Facility Member Education - Master

Facility Member Educational Presentations

101 – Road to Success: Implementing a Full Electronic Health Record in Two Years
Presenters: Donna Foster and Sanaz Riahi
Organization: Ontario Shores Centre for Mental Health Sciences, Whitby, Ontario

Abstract: Ontario Shores is a 325-‐bed Tertiary Care Mental Health Centre in Whitby Ontario. In
September 2008, we began to prepare our organization for the MEDITECH 6.0 implementation.

The process of implementing MEDITECH 6.0 required many steps in order to ensure incorporation of
best practices and the roll out of all modules within the EHR. The first phase of the project focused on
the organization’s readiness and began with process mapping and revision of clinical documentations
and incorporation of a documentation methodology. The project was then divided into two phases to
ensure for smoother transition.

Phase 1 of MEDITECH 6.0 went live in October 2009, which included pharmacy, HIM and back office
suite of applications. This also included, the new paper MAR and order process which was to mimic the
future state of MEDITECH 6.0.

In March 2010 the roll out of all the new clinical documentation forms occurred. These forms reflected
the changes that were to be incorporated in MEDITECH 6.0, as well as, best practices to ensure
enhancement of care within the organization.

October 2010 was the implementation of the MEDITECH 6.0 advanced clinicals to include CPOE,
EMAR/BMV, PCS, ITS, lab, and PCM I, II. This required intense training of all disciplines, including
physicians, as well as, significant support during go-‐live to ensure smooth transition from paper to EHR.

Donna Foster, RN is the Manager of Clinical Informatics at Ontario Shores. She has 25 years of
experience to include Oncology, Inpatient Medicine and over 10 years of Informatics experience.

Sanaz Riahi, RN, MSN is a Clinical Education Leader in Professional Practice at Ontario Shores. She
graduated from Capital University with a Master’s in Nursing. She has had clinical experience in acute
care, outpatient neuropsychiatry and psychiatric nursing. She is currently the corporate lead for crisis
intervention training at Ontario Shores.

102 – Redesigning Care Planning Functionality to Meet the Needs of a Mental Health
Population
Presenters: Joanne Jones and Alison MacDonald

Abstract: The development of the plan of care within PCS supported our Interprofessional Collaborative
Recovery Model (ICRM). MEDITECH 6.0 provided us the flexibility to build our care planning from the
foundation up -‐ technology didn't drive our practice. We were able to manipulate the system to create a
plan of care that supported our vision of recovery oriented care. In consultation with MEDITECH, we
were able to rename the standard nomenclature and use the functionality to enable standardized goal
setting with the ability to capture the patient’s voice. The care plan includes eight identified themes
which were established after a paper chart reviews, themes have pre-‐populated goals and then each
goal and action plan can be modified to be meaningful to each client's specific needs.

Ontario Shores is a 325-‐bed tertiary mental health centre that went live with MEDITECH 6.0 in October
2010.

Alison MacDonald, RN MN is the Clinical Education Leader in the Clinical Informatics Department at the
Ontario Shores Centre for Mental Health Services. Alison is the lead for the MEDITECH 6.0 build team.

Joanne Jones RN BScN is the Clinical Education Leader for Professional Practice at Ontario Shores. Joanne
has over 25 years of mental health nursing experience and co-‐led the education for MEDITECH 6.0.

103 – Specialized Application of Order Entry Consult Requests & the PCS Status Board to
Manage Forensic Patient Off Ward Privileges
Presenter: Erin Anstey

Abstract: During the implementation of the 6.0 modules at Ontario Shores, a requirement was to turn a
paper forensic privilege level request, approval process and maintenance of the privilege levels into an
electronic process. The build team developed a process manipulating the order entry consult requests to
enable requests to be sent to a Non-‐Physician approval body. Also, patients are now signed in and out of
clinical units using specially designed PCS Assessment forms that flow to a status board to monitor and
track patient privilege use.

Erin Anstey, RN, MN is the Clinical Education Leader in the Clinical Informatics department. She
completed her Masters in Nursing with a focus in Informatics at the University of Toronto. Erin was a
lead for the build of CPOE module in the 6.0 Advanced Clinical Applications at Ontario Shores.

104 – Surviving MEDITECH Updates: One Survivor's Tale
Presenter: Judy Schmieder, RN
Organization: Ste. Genevieve County Memorial Hospital, Ste. Genevieve, Missouri

Abstract: MEDITECH provides updates to all platforms of their product. How do you survive an update?
We are a 25-‐bed critical access hospital with limited resources to complete such a massive undertaking;
but we have found a way to make it happen. A dedicated team of module specialists attend meetings;
utilize software to filter the DTS’s better; perform DTS testing; and perform a parallel run before the Go
LIVE date. We have many lessons learned and room for improvement. The purpose of this presentation
is to share our experience with MEDITECH updates.

Judy Schmieder has been a registered nurse for 14 years. She worked as a RN in the Med-‐Surg, ICU, and
Emergency departments before transferring to IS full-‐time in 2004. MEDITECH Magic was obtained in
2003; Judy was instrumental in implementing the OE & PCI modules at that time. Judy started as the
only IS Clinical Analyst and now holds the title: IS Project Manager. She has led all the advanced clinical
module implementation projects for her facility. Her facility has since hired two new Clinical Analysts that
report directly to Judy.

105 – LIS Quality Assurance Program
Presenter: Scott Hubbard
Organization: Stillwater Medical Center, Stillwater, Oklahoma

Abstract: Under the guidelines of the COLA accrediting agency, LIS coordinators must define a quality
assurance program and document their review of established criteria as a requirement. This
presentation will outline how to define a pre and post analytical QA program and set up the
documentation for agency review. It will also show how to capture daily reviews such as personnel data
entry, documenting system status, monitoring then documenting HL7 interface status and fail-‐reads,
faxing audits, and lab test billing.

Scott Hubbard has been the LIS coordinator at Stillwater Medical Center for 6 years using MEDITECH C/S,
currently at 5.64.

106 – Making Reassessments Work for You
Presenter: Jenny Horn
Organization: Hardin Memorial Hospital, Elizabeth Town, Kentucky

Abstract: This presentation outlines how the reassessment feature works in MEDITECH. It includes
examples of how this feature has helped our organization to improve documentation of pain
reassessments and IV start/stop times. It also includes dictionary building tips to assure this feature
functions properly.

Jenny Horn, RN-‐MNN, obtained an Associate's Degree in Nursing from Kentucky Wesleyan College in
1998. She is currently seeking a Bachelor's of Science in Nursing from Western Kentucky University.
Jenny obtained a National Certification in Maternal Newborn Nursing in 2010. She has functioned as a
Charge nurse for 10 years in Obstetrics, Labor & Delivery, and Intensive Care Nursery, and is currently a
Clinical Systems Analyst at Hardin Memorial Hospital in Elizabethtown, KY.

107 – Status Boards – Not Just for Nursing Anymore! New Functionality and Design is Making
Them a Valuable Tool for Many Hospital Disciplines
Presenter: Cinda Lott
Organization: West Georgia Health, LaGrange, Georgia

Abstract: West Georgia Health has partnered with MEDITECH to develop status boards that can used to
track Core Measures, Infection Control, and Physician Rounding. These boards are still in the early
design but will become useful tools for hospitals. New functionality will assist clinicians by pushing
needed information to one location in the EMR for easy access.

Cinda Lott, RN,BSN has been in Clinical Informatics for the past 13 years. She was the Clinical lead for the
implementation of the first 6.0 beta site in the country. She serves on the MEDITECH Nursing Advisory
Board and is currently the Application System Support Manager for West Georgia Health. She is married
to a wonderful husband Mark and has a son Brandon that will graduate from CRNA school in October
2011.

108 – MEDITECH 6.0 Migration – Integration Strategy and Lessons Learned
Presenter: Rick Lambert
Organization: Markham Stouffville Hospital, Markham, Ontario

Abstract: Many organizations are migrating to MEDITECH 6.0 for the enhanced workflows and enriched
systems that lead to improved efficiency and patient safety. However, as with any major system
implementation, migration to MEDITECH 6.0 presents issues and challenges throughout the
implementation process.

Markham Stouffville Hospital (MSH), recently migrated from MAGIC to MEDITECH 6.0 within a span of
eight months, and we would like to share our integration experience. Migration was a major
commitment for MSH, and having a sound integration strategy was critical for success.

This presentation will serve as a detailed integration discussion related to MEDITECH 6.0 migration:
• Setting realistic goals, and creating a sound integration strategy
• Regional integration challenges with Physician offices, Government Agencies, Labs, etc.
• Potential issues to keep in mind, and how our strategy helped mitigate them
• Lessons learned
• Assessing impact on downstream systems
• Contingency architecture
• Developing a comprehensive interface cutover plan
• In-‐house, Out-‐house or both

Rick Lambert is the Systems Integration Consultant at Markham Stouffville Hospital. He has worked at
hospitals using MEDITECH since 1985. Rick started his career as a Medical Laboratory Technologist, and
moved to IT full-‐time almost 10 years ago.

109 – SCA: The Good, The Bad & The Ugly
Presenter: Jordan Russell
Organization: Satilla Health Services, Waycross, Georgia

Abstract: MEDITECH's SCA module has some great features that can help facilitate the push to an
integrated EHR. That's not to say it's a perfect solution -‐ simply a cog in the wheel with several key
features either not fully developed or altogether missing. This session will focus on the steps that will
lead to a successful implementation of SCA, including how to plan ahead for the missing pieces of the
module.

Jordan Russell is a Systems Analyst at Satilla Health Services in Waycross, GA. His experience with
MEDITECH includes implementation of C/S 5.64 and SCA in addition to support of all non-‐clinical modules
and Data Repository. He has been the project lead / primary technical contact for many Satilla projects
including the SCA implementation in 2010. He has experience developing desktop and web applications
using the .NET development platform which were utilized for the deployment of the SCA COLD option.
Satilla Health Services is comprised of several specialty practices, nursing homes, rehab facilities and a
regional medical center licensed for 231 beds. Satilla is currently live with MEDITECH C/S 5.64.

