MEDITECH Standardization
Our first step to Information Sophistication, and
Our path to an integrated, coordinated and connected system of care
Agenda: Today’s Kickoff
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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
Patient Input
Portal
Information Sophistication: Key initiatives
Standardizing our MEDITECH
system
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Evidence-based order sets
Computerized physician order
entry (CPOE)
Barcode (bedside) medication
verification (BMV)
Centralize data for security,
efficiency and flexibility
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Secure reliable systems with
consistent availability
Make data readily available for
better care decisions
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Physician access from anywhere
at anytime
Other physician specific benefits
Information Sophistication: Moving us to the future
Traditional Healthcare
Proactive Wellness
Information Sophistication: Moving us to the future
The Provider Experience: Planned support throughout
Sept 2013
May/June 2013
July 2013
August 2013
EMR refresh eLearning
eLearning
eLearning
Physician support team
in dining room
Small Group Training
Small Group Training
Informal training
sessions
Informal training
sessions
Electronic Medical
Record transition from
paper
o EMR
o Allergies
o MEDITECH
Login/Permissions
Please note:
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Go-live readiness is based on Patient Safety
‘Stop Print’ will be implemented prior to or at
Go-Live
Go-Live
Support
MEDITECH Standardization Program
Texas Region
Michelle Woodley
RN MSN, VP Clinical Informatics
St. Joseph Health
Felicia Gordon
MS Candidate, RN, BSN, CPHQ, CPEHR, CPHIT
VP, Performance Improvement/Clinical Information Systems
Covenant Health
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MEDITECH Standardization: EHR and our vision for change
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Patient Focused Outcomes
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Availability
Legibility
Clinical reminders
Safety checks
Evidence-based order sets
Computerized physician
order entry (CPOE)
Barcode (bedside)
medication verification
(BMV)
Clinical decision support
Patient portal
Improved Patient Safety
MEDITECH Standardization: What’s in scope
MEDITECH Advanced Clinical Implementation
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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
o 3rd party applications eliminated or standardized
o 3rd party application signatures transferred into MEDITECH
• Off-site access: Physician access anytime from anywhere
• Increased Patient Access
MEDITECH Standardization: Technical goals
• Normative Nomenclature
o Develop standard naming conventions across the ministries
• Health Information Exchange
• Standard build, standard content
o 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
Physician Education : Approaches/Options
eLearning
• 2 eLearning labs
(6 Training
stations per lab)
• 1 Facilitator per
learning lab
• 3 Sessions per
day
Small Classroom
Instruction
Quick reference
eLearning – online
• 1 Instructor Led
Classroom
• 6 seats
• 3 Sessions per
day
• Follow up
assistance from
Provider Support
Team
• CovenantEHR.org
Physician Education : Provider Support Team
CIS Leads
Physician Services
• Joshua Mayeux
• Amy Loveless
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Sylvia Brito
Molly Ramos
Zach Myers
Edward Hayes
Shane Bryant
Others
• Health Information
Management
• Quality Management
• Clinical Documentation
Improvement & Auditing
Physician Education : Training Plan
May and June
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Access
– AD & Meditech
– Citrix
o Desktop & Mobile
– Meditech Mobile
o Smartphones & Tablets
Survey
– Technology usage
o Smart Phone type
o Tablet type
o PC or MAC
– Ambulatory Staff
o Access for billing and reports
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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
Physician Education : Go-Live Training Plan
June
July and August
8 weeks/48 training days
Train the Trainer/
Super User Training
Session 1
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Physician Desktop
EMR/Allergies
Electronic Signature
PDOC
Session 2
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CPOE
Dr. First
Med Rec
Discharge
 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
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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
Please note:
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You can anticipate 4-6 hours of training
Communications: Methods
www.CovenantEHR.org
Physician Support Team
Physician HOTLINE
Emails, posters, flyers
StatNotes, flat screen
TVs
Pulse
PAC, CME, MEC,
ONGOING Communications
Medical staff event with
IT Exhibit
Next Steps
Felicia Gordon
MEDITECH Standardization: Next steps
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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.