dakota	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  1:30	
  pm	
  
	
  
Abstract:	
  	
  In	
  2010,	
  CPOE	
  was	
  implemented	
  within	
  the	
  Regional	
  Health	
  network.	
  Regional	
  Health	
  
currently	
  has	
  five	
  hospitals	
  and	
  two	
  surgery	
  centers,	
  ranging	
  in	
  size	
  from	
  11	
  beds	
  to	
  400+	
  beds.	
  This	
  
creates	
  many	
  unique	
  situations	
  that	
  must	
  be	
  handled	
  delicately	
  through	
  standardization.	
  
	
  
Knowing	
  that	
  CPOE	
  adoption	
  would	
  be	
  difficult	
  for	
  physicians,	
  order	
  sets	
  gave	
  us	
  the	
  opportunity	
  to	
  gain	
  
their	
  trust	
  and	
  adoption.	
  	
  After	
  CPOE	
  was	
  live,	
  physicians	
  started	
  requesting	
  additional	
  order	
  sets	
  to	
  be	
  
built	
  and	
  partnered	
  with	
  us	
  to	
  modify	
  existing	
  order	
  sets.	
  With	
  evidence	
  based	
  practice,	
  we	
  were	
  able	
  to	
  
track	
  CMS	
  quality	
  indicators	
  along	
  with	
  Meaningful	
  Use	
  requirements	
  and	
  still	
  keep	
  physicians	
  satisfied.	
  	
  
	
  
Shera	
  Hintzen	
  is	
  a	
  Clinical	
  Informatics	
  Application	
  Specialist	
  specializing	
  in	
  Client	
  Server	
  Order	
  Entry,	
  
POM,	
  PDOC,	
  PWM	
  and	
  Zynx.	
  	
  
	
  
Amy	
  Kemmerer	
  is	
  a	
  Clinical	
  Informatics	
  Forms	
  Analyst	
  and	
  Document	
  Designer.	
  
	
  
	
  
	
  
1011	
  -­‐	
  Upgrade	
  Toolbox	
  
Presenter:	
  	
  Robert	
  Farrell	
  
Organization:	
  	
  Royal	
  Victoria	
  Regional	
  Health	
  Centre,	
  Barrie,	
  Ontario	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  9:30	
  am	
  
	
  
Abstract:	
  	
  A	
  new	
  era	
  in	
  MEDITECH	
  upgrades	
  has	
  been	
  realized.	
  The	
  number	
  of	
  DTSs	
  associated	
  with	
  
updates	
  has	
  grown	
  from	
  5,500-­‐5,800	
  in	
  2006-­‐2008	
  to	
  30,000	
  DTSs	
  in	
  2012!	
  Our	
  most	
  recent	
  upgrade	
  
from	
  5.54	
  to	
  5.65	
  was	
  by	
  far	
  our	
  largest	
  upgrade	
  and	
  our	
  most	
  successful	
  upgrade	
  ever.	
  Royal	
  Victoria	
  
Hospital	
  has	
  been	
  a	
  Client	
  Server	
  facility	
  since	
  1997,	
  and	
  has	
  been	
  undergoing	
  an	
  expansion	
  doubling	
  the	
  
facility	
  size	
  during	
  the	
  10-­‐month	
  upgrade	
  window	
  and	
  adding	
  500+	
  staff	
  during	
  this	
  time.	
  We	
  are	
  
partnered	
  with	
  three	
  other	
  hospitals,	
  creating	
  a	
  single	
  universe,	
  multi-­‐ring,	
  multi-­‐database	
  setting	
  for	
  
the	
  update.	
  Faced	
  with	
  these	
  challenges,	
  we	
  selected	
  several	
  tools	
  to	
  work	
  in	
  concert	
  to	
  address	
  
multiple	
  aspects	
  of	
  the	
  update	
  process.	
  After	
  15	
  years	
  with	
  Client	
  Server,	
  we	
  are	
  finally	
  doing	
  upgrades	
  
right!	
  	
  
	
  
This	
  session	
  will	
  provide	
  an	
  overview	
  of	
  the	
  upgrade	
  process	
  we	
  used,	
  and	
  the	
  tools	
  that	
  allowed	
  it	
  to	
  be	
  
so	
  successful	
  for	
  us.	
  	
  Our	
  toolbox	
  includes	
  User	
  Management	
  Database,	
  Learning	
  Management	
  System,	
  
DTS	
  Management	
  and	
  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	
  
Porter's	
  inpatient	
  and	
  infusion	
  center.	
  	
  Oncology	
  pharmacists	
  at	
  Porter	
  provide	
  consulting	
  for	
  
chemotherapy	
  order	
  review,	
  pain	
  management,	
  parenteral	
  nutrition,	
  antibiotic	
  management,	
  and	
  
palliative	
  care.	
  Since	
  2005	
  Jeff	
  has	
  also	
  served	
  as	
  Porter's	
  IT	
  pharmacist	
  and	
  participates	
  in	
  a	
  14-­‐hospital	
  
pharmacist	
  project	
  team	
  for	
  MEDITECH	
  users.	
  	
  Jeff	
  has	
  been	
  actively	
  involved	
  in	
  the	
  implementation	
  of	
  
CPOE	
  processes	
  statewide,	
  since	
  2011.	
  
	
  
Robert	
  Shea	
  is	
  a	
  Registered	
  Nurse,	
  involved	
  in	
  Oncology	
  since	
  1995	
  when	
  he	
  cared	
  for	
  Oncology	
  
Inpatients.	
  	
  He	
  then	
  assisted	
  with	
  the	
  development	
  of	
  an	
  Infusion	
  Center	
  for	
  two	
  different	
  facilities.	
  	
  In	
  
2002,	
  he	
  was	
  recruited	
  to	
  work	
  as	
  an	
  Oncology	
  Nurse	
  at	
  one	
  of	
  Centura	
  Health’s	
  physician	
  oncology	
  
practices	
  and	
  has	
  maintained	
  that	
  position	
  as	
  one	
  of	
  the	
  lead	
  Oncology	
  Nurses.	
  	
  He	
  is	
  actively	
  involved	
  in	
  
the	
  development	
  of	
  the	
  Oncology	
  Application	
  for	
  Centura	
  Health	
  Oncology	
  practices	
  as	
  a	
  member	
  of	
  the	
  
ONC	
  Core	
  Team.	
  
	
  	
  
Erika	
  Anderson	
  RN,	
  BSN,	
  CRNI	
  has	
  worked	
  in	
  healthcare	
  for	
  17	
  years.	
  	
  The	
  last	
  10	
  years	
  has	
  been	
  with	
  
Centura	
  Health	
  at	
  Porter	
  Adventist	
  Hospital	
  in	
  Denver,	
  Colorado	
  as	
  RN,	
  IV	
  Therapy	
  Manager	
  and	
  Clinical	
  
Informatics	
  Specialist.	
  	
  Erika	
  has	
  been	
  part	
  of	
  the	
  project	
  team	
  assisting	
  with	
  the	
  standardization,	
  design,	
  
build	
  and	
  implementation	
  of	
  the	
  organization’s	
  Electronic	
  Health	
  Record	
  since	
  we	
  began	
  the	
  MEDITECH	
  
journey	
  in	
  2005,	
  including	
  being	
  actively	
  involved	
  in	
  the	
  Oncology	
  application	
  implementation.	
  	
  Erika	
  has	
  
provided	
  presentations	
  at	
  her	
  facility,	
  MUSE,	
  HCAC	
  and	
  RMC/INS.	
  	
  	
  
	
  	
  
Jean	
  Olsen,	
  RN,	
  BSN	
  after,	
  working	
  for	
  25	
  years	
  within	
  the	
  clinical	
  arena	
  of	
  healthcare,	
  began	
  
implementing	
  the	
  Electronic	
  Health	
  Record	
  nearly	
  20	
  years	
  ago.	
  	
  During	
  this	
  time	
  frame	
  her	
  focus	
  has	
  
been	
  on	
  Project	
  Management	
  of	
  implementations	
  for	
  Health	
  Care	
  organizations	
  throughout	
  the	
  United	
  
States.	
  	
  For	
  the	
  past	
  4	
  years,	
  she	
  has	
  been	
  employed	
  with	
  Centura	
  Health	
  as	
  a	
  Program	
  Manager	
  with	
  an	
  
emphasis	
  on	
  MEDITECH	
  implementations	
  and	
  upgrades.	
  	
  The	
  Oncology	
  implementation	
  is	
  one	
  of	
  the	
  
projects	
  she	
  is	
  currently	
  leading	
  for	
  Centura.	
  	
  Jean	
  has	
  provided	
  numerous	
  presentations	
  at	
  MEDITECH	
  
and	
  MUSE	
  events	
  and	
  is	
  currently	
  on	
  the	
  Board	
  of	
  Directors	
  for	
  MUSE.	
  
	
  
Deb	
  Gardner,	
  RN,	
  BSN	
  has	
  30	
  years	
  of	
  healthcare	
  experience,	
  the	
  last	
  15	
  years	
  being	
  in	
  Healthcare	
  IT.	
  
Deb	
  is	
  a	
  Senior	
  Clinical	
  Analyst	
  and	
  has	
  worked	
  with	
  McKesson	
  Care	
  Manager,	
  CPSI	
  and	
  for	
  the	
  last	
  seven	
  
years,	
  MEDITECH.	
  She	
  has	
  project	
  managed,	
  implemented,	
  and	
  supported	
  PCS,	
  EDM,	
  ORM,	
  OE,	
  CPOE,	
  
PCM/PWM,	
  RXM,	
  NPR	
  and	
  Iatric’s	
  Visual	
  Flowsheet	
  as	
  well	
  as	
  supported	
  PHA,	
  Lab	
  modules	
  in	
  MEDITECH	
  
C/S	
  .	
  Deb	
  is	
  currently	
  working	
  with	
  Centura	
  Health	
  to	
  help	
  build	
  and	
  implement	
  MEDITECH’s	
  Oncology	
  
Module.	
  
 
	
  
	
  
1013	
  -­‐	
  CPOE	
  Training	
  –	
  It's	
  All	
  About	
  Logistics	
  
Presenter:	
  	
  Nancy	
  Stimson	
  
Organization:	
  	
  Centura	
  Health,	
  Englewood,	
  Colorado	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  2:30	
  pm	
  
	
  
Abstract:	
  	
  This	
  presentation	
  will	
  cover	
  how	
  to	
  set	
  up	
  CPOE	
  training	
  for	
  providers	
  and	
  hospital	
  end-­‐users	
  
including:	
  	
  personnel,	
  content,	
  space	
  and	
  engagement.	
  
	
  
Topics	
  include:	
  
     • Determining	
  the	
  logistics	
  of	
  a	
  CPOE	
  training	
  program	
  including	
  training	
  space	
  needs,	
  who	
  should	
  
           attend,	
  duration	
  of	
  training,	
  etc.	
  
     • Determining	
  best	
  means	
  of	
  sign	
  up	
  for	
  classes	
  (internal	
  vs.	
  external	
  websites)	
  	
  
     • Developing	
  course	
  content	
  
     • Determining	
  who	
  will	
  be	
  trainers	
  and	
  proctors	
  
     • Tracking	
  sign	
  ups	
  and	
  attendance	
  
     • How	
  to	
  engage	
  physicians	
  (carrot	
  and	
  stick	
  approaches)	
  
	
  
Nancy	
  Stimson,	
  RN,	
  BSN	
  is	
  the	
  Director	
  of	
  CPOE	
  training	
  for	
  the	
  Denver	
  North	
  Operating	
  Group	
  of	
  
Centura	
  Health	
  in	
  Denver,	
  CO.	
  	
  She	
  has	
  been	
  the	
  training	
  champion	
  for	
  CPOE	
  and	
  assisted	
  with	
  the	
  
implementation	
  of	
  CPOE	
  in	
  five	
  hospitals	
  in	
  a	
  12-­‐month	
  time	
  frame.	
  
	
  
	
  
	
  
	
  
	
  
1014	
  -­‐	
  From	
  Zero	
  to	
  Sixty	
  (Percent)…	
  and	
  Beyond:	
  	
  Rapidly	
  Ramping	
  up	
  Voluntary	
  Physician	
  
Adoption	
  of	
  CPOE	
  	
  
Presenter:	
  	
  Thomas	
  Kniss	
  
Organization:	
  	
  Community	
  Memorial	
  Health	
  System,	
  Ventura,	
  California	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  10:00	
  am	
  
	
  
Abstract:	
  	
  Every	
  hospital	
  IT	
  executive	
  shares	
  the	
  same,	
  often-­‐elusive	
  goals:	
  	
  to	
  dramatically	
  increase	
  both	
  
physician	
  adoption	
  of	
  CPOE	
  (and	
  other	
  EHR-­‐related	
  technologies)	
  and	
  physician	
  satisfaction.	
  Contrary	
  to	
  
what	
  some	
  people	
  believe,	
  these	
  goals	
  are	
  not	
  mutually	
  exclusive.	
  In	
  reality,	
  both	
  are	
  pre-­‐requisites	
  for	
  
improving	
  patient	
  care	
  and	
  safety,	
  decreasing	
  the	
  cost	
  of	
  delivery	
  (increase	
  value),	
  and	
  demonstrating	
  
Meaningful	
  Use	
  (and	
  securing	
  related	
  incentive	
  payments).	
  
	
  
Community	
  Memorial	
  Health	
  System	
  (CMHS),	
  in	
  Ventura,	
  California,	
  will	
  describe	
  how	
  it	
  is	
  
accomplishing	
  these	
  goals	
  with	
  its	
  physicians	
  on	
  a	
  voluntary	
  basis,	
  without	
  heavy-­‐handed	
  mandates.	
  
CMHS’s	
  IT	
  approach	
  centers	
  on	
  using	
  MEDITECH	
  Client/Server	
  to	
  meet	
  the	
  hospitals’	
  operational	
  needs,	
  
in	
  combination	
  with	
  a	
  third-­‐party,	
  physician-­‐facing	
  front-­‐end	
  system	
  to	
  drive	
  voluntary	
  physician	
  
adoption.	
  CHMS’s	
  physician	
  front-­‐end	
  system	
  presents	
  patient	
  data	
  and	
  streamlines	
  various	
  physician	
  
workflows	
  (order	
  entry,	
  documentation,	
  sign-­‐out)	
  in	
  a	
  manner	
  that	
  is	
  winning	
  the	
  hearts	
  and	
  minds	
  of	
  
CMHS’s	
  500+	
  physicians,	
  all	
  of	
  whom	
  are	
  independent	
  affiliates.	
  
