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2014 INTERNATIONAL MUSE CONFERENCE PROGRAM

2014 International MUSE Conference

DALL AS, TEXAS MAY 27-30

CONFERENCE PROGRAM


Wednesday May 28 9:30 am - 4:30 pm 4:30 pm - 6:00 pm

Thursday May 31 9:30 am - 12:00 pm 12:45 pm - 4:30 pm

Friday May 30 9:30 am - 12:30 pm

Dedicated Exhibit Hall Hours

Exhibit Hall Hours

DALL AS, TEXAS MAY 27-30

Registration Hours

2014 International MUSE Conference

Monday May 26 6:00 pm - 8:00 pm

Tuesday May 27 7:30 am - 7:30 pm

Wednesday May 28 7:30 am - 4:30 pm

Thursday May 29 7:30 am - 4:30 pm

Friday May 30 7:30 am - 3:00 pm

Wednesday May 28 9:30 am - 10:30 am 12:45 pm - 2:30 pm - Dessert

4:30 pm - 6:00 pm - Welcome Reception

Thursday May 31

8:00 am - 9:00 am - Breakfast 12:45 pm - 2:30 pm - Dessert

Friday May 30 11:30 am - 12:30 pm


2014 International MUSE Conference

DALL AS, TEXAS MAY 27-30

Table of Contents

Registration and Exhibit Hall Hours..............................................................................................................1 A Letter From the Chairperson....................................................................................................................4 Map of Gaylord National Resort and Convention Center...............................................................................6 MUSE Business Meeting.............................................................................................................................8 2014 MUSE International Board of Directors................................................................................................9 MUSE Committee Members......................................................................................................................10 MUSE Community Peer Group..................................................................................................................11 MUSE Event FAQs....................................................................................................................................12 MUSE Upcoming Events...........................................................................................................................14 MUSE International Education Exchange (IEE)...........................................................................................17 The Heart of MUSE..................................................................................................................................19 MUSE Site Visit.........................................................................................................................................20 Tuesday Training......................................................................................................................................22 Opening Session..........................................................................................................................................28 MUSE Executive Institute..........................................................................................................................29 Technical Track.............................................................................................................................................32 Patient and Consumer Health Portal Summit.................................................................................................35 Meaningful Use Summit................................................................................................................................36 Physician Summit.....................................................................................................................................37 MEDITECH 6.x Summit............................................................................................................................38 Canadian Issues........................................................................................................................................39 Keynote Speaker - Daniel Gilbert...............................................................................................................40 MUSE - Success Stories...........................................................................................................................41 Peer Group Meetings - Show & Tell Presentations / JAM Sessions............................................................45 Educational Presentations........................................................................................................................51 Product Demonstrations.........................................................................................................................132 2015 International MUSE Conference - Nashville.......................................................................................141 Thank You to the Sponsors..........................................................................................................................142 MUSE Webinar ........................................................................................................................................144 Yellow Pages - Commercial Member Directory........................................................................................145


A LETTER FROM THE

CHAIR

Dear MUSE Members, It is with many emotions, I write this welcoming

it, and most importantly, our patient’s expect it.

letter to you. First of all, WELCOME. WELCOME

So, I am excited to see the progress made over

to this exciting educational, social, networking

the years and where we are heading to the

event.

future.

The many activities at International

MUSE Conference bring together so many

Jean Olsen

Centura Health chairperson@museweb.org

people with diverse interests – yet one common

Additionally, I am saddened that I probably will

goal, providing the safest environment for our

not be continuing to advance the role of

patients. Such diversity is key to what it takes to

electronics within healthcare. My tenure as a

provide the environment at this conference. We

productive worker within society is coming to a

have those interested in finance, administrative,

close as I prepare for retirement. My involvement

patient care, communication, technology,

with the EHR has been one of the most satisfying

vendors enhancing or completing an EHR

in my healthcare career. To fully embrace the

environment, and of course, MEDITECH as the

capabilities the EHR provides has been a passion

mainstay of why we gather together.

pursued by many of those in attendance at this conference. And, many continue to lead this

My emotions are mixed because this is such an

journey as new and better components and

exciting time to be involved in this aspect of

capabilities of healthcare communication and

health care.

technology continue to unfold.

The world has recognized the

importance the EHR brings to our environment.

4

No longer is it necessary to think it would be

I am happy to see how many younger faces are

nice to have a full EHR, now it is expected.

present today. You are the future of what we have

Leadership expects it, regulatory agencies

all strived to achieve and we look to you to continue

expect it, our many healthcare providers expect

on with what has consumed our lives and hope

Conference Program 2014 MUSE INTERNATIONAL


that this will be your quest as well. I recognize the new ideas you have, the knowledge and abilities to make this an even better environment, and the effort to work collaboratively with all your vendors to make everyone’s role more fulfilling. Therefore, I am content as well. Content to pass on to you what was started so many years ago. Please handle this responsibility with passion, with commitment, and with pride. Enjoy this MUSE event … it is only one of many that MUSE organizes for you. Yes, organizes, because the purpose of MUSE is to bring you together, but YOU provide the content and the environment of sharing and caring. You and your involvement make this possible. Our vendor community has exceptional tools and exceptional people with the knowledge to assist you in developing and maintaining an EHR that is both functional and beneficial. MEDITECH continues to listen to you. They listen, so they can enhance their products and provide leadership and guidance through the current regulatory requirements as well as the many requirements to make your workflows efficient and realistic. Please participate in all the demonstrations and educational sessions provided by the vendors present at this event. And, provide feedback to them, so they can continue to make necessary improvements. This year’s International MUSE conference will have some changes in format and agenda. We hope you will appreciate the thought and effort put into these changes. Our CEO, Alan Sherbinin will share these with you during his opening remarks. These changes were made in response to what many of you have provided as suggestions for improvement – yes, we listen! Our MUSE staff does an excellent job of ensuring all goes smoothly at these and our other events occurring throughout the year. So, enjoy, learn, interact, share, socialize, and retain what you experience here so you can share it with others within your organization, with others within your communities, and most of all, for the benefit of your patients. MUSE rocks!!! Sincerely, Jean Olsen Chairperson, 2014 MUSE Board of Directors

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MUSE BUSINESS METTING Thursday May 29 2014

1:00 pm – Texas Ballroom A Agenda 1. Call to Order 2. Approval of the 2013 Business Meeting Minutes 3. State of MUSE / Old Business a. Organizational Structure - new board members and Committee Charirs b. Membership c. Summary of the 2013 International Conference 4. Treasurer’s Report 5. New Business 8

Conference Program 2014 MUSE INTERNATIONAL


2014 MUSE

INTERNATIONAL

BOARD OF DIRECTORS Jean Olsen Chairperson Centura Health Englewood, CO

Jennifer Meinkoth Director Memorial Hospital Belleville, IL

Joni Rahn Director Halifax Health Daytona Beach, FL

Kirby Reed Director, Chair Elect Jasper County Hospital Rensselaer, IN

Scott Ellner Director Hospital Sisters Healty System Belleville, IL

Carole Weinstein Director The Valley Hospital Ridgewood, NJ

Rena Salamacha Treasurer George L.Mee Memorial Hospital King City, CA

TJ Temple Director Ozarks Medical Center West Plains, MO

Corey Tillyer Past Chair Fraser Health Authority Surrey, BC

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MUSE COMMITTEE MEMBERS MUSE EDUCATION COMMITTEE

MUSE MEMBERSHIP COMMITTEE

Carole Weinstein (Education Committee Chair), Project Specialist The Valley Hospital, Ridgewood, New Jersey

Scott Ellner (Membership Committee Chair), Director, Information Technology HSHS Southern Illinois Division, Belleville, Illinois

Mike Ball (Commercial Member Committee representative) Senior Vice President, North America, BridgeHead Software

John Danahey, Sr. Vice President Iatric Systems

Heather Banker-Matzke, Program Manager Centura Health, Englewood, Colorado Becky Blevins, IT Project Manager Ephraim McDowell Regional Hospital, Danville, Kentucky Mallory Brown, RN, Physician Liaison Magnolia Regional Health Center, Corinth, Mississippi Patricia Gillespie, Director, Clinical Integration CHRISTUS Health, Irving, Texas Brian Nelligan, Applications Analyst Rouge Valley Health System, Toronto, Ontario Dr. Lawrence Losey, CMIO Parkview Adventist Medical Center, Brunswick, Maine Tito Perez, Information Services Manager Henry Mayo Newhall Memorial Hospital, Valencia, California Alicia Roberts, Director of Education and Marketing MUSE, Dyersburg, Tennessee Sandra Swanson, Transfusion Service Manager Swedish Covenant Hospital, Chicago, Illinois TJ Temple, IT Applications Manger Ozarks Medical Center, West Plains, Missouri Alexa Thompson, Clinical Systems Analyst Golden Valley Memorial Hospital, Clinton, Missouri Joseph Watts, Director, Technical Services UHHS/CSAHS-Cuyahoga, Inc., Cleveland, Ohio

MUSE LEADERSHIP COMMITTEE Corey Tillyer (Leadership Committee Chair), Director, Health Informatics - Advanced Clinical Systems Fraser Health Authority, Surrey, British Columbia Adnan Hamid, Director of IT Services Henry Mayo Newhall Memorial Hospital, Valencia, California Jon Nolin, Pharmacy Information Systems Administrator Northeast Health, Troy, New York Martha Sullivan, CIO Harrison Memorial Hospital, Cynthiana, Kentucky

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Conference Program 2014 MUSE INTERNATIONAL

Cathy Fox, Associate Director of Informatics Liverpool Women's NHS Foundation Trust and Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom Kim MacInnes, Member Service Manager MUSE, Kelowna, British Columbia Sharon Montgomery, LIS Administrator Methodist Hospitals of Dallas, Dallas, Texas Kirby Reed, Information Systems Director Jasper County Hospital, Rensselaer, Indiana Alicia Roberts, Director of Education and Marketing MUSE, Ripley, Tennessee Jennifer Meinkoth, Chief Information Officer Memorial Hospital, Belleville, Illinois Ricci Tenca, Meditech Clinical Documentation Supervisor Catholic Health Initiatives, Englewood, Colorado Craig Villacorta, Director of Information Systems KishHealth System, DeKalb, Illinois

MUSE COMMERCIAL MEMBER COMMITTEE John Danahey (Commercial Member Committee Chair) Iatric Systems Mike Ball BridgeHead Software Corrine Cutler Dell

Tara Marchi Summit Healthcare Services Christine Mellyn Park Place International Peter Miessner Infinity HIT

Lorna Green Hyland

Kirby Reed (MUSE Board Representative) Jasper County Hospital Rensselaer, Indiana

Jenni Isfan MUSE

Lisa Steen Beacon Partners


MUSE is pleased to introduce:

COMMUNITYPEER GROUPS When questions and issues arise where do you turn for help?

