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MEDITECH Standardization Our first step to Information Sophistication, and Our path to an integrated, coordinated and connected system of care. Agenda: Today’s Kickoff. Reflection Opening Remarks: Paradigm Shift What is Information Sophistication, where are we headed ?
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MEDITECH Standardization Our first step to Information Sophistication, and Our path to an integrated, coordinated and connected system of care
Agenda: Today’s Kickoff • Reflection • Opening Remarks: Paradigm Shift • What is Information Sophistication, where are we headed? • MEDITECH Standardization Program, Texas Region • Physician Integration Strategy • Q&A
Welcome • Dr. Lawrence Martinelli • Chief Medical Informatics Officer • Medical Director, CM/UR • Covenant Health • Reflection • Jim Schneider • Director of Spiritual Care • Covenant Health
Opening Remarks: Paradigm Shift • Dr. Craig Rhyne • CMO, Covenant Health
Information Sophistication – Where are we heading? Dr. Michael Marino SVP, Chief Medical Informatics Officer St. Joseph Health Dr. Lawrence Martinelli Chief Medical Informatics Officer Medical Director, CM/UR Covenant Health
Information Sophistication: Improving outcomes We are connecting data for improved outcomes … and an advanced patient experience Apps Rapid Data Global Access Portal Patient Input
Information Sophistication: Key initiatives Standardizing our MEDITECH system Centralize data for security, efficiency and flexibility Make data readily available for better care decisions • Evidence-based order sets • Computerized physician order entry (CPOE) • Barcode (bedside) medication verification (BMV) • Secure reliable systems with consistent availability • Physician access from anywhere at anytime • Other physician specific benefits
Information Sophistication: Moving us to the future Traditional Healthcare Proactive Wellness
The Provider Experience: Planned support throughout Sept 2013 May/June 2013 July 2013 August 2013 Go-Live Support eLearning Small Group Training Informal training sessions • EMR refresh eLearning • Physician support team in dining room • Electronic Medical Record transition from paper • EMR • Allergies • MEDITECH Login/Permissions eLearning Small Group Training Informal training sessions • Please note: • Go-live readiness is based on Patient Safety • ‘Stop Print’ will be implemented prior to or at Go-Live
MEDITECH Standardization Program Texas Region Michelle Woodley RN MSN, VP Clinical Informatics St. Joseph Health Felicia Gordon MS Candidate, RN, BSN, CPHQ, CPEHR, CPHITVP, Performance Improvement/Clinical Information Systems Covenant Health
MEDITECH Standardization: What’s in scope MEDITECH Advanced Clinical Implementation • Clinical Documentation and Order Management all inpatient departments • Care planning and Use of Electronic Medical Record (EMR) • Hemodynamic monitoring interface- all critical care beds • Transfusion Administration Record (TAR) • Bedside Medication Verification (BMV)- medication barcoding • CPOE and Physician Documentation (Voice Recognition and Template) • Integration of patient education / discharge instruction (Krames/Exitwriter)) • Integration of E-Prescribing and Medication Reconciliation (Dr. First)
MEDITECH Standardization: What’s in scope Wound Image Management • HealthLine • Ricoh camera Mobilab(Phlebotomy Barcoding) Standardization, 5.66 Upgrade with Process Changes and Enhancements Device deployments and Enterprise Master Patient Index (EMPI)
MEDITECH Standardization: St. Joseph Health’s journey The bend in the road is not the end of the road, unless you fail to make the turn. Author Unknown
MEDITECH Standardization: Technical goals • Greatly reduce or eliminate MEDITECH customs • Reduce interfaces by 50% or more • 3rd party applications eliminated or standardized • 3rd party application signatures transferred into MEDITECH • Off-site access: Physician access anytime from anywhere • Increased Patient Access
MEDITECH Standardization: Technical goals • Normative Nomenclature • Develop standard naming conventions across the ministries • Health Information Exchange • Standard build, standard content • Shooting for “80/15/5” standardization • 80% - Enterprise (Across all of SJH) • 15% - Regional • 5% - Ministry
Physician Education Strategy Vira Estrada-Morse Regional Physician Liaison
Others • Health Information Management • Quality Management • Clinical Documentation Improvement & Auditing Physician Education : Provider Support Team
Physician Education : Training Plan May and June Meditech (Current system) Log in EMR Navigation Allergies External Links Physician Dining Room (lunch time) Rounding the floors Make appts to go to office or meet at hospital • Access • AD & Meditech • Citrix • Desktop & Mobile • Meditech Mobile • Smartphones & Tablets • Survey • Technology usage • Smart Phone type • Tablet type • PC or MAC • Ambulatory Staff • Access for billing and reports
Session 2 Physician Education : Go-Live Training Plan June July and August Session 1 8 weeks/48 training days • Monday-Friday (3 sessions) eLearning Lab 7:00 – 9:00 am 12:00 – 2:00 pm 5:00 – 7:00 pm Instructor Led Classroom 7:00 – 10:00 am 12:00 – 3:00 pm 5:00 – 8:00 pm Train the Trainer/Super User Training • Saturday (2 sessions) eLearning Lab 8:00 – 10:00 am 11:00 – 1:00 pm Instructor Led Classroom 8:00 – 11:00 am 12:00 – 3:00 pm Physician Desktop EMR/Allergies Electronic Signature PDOC • CPOE • Dr. First • Med Rec • Discharge • Please note: • You can anticipate 4-6 hours of training
Next Steps Felicia Gordon
MEDITECH Standardization: Next steps • Schedule time with Physician Support Team member • Take eLearning refresher course for CME credit • Check out CovenantEHR.org for training and update info • Call the Physician Hotline • Ask questions, offer suggestions on how to make the changes successful. Remember, our vision is to be an integrated, coordinated and connected system of care able to support your practice and bring the best outcomes to our patients.