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101 - MEDITECH 6.0 Conversion The Whole Story

Markham Stouffville Hospital recently completed their migration from Magic to the MEDITECH 6.0 platform. As one of the early MEDITECH customers to migrate to M6.0 and as the first Canadian migration site, there were many unique challenges. We would like to share our experience, and many of the lessons learned, both from an overall project perspective, and with all our MEDITECH modules. The first group session will discuss the internal approval process, the project plan, staffing, training and education, and common MIS topics (dictionaries, user setup, access, faxing, printers and interfaces). This will be followed by four concurrent sessions: Financial, Clinical, Ancillary and Administrative. These sessions will examine in detail the challenges and successes, on a module by module basis. IT professionals and department key users will share the lessons learned during the migration process. Issues unique to Canada will be highlighted. Come and learn what it was like. With strong corporate support and a well-executed plan, we not only survived MEDITECH 6.0, but are thriving, and are now well positioned to move forward on a number of key advanced clinical initiatives. Morning Session Topics will include Project Planning, Process, MOX Retirement, and MIS common issues (Dictionaries, User Profiles, Printing, Interfaces, Reports, etc.) Presenters: Tim Pemberton, Director Information Technology Sharon Avey, Manager Clinical Informatics Diana Gould, Database Administrator & IT Technical Team Lead for MEDITECH 6.0 Project Rick Lambert, Systems Integration Consultant Shirley Malarenko, GRA Consultants

Afternoon Sessions (concurrent) 101A - Financial Presenters: Helena Vilan, Applications Consultant - Financials Christina Hazell, Decision Support Analyst and Finance team lead for MEDITECH 6.0 Project 101B - Clinicals (OM, PCM, PCS) Presenters: Barb Cluett, Applications Consultant OM and PCM Shirley Malarenko, GRA Consultants 101C - Ancillary (Lab, ITS, Pharmacy) Presenters: Mee Mee Low Sin, Applications Consultant ITS, Lab, and CWS Kim Haley, Systems Integration Consultant and ITS Team Lead for MEDITECH 6.0 Project Clay Antliff, Applications Consultant - Pharmacy Ted Caton, GRA Consultants 101D - Administrative (ADM, CWS, HIM, SCA) Presenters: Kathy Mickeler, Applications Consultant Donna Koster, Data Quality Analyst Health Records and HIM Team Lead for MEDITECH 6.0 Project

102 - Transfer of Knowledge for the MEDITECH Learner

Presenter: Donna Wells RN BScN Organization: Beacon Partners Abstract: This presentation will include an overview of the composition of adult learners as well as adult learning principles and styles in relation to the training on the MEDITECH HIS as effective and successful transfer of knowledge when working with adults is challenging; not everyone learns in the same manner. The exchange of knowledge and information is different at each level and department requiring the educator to understand the requirements and how to deliver what is needed. With the use of theory based material and group exercises, critical reflection of those in attendance will identify what type of adult learner they are. Transformational leadership qualities and requirements will be presented in order to support the transfer of knowledge within the workplace setting at the various levels. The presentation will also include the creation of an optimum learning environment with the opportunity to discuss and develop formalized plans as to the layout for various scenarios. Instructional strategies for the visual, auditory and kinesthetic learner will be dependent upon the learning style. Clinical, financial and administrative expertise presents itself in various levels within a

work environment as does the associated learning. Outcomes of learning the MEIDTECH HIS will depend on the learning level of competence as well as choice to: Individual vs. small groups Types of materials and resources for the specific scenario Level of difficulty Style of presentation of knowledge transfer Donna Wells RN BScN, Consultant, Beacon Partners, has 25 years of healthcare experience with a primary focus in the clinical area. She has practical and technical experience with multiple MEDITECH applications which includes implementing and supporting the MEDITECH clinical system. Building, implementation and upgrading of the Emergency Department Management (EDM) module, Ministry of Health and Long Term-Care initiative Health Outcomes for Better Information and Care (HOBIC) in addition to Version 2 Allergies, had working with nurses, physicians, allied health and the various levels of management lead to successful project outcomes. Effective identification of optimal nursing practice, workflow and translating procedures within the MEDITECH Nursing (NUR) application supported the necessary transfer of knowledge within an organization working with various versions of MEDITECH. Ms. Wells recently completed her BScN at Ryerson University in Toronto. Her interest in the transfer of knowledge to the adult learner has led her to the application of her studies to those learning, working, teaching and utilizing the MEDITECH system.