What is a Community Peer Group? It’s a group of individuals, working toward the same goals, comprising a community that solves issues and creates best practices – typically structured geographically so that members can easily meet and connect with each other regularly.

A MUSE Community Peer Group enables you to:

Partner with your peers to create solutions & grow together. Learn from each otherʼs successes and experiences. There is value in networking and value in identifying

connect regularly with your local MUSE peers to learn from each other, share your experiences and improve your practices. engage more effectively with your neighboring MUSE members. identify local topic and subject matter experts. discuss pertinent topics in a more specific and detailed atmosphere – through teleconferences, webinars, face-to-face meetings and publications. leverage MUSE resources to organize, plan and stage your meetings.

Learn

how you can develop your own MUSE Community Peer Group: http://www.museweb.org/community_peer_groups.

local experts.

M P E E R

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MUSE EVENT FAQs How do I prepare for the MUSE Event? • Review the session schedule and highlight sessions which are of particular interest to you. Consider selecting a back-up session, and be aware of the similarities or differences of the presenting site and your facility. • Develop a goal or theme for your attendance to help organize your time and inform your session choices.

What should I wear? • Attire is business casual, but remember to select comfortable options (shoes, jackets, etc.).

What should I bring? • Bring your business cards with you. You will meet lot of new people! • Print and bring along your event schedule and location maps / directions so you can become familiar with the conference location.

Is there a glossary of terms? • Session numbers o 1000 level sessions = Educational presentations o 500 level sessions = Product demonstrations o 700 and 800 level sessions = Workshops • Peer Group – An informal education and networking session focusing on a specific MEDITECH module. The meeting is hosted by a volunteer Peer Group Leader. Such meetings offer more opportunities for discussion and networking than a typical educational session. • Show & Tell – A component of a Peer Group Meeting where users can demonstrate their achievements and innovative solutions of a certain module through brief presentations. • JAM Session – A component of a Peer Group Meeting featuring dedicated module discussion time. • Site Visit – An off-property tour - usually to a local hospital - during a MUSE Event. Site Visits typically include presentations, discussions and tours of the site. • Summit – A half-day or full day session involving multiple presentations focusing on one topic. • MUSEO - A bingo-like game played in the Exhibit Hall. Collect stickers on your MUSEO game card by visiting participating exhibitors. Great prizes are awarded during the Closing session!

What can I expect during the MUSE Event besides education sessions? Networking • Consider joining a table for meals where you don't know anyone. • When exchanging business cards, write a reminder on the back so you will recall the significance of the contact person. • Networking is a valuable intention of the MUSE experience. Don't feel you must cut a conversation short just to get to a session. Sometimes a networking encounter is more useful than a session. • Ask for clarification if you feel lost in conversation; you are probably not alone. • Attend social events if possible, because these can be important opportunities for networking. Exhibit Hall • Visit the Exhibit Hall. The commercial members have a wealth of information and knowledge to share. • Participate in the MUSEO game – it’s a variation on Bingo. The game is played in the Exhibit Hall. All you need to do is collect stickers on your MUSEO game card by visiting participating exhibitors. Great prizes are awarded during the Closing session! • Bring your business cards to the exhibit hall for networking. Also, commercial members often provide draws and prizes.

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How do I access or upload a presentation? 1. Access Presentations in the MUSE Library at http://www.museweb.org/document/library 2. If you presented, please post your session materials to the MUSE Library. Upload Instructions: a. Access the MUSE Library- http://www.museweb.org/document/library i. Note: you must be logged in using your username and password. ii. Forgot your username or password? Access this link: http://www.museweb.org/user/password b. Select your MUSE event from the left-hand column. c. Now choose the sub-category for ‘Educational Presentations.’ d. Click the ‘ADD DOCUMENT’ button. i. Enter a descriptive name of the presentation. ii. Browse to find the PowerPoint file, and then click the ‘Upload’ button. iii. Enter a brief presentation abstract in the Body field. e. Click ‘Submit’ button to save the information to the MUSE Library.

What do all these acronyms mean? ABS - Abstracting ADM - Admissions AP – Accounts Payable APR – Ambulatory Patient Record ARM – Authorization & Referrals Mngt BAR – Billing / Accounts Receivable BBK – Blood Bank BF – Budgeting and Forecasting BMV – Bedside Medication Verification CA – Cost Accounting CAH - Critical Access Hospital CM – Care Manager CMS – Corporate Management Software CS – Client Server DPT – Departmental DR – Data Repository DTS – Development Tracking System EAR – Electronic Ambulatory Record EDM – Emergency Department Module EMR – Enterprise Medical Record ESS – Executive Support System FA – Fixed Assets GL – General Ledger HIM – Health Information Management HIS – Hospital (or Healthcare) Information System HR – Human Resources ICS – Integrated Communications Module ITS – Imaging and Therapeutic Services LAB – Laboratory MC – Managed Care MIC – Microbiology MIG –Meditech Internet Gateway MIS – Management Information System MM – Materials Management

MOX – Magic Office MPM – Medical & Practice Management MRI – Medical Records Inquiry NMI – Non-Magic Integration NPR – Report Writer NUR – Nursing OE – Order Entry OM – Order Management ONC – Oncology OR – Operating Room Management OS – Operating Systems PBR – Physician Billing Receivables PCI – Patient Care Inquiry PCM – Physician Care Manager PCS – Patient Care System PDOC – Physician Documentation PHA – Pharmacy PHM - Patient & Consumer Health Portal POM – Provider Order Management PP – Payroll / Personnel PPM – Physician Practice Management PTH – Pathology PWM – Provider Workload Management QRM – Quality and Risk Management RAD – Radiology (6.x) RD - Report Designer RW – NPR Report Writer RXM – Prescription Management SCA – Scanning and Archiving SCH – Community-wide Scheduling SS – Staffing & Scheduling UNV – Universe UPT – Upgrade Tools

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You始ll Never Walk Alone

And you certainly won始t network alone if you attend the MUSE EU Conference! Join us for exceptional networking and educational opportunities at the MUSE EU conference in Liverpool, UK.

Dates: September 17-18 Location: Liverpool City Centre

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COMMUNITY PEER GROUP, CHICAGO, ILLINOIS OCTOBER 2, 2014

Kick-off Meeting: October 2, 2014 Swedish Covenant Hospital 5145 N. California Ave Chicago, Illinois

M P E E R

G R O U P

CHICAGO Join your Chicago-area peers for a day of discussion, learning and networking. The program will focus on: • Direct messaging • Continuity of Care Document (CCD) exchange

Group Leader: Sandra Swanson, Transfusion Service Manager, Swedish Covenant Hospital Questions? Contact education@museweb.org Register and learn more here: www.museweb.org/chicago_0 Conference Program 2014 MUSE INTERNATIONAL

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SAVE THE DATE! October 16, 2014 - Missouri

M P E E R

2015

G R O U P

MAKIN IT

MU S

EXECUTIVE INSTITUTE

Details to Come! 16

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2014 INTERNATIONAL MUSE CONFERENCE MUSE International Education Exchange (IEE)

The International Education Exchange (IEE) contest is an exciting opportunity to share presentations with peers globally. Each year at the International MUSE Conference, qualified finalists are judged and the winner enjoys an all-expense paid trip to present at the MUSE EU Conference in the United Kingdom. The MUSE EU conference stages a complimentary competition to judge presentations and reward a winner with a trip to the International MUSE Conference. Thus, the ‘exchange’ of international education! Initiated in 1999, the IEE contest has enhanced the quality of MUSE conference presentations. Past winners speak fondly of the overall experience – it is both professionally and personally rewarding. Five presentations are vying for this year’s prize: a trip to Liverpool, UK to present at the 2014 MUSE EU Conference on September 17-18.

