MEDITECH Standardization Our first step to Information Sophistication, and Our path to an integrated, coordinated and connected system of care Agenda: Today’s Kickoff • • • • • • • Reflection Opening Remarks: Paradigm Shift What is Information Sophistication, where are we headed? MEDITECH Standardization Program, Texas Region Physician Integration Strategy Q&A Welcome Dr. Lawrence Martinelli Chief Medical Informatics Officer Medical Director, CM/UR Covenant Health Reflection Jim Schneider Director of Spiritual Care Covenant Health Opening Remarks: Paradigm Shift Dr. Craig Rhyne CMO, Covenant Health Information Sophistication – Where are we heading? Dr. Michael Marino SVP, Chief Medical Informatics Officer St. Joseph Health Dr. Lawrence Martinelli Chief Medical Informatics Officer Medical Director, CM/UR Covenant Health Information Sophistication: Improving outcomes We are connecting data for improved outcomes … and an advanced patient experience Apps Rapid Data Global Access Patient Input Portal Information Sophistication: Key initiatives Standardizing our MEDITECH system • • • Evidence-based order sets Computerized physician order entry (CPOE) Barcode (bedside) medication verification (BMV) Centralize data for security, efficiency and flexibility • Secure reliable systems with consistent availability Make data readily available for better care decisions • • Physician access from anywhere at anytime Other physician specific benefits Information Sophistication: Moving us to the future Traditional Healthcare Proactive Wellness Information Sophistication: Moving us to the future The Provider Experience: Planned support throughout Sept 2013 May/June 2013 July 2013 August 2013 EMR refresh eLearning eLearning eLearning Physician support team in dining room Small Group Training Small Group Training Informal training sessions Informal training sessions Electronic Medical Record transition from paper o EMR o Allergies o MEDITECH Login/Permissions Please note: • • Go-live readiness is based on Patient Safety ‘Stop Print’ will be implemented prior to or at Go-Live Go-Live Support MEDITECH Standardization Program Texas Region Michelle Woodley RN MSN, VP Clinical Informatics St. Joseph Health Felicia Gordon MS Candidate, RN, BSN, CPHQ, CPEHR, CPHIT VP, Performance Improvement/Clinical Information Systems Covenant Health 1935 2013 1935 2013 1935 2013 1935 2013 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 Standardization: What’s in scope MEDITECH Advanced Clinical Implementation ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ Clinical Documentation and Order Management all inpatient departments Care planning and Use of Electronic Medical Record (EMR) Hemodynamic monitoring interface- all critical care beds Transfusion Administration Record (TAR) Bedside Medication Verification (BMV)- medication barcoding CPOE and Physician Documentation (Voice Recognition and Template) Integration of patient education / discharge instruction (Krames/Exitwriter)) Integration of E-Prescribing and Medication Reconciliation (Dr. First) MEDITECH Standardization: What’s in scope Wound Image Management ‐ HealthLine ‐ Ricoh camera Mobilab (Phlebotomy Barcoding) Standardization, 5.66 Upgrade with Process Changes and Enhancements Device deployments and Enterprise Master Patient Index (EMPI) MEDITECH Standardization: St. Joseph Health’s journey The bend in the road is not the end of the road, unless you fail to make the turn. Author Unknown MEDITECH Standardization: Technical goals • Greatly reduce or eliminate MEDITECH customs • Reduce interfaces by 50% or more o 3rd party applications eliminated or standardized o 3rd party application signatures transferred into MEDITECH • Off-site access: Physician access anytime from anywhere • Increased Patient Access MEDITECH Standardization: Technical goals • Normative Nomenclature o Develop standard naming conventions across the ministries • Health Information Exchange • Standard build, standard content o Shooting for “80/15/5” standardization 80% - Enterprise (Across all of SJH) 15% - Regional 5% - Ministry Physician Education Strategy Vira Estrada-Morse Regional Physician Liaison Physician Education : Approaches/Options eLearning • 2 eLearning labs (6 Training stations per lab) • 1 Facilitator per learning lab • 3 Sessions per day Small Classroom Instruction Quick reference eLearning – online • 1 Instructor Led Classroom • 6 seats • 3 Sessions per day • Follow up assistance from Provider Support Team • CovenantEHR.org Physician Education : Provider Support Team CIS Leads Physician Services • Joshua Mayeux • Amy Loveless • • • • • Sylvia Brito Molly Ramos Zach Myers Edward Hayes Shane Bryant Others • Health Information Management • Quality Management • Clinical Documentation Improvement & Auditing Physician Education : Training Plan May and June • • Access – AD & Meditech – Citrix o Desktop & Mobile – Meditech Mobile o Smartphones & Tablets Survey – Technology usage o Smart Phone type o Tablet type o PC or MAC – Ambulatory Staff o Access for billing and reports • • • • Meditech (Current system) – Log in – EMR Navigation – Allergies – External Links Physician Dining Room (lunch time) Rounding the floors Make appts to go to office or meet at hospital Physician Education : Go-Live Training Plan June July and August 8 weeks/48 training days Train the Trainer/ Super User Training Session 1 • • • • Physician Desktop EMR/Allergies Electronic Signature PDOC Session 2 • • • • CPOE Dr. First Med Rec Discharge Monday-Friday (3 sessions) eLearning Lab 7:00 – 9:00 am 12:00 – 2:00 pm 5:00 – 7:00 pm Instructor Led Classroom 7:00 – 10:00 am 12:00 – 3:00 pm 5:00 – 8:00 pm Saturday (2 sessions) eLearning Lab 8:00 – 10:00 am 11:00 – 1:00 pm Instructor Led Classroom 8:00 – 11:00 am 12:00 – 3:00 pm Please note: • You can anticipate 4-6 hours of training Communications: Methods www.CovenantEHR.org Physician Support Team Physician HOTLINE Emails, posters, flyers StatNotes, flat screen TVs Pulse PAC, CME, MEC, ONGOING Communications Medical staff event with IT Exhibit Next Steps Felicia Gordon MEDITECH Standardization: Next steps • • • • • 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.