 
Thomas	
  Kniss	
  is	
  Director	
  of	
  Information	
  Systems	
  at	
  Community	
  Memorial	
  Health	
  System	
  (CMHS)	
  in	
  
Ventura,	
  California.	
  CMHS,	
  which	
  uses	
  MEDITECH	
  Client/Server,	
  was	
  established	
  in	
  2005	
  when	
  
Community	
  Memorial	
  Hospital	
  in	
  Ventura	
  merged	
  with	
  Ojai	
  Valley	
  Community	
  Hospital;	
  the	
  system	
  is	
  
comprised	
  of	
  these	
  two	
  hospitals	
  along	
  with	
  twelve	
  multi-­‐specialty	
  health	
  centers	
  serving	
  various	
  
communities	
  within	
  Ventura	
  County.	
  Mr.	
  Kniss	
  has	
  led	
  the	
  IT	
  strategy	
  and	
  operations	
  at	
  CMHS	
  since	
  
1999.	
  He	
  holds	
  a	
  BS	
  in	
  Computer	
  Science	
  and	
  a	
  MBA	
  in	
  Organizational	
  Behavior	
  and	
  Management	
  from	
  
California	
  Lutheran	
  University.	
  
	
  
Potential	
  Continuing	
  Education	
  session	
  
Learner	
  Outcomes:	
  	
  	
  
     • Attendees	
  will	
  discover	
  the	
  merits	
  of	
  employing	
  a	
  “carrot”	
  vs.	
  a	
  “stick”	
  in	
  driving	
  physician	
  
          adoption	
  of	
  EHR-­‐related	
  technologies.	
  
     • Attendees	
  will	
  learn	
  the	
  advantages/trade-­‐offs	
  associated	
  with	
  deploying	
  a	
  third-­‐party	
  physician	
  
          front-­‐end	
  system	
  as	
  an	
  “overlay”	
  to	
  the	
  existing	
  MEDITECH	
  system.	
  
     • Attendees	
  will	
  learn	
  the	
  key	
  features/functionality	
  of	
  a	
  CPOE	
  solution	
  that	
  drive	
  physician	
  
          adoption	
  and	
  streamline	
  implementation	
  for	
  IT.	
  
	
  
	
  
	
  
	
  
	
  
1015	
  -­‐	
  NPR	
  Report	
  Writing	
  –	
  Reports	
  We	
  Couldn't	
  Do	
  Without	
  
Presenter:	
  	
  Regina	
  Davison	
  
Organization:	
  	
  Murray-­‐Calloway	
  County	
  Hospital,	
  Murray,	
  Kentucky	
  
Scheduled:	
  	
  Wednesday	
  May	
  29	
  at	
  1:30	
  pm	
  
	
  
Abstract:	
  	
  Join	
  us	
  for	
  a	
  presentation	
  of	
  various	
  NPR	
  reports	
  written	
  from	
  the	
  BAR,	
  PBR,	
  and	
  ADM	
  
modules.	
  These	
  reports	
  include	
  some	
  that	
  are	
  used	
  for	
  exporting	
  data	
  to	
  other	
  vendors	
  and/or	
  auditors	
  
on	
  an	
  'as	
  needed'	
  or	
  daily	
  basis.	
  	
  Our	
  facility	
  used	
  NPR	
  to	
  create	
  our	
  own	
  patient	
  labels,	
  bar-­‐coded	
  
labels,	
  requisitions,	
  and	
  so	
  on	
  from	
  the	
  very	
  beginning	
  of	
  our	
  MEDITECH	
  go-­‐live	
  in	
  2002.	
  	
  All	
  the	
  reports	
  
are	
  available	
  for	
  you	
  to	
  use!	
  
	
  
Murray-­‐Calloway	
  County	
  Hospital	
  has	
  met	
  Medicare	
  and	
  Medicaid	
  Stage	
  1	
  requirements	
  and	
  has	
  been	
  
live	
  with	
  CPOE	
  since	
  April,	
  2012	
  and	
  currently	
  maintains	
  a	
  96%	
  CPOE	
  rate	
  with	
  inpatient	
  orders.	
  The	
  
hospital	
  is	
  also	
  a	
  participant	
  in	
  the	
  Kentucky	
  Health	
  Information	
  Exchange,	
  where	
  it	
  was	
  a	
  recipient	
  of	
  
the	
  KY	
  Pioneer	
  Award	
  in	
  Sept	
  2011,	
  for	
  being	
  one	
  of	
  the	
  first	
  participants	
  of	
  the	
  program.	
  
	
  
Regina	
  Davison	
  is	
  currently	
  the	
  Manager	
  of	
  Information	
  Technology	
  at	
  Murray-­‐Calloway	
  County	
  Hospital	
  
located	
  in	
  Murray,	
  KY.	
  She	
  started	
  her	
  career	
  with	
  the	
  hospital	
  in	
  October,	
  1996	
  as	
  an	
  entry	
  level	
  
programmer,	
  having	
  completed	
  her	
  associate	
  degree,	
  with	
  honors	
  in	
  Computer	
  Information	
  Systems.	
  	
  
The	
  hospital	
  migrated	
  from	
  their	
  ‘home	
  grown’	
  system	
  in	
  2002,	
  switching	
  over	
  to	
  a	
  full	
  MEDITECH	
  Client	
  
Server	
  HCIS.	
  
	
  
During	
  the	
  implementation	
  and	
  conversion	
  period,	
  Regina	
  was	
  responsible	
  for	
  not	
  only	
  the	
  build	
  of	
  many	
  
dictionaries	
  on	
  the	
  MEDITECH	
  side	
  (MIS/ADM/PP/AP/MM),	
  but	
  was	
  also	
  very	
  involved	
  in	
  building	
  
conversion	
  files	
  off	
  of	
  the	
  old	
  system.	
  	
  It	
  was	
  also	
  during	
  this	
  time	
  that	
  she	
  used	
  her	
  very	
  basic	
  NPR	
  skills	
  
to	
  build	
  reports	
  and	
  forms	
  for	
  MEDITECH,	
  including	
  Admission	
  forms,	
  vendor	
  export	
  files,	
  and	
  so	
  on.	
  
 
Regina	
  served	
  as	
  Financial	
  Systems	
  Specialist	
  for	
  five	
  years,	
  Interim	
  IT	
  Director	
  upon	
  two	
  separate	
  
occasions	
  and	
  then	
  was	
  promoted	
  to	
  Director	
  Information	
  Systems	
  in	
  May,	
  2008.	
  	
  	
  Regina	
  and	
  her	
  staff	
  
were	
  featured	
  in	
  a	
  MEDITECH	
  Spotlight	
  article	
  in	
  June,	
  2010	
  which	
  highlighted	
  the	
  accomplishments	
  of	
  
the	
  entire	
  IT	
  team	
  and	
  their	
  dedication	
  to	
  improving	
  patient	
  care	
  at	
  their	
  facility.	
  	
  	
  
	
  
	
  
	
  
1016	
  -­‐	
  Overcoming	
  the	
  Challenges	
  to	
  Successful	
  Implementation	
  of	
  BMV	
  in	
  the	
  Emergency	
  
Department	
  
Presenters:	
  	
  Nancy	
  Russell	
  and	
  Lynsi	
  Garvin	
  
Organization:	
  	
  Cook	
  Children's	
  Health	
  Care	
  System,	
  Fort	
  Worth,	
  Texas	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  2:30	
  pm	
  
	
  
Abstract:	
  	
  Many	
  hospitals	
  have	
  implemented	
  Bar	
  Code	
  Medication	
  Administration	
  (BMV)	
  in	
  the	
  inpatient	
  
setting	
  but	
  have	
  shied	
  away	
  from	
  implementing	
  in	
  the	
  emergency	
  department	
  (ED).	
  The	
  rapid	
  pace,	
  high	
  
patient	
  volumes,	
  and	
  the	
  mobility	
  of	
  patients	
  add	
  to	
  the	
  challenges	
  and	
  complexity	
  of	
  BMV	
  in	
  this	
  
setting.	
  Rapid	
  patient	
  throughput	
  is	
  essential	
  to	
  every	
  ED	
  since	
  the	
  next	
  patient	
  to	
  enter	
  the	
  door	
  may	
  
require	
  immediate	
  treatment.	
  However,	
  BMV	
  in	
  the	
  ED	
  can	
  be	
  successful	
  with	
  careful	
  planning.	
  	
  
	
  
A	
  non-­‐profit	
  pediatric	
  medical	
  center	
  with	
  an	
  ED	
  volume	
  of	
  nearly	
  120,000	
  patients	
  per	
  year	
  chose	
  to	
  
employ	
  BMV	
  while	
  simultaneously	
  introducing	
  the	
  electronic	
  health	
  record.	
  	
  
	
  
This	
  session	
  discusses	
  the	
  challenges	
  that	
  are	
  unique	
  to	
  implementing	
  BMV	
  in	
  an	
  ED	
  as	
  well	
  as	
  those	
  
lessons	
  learned	
  from	
  BMV	
  in	
  the	
  inpatient	
  setting.	
  In	
  addition,	
  discussion	
  covers	
  specific	
  strategies	
  used	
  
including	
  equipment,	
  maximizing	
  the	
  efficiency	
  of	
  the	
  BMV	
  process,	
  and	
  changes	
  in	
  pharmacy	
  
processes.	
  	
  
	
  
Objectives:	
  
       1. Describe	
  three	
  reasons	
  why	
  BMV	
  in	
  the	
  ED	
  is	
  challenging	
  
       2. Discuss	
  two	
  helpful	
  lessons	
  learned	
  from	
  the	
  inpatient	
  setting	
  	
  
       3. Describe	
  three	
  strategies	
  used	
  to	
  successfully	
  implement	
  BMV	
  in	
  the	
  ED	
  	
  	
  
	
  
Outline:	
  
       • Challenges:	
  	
  Patient;	
  Physical;	
  Equipment;	
  Pharmacy;	
  Tight	
  Time-­‐frame;	
  Staff	
  
       • Overcoming	
  the	
  Challenges:	
  	
  Using	
  lessons	
  from	
  the	
  inpatient	
  implementation;	
  Equipment;	
  
            Interface	
  Solutions;	
  Populating	
  the	
  medication	
  on	
  the	
  eMAR,	
  and	
  when	
  to	
  use	
  each	
  one;	
  
            Pharmacy	
  
       • Conclusion:	
  	
  BMV	
  Team;	
  Scan	
  rates	
  
       • Q&A	
  
	
  
Nancy	
  Russell,	
  RN-­‐BC,	
  MS,	
  CPN	
  has	
  been	
  in	
  pediatric	
  nursing	
  for	
  32	
  years	
  with	
  the	
  last	
  12	
  years	
  in	
  nursing	
  
informatics	
  at	
  Cook	
  Children’s	
  Health	
  Care	
  System	
  in	
  Fort	
  Worth,	
  Texas.	
  She	
  received	
  her	
  Master’s	
  in	
  
Nursing	
  Leadership	
  from	
  Regis	
  University	
  in	
  2007.	
  	
  Nancy	
  presented	
  at	
  the	
  2012	
  ANIA	
  Conference	
  and	
  
2012	
  unSummit	
  on	
  BCMA	
  implementation.	
  In	
  addition,	
  Nancy	
  has	
  displayed	
  poster	
  presentations	
  at	
  
several	
  Children’s	
  Hospital	
  Association	
  of	
  Texas	
  annual	
  conferences,	
  and	
  won	
  the	
  People’s	
  Choice	
  First	
  
Runner-­‐Up	
  award	
  for	
  her	
  poster	
  presentation	
  of	
  Hand-­‐off	
  Communication	
  at	
  the	
  2010	
  ANIA	
  conference.	
  	
  
 
Lynsi	
  Garvin,	
  BSN,	
  RN	
  has	
  been	
  a	
  pediatric	
  nurse	
  since	
  2003.	
  She	
  became	
  involved	
  in	
  nursing	
  informatics	
  
while	
  working	
  in	
  the	
  education	
  department	
  at	
  Cook	
  Children’s	
  Healthcare	
  System	
  almost	
  two	
  years	
  ago.	
  
She	
  has	
  since	
  transitioned	
  to	
  the	
  information	
  services	
  department	
  to	
  work	
  full-­‐time	
  as	
  a	
  nurse	
  
informaticist.	
  Lynsi	
  is	
  currently	
  attending	
  Duke	
  University	
  School	
  of	
  Nursing	
  and	
  will	
  complete	
  her	
  
masters	
  of	
  science	
  in	
  nursing	
  with	
  a	
  focus	
  in	
  health	
  informatics	
  in	
  August	
  2013.	
  	
  She	
  is	
  an	
  active	
  member	
  
of	
  the	
  Barcoding	
  Core	
  Team	
  for	
  the	
  hospital	
  and	
  was	
  a	
  participant	
  in	
  the	
  build	
  and	
  implementation	
  of	
  
barcoding	
  in	
  the	
  Emergency	
  Department	
  this	
  past	
  fall.	
  
	
  
Learner	
  Outcomes:	
  	
  	
  
        • Describe	
  three	
  reasons	
  why	
  BMV	
  in	
  the	
  ED	
  is	
  challenging	
  
        • Discuss	
  two	
  helpful	
  lessons	
  learned	
  from	
  the	
  inpatient	
  setting	
  	
  
        • Describe	
  three	
  strategies	
  used	
  to	
  successfully	
  implement	
  BMV	
  in	
  the	
  ED	
  	
  	
  
	
  
	
  
	
  
	
  
	
  
1017	
  -­‐	
  The	
  Nuts	
  and	
  Bolts	
  of	
  Connecting	
  a	
  New	
  Laboratory	
  Instrument	
  in	
  a	
  Multi-­‐Laboratory	
  
System	
  on	
  a	
  Single	
  LIS	
  Database	
  
Presenter:	
  	
  Ximena	
  Virgin	
  
Organization:	
  	
  Centura	
  Health,	
  Englewood,	
  Colorado	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  1:30	
  pm	
  
	
  
Abstract:	
  	
  The	
  laboratory	
  has	
  ordered	
  a	
  new	
  instrument	
  and	
  you	
  have	
  been	
  handed	
  the	
  project	
  to	
  
connect	
  to	
  LIS.	
  	