Support this year’s IEE finalists … Supporting Low Frequency Users of Computerized Patient Order Entry (CPOE) Session: 1009 Presenters: George Gellert, MD and S. Luke Webster, MD Organization: CHRISTUS Health, Houston, Texas

Scheduled: Wednesday May 28 at 11:00 am

When Gremlins Take Over ... Provisioning MEDITECH Access Session: 1026 Presenter: Michele Banks Organization: Cook Children's Health Care System, Fort Worth, Texas

Scheduled: Wednesday May 28 at 1:30 pm

Enter the Top Dragon (Physician Adoption of CPOE) Session: 1022 Presenter: Cole Gillen and Alfred Bangit Organization: Henry Mayo Newhall Memorial Hospital, Valencia, California

Scheduled: Thursday May 29 at 9:00 am

The CPOE Journey: From Inception to Implementation to Successful Early Adoption Session: 1035 Presenters: Amber McGreevy Organization: Henry Mayo Newhall Memorial Hospital, Valencia, California

Scheduled: Thursday May 29 at 11:00 am

Safe Medication Practices – From Receipt in the Pharmacy to the Patient Bedside; Compounding, Downtime, and Beyond Session: 1046 Presenters: Charles Still Organization: Southwestern Vermont Medical Center, Bennington, Vermont

Scheduled: Thursday May 29 at 2:30 pm

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Plus, attend this winning IEE presentation from last year’s MUSE EU conference … Setting the Pace with MEDITECH: A Solution for Implantable Cardiac Device Documentation Session: 1084 Presenters: Nissar Hussain and Vigneshwaran Cumareshan Organization: HCA International, London, UK

Scheduled: Wednesday May 28 at 1:30 pm

Abstract: In May 2011, IT&S Applications at HCA International were approached to look at a solution for our Cardiology Departments which would be used at our hospitals to capture Implantable Cardiac Defibrillator (ICD)/Pacing device information. The Department’s intention was to purchase an off the shelf solution, the cost of which would be approximately £300K ($500K) to implement and £30K ($50K) annual maintenance fee. Prior to this project, users were faced with the following: • Poor data quality • Non-cohesive work flow process • Lack of reporting • Patient data fragmented across multiple databases • No ability to print forms and patient pacing information cards • Protracted processes to submit data to Central Cardiac Audit Database (CCAD) Under the National Health Service (NHS) in the UK, all hospitals are expected to provide Heart Disease Audit Data to the CCAD, as part of the National Clinical Audit Support Programme (NCASP). IT&S Applications were approached to review the possibility of implementing this proposed solution. The question was put forward “Why is MEDITECH not being considered as a solution?” After initial scoping what began as a straight forward data collection, utilising a Customer Defined Screen became an in-depth, cross module solution that would streamline and standardise work processes across all facilities. This presentation looks at the journey taken to provide a fully MEDITECH-based solution for storing, reporting and exporting data.

TAKE YOUR EXHIBITOR GUIDE TO GO! Scan this QR code with your smart phone to access the mobile version of the Online Schedule and the Exhibitor guide. To use QR codes conveniently you must have a smartphone equipped with a camera and a QR code reader/scanner application feature. Luckily, the newer smartphones models available today often have an app pre-installed on them. However, don’t start breaking out into a sweat yet if you aren’t lucky enough to have that work done for you, it’s nothing a quick push of a button can fix. All you have to do is visit your phone’s app store (examples include the Android Market, Apple App Store, BlackBerry App World, etc.) and download a QR code reader/scanner app.

Sponsored by 18

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THE HEART OF MUSE Giving Something Back… The Heart of MUSE! For 30 years, MUSE has served its members by offering exceptional opportunities for networking, education and training. It has been a MUSE tradition to have great conferences across the US, Canada, and EU. But what separates MUSE from other organizations? What makes each conference feel like a family reunion? What maintains friendships that last from year to year and from coast to coast? It’s heart. The Heart of MUSE. MUSE leaders would like to challenge members to join in giving something back to the communities that we visit. Let’s share some of our good fortune by supporting a local charity in each city that helps us host our International conference. MUSE can leave each community a little better off than when we arrived. At the 2014 International MUSE Conference, MUSE will offer a Heart of MUSE collector’s pin! With the funds collected, MUSE will make a donation to Ability Connection Texas.

ABILITY CONNECTION TEXAS Serving People with Disabilities From its beginning in 1953 as a sheltered workshop for adults with cerebral palsy in Dallas, Ability Connection Texas has become a state-wide nonprofit health agency serving people of all types of disabilities including developmental, physical, acquired, and cognitive disabilities. Whether advocating for the rights of people with disabilities, teaching the letters of the alphabet to a child with autism, or training an adult with a head injury to re-enter the workforce through the use of adaptive technology, Ability Connection Texas is the preeminent organization leading the way for people off all ages with disabilities. It is estimated that one in five people will experience a disability in their lifetime. Ability Connection Texas mission is to provide a full range of services for people of all ages and disabilities as they strive to reach their highest level of independence. Ability Connection Texas is positively impacting the lives of over 11,500 family members a year by providing over 1.4 million hours of care and support to disabled Texans every year. The Assistive Technology program at Ability Connection Texas is an innovative program that educates children and adults on how to use assistive technology to be more independent in their daily lives. This program features an assistive technology lab with a variety of computer-related and other technologies along with training opportunities.

Help us support this great charity! • Buy a 2014 Heart of MUSE collector’s pin for only $5. • Visit Summit Healthcare’s booth – they will match your donation (to $2,500)! Generously sponsored by

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2014 INTERNATIONAL MUSE CONFERENCE Site Visit, Tuesday May 27

MUSE SITEVISIT Cook Children’s Health Care System is a free standing Pediatric facility. The Site Visit will showcase several different areas in how they utilize MEDITECH Client Server 5.66 pp8. They will present four different breakouts sessions: Computerized Provider Order Entry (CPOE), Emergency Department (EDM), Pharmacy (PHA) and Inpatient Nursing (PCS). CPOE CPOE will be presented by two Hospitalists. They will review how they utilize CPOE while doing their rounds and how their input in the builds was vital in making it successful. A tour of the patient floors is included in this track. EMERGENCY The emergency department is fully electronic. Nurses are documenting their assessments and providers are using physician documentation and RXM. This track will feature using a Team Triage approach where a provider is seeing patients in triage area for shorter length of stays. A tour of the emergency department is included in this track. PHARMACY Pharmacy will be broken up into three sections: Medication Reconciliation from the pharmacy standpoint, unique drug builds in PHA due to being pediatrics and weight based dosing, and pharmacy downtime process. A tour of the pharmacy area is included. NURSING Nursing will be showcase how they built and utilize TAR. It has significantly has increased documentation compliance. This track will highlight the approach in how it was implemented and lessons learned. A tour of the patient floors is included.

Schedule

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8:00 am

Bus leaves Gaylord Texan (Meet at the Tour Bus Lobby located on the lower entrance of the front of the hotel.)

9:00am

Introduction of Cook Children’s

9:30am

Breakout sessions and tours

11:45am

Meet back up at the Auditorium

12:00pm

Load back onto bus

12:30 pm

Arrive back at Gaylord Texan

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Cook Children’s Health Care System is a not-for-profit, nationally recognized pediatric health care organization based in Fort Worth, Texas. It is comprised of eight entities – a Medical Center, Physician Network, Home Health company, Northeast Hospital, Pediatric Surgery Center, Health Plan, Health Services Inc., and Health Foundation. • • • • •

429 Licensed Beds 105 Bed Level IV NICU One of only ten level II Trauma Centers in Texas Over 60 Specialties and Subspecialties Over 5,000 employees with over 500 providers

Cook Children’s went live with MEDITECH Client Server on November 3, 2003, and upgraded from 5.66 pp2 to 5.66 pp8 on May 17, 2014.

The Site Visit is generously sponsored by Sedona Learning Solutions

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2014 INTERNATIONAL MUSE CONFERENCE Tuesday Training Workshops, May 27

701 - Project Management Workshop

TUESDAY TRAINING

What do you need to know about Project Management in healthcare? Is it any different than managing any other project? Can we apply concepts that make sense for a variety of healthcare professionals? This interactive workshop will explore project management in healthcare. We will discuss the definition of a project and why it’s sometimes so difficult to see what is really a project. The Project Management Life Cycle will be examined with a view to applying the theory to what really happens in our projects. Duties and skills for a variety of project roles and how they can impact the success of a project will be discussed, followed by an exercise to explore stakeholder analysis to ensure project success. Various project management methodologies and bodies of knowledge will be explored along with an assortment of project management tools and templates and how to right size them for your project. Finally, we’ll take a look at benefit evaluation for healthcare projects, why it’s important and how to make it easy. After all, every project is really about achieving benefits! Prerequisites: None Duration: Full day Instructor: Richard Latch is a seasoned consultant with over 25 years of healthcare experience in hospitals and the private sector. His expertise includes Acute Care, Ambulatory Care, Long-Term Care, and Mental Health. Richard’s experience includes over 14 years of software implementation and project management experience. He has extensive MEDITECH Magic, Client Server, and 6.0 experience in a single, multi-database, and multi-facility environment. Richard is a certified Project Management Professional (PMP) and a Prosci Certified Change Management Professional. Contributor: Terri Cahill is an information technology consultant with over 20 years of experience in the health care sector. Terri’s areas of expertise include project management, performance management, and application consulting. Terri has presented internationally on strategies for successful project management. Terri is a Certified Professional in Healthcare Information and Management Systems (CPHIMS-CA), certified Project Management Professional (PMP), Certified PRINCE2 Practitioner, and a Prosci Certified Change Management Professional. She is currently providing leadership to a variety of client projects as well as Healthtech’s Project Management Office.

702 - Soup to Nuts – Data Repository 101 It’s back by popular demand! Our “Soup to Nuts” Tuesday workshops will teach you all things Data Repository - everything you need to know to monitor, maintain and best utilize your DR to provide your organization with timely and impactful information. With the continued adoption of MEDITECH 6.x and with ARRA Meaningful Use reporting and attestation requirements, MEDITECH’s Data Repository (DR) has become a critical component of the MEDITECH EHR. In our DR 101 workshop, we’ll provide an introduction to the DR module in MEDITECH along with details on how the data transfer process works, how to monitor overall system health and transfer functionality, how to interpret informational messages and potential errors from the DR system log, and how to best follow-up with MEDITECH on any DR-related issues. Next, we’ll dive into the basics of Microsoft SQL Server, the relational database system that hosts your DR data. This will include an overview of database management with SQL Server Management Studio, along with a discussion of best practices for data validation. Finally we’ll outline the report development and presentation options that are included with Microsoft SQL Server. If you are in the planning stages for implementing DR, have recently brought your LIVE DR system online or have an already-established system, join us to learn about the DR from start to finish. Prerequisites: None Duration: ½ day Acmeware Vice President Ian Proffer spent seven years in healthcare IT at Jefferson Healthcare in Port Townsend, WA (a MEDITECH C/S site) and Harborview Medical Center in Seattle before joining Acmeware in 2007. Ian has over 18 years of experience as a database analyst, administrator and architect, including four years at Microsoft Corp., where worked extensively with SQL Server starting on version 4.21. His practical work experience in healthcare includes database analysis and administration, report and application authoring and development, and user education and training.