110 – MEDITECH 6.0: A Journey
Presenter: Keri McGill
Organization: Overlake Hospital, Bellevue, Washington

Abstract: In September of 2008, Overlake Hospital began the journey to 6.0. The journey was divided
up into three phases. The initial phase was an upgrade of the current Financial, Administrative,
Pharmacy, and Imaging applications. Order Management, Laboratory, EMR, and esignature of PCM
were included in this phase, and these applications were a complete build. With a successful August 1,
2010 Go-‐Live, it was a lot to celebrate. The BAR conversion was an overwhelming success. There was
better integration between applications, and the additional benefits of improved workflow and
processes contributed to the organization moving forward in anticipation of the next phase, clinical
documentation. But, with every implementation, there are opportunities and lessons learned. Overlake
Hospital has benefited greatly from these lessons, and this presentation will provide suggestions and ah
ha's for those considering going to 6.0.

Keri McGill, RN, MSN is the Director of Clinical Informatics at Overlake Hospital. She has been a
registered nurse for 25 years. After 16 years as a Trauma Intensive Care RN, Keri decided to venture into
the field of Informatics. In 1994, she began a part time Informatics position, supporting an electronic
documentation system in the Critical Care. She was unsure if she would be able to work with computers,
as after all, "she was only a nurse". This thinking proved to be not at all valid, and she discovered that
she loved the field of Informatics. After accepting a full time position in Informatics, Keri received her
Master's degree from the University of Colorado, Denver in Healthcare Informatics. At that time, an
opportunity presented itself whereas Keri was able to lead a team that implemented an enterprise-‐wide
EMR within a 3-‐hospital system. After a successful implementation, Keri was presented with an
opportunity to join Overlake Hospital and lead the organization on our current 6.0 journey. Currently,
Keri and her team are moving forward with the 6.0 implementation, moving along the road with
MEDITECH.

111 – MEDITECH is Down – What to Do Now?
Presenter: Rochelle Doss

Abstract: No matter how well we prepare, how diligent we are on system maintenance there is going to
be a time when MEDITECH is down. This could be a planned or unplanned downtime, a system error or
a server issue. Hardin Memorial Hospital (HMH) has developed one solution for this type of situation.
With the use of MEDITECH Data Repository, SQL server 2000 and now SQL Server 2008, and Microsoft
Access 2007, HMH is able to keep patient registration up and moving. With this solution, patient data is
extracted and then presented to users in a user friendly system. Come and learn an alternative to
potential downtime madness.

Rochelle J. Doss is a Programmer Analyst at Hardin Memorial Hospital (HMH) with 14 years of
programming experience and has been with HMH for nine years. She serves as the lead NPR writer at
HMH and actively supports others as needed. She routinely plans, programs, develops, tests and
implements SQL Server 2000 and 2008 databases for long and intermediate range projects not
accomplishable by other systems. She has participated in the implementation of MEDITECH Data
Repository (DR), among other projects, and recently assisted with the conversion of DR from SQL 2000 to
SQL 2008. Rochelle holds a Bachelors of Science degree, in Management Information Technology, from
Western Kentucky University and a Masters of Business Administration from Sullivan University.

112 – The Good ... the Bed Board ... and the Ugly
Presenter: Kendra Slayton

Abstract: In November 2009, Hardin Memorial Hospital implemented MEDITECH's Bed Board
application in conjunction with a third party vendor. Hardin Memorial had previously used a stand-‐
alone, best of breed bed tracking system. Come and hear about the project and lessons learned!

Kendra Slayton is the IT Applications Manager at Hardin Memorial Hospital. She has been with Hardin
Memorial Hospital for 14 years. She served as the co-‐chair for ADM Team and CWS Team during the
hospital's implementation of MEDITECH C/S in 2000. Since that time, she has participated on the PCS
Implementation Team, BMV Team, the ORM Documentation Team and various other projects. Kendra is
currently working on the implementation of SCA and CPOE and is responsible for all MEDITECH
applications.

113 – The EHR from the Board and Senior Management Perspective
Presenters: Glenna Raymond and Karim Mamdani

Abstract: Why make the journey to an EHR? What's the Business Case for an EHR for Mental Health
services? The presentation will discuss how Ontario Shores Centre for Mental Health Science made the
decision to proceed with EHR, how it chose MEDITECH 6.0, the Board governance requirements and
how the Senior Team organized to deliver the project on time and on budget.

Glenna Raymond is the President and Chief Executive Officer at Ontario Shores Centre for Mental Health
Sciences (Ontario Shores). Glenna has held positions previously as Chief Nursing Officer, Chief HR Officer
and her experience includes a national focus on patient safety in mental health.

Karim Mamdani is the Chief Operating Officer at Ontario Shores and has accountability for IT and
Executive oversight of the 6.0 implementation. Karim has held positions at various management levels in
academic health science centres and senior leadership positions at academic mental health centres.

114 – 6.0 PCS Build: A Best Practice Approach
Presenters: Amy Aaselund and Keri McGill

Abstract: As Overlake Hospital began the planning for PCS, it became apparent that there was much
work to do related to current workflow, documentation content, and processes. The project team was
presented with an opportunity to implement an enterprise wide electronic medical record to include the
incorporation of standardized, evidence-‐based content. With limited resources, staff and budget, the
Project Champion's Team, led by the Nursing Champion, developed a subcommittee from the hospital-‐
wide Clinical Care Congress. Clinical Care Congress, a Shared Governance committee, supports a
decentralized organization placing the responsibility and authority for decision making at the level
closest to patient care. The conception of the Clinical Practice Integration committee allowed a multi-‐
disciplinary team to review current clinical documentation, evidence-‐based practice, and MEDITECH's
standard content in order to create a clinical documentation tool that meets the end-‐users needs while
enhancing clinical practice across the organization. Taking a quote from Spock, "The needs of the many
outweigh the needs of the few or the one", and this group started an amazing journey of discovery and
revelation. This is their story!

Amy Aaselund, RN, MSN, has been a CNS at Overlake Hospital for three years, having practiced at the
bedside in Critical Care and the Peri-‐Op arena. In 2009 she accepted the role of Nursing Champion for
the MEDITECH 6.0 EMR project. Over the last 2 years, Amy has expanded her nursing practice, and she
has become an Informatics Nurse, leading the organization on standardizing, identifying, and developing
best practice content for clinical documentation. In her spare time, she is mom to Cameron and one year
old Audrey.

opportunity to join Overlake Hospital and lead the organization on our current 6.0 journey.

115 – Build a Discharge Call Application
Presenter: Deborah Brackin
Organization: Grays Harbor Community Hospital, Aberdeen, Washington

Abstract: A discharge follow up phone call system was implemented to improve patient outcomes and
trend data with initial results stored on individual charts. Prior to implementing an electronic solution
for tracking discharge phone calls, there was no way to have a global view of the data. This presentation
illustrates how Grays Harbor Community Hospital created a simple secure solution using Microsoft
Access and NPR to create a comprehensive view of discharge call follow-‐up data, thus facilitating
improved plans of care and report findings of efficiencies and inefficiencies related to the patient’s
recent inpatient hospitalization.

Deborah Brackin has been supporting the healthcare industry for a total of 27 years with experience in
contract coding and claims processing. She has spent the past eight years in the healthcare IT field. The
last two years have been at Grays Harbor Community Hospital as a system analyst supporting 3M and
MEDITECH’s ADM, ABS, and MRI applications. In addition to her standard duties, Debbie has designed
and supports several MS Access and Excel solutions for various departments at the hospital. She
initiated time and resource savings in the organization, especially for the Quality area.

116 – The Satilla 5.6.4 Upgrade Project – and We Survived
Presenter: Debra Beverley
Organization: Satilla Regional Medical Center, Waycross, Georgia

Abstract: Learn about the project management, the issues we encountered – along with the successes –
and the solutions and expectations regarding our recent 5.6.4 upgrade.

Debra Beverley is a Clinical Application Analyst for Satilla Regional Medical Center with over 25 years of
information systems experience. She has been with SRMC for 10 years and was hired in the beginning
stages of the MEDITECH implementation. She supported the original MEDITECH go-‐live and future ring
releases, served as project manager for implementation of the Fetal Monitoring System and a
Transcription/Dictation system, co-‐managed the Echo implementation, and implemented and maintains
various interfaces. The most recent challenge she had was managing the project for their 5.5.4 to 5.6.4
MEDITECH C/S upgrade.

Theme: Country MUSE-‐ic Awards

Categories include:
• New EHR Artist of the Year
• Single Application of the Year
• Clinical Entertainer of the Year
• Most “Meaningful” MUSE-‐ical Event of the Year

Nominees are:

117A – Clinical Review, Sweet Music to a Physician’s Eyes
Presenters: Jay Niehaus and Debra Jahn
Organization: Inland Northwest Health Services, Spokane, Washington

MEDITECH's newest sensation has taken the country by storm. Clinical Review is a terrific new updated
cover of that old favorite PCI. We have played this song many times and find it a remarkable launching
pad to introduce physicians to EMR entry. We would like to share what we have learned with you about
how to get this new favorite out there and get your clinical staff on board. With the right planning and
execution, this one will reach the top of the charts!

117B – Physician Documentation, How to Score a Hit For Your EHR
Presenters: Jay Niehaus and Debra Jahn

For all the medical staff that are saddle sore, tired of squatting on their spurs and plumb tuckered out
from reading all the handwriting on paper, this new MEDITECH PDOC release is for you. A vibrant
documentation melody is matched with driving electronic instruments, a clever set of medical lyrics and
an impassioned programming performance making it the best nominee and a sure bet for the 2011
Country MUSE-‐ic Awards. Come listen to this successful duet for a performance filled with physician
adoption songs, implementation strategy music and helpful tips picked up from 20+ previous
implementations. All together these tunes should help you get this electronic record happily playing
back at your home corral!

117C – Computerized Physician Order Entry (CPOE), Getting the Group to Play in Harmony
Presenter: Marcia Cheadle

The Wild West hasn’t seen a phenomenon like CPOE since Physician Documentation showed up in
MEDITECH. What a stunning debut, featuring the most infectious aspects of a Doctors signature style.
Placing orders on paper wasn’t worth a plugged nickel, but now, Computerized Provider Order Entry is
peaking at number one on the billboard charts. Emerging astonishingly fast as the new king of ordering,
CPOE’s climb can largely be attributed to boot scootin’ electronic ordering which has touched millions of
fans. So let’s all tip the brim of our 10 gallon hats to our Physicians currently using CPOE and get those
“horse of another color” Doctors on board. Set your promising artistic Doctors free from paper and
learn how they can put on their Sunday-‐Go-‐To-‐Meetin' outfits and knock ‘em flatter than a pancake by
learning CPOE.