  Where	
  do	
  you	
  start?	
  	
  The	
  process	
  of	
  connecting	
  a	
  new	
  laboratory	
  instrument	
  can	
  
sometimes	
  be	
  worrisome.	
  	
  This	
  presentation	
  will	
  cover	
  the	
  nuts	
  and	
  bolts	
  of	
  connecting	
  your	
  
instrument:	
  
      • Resources	
  
      • MEDITECH	
  dictionaries	
  
      • How	
  will	
  instrument	
  connect	
  to	
  MEDITECH…Serial	
  or	
  direct	
  connect	
  
      • Testing	
  interface	
  
      • Trouble	
  shooting	
  guide	
  for	
  LIS-­‐IT	
  
      • Training	
  LIS-­‐IT	
  group	
  on	
  new	
  instrumentation	
  
	
  
Ximena	
  Virgin	
  (Mena)	
  MT,	
  ASCP	
  works	
  for	
  Centura	
  Health	
  IT,	
  Englewood,	
  Colorado	
  as	
  a	
  MEDITECH	
  LIS	
  
Analyst.	
  	
  She	
  is	
  Medical	
  Technologist	
  College	
  of	
  Pathologist	
  certified	
  with	
  over	
  25	
  years	
  of	
  experience.	
  
The	
  most	
  recent	
  10	
  years	
  have	
  been	
  spent	
  in	
  IT	
  as	
  a	
  MEDITECH	
  LIS	
  Analyst	
  supporting	
  the	
  MEDITECH	
  LIS	
  
Application	
  with	
  emphasis	
  on	
  new	
  laboratory	
  instrumentation	
  across	
  the	
  Front	
  Range.	
  
	
  
1018	
  -­‐	
  Achieving	
  Continuity	
  through	
  Integration	
  of	
  Laboratory	
  Services	
  	
  
Presenters:	
  	
  Kathryn	
  Wohnoutka	
  and	
  Tricia	
  Pyle	
  
Organization:	
  	
  Citizens	
  Memorial	
  Hospital,	
  Bolivar,	
  Missouri	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  9:30	
  am	
  
	
  
Abstract:	
  	
  Citizens	
  Memorial	
  Healthcare	
  has	
  implemented	
  laboratory	
  services	
  in	
  14	
  of	
  their	
  28	
  clinics.	
  	
  
Patients	
  are	
  able	
  to	
  have	
  their	
  specimens	
  ordered,	
  obtained	
  and	
  resulted	
  on-­‐site	
  at	
  the	
  clinic	
  or	
  
processed	
  by	
  the	
  CMH	
  Lab	
  with	
  results	
  displaying	
  in	
  the	
  patient’s	
  electronic	
  health	
  record.	
  	
  This	
  
presentation	
  will	
  review	
  in	
  detail:	
  	
  the	
  setup	
  between	
  the	
  LAB,	
  MIC,	
  BBK,	
  OE	
  and	
  RXM	
  dictionaries;	
  
customer	
  defined	
  screens;	
  use	
  of	
  interfaces;	
  PRE	
  CLI	
  account	
  creation	
  and	
  suppression;	
  billing;	
  after	
  
clinic	
  hours	
  lab;	
  result	
  notification;	
  EHR	
  view;	
  and	
  JCAHO.	
  	
  
	
  
Kathryn	
  Wohnoutka	
  RN,	
  LAB/ITS/EDM/PD	
  Clinical	
  Systems	
  Analyst,	
  has	
  been	
  employed	
  by	
  Citizens	
  
Memorial	
  Healthcare,	
  since	
  1995	
  and	
  has	
  been	
  involved	
  with	
  their	
  electronic	
  health	
  record	
  
implementation,	
  as	
  well	
  as	
  CMH’s	
  2005	
  Davies	
  Award	
  and	
  HIMSS	
  Analytics	
  Stage	
  7	
  process.	
  Katie	
  has	
  
also	
  served	
  on	
  MEDITECH’s	
  Nurse	
  and	
  Interdisciplinary	
  Advisory	
  Councils	
  and	
  presented	
  at	
  a	
  number	
  of	
  
MUSE	
  and	
  mini-­‐MUSE	
  events.	
  
	
  
Tricia	
  Pyle,	
  APR/PWM/RXM	
  Clinical	
  Systems	
  Analyst,	
  has	
  been	
  employed	
  by	
  Citizens	
  Memorial	
  
Healthcare,	
  since	
  1993	
  and	
  has	
  been	
  involved	
  with	
  their	
  electronic	
  health	
  record	
  implementation,	
  as	
  well	
  
as	
  CMH’s	
  2005	
  Davies	
  Award	
  and	
  HIMSS	
  Analytics	
  Stage	
  7	
  process.	
  Tricia	
  has	
  also	
  served	
  on	
  LSS	
  Advisory	
  
Councils	
  and	
  presented	
  at	
  a	
  number	
  of	
  LSS	
  User	
  Group	
  events,	
  MUSE	
  and	
  mini-­‐MUSE	
  events.	
  
	
  
	
  
1019	
  -­‐	
  Achieving	
  Continuity	
  through	
  Integration	
  of	
  Imaging	
  and	
  Therapeutic	
  Services	
  
Presenter:	
  	
  Tricia	
  Pyle	
  and	
  Kathryn	
  Wohnoutka	
  
Organization:	
  	
  Citizens	
  Memorial	
  Hospital,	
  Bolivar,	
  Missouri	
  
Scheduled:	
  	
  Wednesday	
  May	
  29	
  at	
  2:30	
  pm	
  
	
  
Abstract:	
  	
  Citizens	
  Memorial	
  Healthcare	
  has	
  implemented	
  digital	
  radiology,	
  ultrasound,	
  and	
  EKG	
  
capabilities	
  in	
  a	
  number	
  of	
  their	
  28	
  clinics.	
  	
  Patients	
  are	
  able	
  to	
  have	
  their	
  studies	
  ordered,	
  obtained	
  and	
  
resulted	
  on-­‐site	
  at	
  the	
  clinic	
  with	
  images	
  displaying	
  in	
  the	
  patient’s	
  electronic	
  health	
  record.	
  	
  Providers	
  
can	
  also	
  send	
  studies	
  digitally	
  for	
  overread	
  by	
  a	
  CMH	
  radiologist	
  where	
  the	
  report	
  is	
  associated	
  to	
  the	
  
image	
  in	
  the	
  EHR.	
  	
  CMH	
  has	
  also	
  incorporated	
  on-­‐site	
  scheduling	
  for	
  procedures	
  to	
  be	
  performed	
  at	
  
CMH.	
  	
  This	
  presentation	
  will	
  review	
  in	
  detail:	
  	
  the	
  setup	
  between	
  the	
  ITS,	
  OE,	
  SCH	
  and	
  RXM	
  dictionaries;	
  
customer	
  defined	
  screens;	
  use	
  of	
  interfaces;	
  	
  PRE	
  CLI	
  account	
  creation	
  and	
  suppression;	
  billing;	
  visiting	
  
Provider	
  process;	
  result	
  notification;	
  and	
  EHR	
  view.	
  	
  	
  
	
  
Tricia	
  Pyle,	
  APR/PWM/RXM	
  Clinical	
  Systems	
  Analyst,	
  has	
  been	
  employed	
  by	
  Citizens	
  Memorial	
  
Healthcare,	
  since	
  1993	
  and	
  has	
  been	
  involved	
  with	
  their	
  electronic	
  health	
  record	
  implementation,	
  as	
  well	
  
as	
  CMH’s	
  2005	
  Davies	
  Award	
  and	
  HIMSS	
  Analytics	
  Stage	
  7	
  process.	
  Tricia	
  has	
  also	
  served	
  on	
  LSS	
  Advisory	
  
Councils	
  and	
  presented	
  at	
  a	
  number	
  of	
  LSS	
  User	
  Group	
  events,	
  MUSE	
  and	
  mini-­‐MUSE	
  events.	
  
	
  
Kathryn	
  Wohnoutka	
  RN,	
  LAB/ITS/EDM/PD	
  Clinical	
  Systems	
  Analyst,	
  has	
  been	
  employed	
  by	
  Citizens	
  
Memorial	
  Healthcare,	
  since	
  1995	
  and	
  has	
  been	
  involved	
  with	
  their	
  electronic	
  health	
  record	
  
implementation,	
  as	
  well	
  as	
  CMH’s	
  2005	
  Davies	
  Award	
  and	
  HIMSS	
  Analytics	
  Stage	
  7	
  process.	
  Katie	
  has	
  
also	
  served	
  on	
  MEDITECH’s	
  Nurse	
  and	
  Interdisciplinary	
  Advisory	
  Councils	
  and	
  presented	
  at	
  a	
  number	
  of	
  
MUSE	
  and	
  mini-­‐MUSE	
  events.	
  
	
  
1020	
  -­‐	
  Managing	
  Users	
  in	
  a	
  Complex	
  and	
  Ever	
  Changing	
  Environment	
  
Presenter:	
  	
  Kim	
  Tilley	
  
Organization:	
  	
  Citizens	
  Memorial	
  Hospital,	
  Bolivar,	
  Missouri	
  
Scheduled:	
  	
  Friday	
  May	
  31	
  at	
  2:30	
  pm	
  
	
  
Abstract:	
  	
  Accurately	
  managing	
  employee	
  access	
  within	
  MEDITECH	
  alone	
  can	
  be	
  resource	
  intensive,	
  but	
  
when	
  you	
  add	
  all	
  of	
  the	
  other	
  software	
  used	
  in	
  an	
  organization	
  and	
  throw	
  in	
  non-­‐employed	
  users	
  the	
  
issue	
  becomes	
  very	
  complex,	
  and	
  full	
  of	
  risk.	
  	
  At	
  this	
  presentation	
  you	
  will	
  learn	
  some	
  of	
  the	
  tricks	
  that	
  
Citizens	
  Memorial	
  uses	
  to	
  manage	
  users	
  and	
  minimize	
  risk	
  in	
  an	
  ever	
  changing	
  environment	
  including	
  
the	
  following:	
  profiles	
  access	
  assigned	
  based	
  upon	
  an	
  employee’s	
  contract	
  in	
  the	
  HR	
  module,	
  expiration	
  
dates,	
  and	
  use	
  of	
  the	
  credential	
  field	
  to	
  validate	
  that	
  a	
  Business	
  Associate	
  Agreement	
  (BAA)	
  is	
  on	
  file	
  for	
  
non-­‐employed	
  users,	
  review	
  of	
  reports	
  used	
  for	
  monitoring	
  compliance	
  and	
  account	
  management	
  
procedures.	
  	
  Citizens	
  Memorial	
  will	
  also	
  share	
  the	
  vision	
  and	
  current	
  state	
  of	
  automated,	
  centralized	
  
account	
  management	
  procedures.	
  
	
  
Kim	
  Tilley	
  serves	
  as	
  the	
  Healthcare	
  Information	
  Systems	
  Manager	
  and	
  HIPAA	
  Security	
  Officer	
  for	
  Citizens	
  
Memorial	
  Hospital,	
  CMH.	
  	
  In	
  1997	
  she	
  began	
  her	
  career	
  at	
  CMH	
  in	
  the	
  revenue	
  cycle	
  arena,	
  and	
  in	
  2004	
  
she	
  joined	
  the	
  Information	
  Systems	
  team	
  and	
  supported	
  the	
  revenue	
  cycle	
  applications.	
  	
  In	
  2007	
  she	
  
assumed	
  her	
  current	
  role.	
  	
  Kim	
  earned	
  a	
  Bachelor	
  of	
  Social	
  Work	
  from	
  Missouri	
  State	
  University	
  in	
  2002,	
  
a	
  Master	
  of	
  Business	
  Administration	
  from	
  Southwest	
  Baptist	
  University	
  in	
  2006,	
  and	
  became	
  a	
  Certified	
  
Professional	
  in	
  Healthcare	
  Information	
  and	
  Management	
  Systems,	
  CPHIMS,	
  in	
  2010.	
  
	
  
	
  
	
  
1021	
  -­‐	
  Cherry	
  Pick	
  Your	
  PDOC	
  Starting	
  Point	
  –	
  PDOC	
  in	
  the	
  Family	
  Birth	
  Place	
  Unit	
  
Presenter:	
  	
  Ruth	
  Swanson	
  
Organization:	
  	
  Swedish	
  American	
  Health	
  System,	
  Rockford,	
  Illinois	
  
Scheduled:	
  	
  Friday	
  May	
  31	
  at	
  11:00	
  am	
  
	
  
Abstract:	
  	
  This	
  session	
  will	
  focus	
  on	
  our	
  initial	
  PDOC	
  rollout	
  to	
  the	
  Family	
  Birth	
  Place	
  Unit.	
  Learn	
  how	
  we	
  
engaged	
  our	
  OB	
  and	
  Peds	
  providers	
  to	
  develop	
  content	
  for	
  nine	
  templates.	
  See	
  the	
  process	
  we	
  followed	
  
for	
  building	
  the	
  templates,	
  and	
  working	
  with	
  the	
  Quality,	
  HIMS,	
  Clinical	
  Informatics,	
  and	
  Coding	
  
departments	
  to	
  get	
  their	
  input.	
  See	
  if	
  our	
  on-­‐line	
  training	
  module	
  and	
  support	
  process	
  could	
  be	
  helpful	
  
in	
  your	
  institution.	
  
	
  
Ruth	
  Swanson	
  RN	
  MS	
  is	
  an	
  Application	
  Analyst	
  at	
  Swedish	
  American	
  Health	
  System	
  in	
  Rockford	
  IL.	
  She	
  
has	
  been	
  with	
  the	
  Information	
  Systems	
  department	
  for	
  18	
  years	
  and	
  has	
  supported	
  a	
  variety	
  of	
  systems	
  
including	
  iDX,	
  Epic	
  and	
  most	
  recently,	
  MEDITECH,	
  for	
  the	
  past	
  three	
  years.	
  Ruth	
  is	
  the	
  Project	
  Manager	
  
for	
  the	
  PDOC	
  implementation.	
  
