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Commercial! Member!Educational!Presentations !

! ! ! 301! – ! Protecting!Patient!Privacy!in!an!Ever!Changing!Environment ! Presenter:!!James!Lawson !
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301! – ! Protecting!Patient!Privacy!in!an!Ever!Changing!Environment !
Presenter:!!James!Lawson !
Organization: ! ! Iatric!Systems,!Inc. !
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Abstract:!!Healthcare!institutions!are!at!greater!risk!of!falling!short!of! patient!privacy!compliance!than!
ever!before.!!Movement!to!a!complete!electronic!health!record!and!constant!changes!to!patient!privacy!
regulations!are!key!challenges.!!In!this!session!we!will!review!the!changes!to!HIPAA!mandated!by!ARRA!
and!HITECH,!includin g!breach!notification!rules!and!penalties.!!We!will!discuss!how!hospitals!can!
maintain!compliance!with!patient!privacy!laws!by!implementing!system!auditing!and!breach!incident!
tracking!best!practices.!!Multiple!examples!of!patient!privacy!breaches!from!hea lthcare!institutions!will!
drive!discussion!of!effective!methods!for!protecting!patient!privacy.!
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James&Lawson&has&many&responsibilities&at&Iatric&Systems&including&management&of&the&programming,& implementation&and&support&of&Security&Audit&Manager.&Before&joining&Iatric&Systems,&Mr.&Lawson&was& the&principal&of&HCT&Consulting,&assisting&HIM&departments&(among&other&areas)&across&the&nation.&He&

has&more&than&15&years&of&experience&in&the&healthcare&industry&and&is&a&systems&integration&and&

application&securit y&expert. &

302! – ! MEDITECH! 6.X!Contracting!– ! Legal!Insight!and!Advice !

Presenter:!!William!F.!O'Toole,!Jr. ! Organization:!!O'Toole!Law!Group !

Abstract:!!Migrating!to!6.X!is!a!major!decision!and!should!be!given!the!same!due!diligence!as!a!new!

vendor!search.! ! The!contracting!process!can!be!complicated!and!introduces!considerations!not!found!in! a!straight!new!vendor!acquisition,!especially!for!long R term!customers.!!This!session!will!provide!valuable! insight!for!all!customers,!large!and!small,!embarking!on!this! new!technology!investment!path. !

William&O’Toole&founded&the&O’Toole&Law&Group,&specializing&exclusively&in&healthcare&information&

technology,&following&his&long&tenure&as&Corporate&Counsel&at&Medical&Information&Technology,&Inc.&&

Known&and&respected&by&ex ecutives,&attorneys&and&consultants&throughout&the&healthcare&industry,& O’Toole&now&represents&healthcare&provider&entities&and&technology&companies&in&all&aspects&of& technology&acquisition,&development&and&distribution.!

303! – ! NPR!Tips!and!Tricks! – ! Fun!with!Printers,!Files!and!Executables!

Presenter:!!Joe!Cocuzzo ! Organization:!!Iatric!Systems !

Abstract:!! Join!us!for! Magic!and!C/S!tips!and!tricks!for!2011,!including: !

Printing!to!multiple!printers!from!one!report.!!For!example,!creating!a!face!sheet! that!prints! three!forms!to!three!different!printers!from!one!‘Print!Admission!Forms!on:’!prompt.!!Switch! from!portrait!to!landscape!in!one!report. !

Three!ways!to!create!files!or!multiple!files!from!one!NPR!report: !

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using! FTP.GHT ! (magic) !

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using!!Z.smb.put.raf!(one!of!a!new!set!of!Z!utilities) !

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using!!@File.create! and!@File.write!(Client!Server) !

Create!a!file!from!an!NPR!report;!close!it!‘early’!so!you!can!then!open!it!automatically!from! Word!or!Excel. !

Build!a!url!with!more!than!255! characters!with!an!NPR!report!and!manage!to!call!the!browser! with!that!url!without!using!a!VBScript!or!batch!file. !

More!automatic!graphing!from!NPR!reports,!using!a!Javascript!utility!and!the!browser. !

This!session!is!open!to! NPR!Report!Writers!of!all!level s!of!ability . !

Joe&Cocuzzo&is&the&Vice&President&of&the&NPR&group&at&Iatric&Systems.&&Since&2000&he&has&headed&the&NPR&

Group&at&Iatric&Systems,&currently&21&strong,&which&provides&NPR&Report&Writing,&CDS&Attribute&and&Rule&

writing,&Proration&rule& assistance,&and&on W site&training&to&MEDITECH&hospitals&in&the&US,&Canada&and&the& UK.&&Prior&to&joining&Iatric&Systems,&Joe&was&a&Senior&Programmer W Analyst&at&Newton W Wellesley&Hospital& in&Newton,&MA&from&1992 W 2000&and&before&that&he&was&an&Applications&Cons ultant&at&MEDITECH. &

! ! ! 304! – ! Sometimes!It!Feels!Like!WRECKonciliation! Presenter:!! Michelle!Schneider !
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304! – ! Sometimes!It!Feels!Like!WRECKonciliation!
Presenter:!! Michelle!Schneider !
Organization:!!Iatric!Systems !
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Abstract:!! With!the!Meaningful!Use!Objectives!related!to!Medication!Reconciliation!and!the!newly!
revamped!and!released!Joint ! Commission!Patient!Safety!goals!which!target!Medication!Reconciliation,!
we!finally!have!the!guidance!we’ve!been!waiting!for!!!The!rules!are!still!a!bit!vague!and!leave!a!great!
deal!to!interpretation!but!there!is!one!common!theme :!! Let’s!eliminate!medicati on!reconciliation!errors!
and!make!sure!our!patients!know!how!to!be!safe!at!home!by!automating!the!process.!We!can!all!jump!
on!that!bandwagon!!!In!fact,!Accreditation!Canada!has!recently!formalized!the!Canadian!Medication!
Reconciliation!requirements!and!the y’ve!established!some!paradigms!to!live!by.!! !
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In!this!session,!we’ll!take!a!deep!dive!into!the!Meaningful!Use,!Joint!Commission!and!Accreditation! Canada!requirements.!!We!will!evaluate!best!practice!vs. ! those!requirements!and!how!to!automate!that! process!in!order!to!achieve!not!only!a!successful!survey!but!safer!patients.!It’s!time!for!all!of!us!to!walk! the!talk! !

Michelle Schneider&is & a&registered&nurse&with&clinical&background&in&cardiac&and&intensive& care&nursing.&&

She&worked&for&14&years&in&a&MEDITECH&hospital.&&During&her&eight&years&as&a&clinical&analyst&she&

implemented&and&supported&all&clinical&modules&including&Nursing,&OE,&PCI,&Pharmacy,&Laboratory&and& Radiology.&&She&also&spent&one&year&as&the& Nursing&Information&Systems&Manager&for&a&health&network.&&

Michelle&has&played&a&very&active&role&in&MUSE&since&1992&and&took&on&the&role&of&RPGL&for&many&peer&

groups&while&working&at&the&hospital.&&She&is&now&a&Clinical&Marketing&Manager. &

305! – ! Why!ar e!CCHIT!and!Meaningful!Use!important!to!the!Revenue!Cycle?! !

Presenter:!! Kay!Jackson ! Organization:!!Iatric!Systems !

Abstract:!!This!session!will!review!some!of!the!newest!programs!that!will!provide!a!significant!impact.!! Widespread!adoption!of!health!information!technology!(health!IT)!can!foster!improvements!in!quality,! safety,!efficiency!and!access! – ! key!goals!in!today’s!national!dialog!on!health!reform.!!These!goals!may! also!soon!drive!reimbursement,!thus!impacting!the!b ottom!line!and!revenue!cycle!and!drive!the!

Certification!Commission!for!Health!Information!Technology!(CCHIT®),!a!nonprofit,!501(c)3!organization!

with!the!public!mission!of!accelerating!the!adoption!of!health!IT. ! ! !

Attend!this!session!and!learn: !

What!will ! be!changing!in!the!Revenue!Cycle? !

What!is!CCHIT!and!how!does!it!impact!our!facility? !

What!is!Meaningful!Use? !

What!is!ONC R ATCB? !

What!are!some!of!the!criteria!for!these!programs!that!might!impact!Access!and!PFS? !

What!information!should!I!share!with!my!Reven ue!Cycle!staff!to!help!educate!them!regarding! these!programs/processes!or!government!requirements?! !

Kay&Jackson&has&a&wealth&of&revenue&cycle&improvement&knowledge&and&experience.&&For&15&years& she& was&in&management&at&third W party&payor&companies&developi ng&methods&for&delaying&and&denying& medical&claims&submitted&by&hospitals.&&When&she&’saw&the&light’&she&moved&into&the&hospital&

environment&where&she&spent&10&years&in&management&of&Scheduling,&Access&and&Patient&Accounts.&&Kay&

was&then&rewarded&by&being& given&the&privilege&to&develop&and&manage&the&Case&Management&

department.&&She&also&developed&one&of&the&first&denials&management&teams&at&a&hospital&in&1989.&&For&

the&past&12&years,&Kay&has&consulted&on&strategic&hospital&planning,&redesign&of&access&and&patient&

accounts&processes&and&developed&software&for&the&admitting&and&business&offices.&&Kay&has&been&a& requested&speaker&at&more&than&100&conventions. & &

306! – ! What’s!the!R eal! Story!Behind!Denial!Management? !