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Using fragments with the NPR report writer is the “MEDITECH Approved” method of crossing from one application to another, particularly for the Magic platform. Unfortunately, fragments carry a substantial performance penalty and it gets cumbersome to have your logic spread across multiple reports. With some knowledge of Do loops and prefixes, you can use programming to cross applications rather than fragments, keeping all your code in one report and avoiding the substantial performance penalty of fragments. In this session, we will show you how to open any application and use indexes and looping to get your data in a very efficient manner, and keep all your code in one place.

TUESDAY TRAINING

703 - Crossing Applications without Using Fragments (Magic and Client Server

Prerequisites: None Duration: ½ day Instructor: Phil Sherry is a Technical Team Lead at Iatric Systems. Phil has been a highly valued member of the Report Writing Services group at Iatric Systems since 2003. He has taught both C/S and Magic NPR, and also 6.0 Report Designer classes at hospitals around the US. Before coming to Iatric Systems, Phil spent four years in the Report Writer group at MEDITECH.

704 - Introducing Report Designer Reporting from MEDITECH 6.x This class introduces M-AT terminology and demonstrates how to create reports in the Report Designer. Learn to select fields and indexes, customize your layout, and apply simple rules. Familiarity with NPR is beneficial, but not required. Topics: • Selecting Objects, Records, Fields, and Indexes • Using Attributes for Fields, Select Fields, Sort Fields, Regions, Rows, and Links • Using built-in Totals, Averages, and other summaries • Creating a sample report This presentation is appropriate for MEDITECH 6.x users. Prerequisites: Basic understanding of MEDITECH and report writing. Duration: ½ day Brian Schmit is a skilled MEDITECH Analyst for IPeople with over 18 years of programming experience in MEDITECH, for Magic, Client Server, and 6.0 M-AT environments. He has developed both NPR Reports and M-AT Report Designer reports for virtually every MEDITECH application.

705 - Getting Started with your MEDITECH Data Repository – A Guide for the Perplexed MEDITECH Data Repository is a valuable tool that underutilized at many hospitals. Even for those familiar with NPR application data, getting started with the DR schema and SQL is daunting, especially with the minimal support and documentation provided with the DR product. Fear not. In this workshop we will explore the Data Repository from a beginner’s perspective and will show you how to get started using this very powerful system. Topics include: • Overview • Capabilities and Limitations • Data Model • SQL Server Management Studio • Ad hoc queries • Stored procedures • Views & Functions • Sample Reports • SQL Resources Prerequisites: None Duration: ½ day Instructor: Brandon Woodley is an HIS Programmer/Analyst at Iatric Systems and has 10 years of healthcare IT experience in Canada. Currently he writes reports for Data Repository, NPR, Report Designer and Cerner CCL. Prior to Iatric, he supported clinical applications for Canadian healthcare organizations such as Interior Health, Hamilton Health Sciences and London Health Sciences Centre. Conference Program 2014 MUSE INTERNATIONAL

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TUESDAY TRAINING

706 - DR Reporting Made Easy with Report Builder 4.0 If you have MEDITECH’s Data Repository (DR), you already have all the tools you need to successfully develop a Business Intelligence (BI) environment at your facility. Jump-start your BI functionality with Microsoft SQL Server 2012 Reporting Services (SSRS) using Report Models and the easy-to-use Report Designer tool. This ad-hoc query tool allows non-technical end users to develop reports on the fly using a drag and drop, web-based reporting tool that is intuitive, flexible, and requires minimal knowledge of the underlying database structures and relationships. This workshop will demonstrate the ease of use and powerful report capabilities of SSRS’s Report Models. Efficient BI reporting starts with well-designed SQL Report Models. We will review how raw MEDITECH DR data is transformed into the SSRS Report Models which are the foundation on which Report Builder 4.0 functionality resides. We will review how to build and deploy models using the Model Designer, then dynamically create, execute and manage reports. We will also educate you on how the Report Builder tool allows non-technical staff to develop, enter formatting and layout features, and deploy web-based reporting solutions without involving the IT department. Finally, we will discuss how easy it is to implement and maintain secure access to reports using your Active Directories groups and the SSRS Report Manager. If you own a MEDITECH DR and you have not implemented SSRS Report Models, you are underutilizing a powerful BI opportunity that you already own. This workshop will get you on your way to implementing SSRS Report Model/Report Designer solutions and help alleviating your IT department as a bottleneck for MEDITECH custom report development. Prerequisites: None Duration: ½ day Glen D’Abate is founder and President of Acmeware, Inc. Glen has 25+ years of experience working in the healthcare IT field including 13 years at MEDITECH where he led development of the Data Repository (DR) application. Under Glen’s guidance, Acmeware has earned a reputation as a leader in DR consulting field and is recognized for developing innovative DR-based reporting, custom applications, and interfacing solutions. He has also developed a DR report writing training program that has been attended by participants from dozens of DR sites. Glen has an undergraduate degree in Engineering and Economics from Trinity College and graduate degrees in Biomedical Engineering and in Finance from R.P.I. and Boston College respectively.

707 - The Quest to Attest – Meaningful Use Submissions in 2014 In 2014 the options surrounding Meaningful Use attestation and Clinical Quality Measure submission are broader than in past years. In this session you will learn all you need to know about attestation and submission along with timelines and important dates. We will also dive into the QRDA file that will be used to electronically submit Clinical Quality Measures to CMS, how it is laid out, and the process for eSubmission. Topics: • MU Attestation Dates and Deadlines • Stage 1 vs Stage 2 • Attestation Options • Submitting Functional Measure vs Clinical Measures • Electronic Submission • QRDA file types-and which to submit • QRDA structure and data elements • eSubmitting Clinical Quality Measures to receive MU and IQR credit • Using Quality Net to upload files • Error handling and reporting • Using a 3rd party data submission vendor Prerequisites: General understanding of Meaningful Use and the program structure Duration: ½ day Charles Parker currently serves as IPeople’s Meaningful Use Team Lead and is responsible for the technical product requirements and certification exercises in support of the program at IPeople. He has over 15 years’ experience in Health IT working with multiple EHR and HIS systems in the capacity of developer, consultant, and meaningful use analyst. As Product Program Manager at IPeople, Sarah Bennight is responsible for aligning the business strategy with the voice of the customer and marketplace trends. Foremost, she is the Meaningful Use Program Manager and resident subject matter expert. As team leader for the eMeasures pilot for Joint Commission and Centers for Medicaid Services, she’s developed a passion for improving patient outcomes through the use of Health Information Technology and the eHealth initiative. Sarah actively drives greater understanding of all things related to HIT through internal communications, newsletters, organized training and social media.

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Continuing our “Soup to Nuts” DR Tuesday workshops, this session will teach you everything you need to know about DR report writing with Microsoft SQL Server, so you can provide timely and impactful information to your organization. The DR report writing process starts with knowing where to get the data you need and how to write T-SQL code to return the results accurately and efficiently. We’ll demonstrate the tools and methods you can use to determine the best tables to use for different reporting scenarios. We’ll teach you how to easily combine data from multiple MEDITECH modules, as well as things to consider when joining these tables together. We’ll share other tips and best practices to consider while doing your report development, including naming conventions and how to organize your stored procedures to improve productivity. You’ll learn about some of the built-in and custom T-SQL functions we use to make certain calculations or conversions easier. Lastly we’ll demonstrate the basics of using SQL Server Reporting Services to design and publish your reports within your organization.

TUESDAY TRAINING

802 - Soup to Nuts – Data Repository 102

Be sure to join us if you want to learn all you can about writing and presenting efficient and useful reports using your MEDITECH Data Repository and SQL Server’s reporting tools suite. Prerequisites: An understanding of the concepts explored in Soup to Nuts - Data Repository 101 Duration: ½ day Jamie Gerardo spent six years at Hays Medical Center (MEDITCH C/S) in the IT and Decision Support departments. She helped implement and support the MIS, OE, and BAR applications, and specialized in NPR report development. Jamie implemented MEDITECH’s DR at Hays Medical Center in 2005 and its DR reporting is now an integral part of daily operations. Jamie brought her combination of MEDITECH knowledge and healthcare process experience to Acmeware Inc. in 2008. Jamie is a Microsoft certified Technical Specialist in Business Intelligence.

803 - An NPR Report Writers Bag of Tricks (Magic and C/S) In this seminar, we will show you the following very useful tricks of the trade: • • • • • •

Write your own ID programs Use PHA utilities to check all meds on an order, to gather and present allergies, to mimic MAR logic Use an MIS program to print a CDS and all answers Use an MIS program to check financial access Call a MEDITECH standard report’s selection screen from your custom report Use a macro as a program for easier downloads

Prerequisites: None Duration: ½ day Instructor: Phil Sherry is a Technical Team Lead at Iatric Systems. Phil has been a highly valued member of the Report Writing Services group at Iatric Systems since 2003. He has taught both C/S and Magic NPR, and also 6.0 Report Designer classes at hospitals around the US. Before coming to Iatric Systems, Phil spent four years in the Report Writer group at MEDITECH.