	
  
Learner	
  Outcomes:	
  	
  	
  
        • The	
  learner	
  will	
  identify	
  tips	
  and	
  tricks	
  to	
  engage	
  physicians	
  so	
  they	
  want	
  to	
  be	
  a	
  part	
  of	
  the	
  
               PDOC	
  project.	
  They	
  will	
  learn	
  how	
  effective	
  physician	
  meetings	
  can	
  be	
  facilitated	
  for	
  gathering	
  
               PDOC	
  content.	
  
        • The	
  learner	
  will	
  identify	
  key	
  departments	
  to	
  involve	
  during	
  PDOC	
  development.	
  Hospital	
  
               departments	
  such	
  as	
  Clinical	
  Informatics,	
  Nursing,	
  Quality,	
  HIMS,	
  and	
  Coding	
  offer	
  valuable	
  
               input	
  that	
  strengthens	
  the	
  provider	
  documentation	
  tool.	
  
        • The	
  learner	
  will	
  learn	
  how	
  on-­‐line	
  training	
  can	
  be	
  beneficial	
  to	
  getting	
  providers	
  to	
  attend	
  
               training	
  sessions	
  as	
  well	
  as	
  make	
  the	
  classroom	
  trainer's	
  job	
  easier.	
  Using	
  the	
  existing	
  health	
  
               system	
  on-­‐line	
  training	
  program	
  to	
  gain	
  access	
  to	
  the	
  Capture	
  Point	
  and	
  Content	
  Point	
  software	
  
               provides	
  familiarity	
  and	
  consistency	
  for	
  provider	
  training.	
  
	
  
	
  
1022	
  -­‐	
  The	
  Physician	
  Driven	
  EHR	
  
Presenters:	
  	
  Grace	
  Franz	
  
Organization:	
  	
  Boulder	
  Community	
  Hospital,	
  Boulder,	
  Colorado	
  
Scheduled:	
  	
  Wednesday	
  May	
  29	
  at	
  3:30	
  pm	
  
	
  
Abstract:	
  	
  Boulder	
  Community	
  Hospital	
  has	
  successfully	
  implemented	
  a	
  physician	
  driven	
  EHR	
  project	
  by	
  
utilizing	
  a	
  shared	
  governance	
  structure	
  with	
  physician,	
  nursing	
  and	
  information	
  technology	
  leading	
  in	
  
dual	
  roles.	
  	
  The	
  project	
  team	
  has	
  worked	
  closely	
  with	
  MEDITECH	
  and	
  hospital	
  leadership	
  to	
  mitigate	
  
issues	
  presented	
  due	
  to	
  underutilized	
  6.X	
  functionality.	
  	
  It	
  has	
  become	
  apparent	
  that,	
  as	
  we	
  move	
  
forward,	
  we	
  must	
  look	
  to	
  an	
  integrated	
  EHR	
  to	
  utilize	
  MEDITECH	
  to	
  its	
  fullest	
  and	
  provide	
  the	
  safest	
  
environment	
  for	
  our	
  patients.	
  	
  
	
  
Learner	
  Outcomes:	
  	
  	
  
       • Five	
  components	
  of	
  successful	
  EHR	
  project.	
  
       • Integrating	
  technical	
  aspects	
  into	
  workflow,	
  education,	
  communication,	
  metrics,	
  order	
  
               sets/documentation.	
  
       • Engaging	
  clinicians	
  to	
  create	
  a	
  meaningful	
  EHR.	
  
	
  
Grace	
  Franz	
  is	
  a	
  Clinical	
  Informatics	
  at	
  Boulder	
  Community	
  Hospital	
  in	
  Boulder,	
  CO.	
  	
  She	
  is	
  the	
  leader	
  of	
  
the	
  PCM	
  Core	
  Team	
  which	
  implemented	
  CPOE	
  and	
  PDOC	
  for	
  350	
  physicians	
  in	
  October	
  of	
  2012.	
  	
  She	
  was	
  
also	
  a	
  member	
  of	
  the	
  team	
  that	
  implemented	
  PCS	
  documentation	
  in	
  2010.	
  Grace	
  received	
  her	
  BFA	
  from	
  
University	
  of	
  Colorado	
  in	
  2002	
  and	
  her	
  BSN	
  from	
  Mount	
  St.	
  Mary’s	
  College	
  in	
  2008.	
  	
  Grace	
  enjoys	
  hiking,	
  
biking,	
  and	
  skiing.	
  	
  She	
  lives	
  in	
  the	
  foothills	
  right	
  outside	
  Boulder	
  with	
  her	
  husband,	
  15-­‐month	
  old	
  son	
  and	
  
her	
  cat.	
  
	
  
	
  
	
  
1023	
  -­‐	
  Got	
  BCMA	
  in	
  Your	
  ED?	
  	
  It	
  Can	
  Be	
  Done!	
  
Presenters:	
  	
  Anne	
  Corbett	
  and	
  Jennifer	
  Alexander	
  
Organization:	
  	
  Centura	
  Health,	
  Englewood,	
  Colorado	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  9:30	
  am	
  
	
  
Abstract:	
  	
  Are	
  you	
  considering	
  BCMA	
  (Bar	
  Code	
  Medication	
  Administration)	
  for	
  your	
  hospital	
  or	
  ED?	
  
Want	
  to	
  hear	
  the	
  lessons	
  learned	
  from	
  a	
  recent	
  implementation	
  in	
  18	
  hospitals?	
  	
  	
  	
  
	
  
In	
  February	
  2013,	
  Centura	
  Health	
  hospitals	
  in	
  Colorado	
  completed	
  a	
  big-­‐bang	
  deployment	
  of	
  medication	
  
scanning	
  and	
  a	
  new	
  eMAR	
  in	
  18	
  emergency	
  departments	
  and	
  Urgent	
  Care	
  clinics.	
  This	
  presentation	
  will	
  
share	
  the	
  story	
  of	
  the	
  six-­‐month	
  journey	
  from	
  drawing	
  board	
  through	
  go-­‐live,	
  as	
  well	
  as	
  current	
  
processes	
  and	
  lessons	
  learned.	
  
	
  
The	
  audience	
  will	
  hear	
  tips	
  on:	
  
       • Key	
  players	
  for	
  the	
  BCMA	
  project	
  team	
  
       • CPOE	
  –	
  BCMA	
  interface	
  
       • Equipment	
  needs/acquisition	
  
       • Change	
  management	
  
       • Training	
  strategies	
  
       • Go-­‐live	
  process	
  and	
  resources	
  needed	
  
•     Post	
  go-­‐live	
  needs	
  /	
  next	
  steps	
  
	
  
This	
  presentation	
  will	
  provide	
  useful	
  information	
  for:	
  
        • Hospital	
  and	
  ED	
  leaders	
  
        • Informatics	
  personnel	
  and	
  Project	
  Managers	
  
        • Nurses/Pharmacists	
  
        • Educators	
  
        • IT	
  Analysts	
  	
  -­‐	
  PCS,	
  EDM,	
  ORM,	
  OE,	
  Pharmacy	
  modules	
  
        • IT	
  entity/support	
  personnel	
  
	
  
Please	
  join	
  us	
  for	
  the	
  “scoop”	
  on	
  things	
  to	
  consider	
  when	
  starting	
  your	
  BCMA	
  project.	
  	
  
Ladies	
  and	
  gentlemen,	
  start	
  your	
  scanners	
  …	
  
	
  
Anne	
  Corbett,	
  RN	
  MSN	
  has	
  been	
  an	
  ED	
  nurse	
  and	
  nursing	
  educator	
  for	
  over	
  14	
  years.	
  Anne	
  is	
  currently	
  an	
  
IT	
  Training	
  Specialist	
  for	
  Centura	
  Health	
  in	
  Colorado.	
  	
  She	
  has	
  been	
  involved	
  in	
  the	
  development	
  of	
  the	
  
EHR	
  project	
  with	
  Centura	
  since	
  2007,	
  and	
  specializes	
  in	
  MEDITECH	
  EDM.	
  
	
  
Jennifer	
  Alexander,	
  RN	
  is	
  a	
  Clinical	
  Informatics	
  Specialist	
  at	
  Porter	
  Adventist	
  hospital	
  in	
  Denver,	
  CO.	
  She	
  
has	
  been	
  involved	
  in	
  the	
  standardization	
  and	
  development	
  of	
  the	
  EHR	
  project	
  with	
  Centura	
  Health	
  since	
  
2006.	
  
	
  
Learner	
  Outcomes:	
  	
  	
  
        • Learners	
  will	
  hear	
  a	
  step-­‐by-­‐step	
  chronology	
  of	
  an	
  eMAR	
  conversion	
  and	
  concurrent	
  BCMA	
  
            implementation	
  in	
  multiple	
  ED	
  settings.	
  Discussion	
  will	
  include	
  timelines,	
  goal-­‐setting,	
  resource	
  
            allocation,	
  and	
  change	
  management	
  in	
  large	
  and	
  small	
  ED's	
  and	
  the	
  Urgent	
  Care	
  setting.	
  	
  
            Takeaways	
  from	
  Centura's	
  project	
  may	
  assist	
  learners	
  in	
  determining	
  strategies	
  for	
  their	
  own	
  
            BCMA	
  implementation.	
  
        • Identify	
  training	
  strategies	
  for	
  BCMA	
  implementation	
  in	
  the	
  ED.	
  	
  Learners	
  will	
  be	
  exposed	
  to	
  
            Trainer/Superuser	
  and	
  classroom	
  vs.	
  on-­‐the-­‐spot	
  models	
  of	
  training,	
  and	
  hear	
  the	
  pros/cons	
  of	
  
            each	
  and	
  how	
  to	
  identify	
  key	
  resources	
  needed	
  for	
  training.	
  	
  	
  
        • Identify	
  obstacles	
  to	
  implementing	
  BCMA	
  in	
  the	
  Emergency	
  Department,	
  and	
  strategies	
  to	
  
            overcome	
  these	
  issues.	
  Learners	
  will	
  hear	
  about	
  key	
  stakeholder	
  identification	
  and	
  types	
  of	
  
            discussions	
  that	
  are	
  vital	
  to	
  the	
  planning	
  stages	
  of	
  BCMA	
  implementation.	
  	
  
	
  
	
  
	
  
	
  
1025	
  -­‐	
  Interface,	
  Integrate,	
  Innovate!	
  
Presenter:	
  	
  Sherry	
  Montileone	
  
Organization:	
  	
  Citizens	
  Memorial	
  Hospital,	
  Bolivar,	
  Missouri	
  
Scheduled:	
  	
  Friday	
  May	
  31	
  at	
  10:00	
  am	
  
	
  
Abstract:	
  	
  At	
  Citizens	
  Memorial	
  Hospital,	
  our	
  goal	
  is	
  to	
  provide	
  the	
  most	
  efficient	
  EMR	
  possible.	
  	
  We	
  
believe	
  that	
  if	
  you	
  make	
  the	
  system	
  the	
  "one	
  stop	
  shop"	
  for	
  data	
  -­‐	
  people	
  will	
  use	
  it.	
  	
  	
  
	
  
Come	
  to	
  this	
  session	
  to	
  learn:	
  
•     How	
  we	
  use	
  interfaces	
  and	
  integration	
  to	
  keep	
  people	
  in	
  the	
  MEDITECH	
  system	
  (we	
  hate	
  second	
  
           logins).	
  	
  	
  
     •     How	
  we	
  help	
  patients	
  and	
  other	
  facilities	
  do	
  the	
  same	
  by	
  interfacing	
  orders	
  and	
  results	
  with	
  
           them.	
  	
  	
  
     •     How	
  we	
  are	
  working	
  to	
  improve	
  imaging	
  interoperability	
  by	
  consolidating	
  imaging	
  interfaces.	
  
           (i.e.	
  the	
  EMR	
  Imaging	
  Panel	
  can	
  contain	
  more	
  than	
  x-­‐rays!)	
  	
  	
  	
  
	
  
Sherry	
  Montileone	
  has	
  30+	
  years	
  of	
  IT	
  experience.	
  	
  She	
  has	
  worked	
  with	
  Citizens	
  Memorial	
  Hospital	
  since	
  
2000	
  assisting	
  with	
  the	
  award	
  winning	
  implementation	
  of	
  the	
  MEDITECH	
  system	
  in	
  acute,	
  clinic,	
  LTC	
  and	
  
home	
  care	
  settings.	
  
	
  
Learner	
  Outcomes:	
  	
  	
  
     • MEDITECH	
  interface	
  availability.	
  	
  The	
  attendee	
  will	
  learn	
  what	
  interfaces	
  are	
  available	
  and	
  how	
  
           they	
  improve	
  MEDITECH	
  workflow.	
  
     • Imaging	
  system	
  consolidation.	
  	
  The	
  attendee	
  will	
  learn	
  how	
  you	
  can	
  consolidate	
  imaging	
  system	
  
           to	
  improve	
  the	
  interoperability	
  and	
  management	
  of	
  those	
  systems.	
  	
  	
  
     • MEDITECH	
  integration	
  availability.	
  	
  The	
  attendee	
  will	
  learn	
  how	
  you	
  can	
  integrate	
  to	
  other	
  
           systems	
  with	
  a	
  contextual	
  launch	
  (using	
  existing	
  MEDITECH	
  login	
  and	
  displayed	
  patient).	
  
	
  
	
  
	
  
	
  
1026	
  -­‐	
  How	
  Does	
  a	
  Large	
  Multi-­‐Facility	
  Entity	
  Maintain	
  Performance	
  with	
  a	
  Single	
  Database?	
  
Presenters:	
  	
  Tony	
  Forkes	
  and	
  Ken	
  Spaeth	
  
Organization:	
  	
  Centura	
  Health,	
  Englewood,	
  Colorado	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  3:30	
  pm	
  
	
  
Abstract:	
  	
  Follow	
  the	
  seven	
  year	
  journey	
  of	
  Colorado's	
  largest	
  health	
  care	
  provider	
  as	
  they	
  teamed	
  with	
  
MEDITECH	
  to	
  overcome	
  obstacles	
  and	
  maintain	
  performance	
  for	
  their	
  13	
  acute	
  facilities	
  on	
  a	
  single	
  
database	
  system.	
  Centura	
  Health's	
  key	
  performance	
  challenges	
  and	
  solutions	
  will	
  be	
  presented	
  in	
  detail	
  
focusing	
  on	
  infrastructure	
  and	
  performance/tuning/monitoring	
  for	
  the	
  MEDITECH	
  environment.	
  