117D – Meaningful Use Gap Analysis and Planning – Engineering a Hit – Wow!
Presenters: Marcia Cheadle and Cheyenne Thomas

What a crazy yearlong MUSE-‐ical event this has been. Back from a successful tour of rural Washington
State, INHS presents Dolly and Reba ready to debut their latest smash hit: Meaningful Use Gap Analysis
and Strategic Planning with MEDITECH or better known as, the minimalist approach to get the win. Like
any great country hit, this song has it all, the heartbreak of quality measures, the excitement of meeting
your goals, and finally the happy ending with successful attestation! They will also be giving a little
sneak peak of the sequel to this song: Stage 2, Here We Go Again.

Marcia D. Cheadle, RN, is the Director of Advanced Clinical Applications for Inland Northwest Health
Services (INHS). Ms. Cheadle is responsible for the implementation of MEDITECH’s Advanced Clinical
Applications for over 23 facilities. She oversees the design of a multidisciplinary program strategy
ensuring successful execution and adoption. She has directed implementations including MEDITECH
Nursing Program, Emergency Department Management, Physician Computerized Order Entry, V2 MIS
Allergy Conversion, Ambulatory Order Management/Medication Reconciliation, Physician
Documentation and Bedside Medication Verification programs. Over the past 24 months, Ms. Cheadle
has orchestrated facility-‐wide Physician Computerized Order Entry, utilizing Zynx Evidenced-‐Based Care
Orders at seven facilities while designing strategies for Physician Documentation, implementing at 15
facilities with over 550 physicians documenting electronic daily progress notes, H&Ps and Discharge
Summaries. A champion of facility and provider involvement, her implementation designs work within
the culture and characteristics of an organization developing a plan that aligns multidisciplinary
clinicians, informatics staff and executives. In addition, Ms. Cheadle facilitates planning activities for
large project initiatives within healthcare organizations interested in preparing for “Meaningful Use”
leading to Accountable Care Organization status. Ms. Cheadle maintains her commitment to the nursing
profession by continuing an active bedside care practice at a local Emergency Department.

Jay Niehaus is an analyst on the Advanced Clinical Applications Team for Inland Northwest Health
Services (INHS). Mr. Niehaus is one of the team members responsible for implementation of MEDITECH’s
Clinical Review and Provider Documentation (PDOC) Applications in conjunction with Project Managers
for 9 facilities. Over the past 18 months, Mr. Niehaus has been on the front line with the facility-‐wide
Physician Documentation project: researching, designing, implementing templates and training at these
facilities working with over 260 physicians. These physicians are currently documenting approximately
7,000 electronic daily progress notes per month. Mr. Niehaus maintains a close relationship with the
physicians, HIM staff and MEDITECH to ensuring maximum participation and compliance.

Debra Jahn is a senior analyst on the Advanced Clinical Applications Team for Inland Northwest Health
Services (INHS). Ms. Jahn has 20 years of experience in close partnership with MEDITECH and project
management teams for the successful implementation numerous applications. She works closely with
multiple facilities interfacing with physicians, nurses and ancillary staff to develop and ensure a standard
methodology in construction of screens and templates. MEDITECH applications include the PCM suite,
with CPOE, Clinical Review, Provider Documentation (PDOC) and EDM/POM for several facilities. Ms.
Jahn also coordinates with nursing staff for the implementation of electronic Medication verification
application. Ms. Jahn researches, and tests order sets, templates and

Cheyenne Thomas has been with Inland Northwest Health Services for 7 years and is currently in the role
of Regional Accounts Manager. In this capacity a large part of her duties involve regulatory research and
education for 20+ sites in the Northwest. Her most recent role has been focused on helping these
facilities understand and achieve meaningful use. As part of the INHS meaningful use task force, she has
attended most of the ONC workgroup meetings, been responsible to read and educate the group on all
related regulations, hold educational sessions for all INHS associated facilities, create gap analysis and
monthly report card documents, and work with facilities in regular meetings to monitor their progress
towards meeting meaningful use and help to adjust strategies where necessary. Cheyenne has also been
a regular contributor to the MUSE Meaningful Use web site. Mrs. Thomas has previously managed
business office staff and functions for both large urban and small rural facilities. She has been in
healthcare for 16+ years.

118 – Business Continuance: In Case of eMAR Downtime, Don't Panic
Presenter: Carole Weinstein
Organization: The Valley Hospital, Ridgewood, New Jersey

Abstract: The Valley Hospital’s 450 acute care beds plus ER and assorted outpatient areas all utilize
MEDITECH’s electronic MAR. Learn about the system we put together utilizing MEDITECH and other
vendor solutions to ensure that eMAR information is available at patient locations even if MEDITECH or
the hospital network is down

Carole Weinstein is a Project Specialist in Information Systems at The Valley Hospital in Ridgewood, New
Jersey. She has supported many of the hospital’s MEDITECH modules in her 13 years at Valley. After she
and co-‐Project Specialist Barbara Dolan successfully implemented eMAR/BMV house wide, she has
moved on to the ORM implementation.

119 – ORM 101

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.

120 – Overcoming Resistance – A Piece of the Puzzle to Aid in Your CPOE Implementation!
Presenter: Christin Pritchard
Organization: Great River Health System, West Burlington, Iowa

Abstract: Who hasn’t heard the question “What’s in it for me?” The primary focus of CPOE
implementation has been its impact on patient safety. Many providers do not doubt that this in fact is
true, but still question how this process will benefit them. We have worked closely with our education
department to develop a Continuing Education program for the completion of CPOE training. This
presentation will walk through the steps that we have laid out for overcoming barriers to a resistant
audience, as well as what is needed to begin the CME program at your organization. Wouldn’t it be nice
to finally offer your providers something for their cooperation in CPOE implementation?

Great River Health System is a 378-‐bed regional, integrated healthcare system. We are currently
implementing CPOE in a phased approach, and hope to be LIVE with 90% of our medical staff by the end
of the year. Recently, we have implemented CPOE in our ED – and have since met the Stage I
requirement for CPOE utilization.

Christin Pritchard, RN BSN is a Clinical Analyst at Great River Health Systems, and has been the lead for
CPOE implementation in the Inpatient and Emergency Department settings.

121 – Riding Your Way to Improved Transport
Presenter: Michael Laidlaw

Abstract: This presentation will detail the steps taken by The Valley Hospital, a 451-‐bed acute care
hospital in northern NJ, to vastly improve their transport system and procedures. Topics will including
transport ordering, scheduled versus unscheduled trips, the patient "Ticket to Ride", and a nursing unit
transport monitoring system.

Michael Laidlaw has been with The Valley Hospital for eight years and is currently a jack-‐of-‐all-‐trades
Application Analyst. He graduated from Roger Williams University in Rhode Island with a degree in
computer science and is currently completing with his Masters in Statistics from Montclair State
University.

122 – How to Print OR Surgery Forms Automatically from MEDITECH
Presenter: Shantilal Ramani
Organization: Nathan Littauer Hospital, Gloversville, New York

Abstract: How can your hospital save money, improve patient safety, and print automatically from the
MEDITECH system? Attend this presentation to learn how.

Since 1991, Shantilal Ramani has worked at Nathan Littauer Hospital as Associate Information
System/PACS Administrator. He was educated as a Hardware and Software Engineer. He was written an
operating system and many NPR reports in all modules.

123 – TAR -‐ Making It Work For Us
Presenter: Christina Reynolds
Organization: Bozeman Deaconess Hospital, Bozeman, Montana

Abstract: TAR -‐ a great concept but how did we make it work for us? We are a MAGIC 5.63 site and
went live with TAR in August of 2010. The implementation was successful, but the build was frustrating
at times to say the least. Come learn what we have learned, how it was built, what things we have
overcome, and issues we are still working on.

Christina Reynolds, RNC, BSN has worked at Bozeman Deaconess Hospital in southwest Montana for 13
years. Ten+ of those years were spent at the patient bedside and the last three years in Informatics. She
still works one weekend a month at the bedside to keep her skills up and stay in touch with end user
workflow. She was on the implementation team of NUR/eMAR/BMV and TAR and continues to help
maintain and improve these modules.

124 – "Captivate" Your MDs with CPOE Self-‐Learning

Abstract: Physicians value their time, and it's sometimes difficult to provide resource-‐effective CPOE
training while meeting their needs. The Valley Hospital has provided one-‐on-‐one CPOE training to 901
physicians to date. In doing so, we identified some additional needs which suggested some type of
complementary or supplementary self-‐learning system would be valuable.

This presentation will cover the various software tools we tried, a look at the steps involved in creating a
CPOE self-‐learning CD using Adobe Captivate, and what we learned about physician preferences,
learning styles, and time management.

Carole Weinstein is a Project Specialist at The Valley Hospital. When not implementing and supporting
MEDITECH and ancillary system modules, she enjoys quietly bonding with her computer while creating
Information Technology educational tools.

125 – What's the Beef about COWs?
Presenter: Tony Lapera
Organization: Doctors Community Hospital, Lanham, Maryland

Abstract: This presentation will outline a process that could be helpful when evaluating Computers-‐on-‐
Wheels (COWs) for your facility. It is vendor-‐neutral, and several key factors that should be considered
when making the COW decision will be discussed. This presentation is aimed at facilities considering the
new implementation of COWs, but all are welcome!

Tony Lapera is the Network Manager at Doctors Community Hospital in Lanham, Maryland, just east of
Washington, D.C. He has been in the MEDITECH arena (MAGIC platform) for over 16 years and is a
regular attendee at MUSE events. If he gets any spare time, he enjoys his boat on the Chesapeake Bay,
golfing, and being a singer in a rock & roll band.

126 – PCS – (Really) Innovative Approaches to Improve Patient Care
Presenters: Johanna Samara and Lori Harper
Organization: Advocate BroMenn Medical Center, Normal, Illinois

Abstract: Ever question how you can effectively provide interdisciplinary staff with intuitive tools for
evidenced based plans of care, discharge documentation, real-‐time monitoring of key aspects of care
and regulatory data capture/reporting? This session will review one organization’s journey to improve
patient care through the innovative use of MEDITECH Client Server PCS and NPR modules.

