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Educational

Presentations
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. This 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 six years of MEDITECH experience with 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: Join us to discuss the steps 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.

113 - Clarity About Cloud: Leveraging Virtual Infrastructure in Healthcare Information Systems

Presenter: Jim Fitzgerald Organization: Dell Abstract: Hospital data centers and service provider data centers are moving to the cloud for all the right reasons: more efficient use of technical infrastructure, better management tools, and (theoretically) higher availability. With four years of active implementation of virtual environments and a cloud hosting service, we have developed an organic sense for what works, what doesnt work, and whats next in the virtualization of Healthcare Information Systems. Join us for a moderately technical review of topics including: The current status of virtualization across all versions of MEDITECH. Promising evolutions in the provisioning and management of servers, storage, and networking. The myth of high availability in virtual environments and what you need to do to make it a reality. The return of the mainframe do you need tightly coupled physical infrastructure for virtual environments? How virtual desktops are working at MEDITECH hospitals, Which virtual management tools work best and where they fit. What you will need to build in your cloud, what you can source in the cloud, and evolving a services-based approach to IT. James J. Fitzgerald, Chief Technology Officer, MEDITECH Solutions Group, Dell, has been working with computers since he programmed DEC-PDP 8s at the Roxbury Latin School at age 16. In a 25+ year career he has held staff and executive roles in sales, marketing, and product management in companies including Microcom, Internetwork Systems, JJWild, Perot Systems, and now Dell. Jim has been an integral part of the network, systems, and storage technology design team for over 400 hospitals using the

MEDITECH Healthcare Information System, and has envisioned and shepherded the creation of a solutions portfolio that includes MEDITECHs support VPN, turnkey virtualized internal private cloud data centers for MEDITECH hospitals, self-hosted and managed disaster recovery services, and MSite, Dell Services private external cloud MEDITECH Hosting Service. Jims current focus is on expanding the benefits of virtualized servers, clients, and networks to the healthcare community and working with his colleagues at MEDITECH to drive towards zero downtime healthcare information systems. Jim holds a BA in Psychology from Bates College and an MBA concentration in technology entrepreneurship from Babson College. While earning his graduate degree through night classes in 1992, Jim was winner of the prestigious Douglass Foundation Award recognizing his business plan for Evergreen Technology, Inc.

114 - Development and Implementation of an Electronic Warning Scoring System to Detect Early Clinical Deterioration

Presenter: Mary Baker Organization: Centennial Medical Center (a facility of HCA TriStar Division), Nashville, Tennessee Abstract: To facilitate early detection and treatment of clinical deterioration of adult patients in medical surgical (MS) and step down (SD) patient care areas, an electronic Early Warning Scoring System (EWSS) was developed and implemented by an interdisciplinary team in a large tertiary, urban hospital. The EWSS utilizes six physiological parameters (temperature, heart rate, respiratory rate, systolic blood pressure, oxygen saturation and neurological status). Based on pre-determined criteria, the electronic health record (MEDITECH) assigns a score to the physiological parameter and calculates an aggregate score. Scores > 5 and increasing scores may be associated with an increased risk of clinical deterioration. The system assigns the scores and calculations via traditional attributes and includes minimal use of macros. OA messaging and @W.err keywords are used to provide automated alerts that guide direct care givers and members of the Critical Care Outreach Team (CCOT) towards appropriate action. Customized NPR reports guide direct care givers and members of the COCCT towards prioritization of care and rounding activities. The EWSS was implemented without additional software and hardware expenditures. The EWSS promotes use of health information for clinical decision support at the point of care. Use of the EWSS has decreased the Arrest Rate (respiratory and cardiopulmonary) in patients located in MS and SD patient care areas. Mary Baker RN, BSN, has over 30 years of experience in healthcare settings that includes seven years in healthcare informatics. Mary is a clinical applications manager in the Clinical Applications Services of HCA TriStar Division Information Technology and Services. Mary coordinates the activities of the hospital clinical analysts and provides support for MEDITECH applications with a focus on the nursing module. Mary has provided IT development and support for the IT components utilized in the Electronic Early Warning System.

115 - Benchmarking EHR Success

Presenters: Denni McColm and TJ Temple Organization: Citizens Memorial Hospital, Bolivar, Missouri; Ozarks Medical Center, West Plains Missouri Join us to learn about measuring and benchmarking the usage of electronic health records for hospitals in Canada. The U.S. has adopted measures of success in the implementation and use of electronic health records to drive nation-wide adoption. The U.S. government has incentivized that adoption with financial rewards for hospitals and physicians, but only when hospitals and physicians meet specific measures that are defined as meaningful use. Those measures include functional measures on use of the EHR system and quality of care measures that can be extracted from the EHR system. Citizens Memorial Hospital was the first MEDITECH hospital in the U.S. to achieve these measures and qualify for the incentive payments and Ozarks Medical Center is on the path to qualify for the incentives within a few years. We will review these measures and lead a discussion on how they might be helpful for Canadian hospitals. 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. TJ Temple is IT Applications Manager at Ozarks Medical Center in West Plains Missouri. He has an undergraduate degree in Medical Technology and a Masters degree in business administration. Ozarks Medical Center is a 110-bed Client Server hospital moving to version 5.65 in December of this year, planning to attest to meaningful use in March of 2012. TJ was appointed to the MUSE education committee in 2010 and continues to serve in 2011.