	
  
Tony	
  Forkes	
  has	
  worked	
  for	
  Centura	
  for	
  over	
  25	
  years	
  in	
  various	
  technical	
  roles	
  and	
  managed	
  the	
  
MEDITECH	
  MIS	
  team	
  at	
  Centura	
  Health	
  since	
  MEDITECH	
  was	
  implemented	
  in	
  2006.	
  
	
  
Ken	
  Spaeth	
  has	
  served	
  Centura	
  in	
  many	
  technical	
  roles	
  and	
  is	
  currently	
  part	
  of	
  the	
  Performance	
  and	
  
Capacity	
  Planning	
  team	
  at	
  Centura	
  Health.	
  
	
  
	
  
1027	
  -­‐	
  CPOE/PDOC	
  Project	
  and	
  Metrics	
  
Presenters:	
  	
  Scott	
  Hearan	
  and	
  Scott	
  Ellner	
  
Organization:	
  	
  Hospital	
  Sisters	
  Health	
  System,	
  Springfield,	
  Illinois	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  3:30	
  pm	
  
	
  
Abstract:	
  	
  As	
  we	
  developed	
  the	
  CPOE/PDOC	
  Project	
  and	
  prepared	
  for	
  Go	
  Live	
  across	
  10	
  facilities,	
  metrics	
  
became	
  a	
  component	
  of	
  the	
  project	
  for	
  measuring	
  success.	
  	
  Come	
  see	
  and	
  learn	
  about	
  the	
  governance	
  
in	
  place	
  and	
  reports	
  developed	
  from	
  the	
  Data	
  Repository	
  to	
  show	
  and	
  monitor	
  facility	
  success	
  and	
  
individual	
  provider	
  success.	
  
	
  
Scott	
  Hearan	
  is	
  currently	
  a	
  Data	
  Repository	
  Report	
  Developer	
  for	
  Hospital	
  Sisters	
  Health	
  System	
  (HSHS),	
  a	
  
13-­‐hospital	
  system	
  located	
  in	
  Illinois	
  and	
  Wisconsin	
  with	
  10	
  of	
  them	
  Live	
  on	
  Client	
  Server	
  5.65PP11.	
  	
  	
  
Scott	
  has	
  been	
  with	
  HSHS	
  for	
  13	
  years	
  serving	
  in	
  clinical	
  and	
  business	
  analyst	
  roles	
  as	
  well	
  as	
  a	
  PACS/RIS	
  
administrator	
  before	
  moving	
  into	
  his	
  current	
  position.	
  
	
  
Scott	
  Ellner	
  is	
  currently	
  the	
  PCS/EDM	
  Team	
  Lead	
  in	
  IT	
  for	
  Hospital	
  Sisters	
  Health	
  System,	
  a	
  13-­‐hospital	
  
system	
  located	
  in	
  Illinois	
  and	
  Wisconsin	
  with	
  10	
  of	
  them	
  Live	
  on	
  Client	
  Server	
  5.65PP11.	
  	
  Scott	
  has	
  been	
  
with	
  HSHS	
  since	
  2007	
  serving	
  in	
  a	
  variety	
  of	
  Project	
  Management	
  roles	
  while	
  HSHS	
  implemented	
  
MEDITECH	
  and	
  during	
  the	
  initial	
  phases	
  of	
  CPOE/PDOC	
  implementation	
  within	
  the	
  first	
  three	
  hospitals	
  to	
  
go	
  live.	
  
	
  
	
  
	
  
1028	
  -­‐	
  Going	
  the	
  Distance:	
  	
  The	
  Transition	
  from	
  Paper	
  to	
  an	
  Electronic	
  Medical	
  Record	
  in	
  the	
  
ER	
  
Presenters:	
  	
  Angela	
  Schroeder	
  and	
  Dr.	
  Charles	
  W.	
  Olson,	
  Jr.	
  
Organization:	
  	
  Stillwater	
  Medical	
  Center,	
  Stillwater,	
  Oklahoma	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  1:30	
  pm	
  
	
  
Abstract:	
  	
  This	
  presentation	
  will	
  outline	
  the	
  implementation	
  of	
  CPOE,	
  EDM,	
  and	
  PDOC	
  in	
  the	
  Emergency	
  
Room	
  at	
  Stillwater	
  Medical	
  Center.	
  	
  We	
  currently	
  use	
  MEDITECH	
  C/S	
  5.65	
  pp	
  11.	
  	
  We	
  will	
  outline	
  the	
  
importance	
  of	
  working	
  with	
  pharmacy	
  to	
  develop	
  provider	
  friendly	
  order	
  strings,	
  decreasing	
  customer	
  
defined	
  screens	
  for	
  the	
  providers,	
  training,	
  and	
  the	
  importance	
  of	
  an	
  engaged	
  physician	
  champion.	
  	
  We	
  
will	
  also	
  cover	
  the	
  changes	
  of	
  communication	
  within	
  the	
  ER	
  and	
  the	
  development	
  of	
  PDOC	
  templates	
  
using	
  voice	
  recognition.	
  	
  	
  
	
  
Angela	
  Schroeder	
  has	
  been	
  an	
  Application	
  Analyst	
  at	
  Stillwater	
  Medical	
  Center	
  for	
  six	
  years.	
  	
  She	
  is	
  
currently	
  CPOE	
  Project	
  Manager	
  and	
  supports	
  RXM,	
  EDM,	
  PDOC,	
  PWM,	
  PCM,	
  and	
  PPC.	
  	
  She	
  works	
  closely	
  
with	
  providers	
  and	
  nursing	
  staff	
  to	
  build	
  relationships	
  with	
  IT.	
  	
  
	
  
Charles	
  W.	
  Olson,	
  Jr.,	
  MD	
  has	
  been	
  an	
  Emergency	
  Physician	
  at	
  Stillwater	
  Medical	
  Center	
  since	
  1999.	
  	
  He	
  
has	
  interest	
  in	
  developing	
  and	
  promoting	
  a	
  physician	
  and	
  patient-­‐friendly	
  EHR,	
  and	
  currently	
  serves	
  as	
  
CPOE	
  Champion.	
  
	
  
	
  
	
  
1029	
  -­‐	
  Bringing	
  Outreach	
  to	
  the	
  Health	
  Neighborhoods	
  in	
  our	
  Communities	
  
Presenter:	
  	
  Wanda	
  Schroeder	
  
Organization:	
  	
  Centura	
  Health,	
  Englewood,	
  Colorado	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  10:00	
  am	
  
	
  
Abstract:	
  	
  Evolving	
  healthcare	
  initiatives	
  encourage	
  us	
  to	
  become	
  stronger	
  leaders	
  in	
  health	
  and	
  
wellness	
  in	
  the	
  communities	
  that	
  we	
  serve.	
  	
  The	
  MEDITECH	
  Outreach	
  Module	
  offers	
  some	
  convenient	
  
features	
  that	
  separate	
  hospital	
  based	
  work	
  from	
  outreach.	
  	
  Advanced	
  planning	
  will	
  prevent	
  wrong	
  turns	
  
and	
  avoid	
  the	
  need	
  to	
  rework	
  processes	
  later.	
  We	
  will	
  look	
  at	
  the	
  MEDITECH	
  Outreach	
  Module	
  and	
  how	
  
it	
  can	
  work	
  with	
  the	
  various	
  parts	
  of	
  outreach,	
  such	
  as;	
  logistics,	
  ordering,	
  processing,	
  testing,	
  reporting,	
  
billing,	
  customer	
  services	
  and	
  marketing.	
  A	
  successful	
  outreach	
  program	
  will	
  have	
  a	
  plan	
  on	
  how	
  to	
  
handle	
  all	
  of	
  these	
  functions.	
  
	
  
Wanda	
  Schroeder	
  has	
  worked	
  in	
  health	
  care	
  for	
  31	
  years.	
  	
  She	
  has	
  worked	
  for	
  Centura	
  Health	
  and	
  
affiliates	
  for	
  the	
  last	
  18	
  years	
  and	
  in	
  IT	
  for	
  the	
  last	
  12	
  years.	
  Prior	
  to	
  Centura	
  Health	
  she	
  worked	
  for	
  a	
  
Commercial	
  Laboratory	
  for	
  13	
  years;	
  for	
  the	
  last	
  six	
  years	
  she	
  has	
  worked	
  as	
  a	
  MEDITECH	
  LIS	
  analyst.	
  
	
  
	
  
	
  
	
  
	
  
1030	
  -­‐	
  Documentation	
  of	
  Labor	
  and	
  Delivery	
  in	
  a	
  MEDITECH	
  World	
  
Presenter:	
  	
  Kathy	
  Hawkins	
  
Organization:	
  	
  Stillwater	
  Medical	
  Center,	
  Stillwater,	
  Oklahoma	
  
Scheduled:	
  	
  Wednesday	
  May	
  29	
  at	
  2:30	
  pm	
  
	
  
Abstract:	
  	
  The	
  process	
  of	
  transition	
  from	
  documenting	
  Labor	
  &	
  Delivery	
  on	
  fetal	
  monitor	
  and	
  paper	
  to	
  
documenting	
  in	
  MEDITECH	
  PCS	
  has	
  proved	
  to	
  be	
  an	
  ongoing	
  process.	
  	
  From	
  equipment	
  needed	
  to	
  
documentation,	
  the	
  process	
  required	
  planning	
  and	
  a	
  lot	
  of	
  buy-­‐in	
  from	
  staff.	
  	
  A	
  discussion	
  on	
  who,	
  how,	
  
and	
  what	
  helped	
  achieve	
  successes	
  will	
  be	
  presented	
  along	
  with	
  a	
  look	
  at	
  some	
  continuing	
  issues	
  for	
  the	
  
future.	
  	
  	
  
	
  
Kathy	
  Hawkins	
  is	
  an	
  RN	
  with	
  20	
  years	
  of	
  experience	
  in	
  ICU,	
  ED,	
  and	
  Cardiac	
  care.	
  She	
  has	
  been	
  an	
  IT	
  
Analyst	
  for	
  four	
  years	
  in	
  5.65	
  CS	
  MEDITECH,	
  and	
  has	
  experience	
  with	
  PCS,	
  OE,	
  MRI,	
  and	
  ITS.	
  
	
  
Learner	
  Outcomes:	
  	
  	
  
     • Identify	
  solutions	
  for	
  documenting	
  on	
  more	
  than	
  one	
  fetus	
  during	
  Labor	
  and	
  Delivery.	
  The	
  
                learner	
  will	
  be	
  able	
  to	
  explore	
  current	
  solutions	
  available	
  and	
  develop	
  ones	
  specific	
  to	
  their	
  
                facility.	
  
     • Explore	
  the	
  importance	
  of	
  available	
  equipment	
  for	
  the	
  documentation	
  process.	
  	
  Look	
  at	
  what	
  is	
  
                currently	
  available	
  and	
  what	
  will	
  met	
  the	
  need	
  for	
  ongoing	
  documentation.	
  
     • Look	
  at	
  continuing	
  issues	
  in	
  this	
  process	
  as	
  new	
  and	
  restructured	
  processes,	
  such	
  as	
  CPOE,	
  
                PDOC,	
  &	
  Order	
  Entry,	
  are	
  implemented.	
  	
  Examine	
  how	
  these	
  affect	
  the	
  current	
  work	
  flow	
  and	
  
                documentation	
  process	
  of	
  nursing.	
  	
  
	
  
	
  
	
  
	
  
1031	
  -­‐	
  Monitoring	
  Integration	
  with	
  MEDITECH	
  
Presenter:	
  	
  Becky	
  Blevins	
  
Organization:	
  	
  Ephraim	
  McDowell	
  Regional	
  Hospital,	
  Danville,	
  Kentucky	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  1:30	
  pm	
  
	
  
Abstract:	
  	
  Are	
  you	
  tired	
  of	
  working	
  in	
  a	
  data	
  silo?	
  Is	
  your	
  nursing	
  staff	
  required	
  to	
  manually	
  document	
  
clinical	
  data	
  from	
  an	
  external	
  system	
  or	
  external	
  monitor	
  into	
  MEDITECH?	
  Want	
  to	
  improve	
  your	
  patient	
  
safety	
  and	
  data	
  integrity?	
  This	
  presentation	
  will	
  detail	
  the	
  steps	
  for	
  the	
  use	
  of	
  MEDITECH’s	
  external	
  
source	
  monitoring	
  to	
  integrate	
  data	
  from	
  vital	
  sign	
  monitors	
  as	
  well	
  as	
  fetal	
  monitors	
  into	
  MEDITECH's	
  
PCS	
  module.	
  This	
  delivers	
  time	
  savings	
  to	
  nurses	
  and	
  other	
  clinicians	
  by	
  eliminating	
  tedious	
  processes	
  
and	
  making	
  critical	
  data	
  readily	
  available	
  for	
  patient	
  care.	
  
	
  
Becky	
  Blevins	
  is	
  project	
  manager	
  for	
  Information	
  Services	
  Department	
  at	
  Ephraim	
  McDowell	
  Health,	
  a	
  
multi-­‐hospital	
  health	
  system,	
  located	
  in	
  central	
  Kentucky.	
  She	
  specializes	
  in	
  interfacing	
  (both	
  point	
  to	
  
point	
  and	
  through	
  an	
  interface	
  engine)	
  various	
  clinical	
  systems	
  to	
  MEDITECH	
  Client	
  Server	
  including	
  
Philips	
  cardiac	
  monitoring,	
  AGFA	
  radiology	
  and	
  cardiology	
  (Heartlab)	
  PACs,	
  and	
  Philips	
  OB	
  TraceVue.	
  
	
  
Becky	
  also	
  specializes	
  in	
  interfacing	
  outbound	
  lab,	
  radiology,	
  pathology,	
  and	
  dictated	
  results	
  from	
  
MEDITECH	
  Client	
  Server	
  to	
  various	
  physician	
  office	
  EMR	
  products	
  including	
  Allscripts,	
  Meridian,	
  Varian,	
  
GE	
  Centricity,	
  and	
  the	
  Kentucky	
  Health	
  Information	
  Exchange.	
  	
