Catalyst oneMAR for healthcare facilities (HCFs)
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Contents Introducing oneMAR ..................................................4
Preparing for oneMAR ..............................................10
oneMAR benefits ........................................................6
Hardware decisions...............................................10
Time savings ...........................................................6
Laptop specifications ............................................11
Medication safety ....................................................6
Scanner specifications ..........................................11
Clinical support ......................................................7
Network decisions.................................................11
Electronic ordering ..................................................7
Timelines ...............................................................11
Flexibility .................................................................7
RAI MDS 2.0 .............................................................12
Inventory tracking....................................................8
Dynamic Charting .....................................................13
Physician requests ..................................................8
About Catalyst ..........................................................14
Vitals and measures ................................................8 Schedule and reminders .........................................9 24/7 data access .....................................................9 Extensive reporting .................................................9 Fully integrated solution ..........................................9
Š 2009 Catalyst Healthcare Ltd
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Introducing oneMAR oneMAR is an internet-based system that seamlessly integrates the information and care needs of pharmacies, HCFs and physicians. oneMAR links in-house pharmacy systems with automated dose packagers, allowing your pharmacy provider to offer numerous features such as medication safety via point-of-care scanning, inventory management and improved communication.
By introducing oneMAR, you will implement a safer, more effective and streamlined method of medication administration: •
Scanning a barcode identifies and opens the corresponding resident’s chart and highlights medications to administer
•
“7 Rights” bar coding: right resident / drug / dose / time / route / reason / documentation
•
Access to digital photos of residents and medications
•
Real-time information accessible through resident charts
•
Warning message(s) preventing missed medications or administration to the wrong resident, and verification that a medication pass is complete
•
Clear indication when a medication has been discontinued
•
Reminders to ensure completion of required documentation, and to receive, scan and administer new prescriptions
•
Images of original prescription to support new prescription verification
•
© 2009 Catalyst Healthcare Ltd
Extensive reporting capabilities
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DOE JAMES
1OF1
5MG
{RED/WHT “5”}
DIN: 02221845
DR. M ANDRICEVIC ONE CAPSULE DAILY {RED/WHT “5”}
EXP. 09/09
1 CENTRUM SELECT
5MG
{LNG ORG U3}
DIN: 02246346
DR. M ANDRICEVIC ONE CAPSULE DAILY {LNG ORG U3}
Non-packaged items i.e. inhalers, creams, and liquids are also bar coded
Each multi-dose package has a unique bar code
04/03/07 @ 06:00
CF-WATSON 331.6214
1 RAMIPRIL
EXP. 09/08
Each item is checked and scanned out of inventory when
leaving the pharmacy
Medication is delivered to the HCF User: Catalyst
Logout
Resident Search
PPO/Contingency
Enter Barcode Manually
Health Care Task
Admin
Reports
Luc Gervais PIN: 9245674564 Room#: 103
MAR/TAR - Daily MAR Current Resident Daily MAR
Charting
Daily TAR
PRN
Primary physician: Marina Andricevic MAR/TAR
Physician Consult
Monthly MAR
Pharmacy Request
Pre-Printed Orders
Contingency
Schedule & Reminder Discontinued Meds
Med Receipt
Non-Pharmacy Supplied Meds
Diagnoses:
Hypertension, Parkinson’s Disease, Osteoarthritis
Nursing Notes:
Allergies
Insulin NPH
Likes crushed meds w applesauce
Show All Overdue
Show Current Timeframe
Feb 06, 2009
Medication
3
Scheduled Date/Time
Levodopa/Carbidopa - 100/25 - APX TAKE 1 TABLET 3 TIMES A DAY RX - 1000042 Jan 04, 2009 02195941 Dr. Marina Andricevic
Feb 06, 2009
Ramipril - 5mg - HMR TAKE 1 CAPSULE DAILY RX - 1000044 Jan 04, 2009 02221845 Dr. Marina Andricevic
Feb 06, 2009
Furosemide - 20mg - APX TAKE 1 TABLET DAILY RX - 1000041 Jan 04, 2009 00396788 Dr. Marina Andricevic
Feb 06, 2009
08:00
08:00
08:00
hours
(Show Details...