103 - The Flow to EHR Meaningful Use Mapping, Analysis and Design of Clinical Care Processes

Presenters: Catherine Renwick and Charlene Pickles Organization: Healthtech Consultants Abstract: The implementation of electronic health records (EHR) can result in a clinical transformation, improved patient safety and clinical outcomes, increased efficiencies and optimal resource utilization. However, widespread adoption and deep uptake has been sluggish. As clinical best practice continues its migration to interdisciplinary care, based on access to patient information and shared clinical pathways, the availability of an integrated and complete EHR has become increasingly critical. Healthcare organizations are motivated to demonstrate meaningful use of EHRs, specifically: 1) utilizing them in a substantial way, 2) exchanging health information to improve the quality of care delivery and 3) to report on clinical measures and outcomes. Methodical mapping and analysis of the flow of work, clinicians and information coupled with a deep contextual analysis of the patient journey are foundational to successful EHR planning, implementation and adoption/uptake. T his presentation will discuss both established and new mapping and analysis methodologies including value stream enhancement, patient journey modeling, principles of integrated working and their implications for EHR planning, implementation, meaningful use and evaluation. A nurse with over 30 years of healthcare experience across the care continuum, Catherine Renwick has provided guidance and support to many organizations in the successful planning, implementation project management, evaluation and optimization of electronic clinical information systems. With a consistent focus on the role of technology to support professional practice and enable clinical decision making, Catherine has coached clinicians of many organizations in their migration from paper based clinical information to electronic documentation and reporting.

Charlene Pickles has over 20 years clinical experience in Diagnostic Imaging and deep expertise in MEDITECH as evidenced by her numerous successful engagements in business analysis, clinical implementation lead and integrated healthcare information system implementations. With her patient care focused manner and innate ability to communicate with care and service providers, Charlene has provided common sense implementation project management and subject matter expertise for many healthcare organizations.

104 - Canada Health Infoway Update

Presenter: Lynne Zucker Organization: Canada Health Infoway Abstract: This session will update participants on programs at Canada Health Infoway with a focus on current initiatives to expand the use of electronic medical record solutions in community and ambulatory care settings. Pan-Canadian initiatives to integrate hospital systems with the electronic health record (EHR) will also be discussed. As Vice President, Clinical Systems Integration, Lynne Zucker is responsible for Infoway programs that promote connecting electronic medical record, hospital and pharmacy systems to the Electronic Health Record as well as increasing the adoption of electronic medical record solutions in community and ambulatory care settings. Lynne is a professional engineer who brings to Infoway a range of experience in the information technology industry, including leadership roles at Sun Microsystems and Apple Computer.

105 - Bedside Medication Scanning at the Point of Care Year 5

Presenter: Charles Still Organization: Southwestern Vermont Medical Center Abstract: Failure to anticipate common workarounds to barcode medication administration (BCMA) systems will result in their realization. Workarounds to BCMA systems can drastically reduce the effectiveness of the technology in reducing patient medication errors. Numerous studies have outlined how nursing workarounds can reduce the safety-enhancing features provided by BCMA. Awarded a grant from the Agency for Research and Health Care Quality, Southwestern Vermont Medical Center (SVMC) implemented their BCMA system aggressively, addressing the occurrence, reasons and solutions to workarounds of best practices. SVMC nurses achieved an inpatient barcode scanning rate in excess of 99 percent and a medication scan rate in excess of 97 percent. This presentation will review the processes SVMC used to implement BCMA, which included incorporating 2-D data matrix barcodes, creating tools to measure scan rates, and identifying and

mitigating workarounds. These process enhancements may be rapidly adopted by other organizations to improve medication safety. Charles J. Still MBA is a member of the team that won the 2011 Waypaver Award for Barcoding at the Point of Care. His work most recently appearing in the 2011 Summer Journal of Healthcare Informatics and the July/Aug edition of Patient Safety and Quality Health Care.