  
	
  
Learner	
  Outcomes:	
  
       • NMI	
  and	
  PCS	
  set	
  up	
  parameters	
  for	
  "monitor"	
  interface.	
  This	
  information	
  will	
  allow	
  the	
  user	
  to	
  
            appropriately	
  request	
  MEDITECH	
  set	
  up	
  parameters	
  for	
  time	
  out	
  and	
  data	
  retrieval	
  in	
  order	
  to	
  
            query	
  for	
  monitoring	
  results.	
  	
  
       • Query	
  build	
  for	
  both	
  the	
  external	
  source	
  monitor	
  as	
  well	
  as	
  for	
  PCS	
  assessments.	
  This	
  will	
  allow	
  
            the	
  user	
  to	
  appropriately	
  build	
  the	
  necessary	
  group	
  response	
  queries	
  as	
  place	
  holders	
  in	
  
            addition	
  to	
  the	
  assessment	
  queries	
  that	
  will	
  capture	
  the	
  monitoring	
  values	
  within	
  MEDITECH.	
  	
  
       • PCS	
  Assessment	
  build	
  for	
  PCS	
  vital	
  and	
  fetal	
  monitoring.	
  This	
  will	
  allow	
  the	
  user	
  to	
  build	
  new	
  PCS	
  
            assessments	
  to	
  capture	
  this	
  monitoring	
  data	
  or	
  modify	
  existing	
  assessments	
  to	
  capture	
  this	
  
            information.	
  	
  
	
  
	
  
	
  
1032	
  -­‐	
  EHR	
  Implementation	
  and	
  Change	
  Theory	
  
Presenter:	
  	
  Grace	
  Franz	
  
Organization:	
  	
  Boulder	
  Community	
  Hospital,	
  Boulder,	
  Colorado	
  
Scheduled:	
  	
  Friday	
  May	
  31	
  at	
  10:00	
  am	
  
	
  
Abstract:	
  	
  Over	
  the	
  past	
  five	
  years,	
  Boulder	
  Community	
  Hospital	
  has	
  matured	
  from	
  an	
  environment	
  
where	
  IT	
  was	
  significantly	
  underutilized,	
  to	
  having	
  a	
  fully	
  functioning	
  EHR	
  for	
  nursing,	
  physicians	
  and	
  
ancillary	
  services.	
  To	
  do	
  this	
  our	
  clinicians	
  have	
  had	
  to	
  undergo	
  a	
  significant	
  amount	
  of	
  change	
  which	
  has	
  
produced	
  considerable	
  discomfort.	
  Utilizing	
  Kurt	
  Lewin’s	
  theory	
  of	
  change	
  we	
  analyze	
  where	
  we	
  have	
  
succeeded	
  and	
  where	
  our	
  opportunities	
  remain	
  for	
  the	
  future.	
  	
  
	
  
	
  
	
  
1033	
  -­‐	
  Scanning/Archiving	
  Conversion	
  
Presenter:	
  	
  Debbie	
  Mobley	
  
Organization:	
  	
  Hardin	
  Memorial	
  Hospital,	
  Elizabeth	
  Town,	
  Kentucky	
  
Scheduled:	
  	
  Friday	
  May	
  31	
  at	
  10:00	
  am	
  
	
  
Abstract:	
  	
  Hear	
  our	
  story	
  of	
  how	
  we	
  converted	
  15	
  years	
  of	
  data	
  from	
  our	
  legacy	
  scanning	
  system	
  to	
  
MEDITECH's	
  scanning	
  and	
  archiving.	
  	
  We	
  began	
  the	
  scanning	
  process	
  in	
  registration	
  in	
  November	
  2010	
  
with	
  POC	
  only.	
  	
  From	
  that	
  point	
  forward,	
  we	
  struggled	
  with	
  issues	
  around	
  conversion	
  of	
  the	
  old	
  records	
  
and	
  with	
  the	
  interfaces	
  for	
  the	
  lab	
  results	
  and	
  transcribed	
  reports	
  that	
  were	
  populating	
  our	
  legacy	
  
system.	
  	
  
	
  
Debbie	
  Mobley	
  works	
  at	
  Hardin	
  Memorial	
  Hospital	
  (a	
  Client	
  Server	
  5.6	
  site)	
  in	
  Elizabethtown,	
  KY.	
  	
  She	
  
has	
  worked	
  in	
  I.T.	
  for	
  20	
  years.	
  	
  
	
  
	
  
	
  
	
  
	
  
1034	
  -­‐	
  MEDITECH	
  Magic	
  5.64	
  POM	
  Quickscripts	
  Setup	
  
Presenter:	
  	
  Clif	
  Cunningham	
  
Organization:	
  	
  Bozeman	
  Deaconess	
  Hospital,	
  Bozeman,	
  Montana	
  
Scheduled:	
  	
  Thursday	
  May	
  30	
  at	
  1:30	
  pm	
  
	
  
Abstract:	
  	
  Join	
  us	
  for	
  insight	
  on	
  these	
  topics:	
  
Building	
  strategies	
  
     • What	
  to	
  do	
  before	
  building	
  Quickscripts	
  
                   o Concise	
  routes	
  -­‐	
  FSV	
  routes;	
  FDA	
  standards	
  for	
  Routes	
  of	
  admin	
  
                   o Concise	
  MIS	
  directions	
  	
  
     • Safe	
  directions	
  
     • Now/stat/one:	
  	
  PHA	
  Units	
  of	
  measure	
  linked	
  to	
  NCPDP	
  code;	
  Dosage	
  forms;	
  Continue	
  from	
  
           ambulatory	
  RXM	
  PG	
  4	
  mapping;	
  PHA	
  drug	
  dictionary	
  
     • How	
  much	
  to	
  build	
  where	
  to	
  start	
  
     • PHA	
  Drug	
  dictionary	
  PG	
  8	
  Defaults	
  
     • PHA	
  order	
  statistics	
  
	
  
Naming	
  
     • Default	
  capitalization	
  of	
  Quickscripts	
  
     • How	
  the	
  a	
  la	
  carte	
  med	
  and	
  fluid	
  look	
  up	
  functions	
  
     • Using	
  naming	
  conventions	
  to	
  limit	
  choices	
  on	
  lookup	
  •	
  Utilizing	
  PHA	
  IV	
  strings	
  
     • Less	
  dictionaries	
  to	
  maintain	
  
     • ML/HR	
  on	
  Piggy	
  backs	
  
	
  
Medications	
  
     • Dosing	
  –	
  MG;	
  ML;	
  ML/HR;	
  MG/KG;	
  MG/M2	
  
     • Oral	
  medications	
  -­‐	
  Other	
  GI	
  routes	
  do	
  not	
  utilize	
  PO	
  QS;	
  When	
  to	
  use	
  PG	
  2	
  
     • IVPB:	
  	
  Premix;	
  How	
  to	
  force	
  bag	
  into	
  fluid	
  spot(non-­‐premix	
  in	
  PHA);	
  Dosing;	
  Fluid	
  and	
  additive	
  -­‐	
  
           Required	
  fields	
  
	
  
Fluids	
  
     • Fluids	
  tab	
  
     • Rate	
  vs.	
  Volume	
  
     • Bolus	
  
	
  
Utilization	
  of	
  Global	
  Favorites	
  
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April 2 9 muse conference educational presentations