From: Feb 06, 2009 07:00 To: Feb 06, 2009 10:00
Barcode Details
Med Admin Details
Admin By
View Detail
(010001GMO10E)
QTY: 1.00
View
QTY: 1.00
View
QTY: 1.00
View
Lot # Exp: Mar 03, 2010
(010001GMO10E)
All items arriving from the pharmacy are scanned into inventory at the HCF
Lot # Exp: Sep 24, 2010
(010001GM010F) Lot # Exp: Mar 04, 2010
Medication is placed into resident specific containers
Bar code scanning at point of care verifies “7 Rights”
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oneMAR benefits Time savings
Medication safety
A single scan opens a resident’s
Barcode scanning at the point of
medications or administration
daily MAR and displays all infor-
care ensures the “7 Rights” bar
to the wrong resident and clear
mation necessary to safely admin-
coding: right resident / drug / dose
indication when a medication has
ister medication, a process found
/ time / route / reason / documen-
been discontinued prevents ac-
to be 2.6 times more efficient than
tation. Digital resident images help
cidental administration. Physician
manual MAR processes. Further-
with resident identification which
orders can be captured as a digital
more, there is no need to review
is especially important for casual
image. If entered by the HCF, the
printed copies of monthly MARs
RNs, staff working at a number
pharmacy is notified, then associ-
as oneMAR is always in real-time.
of facilities, and HCFs with high
ates the image to a new prescrip-
turnover. Digital images of medi-
tion, making it accessible in the
“On top of increased safety and
cations assist with medication
resident profile. For all new orders,
consistent documentation, less
identification and decrease the
HCF users are prompted to
nursing time is spent on the labour
mental workload for users. Warn-
review the image of the
side of medication administration,”
ing message(s) prevent missed
original prescription.
- Rita Steeple RN, DOC
© 2009 Catalyst Healthcare Ltd
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Clinical support
Electronic ordering
Flexibility
Access to real-time drug informa-
Prescriptions and supplies are
oneMAR creates a standardized
tion, resident medication review
sent electronically from the point
process for safe medication ad-
tools, and pull-down diagnostic
of care and received electroni-
ministration while supporting clini-
tools such as vitals support best
cally by pharmacy. Notes can
cal decision-making, i.e. HCF can
practice at HCFs and organiza-
be sent to pharmacy, i.e. regard-
modify a single medication admin-
tion-wide. oneMAR is part of the
ing urgency, and pharmacy can
istration time, request a permanent
Catalyst Resident Management
send comments in return. Two-
change from pharmacy or handle
Solutions product line, which in-
way communication allows both
a discontinue order called in by a
cludes RAI MDS 2.0 and Dynamic
pharmacy and HCF to know the
physician. Care givers administer
Charting, providing HCFs with
status of each request, i.e. filled
medications with precise elec-
user-friendly clinical tools required
by pharmacy or still pending.
tronic sign-off and indicate when
to support the highest
medication is taken off site for
quality of care.
leave of absence or not given at all due to hospitalization. oneMAR supports clinical practice and ensures complete documentation.
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Inventory tracking
Vitals and measures
Physician requests
Tracking from the initial order, fill-
Print, display or graph values from
A consult request can be prepared
ing by the pharmacy, and receipt
vital signs and measures for trend-
at the point of care; each consult
at the HCF is accomplished with
ing and analysis. Attach to physi-
is automatically populated with
scanning. Inventory is tracked at
cian requests to ensure access to
resident information including
the dose level, i.e. an inhaler may
all clinically relevant information.
diagnosis, allergies and a com-
have 200 doses, ensuring that
plete list of current medications.
available and on-hand for each
Automated notifications
resident. Electronic ordering at the
Minimize the need to fax or phone
ommendation) model by attach-
point of care makes requesting
the pharmacy, and save time due
ing important clinical information
additional medications or supplies
to automated notification of
such as a complete monthly MAR,
fast and simple.
transfers, allergies added, hospi-
progress notes and vitals. The
talization, and more!
physician has access to all clini-
care givers always know what is
Go beyond the SBAR (Situation, Background, Assessment, Rec-
cally relevant information, increasing the ability to respond quickly and accurately.