Advocate BroMenn Medical Center and Eureka Community Hospital have been live on MEDITECH CS
since 2002. After a large ‘big bang’ approach with core financials/HR, ADM, BAR, OE, LAB, ITS, PHA,
SCHED, EMR, a phased approach for PCS, eMAR and BMV was undertaken. Now the organization is
focused on key documentation improvements to provide interdisciplinary staff enhanced plan of care,
documentation, communication and reporting tools necessary to support quality patient care and
regulatory reporting requirements. This presentation focuses on the design, workflow and reporting
elements implemented during these improvement projects. The presentation focuses on use of
MEDITECH CS PCS and custom NPR reporting.

Jo Samara RN, BSN, Senior Clinical Field Analyst at Advocate BroMenn Medical Center in Normal, Illinois.
Various clinical and IS leadership roles have provided opportunities to lead efforts for selection, design,
build, implementation, training and support of multiple systems, including MEDITECH. Jo is co-‐leading
the Clinical Documentation Advisory Group and Plan of Care Project Teams.

Lori Harper RN, MSN, MBA, Director of Nursing Practice at Advocate BroMenn Medical Center in Normal,
Illinois. Responsibilities include oversight of nursing practice and clinical education. Lori serves as the
nursing leadership liaison, co-‐leading the Clinical Documentation Advisory Group and Plan of Care
Project Teams.

127 – Advancing Clinical Information Systems within a Large Healthcare Organization
Presenter: Corey Tillyer
Organization: Fraser Health Authority, Surrey, British Columbia

Abstract: Fraser Health Authority (FH) is one of six Health Authorities within British Columbia, Canada.
FH is home to MEDITECH's largest single standardized C/S Database which has a MPI containing over 1.6
million persons. FH currently has 13 hospitals running the foundational CIS modules from MEDITECH.

But now comes the fun part ... it’s time to look toward advancing the Clinical Information System to
ensure health care providers have the information they need for clinical decision-‐making at the point of
care.

In January 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 while we tell you what Fraser Health is planning to do to advance our large
standardized clinical information system leveraging the advanced functionality offered within
MEDITECH.

Corey Tillyer is the MUSE International Secretary and Director-‐at-‐large for Canada. Corey has worked in
health informatics for 15 years and has worked her way from being a Clinical Information Specialist to
the Director of Health Informatics for Fraser Health Authority. Corey's background as a Registered Nurse
helps her to ensure clinicians and patients are always at the forefront of the information systems Fraser
Health implements.

128 – Advanced Clinicals Device Selection
Presenter: Jill French
Organization: Henry Mayo Newhall Memorial Hospital, Valencia , California

Abstract: Henry Mayo is a small community hospital with 230 beds. We were recently challenged with
the prospect of going live with advanced clinicals and needed to find devices that nurses/physicians and
ancillaries could use for documentation. We had a number of challenges:
• An older building structure that did not allow room for additional devices
• We were unable to do any construction because being in California it would have taken too long
• Most patient rooms were shared
• We needed to accommodate physicians.

The presentation outlines the structure and processes we went through to achieve our final solutions.
Infrastructure will be discussed and lessons learned will be identified.

Jill French has been in the healthcare industry for the last 24 years, starting her career in England with a
nursing degree (SEN). Moving to the United States in 1989 and into the IT field with a technical twist, Jill
enjoys using her healthcare and technical experience to hit challenges head on. Jill has been here in the
United States since 1989 and holds a Director position at Henry Mayo Newhall Memorial Hospital. Since
arriving at Henry Mayo Jill has been able to lead many successful technical projects ranging from
implementing a full medical grade network to building a data center. Jill currently co-‐chairs the
Technology Executives for California Healthcare Group (TECH) and also sits on the Cisco Mobility
Customer Advisory Board.

129 – Creating a Clinical Informatics Dream Team and Lessons Learned Implementing
MEDITECH 6.0 PCS using the MEDITECH Standard
Presenters: Harlow Sires and Tracy Sullivan
Organization: Overlake Hospital and Medical Center, Bellevue, Washington

Abstract: Every organization is challenged with creating a successful implementation team. Overlake
Hospital migrated from Magic 5.62 to CS 6.0 in August of 2010 and immediately began the journey to
bring up “Advanced Clinicals” into an organization comfortable with paper documentation. Lessons
learned will be shared on team development as we used the “MEDITECH Standard” to create a
completely new documentation system.

Harlow Sires RN MSN is a Clinical Informatics Analyst with 15 years of experience supporting and
implementing MEDITECH software including Magic CPOE, EDM and a recent migration from Magic to CS
6.0.

Tracy Sullivan RN is a Clinical Informatics Nurse at Overlake Hospital, recently transitioning from Staff RN
to Informatics RN.

130 – Workin’ After Midnight Searching for Meaningful Use Incentive Money
Presenter: Denni McColm
Organization: Citizens Memorial Healthcare, Bolivar, Missouri

Abstract: As a Stage 7 hospital on the HIMSS EMR Adoption Model, you’d think Citizens Memorial
Hospital would be sleeping soundly knowing that we qualify for meaningful use. Not so. We’ve been
workin’ after midnight, searching for the answers and feeling lonesome as can be, hoping to figure it all
out. Come hear what CMH has had to do, including retooling, reconfiguring and retraining to meet the
meaningful use requirements.

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.

131 – Our 24/7 Employee
Presenter: Faye Walker
Organization: Hospital Corporation of America (HCA), Nashville, Tennessee

Abstract: HCA is the nation’s leading provider of healthcare services, composed of locally managed
facilities that include 163 hospitals and 105 freestanding surgery centers on 20 states and England. All
of these hospitals are using MEDITECH. At its’ founding in 1968, Nashville-‐based HCA was one of the
nation’s first hospital companies. How do you support the ever-‐changing needs of such a broad and
complex environment? With 24/7 employees, that never get tired, need breaks, or ask for vacations, of
course.

These 24/7 employees have automated several of our day to day operations: LIVE to TEST copies,
Customer Defined Screens, Dictionary Syncs and as we transition from the 5.6.4 to the 6.0 world, more
opportunities for our 24/7 employee to handle data are presented. In this presentation we’ll look at
these workflows, how HCA has automated them and what the benefits have been.

(This a Client/Server specific session)

Mrs. Faye E. Walker has been a Senior Systems Engineer for Hospital Corporation of American (HCA) for
the past 25 years, and has over 35 years of programming experience. She supports the development side
of Clinical Systems, and is responsible for developing and maintaining MEDITECH Magic software for
hospital laboratories instrument interfaces as well as planning, developing, testing and implementing
customized software scripts and applications for special projects. She is presently assigned to Wave 1
PDOC development and MEDITECH 6.0 projects.

Mrs. Walker attended Tennessee State University with a major in Business Administration and the
University of Tennessee, Nashville Campus where she majored in Accounting and received a degree in
Computer Programming. She earned her Masters in Business Administration in August, 2001.

Mrs. Walker is married to Rev. Dr. James H. Walker, Sr. They are the proud parents of 5 children, 7
grandchildren and 2 great-‐grandchildren.

132 – Going 6.x? “Been There … Done That” Lessons Learned
Presenter: Cinnamon Mathews
Organization: Arkansas Children's Hospital, Little Rock, Arkansas

Abstract: Arkansas Children’s Hospital is a migration site from MEDITECH MAGIC 5.6 to Client Server
6.0. Go LIVE was achieved on September 1, 2010. This presentation will cover our journey from Pre-‐
Implementation through Go LIVE and life since then. There are currently many more hospitals in the
midst of implementation than there are hospitals that are LIVE. If you are one of these sites, or just
considering CS 6.0, come learn what ACH did right and also hear some of the surprises we encountered,
despite all of our preparation and testing.

Cinnamon R. Mathews is a Systems Analyst Manager in the Information Technology Applications
Department and is responsible for the team that oversees all the Financial Applications. Since converting
to CS 6.0, she has also been charged with tracking all the high priority MEDITECH issues for the HIS
Steering Committee. She has a degree in Organizational Management with an emphasis in Healthcare
Administration, along with over 20 years of health care experience.

134 – Quality Reporting for Meaningful Use: I’m CRAZY for Lovin’ You . . .
Presenter: Kim Maples
Organization: Citizens Memorial Hospital, Bolivar, Missouri

Abstract: We are lovin’ it that we finally have quality measures specified for electronic health records.
But is wonderin’ about those measures leaving you blue? You aren’t as lonely as you think. Every
hospital is worried about how to collect all of that data in structured fields.

With lots of tryin’, cryin’ and thinkin’, we’ve been able to build, operationalize and report on the quality
measures for meaningful use at Citizens Memorial Hospital. Come hear about how to read, map, build
and report on the quality measures necessary to qualify for meaningful use incentives for the hospital
setting.


Kim Maples, RN BSN has worked at Citizens Memorial Hospital in Bolivar, Missouri for 11 years. She has
nursing experience in Med/Surg, ICU, and as a clinical nursing instructor. She has worked as a clinical
information specialist for three years. She is the primary support for PCS and ORM and offers secondary
support for EDM, LAB, and RAD for their MEDITECH C/S 5.64 PP20 platform.

135 – Training the Masses: Lessons from the Trenches
Presenter: Terri Baker
Organization: Fraser Health Authority, Surrey, British Columbia

Abstract: In 2010, Fraser Health Authority converted four acute care sites from MEDITECH Magic 5.4 to
Client Server 5.57. This involved the training of approximately 6,000 clinical staff (nursing, allied health,
unit clerks, and physicians). Multi-‐modal education methods were utilized and evaluated during and
post conversion. Lessons learned are informing the education planning for the opening of the Surrey
Outpatient Care and Surgery Centre in June 2011 and our move to 5.65 in 2012. This session will focus
on education strategies, opportunities and successes, and the application of lessons learned.

Terri Baker, RN, MSN, has 25 years of health care experience, including 18 years in clinical practice. Now,
as the Clinical Informatics Coordinator for Fraser Health Authority, she is supporting myHEALTHSystem, a
standardized and consolidated electronic health record for those living in the Fraser Health Authority
area. Her responsibilities include implementation and operational education planning for clinical staff.