Presenter:!! Kay!Jackson ! Organization:!! Iatric!Systems !

Abstract:!! Denial!Management!means!different!things!to!different!people.!!To!payors,!it! means!they ! can! reduce!payment!or!not!pay!at!all!for!legitimate!services!money!in!their!pocket.!!To!hospitals ,!it!means! something!totally!different! R missing!money!to!the!bottom!line.!!This!session!will!dive!to!the!heart!of! denial!management!and!how!the!hospital!can!evaluate!their!lost!revenue,!set!up!process!improvement! to!prevent!denials!in!the!first!place!as!we ll!as!how!to!turn!the!tables!on!the!payors.!! !

 

Attend!this!session!and!learn: !

Define!denial!management !

Understand!!root!causes!of!denials !

Discover!how!to!locate!and!repair!denials !

Build!!the!right!team !

Learn!about!the!right!technology !

Impact!835 !

Understand ! contract!negations!and!renewal !

Learn!how!the!squeaky!wheel!get!the!money !

Kay&Jackson&has&a&wealth&of&revenue&cycle&improvement&knowledge&and&experience.&&For&15&years&she&

was&in&management&at&third W party&payor&companies&developing&methods&for&delaying&an d&denying& medical&claims&submitted&by&hospitals.&&When&she&’saw&the&light’&she&moved&into&the&hospital&

environment&where&she&spent&10&years&in&management&of&Scheduling,&Access&and&Patient&Accounts.&&Kay&

was&then&rewarded&by&being&given&the&privilege&to&dev elop&and&manage&the&Case&Management&

department.&&She&also&developed&one&of&the&first&denials&management&teams&at&a&hospital&in&1989.&&For&

the&past&12&years,&Kay&has&consulted&on&strategic&hospital&planning,&redesign&of&access&and&patient&

accounts&processes & and&developed&software&for&the&admitting&and&business&offices.&&Kay&has&been&a& requested&speaker&at&more&than&100&conventions. & &

307! – ! Mobile!Madness !

Presenter:!! Steve!Walker ! Organization:!!Iatric!Systems !

Abstract:!! So!many!wireless!devices! – ! laptops,! instruments,!handheld!devices!and!phones! ! ! It’s!not!just! staff!that!wants!to!access!the!wireless!network!now;!it’s!patients!and!visitors!too! ! ! Wireless!networks! can!be!a!jungle!and!without!a!map!it’s!easy!to!get!lost. ! ! This!session!is!designed!to!help!indi viduals! – ! from!beginners!to!experts! – ! understand!the!challenges!involved!and!identify!the!deployment!methods!

best!suited!to!each!organization’s!particular!environment.!

Primary!topics!to!be!covered!include: ! !

Site!Surveys!and!Physical!Challenges !

Network! Topology!and!Roaming!Devices !

Application!Deployment!vs.!Handheld!Deployment

Bandwidth!Considerations !

Authentication!and!Security !

2011!Devices!and!Connectivity!Information !

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As&the&Director&of&Application&Development&at&Iatric&Systems,&Steve&Walker&supervise s&programmers&and& manages&the&development&of&all& server ,&desktop&and&handheld&software&offered&by&Iatric&Systems.&&Prior&

to&joining&Iatric&Systems&in&February&of&2006,&Steve&was&the&Network&Services&Manager&at&Central&

Missouri&State&University&(CMSU),&wher e&he&also&managed&the&network&and&servers&for&affiliated& University&Health&Center.&&Steve&regularly&presented&at&MORENet&conferences&(Missouri&Research&and& Educational&Network),&acted&as&the&network&security&contact&for&CMSU&and&was&a&member&of&the& MORENet & Security&Committee.&&He&received&his&BS&in&Computer&Information&Systems&from&CMSU&and&has&

been&programming&professionally&for&16&years.&&Steve&served&in&the&military&and&received&four&letters&of&

commendation&during&his&US&Naval&career.&&In&his&spare&time,& Steve&enjoys&programming,&woodworking& and&automating&home&control&(he&can&turn&his&lights&on&by&saying,&“Computer& – & lights&on!”). &

308! – ! Survive!Post!Payment!Audits!101! !

 

Presenter:!! Kay!Jackson ! Organization:!!Iatric!Systems !

Abstract:!! Audits!by!any!source!will!now!become!a!routine!event.!!Center!for!Medicare!and!Medicaid! Services!(CMS)!and!commercial!payor’s!alike!see!the!value!of!reviewing!the!paid!claim!to!recoup! payments!that!they!now!feel!were!made!in!error.!!Medical!necessity,!neve r!events,!incorrect!service! types!as!well!as!coding!errors!are!being!targeted.!! !

Attend!this!session!and!learn: !

 

Why!audits!now? !

Learn!how!to!create!a!proactive!audit!team !

Defend,!defend!and!defend!some!more !

Discover!the!audit!volumes!you!should!expect !

Use ! the!results!for!process!improvement !

Understand!your!appeal!rights! !

Commercial!plans!update!language! !

General!information!about!process !

Track!and!report!results !

Create!benchmarks !

AHA!reporting!and!RAC!results !

This!session!will!also!include!the!following!a udit!types: !

RAC!!for!traditional!Medicare!and!Medicaid!and!Managed!Medicare!and!Medicaid !

CERT! !

 

QIC !

MAC! !

MIP !

PSC

HEAT !

OIG

Commercial! !

Kay&Jackson&has&a&wealth&of&revenue&cycle&improvement&knowledge&and&experience.&&For&15&years&she&

was&in&management&at&third W party&payor&companies&developing&methods&for&delaying&and&denying& medical&claims&submitted&by&hospitals.&&When&she&’saw&the&light’& she&moved&into&the&hospital&

environment&where&she&spent&10&years&in&management&of&Scheduling,&Access&and&Patient&Accounts.&&Kay&

was&then&rewarded&by&being&given&the&privilege&to&develop&and&manage&the&Case&Management&

department.&&She&also&developed&one&of& the&first&denials&management&teams&at&a&hospital&in&1989.&&For&

the&past&12&years,&Kay&has&consulted&on&strategic&hospital&planning,&redesign&of&access&and&patient&

accounts&processes&and&developed&software&for&the&admitting&and&business&offices.&&Kay&has&be en&a& requested&speaker&at&more&than&100&conventions. & &

! ! ! ! 30 9 ! – ! The!Transition!from!NPR!to!FOCUS!Report!Writing!Functionality!
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9 ! – ! The!Transition!from!NPR!to!FOCUS!Report!Writing!Functionality!

Presenter:!! ! Dana!Holmes ! Organization:! ! The!IN!Group,!Inc. !

Abstract:!! Migrating!from! MEDITECH ! MAGIC!to!CS!6.0!is!not!exactly!cut!and!dry!when!it!comes!to!your! NPR!reports.!!Be!mentally!and!physically!prepared!to!say!goodbye!to!all!of!your!hard!work!and!intricately! built!MAGIC!NUR!(PCS),!OE!(OM),!EDM!and!RXM!reports.!!These!will!have!to!be!rebuilt! in!CS!6.0!once! you!determine!if!standard!functionality!does!not!meet!your!needs.!!Come!to!my!IN!Group,!Inc.! presentation!and!let!me!shed!some!light!on!the!migration!preparation.!!Trim!your!MAGIC!NPR!report! library!before!you!even!begin!to!migrate.!! MEDITEC H ! has!provided!numerous!reports!to!run!and!identify! what!custom!reports!within!your!MAGIC!platform!that!have!not!been!utilized!within!a!specific! timeframe.!!Come!your!migration!time,!it!will!ease!your!pain!and!workload. !

Dana&Holmes&holds&a&BA&with&an&emph asis&in&Information&Systems.&&He&is&a&Sr.&Clinical&Analyst&with&The&

IN&Group,&Inc.&based&in&the&West&coast&of&the&USA.&&Dana&has&been&working&within&the&IT&field&for&24&years&

and&the& MEDITECH & realm&for&the&last&decade.&&He&was&the&Lead&Analyst&on&a& MEDITEC H & MAGIC&to&CS&6.0& NPR&report&migration&recently&for&a&Providence&Health&System&Hospital&in&the&Pacific&Northwest. &

310

! – ! Optimizing!Pharmacy!Workflow!in!a!CPOE!Environment!

Presenter:!! ! Steve!Botwinski ! Organization:! ! The!In!Group,!Inc. !

Abstract:!! Pharma cy!workflow!with!C/S!5.64!has!been!a!challenge!for!many!facilities,!adding!CPOE!can! be!adding!insult!to!injury.!This!session!will!discuss!options!to!help!streamline!pharmacy!processes!for! order!verification!and!on!demand!dispensing!utilizing!a!customized!O rder!View!Board.!This!will!include!a! unique!pro R active!process!for!monitoring!and!pro R actively!dispensing!IV’s.!Everyone!attending!will! receive!their!own!copy!of!the!board!(either!magic!or!C/S)!that!they!can!easily!install!in!their!system.!!!