Š 2009 Catalyst Healthcare Ltd
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Schedule and reminders
Extensive reporting Reports extract information used
Fully integrated solution
Schedule and track events, i.e.
to ensure improved resident care
oneMAR is part of the Catalyst
outpatient visits, physiotherapy
and outcomes, i.e. a PRN usage
Resident Management Solutions
appointments, recreation activities.
report allows nurses and phar-
product line, which includes RAI
Print or view the events calendar
macists to identify the need for
MDS 2.0 and Dynamic Charting,
sorted by resident, unit, date or
conversion to a routine medica-
providing HCFs with user-friendly
designation, i.e. RN, physiothera-
tion and the Section U report
clinical tools required to support
pist, physician. Select scheduled
automates access to RAI MDS
the highest quality of care.
items for display on resident
medication-related data.
MARs.
New Orders Care Tasks
Easily record and manage all orders
Record, manage and document
through oneMAR including; Med
Health care staff as well as phar-
resident related activites in three
and Non-Med Orders, Non-
macists and physicians can be
areas: Daily Care Tasks, Monthly
Pharmacy Supplied Meds (NPSM),
granted access to oneMAR,
Care Tasks and Care Task Mana-
Medication on Admission, Discon-
ensuring the continuity of care by
gement. View and monitor all
tinued Medications and Verified
reviewing consistent, up-to-date
activites to ensure completion of
Prescriptions.
information thereby improving
care tasks through oneMAR’s
decision-making for resident care.
robust reporting functionality
24/7 data access
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DOE JAMES
1OF1
04/03/07 @ 06:00
CF-WATSON 331.6214
1 RAMIPRIL {RED/WHT “5”} DR. M ANDRICEVIC ONE CAPSULE DAILY {RED/WHT “5”}
1 CENTRUM SELECT {LNG ORG U3} DR. M ANDRICEVIC ONE CAPSULE DAILY {LNG ORG U3}
5MG DIN: 02221845 EXP. 09/09
5MG DIN: 02246346 EXP. 09/08
Preparing for oneMAR If your pharmacy service provider doesn’t already support oneMAR, they should contact Catalyst to discuss how to get started. Alternatively, Catalyst can recommend a network of pharmacies offering oneMAR.
Once your Catalyst contract is signed, the implementation team will guide you through all required preparations. Hardware can be sourced independently, or purchased on your behalf, terms of which are detailed in your contract.
Hardware decisions Typical set-up is a laptop and a barcode scanner mounted to each medication cart; a wireless network is highly recommended, however, many different setups can be supported. For example, facilities with ‘pods’ often use existing desktop computers with hard-wired internet access; all HCFs require barcode scanners.
© 2009 Catalyst Healthcare Ltd
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Laptop specifications
Network decisions
Any current model from a tier one supplier should be
Having a dedicated IT resource is a key success fac-
sufficient. Ensure the following:
tor when implementing an electronic system. This
Built-in wireless network adapter compatible with system
resource can help with decisions regarding cost vs
installed at HCF
features/functionality, and provide ongoing network
•
Minimum 1 USB port for barcode scanner
and IT support.
•
Minimum of 2 GB or more of RAM available
•
Support for 1024 x 768 resolution
An external storage device (USB key) that
•
Windows 7 (should have Windows Experience Index of 3
automatically downloads MARs as PDFs is available
at minimum)
ensuring up-to-date MARs can always be printed
•
Cellular card - recommended (if local internet goes down)
either on-site or remotely. Alternatively, the HCF can
•
Wireless mouse - recommended
call the pharmacy to request MARs via fax or delivery.
•
Each laptop accessing oneMAR must have the latest versions of Mozilla Fire (minumum v4.0), Adobe Reader, Microsoft Silverlightt and .NET Framework 4.0
Tablet computers - same specs as above. •
It is highly recommended that any tablet also contain an integrated 2D barcode scanner
•
All requirements appear in hardware from the following vedor: http://www.motioncomputing.com/products/index.asp
Scanner specifications Honeywell Xenon 1900HHD USB (wired) Scanner
For facilities using laptops, an electrical outlet needs to be accessible for re-charging during storage. In addition, a back-up to the wireless network is recommended. Cellular networking solutions can provide backup internet access during outages. Depending on the provider, these are typically pay-per-use services.