106 - The Ascent: Henry Mayo Newhall Memorial Hospital's EDM Implementation

Presenter: Adnan Hamid Organization: Henry Mayo Newhall Memorial Hospital, Valencia, California Abstract: Henry Mayo Newhall Memorial Hospital located in Valencia, California, successfully implemented EDM in seven months including CPOE and Physician Documentation. Learn about the efforts taken by the EDM Core team to meet this aggressive timeline and what life is now like in the Emergency Department. Adnan E. Hamid is the IT Director of Application Services at Henry Mayo Newhall Memorial Hospital (217-bed facility) in Valencia, CA. Previously he was a Business Systems Analyst at Huntington Hospital (525-bed facility) in Pasadena, California. Prior to that, he was a Project Manager at Valley Presbyterian Hospital in Van Nuys, California. He has over fourteen years of experience in the hospital IT setting. Adnan has a B.Sc. in Biomedical Engineering from Boston University and a MBA concentrated in Healthcare from the Paul Merage School of Business, University of California, Irvine. He is recognized as a Certified Healthcare Chief Information Officer (CHCIOe) with the College of Healthcare Information Management Executives (CHIME), Certified Professional in Healthcare Information and Management Systems (CPHIMS) and achieved Fellow status with Healthcare Information and Management Systems Society (HIMSS). He currently serves as the Chairman of the MUSE International Board of Directors.

107 - Registration: The Foundation of Hospital Business

Organization: Boston Software Systems, Inc. Presenter: Kim Bottcher Abstract: The basic patient information gathered in the registration process forms the basis of care and revenue. Whether part of an EMR implementation or as a strategic move towards operational efficiency, more and more hospitals are automating part or all of their registration process - and in a variety of ways. These hospitals are finding they can improve revenue and efficiencies throughout the organization. During this session we will explore the various ways you can automate registrations, the workflows to consider during implementation, what to expect and the benefit to patients and staff. Kim Bottcher is a Technical Specialist with Boston Software Systems, Inc. Kim has over 15 years of healthcare experience assisting hospitals with a variety of projects that running the gamut from basic dictionary updates to complex payment posting. Prior to coming on board with Boston Software Systems, she ran a consulting business providing scripting, database development and training services. She has 10 years hospital IT experience working as a MEDITECH Systems and Clinical Applications Analyst. During this time she served on the implementation teams for the hospitals Order Entry, PCI and Scheduling go-lives.

108 - Eastern Health Physician Portal: Improving Communications with Physicians

Presenter: Terry Mouland Organization: Eastern Health, St, Johns Newfoundland Abstract: The presentation will provide an overview of a Physician Portal and on-call system that was developed and made available to all physicians credentialed with Eastern Health. The portal can be accessed via the Eastern Health Intranet and Internet. This portal has been designed with the assistance of the Community Medical Advisory Committee and our Information Management & Technology and Strategic Communications teams to improve communications with our physicians. We are hoping that this will become a go-to site for physicians looking for information on resources available to them within Eastern Health. The first phase included overall information about our services including contact information for our program leadership & physicians, access to forms and policies, information regarding public health issues and pharmacy alerts along with a messaging board for urgent messages. We are also planning to have our link to MEDITECH available from the portal with the role out of our second phase. Terry Mouland is currently the Director of Information Management and Technology at Eastern Health, the largest integrated health organization in Newfoundland and Labrador. Eastern Health employs over 13,000 health care and support services professionals and operates 25 acute, community, cancer and long term care facilities. It has both Magic and Client Server MEDITECH systems that were inherited from its legacy organizations. Prior to working with Eastern Health, Terry was Manager of Applications Development with Newfoundland and Labrador Hydro. Terrys education includes a Computer Science degree and a MBA from Memorial University of Newfoundland as well as a Health Services Management diploma from The Canadian Healthcare Association.

109 - AOM A Step Towards Paperless Requisitioning for Ambulatory Patients

Presenters: Charlene Pickles and Jeannie Borg Organization: Healthtech Consultants Abstract: MEDITECHs Ambulatory Order Management (AOM) Module enables management of ambulatory patient referrals, diagnostic procedure orders and medication prescribing facilitated by order entry with decision support tools, reminders and alerts. Patient safety and resource utilization are enhanced by integration with other MEDITECH modules. Used in conjunction with Imaging and Therapeutic Services (ITS) and LAB modules, AOM provides a step towards paperless requisitioning for ambulatory patients and moves organizations closer to a paperless environment. This presentation will provide a practical overview of AOM functionality and discuss key components to achieve successful implementation and promote user adoption and uptake. Charlene Pickles has over 20 years clinical experience in Diagnostic Imaging and deep expertise in MEDITECH as evidenced by her numerous successful engagements in business analysis, clinical implementation lead and integrated healthcare information system implementations. With her patient care focused manner and innate ability to communicate with care and service providers, Charlene has provided common sense implementation project management and subject matter expertise for many healthcare organizations. Jeannie Borg has 13 years of experience in the healthcare industry with a focus on Electronic Documentation Management, patient care and interprofessional clinical workflow. Additionally, Jeannie has 6 years of MEDITECH experience with both Magic, Client Server and 6.0 software. This experience includes support and optimization of Computerized Provider Order Entry (CPOE), Provider Order Management (POM), Patient Care Inquiry / Electronic Medical Record (PCI/EMR), Emergency Department Management (EDM), Clinical Documentation (NUR) and most recently a 6.0 OM/AOM new implementation.