Steve&Botwins ki&has&been&a&Registered&Pharmacist&in&the&hospital&setting&for&27&years&and&has&worked& with& MEDITECH & for&19&years.&He&specializes&in&the&Pharmacy&Module&as&well&as&PHA.MM&and&dispensing& machines.&He&is&proficient&at&writing&NPR&reports&and&Pharmacy&rules. & He&is&well&versed&in&both&C/S&and& Magic&platforms.&He&is&a&long&time&MUSE&participant&and&has&served&as&peer&group&leader&for&pharmacy& on&the&regional&and&international&levels. &

311

! – ! e ] MAR/BMV!Optimization!with!Rules!and!Custom!Reports!

Presenter:!! ! Bruce!Matthias ! Organization:! ! The!In!Group,!Inc. !

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Abstract:!! The!use!of!e R MAR/BMV!is!a!major! advancement!in ! patient!safety,!but!there!is!still!room!for! improvement.!!The!use!of!rules!and!custom!reports!can!add!a!level!of!optimization!that!saves!time!for!

t he!users!as!well!as!improves!safety!for!the!patient.!!Find!out!how!to!make!your!system!the!best!it!can! be,!including!adding!granularity!to!functional!settings!and!auto R populating!fields!to!streamline!the! process!from!ordering!to!administration!of!medicatio ns. !

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Bruce&Matthias&is&has&been&a&Pharmacist&for&over&30&years&and&has&been&using&MEDITECH&for&over&20&
years.&He&is&well&respected&in&the&MEDITECH&user&community&for&his&expertise&in&Pharmacy&and&Advanced&
Clinicals,&specializing&in&patient&safety&and&syste m&optimization.&He&has&worked&with&Major&Medical&
Centers&and&Systems&including&Providence&Health&System,&Saint&Joseph&Health&System,&and&Huntington&
Memorial&Hospital&and&served&as&President&of&MUSE&International&from&2000&to&2002. &
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312
! – ! Integrating!REMS!into!your!MEDITECH!System !

Presenters:!! ! Yvonne!Birek!and!Bryce!Ouellet !

Organization:! ! The!In!Group,!Inc. !

! Abstract:!! The!Food!and!Drug!Administration!Amendments!Act!of!2007!gave!the!FDA!authority!to!
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Abstract:!! The!Food!and!Drug!Administration!Amendments!Act!of!2007!gave!the!FDA!authority!to!
require!a!Risk!Evaluation!and!Mitigation!Strategy!(REMS)!from!manufacturers!to!ensure!that!the!benefits!
of!a!drug!or!biological!product!outweigh!its!risks.!It!is!now!time!for ! us!to!deal!with!REMS.!The!
interpretation!of!REMS!has!not!been!agreed!upon!yet!but!it!is!clear!that!the!standard! MEDITECH ! product!
is!not!ready!for!REMS.!!This!session!will!include!a!presentation!of!strategies!or!tools!that!may!be!utilized!
for!addressing!RE MS!as!well!as!other!patient!education!issues. !
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Yvonne&Birek,&Pharm.D,&is&a&senior&pharmacy&consultant&for&The&IN&Group.&&She&has&worked&with&the&
MEDITECH & PHA&system&for&more&than&20&years.&&Her&roles&as&a&pharmacist&have&included:&clinician,&
manager&at&a&p ediatric&facility,&director&at&an&adult&facility,&IS&support&and&pharmacy&consultant. &
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Bryce&Ouellet,&a&consultant&with&The&In&Group,&has&been&working&with&Client&Server&5.6&since&2006.&He&
assisted& MEDITECH ’s&development&staff&with&developing&and&testing&t he&pharmacy&module.&He&was&
selected&to&lead&the&pharmacy&implementation&for& MEDITECH ’s&first&and&only&migration&from&Magic&to&
Client&Server&5.6&at&Doylestown&Hospital&in&Doylestown,&PA.&&Bryce&is&now&working&on&new&installations&in&
the&6.0&environment. &
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313
! – ! Pediatric!Dosing!Optimization!and!Medication!Safety!

Presenter:!! ! Yvonne!Birek ! Organization:! ! The!In!Group,!Inc. !

! Abstract:!! T he!Joint!Commission ! has!a!sentinel!event!alert!addressing!the!prevention!of!pediatric!
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Abstract:!! T he!Joint!Commission ! has!a!sentinel!event!alert!addressing!the!prevention!of!pediatric!
medication!errors.!!Their!recommendations!include:!“Use!technology!judiciously”!such!as!pediatric!
online!dose!range!checking,!limiting!stock!overrides,!and!barcode!technology!with!pediatric ! capability.!
Other!recommendations!include!weight!based!dose!calculations,!weigh!the!patient!prior!to!
administration!of!any!non R emergent!drug,!order!using!calculated!weight!based!dose!with!a!double!check!
by!pharmacist!or!nurse!or!both,!and!!communicating!d rug!indication!with!potential!adverse!effects!to!
the!patient’s!primary!caregiver.!This!session!will!include!a!presentation!of!customized!methods!for!
addressing!these!issues. !
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Yvonne&Birek,&Pharm.D,&is&a&senior&pharmacy&consultant&for&The&IN&Group.&&She&has & worked&with&the&
MEDITECH & PHA&system&for&more&than&20&years.&&Her&roles&as&a&pharmacist&have&included:&clinician,&
manager&at&a&pediatric&facility,&director&at&an&adult&facility,&IS&support&and&pharmacy&consultant. &
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314
! – ! Physician!Adoption! – ! Getting!The m!to!the!Table!and!Having!Them!Stay!For!Dessert!

Presenter s :!! ! Teri!Young R Hise! and ! Charlotte!Robey ! Organization:! ! Beacon!Partners!and ! Fauquier!Hospital !

Abstract:!! Engaging!physicians!and!promoting!their!adoption!of!new!documentation!and!ordering! processes! is!a!monumental!task!facing!most!organizations!as!they!move!toward!achieving!Meaningful! Use.!!This!session!will!provide!strategies!for!engaging!physicians!before,!during!and!after!the! implementation!process!as!well!as!lessons!learned!from!one!community!hos pital’s!initial! implementation!and!how!these!resulted!in!different!approaches ! for!their!subsequent!projects. !! Strategies!will!include!descriptions!of!how!the!roles!of!the!CIO!and!Executive!Team,!the!Physician! Champion,!the!Information!Systems!Team!and!the! Core!Implementation!Teams!can!affect!physician! adoption. ! After!attending! this!session,!participants!will : !

Understand!the!Physician!Champion/CIO!relationship!and!the!influence!it!has!on!the!successful! engagement!of!physicians. !

Understand!how!physicians!can! offer!the!Information!Systems!Team!a!patient!care!perspective! in!the!clinical!IT!project!planning. !

Understand!strategies!used!by!management!and!staff!to!enhance!physician!engagement. !

Understand!the!role!of!the!project!core!team!in!sustaining!physician!enga gement!after!the! project!implementation!has!gone!live. !

Teri&Young W Hise,&MSB,&RN W BC&is&a&Client&Service&Manager&with&Beacon&Partners&providing&project&

management,&assessment&and&implementation&expertise&for&Advanced&Clinicals&modules&with&focus&on& physicia n&end&users.&&Teri&has&27&years&of&experience&in&the&healthcare&field&as&a&registered&nurse&holding&

both&clinical&and&management&positions&in&acute&and&home&health&care&settings.&&In&her&13&years&of&work&

in&the&informatics&arena,&she&has&facilitated&and&su pported&multiple&clinical&implementations&including& physician&order&entry&and&documentation&initiatives.&&Teri&holds&an&MS&in&Business,&a&BS&in&Nursing&and&an& ANCC&certification&in&Informatics. &

&

Charlotte&Robey,&MS,&RN&is&the& Manager&of & Clinical&Informatio n&Systems&at&Fauquier&Health&in&Warrenton&

Virginia.&&Fauquier&Health&consists&of&a&97&bed&community&hospital,&a&Rehab&and&Nursing&Care&facility,&an&

Assisted&Living&facility&and&several&owned&provider&practices.&&Charlotte&manages&a&staff&of&five&Clinical&

A nalysts&who&support&all&of&the& MEDITECH & clinical&applications&as&well&as&>30&other&non W MEDITECH &

clinical&applications.&&Charlotte&has&25+&years&of&nursing&experience&including&critical&care&nursing&and&

nursing&management&and&over& eight & years&of&healthcare& IT&experience.&&She&has&participated&in&or&led&the&

implementation&of&the&Advanced&Clinical&applications&of&MEDITECH & including&PCM/POM,&PCS,&eMAR,& EDM,&and&PDoc. &

! ! ! ! 315 ! – ! The!New!Build!for!AOM/RXM!to!Support!ePrescribing !
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315
! – ! The!New!Build!for!AOM/RXM!to!Support!ePrescribing !