Timelines Timelines are dependant on your pharmacy service provider, as well as timely hardware purchases, configuration decisions, and establishing reliable internet connectivity.
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RAI MDS 2.0 Catalyst MDS helps with accurate and timely
When integrated with oneMAR, additional
completion of the Resident Assessment Instrument
benefits include:
(RAI) process, including submission of data to
•
required stakeholders.
information flows directly from the resident profile to
• Built-in clinical checks, warnings and look-up references improve data integrity during the completion of
all MDS assessments •
MDS assessments •
•
assessment and saves time for HCFs allowing for clinical review in place of data entry •
assessment completion, data quality and compliance •
Configurable setting allows copying of responses from a completed full assessment to a new full or quarterly
Improved documentation workflow with unique monitoring tools, reminders and prompts that help ensure MDS
History viewer allows access to previously completed responses
Less time filling out forms as resident demographic
Direct population of Section U – Medications with the click of a button
•
Automatic completion of section P1b Therapies based on therapy times provided during sessions with a single or group of residents
Built-in RAI clinical outputs, Clinical Assessment Protocols (CAPs), Resource Utilization Groupings (RUGs), outcome scales and Quality Indicators (QIs), are used by staff to enhance clinical care
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Notifications and system-generated reports on upcoming, due and overdue assessments help HCFs manage assessment scheduling
© 2009 Catalyst Healthcare Ltd
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Dynamic Charting Catalyst Charting provides users a simple and
When adopted in conjunction with oneMAR and RAI
intuitive means of documenting and reporting on
MDS 2.0, the fully integrated solution offers:
resident specific information in a way that supports
•
clinical practice and quality assurance. •
•
•
notes, vital signs and measures, customized assessments,
Structured progress notes provide focused documentation
RAI MDS 2.0 assessments, RAI reports, medication and
not found in narrative notes
treatment administrations records, safe medication
Customizable categories and templates, i.e. SOAP, DAR,
administration practices and management, therapy time
PIE, Focus, are used to address HCF
tracking and more
documentation standards •
• Single source for entry and updating of resident
Assessments can be custom designed to contain multiple
demographics thereby decreasing time spent on
choice answers, checklists and scoring systems
administrative tasks and increasing time with residents
Rapidly create care plans from a library of problems, goals
•
care plans
•
Care plans with integrated data from MDS, other assessments and triggered CAPs
• Assign specific users or groups to carry out goals and interventions from a resident’s care plan, schedule target
Customized assessments including links to MDS questions for automated population of MDS forms
and interventions or add new items to create individualized
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Paperless clinical workflow solution with electronic progress
•
Ability to generate a resident discharge transfer kit in PDF
dates for resolution
which includes your choice of any or the following resident
Upload, annotate and save photos useful in tracking
information: demographic, medical, physician,
treatments and personal inventory, i.e. wounds, medical
communication, vitals, progress notes, care plans,
devices, equipment
incident reports, appointments, consults, MAR, MDS assessments •
Powerful report builder used to develop custom reports to suit each organization’s operational and management needs
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About Catalyst Catalyst is a leading provider of medication safety and workflow solutions. Through the use of time sensitive bar coding, oneMAR ensures that the right medication is given to the right resident at the right time, thereby increasing safety and efficiency. Additional benefits include improved communication, inventory tracking, extensive reporting, and safe, standardized medication practices for pharmacies and healthcare facilities (HCFs). RAI MDS 2.0 and Dynamic Charting round out the Catalyst Resident Management Solutions product line, providing HCFs with user-friendly clinical tools required to support the highest quality of care.
Catalyst Consulting offers value-added assistance to clients in conjunction with the adoption and implementation of novel health models and corresponding technologies. Services focus on medication safety goals and the development of integrated technology solutions, as well as health service improvement projects at the clinic, hospital, health authority, and provincial/state levels. Catalyst solutions are sold, implemented and supported by McKesson APS in Canada and Parata Systems in the United States.
Catalyst Healthcare t 888 278 4858 e info@catalystrms.com w catalystrms.com
Š 2009 Catalyst Healthcare Ltd
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