804 - No Nonsense Rule Writing to Unleash the Power of Report Designer This advanced class shows how to include complex rules in Report Designer reports to produce customized output, when printing, sorting, filtering, calculating, and sub-totaling. Familiarity with Report Designer is recommended. Topics: • Using Rules to create calculated Fields • Using Region Attributes and Rules to create multiple External Variables • Integrating Rules into Report Fields, Select Fields, Sort Fields, Regions, and Rows • Creating a sample report This presentation is appropriate for MEDITECH 6.x users. Prerequisites: Basic understanding of MEDITECH and report writing. Duration: ½ day Brian Schmit is a skilled MEDITECH Analyst for IPeople with over 18 years of programming experience in MEDITECH, for Magic, Client Server, and 6.0 M-AT environments. He has developed both NPR Reports and M-AT Report Designer reports for virtually every MEDITECH application. Conference Program 2014 MUSE INTERNATIONAL

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TUESDAY TRAINING

805 - Extreme Makeover – SQL Edition Scheduling, distribution, presentation, readability and ease of use are critical to all Report Writing and reporting out of the Data Repository is no different. In this workshop, we will explore giving your SQL queries a professional looking front end using Business Intelligence Development Studio (BIDS) as well as managing delivery and access using SQL Server Reporting Services (SSRS). In addition, we will look at creating SQL packages which are used to automate various SQL tasks such as executing stored procedures/queries, manipulating data and delivering the output. This is most useful for creating delimited file extracts from the DR. Prerequisites: None Duration: ½ day Instructor: Brandon Woodley is an HIS Programmer/Analyst at Iatric Systems and has 10 years of healthcare IT experience in Canada. Currently he writes reports for Data Repository, NPR, Report Designer and Cerner CCL. Prior to Iatric, he supported clinical applications for Canadian healthcare organizations such as Interior Health, Hamilton Health Sciences and London Health Sciences Centre.

806 - MEDITECH DR – Understanding MEDITECH Data Structures, Intelligent Report Writing, and Data Integrity All in One The MEDITECH Data Repository, one of the most underutilized tools of the MEDITECH industry is becoming an essential source of reporting data for many MEDITECH hospitals, especially those moving to, or already using MEDITECH 6, but why? What are the advantages of DR reporting? What are the gotchas? More importantly, how do we even get started? This informative workshop will explore the following questions: • Understanding Data Structures o MEDITECH’s Hierarchical Data Model: Structure, Traversal, Why it works o MEDITECH DR – Relational Data Model: Importance of relational data availability; Why it’s similar to MEDITECH, why it’s different • What does the MEDITECH DR actually look like? How is working in the DR similar to or different from working in NPR? • What are the challenges of ensuring the integrity of the data in my DR? What can I do to overcome them? • What are my DR reporting options, and how do I turn all this data into information? • How can I use SQL Server to make my CDS data more reportable? If you want to get the most out of your MEDITECH DR, and have fun doing it, join us! Prerequisites: None Duration: ½ day Henri Du Plessis joined the IPeople team in 2004, bringing expertise in application design, business analytics, and functional architectural analysis. As Director of Development, his main responsibilities are to oversee complex interdisciplinary development projects. Henri is backed by his extensive experience in healthcare information systems and many development platforms. He has over 16 years of experience working in the medical software environment and has assisted in the implementation of numerous MEDITECH modules. IPeople’s Steven Gomez has spent most of his career engaged in IT initiatives in healthcare organizations. With over 11 years of experience in IT, Steven has an extensive background in designing, implementing, troubleshooting, and maintaining databases on SQL Servers. Steven joined the team in 2008 as a SQL Server Database Developer and is responsible for developing complex data processing stored procedures for ARRA Meaningful Use 2011 and 2014. He also has experience creating SSIS(SQL Server Integration Services) packages, upgrading DTS packages to SSIS, and managing OLAP cubes AND SSRS (SQL Server Reporting Services).

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We will delve into the world of HL7 standards; both in terms of HL7 today and what can be expected tomorrow. We will discuss the statement, “If you’ve seen one HL7 interface, you’ve seen one.” Topics: • What is HL7 • HL7 Messages Types – What do I need? • HL7 Segments • HL7 Fields Format • HL7 version 2.x vs. 3.x • Using NPR to create HL7 Interfaces (real-time vs. batch) • Future of HL7

TUESDAY TRAINING

807 - HL7 Training: Understanding Data Transfer Between Disparate Systems

We will discuss the most common HL7 messages, segments, fields, communication standards, and HL7 Version 3 (XML). Topics will include the following with progressive discussion leading us into more advanced topics: • Detailed view of HL7 Messages, ORM, ORU, ADT and more • Discussion of Z segments • Communication standards, real-time vs. batch mode, web services • HL7 2.x vs. 3.x • Detailed look at version 3.x • Industry standards using HL7 We will take a deeper dive into the technical aspects of interoperability: • Codification standards, LONIC, SNOWMED, RXNORM, etc. • HL7 standards that create the Clinical Document Architecture (CDA) • HL7 Continuity of Care Document (CCD) • HITPS C32 Continuity of Care Document (CCD) • Personal Health Records (PHR) and Insuring Privacy/Security Protection • Object Identifiers (OID) and why you need one NOW • Interoperability Document User Cases • Interoperability Document Exchange via Record Locator Services, PIX, PDQ Prerequisites: None Duration: ½ day Instructor: Rich Murphy, Vice President, Interface Software, Iatric Systems has worked as a healthcare IT professional for more than 15 years and is an integration strategy expert as well as an experienced programmer. He joined Iatric Systems in 2003 and actively seeks to use proven technology, industry standards, and strategies to achieve customer goals. Rich oversees interface development, implementation, support, and day-to-day operations. He earned a Bachelor’s degree in Engineering from the Massachusetts Maritime Academy.

808 - HealthCare Provider Integration: Provider Integration and Beyond In this workshop, you will learn about systems integration solutions in order to quickly and securely exchange information between your MEDITECH system and healthcare provider community. HealthCare Provider Integration (HPI) takes a holistic approach to integrating your healthcare enterprise and is presented to help your hospital build a solid IT infrastructure and support your success in integrating your healthcare providers and beyond. We will discuss a three-phased approach to successful healthcare provider integration. This session will take a holistic approach, not piecemeal integration for today, but positioned for tomorrow. We will discuss exchanging patient results securely with healthcare providers EMR software systems, streamline workflows with a Provider Order Management (POM) capability for ALL inbound orders, and incorporate a powerful provider order management suite, including cost estimation, insurance eligibility, medical necessity, pre-certification, electronic ABNs and more. Prerequisites: None Duration: ½ day Instructor: Ken Hoffman has worked in the healthcare industry for over 23 years as hospital IT staff and as a healthcare executive. The years spent in hospital IT gave Ken the clinical, administration and operational experience necessary to understand the dynamics across the entire healthcare system. Ken is well known not only for providing strategic plans for large hospital initiatives, but also delivering that vision by providing innovative integration and software solutions. Having developed and delivered Provider Integration for hundreds of hospitals, Ken is well experienced in the design, policy and procedure, and best practice strategy for a successful HPI vision today and into the future.

Conference Program 2014 MUSE INTERNATIONAL

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OPENING SESSION Wednesday May 28 – 8:30 am, Texas Ballroom A Generously sponsored by


2014 INTERNATIONAL MUSE CONFERENCE

Executive Institute, Wednesday May 28 Texas Ballroom C

Meeting the Challenge Healthcare IT leaders are being challenged at every turn with expectations to implement and foster adoption of technology, and improve services, all while increasing productivity and decreasing costs.

MU S

EXECUTIVE INSTITUTE

Unfortunately, magic wands and pixie dust are on backorder, thus leaving leaders to find their own solutions. The Executive Institute will feature valuable education, peer sharing and networking related to several of the most current and universal IT leadership challenges.

Wednesday May 28 10:30 am - 10:45 am

Welcome Facilitator: Jennifer Meinkoth

Jennifer Meinkoth is a Director on the MUSE International Board and the Chief Information Officer for Memorial Hospital, a 316-bed community hospital, Memorial Medical Group, a multi-specialty physician group, Memorial Care Center, a 108-bed skilled nursing facility, and Memorial Home Care, all located in Belleville, Illinois, where she has responsibility for the Information Technology, Clinical Informatics and Health Information Management departments. She also serves as Memorial’s Privacy Officer. Prior to her position as CIO, she served as the Director of Health Information Management at Memorial Hospital for 12 years. Jennifer is a registered health information administrator and earned her BS in Health Information Management from Saint Louis University and her MBA from Southern Illinois University – Edwardsville. She is a member of HIMSS, AHIMA and CHIME.

10:45 am - 12:00 pm

10x Your Influence Emily Hoffman, MD, Senior Master Trainer, VitalSmarts

Change efforts fail when leaders narrowly look for a single cause behind their persistent problems and then try to implement quick-fix solutions. On the other hand, influencers succeed because they understand that most problems are fed not by a single cause, but by a conspiracy of causes. They merge multiple sources of influence into a strategy that can overpower even the most persistent and resistant problems. In a recent study published in MIT Sloan Management Review, VitalSmarts researchers found that those who combine all Six Sources of Influence are ten times more likely to succeed at producing substantial and sustainable change. Learn a step-by-step strategy for exponentially increasing your power to change your greatest and most persistent challenges. Emily Hoffman, MD, has built her career on a strong educational foundation. She received a Medical Doctorate degree from the University of Utah and a Masters of Business Administration from the Marriott School of Man¬agement at Brigham Young University. With a doctorate degree and professional experience in the medical field, Emily consults and trains leading healthcare institutions including UMass Memorial Health Care, Endo Pharmaceuticals, the National Library of Medicine, and the American Association of Critical Care Nurses (AACN). In her current role, Emily works at VitalSmarts as the vice president of development and delivery. A gifted teacher, Emily has taught both business and nursing courses and is praised for her energy and vi¬tality. Her training style engages audiences and encourages participants to learn and adopt valued skills.

