2018 Inspire MUSE Conference

Show & Tell / JAM Sessions

AOM / RXM – Ambulatory Order Management

Peer Group Leader: Brooke Richard, RN, Nursing Informatics: Clinical Application Analyst
Organization: Conway Regional Health System, Conway, Arkansas

Show & Tell session:

Conway Regional ONEchart: One System. One Record. One Reason. You.
Presenter: Sindee Morse, MSN, RN Informatics Nurse Specialist
Organization: Conway Regional Health System, Conway, Arkansas

Learn about Ambulatory 6.15 integration with Acute!

JAM session topics:

• Workflow Assessment and Standardization
• Ambulatory to Acute 6.15 Integration
• Ambulatory versus Acute Orders: What’s the difference? How does it work?
• Resulting Methods: Result Entry versus MTAD (Integration/Interface)
• Medication Orders/Interaction Conflicts: Override Nightmare

Ambulatory Order Management: Manage Orders

• Ambulatory versus Acute Orders: You must Order to Perform
• Location-Based Orders: The System is SMART
• Default Fields: Reducing Clicks makes the World Tick
• Order Sets/Pre-Selected Orders: Diamonds are a Girl’s Best Friend-guys, too!
• Indicators/Notifications: Check here, please!
• Resulting: LAB & RAD via the MTAD
• Hold Queue/Series Orders: Save it for Later
• Auto-Completion/Order Reconciliation: It’s Magic!

Prescription Management: Manage Medications

• Medication Reconciliation & External Medications History: It’s the little, round, blue pill
…
• First Data Bank: Put the MONEY where the MEDS are!
• Transmit, Submit & Print: HELP!
• Workload: Match & Process, Refill or Deny-Why?
Brooke Richard, BSN, RN is a Registered Nurse with five years of strong clinical, leadership,
communication, decision-making and technological skills. Her Critical Care background has
further enabled her abstract and analytical thinking to use technology to help advance patient-
centered care. As a Clinical Application Analyst in Nursing Informatics, her expertise includes
observing and assessing clinical workflow processes, developing adequate documentation,
identifying areas of quality improvement and analyzing computer information systems to
promote patient safety while displaying appropriate leadership abilities during the build and
implementation of Web Ambulatory (6.15.42 Platform).

It has been Brooke’s honor and privilege to discover a “new” avenue of nursing, and the
importance of integrating Ambulatory and Acute. Her dedication to this field of nursing is
displayed via my skills in observing, collecting, constructing, analyzing and abstracting data
while educating and promoting excellence within healthcare professionals, regulatory measures
and most importantly-patient outcomes.

BAR / RCG – Billing / Accounts Receivable; Revenue Cycle Group

Peer Group Leader: Christina Hammond, Manager, Revenue Cycle Informatics
Organization: Adena Health System, Chillicothe, Ohio

JAM session topics:

• Conversion accounts from 5.x to 6.15 – what issues are we seeing
• Expected Receipts
• Electronic Posting in 6.15
• Claims
• Tasks/Collection streams
• Q&A

BMV – Bedside Medication Verification

Peer Group Leader: Alicia Stevens, R.Ph.T., Regional Pharmacy Informatics Coordinator
Organization: Huron Perth Healthcare Alliance (HPHA), Stratford, Ontario

Show & Tell sessions:

eMAR/BMV Quality Improvement
Join us for a look at an eMAR/BMV quality issue, covering these topics:
• What was occurring?
• Why is this important?
• How it was detected?
• Why were staff doing this?
• Solutions
• Process Improvement
• Learnings for Future Projects
 Quality Improvement Auditing Tool
We will discuss how the facilities removed an incorrect scanning capability of the
patients’ wristband. The facilities rolled out the BMV Manual Barcode function
on the eMAR. Audit tools were created and are monitored.

JAM session topics:

• Manual barcoding/scanning of patients and medications – when does this occur,
how is it tracked?
• Barcoding issues – pharmacy – all items barcoded, what percentage?
• Limitations to scanning patients’ wristbands – faded wristbands, distance of
barcode reader vs patient
• Auditing tools
• Performance indicators for staff

CPOE / POM – Computerized Physician Order Entry, Provider Order

Peer Group Leader: Sandra DePlonty MT(ASCP), MBA, MPA, Senior Director of Clinical Services
Organization: War Memorial Hospital, Sault Ste. Marie, Michigan

JAM session topics:

• Transition from CPOE in Magic to OM in 6.15
• Zynx order set differences
• Goal for LIVE
• Allowing favorites or not?
• Approval process
• Convenience order sets versus evidence order sets

CWS / ARM – Community Wide Scheduling / Auth. & Ref. Mgmt (C/S)
Peer Group Leader: Amy Wineka, System Analyst
Organization: Adena Health System, Chillicothe, Ohio

DR – Data Repository
Peer Group Leader: Jim Hruby, IT Director
Organization: Parkview Medical Center, Pueblo, Colorado
EDM – Emergency Department Management
Peer Group Leader: Wendy Konya, Clinical Information Specialist
Organization: Fraser Health Authority, Surrey, British Columbia

EMR Electronic Medical Record

Peer Group Leader: Shilo Mills, Application Analyst
Organization: Frederick Memorial Hospital, Frederick, Maryland

INT / NMI – Interfaces / Interoperability

Peer Group Leader: Amanda Anson, Systems Analyst
Organization: Randolph Health, Asheboro, North Carolina

ITS – Image and Therapeutic Services

Peer Group Leader: Larissa Pryor, Clinical Application Analyst
Organization: CHRISTUS Health, Irving, Texas

LAB / BBK – Laboratory / Blood Bank

Peer Group Leader: Arceli Baluyot, Project Specialist
Organization: The Valley Hospital, Ridgewood, New Jersey

Show & Tell sessions:

Capture Time Specimen is Received in Lab Testing Department
Presenter: Arceli Baluyot
Organization: The Valley Hospital, Ridgewood, New Jersey

In laboratories that have a central receiving area, there may be a need to capture the
time specimen is received in the testing area. We will discuss how to capture another
receive specimen time stamp in the LAB module and how to add this to an NPR report.

TAR Issue
Presenter: Arceli Baluyot
Organization: The Valley Hospital, Ridgewood, New Jersey

Issue: The unit is started in TAR in error, returned to Blood Bank, and then reissued to
the same patient at a later time; verify button in TAR is backlit.
The Valley Hospital is at MEDITECH 6.15 pp42 and using TAR to transfuse in all patient
areas. We will discuss how this problem is identified at the Valley Health System. To
date, MEDITECH still does not have a solution for this; workarounds will be discussed.
 JAM session topics:
• Implement Voice over solution for Pathology
• Care Continuity downtime solution
• Patient portal – experiences from anyone using one

MU – Meaningful Use
Peer Group Leader: Kim Maples, Clinical Applications Manager
Organization: Carteret Health Care, Morehead City, North Carolina

NUR – Nursing
Peer Group Leader: Lori Myers MSN, RN, Hospital Applications Supervisor
Organization: Kalispell Regional Medical Center, Kalispell, Montana

OE – Order Entry (C/S)

Peer Group Leader: Nadine Stanley-Smolka RN, Clinical Applications Specialist
Organization: Royal Victoria Regional Health Centre, Barrie, Ontario

OM / EMR – Order Management / Electronic Medical Record

Peer Group Leader: Sindee Morse, MSN, RN Informatics Nurse Specialist
Organization: Conway Regional Health System, Conway, Arkansas

JAM session topics:

• Managing Sepsis
• Opioid Crisis
• Reducing Clicks Improving Compliance
• Manage and Process Transfer
• Allow Personalization
• Accountability verses Computer Knowledge:
• Standardization of processes and documentation,
• Opioid Use and 2018 Requirements: Let’s Talk
• Continuity Care Document Viewable
• Medication Reconciliation still a struggle
• Sepsis Changes 2018

Sindee Morse, MSN, RN is a Registered Nurse with 35 plus years of strong clinical,
leadership, business, communicating, and decision making knowledge. She has worked
in information technology since 2012 organizing, collaborating, researching, building,
educating, and maintaining multiple modules. She has undergone two complete
 implementations with the most recent 6 to 6.15 September 1, 2017. Sindee loves leading
PCS, OM, BMV, TAR, Medication Reconciliation, Quality, Surveillance, and now
MEDITECH’ s new Critical Care Flowsheet. She strives to build, analyze, troubleshoot, and
maintain her modules following evidence-based knowledge while meeting workflow and
regulatory needs all to accomplish the common goal of improving patient outcomes,
satisfaction and overall organization compliance.

