MEDITECH StandardizationOur first step to Information Sophistication, and

Our path to an integrated, coordinated and connected system of care

• Reflection• Opening Remarks: Paradigm Shift • What is Information Sophistication, where are we headed? • MEDITECH Standardization Program, Texas Region • Physician Integration Strategy• Q&A

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Agenda: Today’s Kickoff

Welcome

Dr. Lawrence Martinelli Chief Medical Informatics Officer

Medical Director, CM/URCovenant Health

Reflection

Jim Schneider Director of Spiritual Care

Covenant Health

Opening Remarks: Paradigm Shift

Dr. Craig RhyneCMO, Covenant Health

Information Sophistication – Where are we heading?

Dr. Michael MarinoSVP, Chief Medical Informatics Officer

St. Joseph Health

Dr. Lawrence Martinelli Chief Medical Informatics Officer

Medical Director, CM/URCovenant Health

Information Sophistication: Improving outcomesWe are connecting data for improved outcomes … and an advanced patient experience

Patient Input PortalGlobal Access

Rapid Data Apps

Information Sophistication: Key initiativesStandardizing our MEDITECH

systemCentralize data for security,

efficiency and flexibility Make data readily available for

better care decisions

• Evidence-based order sets• Computerized physician order

entry (CPOE)• Barcode (bedside) medication

verification (BMV)

• Physician access from anywhere at anytime

• Other physician specific benefits

• Secure reliable systems with consistent availability

Information Sophistication: Moving us to the future

Proactive WellnessTraditional Healthcare

Information Sophistication: Moving us to the future

May/June 2013

Sept 2013

July 2013 August 2013

EMR refresh eLearning

Physician support team in dining room

Electronic Medical Record transition from paper

o EMRo Allergieso MEDITECH

Login/Permissions

eLearning

Small Group Training

Informal training sessions

Go-Live Support

The Provider Experience: Planned support throughout

eLearning

Small Group Training

Informal training sessions

Please note: • Go-live readiness is based on Patient Safety• ‘Stop Print’ will be implemented prior to or at

Go-Live

MEDITECH Standardization Program Texas Region

Michelle WoodleyRN MSN, VP Clinical Informatics

St. Joseph Health

Felicia GordonMS Candidate, RN, BSN, CPHQ, CPEHR, CPHIT

VP, Performance Improvement/Clinical Information Systems Covenant Health

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MEDITECH Standardization: EHR and our vision for change

Patient Focused Outcomes

• Availability• Legibility• Clinical reminders• Safety checks• Evidence-based order sets• Computerized physician

order entry (CPOE)• Barcode (bedside)

medication verification (BMV)

• Clinical decision support• Patient portal• Improved Patient Safety

MEDITECH Advanced Clinical Implementation‐ Clinical Documentation and Order Management all inpatient departments‐ Care planning and Use of Electronic Medical Record (EMR)‐ Hemodynamic monitoring interface- all critical care beds‐ Transfusion Administration Record (TAR)‐ Bedside Medication Verification (BMV)- medication barcoding‐ CPOE and Physician Documentation (Voice Recognition and Template)‐ Integration of patient education / discharge instruction (Krames/Exitwriter))‐ Integration of E-Prescribing and Medication Reconciliation (Dr. First)

MEDITECH Standardization: What’s in scope

Wound Image Management‐ HealthLine‐ Ricoh camera

Mobilab (Phlebotomy Barcoding)

Standardization, 5.66 Upgrade with Process Changes and EnhancementsDevice deployments and Enterprise Master Patient Index (EMPI)

MEDITECH Standardization: What’s in scope

The bend in the roadis not the end of the road,

unless you fail to make the turn.

Author Unknown

MEDITECH Standardization: St. Joseph Health’s journey

• Greatly reduce or eliminate MEDITECH customs• Reduce interfaces by 50% or more

o 3rd party applications eliminated or standardizedo 3rd party application signatures transferred into MEDITECH

• Off-site access: Physician access anytime from anywhere• Increased Patient Access

MEDITECH Standardization: Technical goals

• Normative Nomenclatureo Develop standard naming conventions across the ministries

• Health Information Exchange• Standard build, standard content

o Shooting for “80/15/5” standardization 80% - Enterprise (Across all of SJH) 15% - Regional 5% - Ministry

MEDITECH Standardization: Technical goals

Physician Education Strategy

Vira Estrada-MorseRegional Physician Liaison

Physician Education : Approaches/Options

eLearning

• 2 eLearning labs (6 Training stations per lab)

• 1 Facilitator per learning lab

• 3 Sessions per day

Small Classroom Instruction

• 1 Instructor Led Classroom

• 6 seats• 3 Sessions per

day• Follow up

assistance from Provider Support Team

Quick reference eLearning – online

• CovenantEHR.org

Physician Education : Provider Support Team

CIS Leads

• Joshua Mayeux• Amy Loveless

Physician Services

• Sylvia Brito• Molly Ramos• Zach Myers• Edward Hayes• Shane Bryant

Others

• Health Information Management

• Quality Management• Clinical Documentation

Improvement & Auditing

• Access– AD & Meditech– Citrix

o Desktop & Mobile– Meditech Mobile

o Smartphones & Tablets• Survey

– Technology usageo Smart Phone typeo Tablet typeo PC or MAC

– Ambulatory Staffo Access for billing and reports

• Meditech (Current system)– Log in– EMR Navigation– Allergies– External Links

• Physician Dining Room (lunch time)

• Rounding the floors• Make appts to go to office or meet

at hospital

May and JunePhysician Education : Training Plan

June July and August

Train the Trainer/Super User Training

8 weeks/48 training days Monday-Friday (3 sessions)

eLearning Lab7:00 – 9:00 am12:00 – 2:00 pm5:00 – 7:00 pmInstructor Led Classroom7:00 – 10:00 am12:00 – 3:00 pm5:00 – 8:00 pm

Saturday (2 sessions)eLearning Lab8:00 – 10:00 am11:00 – 1:00 pmInstructor Led

Classroom8:00 – 11:00 am12:00 – 3:00 pm

Session 1

• Physician Desktop• EMR/Allergies• Electronic Signature• PDOC

Session 2

• CPOE• Dr. First• Med Rec• Discharge

Physician Education : Go-Live Training Plan

Please note: • You can anticipate 4-6 hours of training

Communications: Methods

ONGOING Communications

www.CovenantEHR.orgPhysician Support TeamPhysician HOTLINEEmails, posters, flyersStatNotes, flat screen TVsPulsePAC, CME, MEC, Medical staff event with IT Exhibit

Next Steps

Felicia Gordon

• Schedule time with Physician Support Team member• Take eLearning refresher course for CME credit• Check out CovenantEHR.org for training and update info• Call the Physician Hotline • Ask questions, offer suggestions on how to make the changes successful.

Remember, our vision is to be an integrated, coordinated and connected system of care able to support your practice and bring the best outcomes to our patients.

MEDITECH Standardization: Next steps