  • 1. 2013  International  MUSE  Conference  
  • 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  patient's  point  of   entry  to  the  hospital  system.  Diverse  tools  have  been  developed  and  implemented  by  various  outpatient   and  inpatient  units  resulting  in  redundant  data  collection,  inefficiencies  in  nursing  admitting  practices,   and  patient  and  staff  dissatisfaction.         In  an  effort  to  combat  these  outcomes,  a  multidisciplinary  task  force  convened  to  address  the  current   inefficiencies,  dissatisfaction,  and  fragmentation  of  processes  as  they  relate  to  the  patient  experience   upon  admission.     The  improvements  have  resulted  in  minimization  of  redundancy  in  data  collection  by  11  Interventions   and  up  to  124  distinct  queries.  Time  spent  documenting  patient  admitting  data  has  been  reduced   significantly.    Standardization  of  data  collection  and  documentation  has  facilitated  location  of  patient   information  in  the  EMR  by  the  entire  multidisciplinary  team.     Ann  M  Hanson  MSN,  RN  is  the  Nurse  Informaticist  at  William  W  Backus  Hospital  in  Norwich,  CT.     Learner  Outcomes:       • Participants  will  be  empowered  to  recognize  redundancies,  inefficiencies,  and  opportunities  for   improvement  of  admission  practices  at  their  respective  facilities.   • Participants  will  identify  strategies  to  improve  admission  documentation  and  practices.   • Participants  will  be  prepared  to  operationalize  strategies  to  improve  admission  documentation   and  processes.           1002  -­‐  Using  LEAN  to  Optimize  PCS   Presenter:    David  Holland   Organization:    Southern  Illinois  Health  Care,  Carbondale,  Illinois   Scheduled:    Thursday  May  30  at  2:30  pm     Abstract:    Learn  how  Southern  Illinois  Healthcare  is  using  LEAN  to  improve  its  clinical  process  and  to   optimize  its  PCS  implementation.     See  examples  on  how  we  developed  Value  Stream  Maps,  identified  waste,  and  improved  processes.     Learn  how  IT  played  an  important  part  in  helping  clinical  staff  understand  how  workflows  and  system   flows  interact  and  impact  each  other.    
  • 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. Presenters:    Marilyn  Sanli  and  Liza  Zeljeznjak   Organization:    Hamilton  Health  Sciences  Corporation,  Hamilton,  Ontario   Scheduled:    Wednesday  May  29  at  1:30  pm     Abstract:    Hamilton  Health  Sciences,  an  academic  hospital,  continues  to  successfully  implement  an  inter-­‐ professional  electronic  health  record  across  five  sites.    Lessons  learned  over  the  last  three  years  have  led   to  the  development  of  a  four  phased  implementation  plan.  Our  iterative  approach  combines  integration   of  clinical  standards,  quality  improvement,  project  management,  and  change  management   methodologies.  Emphasis  on  the  initiation  and  evaluation  phases  has  resulted  in  more  engaged   leadership  and  clinician  participation  in  adoption  of  electronic  documentation.     Creating  inter-­‐professional  working  groups  of  front-­‐line  clinicians,  clinical  leadership  and  practice   specialists  enabled  the  groups  to  evaluate,  change  and  re-­‐evaluate    their  clinical  practice   (documentation  and  processes)    based  on  best  practice  and  documentation  standards,  prior  to  the   conversion    to  electronic  documentation.  Inclusion  of  Deming’s  quality  cycle  (PDSA)  and  change   management  strategies  has  been  crucial  in  helping  clinicians  transition  these  significant  changes  into   their  practice.  Realizing  these  initiatives  before  implementation  and  continually  assessing  and  reviewing   the  requirements  after  the  implementation  has  maximized  adoption  and  streamlined  processes  to   integrate  into  nursing  and  allied  professional  best  practices  and  documentation  standards.           Converting  a  multi-­‐site  MEDITECH  hospital  from  paper  to  electronic  documentation  is  more  than  just   flipping  a  switch.    The  presentation  will  detail  the  key  components  of  the  implementation  –  clinical   documentation  standards  and  practices,  project  management  methodology,  quality  improvement   initiatives,  and  change  management  strategies  incorporated  in  the  early  and  post-­‐live  phases  of   implementation  which  have  resulted  in  greater  positive  outcomes  at  Hamilton  Health  Sciences.     Marilyn  Sanli,  BSc,  PMP  is  the  Project  Manager,  Clinical  Informatics  Projects.  Prior  to  moving  into  the   project  management  field,  Marilyn  was  a  systems  analyst  supporting  MEDITECH  and  other  vendor   applications.  In  additional  to  electronic  clinical  documentation,  Marilyn  is  currently  the  project  manager   for  a  variety  of  MEDITECH  initiatives  including  the  implementation  of  POM,  PCM,  NUR,  TAR,  BMV,  and   the  electronic  MAR.     Liza  Zeljeznjak,  RN,  BScN,  CNCC(C)  is  a  Clinical  Informatics  Specialist.  Lisa  is  a  Registered  Nurse  currently   working  in  Clinical  Informatics.  She  is  part  of  the  inter-­‐professional  team  that  is  converting  the  hospital   from  paper  to  electronic.  She  is  responsible  for  the  planning,  implementation  and  maintenance  of   MEDITECH  NUR  application.  Prior  to  Clinical  Informatics,  Lisa  was  a  front  line  clinician  specializing  in   Neuro/Trauma  Critical  Care.       Learner  Outcomes:       • To  understand  the  necessity  of  documentation  standards  and  impact  of  documentation   workflow  processes  on  the  implementation  of  an  electronic  health  record   • To  understand  the  importance  of  project,  quality  and  change  management  strategies  in  the   successful  conversion  of  paper  to  electronic  documentation.   • To  understand  the  four  key  components  to  implementation  and  how  to  utilize  them  for  the   implementation  of  the  electronic  health  record.     1005  -­‐  Using  What  You've  Got  to  Get  What  You  Want   Presenter:    Tammy  Burke  
  • 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  you've  got  to  get  what  you   want!     Tammy  Burke  is  a  Clinical  Informatics  Specialist  and  Registered  Respiratory  Therapist  that  has  been   assisting  physicians  with  Computerized  Order  Entry  for  three  years.  Tammy  was  a  Respiratory  Therapist   at  the  bedside  for  18  years  when  she  decided  to  try  to  affect  patient  care  on  a  more  global  level.  She  has   realized  that  taking  care  of  the  whole  patient  is  not  just  dependent  upon  care  at  the  bedside.  Tammy   believes  “To  truly  do  what  is  best  for  the  patient,  requires  evidence  based  and  quality  measures  in   patient  care.  Hardwiring  excellence  in  patient  care  takes  an  incredible  amount  of  ‘behind  the  scenes’   work.”     Learner  Outcomes:       • Creating  effective  smart  rules  for  accurate  results  by  utilizing  multi-­‐disciplinary  participants  to   evaluate  each  rule.   • Creating  meaningful  rules  that  will  impact  the  care  of  the  patient  by  assisting  the  physicians  and   users  at  the  time  of  order.   • Avoid  excessive  rules  to  eliminate  pop  up  fatigue  and  avoidance  of  alerts.                       1006  -­‐  To  Boldly  Go  Where  No  Documentation  Has  Gone  Before   Presenters:    Chris  Burke  and  Diane  Folsom   Organization:    Boulder  Community  Hospital,  Boulder,  Colorado   Scheduled:    Thursday  May  30  at  3:30  pm  
  • 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.   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. 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. 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. Abstract:    Centura  Health  embarked  on  a  journey  to  include  the  Oncology  Clinics  into  the  Electronic   Health  Record.    MEDITECH  is  used  extensively  in  Centura  Health’s  fourteen  facilities  and  over  70   physician  practices.    With  the  use  of  Maestro,  we  also  have  Home  Health  information  as  part  of  the   EMR.    MEDITECH’s  Oncology  was  our  logical  choice  to  ensure  that  the  patient’s  information  flows   appropriately  no  matter  where  the  patient  visits  within  our  facilities  (we  have  ONE  database).    Many   challenges  were  encountered  as  we  progressed  on  our  journey,  but  with  a  joint  effort  with  our  clinic   personnel,  our  IT  Analysts,  and  MEDITECH,  our  journey  is  leading  to  a  very  special  place  and  will  greatly   enhance  the  oncology  process  for  our  patients.    Please  join  us  to  see  where  we  are  on  this  journey  and   what  it  takes  to  truly  put  a  program  like  this  in  place.    It  is  an  exciting  journey  that  we  want  to  share  with   you.     Jeff  Madison  RPh,  PharmD  has  worked  as  a  clinical  pharmacist  for  23  years.    In  1998  he  initiated  a   specialized  oncology  pharmacy  practice  for  Centura  Health  Porter  Adventist  Hospital.    The  practice  has   since  grown  to  become  a  comprehensive  service  for  three  outpatient  cancer  care  centers,  in  addition  to   Porter's  inpatient  and  infusion  center.    Oncology  pharmacists  at  Porter  provide  consulting  for   chemotherapy  order  review,  pain  management,  parenteral  nutrition,  antibiotic  management,  and   palliative  care.  Since  2005  Jeff  has  also  served  as  Porter's  IT  pharmacist  and  participates  in  a  14-­‐hospital   pharmacist  project  team  for  MEDITECH  users.    Jeff  has  been  actively  involved  in  the  implementation  of   CPOE  processes  statewide,  since  2011.     Robert  Shea  is  a  Registered  Nurse,  involved  in  Oncology  since  1995  when  he  cared  for  Oncology   Inpatients.    He  then  assisted  with  the  development  of  an  Infusion  Center  for  two  different  facilities.    In   2002,  he  was  recruited  to  work  as  an  Oncology  Nurse  at  one  of  Centura  Health’s  physician  oncology   practices  and  has  maintained  that  position  as  one  of  the  lead  Oncology  Nurses.    He  is  actively  involved  in   the  development  of  the  Oncology  Application  for  Centura  Health  Oncology  practices  as  a  member  of  the   ONC  Core  Team.       Erika  Anderson  RN,  BSN,  CRNI  has  worked  in  healthcare  for  17  years.    The  last  10  years  has  been  with   Centura  Health  at  Porter  Adventist  Hospital  in  Denver,  Colorado  as  RN,  IV  Therapy  Manager  and  Clinical   Informatics  Specialist.    Erika  has  been  part  of  the  project  team  assisting  with  the  standardization,  design,   build  and  implementation  of  the  organization’s  Electronic  Health  Record  since  we  began  the  MEDITECH   journey  in  2005,  including  being  actively  involved  in  the  Oncology  application  implementation.    Erika  has   provided  presentations  at  her  facility,  MUSE,  HCAC  and  RMC/INS.           Jean  Olsen,  RN,  BSN  after,  working  for  25  years  within  the  clinical  arena  of  healthcare,  began   implementing  the  Electronic  Health  Record  nearly  20  years  ago.    During  this  time  frame  her  focus  has   been  on  Project  Management  of  implementations  for  Health  Care  organizations  throughout  the  United   States.    For  the  past  4  years,  she  has  been  employed  with  Centura  Health  as  a  Program  Manager  with  an   emphasis  on  MEDITECH  implementations  and  upgrades.    The  Oncology  implementation  is  one  of  the   projects  she  is  currently  leading  for  Centura.    Jean  has  provided  numerous  presentations  at  MEDITECH   and  MUSE  events  and  is  currently  on  the  Board  of  Directors  for  MUSE.     Deb  Gardner,  RN,  BSN  has  30  years  of  healthcare  experience,  the  last  15  years  being  in  Healthcare  IT.   Deb  is  a  Senior  Clinical  Analyst  and  has  worked  with  McKesson  Care  Manager,  CPSI  and  for  the  last  seven   years,  MEDITECH.  She  has  project  managed,  implemented,  and  supported  PCS,  EDM,  ORM,  OE,  CPOE,   PCM/PWM,  RXM,  NPR  and  Iatric’s  Visual  Flowsheet  as  well  as  supported  PHA,  Lab  modules  in  MEDITECH   C/S  .  Deb  is  currently  working  with  Centura  Health  to  help  build  and  implement  MEDITECH’s  Oncology   Module.  
  • 11.       1013  -­‐  CPOE  Training  –  It's  All  About  Logistics   Presenter:    Nancy  Stimson   Organization:    Centura  Health,  Englewood,  Colorado   Scheduled:    Thursday  May  30  at  2:30  pm     Abstract:    This  presentation  will  cover  how  to  set  up  CPOE  training  for  providers  and  hospital  end-­‐users   including:    personnel,  content,  space  and  engagement.     Topics  include:   • Determining  the  logistics  of  a  CPOE  training  program  including  training  space  needs,  who  should   attend,  duration  of  training,  etc.   • Determining  best  means  of  sign  up  for  classes  (internal  vs.  external  websites)     • Developing  course  content   • Determining  who  will  be  trainers  and  proctors   • Tracking  sign  ups  and  attendance   • How  to  engage  physicians  (carrot  and  stick  approaches)     Nancy  Stimson,  RN,  BSN  is  the  Director  of  CPOE  training  for  the  Denver  North  Operating  Group  of   Centura  Health  in  Denver,  CO.    She  has  been  the  training  champion  for  CPOE  and  assisted  with  the   implementation  of  CPOE  in  five  hospitals  in  a  12-­‐month  time  frame.             1014  -­‐  From  Zero  to  Sixty  (Percent)…  and  Beyond:    Rapidly  Ramping  up  Voluntary  Physician   Adoption  of  CPOE     Presenter:    Thomas  Kniss   Organization:    Community  Memorial  Health  System,  Ventura,  California   Scheduled:    Thursday  May  30  at  10:00  am     Abstract:    Every  hospital  IT  executive  shares  the  same,  often-­‐elusive  goals:    to  dramatically  increase  both   physician  adoption  of  CPOE  (and  other  EHR-­‐related  technologies)  and  physician  satisfaction.  Contrary  to   what  some  people  believe,  these  goals  are  not  mutually  exclusive.  In  reality,  both  are  pre-­‐requisites  for   improving  patient  care  and  safety,  decreasing  the  cost  of  delivery  (increase  value),  and  demonstrating   Meaningful  Use  (and  securing  related  incentive  payments).     Community  Memorial  Health  System  (CMHS),  in  Ventura,  California,  will  describe  how  it  is   accomplishing  these  goals  with  its  physicians  on  a  voluntary  basis,  without  heavy-­‐handed  mandates.   CMHS’s  IT  approach  centers  on  using  MEDITECH  Client/Server  to  meet  the  hospitals’  operational  needs,   in  combination  with  a  third-­‐party,  physician-­‐facing  front-­‐end  system  to  drive  voluntary  physician   adoption.  CHMS’s  physician  front-­‐end  system  presents  patient  data  and  streamlines  various  physician   workflows  (order  entry,  documentation,  sign-­‐out)  in  a  manner  that  is  winning  the  hearts  and  minds  of   CMHS’s  500+  physicians,  all  of  whom  are  independent  affiliates.  
  • 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  Couldn't  Do  Without   Presenter:    Regina  Davison   Organization:    Murray-­‐Calloway  County  Hospital,  Murray,  Kentucky   Scheduled:    Wednesday  May  29  at  1:30  pm     Abstract:    Join  us  for  a  presentation  of  various  NPR  reports  written  from  the  BAR,  PBR,  and  ADM   modules.  These  reports  include  some  that  are  used  for  exporting  data  to  other  vendors  and/or  auditors   on  an  'as  needed'  or  daily  basis.    Our  facility  used  NPR  to  create  our  own  patient  labels,  bar-­‐coded   labels,  requisitions,  and  so  on  from  the  very  beginning  of  our  MEDITECH  go-­‐live  in  2002.    All  the  reports   are  available  for  you  to  use!     Murray-­‐Calloway  County  Hospital  has  met  Medicare  and  Medicaid  Stage  1  requirements  and  has  been   live  with  CPOE  since  April,  2012  and  currently  maintains  a  96%  CPOE  rate  with  inpatient  orders.  The   hospital  is  also  a  participant  in  the  Kentucky  Health  Information  Exchange,  where  it  was  a  recipient  of   the  KY  Pioneer  Award  in  Sept  2011,  for  being  one  of  the  first  participants  of  the  program.     Regina  Davison  is  currently  the  Manager  of  Information  Technology  at  Murray-­‐Calloway  County  Hospital   located  in  Murray,  KY.  She  started  her  career  with  the  hospital  in  October,  1996  as  an  entry  level   programmer,  having  completed  her  associate  degree,  with  honors  in  Computer  Information  Systems.     The  hospital  migrated  from  their  ‘home  grown’  system  in  2002,  switching  over  to  a  full  MEDITECH  Client   Server  HCIS.     During  the  implementation  and  conversion  period,  Regina  was  responsible  for  not  only  the  build  of  many   dictionaries  on  the  MEDITECH  side  (MIS/ADM/PP/AP/MM),  but  was  also  very  involved  in  building   conversion  files  off  of  the  old  system.    It  was  also  during  this  time  that  she  used  her  very  basic  NPR  skills   to  build  reports  and  forms  for  MEDITECH,  including  Admission  forms,  vendor  export  files,  and  so  on.  