136 – Physician Desktop and Documentation: Taking the Pen and Paper Away!
Presenter: Christian Renaux, RN
Organization: Signature-‐Healthcare, Brockton, Massachusetts

Abstract: Signature Healthcare needed a way to send physician documentation electronically for
professional billing. The first thought was through the nursing module. After some building and testing,
it was noted it just wasn't going to work. So the decision to go live with PDOC in Magic 5.61 was made. It
was a slippery slope but proved to be the right decision. Since then, Signature Healthcare has
implemented the desktop, clinical review and CPOE for the 20+ hospitalist group among other
physicians. The hospital is now 5.64 SR6 and finding new ways to solve issues using the PWM suite every
day.

Christian Renaux, RN is the Director of Clinical Applications for Signature Healthcare an integrated
healthcare system with a 253-‐bed acute care hospital located and more than 550 physicians located in
Massachusetts about 20 miles south of Boston. Christian has been an RN since 1999 and has more than
21 years in the military including two combat tours. He started out his IT career at MEDITECH and in his
10 years of IT has worked at several community hospitals in the Boston area implementing clinical and
non-‐clinical systems.

137 – The Story of a 5.6.5 PP4 C/S Upgrade
Presenter: Jean Olsen
Organization: Centura Health, Englewood, Colorado

Abstract: A full review of the project from beginning to end of a 5.6.5 C/S Upgrade will be presented.
Project Plans, responsibilities, and Lessons Learned will be shared. A question/discussion time will also
be provided. This project was completed over a 12-‐month time frame for a large healthcare
organization in Colorado. It involved training over 13,000 users throughout the 12 hospitals, 60 plus
physician offices, and a number of free standing clinics. The UPT tool was used by the IT personnel as a
means of updating the LIVE environment.

Jean Olsen, RN BSN, has been involved with the Electronic Health Record for over 17 years. As the
Program Manager on this project, it was important to provide communications and leadership that
encompassed all applications, end users, and executive leadership. With over 25 years of clinical nursing
experience involving many areas of healthcare, 3 years of audit and B/AR experience and the past years
of Information Technology, Jean provides a broad based background of the integration involved in
producing an effective EHR system.

138 – Dollar T, Magic, Client Server 5.4, 5.6, MEDITECH 6.0 … I'm Confused!
Presenter: Debbie Bate-‐Travis
Organization: Humber River Regional Hospital, Weston, Ontario

Abstract: This presentation is targeted at the new (or confused) MEDITECH user and will be an overview
of the different types of platforms, with the aim of identifying the major similarities and differences.

Debbie Bate-‐Travis BScN,M.Ed is an Senior Information Systems Analyst working in Humber River
Regional, a 500-‐bed acute care Ontario hospital. Debbie has worked primarily with the Magic platform
and is now currently implementing the MEDITECH 6.0 platform.

139 – The Evolving Role of the Case Manager in the Revenue Cycle
Presenter: Ronald Kilmer, RN, BS
Organization: Nathan Littauer Hospital

Abstract: The healthcare environment has been and continues to undergo many changes both from a
regulatory perspective as well as payer initiatives. One of these changes is the critical role case
management plays in the organization especially as it relates to the revenue cycle. This presentation
will highlight those critical roles hospitals should consider when implementing any changes to the case
manager function. Ron will present the model Nathan Littauer Hospital successfully implemented 14
years ago that has positioned the organization to easily adjust to the changes.

Ronald Kilmer, RN, BS is a registered nurse with over 34 years of hospital clinical and financial experience
He has been responsible for utilization review activities at Nathan Littauer Hospital, a 74-‐bed acute care
community hospital in Gloversville, NY for the past 30 years. In addition to utilization review, he is
responsible for case management, social work and the hospital’s denial management program, and the
manner in which these functions relate to documentation in the hospital’s MEDITECH system.

Ron has presented several programs nationally and regionally on case management, denial
management and observation services. He has presented at MUSE covering case management, denial
management and utilization review relative to the functions in MEDITECH, most recently at the 2010
International MUSE conference in Dallas, TX. Ron regularly consults with a number of hospitals across
the country, assisting them in the set-‐up and utilization of the MEDITECH UR Module.

140 – How to Build and Implement the MEDITECH’s UR Module in the Abstracting Application
Presenter: Ronald Kilmer, RN, BS
Organization: Nathan Littauer Hospital

Abstract: There has been a growing interest by hospitals in learning more about MEDITECH’s UR
Module in the Abstracting application as they explore options relative to bringing their case
management function into the electronic era. Ron implemented the UR Module in 2001 relative to
denial management, utilization review, discharge planning and social work functions and has achieved
the goal of being totally paperless.

The UR Module has screen functions for Insurance, Level of Care, Reviews, Notes, Discharge Summary,
Denials/Appeals, Forms and Letters. The presentation will cover each of these functions and how they
may be utilized. A key focus will be how to integrate the use of Interqual Criteria© and Milliman
Guidelines© as they relate to determining medical necessity of admissions into the review process
structure of the module.

Ronald Kilmer, RN, BS is a registered nurse with over 34 years of hospital clinical and financial experience
He has been responsible for utilization review activities at Nathan Littauer Hospital, a 74-‐bed acute care
community hospital in Gloversville, NY for the past 30 years. In addition to utilization review, he is
responsible for case management, social work and the hospital’s denial management program, and the
manner in which these functions relate to documentation in the hospital’s MEDITECH system.

Ron has presented several programs nationally and regionally on case management, denial
management and observation services. He has presented at MUSE covering case management, denial
management and utilization review relative to the functions in MEDITECH, most recently at the 2010
International MUSE conference in Dallas, TX. Ron regularly consults with a number of hospitals across
the country, assisting them in the set-‐up and utilization of the MEDITECH UR Module.

141 – Tracking a Paperless ED
Presenter: Alan Teegarden
Organization: Harrison Memorial Hospital, Cynthiana, Kentucky

Come and learn how Harrison Memorial Hospital resolved some problems encountered when then went
to computerized physician order entry in the Emergency Room Department. Problems like how to
communicate when the orders were not written; and knowing when the physician had placed not only
his first set of orders but subsequent orders. How do you know when an order has been carried out or
specimen has been collected when the order sheet is no longer there to initial? What can you do to
keep up with reassessments for medications and recheck of patient? Come and listen to the Nursing
Supervisor tell how he presented this issue to the IT Department and together, through use of colors
and indicators, a solution was born.

Harrison Memorial Hospital, a 61-‐bed acute care facility with 11 bays in the ED, has been utilizing the
EDM module in MEDITECH’s Magic environment for five years and we are still striving every day to make
it better.

Alan Teegarden has been the Emergency Department Manager at Harrison Memorial Hospital in
Cynthiana, KY for 3½ years. He has been a Registered Nurse for over 15 years, and also has a Bachelor’s
Degree in Business Administration. He has spent his entire nursing career working in or managing
Emergency Rooms, and is a huge advocate for computer records and charting.

142 – Backstage – Learn How to Achieve HIMISS Stage 6 & 7 Using MEDITECH
Presenter: Denni McColm

Abstract: Hear from MEDITECH hospitals who have achieved Stages 6 & 7 on the HIMSS EMR Adoption
Model about what happens behind the scenes. Become familiar with the script that will help hospitals
prepare and move toward achieving these levels. Find out how to get a call for a Stage 6 audition.
Understand the players you need to know within the HIMSS Analytics organization. Gain insight into the
inner workings of the process and learn what hospitals can do to be ready for a performance on Stages 6
& 7 of the EMR Adoption Model.

This panel discussion will be led by Denni McColm, CIO, Citizens Memorial Healthcare. Citizens Memorial
has achieved a Stage 7 level on the HIMSS Analytics EMR Adoption Model. Denni will be joined by a panel
of CIO's and Directors from hospitals that have achieved Stage 6 on the model using MEDITECH.

143 – EDM – You CAN Train Your Dragon
Presenter: Kathleen Seddon

Abstract: Five years into our EDM experience, we have some advice, helpful hints and suggestions to
share with other users who may be considering or have already embarked on a similar adventure. We
will talk about building Trackers, Indicators, Nursing Documentation and Physician Documentation. The
presenter is the Application Analyst who worked with the implementation team of ER Nurses, Physicians
and secretaries to bring electronic documentation to the Emergency Department (72,000 ED visits in
2010) at our 451-‐bed acute care hospital.

Kathy Seddon has been employed at The Valley Hospital for 20 years and is currently an Application
Analyst in Information Systems. She is the proud mother of four and grandmother of five.

144 – MEDITECH 6.0 Downtime Approach
Presenters: Eddie Swafford and Keri McGill

Abstract: The integration of an Electronic Medical Record adds infinite advantages in data organization,
research and efficiency. This technical upgrade also develops a reliance on power and network
communication. But what happens when there is a temporary loss of power or system communication?
This inquiry prompted Overlake Hospital to develop strategies and planning in preparation for potential
downtime circumstances after the implementation of MEDITECH 6.0. The ambition is economically
develop the ability to document and record patient data in a manner that was consistent with the
MEDITECH 6.0 assessment forms without compromising patient care or information storage.

Eddie Swafford is a Systems and Training Specialist/Informatics Analyst at Overlake Hospital in Bellevue,
Washington. He is a long time IS and Engineering Professional with extensive experience building,
training, and presenting MEDITECH 6.0 with Overlake Hospital. They have gone live with two medical
modules OM and PCS. They are also utilizing PCM E Signature and Eddie is working on device integration
and CPOE in MEDITECH 6.0 as well.

opportunity to join Overlake Hospital and lead the organization on our current 6.0 journey. Currently,
Keri and her team are moving forward with the 6.0 implementation, moving along the road with
MEDITECH.

145 – Developing and Updating Nursing Plans of Care (POC) without using the MEDITECH
Standard POC Functionality
Presenter: Jason MacLaughlin
Organization: Vanguard New England, Worcester, Massachusetts

Abstract: Vanguard New England (VNE) is comprised of St. Vincent Hospital and Metrowest Medical
Center in Massachusetts. In 2009/2010 VNE implemented MEDITECH's NUR/BMV in the magic 5.63
environment. Care planning was going to be an important feature of the final design, however, the Core
Team found the standard functionality challenging and not similar to their current practice.

From there the IS team, with full collaboration with the Nursing Core Team, set out to find a new way to
develop the Plans of Care in a more user-‐friendly format (while still allowing for patient customization
and user updates). After many rebuilds and redesigns a process was implemented and has been a
success.