110 - ORM 101

Presenter: Carole Weinstein Organization: The Valley Hospital, Ridgewood, New Jersey Abstract: An overview of the components of the Operating Room Management module (ORM) will be presented, including information flow between the components, tips on dictionary design, available interfaces, integration with MM and PHA, etc. The module overview will be presented in Magic 5.64, but comparisons and screens from Client Server ORM and 6.0 ORM will also be discussed. If you're thinking of switching to ORM from another surgery system, or are newly responsible for supporting ORM, this presentation will "fill in the blanks" for you. Carole Weinstein is a Project Specialist at The Valley Hospital, a 451-bed acute care facility in northern New Jersey. Over the last 13 years, she has implemented multiple MEDITECH clinical, administrative, and financial modules. She is just completing a two-site, four department roll out of ORM in 24 operating rooms, and is still smiling.

111 - Achieving Stage 7 with MEDITECH

Presenter: Denni McColm Organization: Citizens Memorial Hospital, Bolivar, Missouri Abstract: Citizens Memorial Hospital CIO Denni McColm will discuss the steps they took to qualify for recognition as a Stage 6 and then Stage 7 hospital on the HIMSS Analytics EMR Adoption Model (EMRAM). This model applies to both the U.S. and Canada. HIMSS Analytics devised the EMR Adoption Model to track EMR progress at hospitals and health systems. The EMRAM scores hospitals on their progress in completing the 8 stages to creating a paperless patient record environment. Citizens Memorial is currently the only Stage 7 hospital using MEDITECH in the U.S.

Denni McColm is Chief Information Officer for Citizens Memorial Healthcare. Denni has been at Citizens Memorial since 1988, serving as Director of Human Resources and Director of Finance before moving into the CIO role in June, 2003. Denni served on the Certification Commission for Health Information Technology as a Commissioner from 2006-2008. She also served on the Davies Awards of Excellence Organizational Selection Committee from 2006 -2008 and again in 2010. Denni is a member of the Board of Directors for MUSE, Medical Users Software Exchange and the Editorial Board for Healthcare IT News, published in partnership with HIMSS. Denni holds a Master of Business Administration degree from the University of Missouri-Columbia.

112 - Using Excel to create Intermediate and Advanced NPR Reports Dictionary Download Example

Presenter: Steve Mogg Organization: North Bay Regional Health Centre, North Bay, Ontario Abstract: This presentation will show how to use Excel to quickly add computed fields and macro logic to a report which can save hours of report writing time. The example used will be downloading an entire main segment of a dictionary by using the MEDITECH Data Definition from the MEDITECH website. This example will be formatted for Excel so the dictionary data can be effectively analyzed for errors and anomalies. Steve Mogg is an Applications Analyst at North Bay Regional Health Centre. He is originally from Sault Ste. Marie where he started his career at Sault Area Hospital. He holds a B.Sc. in Computer Science and has been working with MEDITECH for about 5 years. He enjoys computer programming and doesnt mind tackling difficult reporting challenges. He has written reports for ADM, PHA, LAB, MM, MIS, NPR, NUR, OE, OPS, ORM, PCI, RADRW and has experience with both MAGIC and C/S platforms.