  • 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  Children's  Health  Care  System,  Fort  Worth,  Texas   Scheduled:    Thursday  May  30  at  2:30  pm     Abstract:    Many  hospitals  have  implemented  Bar  Code  Medication  Administration  (BMV)  in  the  inpatient   setting  but  have  shied  away  from  implementing  in  the  emergency  department  (ED).  The  rapid  pace,  high   patient  volumes,  and  the  mobility  of  patients  add  to  the  challenges  and  complexity  of  BMV  in  this   setting.  Rapid  patient  throughput  is  essential  to  every  ED  since  the  next  patient  to  enter  the  door  may   require  immediate  treatment.  However,  BMV  in  the  ED  can  be  successful  with  careful  planning.       A  non-­‐profit  pediatric  medical  center  with  an  ED  volume  of  nearly  120,000  patients  per  year  chose  to   employ  BMV  while  simultaneously  introducing  the  electronic  health  record.       This  session  discusses  the  challenges  that  are  unique  to  implementing  BMV  in  an  ED  as  well  as  those   lessons  learned  from  BMV  in  the  inpatient  setting.  In  addition,  discussion  covers  specific  strategies  used   including  equipment,  maximizing  the  efficiency  of  the  BMV  process,  and  changes  in  pharmacy   processes.       Objectives:   1. Describe  three  reasons  why  BMV  in  the  ED  is  challenging   2. Discuss  two  helpful  lessons  learned  from  the  inpatient  setting     3. Describe  three  strategies  used  to  successfully  implement  BMV  in  the  ED         Outline:   • Challenges:    Patient;  Physical;  Equipment;  Pharmacy;  Tight  Time-­‐frame;  Staff   • Overcoming  the  Challenges:    Using  lessons  from  the  inpatient  implementation;  Equipment;   Interface  Solutions;  Populating  the  medication  on  the  eMAR,  and  when  to  use  each  one;   Pharmacy   • Conclusion:    BMV  Team;  Scan  rates   • Q&A     Nancy  Russell,  RN-­‐BC,  MS,  CPN  has  been  in  pediatric  nursing  for  32  years  with  the  last  12  years  in  nursing   informatics  at  Cook  Children’s  Health  Care  System  in  Fort  Worth,  Texas.  She  received  her  Master’s  in   Nursing  Leadership  from  Regis  University  in  2007.    Nancy  presented  at  the  2012  ANIA  Conference  and   2012  unSummit  on  BCMA  implementation.  In  addition,  Nancy  has  displayed  poster  presentations  at   several  Children’s  Hospital  Association  of  Texas  annual  conferences,  and  won  the  People’s  Choice  First   Runner-­‐Up  award  for  her  poster  presentation  of  Hand-­‐off  Communication  at  the  2010  ANIA  conference.    
  • 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. 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. Abstract:    Accurately  managing  employee  access  within  MEDITECH  alone  can  be  resource  intensive,  but   when  you  add  all  of  the  other  software  used  in  an  organization  and  throw  in  non-­‐employed  users  the   issue  becomes  very  complex,  and  full  of  risk.    At  this  presentation  you  will  learn  some  of  the  tricks  that   Citizens  Memorial  uses  to  manage  users  and  minimize  risk  in  an  ever  changing  environment  including   the  following:  profiles  access  assigned  based  upon  an  employee’s  contract  in  the  HR  module,  expiration   dates,  and  use  of  the  credential  field  to  validate  that  a  Business  Associate  Agreement  (BAA)  is  on  file  for   non-­‐employed  users,  review  of  reports  used  for  monitoring  compliance  and  account  management   procedures.    Citizens  Memorial  will  also  share  the  vision  and  current  state  of  automated,  centralized   account  management  procedures.     Kim  Tilley  serves  as  the  Healthcare  Information  Systems  Manager  and  HIPAA  Security  Officer  for  Citizens   Memorial  Hospital,  CMH.    In  1997  she  began  her  career  at  CMH  in  the  revenue  cycle  arena,  and  in  2004   she  joined  the  Information  Systems  team  and  supported  the  revenue  cycle  applications.    In  2007  she   assumed  her  current  role.    Kim  earned  a  Bachelor  of  Social  Work  from  Missouri  State  University  in  2002,   a  Master  of  Business  Administration  from  Southwest  Baptist  University  in  2006,  and  became  a  Certified   Professional  in  Healthcare  Information  and  Management  Systems,  CPHIMS,  in  2010.         1021  -­‐  Cherry  Pick  Your  PDOC  Starting  Point  –  PDOC  in  the  Family  Birth  Place  Unit   Presenter:    Ruth  Swanson   Organization:    Swedish  American  Health  System,  Rockford,  Illinois   Scheduled:    Friday  May  31  at  11:00  am     Abstract:    This  session  will  focus  on  our  initial  PDOC  rollout  to  the  Family  Birth  Place  Unit.  Learn  how  we   engaged  our  OB  and  Peds  providers  to  develop  content  for  nine  templates.  See  the  process  we  followed   for  building  the  templates,  and  working  with  the  Quality,  HIMS,  Clinical  Informatics,  and  Coding   departments  to  get  their  input.  See  if  our  on-­‐line  training  module  and  support  process  could  be  helpful   in  your  institution.     Ruth  Swanson  RN  MS  is  an  Application  Analyst  at  Swedish  American  Health  System  in  Rockford  IL.  She   has  been  with  the  Information  Systems  department  for  18  years  and  has  supported  a  variety  of  systems   including  iDX,  Epic  and  most  recently,  MEDITECH,  for  the  past  three  years.  Ruth  is  the  Project  Manager   for  the  PDOC  implementation.     Learner  Outcomes:       • The  learner  will  identify  tips  and  tricks  to  engage  physicians  so  they  want  to  be  a  part  of  the   PDOC  project.  They  will  learn  how  effective  physician  meetings  can  be  facilitated  for  gathering   PDOC  content.   • The  learner  will  identify  key  departments  to  involve  during  PDOC  development.  Hospital   departments  such  as  Clinical  Informatics,  Nursing,  Quality,  HIMS,  and  Coding  offer  valuable   input  that  strengthens  the  provider  documentation  tool.   • The  learner  will  learn  how  on-­‐line  training  can  be  beneficial  to  getting  providers  to  attend   training  sessions  as  well  as  make  the  classroom  trainer's  job  easier.  Using  the  existing  health   system  on-­‐line  training  program  to  gain  access  to  the  Capture  Point  and  Content  Point  software   provides  familiarity  and  consistency  for  provider  training.      
  • 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. Post  go-­‐live  needs  /  next  steps     This  presentation  will  provide  useful  information  for:   • Hospital  and  ED  leaders   • Informatics  personnel  and  Project  Managers   • Nurses/Pharmacists   • Educators   • IT  Analysts    -­‐  PCS,  EDM,  ORM,  OE,  Pharmacy  modules   • IT  entity/support  personnel     Please  join  us  for  the  “scoop”  on  things  to  consider  when  starting  your  BCMA  project.     Ladies  and  gentlemen,  start  your  scanners  …     Anne  Corbett,  RN  MSN  has  been  an  ED  nurse  and  nursing  educator  for  over  14  years.  Anne  is  currently  an   IT  Training  Specialist  for  Centura  Health  in  Colorado.    She  has  been  involved  in  the  development  of  the   EHR  project  with  Centura  since  2007,  and  specializes  in  MEDITECH  EDM.     Jennifer  Alexander,  RN  is  a  Clinical  Informatics  Specialist  at  Porter  Adventist  hospital  in  Denver,  CO.  She   has  been  involved  in  the  standardization  and  development  of  the  EHR  project  with  Centura  Health  since   2006.     Learner  Outcomes:       • Learners  will  hear  a  step-­‐by-­‐step  chronology  of  an  eMAR  conversion  and  concurrent  BCMA   implementation  in  multiple  ED  settings.  Discussion  will  include  timelines,  goal-­‐setting,  resource   allocation,  and  change  management  in  large  and  small  ED's  and  the  Urgent  Care  setting.     Takeaways  from  Centura's  project  may  assist  learners  in  determining  strategies  for  their  own   BCMA  implementation.   • Identify  training  strategies  for  BCMA  implementation  in  the  ED.    Learners  will  be  exposed  to   Trainer/Superuser  and  classroom  vs.  on-­‐the-­‐spot  models  of  training,  and  hear  the  pros/cons  of   each  and  how  to  identify  key  resources  needed  for  training.       • Identify  obstacles  to  implementing  BCMA  in  the  Emergency  Department,  and  strategies  to   overcome  these  issues.  Learners  will  hear  about  key  stakeholder  identification  and  types  of   discussions  that  are  vital  to  the  planning  stages  of  BCMA  implementation.             1025  -­‐  Interface,  Integrate,  Innovate!   Presenter:    Sherry  Montileone   Organization:    Citizens  Memorial  Hospital,  Bolivar,  Missouri   Scheduled:    Friday  May  31  at  10:00  am     Abstract:    At  Citizens  Memorial  Hospital,  our  goal  is  to  provide  the  most  efficient  EMR  possible.    We   believe  that  if  you  make  the  system  the  "one  stop  shop"  for  data  -­‐  people  will  use  it.         Come  to  this  session  to  learn:  
  • 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  Colorado's  largest  health  care  provider  as  they  teamed  with   MEDITECH  to  overcome  obstacles  and  maintain  performance  for  their  13  acute  facilities  on  a  single   database  system.  Centura  Health's  key  performance  challenges  and  solutions  will  be  presented  in  detail   focusing  on  infrastructure  and  performance/tuning/monitoring  for  the  MEDITECH  environment.     Tony  Forkes  has  worked  for  Centura  for  over  25  years  in  various  technical  roles  and  managed  the   MEDITECH  MIS  team  at  Centura  Health  since  MEDITECH  was  implemented  in  2006.     Ken  Spaeth  has  served  Centura  in  many  technical  roles  and  is  currently  part  of  the  Performance  and   Capacity  Planning  team  at  Centura  Health.       1027  -­‐  CPOE/PDOC  Project  and  Metrics   Presenters:    Scott  Hearan  and  Scott  Ellner   Organization:    Hospital  Sisters  Health  System,  Springfield,  Illinois   Scheduled:    Thursday  May  30  at  3:30  pm     Abstract:    As  we  developed  the  CPOE/PDOC  Project  and  prepared  for  Go  Live  across  10  facilities,  metrics   became  a  component  of  the  project  for  measuring  success.    Come  see  and  learn  about  the  governance  
  • 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  
  • 21. and  avoid  the  need  to  rework  processes  later.  We  will  look  at  the  MEDITECH  Outreach  Module  and  how   it  can  work  with  the  various  parts  of  outreach,  such  as;  logistics,  ordering,  processing,  testing,  reporting,   billing,  customer  services  and  marketing.  A  successful  outreach  program  will  have  a  plan  on  how  to   handle  all  of  these  functions.     Wanda  Schroeder  has  worked  in  health  care  for  31  years.    She  has  worked  for  Centura  Health  and   affiliates  for  the  last  18  years  and  in  IT  for  the  last  12  years.  Prior  to  Centura  Health  she  worked  for  a   Commercial  Laboratory  for  13  years;  for  the  last  six  years  she  has  worked  as  a  MEDITECH  LIS  analyst.             1030  -­‐  Documentation  of  Labor  and  Delivery  in  a  MEDITECH  World   Presenter:    Kathy  Hawkins   Organization:    Stillwater  Medical  Center,  Stillwater,  Oklahoma   Scheduled:    Wednesday  May  29  at  2:30  pm     Abstract:    The  process  of  transition  from  documenting  Labor  &  Delivery  on  fetal  monitor  and  paper  to   documenting  in  MEDITECH  PCS  has  proved  to  be  an  ongoing  process.    From  equipment  needed  to   documentation,  the  process  required  planning  and  a  lot  of  buy-­‐in  from  staff.    A  discussion  on  who,  how,   and  what  helped  achieve  successes  will  be  presented  along  with  a  look  at  some  continuing  issues  for  the   future.         Kathy  Hawkins  is  an  RN  with  20  years  of  experience  in  ICU,  ED,  and  Cardiac  care.  She  has  been  an  IT   Analyst  for  four  years  in  5.65  CS  MEDITECH,  and  has  experience  with  PCS,  OE,  MRI,  and  ITS.     Learner  Outcomes:       • Identify  solutions  for  documenting  on  more  than  one  fetus  during  Labor  and  Delivery.  The   learner  will  be  able  to  explore  current  solutions  available  and  develop  ones  specific  to  their   facility.   • Explore  the  importance  of  available  equipment  for  the  documentation  process.    Look  at  what  is   currently  available  and  what  will  met  the  need  for  ongoing  documentation.   • Look  at  continuing  issues  in  this  process  as  new  and  restructured  processes,  such  as  CPOE,   PDOC,  &  Order  Entry,  are  implemented.    Examine  how  these  affect  the  current  work  flow  and   documentation  process  of  nursing.             1031  -­‐  Monitoring  Integration  with  MEDITECH   Presenter:    Becky  Blevins   Organization:    Ephraim  McDowell  Regional  Hospital,  Danville,  Kentucky   Scheduled:    Thursday  May  30  at  1:30  pm     Abstract:    Are  you  tired  of  working  in  a  data  silo?  Is  your  nursing  staff  required  to  manually  document   clinical  data  from  an  external  system  or  external  monitor  into  MEDITECH?  Want  to  improve  your  patient  
  • 22. safety  and  data  integrity?  This  presentation  will  detail  the  steps  for  the  use  of  MEDITECH’s  external   source  monitoring  to  integrate  data  from  vital  sign  monitors  as  well  as  fetal  monitors  into  MEDITECH's   PCS  module.  This  delivers  time  savings  to  nurses  and  other  clinicians  by  eliminating  tedious  processes   and  making  critical  data  readily  available  for  patient  care.     Becky  Blevins  is  project  manager  for  Information  Services  Department  at  Ephraim  McDowell  Health,  a   multi-­‐hospital  health  system,  located  in  central  Kentucky.  She  specializes  in  interfacing  (both  point  to   point  and  through  an  interface  engine)  various  clinical  systems  to  MEDITECH  Client  Server  including   Philips  cardiac  monitoring,  AGFA  radiology  and  cardiology  (Heartlab)  PACs,  and  Philips  OB  TraceVue.     Becky  also  specializes  in  interfacing  outbound  lab,  radiology,  pathology,  and  dictated  results  from   MEDITECH  Client  Server  to  various  physician  office  EMR  products  including  Allscripts,  Meridian,  Varian,   GE  Centricity,  and  the  Kentucky  Health  Information  Exchange.       Learner  Outcomes:   • NMI  and  PCS  set  up  parameters  for  "monitor"  interface.  This  information  will  allow  the  user  to   appropriately  request  MEDITECH  set  up  parameters  for  time  out  and  data  retrieval  in  order  to   query  for  monitoring  results.     • Query  build  for  both  the  external  source  monitor  as  well  as  for  PCS  assessments.  This  will  allow   the  user  to  appropriately  build  the  necessary  group  response  queries  as  place  holders  in   addition  to  the  assessment  queries  that  will  capture  the  monitoring  values  within  MEDITECH.     • PCS  Assessment  build  for  PCS  vital  and  fetal  monitoring.  This  will  allow  the  user  to  build  new  PCS   assessments  to  capture  this  monitoring  data  or  modify  existing  assessments  to  capture  this   information.           1032  -­‐  EHR  Implementation  and  Change  Theory   Presenter:    Grace  Franz   Organization:    Boulder  Community  Hospital,  Boulder,  Colorado   Scheduled:    Friday  May  31  at  10:00  am     Abstract:    Over  the  past  five  years,  Boulder  Community  Hospital  has  matured  from  an  environment   where  IT  was  significantly  underutilized,  to  having  a  fully  functioning  EHR  for  nursing,  physicians  and   ancillary  services.  To  do  this  our  clinicians  have  had  to  undergo  a  significant  amount  of  change  which  has   produced  considerable  discomfort.  Utilizing  Kurt  Lewin’s  theory  of  change  we  analyze  where  we  have   succeeded  and  where  our  opportunities  remain  for  the  future.           1033  -­‐  Scanning/Archiving  Conversion   Presenter:    Debbie  Mobley   Organization:    Hardin  Memorial  Hospital,  Elizabeth  Town,  Kentucky   Scheduled:    Friday  May  31  at  10:00  am     Abstract:    Hear  our  story  of  how  we  converted  15  years  of  data  from  our  legacy  scanning  system  to   MEDITECH's  scanning  and  archiving.    We  began  the  scanning  process  in  registration  in  November  2010  
  • 23. with  POC  only.    From  that  point  forward,  we  struggled  with  issues  around  conversion  of  the  old  records   and  with  the  interfaces  for  the  lab  results  and  transcribed  reports  that  were  populating  our  legacy   system.       Debbie  Mobley  works  at  Hardin  Memorial  Hospital  (a  Client  Server  5.6  site)  in  Elizabethtown,  KY.    She   has  worked  in  I.T.  for  20  years.               1034  -­‐  MEDITECH  Magic  5.64  POM  Quickscripts  Setup   Presenter:    Clif  Cunningham   Organization:    Bozeman  Deaconess  Hospital,  Bozeman,  Montana   Scheduled:    Thursday  May  30  at  1:30  pm     Abstract:    Join  us  for  insight  on  these  topics:   Building  strategies   • What  to  do  before  building  Quickscripts   o Concise  routes  -­‐  FSV  routes;  FDA  standards  for  Routes  of  admin   o Concise  MIS  directions     • Safe  directions   • Now/stat/one:    PHA  Units  of  measure  linked  to  NCPDP  code;  Dosage  forms;  Continue  from   ambulatory  RXM  PG  4  mapping;  PHA  drug  dictionary   • How  much  to  build  where  to  start   • PHA  Drug  dictionary  PG  8  Defaults   • PHA  order  statistics     Naming   • Default  capitalization  of  Quickscripts   • How  the  a  la  carte  med  and  fluid  look  up  functions   • Using  naming  conventions  to  limit  choices  on  lookup  •  Utilizing  PHA  IV  strings   • Less  dictionaries  to  maintain   • ML/HR  on  Piggy  backs     Medications   • Dosing  –  MG;  ML;  ML/HR;  MG/KG;  MG/M2   • Oral  medications  -­‐  Other  GI  routes  do  not  utilize  PO  QS;  When  to  use  PG  2   • IVPB:    Premix;  How  to  force  bag  into  fluid  spot(non-­‐premix  in  PHA);  Dosing;  Fluid  and  additive  -­‐   Required  fields     Fluids   • Fluids  tab   • Rate  vs.  Volume   • Bolus     Utilization  of  Global  Favorites