Jason MacLaughlin MPA/H is a Senior Clinical Analyst with Vanguard New England. Mr. MacLaughlin
has been working in the healthcare IT field for 15 years. During that period he worked at MEDITECH
implementing NUR, PCI and OE. After MEDITECH, Jason was employed at ACS/Healthcare Solutions
(formally Superior Consultant) for 10 years as a Senior Consultant where he performed many different
roles for a wide array of clients across the country.

146 – Utilizing Rules and NPR Reports to Optimize Medication Dosing for Patients with Renal
& Hepatic Dysfunction
Presenter: Keith Burnham
Organization: Parkview Adventist Medical Center, Brunswick, Maine

Abstract: This presentation will outline how to identify patients with poor renal function and/or hepatic
dysfunction and assist pharmacists with dosing adjustments during order entry or verification. Further,
with the use of a Creatinine Clearance trending report will demonstrate a process to continually adjust
dosing throughout a patient’s stay. The utilization of MEDITECH’s PHA Interventions will be discussed to
document and track dosing adjustments. The use of adjusted, lean or actual body weight along with
calculations to identify cachectic patients when calculating Creatinine Clearance will also be discussed.
The utilization of laboratory results and clinical assessments into a rule to calculate a Child-‐Pugh score to
estimate Hepatic function and aid in medication dosing will also be reviewed.

Keith Burnham is a Clinical/Informatics Pharmacist at Parkview Adventist Medical Center in Brunswick,
Maine. Keith has been involved with Pharmacy Informatics for over six years. Through the utilization of
Technology, Parkivew Adventist Medical Center has been ranked #1 for Medication Safety in the State of
Maine by the Maine Health Management Coalition for four consecutive years. Keith has assisted
Parkview and several other hospitals as a consultant with the instillation and/or maximization of PHA,
POM, BMV, eMAR, ED, AOM & LSS.

147 – eMAR in the Spotlight: What We Learned While Implementing Advanced Clinicals
Presenter: Rebecca Miller, Pharm.D.
Organization: Bozeman Deaconess Hospital, Bozeman, Montana

Abstract: Starting from scratch with the eMAR/BMV implementation process can be a bit daunting,
especially in the context of Meaningful Use requirements. This presentation focuses on how to ensure
“what you need” behind the scenes to meet Meaningful Use is incorporated with your eMAR build,
including closed loop medication documentation, anticipating the rigors of CPOE, and process design for
NUR workflow – to help you achieve a spectacular eMAR performance!

Bozeman Deaconess Hospital is an 86-‐bed level III trauma center located in the heart of the Gallatin
Valley in beautiful Bozeman, Montana. We are a MEDITECH MAGIC 5.63 site and are currently live with
eMAR/BMV, Omnicell, NUR, TAR, and PCM phase I, with scheduled implementations of 5.64, RXM, EDM,
and ONC in 2011. We are currently in the build process for PCM phase II including OM, CPOE, and Zynx
Evidence-‐Based Order Sets.

Dr. Rebecca Miller is the Clinical Informatics Pharmacist on the PCM build team. She has previously
implemented 5.63, EMAR/BMV, and NUR; SmartPump technology; Omnicell automated dispensing
cabinets; and ExitCare Systems for the Emergency Department. She graduated from the University of
Florida College of Pharmacy and completed Pharmacy Practice residency training at Shands Teaching
Hospital in Gainesville, Florida. She previously served as Clinical Pharmacy Supervisor at Bozeman
Deaconess Hospital for seven years.

148 – Comparative Assessment of Medication History Information from Three Sources –
Helping Our Patients with Meaningful Use Initiative 6,1
Presenter: Jon Nolin
Organization: Northeast Health, Troy, New York

Abstract: Northeast Health is utilizing MEDITECH’s 5.64 Magic Reconcile Medication software to comply
with Meaningful Use Initiative Measure 6, Stage 1 “by comparing the medical record to an external list”.
We set out to understand the comparative completeness of medication history information obtained
from three Electronic Health Record sources including our own MEDITECH RXM database and the
Regional Health Information Organization in our area, HIXNY.

We compared source information for over 700 patients. It has helped to identify gaps in medication
history sources, including where and why gaps may be occurring, with the ultimate goal of addressing
these gaps, improving quality and safety, and decreasing cost of care.

Attend this presentation to learn about our setup, workflow and the clinical value in our Emergency
Rooms and at the inpatient bedside.

Jon Nolin is the Pharmacy Information Systems Administrator for Northeast Health and the Supervising
Pharmacist at Samaritan Hospital in Troy, New York. He is a member of the clinical sub-‐committee for
the Health Information Exchange of New York (HIXNY) and past member of the International Board of
Advisors for MUSE.

149 – Using NPR Reports to Help Improve Process Adoption, Patient Care, Quality, and
Workflow
Presenter: Justin Baitz
Organization: Jasper County Hospital, Rensselaer, Indiana

Abstract: In the modern world of data driven health care, being able to access and interpret data
efficiently is more important than ever. This presentation will show some of the ways that Jasper
County Hospital has been able to use NPR reporting to combat resistance to computerization, improve
employee workflow, help make data collection for the quality program more efficient and improve
patient care.

Justin Baitz is an Application Specialist work for Jasper County Hospital, a 25-‐bed critical access hospital
in Northwest Indiana currently utilizing the Magic platform. Justin has been writing NPR reports for the
past 6 years and has written reports in the clinical modules such as EDM, NUR, LAB, and PHA as well as
in several other areas of MEDITECH.

150 – Using Storage Area Network for Disaster Recovery with MEDITECH
Presenter: Ken Kupetsky
Organization: Burke Rehabilitation Hospital, White Plains, New York

Abstract: We will take a look at using non-‐certified storage (a significant cost savings) to support a
MEDITECH C/S system. We will discover the management features of the SAN and how to setup an
effective disaster recovery strategy for your mission critical systems. We will also cover how
virtualization plays a role in the efficient use of the systems and how users can access MEDITECH
through virtual desktops.

Ken Kupetsky is the CIO at Burke rehabilitation in White Plains, NY. With a B.S. degree in Computer
Science from Syracuse University and many technical certifications he has been able to get to a complete
electronic medical record since 2007 and achieve HIMSS Stage 6 status at Burke.

151 – Problem List? No problem!
Presenter: Karrie Ingram

Abstract: Meaningful Use requires the Problem List be populated for 80% of the patients we see. This
presentation will cover:
• Dictionary build … to SnoMed or not to SnoMed
• The potential role of NML and the Core Subset
• Basic Problem List functionality for acute and provider practice
• Ways to make the Problem List more available to your providers via Orders, Templates, and
Favorites

Hear about our experience and come ready to share yours!


Karrie Ingram joined Citizens Memorial Healthcare (CMH) in 2002 to head up the implementation of the
EHR for CMH's long term care facilities. She transitioned to supporting the MPM Suite for CMH's 20+
clinics in 2008 and has led recent implementation projects including the Patient Portal, e-‐Prescribing, and
external document scanning. Prior to CMH she spent several years in Project Management and is now
pursuing her PMP certification.

152 – Using Excel for End User Reporting from Data Repository
Presenter: Nino Dela Merced
Organization: RML Specialty Hospital, Hinsdale, Illinois

Abstract: Create quick reports in Excel that make it easy for users to do further data manipulation.
Learn to pull data directly from D/R tables or from stored procedures, setting up the spreadsheets with
parameters for re-‐use by the user.

Nino Dela Merced is a Systems Analyst at RML Specialty Hospital, a long term acute care hospital in
Illinois, using MEDITECH C/S 5.64. He supports the clinical modules, CPOE, and reporting.

153 – Advanced eMAR Documentation
Presenter: Erik Morrison
Organization: Mount Auburn Hospital, Cambridge Massachusetts

Abstract: Mount Auburn Hospital strives to provide the safest care for our patients. We began rolling
out eMAR/BMV to our med/surg floors in Spring 2009. After a few successful and stable
implementations, Nursing, Pharmacy, and Quality and Safety decided the telemetry floors were the next
logical areas of focus. These areas required more detailed CDS's and medication administration
processes due to their advanced level of care. Nursing, Pharmacy, Quality and Safety, and IS were able
to work together to build complex CDS's for high risk medications, specifically infusions and titrations.
These screens use macros and attributes to guide nurses through protocols and evidence based
administration.

This presentation will provide an overview of why these measures were needed, how they were
developed, and the challenges faced when implementing and maintaining such intricate medication
administration methods.

Erik Morrison is a Systems Analyst at Mount Auburn Hospital. He specializes in documentation tools and
features for MEDITECH's Advanced Clinical modules. He worked at MEDITECH in Implementation for the
Client Server Patient Care Systems group for two years. He has worked at Mount Auburn for three and a
half years. Erik presented an overview of eMAR/BMV implementation on med/surg floors at the
Northeast Regional MUSE in 2009.
154 – Optimizing CPOE
Presenters: Jayne Cloutier and Keith Burnham

Abstract: Many hospitals have struggled with getting CPOE up and running. This presentation will go
over some of the strategies we employed to go from a 40% utilization rate to just over 70% (and
climbing). Topics such as optimizing order strings, incorporating best practice into user-‐friendly order
sets, streamlining the alerts to “meaningful ones” and other techniques we found helpful. We will also
highlight some of the hurdles we overcame and others we continue to struggle with.


Jayne Cloutier, RN, BSN is the Clinical Information Manager at Parkview Adventist Medical Center in
Brunswick, Maine. She has implemented, tested and trained her way through all clinical applications at
the hospital as well as some of the administrative/financials. She was recently involved in MEDITECH’s
Advanced Clinical Initiative Project, working closely with their Performance Team to optimize Parkview’s
use of the Advanced Clinical modules as well as to provide feedback on future releases of the software.

Keith Burnham is a Clinical/Informatics Pharmacist at Parkview Adventist Medical Center in Brunswick,
Maine. Keith has been involved with Pharmacy Informatics for over six years. Through the utilization of
technology, Parkivew Adventist Medical Center has been ranked #1 for Medication Safety in the State of
Maine by the Maine Health Management Coalition for four consecutive years. Keith has assisted
Parkview and several other hospitals as a consultant with the instillation of PHA, POM, BMV, eMAR, ED,
AOM & LSS.