Peer Group Meetings

EDM Emergency Department Management

Peer Group Leader: Susie Thibeault BScN MISt, Application Specialist Organization: Hamilton Health Sciences, Hamilton, Ontario ED-PIP / DART and Business Intelligence Presenter: Noel Devost Organization: Hospital Regional Sudbury Regional Hospital, Sudbury, Ontario Abstract: Emergency Department Process Improvement Program (ED-PIP) is a structured program to support improvements in ED Length of Stay (LOS) metrics and build capabilities within hospitals for long term sustainable change through LEAN methodologies. The program focuses on creating sustainable process improvements within the hospital to improve patient flow. Sudbury Regional Hospital (HRSRH) has implemented DART (Daily Access Reporting Tool) using advanced business intelligence and web technologies to automate and streamline the capture of and dissemination of performance measure data directly from MEDITECH. This decision making information is provided with trend graphing, performance history, threshold alerting and even drill down to source patient data offering an industry leading user experience. Noel Devost has been an I/T professional for the past 23 years and has worked as a corporate consultant, software designer, programmer, Database Administrator (DBA) and Team Lead. He has worked both in the private and public sector and has served the Sudbury Regional Hospital since early 1999. He has been a champion for business intelligence, MEDITECH integration and software solution development at HRSRH with a strong focus on performance improvement initiatives. The integration of web based, business intelligence and value added solutions with MEDITECH has been and continues to be a focal point of his development

NRP Report Writer

Peer Group Leader: Steve Mogg, Applications Analyst Organization: North Bay Regional Health Centre, North Bay, Ontario


701 - What is Your 6.0 Learning Project Plan?

Instructor: Kerry Kuehn Organization: Sedona Learning Solutions Abstract: In order to achieve optimal user success when implementing MEDITECH 6.0, it is important to design and present a carefully planned learning program. This workshop will help you to select the most appropriate overall educational strategy for your 6.0 upgrade. Kerry Kuehn is the Founder and Director of Learning for Sedona Learning Solutions, LLC, an educational consulting firm focused solely on the learning needs of hospitals and medical groups. Kerry graduated from the University of WisconsinEau Claire with a BA in Education in 1992. He moved into corporate and adult learning in 1996, comprehensively managing, designing and delivering IT education for the insurance industry. Kerry made the transition to the field of Informatics and Electronic Medical Record education in 2002, accepting a role with Cerners Virtual University, and worked with a variety of hospital clients nationwide in their paths to EMR implementation. Kerry founded Sedona Learning Solutions in 2006, combining his educational foundation and a decade of adult learning expertise - including several years of independent consulting on EMR implementations in the areas of project management, curriculum design and instructional delivery.

702 - Provider Documentation / Provider Computer Order Entry: Focus on Lessons Learned at Canadian Sites

Instructor: Carol Dueck Organization: Healthtech Consultants Abstract: Implementation of a CPOE system and Provider Documentation are some of the most complex projects that healthcare organizations will tackle. Successful adoption by clinicians requires a major shift in administrative, clinical policies and practices and a strong organizational culture committed to supporting ongoing change. A well-designed implementation plan must include a well- developed project design and management plan; a detailed workflow analysis; an approved template for order sets; a process to engage physicians; a customizable training plan and organization wide communication and engagement throughout the project. Benefits to the organization adopting this technology include improved efficiency, data driven decision making, enhanced teamwork, improved interdisciplinary collaboration and a reduction in medical error. This presentation will outline the critical elements and the lessons learned during the implementation CPOE / Provider Documentation at two Canadian sites to promote a successful adoption of the new advanced clinical technology. The interactive workshop will include:

Carol Dueck is an experienced healthcare consultant with over 30 years of expertise in improving patient care and healthcare delivery in Canada. She is passionate about the transfer of knowledge related to clinical practice and patient safety. Carol is leading many initiatives geared towards the adoption of electronic health records and safe medication management systems. Over the past four years, Carol has led six readiness assessments for enhanced technology in medication management systems and Computerized Provider Order Entry at mid-size community and large tertiary hospitals. Carol was the Clinical Lead for the implementation of a province-wide wait-time improvement initiative for the Nova Scotia Department of Health. Carol is actively participating with the team to build and implement Advanced Clinical Systems and Provider Computer Order Entry for the MEDITECH 6.0 installation in the Territory of Nunavut. Carol joined Healthtech in 2006.

Design ideas for CPOE system and order sets with eye to link clinical decision support system (CDSS) to ensure best practice information guides providers at the order stage; Examining resistance to change and the significant role that managing change factors into the adoption of technology; Tips for attention to workflow and perceived shifts in power related to work redistribution and safety initiatives; Templates that focus on quality, reporting criteria and standardization without slowing the documentation process; Guidelines for choosing devices