Presenter:!! ! Jose!Castro ! Organization:! ! The!IN!Group,!Inc. !

!

Abstract:!! With!the!addition!of!e R prescribing!to!the!AOM/RXM!functionality!there!are!new!requirements! for!appropriate!build!of!the!drug!dictionaries.!!MEDITECH!has!developed!a!new!process!for!re R building! the!AOM!/RXM!drug ! dictionary!utilizing!additional!data!from!FSV!to!filter!dictionary!entries.!!These! changes!may!require!expunging!your!old!AOM!drug!dictionary.!!Find!out!about!how!this!can!be!done!and! how!to!save!you!current!build!data. !

!

Jose&Castro&II,&Pharm.D.&is&a&new& senior&pharmacy&consultant&for&The&IN&Group,&Inc.&&Jose&has&been&a&

pharmacist&since&2001&and&has&a&strong&clinical&skills&across&a&broad&range&of&diverse&setting&(Ambulatory&

Care&HIV&Clinic,&Inpatient&Hospital&Setting,&Clinical&Research,&and&Community&based&Retail&Setting).&& However,&majority&his&pharmacy&experience&has&been&in&the&inpatient&setting.&&His&roles&have&included:& resident&(pharmacy&practice&and&administration),&clinical&staff&pharmacist,&as&well&as&management& backgrounds&with&focus&on&operation s.&&Jose&has&been&recently&involved&with&5.64&Implementation&and& Upgrade,&and&currently&participating&in&CPOE&(entailing:&Zynx,&AOM/RXM,&Priority&Pack). &

! ! ! ! 316 ! – ! Leveraging!Pharmacy!for!use!with!CPOE!in!MEDITECH!6.0!
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316
! – ! Leveraging!Pharmacy!for!use!with!CPOE!in!MEDITECH!6.0!

Presenter:!! ! Bryce!Ouellet ! Organization:! ! The!IN!Group,!Inc. !

Abstract:!! With!the!introduction!of!6.0 , ! MEDITECH!has!made!some!major!changes,!and!removed!some! important,!and!formerly!inherent,!functionality!from!PHA!in!relation!to!CPOE.!This!session!will!serve!to! focus!on!these!major ! changes!with!suggestions!on!how!implement!Pharmacy!and!CPOE!successfully.! Topics!covered!will!include!building!Order!Sets!in!OM,!building!strings!in!PHA!for!CPOE!use,!ordering! meds!in!CPOE!highlighting!common!issues!that!do!occur.! !

Bryce&Ouellet,&a&consu ltant&with&The&In&Group,&has&been&working&with&MEDITECH&5.6&and&MEDITECH&6.0&

since&2006.&He&assisted&MEDITECH’s&development&staff&with&developing&and&testing&the&pharmacy&

module.&He&was&involved&in&the&pharmacy&implementation&for& MEDITECH ’s&first&migration & from&Magic&to&

Client&Server&5.6&in&2007.&Bryce&has&assisted&with&several&new&installations&as&well&as&upgrades&to&the&5.6&

and&6.0&environments.&&Currently&Bryce&is&working&on&a&large W scale&standardization&project&utilizing& MEDITECH ’s& Controlled&Management & System&(CMS)&in&6.0. &

! ! ! 317 ! – ! IT!Organizational!Models!
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317
! – ! IT!Organizational!Models!

Presenter:!! ! Roberta!MacDonald ! Organization:! ! Beacon!Partners !

Abstract:!! Healthcare!Information!Technology!(I.T.)!dynamics!and!care!delivery!is!becoming!increasingly! complex,!with!funding!unable!to! keep!pace.!!Hospital!leadership!is!looking!for!increased!efficiency!and! effectiveness!from!I.T.!!Many!are!looking!not!simply!for!improved!governance,!but!improved!I.T.! organizational!models.!!I.T.!directors!are!under!increased!pressure!to!create!models!tha t!meet!the!needs! of!today!while!anticipating!future!requirements.!Developing!the!right!model!requires!a!comprehensive! examination!of!the!mix!of!people,!processes!and!technologies!of!an!organization,!while!staying!within! the!confines!of!a!shrinking!I.T.!bud get.!!The!appropriate!model!for!an!organization!is!one!that!considers! the!unique!requirements!of!that!organization.!Does!it!leverage!your!current!I.T.!investments?!Does!it! help!you!achieve!your!fiscal,!operational!and!clinical!goals?!Does!it!provide!a!stab le,!flexible! infrastructure!for!continued!expansion!of!your!Elect ronic!Health!Record?!Don’t!bas e!your!decision! simply!on!cost.!Consider!long R term!implications,!flexibility,!risks,!challenges!and!advantages!of!each! model!within!a!context!of!your!established ! strategy!and!goals.! !

An!understanding!of!the!conceptual!models!currently!used!to!structure!the!delivery!of!I.T.!services! provides!a!context!to!begin!the!evaluation!of!an!appropriate!model.!A!strong!I.T.!infrastructure!will: !

Align!with!core!business! needs. !

Be!highly!reliable,!available!and!secure. !

Be!cost!effective. !

Maintain!data!integrity. !

Integrate!data!from!disparate!sources.!

Have!well!established!metrics. !

Evaluation!of!I.T.!models!must!begin!with!a!clear!vision!of!the!future!with!the!development! of!near!term! and!distant!goals.!!A!vision!and!guiding!principle!should!be!defined!for!each!model,!to!direct!the! development!of!business!tactics!and!approaches!for!that!model,!in!support!of!the!organization’s! priorities.! A ! comprehensive!review!of!an!IT!mode l!of!organization!should!include!careful!consideration! of!implications,!risks,!constraints!and!barriers!to!success.!!Be!objective,!or!face!project!overruns!or! failure.!! !

Roberta&MacDonald&is&an&information&systems&executive&with&25&years&of&experience&in& all&facets&of& Canadian&Healthcare&Information&Management/&Technology.&She&possesses&an&extensive&track&record&of& building&highly W motivated&teams&and&delivering&complex&clinical&and&business&projects&on&time&and&within& budget.&Her&particular&strengths&inclu de&the&ability&to&build&relationships,&lead&a&diverse&group&toward&a& common&goal&and&turn&challenges&into&positive&results.& &

Prior&to&joining&Beacon&Partners&Ms.&MacDonald&accrued&extensive&experience&in&IT/IM&strategic&planning& and&implementation&at&the& departmental,&organizational&and&regional&levels&in&her&role&as&the&CIO&at&St.& Mary's&General&Hospital,&Kitchener.&She&is&recognised&as&a&long W standing&member&and&leader&in&MUSE& and&is&a&founding&member&of&the&Ontario&Nursing&Informatics&Interest&Group.&Sh e&holds&a&BScN&from& McMaster&University&and&practised&as&a&Critical&Care&Nurse&and&Nurse&Clinician&before&moving&into& informatics&and&information&technology. &

! ! ! 318 ! – ! What!Are!Meaningful!Metrics? !
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318
! – ! What!Are!Meaningful!Metrics? !

Presenter:!! ! Roberta!MacDonald ! Organization:! ! Beacon!Partners !

Abstract:!! Healthcare!IT!is!becoming!exponentially!challenging!to!manage.!!There!is!heightened!pressure! to!“prove”!that!value!was!achieved,!increased!complexity!of!IT!infrastructure!and!application!portfolios.!! There!is!decreased!toleranc e!for!performance!problems.!!!Defining!IT!Metrics!are!often!perceived!as! challenging,!complex,!and!costly!to!implement.! !

This!presentation!will!discuss!the!importance!of!Metrics,!and!a!definition!of!‘good’!metrics.!!The! presentation!will!walk!the!listener ! through!a!how!to!guide!for!definition!of!IT!Metrics!which!support! evidenced!based!decision!making.!!Metric!examples!will!be!presented,!followed!by!examples!of! collection!and!display!methodology.!!The!processes!for!ensuring!a!360!degree!deployment!of!IT!me tric! will!be!included!in!the!presentation.! !

Roberta&MacDonald&is&an&information&systems&executive&with&25&years&of&experience&in&all&facets&of&

Canadian&Healthcare&Information&Management/&Technology.&She&possesses&an&extensive&track&record&of& building&high ly W motivated&teams&and&delivering&complex&clinical&and&business&projects&on&time&and&within& budget.&Her&particular&strengths&include&the&ability&to&build&relationships,&lead&a&diverse&group&toward&a& common&goal&and&turn&challenges&into&positive&results.& &

Prior&to&joining&Beacon&Partners&Ms.&MacDonald&accrued&extensive&experience&in&IT/IM&strategic&planning& and&implementation&at&the&departmental,&organizational&and&regional&levels&in&her&role&as&the&CIO&at&St.& Mary's&General&Hospital,&Kitchener.&She&is&reco gnised&as&a&long W standing&member&and&leader&in&MUSE& and&is&a&founding&member&of&the&Ontario&Nursing&Informatics&Interest&Group.&She&holds&a&BScN&from& McMaster&University&and&practised&as&a&Critical&Care&Nurse&and&Nurse&Clinician&before&moving&into& informat ics&and&information&technology. &

319

! – ! Medication!Reconciliation:!! Before!CPOE!