155 – A Spoonful of Sugar Helps with Clinician Buy-‐in into EMR
Presenter: Bill McQuaid

Subhead: Zero Sign-‐on and Walk-‐away Security for fast and convenient access to patient data

Abstract: When Parkview Adventist Medical Center made the move to become a paperless hospital in
2005, it was clear that if access to patient information slowed clinician workflow, adoption of their new
EMR system was going to be an uphill battle. By introducing single sign-‐on, strong authentication and
walk-‐away security, the IT department won the doctors and nurses over and took a Big Bang approach
to implementing a full set of MEDITECH applications in record time. By 2009, Parkview had become the
23rd organization to achieve Stage 6 status on the HIMSS EMR Adoption Model. Today clinicians have
fast access to the data they need from throughout the hospital, their practices and their homes, and
Parkview is fully prepared to meet requirements for Meaningful Use.

In this presentation, we will share the secrets of his success and discuss the role that authentication and
access management tools and practices can play in satisfying clinicians and speeding EMR adoption. We
will share our experiences on:
• The implementation of single sign-‐on and finger biometrics throughout the hospital and
practices
• Tools and best practices for automatically locking unattended working stations when doctors
and nurses walk away
• Keeping up with physician demands for fast access from anywhere, through technologies such
as the iPad
• Enabling convenient access without risk to patient data

Attend this session and learn how to sweeten the EMR adoption process for your doctors and nurses.

Bill McQuaid is the CIO and assistant vice president at Parkview Adventist Medical Center. He began his
career in healthcare IT more than 11 years ago as a network administrator before becoming the Director
of IT and subsequently, the Chief Information Officer at Parkview Adventist Medical Center. He oversees
a team of six and is responsible for all of the hospital’s information technology initiatives.

Bill was named a finalist for the 2007 Information Security Executive of the Year Award, and in 2008 he
and his team received the prestigious InfoWorld 100 Award for their IT advancements at Parkview
Adventist Medical Center. In 2009, the hospital was awarded HIMSS Analytics Stage 6 Electronic Medical
Records (EMR) adoption status, an achievement only 3.2% of hospitals in the North America have
earned. For 2010, the Maine native was named to ComputerWorld magazine’s 2010 Premier 100 IT
Leaders list, and he was nominated as one of five finalists for “Chief Security Officer of the Year” by SC
Magazine, a publication for computer security professionals.

156 – Using NPR for Much More Than Just Reporting on MEDITECH Data
Presenter: Carl Moeller
Organization: FacilicorpNB, Saint John, New Brunswick

Abstract: This session will show how to get data from outside MEDITECH and outside your MAGIC
servers into NPR Reports. In addition to being able to use this data for selection criteria or to display on
the report itself, there are also some opportunities for process automation through this mechanism.
This can used for detailed audit trails showing exactly what data was present on a report. It has also
been used to produce bilingual patient letters/reports out of MEDITECH. Many other possibilities exist
and time will be made for questions and scenarios.

Carl Moeller has a bachelor's degree in Mathematics from the University of Waterloo. He has worked in
healthcare for 17 years on everything from Payroll through Diagnostic Imaging and everything in
between. Though he has been managing a custom development group for the last few years, Carl has
recently moved over to doing Solutions Architecture for all of Healthcare in the province of New
Brunswick. Carl has been working on the MEDITECH MAGIC system for 10 years with a focus on
integrating with outside systems.

157 – Our Journey to CPOE in the ED using MEDITECH Magic EDM
Presenters: Edward Ciesielski, Scott LaRosa, Heather Pierce, and Kelly Marks
Organization: Southcoast Hospitals Group, New Bedford, Massachusetts

Abstract: This presentation will outline Southcoast Hospital Group’s road to CPOE. Dictionary re-‐builds,
implementing order source, standardization, physician engagement, training plan, and support will all be
discussed.

Edward Ciesielski RN BSN worked in critical care in the Boston area for several years both as staff and
management before joining Southcoast Hospitals group as a clinical analyst. He has been at Southcoast
since the beginning of the advanced clinical applications roll out and is currently working on the CPOE
implementation.

Scott LaRosa started his medical IT career as a senior programmer working on the EDM Implementation
project at MEDITECH for three years. Scott joined the team at Southcoast working as a Project Leader
for the EDM Implementation. Scott is now the Applications Manager for the Advanced Clinical
applications staff focusing on physician initiative implementations.

Heather Pierce, RN, BSN has worked for Southcoast Hospitals Group for more than 11 years. She started
as a staff nurse with a focus in geriatrics before transferring into the role of clinical analyst more than
two years ago. As a member of the advanced clinical applications team , Heather has assisted with
several implementations including nursing, eMAR/BMV, and medication reconciliation.

Kelly Marks RPh worked as both a retail RPh and a nursing home consultant before joining Southcoast as
a home infusion and hospital staff RPh. She then went on to manage the pharmacy at Southcoast's
Charlton site before joining the ACIS team as a clinical pharmacy analyst.

158 – IT Tools and Innovations
Presenter: Sherry Montileone

Abstract: Citizens Memorial Healthcare uses MEDITECH C/S 5.64 to provide an EMR to thousands of
patients and over 1,200 employees in multiple Acute, LTC and Clinic settings. In this session we'll cover
what we've found works for us -‐ organization charts, help desk tools, performance monitoring, and how
we Walk A Mile in our customer's shoes every week.

We'll also cover some things we've figured out – how to get another facility's radiology study into the
EMR, how to implement BMV and auto med re-‐ordering in a LTC, and how to use the same tools a
fitness center or bank uses to keep patients involved.

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 multiple Acute, LTC
and Clinic settings.

159 – How Do We Track Education Compliance? Let Us Count the Ways
Presenters: Stephanie Gonzales and Amy Boyce
Organization: CHRISTUS Health, Houston, Texas

Abstract: Abstract: CHRISTUS Health is a Catholic, faith-‐based, not for profit health care system made
up of more than 40 hospitals. As part of the CHRISTUS Unity Project to implement MEDITECH as the
system standard over a six-‐year period, compliance with attending education and meeting competency
goals was a determining factor for our Steering Committee in reaching our targeted go-‐live dates. The
CHRISTUS IM-‐Learning and Development team coordinated with regional education departments using
several approaches to track compliance in our Learning Management System.

• Manual process using sign-‐up sheets for instructor led classes
• Self enrollment to instructor led classes using our Learning Management System
• Managers enrolling associates to their instructor led classes using our Learning Management
System
• E-‐learning as part of a blended approach

This presentation will outline our education goals, the pros and cons of the methods used for enrolling
associates into their assigned classes, the impact on the regional education departments and the lessons
learned. The relationship between the chosen methods, the size of the region, and the compliance
outcomes will also be presented.

Stephanie Gonzales is an Education Analyst for CHRISTUS Health. She has served on the Unity Project as
an education resource to the ADM, CWS/ARM, B/AR, MM, and BM modules since 2006. Previously, she
was a Patient Access Manager for Christus Spohn Hospital Corpus Christi-‐South.

Amy Boyce is an Education Analyst for CHRISTUS Health. She has also served on the Unity Project since
2006 and played a key role in coordinating with many of the regional LMS administrators. She also
served as an education resource to the ITS and ORM modules.

160 – “But Without Data All It's Going To Be is Incomplete …”
Presenter: Jennifer Earl

Abstract: When HIM, at Citizens, thinks about the Incomplete Record process the song Incomplete by
the Backstreet Boys comes to mind, with a weird Al Yankovich type of twist …

Empty reports fill documentation with holes
Distant spaces with no place left to go
Without data within the chart I can't find no rest
Where I’m going is anybody's guess

I've tried to go on like I never knew complete documentation
I'm awake but the words are half asleep I pray for this chart to be unbroken
But without data all it’s going to be is incomplete

Voices tell me I should carry on
But I am swimming in an ocean all alone
Doctor, my doctor
It's not written on your document
You still wonder if we made a big mistake

But without data all it's going to be is incomplete

I don't mean to drag it on, but I can't seem to let errors go
I don't wanna make you face this challenge alone
I wanna let you go (alone)

But without data all it's going to be is incomplete

Incomplete

Hear how Citizens turned the incomplete records functionality from a manual process into an
automated process to complete the ICR cycle.

Jennifer Earl is an Application Specialist with a 20-‐year history at Citizens Memorial Healthcare (CMH) in
Bolivar, MO. Her experiences include MEDITECH C/S MRI and ITS transcription modules, Healthstream,
Maestro/MEDITECH Home Care and Bright tree software. Jennifer was project lead for implementation
of MRI Incomplete Record to PWM, and project lead for Maestro implementation of home health and
hospice service lines. She provides general orientation for new hires at CMH related to Healthstream and
education needs of employees. Her speaking engagements include PtCt user conference, NAHC, MAHC,
MEDITECH Nurse Informatics and Home Care Conference, and Profit Through Home Care Technology
presented by Home Health Line.

161 – Home Care – The Software Formerly Known as Maestro
Presenter: Valerie Noblitt

Abstract: Now that Patient Care Technologies is officially 100% owned by MEDITECH, the MEDITECH
software has been redubbed simply the MEDITECH Home Care module. Hear how Citizens Memorial
Hospital (CMH) has revised home care processes using this software from intake to discharge including
telehealth. CMH has produced a significant reduction in readmissions using in-‐home telemonitoring and
achieved multiple quality awards. The presenters will discuss the referral process, day to day operations
of the telehealth program, and the integration that MEDITECH home care achieves by allowing
physicians to electronically sign documents and review home care documentation.

Valerie Noblitt is the Home Care Director which includes Home Health, Hospice, Health transit, and
Homemaker Plus departments. Her duties include managing day to day operations of the home care
department including supervising, assisting with financials and billing, performance appraisals of
supervisors, assist with Maestro system troubleshooting, and project coordinator for grant and
telehealth project. Valerie has worked at CMH for 20 years, in home health for 15 years with nine years
being in a supervisor status, started with the implementation phases of Project Infocare and the
beginning of Home Care manager implementation. She has spoken at the NAHC convention on EMR
implementation-‐the case study of CMH and telehealth, MAHC, grant workshops, MEDITECH Nurse
Informatics and Home Care Conference, and Profit Through Home Care Technology presented by Home
Health Line.

162 – The Ascent: Henry Mayo Newhall Memorial Hospital's EDM Implementation
Presenters: Vivian Zinn and Dr. Tracy (Bud) Lawrence
Organization: Henry Mayo Newhall Memorial Hospital, Valencia, California

Abstract: Henry Mayo Newhall Memorial Hospital 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.