Conference Program 2014 MUSE INTERNATIONAL

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EXECUTIVE INSTITUTE

12:00 pm - 1:30 pm

Lunch (Texas Ballroom A)

1:30 pm - 2:15 pm

MEDITECH’s Strategic Collaborative Solutions Larry O’Toole, Associate Vice President, Strategy and Marketing, MEDITECH

Learn about the new and exciting collaborative solutions MEDITECH is working on with its partners and third-party vendors. We’ll share content strategy, several new technologies for improving population health management, new Health Information Exchange strategies, solutions for transitioning to ICD-10, and updates on developing technologies. Larry O’Toole’s engaging personality, outstanding work ethic, and dedication to cultivating long-standing relationships make him an exceptional leader for MEDITECH’s business development and corporate events. His team is responsible for organizing customer events and coordinating MEDITECH’s attendance at industry trade shows, as well as working with collaborative solution providers to ensure added value for our customer base. Mr. O’Toole’s interest in healthcare was sparked in part by his mother and father, who spent their careers working in nursing homes and behavioral health, respectively. From them, he learned the importance of delivering quality care to patients. As a young man, Mr. O’Toole worked his way to an undergraduate degree at Salem State College, by serving in the Army and Army National Guard. Later, he earned his M. Ed. degree in Organizational Management from Endicott College, all the while programming and repairing computers as a hobby. After joining MEDITECH in 1996, Mr. O'Toole’s desire to learn and do more in the field of HIT quickly moved him up the ranks of the Implementation and Client Services divisions. His goal for achieving better patient outcomes through electronic health records motivated him to raise the bar on every project and challenge his staff to do the same. Mr. O'Toole also sits on the board of the charitable organization, JB's Keys to Duchenne Muscular Dystrophy. He recently established a scholarship at Northeastern University, for boys with the disease. In his spare time, Mr. O'Toole enjoys wine-making and traveling with his wife, Antonietta.

2:15 pm - 3:15 pm

Where’s the Perimeter? A New Frontier with Fresh Challenges Brian Evans, CISSP, CISM, CISA, CGEIT, Principal, TW Security

The network perimeter continues to blur making the job of protecting data increasingly difficult. CIOs face fresh information security challenges in determining who to trust with potential weak areas in perimeter security that include: • • • •

Patient portals with access to patient records, lab results and online bill paying Business associates and vendors with remote access and their recent requirement to comply with the HIPAA Security Rule Cloud computing with storing and exchanging your organization’s data Personally-owned mobile devices with access to public wireless networks, email and text messaging

This session will discuss approaches to help your organization manage these security challenges more effectively. Brian Evans, CISSP, CISM, CISA, CGEIT has over 20 years of combined experience in healthcare IT management, consulting and information security. Brian previously served in the role of Information Security Officer at The Ohio State University Health System, Atlantic Health, Fletcher Allen Healthcare, New York Hospital Queens and University of Alabama Birmingham Health System. He also led the Incident Response and Computer Forensic Investigations teams for Nationwide Insurance and was Vice President, IT Risk Management at KeyBank and JPMorgan Chase. Brian held IT management positions at the Ohio Department of Health and started his career as a medic in the U.S. Air Force. He has earned a Master’s in Public Administration from the University of Cincinnati and a B.S. in Business Management from the University of Maryland.

3:15 pm – 3:30 pm

30

Break

Conference Program 2014 MUSE INTERNATIONAL


Working Smarter, Not Harder

EXECUTIVE INSTITUTE

3:30 pm - 4:30 pm

What IT leader could possibly work any longer or harder? The only thing left is to Work Smarter … Hear how three organizations are tackling challenges in new ways …

It Starts with Information Management Governance How effective governance is the first line approach to managing project requests Corey Tillyer, Director, Health Informatics – Advanced Clinical Systems Fraser Health Authority, Surrey, BC, Canada

Less is More Use of technology to decrease noise and increase HCAHPS Martha Sullivan, Chief Information Officer Harrison Memorial Hospital, Cynthiana, Kentucky

Getting the Word Out Marketing and communicating IT projects Cheryl Hirleman, Director, Information Technology Beaufort Memorial Hospital, Beaufort, South Carolina

4:30 pm

Wrap-Up Welcome Reception (Exhibit Hall)

The Executive Institute is generously sponsored by IBM, Engage and MUSE

Conference Program 2014 MUSE INTERNATIONAL

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2014 INTERNATIONAL MUSE CONFERENCE Technology Track, Wednesday May 28 - Friday May 30

Are you on Track? The Technology Track? Attend the Technology Track for insight in to the hot technical topics.

TECHNOLOGY TRACK

Wednesday May 28 1094 - Virtual Desktop Infrastructure – Lessons Learned for a Successful Deployment Presenters: Matt Donahue, Leo Maguire, Samuel Mata, and Annette Ballard Organization: Park Place International; Murray-Calloway County Hospital, Murray, Kentucky

Scheduled: Wednesday May 28 at 11:00 am

Abstract: MEDITECH requires a 3- tier connectivity solution for connecting wireless devices and devices in remote locations to the MEDITECH HCIS. Join our panel of industry experts and an experienced customer in a round table discussion where we will dive into the real-world challenges of deploying and using a 3-tier solution, whether on-site in your data center or delivered from a cloud provider. We will examine a variety of issues associated with implementing client access, including firewall security, session roaming, end-user devices, printing, and BYOD (bring-your-own device) policies, and strategies to address them.

1054 - Can You Recover Your Data? MEDITECH Best Practices for Backup and Disaster Recovery Presenters: Frank Tollefson and Chris Welch Scheduled: Wednesday May 28 at 1:30 pm Organizations: Inland Northwest Health Services (INHS), Spokane, Washington; BridgeHead Software Abstract: With several data loss events in recent history and the increasing reliance on MEDITECH systems within hospitals, we feel data protection is of increasing importance. We will share the current best practices for a robust and mature MEDITECH backup and disaster recovery solution based on INHS’ past 20 years of operating a large multi-hospital MEDITECH system. The speakers will share what INHS is currently doing to provide a high level of protection for their systems and also discuss similar strategies and approaches to providing a highly available and recoverable environment with up times measured in years rather than weeks or months.

1048 - MEDITECH Client Server Virtualization Presenter: Shecara Goodrum Organization: CHRISTUS Health, Houston, Texas

Scheduled: Wednesday May 28 at 2:30 pm

Abstract: This session topic will cover the benefits of virtualizing a MEDITECH Client Server environment and the roadmap taken. The roadmap to virtualizing a MEDITECH C/S environment is a collaborative effort that has the ability to significantly improve the end user experience. A glimpse of our past, our present and potential for the future will be presented. Further discussion will take place on the planning and multiphase approach used to make this huge undertaking a success. Finally, additional topics on improved system performance, cost savings and lessons learned will each be covered.

1093 - Cloud-Based Disaster Recovery – Improving Cost and Performance Presenters: Mark Middleton and Audrey Parks Scheduled: Wednesday May 28 at 3:30 pm Organization: Park Place International; Salinas Valley Memorial Healthcare System, Salinas, California Abstract: Disaster recovery services can be complex and costly, but absolutely essential in our world of electronic medical records and healthcare reform. Join us as we discuss ideas for advancing disaster recovery solutions for healthcare, including ways to reduce Recover Point and Time Objectives, strategies for reducing cost, resilient network designs, and lessons learned from real-world implementation and testing. The session will include how to determine critical services, tips for implementation and testing, an overview of network designs, backup technologies, client access methods, and data replication technologies.

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Thursday May 29 1100 - MEDITECH Technical Systems Update 2014 Presenters: Jim Fitzgerald, Joseph Kelly, Mark Middleton, Rob Bruno, Leo Maguire, and Samuel Mata Organization: Park Place International

Scheduled: Thursday May 29 at 8:30 am

Abstract: Exciting things are happening at MEDITECH with their upcoming ambulatory EHR, business analytics, new web front ends in 6.1.4 and up, as well as ever-expanding interoperability and extensive updates to support ARRA. Join us to get an up-to-the conference view of these important evolutions to MEDITECH and how they will impact planning for access, availability, networks, systems, storage, and security. Participants will gain important insights as to how to align their technology strategy to best take advantage of new developments. The panel will also devote some time to the current state of the MEDITECH technology platform and share the most recent insights on backup and recovery, disk and file access table defragmentation, systems management, and security given MEDITECH’s most recent technical bulletins. Time will also be allotted for extensive Q&A, so bring your tough questions with you!

1055 - The Cloud – Moving Beyond Traditional Tape for Backup and Local Archive Presenter: Chad Skidmore Organization: Inland Northwest Health Services (INHS), Spokane, Washington

Scheduled: Thursday May 29 at 10:00 am

Abstract: With data growth increasing exponentially due to increasing regulatory requirements as well as a desire to retain data for longer term analytics, many MEDITECH customers are finding their storage budgets strained. With this increasing data growth in an overall MEDITECH system as well as Scanning & Archiving and Data Repository specifically, many customers are finding their backup windows to be inadequate and their need for storage increasing at a rapid rate. INHS feels that cloud-based solutions to replace traditional offsite tape storage in addition to cloud-based archive help provide a more robust solution. We will present a cloud-based approach to meeting these needs which is HIPAA compliant and also discuss how it is being used by some early customers.

1097 - Best Practice Data Management for MEDITECH Hospitals: What To Do About Scanned Images? Presenter: Chris Welch Organization: BridgeHead Software, Inc.

Scheduled: Thursday May 29 at 11:00 am

Abstract: Applications like MEDITECH SCA create many millions of files, and require administrative oversight for management. In this session, we will educate IT administrators on how to design a data protection approach combining archive and backup software which is practical and effective, and frees administrators from the burden of daily scanned image file management. We will share the real-world experiences of hospitals, such as Humber River and Rochelle Community Hospital, who have taken this approach to managing SCA in their MEDITECH hospitals.

1099 - Revisiting Network and Security Architecture in the Virtual Era Presenters: Jim Fitzgerald and Jay Bazzinotti Organization: Park Place International

Scheduled: Thursday May 29 at 2:30 pm

Abstract: Virtualization has taken over server farms and is bleeding its way into storage and networking. The disbursement of Meaningful Use dollars has been accompanied by a new set of audit teeth in the HIPAA and HITECH acts. Networks architected and installed during the Clinton/Bush era cannot handle the full-blown “network computer” created by virtualization nor can they easily accommodate the security and availability needs of modern healthcare. Join us for a fast-paced discussion of new technologies that lower the cost of modern networking, enhance internal and external security, and improve systems availability in line with planned enhancements to the MEDITECH platform.