Presenter s :!! ! William!Salemi ! and! Shann!Ludwig ! Organization:! ! Santa!Rosa!Consulting,!Inc. !

!

Abstract:!! The!purpose!of!this!presentation!is!to!assist!those!facilities!who!are!installing!RxM!and! beginning!to!document!home!medications!before!the!physicians!begin!an!electronic!discharge!process.!! In!this!case!responsibility!of!documentation!will!fall!upon!the!nurses!or!pharmacists!to!enter,!collect , ! and! review!home!medication!data,!then!print!reports!for!physician!review!and!signature.!! Although!many! facilities!with!more!advanced!implementation!have!crossed!this!bridge,!some!are!beginning!to!install! RxM!and!look ! at!the!processes!needed!for!medication!reconciliation!implementation.! !

!

!

This!presentation!will!discuss!the!installation!and!maintenance!of!RxM,!map!processes!needed!for! implementation ; ! give!examples!of!reports!needed!to!produce!hard!copy!orders!and!information!for!

patients ; ! look!at!roles!within!processes ; ! and!discuss!the!current!regulatory!climate!around!medication! reconciliation. !

!

William & Salemi&has&over&15& year’s&of&experience & in& h ealthcare&IT&as&a&Project&Manager,&Applications& Director&and&Consultant&as&well&as&experience&as&a&Certified&Pharmacy&Technician.&&Currently&working&at& Santa&Rosa&Consulting&as&a&Manager&in&the& MEDITECH & Practice,&Mr.&Salemi&specializes&on&the& implementatio n&and&optimization&of&the&Pharmacy&database&along&with&MEDITECH&Advanced&Clinical& Applications. &

& Shann &
&
Shann & Ludwig&has&many&years&of&clinical&nursing&and&administrative&experience,&and&moved&into&
healthcare&IT&in&the&Veterans&Administration&system&15&years&ago. & Currently&working&at&Santa&Rosa&
Consulting&as&an&Implementation&Specialist,&Ms.&Ludwig&specializes&on&the&implementation&and&
optimization&Nursing,&ED,&and&OR&processes&working&with&MEDITECH’s&Advanced&Clinical&Applications &
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320
! – ! BMV!Metrics:! ! Monitor
ing!for!Success!

Presenter s :!! Becky!Dawson!and!

Organization:!!Santa!Rosa!Consulting,!Inc. !

Susan!Haviland !

Abstract:!! Now!that!BMV!is!up!and!running,!you!want!to!know!if!the!system!is!being!utilized!

appropriately!to!maximize!patient!safety.!A!number!of!stand ard!reports!are!available,!but!as!you!run! them!you!have!more!questions!than!answers: !

Where!do!the!numbers!come!from? !

What!is!really!being!reported? !

What!is!an!acceptable!scan!rate? !

How!can!I!use!the!reports!to!improve!patient!safety? !

Attend!this! presentation!to!learn!the!answers! !

Becky&Dawson,&RN,&BSN,&has&over&30&years&of&relevant&professional&experience&including&ten&years&of&

experience&as&a&MEDITECH&consultant,&project&manager,&and&application&specialist&in&healthcare&systems.& Currently&a&Mana ger,&MEDITECH&Services&with&Santa&Rosa&Consulting,&she&specializes&in&the& implementation&and&support&of&MEDITECH’s&Advanced&Clinical&Applications&with&a&particular&emphasis& on&nursing&and&related&patient&care&disciplines.&Areas&of&expertise&include&impleme ntation&assessments,& developing&implementation&and&training&plans,&coordinating&process&and&departmental&workflow& enhancement/redesign,&facilitating/managing/training&application&implementation&teams,&training&end W users&and&change&management.&Ms.&Dawson&is & fluent&in&current&versions&of&MEDITECH&Magic,&Client W Server&and&6.0. &

Susan&Haviland&is&a&Registered&Nurse&with&over&18&years&of&relevant&professional&experience&serving&in&

various&Nursing&management,&operational&and&informatics&roles&with&a&track&record&of&successful&

outcomes.&&Her&experience&includes&15&years&of&end&user&experience&with&MEDITECH&Magic&Nursing,&

Order&Entry,&EMAR&and&Pyxis&Medication&and&the&past&year&implementing&and&supporting&MEDITECH& Client&Server&Patient&Care&System.&&She&also&has&a&s trong&understanding&of&operational&workflows&and& MEDITECH&functionality&enabling&successful&system&implementations. &

! ! ! ! 321 ! – ! Don’t! Be! D enied !
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321
! – ! Don’t! Be! D enied !

Presenter:!! ! Deborah!Meredith ! Organization:! ! Santa!Rosa!Consulting,!Inc. !

Abstract:!! Denial!Management!is!a!tool!that!can!be!used!by!an!organization!for!meeting!AR!days!and! Business!office!objectives!cross!the!enterprise.!When!we!get!finished!you’ll!have!a!good!understanding! of!how!Denial!Management!is!used!which!can!save!you!hours!of!manu al!efforts!and!re R work.! !

Deborah&Meredith&has&over&20&years&of&relevant&professional&experience&including&ten&years&of&

experience&as&a&MEDITECH&consultant,&project&manager,&and&application&specialist&in&healthcare&systems.& Currently&a&Senior&Implementatio n&Consultant&with&Santa&Rosa&Consulting,&she&specializes&in&the& implementation&and&support&of&MEDITECH’s&BAR&Module.&Areas&of&expertise&include&implementation& assessments,&developing&implementation&and&training&plans,&coordinating&process&and&departmental& workflow&enhancement/redesign,&facilitating/managing/training&application&implementation&teams,& training&end W users&and&change&management.&Ms.&Meredith&is&fluent&in&current&versions&of&MEDITECH& Magic&and&Client W Server. &

322

! – ! Pre pare!for!MEDITECH!6.0!Financials!

Presenter:!! ! Deborah!Meredith ! Organization:! ! Santa!Rosa!Consulting,!Inc. !

Abstract:!! Learn!ho w!Work!Process!Analysis!will!make!the!difference!in!your!project . ! You!can!use!it! on!a! project!to!design!and!build!BAR.!After!collecting!all!the!paper!forms,!then!spending!countless!hours! building,! do! you!find!the!proc ess!isn’t!working!as!desired?!! No!matter!what!you!are!implementing!the! solution!is!the!same :! Work!Process!Analysis . !

Deb orah&Meredith&has&over&20&years&of&relevant&professional&experience&including&ten&years&of& experience&as&a&MEDITECH&consultant,&project&manager,&and&application&specialist&in&healthcare&systems.& Currently&a&Senior&Implementation&Consultant&with&Santa&Rosa&Consulting,&she&specializes&in&the& implementation&and&support&of&MEDITECH’s&BAR&Module.&Areas&of&expertise&include&implementation& assessments,&developing&implementation&and&training&plans,&coordinating&process&and&departmental& workflow&enhancement/redesign ,&facilitating/managing/training&application&implementation&teams,& training&end W users&and&change&management.&Ms.&Meredith&is&fluent&in&current&versions&of&MEDITECH& Magic&and&Client W Server. &

323

! – ! Update!on!Clinical!Surveillance!– ! Creating!a!Clinical!Review!Display!Board!

Presenter:!!Bruce!Matthias ! Organization:!!The!In!Group,!Inc. !

!

Abstract:!!Learn!about!the!latest!efficient!techniques!for!clinical!monitoring!utilizing!MEDITECH’s! standard!functionality.!Leverage!MEDITECH’s!Pharmacy ! application!with!sophisticated!rules,!clinical!

decision!support!tools!and!custom!reports!to!send!information!to!a!Clinical!Review!Display!Board!to!alert! pharmacist’s!to!potential!therapeutic!risks!and!verify!the!accuracy!and!safety!of!medication!orders.!A ! special!focus!on!Antibiotic!Monitoring!to!meet!the!new!J oint! C ommission ! goals!will!be!included. !

Key!points!will!include!how!to: !

monitor!laboratory!values !

identify!potential!drug!problems !

protect!the!patient!against!prescribing!errors !

Bruce&Matthias&is&h as&been&a&Pharmacist&for&over&30&years&and&has&been&using&MEDITECH&for&over&20& years.&He&is&well&respected&in&the&MEDITECH&user&community&for&his&expertise&in&Pharmacy&and&Advanced& Clinicals,&specializing&in&patient&safety&and&system&optimization.&He&has&w orked&with&Major&Medical& Centers&and&Systems&including&Providence&Health&System,&Saint&Joseph&Health&System,&and&Huntington& Memorial&Hospital&and&served&as&President&of&MUSE&International&from&2000&to&2002. &

324! – ! Understanding!Project!Healthcare!IT!Risk! Management!

Presenter:!!Mary!Moewe ! Organization:! ! Iatric!Systems,!Inc. !