Vivian Zinn, RN, Emergency Department Director
Dr. Tracy (Bud) Lawrence, ED Physician and Champion

163 – JIMMY DOES 6.0 – How to Market Your Upgrade
Presenter: Cheryl Hirleman
Organization: Beaufort Memorial Hospital, Beaufort, South Carolina

Abstract: One of the major concerns an organization faces when beginning their MEDITECH 6.0
implementation is how to market all this new information and create engagement with the entire staff.
The key to success in a project of this size is for everyone to feel connected and own the implementation
– this is not just an IT project. This presentation will show how Beaufort Memorial Hospital used
creativity, fun, and publications to get their 6.0 mascot to interact with the hospital users and
physicians. Come and meet JIMMY and find out how we got everyone to Jump In, Make MEDITECH
Yours!

Cheryl Hirleman is the Director of Information Services for Beaufort Memorial Hospital in Beaufort, SC.
Prior to becoming the Director, Cheryl has worked as an Applications Analyst as well as the Physician
Services Manager for Beaufort Memorial. Cheryl has over 12 years of health care information systems
experience and 30 years IT experience. For the eighth year in a row, Beaufort Memorial Hospital was
named one of the nation’s Most Wired Hospitals according to the 2010 Most Wired Survey and
Benchmarking Study printed in the July issue of Hospitals & Health Networks magazine.

164 – The Art of Project Management in a Health Care Environment
Presenter: Krista McClain
Organization: Boulder Community Hospital, Boulder, Colorado

Abstract: Project Plans ... Scope Documents ... Work Breakdown Structures ... Risk and Mitigation Plans.
Forget about those Project Management buzz words. You are a project manager in a health care
environment. This presentation will be focused around how to succeed as a project manager in a
hospital environment. It will address how to successfully manage EHR projects by understanding health
care technology, working successfully with clinical project teams, and meeting physician and nursing
expectations. This isn't the typical project management position and therefore you can't expect to be a
typical project manager!

Krista McClain is the Director of the Project Management Office at Boulder Community Hospital (BCH) in
Boulder, Colorado. She has been with the hospital since November of 2008 where she managed the
conversion of 27 applications from the Magic Platform to 6.0, the fourth hospital in the country to
achieve this success. Additionally, she introduced the concept of a Project Management Office to Boulder
Community Hospital and is working on developing and growing the department in its infancy.
Prior to beginning her position at BCH, she worked as a Project Manager at The Children's Hospital in
Denver, Colorado.

165 – 6.0 Nursing Super User Training
Presenter: Barbara Kilroy
Organization: Jordan Hospital, Plymouth, Massachusetts

Abstract: Converting from Magic to 6/.0 is a major move for nursing users. Super users are essential to
assure a smooth and successful migration, and enticing nurses to participate with CEUs is a way to
guarantee involvement. This session will illustrate how we structured our super user training in PCS,
OM, eMAR and EMR, and provide objectives we used for CEU offering.

Barbara Kilroy is the Director of Clinical Informatics at Jordan Hospital in Plymouth, Massachusetts. She
has a BSN from Northeastern University (Boston, MA), an MBA from Western NE College (Springfield,
MA) and is Board Certified in Nursing Informatics. She has multiple years of experience in Nursing
Informatics, Revenue Cycle Management and is a frequent speaker at MUSE, HIMSS and other events.

166 – Development and Implementation of an Electronic Warning Scoring System to Detect
Early Clinical Deterioration
Presenters: Lee Ann Hanna and 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.

Lee Ann Hanna, PhD, RN, CPHQ, FNAHQ has over 30 years of experience in healthcare settings; 16 years
of experience in neonatal, pediatric and adult critical care and 15 years of experience in knowledge
management and quality improvement. She is currently the Director of Education at Centennial Medical
Center in Nashville Tennessee. Since 2006, Lee Ann has worked with multidisciplinary teams to develop,
implement and coordinate her organization’s Critical Care Outreach Team (clinical oversight) and
electronic Early Warning Scoring System. She has presented this topic at local, state, regional, national
and international conferences.

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.

167 – PDoc and the Electronic Physician Documentation Challenge
Presenter: Justin Collier, M.D.
Organization: HCA TriStar Division IT&S, Nashville, Tennessee

Abstract: Electronic Documentation by physicians is one of the
cornerstones of a full and integrated EHR. MEDITECH's PDoc is one tool that
offers a range of features and flexibility to support physician electronic
documentation processes for the inpatient setting. This session will include review and discussions of
known best practices and general lessons learned regarding electronic physician documentation. It will
also cover information specifically regarding PDoc and the experiences and lessons learned through
PDoc implementation at multiple sites within our healthcare organization using the MEDITECH 5.6.4
(Magic) platform.

Dr. Collier is a board certified physician of Physical Medicine and Rehabilitation. He served as the
physician champion at Skyline Medical Center during the implementation of CPOE. He is now the
Medical Director of Information Systems for HCA TriStar Division. His medical informatics experience
includes serving as a member of HCA's Evidence-‐Based Order Set Development and PDoc development.

168 – Connect the Docs from EHR to HIE and ACO
Presenter: Brian Yeaman, M.D.
Organization: Norman Regional Health System, Norman, Oklahoma

Abstract: Cost savings and quality improvements cannot be obtained
without a Health Information Exchange (HIE) infrastructure and the
development of an Accountable Care Organizations (ACO), both of which
have become essential components for demonstrating meaningful use of EHR as outlined in ARRA.
Currently Norman Regional Health System and the Norman Physician Hospital Organization participate
in two HIE's. This presentation will showcase Norman’s participation in an Agency for Healthcare
Research and Quality (AHRQ) grant and multiple state of Oklahoma ARRA efforts to test and pilot clinical
decision support for prevention metrics at the HIE level. Learn about Norman’s development of HIE
tools to facilitate care transitions from the hospital to nursing homes via a Federal Challenge Grant.
Early results and practical lessons learned from Norman’s quality improvement efforts reveal the
significant obstacles as well as the significant potential for this infrastructure.

Dr. Brian Yeaman, Norman Regional Health System, Norman, Oklahoma

169 – Usefulness of the Problem List and Medication Reconciliation from a Physician’s
Viewpoint
Presenter: Stephen Besson, M.D.
Organization: Harrison Memorial Hospital, Cynthiana, Kentucky

170 – No Longer in Denial: Moving from Denial Management to Denial Prevention at
Samaritan Health System
Presenter: Erica McGuire
Organization: Samaritan Health Services, Corvallis, Oregon

Abstract: This session includes real-‐life examples of how one provider organization changed its culture
to ensure accountability and implemented a zero tolerance policy for denials with impressive results.
Hear how this organization used denial identification, intelligent workflow, analytics, and staff
accountability to increase cash, reduce days in AR, and decrease denials.

Learn to:
• Effectively implement and sustain a Denial Prevention program
• Identify the “true” Root causes that can be eliminated to avoid first pass and final denials
• Use Analytics to impact change throughout your organization
• Implement a successful Quality and Productivity Program

Erica McGuire has been with Samaritan Health Services since January of 2007. In her current role, she is
responsible for managing the systems that support the revenue cycle, including process improvement,
training, and process/system implementation initiatives.

171 – Project Telecare at CMH
Presenter: Susan Sanders

Abstract: This session will consist of a presentation regarding telehealth and telediagnostics
programming and equipment at Citizens Memorial Healthcare (CMH). In this session, the presenter will
discuss the details of equipment, integration with MEDITECH and PACS systems, and network structure
for: Telehealth videoconferencing, Telehealth Well@home remote monitoring, and Tele-‐Diagnostics
projects including digital radiology, digital cardiology, at home sleep studies, and wound care.

These projects were all afforded by CMH through grant funding. Brief information will be presented
regarding the funding for each project.

Susan Sanders has been employed by the Citizens Memorial Healthcare (CMH) organization for seven
years. Past positions included registered, certified pharmacy technician in the inpatient pharmacy and
management of the outpatient pharmacy operated by CMH. Ms. Sanders transferred to the role of
Telehealth Coordinator in 2010.

Susan Sanders graduated from Missouri State University, Magna Cum Laude in the Honors College, with
a Bachelor of Science in Gerontology, Minor in Psychology, and emphasis in Biomedical Sciences. Ms.
Sanders is currently pursuing a Master in Business Administration with a concentration in Health Care
Administration.

During her time as CMH Telehealth Coordinator, Ms. Sanders has acted as grants administrator for three
grants pertaining to telehealth. Activities of those grants surround a telehealth expansion to 17 video
conferencing sites and tele-‐diagnostics programming will fully integrated imaging and diagnostic
software and equipment. Ms. Sanders has also successfully written grants for a telepharmacy grant,
telehealth expansion, and new clinical services for rural health clinics.

172 – Don't Be Cruel … We Can Get it to Work Together
Presenter: Amber Pelzer
Organization: Skiff Medical Center, Newton, Iowa

Abstract: Feeling short on resources to implement ambulatory clinic software? Learn how we adapted
many aspects of the software and offered several different ways for provider to document. This can
pertain to:
• Ambulatory Pdoc as well as inpatient physician documentation
• Implementing the problem list to build chronic medical problem lists for patients
• Using the problem list for diagnoses in RXM ordering and PBR billing
• Auto-‐faxing prescriptions out of RXM
• Creating efficiencies in the software will help offset other tasks that now take more time
• Using project management skills to make sure all parties are involved in decisions regarding
providers' workflow

Also learn about Customer Service initiatives we do to ensure provider satisfaction after initial
implementation so our hearts stay true.

Amber Pelzer R.N. has been a nurse for 11 years she has worked at Skiff Medical Center for eight years.
She came to the IT department in 2007 as a Clinical Analyst. She helped with the implementation of EDM
and Pdoc in the ER then moved onto to lead the implementation of LSS/MEDITECH software for Skiff's
five clinics. They are currently all electronic. Amber has more than 15 years of experience working for and
with providers.

172 – BMV Implementation in 3 Months or Less
Presenter: Cathy Dwyer
Organization: Burke Rehabilitation Hospital, White Plains, New York

Abstract: Learn how to implement BMV in a client server environment in about three months after
CPOE and eMAR implementations.

Cathy Dwyer is the assistant Director of IT. She was a clinical application specialist for 10 years at Burke
Rehabilitation Hospital.

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