1096 - Continuity of Care Document (CCD) Implementation - Early Adopter Lessons Learned Presenters: Charity Cartier and Gloria Reid Organization: Dell Services

Scheduled: Thursday May 29 at 3:30 pm

Abstract: Preparing for Meaningful Use Stage 2? Getting ready to take code for MEDITECH CCD Interface Suite? Please join us for this information filled session where we will be discussing an overview of the electronic data exchange of the Clinical Care Document (CCD). We will review the data flow between MEDITECH and the Regional Health Information Organization (RHIO) including a detailed discussion of the MEDITECH interfaces needed for this implementation. In addition we will provide you with critical lessons learned during the implementation of an early adopter Stellaris Healthcare Network.

Conference Program 2014 MUSE INTERNATIONAL

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Friday May 30 1095 - Build a Reliable Infrastructure for Patient Care Presenters: Matt Donahue and Michael Martz Organization: Park Place International; Meadville Medical Center, Meadville, Pennsylvania

Scheduled: Friday May 30 at 9:30 am

Abstract: Now more than ever, your MEDITECH HCIS is a critical instrument in providing patient care. We review the technology and design options available to build a resilient, highly available private cloud infrastructure platform for the MEDITECH HCIS. Meadville Medical Center put high availability, data recovery, and operational continuance considerations as priorities when it came to implementing MEDITECH 6.1. Learn from us about the organization’s goals and concerns, the impact they had on the design process, and the strategies and technologies deployed to meet these goals.

1098 - Tips for a Successful Single Sign On (SSO) Deployment in a Virtual Environment – Panel Session Presenter: Lee Howard Organization: Forward Advantage, Inc.

Scheduled: Friday May 30 at 10:30 am

Abstract: An increasing number of MEDITECH hospitals have moved to a virtual environment, or are planning to. Hear from a panel of CIO’s and MD’s who have successfully deployed a combination of Single Sign On with virtual desktops to streamline access and remove the repetitive steps that frustrate and distract care providers. In this session, panelists will discuss how they made a successful transition and will review best practices and tips for a well-adopted deployment of SSO in a virtual environment. The panel discussion will include: • How each hospital has deployed SSO alongside virtual desktops to create a consistent experience and a single point of password management • Where the single sign on market headed in relation to virtualization technologies • Common and successful approaches used by these MEDITECH facilities • Tips for optimizing your virtual environment • How to increase user adoption through training and education Panelists: • Larry Myers, CIO - Wilson Memorial Hospital • Carl Smith, CIO - Kings Daughters Hospital • Brian Yeaman, MD - Norman Regional Health System

The Technology Track is generously sponsored by Park Place International

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2014 INTERNATIONAL MUSE CONFERENCE Meaningful Use Summit

Meaningful Meaningful Use! Join your peers at the Meaningful Use Summit!

Date: Wednesday May 28 Time: 10:30 am – Noon Room: Texas 4 Panelists: Annette Ballard, CIO Murray-Calloway County Hospital Murray, Kentucky Sandy Ebert System Analyst - CHTS-TS; CHTS-IM Inland Northwest Health Services (INHS) Spokane, Washington Barbara Hobbs Senior Manager, Marketing, EHR Interoperability & Standards Initiatives MEDITECH Janice Kerwin RN Analyst III - MEDITECH PWM/PD-PCM/EMR Hospital Sisters Health System, Springfield, Illinois Kim Maples, BSN, RN, CHTS-CP Systems Clinical Analyst Citizens Memorial Hospital, Bolivar, Missouri

Bev Bateman (Facilitator) Program Manager - Quality & Regulatory Reporting CHRISTUS Health, Irving, Texas

MEANINGFUL USE Topics of discussion: • Patient Health Summaries (PHS) and Continuity of Care Documents (CCD) o Requirements o Functionality o Patient Portals • Direct Addresses o Methods of obtaining non-credentialed providers o Successful processes at discharge for summary of care transmission o Other uses • Denominators o Observation versus all ED o Inclusion of NICU patients linked to mother’s record o Overview of Objectives, especially: • CO11 – Medication Reconciliation - All admissions to the inpatient and emergency department • CO12 – Summary of Care for each Transition of Care - All discharges from the inpatient department and after admissions to the emergency department when follow-up care is ordered by an authorized provider of the hospital • Use of Personal Health Records (PHR) o Microsoft HealthVault o merckEngage o CORALink o https://www.myphr.com/StartaPHR/what_is_a_phr.aspx • The most challenging measure is … • Reports of Successful Attestation for Stage 1 and Stage 2 in 2014

The Meaningful Use Summit is generously sponsored by Acmeware and Jacobus Consulting

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2014 INTERNATIONAL MUSE CONFERENCE Patient and Consumer Health Portal Summit

Join facilitator for an engaging forum on all issue related to portals! Get advice. Hear lessons learned. Discover best practises. Bring your questions for the expert panelists.

PATIENT & CONSUMER HEALTH PORTAL

Date: Thursday May 29 Time: 8:30 am Room: Texas 4 Facilitator: Karrie Ingram, PMP Project Manager Citizens Memorial Hospital in Bolivar, Missouri

Panelists: Marcia Cheadle, RN

Our panel discussion will include the following topics:

Senior Director of Advanced Clinical Applications Inland Northwest Health Services (INHS) Spokane, Washington

• Options for building the portal • Implementation – soft live and beyond • Marketing materials and practices

Jonathon Forsman, PMP

• Engaging patients

Sisu Healthcare IT Solutions, Duluth, Minnesota

• Hurdles and successes

Bethany Waldenmeyer Application System Analyst II Centura Health, Englewood, Colorado

• Specifics on each of the Meaningful Use measures that involve the portal • The use of navigators • Audience topics

The Patient and Consumer Health Portal Summit is generously sponsored by Engage

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2014 INTERNATIONAL MUSE CONFERENCE Physician Summit

Sharing the Love! Receiving and integrating patient data from multiple sites, systems and specialties is key to successful management of population health and for ongoing patient care. Stage 2 meaningful use requires that transition of care data be electronically sent. How do we make this happen and how do we handle the information?

P H Y S I C I A N

During this Summit physician panelists will discuss and explore how to share appropriate medical data with:

• Peers • Patients

• Consultants • Government Agencies

• Facilities

Plus - a special networking reception will follow the Summit so the discussion can continue.

Date: Thursday May 29 Time: 2:30 pm - 4:30 pm Room: Texas C

Panelists:

Dr. Angela Tiberio

Dr. William Dailey Associate Chief Medical Officer Dearborn Advisors

CMIO Golden Valley Memorial Healthcare and Windsor Clinic

Dr. Larry Losey

Dr. Patrick Sankovitz

CMIO Parkview Adventist Medical Center

Physician Director of Informatics Centura Health

The Physician Summit is generously sponsored by Dearborn Advisors, LLC

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2014 INTERNATIONAL MUSE CONFERENCE MEDITECH 6.x Summit

Look at What We Have Done! Are you contemplating a move to MEDITECH 6.x? Do you wonder what 6.x offers? Do you wonder how other hospitals achieved this goal?

MEDITECH 6.x

Well, you’ve come to the right place. We have very talented people who have accomplished what you are contemplating. Bring your questions and concerns! The panel will answer all inquiries – and you can learn ‘what we have done‘!

Date: Thursday May 29 Time: 2:30 pm – 4:30 pm Room: Grapevine 1 Panelists: Janet Desroche Director, Client Services MEDITECH

Alice Rogers, RN Clinical IS Coordinator Uvalde Memorial Hospital

Tammy Way BS, MT(ASCP) LIS Coordinator St. Joseph Health System

Yvonne Martin Systems Analyst Harnett Health

Mary Lou Schmulbach, MSN, RN, NE-BC Director, Clinical Informatics Memorial Hospital

Philip Wheeler Information Systems Manager Peterson Regional Medical Center

Audrey Parks Senior Administrative Director Salinas Valley Memorial Healthcare System

Mary Tilton Application Supervisor Southeastern Ohio Regional Medical Center

Brian Nelligan (moderator) Applications Analyst Rouge Valley Health System

The 6.x Summit is generously sponsored by Dell Services

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2014 INTERNATIONAL MUSE CONFERENCE Canadian Issues, Friday May 30, 10:30 am Texas 1

Hockey, eh? Ok, now that we have the attention of the Canadians …

Join us for an informal discussion of Canadian issues! Topics of discussion: • The MUSE Community Peer Groups model. • With the creation of more and more health regions and authorities in Canada, is it time you looked at your organizations information management strategy? (Corey Tillyer) • What are your Canadian issues, questions, ideas that we need in our health information system? Bring your thoughts and let’s discuss! Facilitator: Corey Tillyer is the Director of Health Informatics - Advanced Clinical Systems with Fraser Health Authority and your MUSE Board Past Chair. Corey has worked in Health Informatics and with MEDITECH since 1995. Corey's background in nursing along with a Graduate degree in Healthcare Leadership helps her to bring together the clinicians needs with IT's ability to support those needs.

WELCOME RECEPTION Wednesday May 28 4:30 pm - 6:00 pm Longhorn Exhibit Hall E Sponsored by

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MUSE

WELCOMES KEYNOTE SPEAKER

DANIEL GILBERT

STUMBLING ON HAPPINESS According to The Wall Street Journal, Daniel Gilbert is a world-renowned authority on how people predict their emotional reactions to future events. He is the author of the national bestseller Stumbling on Happiness, which spent 25 weeks on the New York Times bestseller list, has being translated into 30 languages, and was awarded the Royal Society’s General Prize for best science book of the year. Time magazine called it “Fascinating,” the New York Times called it “Brilliant,” and Bloomberg News called it “the only truly useful book on psychology I’ve ever read.” Daniel’s ground-breaking research on how people make judgments, choices and decisions lies at the intersection of psychology and behavioral economics. Gilbert is a Professor of Psychology at Harvard University. In addition to being a leading scientist and best-selling author, Gilbert is also an award winning teacher and public speaker. He is a regular contributor to The New York Times, has written for Time and Forbes, has been a guest on The Today Show, Charlie Rose, 20/20, and The Colbert Report, and is the host of the new PBS television series Secrets of Happiness.