Abstract:!!Understanding!Project!Healthcare!IT!Risk!Management! – ! Assessing!risk!and!managing!it! effectively .! Much!of!project!management!is!composed!of!understanding!risk!having!a!struc tured! approach!and!knowledge!to!effectively!manage!risk.!!Having!a!process!for!identifying! h ealthcare!IT!risks! and!opportunities!will!make!you!a!more!effective!project!manager.!!It!is!a!project!manager’s!job!to! worry!and!maintain!a!“healthy!paranoia”!regar ding!risk,!even!if!it!sometimes!seems!a!bit!psychotic.!! Having!a!good!balance!between!thinking!about!what!could!go!wrong!and!then!doing!everything!you!can! to!insure!the!project!is!executed!as!planned!is!our!work.! !

! The!visibility!and!level!of!risk! management!appropriate!to!the!project!has!to!be!consistent!with!our! comfort!level!with!risk!and!the!culture!of!the!organization.!!The!cost!of!the!risk!response!should!not!be! greater!than!the!loss!impact!the!risk!event!may!cause.!!Any!factor!or!risk!that!co uld!seriously!impact!the! project!should!be!identified,!qualified!or!quantified!and!assessed!for!possible!impact.!!This!includes! people,!process,!technology,!organization,!culture!and!environmental!influences.!!Learn!how!to!respond! to!risk:!using!avoidance, ! acceptance,!monitoring!and!prepare!contingencies,!and!mitigating!or!

transferring!ownership!of!the!risk!factor.!!Remember,!80%!of!all!project!risks!originate!from!the!same!

sources!on!every!project!every!time. !

Some!good!examples!of!risk!in! h ealthcare!IT!projects!are:! !

Number!of!sites/hospitals!impacted!by!project !

Availability!and!number,!types!of!resources !

Number!of!IT!interfaces!involved!in!the!project !

Number!of!dependencies!on!other!projects!or!IT!systems !

Time!estimated!to!achieve!the!proje ct! – ! often!accelerated!in!hospital!IT!projects !

Stakeholder!Level!of!engagement! – ! sometimes!there!are!differences!between!hospital!CIO!and! CNO !

Cash!flow!issues! – ! Hospital!budget!cycle!doesn’t!always!work!with!the!project!budget!cycle !

Changes!in!priorities!o r!project!objective!by!the!healthcare!organization!or!changes!in! Government !

Lack!of!experience!of!the!team! – ! Project!Manager!is!brought!in!from!Radiology,!Nursing!or!Lab! and!doesn’t!have!significant!IT!experience !

Unproven!or!uncertified!technology !

The!bes t!way!to!manage!and!control!risks!is!through!solid!project!management,!effective!project! planning,!and!the!project!team’s!desire!to!protect!the!project. !

Mary&Moewe&is&Associate&Vice&President,&Interface&Services&at&Iatric&Systems.&Mary&has&extensive& exper ience&in&the&health&care&and&project&management&fields.&She&was&Director&of&Information& Technology&for&Hospital&Corporation&of&America&(HCA)&for&four&years&prior&to&joining&Iatric&Systems.&Mary& is&also&active&in&Healthcare&Information&and&Management&System s&Society&(HIMSS)&and&a&Certified& Professional&in&Healthcare&Information&and&Management&Systems&(CPHIMS).!

325! – ! Personal!Health!Records!and!Healthcare!Consumerism !

Presenter:!! Mark!Johnson ! Organization:! ! Iatric!Systems,!Inc. !

Abstract:!!This!updated!sess ion!will!focus!on!the!current!state!of!patient R driven!healthcare!and!how! patient!health!records!are!changing!the!landscape!of!American!healthcare.!We!will!review!trends!among! various!demographic!segments!to!help!providers!target!Personal!Health!Record!(PHR )!implementations.!! We!will!also!discuss!the!various!meaningful!use!criteria!and!how!these!can!be!satisfied!with!a!hospitalR based!PHR!and!patient!access!to!health!information.! !

Specific!topics!will!include: !

Patient!Health!Records!around!the!world! R ! how! are!we!different!in!the!USA? !

Discuss!patients’!rights!vs.!traditional!(business!intellectual!property!rules) !

Patient R directed!sharing!of!data!in!PHRs:!historical!methods!and!new!trends !

HITECH!and!Meaningful!Use!criteria! !

Future!outlook!for!the!PHR!software ! industry !

Mark&Johnson&is&the&Account&Manager&for&the&Great&Lakes&Region&at&Iatric&Systems.&&While&at&Iatric& Systems,&Mark&has&been&Product&Manager&for&the&IatriConnect&Solutions&portal&applications&suite&and& has&also&implemented&and&supported&Visual&Flow sheet,&Patient&Discharge&Instructions&and&Mobilcare&

applications.&He&has&more&than&10&years&of&bedside&nursing&experience&and&15&years&of&experience&in&

healthcare&delivery&systems.&&Mark&has&a&Master’s&in&Health&Administration&from&the&Medical&University&

o f&South&Carolina.&&He&is&an&ANCC W certified&Informatics&nurse&and&is&CPHIMS&certified&by&HIMSS. !

326! – ! NPR!Report!Writer!Debugging!Tactics!

Presenter:!! Rita!Huneycutt ! Organization:! ! CSC !

Abstract: !! This!presentation!will!cover!debugging!tactics!for!NPR!reports!in!Magic!and!Client!Server.!! Topics!covered!will!include!methods!to!break!out!to!the!debugging!screen!from!an!NPR!report!and!

various!methods!to!analyze!variable!values!once!at!the!debugging!pro mpt.!This!presentation!is!geared!to! the!intermediate/advanced!report!writer.!! !

!

Rita&Huneycutt&is&an&analyst/programmer&with&the&Application&Managed&Services&Sector&of&the&Health& Delivery&Division&at&CSC.&At&CSC,&her&role&includes&NPR&reports,&HL7&interfac es&and&data&conversions.&She&

also&conducts&NPR&training&classes.&&She&has&more&than&20&years&of&experience&in&healthcare&IT&and&holds&

MCAD&and&CIW&certifications.&Prior&to&coming&to&CSC&in&2007,&she&was&a&programmer/analyst&at&Stanly&

Regional&Medical&Cente r&specializing&in&data&extraction&and&process&automation.&Prior&to&that,&she&was&a& programmer&with&Specialized&Information&Management&where&she&was&instrumental&in&development&of& an&electronic&health&record. &

! ! ! ! 327! – ! Clinical!Documentation!Optimization ! Pr esenters:!! Tania!Cutone ,!Tammie ! P
!
!
!
!
327! – ! Clinical!Documentation!Optimization !
Pr esenters:!! Tania!Cutone ,!Tammie ! P rofitko ,!and! Bryanne!Winbourne !
Organization:! ! Chilton!Hospital ! and! Cornerstone!Advisors !
!
Abstract: !! Chilton!Hospital!defines!Clinical!Documentation!Optimization!as!the!process!of!identifying!
opportunities!for!improvement!an d!subsequently!developing!corrective!measures!which!offer!value!to!
end R users,!improve!workflow,!and!enhance!outcomes.!!This!presentation!is!designed!to!showcase!the!
processes,!toolsets,!and!outcomes!which!have!resulted!from!the!Clinical!Documentation!Optim ization!
efforts!at!Chilton!Hospital.!!This!presentation!will!highlight!improvements!in!the!documentation!screens,!
as!well!as!enhancements!to!workflow!and!clinical!processes.!!A!project!team!was!formed!to!evaluate!
current!documentation!screens!via!end R user! interviews!and!analysis.!!Specific!data!points!were!
evaluated!during!end R user!interviews!to!identify!how!screens!could!be!redesigned!to!improve!
documentation!and!more!adequately!support!workflow!while!reducing!time!and!keystrokes!per!
assessment. !
!
As!a!result!of!these!performance!improvement!efforts,!Chilton!redesigned!their!clinical!documentation!
change!management!process.!!The!revised!change!management!process!relies!on!input!and!subsequent!
approval!from!multiple!groups,!including!the!Nursing!Info rmatics!department,!Clinical!Super!Users’!
Council,!and!the!Nursing!Informatics!Council!(NIC).!!Each!of!these!group’s!roles!and!functions!will!be!
highlighted!as!we!demonstrate!the!importance!of!the!change!management!process!to!ensure!integrity,!
consistency, ! and!buy R in.!! !
!
Once!optimization!opportunities!were!identified,!approved,!and!implemented,!reassessments!were!
performed!post R LIVE!to!validate!and!measure!(quantify)!the!value!of!the!improvements.!!Additionally,!
end R user!competency!testing!has!evolved!to!b e!a!significant!component!of!the!performance!
improvement!process!and!as!such!is!performed!on!an!annual!basis!to!ensure!adequate!understanding!
and!adoption!of!important!system!and!workflow!changes. !
!
Tania&Cutone&RN&,&Nurse&Manager& W & Nursing&Informatics,&Chi lton&Hospital &
Tammie&Profitko&,&ACS&Systems&Analyst,&Chilton&Hospital &
Bryanne&Winbourne,&Cornerstone&Advisors&Consultant &
!
!
!

328! – ! HIPAA!5010! – ! Don't!Be!Left!Behind! – ! The!Deadline!is!Approaching !

Presenter : ! ! Barbara!DaRosa ! Organization:! ! CSC !

