oneMAR%20brochure%20for%20HCF by Marta B

Catalyst oneMAR for healthcare facilities (HCFs)

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

ÂŠ 2009 Catalyst Healthcare Ltd

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

• Extensive reporting capabilities

DOE JAMES

1OF1

1 RAMIPRIL

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

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

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

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”

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

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.

Inventory tracking

Physician requests

Vitals and measures

Tracking from the initial order, fill-

A consult request can be prepared

Print, display or graph values from

ing by the pharmacy, and receipt

at the point of care; each consult

vital signs and measures for trend-

at the HCF is accomplished with

is automatically populated with

ing and analysis. Attach to physi-

scanning. Inventory is tracked at

resident information including

cian requests to ensure access to

the dose level, i.e. an inhaler may

diagnosis, allergies and a com-

all clinically relevant information.

have 200 doses, ensuring that

plete list of current medications.

care givers always know what is

Go beyond the SBAR (Situation,

available and on-hand for each

Background, Assessment, Rec-

Automated notifications

resident. Electronic ordering at the

ommendation) model by attach-

Minimize the need to fax or phone

point of care makes requesting

ing important clinical information

the pharmacy, and save time due

additional medications or supplies

such as a complete monthly MAR,

to automated notification of

fast and simple.

progress notes and vitals. The

transfers, allergies added, hospi-

physician has access to all clini-

talization, and more!

cally relevant information, increasing the ability to respond quickly and accurately.

ÂŠ 2009 Catalyst Healthcare Ltd

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.

24/7 data access Health care staff as well as pharmacists and physicians can be granted access to oneMAR, ensuring the continuity of care by reviewing consistent, up-to-date information thereby improving decision-making for resident care.

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.

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

features/functionality, and provide ongoing network

installed at HCF

• A minimum of two free USB ports for the scanner

and IT support.

and a mouse

• Support for 1024 x 768 resolution

An external storage device (USB key) that automatically downloads MARs as PDFs is available

• Support for Mozilla Firefox version 3.0 or greater • Cellular card highly recommended

ensuring up-to-date MARs can always be printed either on-site or remotely. Alternatively, the HCF can call the pharmacy to request MARs via fax or delivery.

Each laptop accessing oneMAR must have the latest versions of Adobe Flash, Adobe Reader, Mozilla Fire-

For facilities using laptops, an electrical outlet needs

fox version 3.0 or greater and Microsoft .NET Frame-

to be accessible for re-charging during storage. In

work version 3.5 SP1. These programs are require-

addition, a back-up to the wireless network is recom-

ments for oneMAR and can be downloaded for free

mended. Cellular networking solutions can provide

from www.adobe.com, www.mozilla.com/firefox/ and

backup internet access during outages. Depend-

www.microsoft.com.

ing on the provider, these are typically pay-per-use services.

Scanner specifications Hand Held Products (HHP), Model 4600r.

Timelines Timelines are dependant on your pharmacy service provider, as well as timely hardware purchases, configuration decisions, and establishing reliable internet connectivity.

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

• Less time filling out forms as resident demographic

required stakeholders.

information flows directly from the resident profile to

all MDS assessments

• Built-in clinical checks, warnings and look-up references

improve data integrity during the completion of

MDS assessments

• History viewer allows access to previously

completed responses

• Configurable setting allows copying of responses from a

completed full assessment to a new full or quarterly

assessment and saves time for HCFs allowing for clinical

review in place of data entry

• Improved documentation workflow with unique monitoring

tools, reminders and prompts that help ensure MDS

assessment completion, data quality and compliance

• 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, Resident Assessment

Protocols (RAPs), Resource Utilization Groupings (RUGs),

outcome scales and Quality Indicators (QIs), are used by

staff to enhance clinical care

• Notifications and system-generated reports on upcoming,

due and overdue assessments help HCFs manage

assessment scheduling

• RAI MDS decision support services include quarterly

reports addressing facility-specific issues

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

• Paperless clinical workflow solution with electronic progress

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

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

not found in narrative notes

• Assessments can be custom designed to contain multiple

demographics thereby decreasing time spent on

administrative tasks and increasing time with residents

choice answers, checklists and scoring systems

• Rapidly create care plans from a library of problems, goals

• Customized assessments including links to MDS questions

and interventions or add new items to create individualized

care plans

• Care plans with integrated data from MDS, other

for automated population of MDS forms

• Assign specific users or groups to carry out goals and

assessments and triggered RAPs

interventions from a resident’s care plan, schedule target

• 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

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 Â

t 888 278 4858 e info@catalystrms.com w catalystrms.com

ÂŠ 2009 Catalyst Healthcare Ltd