116 - Beyond VNA Building a Complete Enterprise Healthcare Archive for MEDITECH Data and More

Presenter: Charles Mallio Organization: BridgeHead Software, Inc. Abstract: You may have heard the industry buzz about Vendor Neutral Archives, or VNAs. These solutions are promoted as being able to free you from the tyranny of your PACS vendor and enabling you to take control of your medical image data. A laudable goal, but most of these solutions focus solely on medical images and neglect the larger issue of managing the entirety of healthcare data in your

organization. In this session, we will discuss the full scope of data growth problems facing Healthcare IT today and offer strategies for coping with this problem in a cost-effective and scalable manner. Charles Mallio has worked in healthcare for over 20 years, specializing in IT specifically since 1995. As VP, Product Strategy & Business Development, Charlie is responsible for understanding market needs to enhance and expand BridgeHead Softwares product set. He is also responsible for alliances with key ISV and technology partners that complement BridgeHead solutions. Charlie previously managed worldwide technical support for core infrastructure at the healthcare information systems vendor Medical Information Technology, Inc. (MEDITECH). Prior to joining MEDITECH, he served in a variety of positions at the American Red Cross Blood Services. Charlie holds a BA in History from Framingham State University in Massachusetts.

117 - Standardized Care Planning and the CIS Are they Frenemies?

Presenter: Corey Tillyer Organization: Fraser Health, Surrey, British Columbia Abstract: According to Wikipedia, a frenemy can refer to either an enemy disguised as a friend or to a partner who is simultaneously a competitor and rival. Fraser Health (FH) is one of six Health Authorities within British Columbia. FH is home to MEDITECHs largest single standardized C/S database, which has an MPI containing over 1.6 million persons. FH currently has 14 hospitals running the foundational MEDITECH modules. But now comes the fun part its time for FH to look toward advancing MEDITECH to ensure health care providers have the information they need for clinical decision-making at the point of care. In January and July 2011, Fraser Health met with MEDITECH executives to discuss the lessons learned from other advanced clinical systems implementations (that would be all of you!). Come learn what MEDITECH had to tell the FH team and stay for a discussion about how FH is using those lessons learned to move forward with Standardized Care Planning within the MEDITECH CIS. This discussion will include Governance operating models to support Standards for Planning Care and a MEDITECH Advanced CIS roadmap. Corey Tillyer is the MUSE International Board Secretary and Director-at-large for Canada. Corey has worked in health informatics for 15 years and has work her way from being a Clinical Information Specialist to the Director of Health Informatics for Fraser Health Authority; home of MEDITECHs single largest C/S Standardized database. Coreys background as a Registered Nurse helps her to ensure clinicians and patients are always at the forefront of the information systems Fraser Health implements.

118 - Champlain Association of MEDITECH Partners (CHAMP) - A Regional MEDITECH Implementation

Presenters: Heather Skanes and Kirsten Heilmann-Stille Organization: Bruyre Continuing Care Abstract: In 2008-2009, Bruyre Continuing Care decided as an organization to acquire, and begin the preparation for the implementation of an electronic patient record to support better patient care. When fully implemented in 2014, it will be the first continuing care hospital in Canada to launch the latest version from the software provider MEDITECH. This monumental project was identified by the acronym BRIDGE and stood for Bruyre Interprofessional Data Generated Electronically. A hospital steering committee, physician advisory and implementation committee were struck and were working diligently. A charter document refined, a high-level project plan communicated, office space obtained and core staff secured, and clinical pre- work underway, the BRIDGE team was set, or so they thought While staying inside scope is a project management mantra, an opportunity to work closely with our peer organizations to maximize our resources, talent and technology, and to live our value of collaboration, transformed this single organization project to a LHIN-wide regional project relatively overnight. The BRIDGE project had now grown into the Champlain Association of MEDITECH partners or the CHAMP Project with the inclusion of Queensway Carleton Hospital, Arnprior District Memorial Hospital, and Carleton Place and District Memorial Hospital. Learn about what it takes to make this kind of electronic patient record project transition from the perspective of the original Bruyre Continuing Care BRIDGE team members. Given the mandate to create a structure and related processes to support the vision of A Partnership of Equals amongst hospitals, hear about how this is being achieved and lessons learned to-date in the change from a single organization to a LHIN-wide project. Kirsten Heilmann-Stille, BScN, RN, is the Clinical Informaticist, Nursing at Bruyre Continuing Care and is a core team lead with CHAMP (Champlain Association of MEDITECH Partners), a group of six peer hospitals in the Champlain region of Ontario. A life-long learner, having completed a graduate level course in health informatics, Kirstens deep appreciation of new technologies and its ability to improve the efficiency, safety and quality of patient care and employee satisfaction spurred her to develop an expertise in adult learning and to pursue a Masters Degree in Distance Education. Her extensive experience as a Registered Nurse and clinical leader allows her to support the CHAMP Project towards the successful implementation of an electronic patient record. Heather Skanes, MHSC, SLP, is the Clinical Informaticist, Health Professionals and Physicians at Bruyre Continuing Care and is a core team lead with CHAMP (Champlain Association of MEDITECH Partners), a group a six peer hospitals in the Champlain region of Ontario. With an extensive background in professional practice as a Speech-Language Pathologist, in clinical program development, management, and documentation redesign, Heather appreciates the relationship between strong clinical practices and processes, patient outcomes, and quality care. This broad clinical and management background allows her to support the CHAMP Project towards the successful implementation of an electronic patient record.

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: Hopital 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.

NPR Report Writer

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

SCA Scanning and Archiving

Peer Group Leader: Brian Nelligan, IS Systems Analyst Organization: Humber River Regional Hospital, Weston ON

Workshops

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