Abstract: !! The! final!countdown!for!the!5010/ICD R 10!implementation!and!testing!has!begun.!!By!January! 2012!healthcare!organizations!must!have!all!the!HIP A A!5010!Compliance!testing!completed.!!However,! many!studies!show!that!most!healthcare!organizations!have!not!even!begu n!to!put!a!test!plan!together.!!! Can!these!organizations!still!complete!the!necessary!testing!before!time!runs!out? !

Even!with!all!the!talk!and!forewarning!of!the!HIP A A!5010!testing!deadline,!many!healthcare! organizations!do!not!believe!this!deadline!of!Ja nuary!2012!is!a!firm!one.!!Many!hospitals!are!still!in! denial!that!this!deadline!will!be!upon!them!very!soon.!!A!large! percentage ! of!hospitals!have!taken!the! approach!that!if!testing!has!not!been!done!by!all!healthcare!organizations!then!the!deadline!will! be!

pushed!out.!!Nothing!could!be!further!from!the!truth.!!January!2012!is!only!months!away!and!for!those!

healthcare!organizations!who!have!not!completed!the!necessary!testing! – ! the!results!could!mean!a! reimbursement!catastrophe! ! It!is!NOT!too!late!to!start! this!testing!process!but!an!exp edited!approach! must!be!taken. !

A! team!devoted!to!solely!the!testin g!and!implementation!of!the!HIPA A!5010!and!ICD R 10!codes!must!be! established.!! T hree!separate!portions!of!the!pro ject!need!to!be!addressed:! !

Assessment!&!Rec ommendation!Phase:! !

Gap!Analysis!and!Impact!Analysis !

4010 R 5010!&!5010 R 4010!Mapping!Changes!must!be!noted !

Risk!and!Mitigation!Plan!and!Project!Plan!Creation !

Implementation!Phase: !

HIPAA!validation!assets !

Mapping!components !

ICD10!Cross!walk !

Pre R built! wrappers !

Data!Repository!Entry!(creation!of!new!business!rules!and!routing!processes) !

Testing!Phase: !

HIPAA!Validation!testing !

Functional!Testing !

Integrating!Testing !

Trading!partner!set!up!and!testing !

!

This!theory!is!not!reinventing!the!wheel.!!However,!in ! order!to!get!a!hospital!on!track!and!in!the!midst!of! the!testing!phase,!a!dedicated!staff!and!experienced!project!manager!will!be!required!need!to!devote ! 100%!of!their!time!to!the!efforts!of!HIP A A!5010.!!The!deadline!is!coming! – ! do!not!miss!it! !

!

Barbara&D aRosa,&CSC&Health&Delivery&Integration&Team ,&h as&worked&with&multiple&vendors& – & CSC,& MED ITECH,&Eclipsys& – & and&was&a&self W employed&consultant.&& She&has&been&e mployed&with&healthcare& organizations&and&financial&organizations&throughout&the&east&coast.&& Barba ra&c urrently&reside s & in& Massachusetts&with& her & husband&and&two&children.&& They & are&very&involved&with&youth&sporting& organizations&and&have&created&multiple&pieces&of&baseball&equipment&that&will&enhance&safe t y&for&

children.&&We&are&currently&working&with& the&Little&League&organization&in&an&attempt&to&further&promote& children's&safety. !

329! – ! Care!Plans!in!the!EMR!

Presenter:!! Katey!Ortlieb ! Organization:!!Beacon!Partners !

Abstract:!! Are!you!in!a!Care!Plan! c onundrum? ! Creating!meaningful,!valuable!care!plans!in!an!electronic! medical!record!presents!many!challenges.!Often!times,!clinicians!feel!the!care!plans!is!“another!task!to! complete”!or!“just!something!else!I!have!to!do.”!This!session!is!meant!to!address!those!chall enges!and! offer!recommendations!for!improvement/creation!of!care!plans!in!MEDITECH .!Key!points!of!the!session! include: !

Reconciling!your!organization’s!definition!of!a!care!plan!with!the!definition!of!regulatory!bodies !

Identifying!the!purpose!of!the!care!plan.!What!do!you!want!from!your!care!plan?!What!purpose! do!you!want!it!to!serve? !

Discussion!of!various!languages!to!use!to!create!your!care!plans !

Involving!end R users!in!the!improvement!process !

Innovative!ways!to!use!the!dictionaries!in!MEDITECH!to!create!a!care!plan!that!is!valuable!to!the! patient!and!staff !

Making!the!care!plan!interdisciplinary !

Meeting!regulatory!requirements!in!regards!to!care!planning !

A!roadmap! R ! To!get!you!where!you!want!to!be! !

Katey&Ortlieb&is&a&registered&nurse&with&eight&years&of&h ealthcare&experience.&Her&clinical&experience&in& the&areas&of&pediatrics,&obstetrics&and&neonatal&care&has&instilled&in&her&an&understanding&of&the& workflow&of&the&care&provider&at&the&bedside.&Ms.&Ortlieb&possesses&practical&and&technical&experience& with& multiple&MEDITECH&Client&Server&applications,&including&Patient&Care&System&(PCS),&electronic& medication&administration&record&(eMAR),&Computerized&Physician&Order&Entry&(CPOE),&and&Electronic& Medical&Record&(EMR).&She&has&an&in W depth&knowledge&of&hospital & workflows&and&requirements&and& possesses&a&true&sense&of&the&needs&of&the&bedside&care&provider&in&regards&to&technology.&&Prior&to&joining& Beacon&Partners&she&served&as&a&Documentation&Specialist&and&Informatics&Nurse&within&a&six W facility& healthcare&sys tem&providing&acute,&rehabilitative,&hospice&and&long W term&care.&Some&highlights&from&her& career&include&involvement&in&a&health&system’s&conversion&from&MEDITECH&Magic&to&Client W Server&5.62,& providing&physician&support&during&the&implementation&of&CPOE,&a nd&system&optimization&for&the&PCS& module&in&multiple&organizations.&Katey&currently&works&for&Beacon&Partners,&a&healthcare&management& consulting&firm,&and&resides&in&Black&Hawk,&SD. &

330! – ! Guide!to!User!Provisioning!in!6.0 !

Presenter:!!Lucy!Nelson ! Organiza tion:!!Beacon!Partners !

!

Abstract:!!The!journey!to!designing!appropriate!access!for!users!in!MEDITECH!Version!6.x!is!complex!and!

user!friendly!at!the!same!time.!!The!ease!of!design!puts!a!misleading!face!on!the!complex!pieces!needed! to!create!access.!!Under standing!the!new! Menu!Procedure!Access ! (MPA)!as!a!common!portal!for!access!

to!both!NPR!and!Focus!applications!that!are!built!in!6.x!can!turn!a!frustrating,!tedious!challenge!for!the!

person!designing!access!into!a!well R organized!walk!in!the!park!!!It!is!ess ential!to!have!a!grasp!of!the! layers!and!integrated!pieces!that!govern!access.!!MEDITECH!has!beautifully!designed!desktops!for!each!

application!that!facilitates!access!to!other!applications!and!processes!the!User!needs!to!maximize!their! work!flow.!!This!ea se!of!use!comes!to!an!abrupt!end!if!the!users!have!not!been!assigned!to!the!Access! Groups!and!Person!Profiles!that!allow!them!to!use!the!functionality!on!the!desktops.!!!

This!session!will!provide!a!preview!of!the!new!integrated!desktops!and!a!clear!demons tration!of!the! multiple!levels!and!pieces!needed!to!create!appropriate!access!for!end!users.!!Pre R tested!tools!used!for! implementations!will!be!shared!and!we!will!demonstrate!how!to!approach!and!set R up!simple!and! complex!MPAs. !

Lucy&Nelson&is&an&experience d&healthcare&professional,&with&over&25&years&in&the&industry.&She&is&an&RN&

with&over&ten&years&of&MEDITECH&experience;&Magic,&Client&Server&and&6.0&platforms.&She&has&recently&

worked&on&a&Client W Server&6.0&implementation&build&as&the&User&Provisioning&Ana lyst.&&Her&MEDITECH&6.x& experience&also&includes&OM&Team&Lead&for&a&Magic&to&6.0&Conversion/Implementation&and&hands W on& end&user&support&for&several&6.0&go W lives&that&included&PCS,&e W Mar&BMV,&PCM&and&CPOE.&&Ms.&Nelson&is& currently&working&as&a&Consultant&f or&Beacon&Partners,&adding&her&many&years&of&experience&as&a& clinician&and&educator&to&the&considerable&group&of&MEDITECH & Specialists&on&their&roster.&& She&has&been& working&in&a&variety&of&roles&with&the&MEDITECH&software&from&End W User&to&Team&Lead&and&Pro ject& Management. &

331! – ! Tracking ! I.T.!Hardware!through!MM!Equipment!Management!

Presenter:!!Charles!Spurgeon ! Organization:!!Beacon!Partners !