ONC – Oncology
Peer Group Leader: Joo Hyun Ha, Informatics Pharmacist
Organization: Firelands Regional Medical Center, Sandusky, Ohio

ORM / SUR – Operating Room Management / Surgical

Peer Group Leader: Carole Weinstein, Project Specialist
Organization: The Valley Hospital, Ridgewood, New Jersey

Show & Tell session:

Finding Items/Implants (Dictionary Optimization)

JAM session topics:

• PAT/PreOp Orders - Options to handle

PCM – Physician Care Manager, Desktop & Documentation

Peer Group Leader: Jodie Sharp, Clinical Analyst
Organization: Harrison Memorial Hospital, Cynthiana, Kentucky

PCS – Patient Care System

Peer Group Leader: Sindee Morse, MSN, RN Informatics Nurse Specialist
Organization: Conway Regional Health System, Conway, Arkansas

Show & Tell session:

Ambulatory 6.15 Integration with Acute

JAM session topics:

• Workflow, usability, and process for requested changes
• MAR Authentication, IV Fluids and Titrating
• Discharge intervention Default
• Global problems and care plans
• Critical Care Flowsheet
• Med Documentation/Acuity
 • Status Board Medication Display
• Accountability verses Computer Knowledge:
• Standardization of processes and documentation,
• Opioid Use and 2018 Requirements: Let’s Talk
• Continuity Care Document Viewable
• Medication Reconciliation still a struggle
• Sepsis Changes 2018

Sindee Morse, MSN, RN is a Registered Nurse with 35 plus years of strong clinical,
leadership, business, communicating, and decision making knowledge. She has worked
in information technology since 2012 organizing, collaborating, researching, building,
educating, and maintaining multiple modules. She has undergone two complete
implementations with the most recent 6 to 6.15 September 1, 2017. Sindee loves leading
PCS, OM, BMV, TAR, Medication Reconciliation, Quality, Surveillance, and now
MEDITECH’ s new Critical Care Flowsheet. She strives to build, analyze, troubleshoot, and
maintain her modules following evidence-based knowledge while meeting workflow and
regulatory needs all to accomplish the common goal of improving patient outcomes,
satisfaction and overall organization compliance.

PHA – Pharmacy
Peer Group Leader: Cris Denniston, Pharmacy Informatics
Organization: Cortland Memorial Hospital, Cortland, New York

PHM – Patient and Consumer Health Portal

Peer Group Leader: Katie Wood, Assistant Dir Information Systems
Organization: War Memorial Hospital, Sault Ste. Marie, Michigan

QRM – Quality Management and Risk Management

Peer Group Leader: Katie Doyle, Katie Doyle, RN, BSN, MSN, Nurse Informaticist
Organization: Doctors Community Hospital, Lanham, Maryland

JAM session topics:

• Conversion from MEDITECH 6.08 to 6.16
• Risk Documentation and Management of Incidents electronically
• Route Risk Notifications and incident Reviews
• Incident management desktop
• Employee incidents
• Quality Documentation and Management of Patient Reviews electronically
• Quality review management desktop
 • Use of Quality Surveillance to identify at risk patient populations
• Surveillance profiles
• Surveillance boards
• Surveillance watch lists
• Use of Quality Surveillance to identify at risk patient populations
• “go to” feature
• Surveillance profile criteria
• Surveillance actions

RD – Report Designer (6.x)

Peer Group Leader: Carole Weinstein, Project Specialist
Organization: The Valley Hospital, Ridgewood, New Jersey

Show & Tell session:

RD Resources Overview

JAM session topics:

• 6.x- Where Do We Want to Write From?

SCA – Scanning and Archiving

Peer Group Leader: Julie Owens, EHR/Health Information Director
Organization: Sauk Prairie Healthcare, Prairie Du Sac, WI

Show & Tell session:

Discussing the Chart to Chart Conversion Process for the ELR
Presenter: Julie Owens, MBA, RHIA
Organization: Sauk Prairie Healthcare, Prairie Du Sac, Wisconsin

We will share our experience working with MEDITECH for their ELR chart to chart
conversion from the Magic system to 6.0.

Julie Owens has worked at Sauk Prairie Healthcare for 30 years as the HIM
Director. This organization has been utilizing MEDITECH since 2003 and their
conversion began just prior to 2012. She will provide tips as well as what worked
well and not so well.

JAM session topics:

• To convert or not convert
• Where the data is stored
• Renaming your forms
• Managing the rejection list
• Patent generated health data required for Meaningful Use
 • Decentralization of scanning
• Any other topics requested by the audience

Update – Update
Peer Group Leader: Brian Howell, Director of Technology
Organization: War Memorial Hospital, Sault Ste. Marie, Michigan