Abstract:!!Tracking!Information!Technology!hardware!within!medical!facilities,!large!or!small,!can!be!a! challenge.!!This!presentation!will!examine!opportunities!for!I.T.!departments!to!accomplish!this!task!by! utilizing!MM!Equipment!Management!routines.!!Pa rticipants!will!learn!approaches!on!developing! Equipment!Management!Dictionaries!and!Customer R Defined!screens!to!enter!hardware!information.!!In! addition,!the!presentation!will!include!an!illustration!of!how!standard!and!NPR!Reports!can!be!used!to! manage!m aintenance!of!computers,!printers,!scanners,!and!other!I.T.!related!equipment!within!a! healthcare!facility.!A!question!and!answer!session!will!follow!the!presentation,!as!time!permits.!! Handouts!of!covered!materials!will!be!provided.! !

Chuck&Spurgeon&is&a&Senior&Consultant&with&Beacon&Partners.&&He&has&extensive&experience&implementing& and&supporting&the&MEDITECH&General&Financial&modules.&&His&background&includes&both&Client&Server& and&Magic&platforms&at&both&stand W alone&healthcare&faci lities&and&large&hospital&networks.&&He&also&is&an& intermediate W level&NPR&Report&Writer&who&has&worked&on&many&projects&in&this&area,&including&revenue& cycle,&departmental&audits,&and&system&conversions. &

332! – ! ARRA! &!Physician!Documentation!in!the!Clinic!Setting !

Presenter:!!Donna!Perry ! Organization:!!Beacon!Partners !

Abstract:!!As!ARRA!deadlines!loom,!many!clinics!are!rushing!to!convert!to!electronic!records.!!Although! physicians!may!be!familiar!with!using!electronic!documentation!and!ordering!within!the ! hospital!setting,! they!may!still!be!using!paper!methods!for!day!to!day!documentation!and!record!management!within!the! clinic.!Reasons!for!this!lag!are!many,!however!a!common!challenge!is!the!sheer!complexity!of!clinic! operations!coupled!with!a!lack!of!res ources!that!are!able!to!understand!and!assist!with!the!transition. ! In!this!interactive!session , ! the!audience ! will!examine!the!processes!of!a!theoretical!Internal!Medicine! clinic!and!discuss!what!type!of!preparation!will!be!needed!for!a!conversion!to!an!ele ctronic!record.! Audience!members!will!gain!an!understanding!of!process!evaluation!that!can!be!used!to!help!prepare! their!own!clinics!for!a!paper!to!electronic!conversion.! !

!
!
Donna&Perry,&R.N.,&has&been&fortunate&to&be&able&to&work&in&the&medical&profession& for&over& 30& years.&&Her&
clinical&experience&includes&critical&care,&emergency&medicine,&surgery&and&ambulatory&care.&She&has&also&
worked&as&an&education&specialist,&a&clinic&manager&and&informatics&nurse.&As&a&Beacon&Partners&Senior&
Consultant,&Donna&enjoy s&helping&people&design&the&processes&needed&to&support&an&ambulatory&record.& &
!
!
!
!
333! – ! Best!Practices!in!Documentation:!!Are!You!Getting!the!Most!Out!of!Your!Charting?!
Presenter:!!Shannon!Lyons !
Organization:!!Beacon!Partners !
!
Abstract:!!As!more!and!more!hospitals!move!to!electronic!documentation!for!physicians!and!nurses!the!
common!question!is!“What!is!the!best!way!to!document?!!What!information!do!I!need!to!include,!and!
what!is!excessive?”!!!This!presentation!will!focus!on!the ! opportunities!for!improvement!in!
documentation!to!make!the!information!within!the!medical!record!accessible,!timely,!relevant,!and!
legally!defensible.!Throughout!the!presentation!key!portions!of!the!chart!will!be!addressed,!as!will!
common!misconceptions,! gaps,!and!points!of!confusion.!!!Additionally,!the!opportunities!that!are!
available!in!electronic!documentation!will!be!highlighted,!including!the!ease!of!tracking!and!trending!
patient!outcomes!in!MEDITECH,!as!well!as!increased!opportunities!for!research!i nto!improvements!in!
patient!care.!! !
!

Shannon&Lyons,&RN,& obtained&her&Bachelor&of&Science&in&Nursing&from&the&University&of&Massachusetts& Amherst,&and&her&Masters&in&Medical&Informatics&from&Northeastern&University.&&She&has&years&of& experience&as&an&Emerge ncy&Room&and&Trauma&nurse,&coupled&with&experience&as&an&analyst&and& product&manager.&&Ms.&Lyons’&primary&interest&is&in&the&integration&of&technology&into&healthcare,& particularly&as&it&effects&clinical&documentation&and&workflow.&&As&a&Senior&Consultant& for&Beacon& Partners&Ms.&Lyons&is&familiar&with&the&challenges&that&the&implementation&of&electronic&documentation& can&bring,&and&the&rewards&that&a&well&designed&an d&implemented&system&provides. !

335! – ! Meeting!“Meaningful!Use”!in!the!Community!Hospital:!!A!MEDITECH! Client!Server!5.64! and!6.0!Experience !

Presenters:!!Mary!Jo!Nimmo,!Edward!Ricks,!and!James!D'itri ! Organization:!!Lenoir!Memorial!Hospital,!Beaufort!Memorial!Hospital,!and!CSC !

!

Abstract:!!This!topic!will!dispel!the!myth!that!community!hospitals!cannot!satisfy!the!"meaningful!use"!in!

a!timely!manner.!In!fact,!the!topic!will!show!that!small!community!hospitals!in!many!ways!are!better!

positioned!to!comply!with!the!"meaningful!use"!c riteria!by!careful!planning!and!understanding!what! steps!to!take.! !

! We!will!explore!the!efforts!of!Lenoir!Memorial!Hospital,!a!261 R bed!acute!care!hospital!located!in!rural! North!Carolina!and!Beaufort!Memorial,!a!197 R bed!acute!care!hospital!in!South!Caroli na.!We!will!provide! an!example!of!what!two!small!community!hospital!can!and!should!do!to!achieve!compliance,!linking!the! more!general,!conceptual!content!of!the!introductory!part!of!the!topic!with!an!actual!setting!that!is! closing!in!on!achieving!complianc e.!Lenoir!Memorial!launched!its!planning!efforts!regarding!"meaningful!

use"!in!late!2009!and!is!tracking!toward!compliance!by!2012.!Beaufort!made!the!decision!to!convert!

from!Magic!to!MEDITECH's!6.0!platform,!going!Live!in!March!of!this!year,!and!will!meet ! “meaningful!

use”!compliance!in!2011.!Through!both!hospitals,!we!will!share!with!the!attendees!the!steps!being!taken!

to!achieve!compliance,!the!economics!of!the!pursuit!and!key!"lessons!learned"!from!the!efforts!to!date.! The!topic!will!close!with!a!recap!o f!the!major!points!discussed!throughout!the!presentation!followed!by! a!question/answer!period. !

Mary&Jo&Nimmo,&RN&MSN&has&over&30&years&of&experience&that&includes&patient&care&delivery,&nursing&

management,&quality&management&and&IS&Department&management.& For&the&past&ten&years,&she&has&

been&the&Director&of&Management&Information&Systems&at&Lenoir&Memorial&Hospital&in&Kinston,&NC&where& she&has&led&the&total&replacement&of&the&organization's&information&systems&and&is&currently& spearheading&the&hospital's&pu rsuit&of&HITECH&"meaningful&use"&compliance.&& Ms.&Nimmo&holds&a&BSN&degree&from&the&Medical&University&of&South&Carolina&and&a&Master’s&degree& from&East&Carolina&University&and&sits&on&various&State&IT&Committees. &

&

Edward&D.&Ricks,&MHA,&CPHIMS,&CHPS,&is&th e&Vice&President&of&Information&Services&and&Chief&Information&

Officer&for&Beaufort&Memorial&Hospital&in&Beaufort,&SC.&Prior&to&joining&Beaufort&Memorial&in&2008&he&

filled&the&same&role&for&Samaritan&Medical&Center&in&Watertown,&NY.&Ed&has&over&twenty&year s&of&health& care&information&systems&experience,&with&the&last&nine&years&at&a&senior&level.&Ed&earned&a&Bachelor&of& Science&degree&in&computer&science&from&Central&Michigan&University&in&Mt.&Pleasant,&Michigan&and&a& Master&of&Health&Administration&degree& from&the&University&of&North&Carolina&in&Chapel&Hill.&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&Ho spitals& &&Health&Networks&magazine. &

&

James&D'itri,&MM&is&a&Partner&in&CSC's&Healthcare&IT&Strategy&group&with&33&years&of&experience&spanning&

IT&strategy,&selection,&and&implementation&and&related&consulting&services.&His&clients&include& organizations&larg e&and&small,&from&academic&medical&centers&and&integrated&delivery&systems&to&small& community&hospitals&and&critical&access&hospitals.&He&holds&a&Bachelor&of&Science&degree&in&Electrical& Engineering&from&Princeton&University&and&a&Master&of&Management&degr ee&from&Northwestern& University's&Kellogg&School&with&majors&in&Health&Services&Management,&Accounting&and&Management&

Information&Systems.&He&has&lectured&at&several&universities&and&has&spoken&at&a&variety&of&local&and& national&forums. &