KEYNOTE

SPEAKER

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Friday May 30 at 8:30 am Texas Ballroom A

Conference Program 2014 MUSE INTERNATIONAL

Sponsored by


2014 INTERNATIONAL MUSE CONFERENCE MUSE - Success Stories

Looking for an uplifting story? Attend the array of Success Stories presentations in the Education Station located in the Exhibit Hall. These positive tales will put a smile on your face!

Wednesday May 28 10:30 am

Chi-Town’s Top Hospital Swedish Covenant Hospital was the only hospital in Chicago to receive a 2013 Top Hospital designation from Leapfrog. The hospital focused safety efforts on reducing hospital-acquired infections and continuing its success in preventing central-line infections. Use of an electronic medical record system and comprehensive clinical documentation were critical factors in the enhancement of patient safety that resulted in the honor. - Sandy Swanson, Swedish Covenant Hospital, Chicago, Illinois

11:00 am

S.T.A.R.T. with Heart A kind word or a listening ear can make all the difference in turning a potentially difficult hospital experience, into a positive one. Thanks to a new enhanced patient experience training program, all 3,500 Rouge Valley Health System staff, physicians and volunteers are learning to take their already strong customer service skills to the next level. - Brian Nelligan, Rouge Valley Health System, Toronto, Ontario

1:30 pm

MAKN IT Learn about the creation and success of the MAKN IT Community Peer Group! (MAKN IT includes users from Missouri, Arkansas, Kansas, and Nebraska.)

M

What is a Community Peer Group? It’s a group of individuals, working toward the same goals, comprising a community that solves issues and creates best practices – typically structured geographically so that members can easily meet and connect with each other regularly.

P E E R

G R O U P

MAKIN IT

A Community Peer Group enables you to: • Connect regularly with your local MUSE peers to learn from each other, share your experiences and improve your practices. • Engage more effectively with your neighboring MUSE members. • Identify local topic and subject matter experts. • Discuss pertinent topics in a more specific and detailed atmosphere – through teleconferences, webinars, face-to-face meetings and publications. • Leverage MUSE resources to organize, plan and stage your meetings. - Alexa Thompson, Golden Valley Memorial Hospital, Clinton, Missouri

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4:00 pm

More Revenue and an Improved Happy-Meter – A Trans-Disciplinary Plan that Improved Provider Satisfaction AND Revenue Often physicians in an office setting are "on their own" after the initial training. This is how a system looked at physicians who were down in revenue and satisfaction and brought a broad-based team to look at their office and operations to help them better use their EMR. The result: improved revenue and less unhappiness. - Dr. Larry Losey, CMIO, Parkview Adventist Medical Center, Brunswick, Maine

4:30 pm

I Hope So! Our organization in cooperation with other community partners, provide patient care at Hope Clinic. The Hope Clinic and Pharmacy is a free community initiative providing healthcare access to people in nearby counties. To qualify, clinic patients must: • • • •

Suffer chronic diseases of high blood pressure, obesity, diabetes, high cholesterol and/or gastroesophageal reflux disease (GERD) Be below 150 percent of the federal poverty level Not be eligible for Medicaid or Medicare Lack private health insurance

Our clinic/pharmacy has provided nearly 5,300 clinic visits and nearly $675,000 in prescriptions to low-income, chronically ill patients who lack insurance. With the exception of a paid office manager and a nurse practitioner, the clinic is staffed by an all-volunteer army including volunteers for clerical and technical duties, nursing, other ancillary services, and social work. Our clinic has been featured in a video by the Office of the National Coordinator for the use of data from the Kentucky Health Information Exchange in taking care of patients. Our clinic also received the 2013 NOVA Award from the American Hospital Association. All visits are documented in MEDITECH PCS and follow the Meaningful Use measures for collecting demographic information, smoking status, etc. Patients are seen both on an individual basis and in group sessions. Significant reductions in A1C and cholesterol levels have been noted for many of the patients in the group settings. Our patient satisfaction rate is consistently above 96%. - Becky Blevins, Ephraim McDowell Regional Hospital, Danville, Kentucky

5:00 pm

The Singing Nurse Come and hear the sweet story of Jared Axen, the singing nurse at Henry Mayo Memorial Hospital, Valencia, California. - Tito Perez, Henry Mayo Newhall Memorial Hospital, Valencia, California

Thursday May 29 9:30 am

The Skype’s the Limit Hear how our post-op people use Skype for post-op meetings instead of having the patient travel to the facility. Learn about the program, and see a live demonstration. - Brian Nelligan, Rouge Valley Health System, Toronto, Ontario

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10:00 am

Write HOW MANY New Calculations?! Methodist Health System in Dallas, Texas wanted to update their greater than/less than calculations, but, with 142 calculations to write, the project was daunting. The framework for the new calculations was written in a modular fashion and an open source scripting tool was identified to automate the task. The result was a streamlined process that produced new calculations, without typos, ready to validate and put into service. - Sharon Montgomery and Melissa Swain, Methodist Health System, Dallas, Texas

11:30 am

Talent in Texas Learn how CHRISTUS Health went into partnership with Houston Methodist for two facilities in the Houston market. Within two weeks, Information Management was able to refine all the application reporting to a new corporation code with minimal impact to the end users. - Patty Gillespie, CHRISTUS Health, Houston, Texas

1:00 pm

I Hope So! Our organization in cooperation with other community partners, provide patient care at Hope Clinic. The Hope Clinic and Pharmacy is a free community initiative providing healthcare access to people in nearby counties. To qualify, clinic patients must: • • • •

Suffer chronic diseases of high blood pressure, obesity, diabetes, high cholesterol and/or gastroesophageal reflux disease (GERD) Be below 150 percent of the federal poverty level Not be eligible for Medicaid or Medicare Lack private health insurance

Our clinic/pharmacy has provided nearly 5,300 clinic visits and nearly $675,000 in prescriptions to low-income, chronically ill patients who lack insurance. With the exception of a paid office manager and a nurse practitioner, the clinic is staffed by an all-volunteer army including volunteers for clerical and technical duties, nursing, other ancillary services, and social work. Our clinic has been featured in a video by the Office of the National Coordinator for the use of data from the Kentucky Health Information Exchange in taking care of patients. Our clinic also received the 2013 NOVA Award from the American Hospital Association. All visits are documented in MEDITECH PCS and follow the Meaningful Use measures for collecting demographic information, smoking status, etc. Patients are seen both on an individual basis and in group sessions. Significant reductions in A1C and cholesterol levels have been noted for many of the patients in the group settings. Our patient satisfaction rate is consistently above 96%. - Becky Blevins, Ephraim McDowell Regional Hospital, Danville, Kentucky

1:30 pm

The Singing Nurse Come and hear the sweet story of Jared Axen, the singing nurse at Henry Mayo Memorial Hospital, Valencia, California. - Tito Perez, Henry Mayo Newhall Memorial Hospital, Valencia, California

2:00 pm

Can You Say Support? Hear about an interesting project that built in a voice prompt for our providers that use Dragon. The providers say “Contact IT” and this launches a webpage where they can report a non-urgent issue directly to our IT support staff. This prevents the provider from having to open up email or pick up the phone, and it allows the provider to quickly make contact with IT while the issue is fresh on their mind. Conference Program 2014 MUSE INTERNATIONAL

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Friday May 30 10:30 am

They Want the Money Back – How We Survived Meaningful Use Audit with No Questions Asked The threat of an audit and potential for recoupment of the MU dollars could be a significant blow to hospital finances. This is how a small hospital prepared and then executed a plan to make it through their audit with the money intact and no questions from the auditors. - Dr. Larry Losey, CMIO, Parkview Adventist Medical Center, Brunswick, Maine

11:00 am

Doctors Driving! Magnolia Regional Health Center began its CPOE/PDoc implantation as a voluntary implementation. A pilot group of physicians began the project on go live and the rest of the medical staff strongly encouraged to join. Approximately half of the medical staff received their training over a six-month period before the initiative stalled. During this time the hospital Board of Trustees and Administrative personnel did not want to force any physician into using CPOE/PDoc because they wanted it to be a physician-driven project. A hybrid environment of paper charts and the electronic health record developed. As the medical staff progressed through the project it became apparent that without peer to peer accountability the project would not progress further. The Medical Executive Committee recommended that all physicians be required to use the EHR, as well as, held accountable for their participation. Use of the system by each physician is measured by a monthly utilization review that includes Meaningful Use metrics. These metrics are reported to the physician by the Ongoing Physician Practice Evaluation Committee and a plan of action is developed by each head of specialty and non-complaint physician as to how to improve the physician’s utilization. As a facility and a project the transition has been made from little to no physician engagement or ownership of the process to a project where success is monitored by and physicians held accountable by their peers. - Mallory Brown, Magnolia Regional Health Center, Corinth, Mississippi

1:30 pm

MAKN IT Learn about the creation and success of the MAKN IT Community Peer Group! (MAKN IT includes users from Missouri, Arkansas, Kansas, and Nebraska.) What is a Community Peer Group? It’s a group of individuals, working toward the same goals, comprising a community that solves issues and creates best practices – typically structured geographically so that members can easily meet and connect with each other regularly.

M P E E R

G R O U P

MAKIN IT

A Community Peer Group enables you to: • Connect regularly with your local MUSE peers to learn from each other, share your experiences and improve your practices. • Engage more effectively with your neighboring MUSE members. • Identify local topic and subject matter experts. • Discuss pertinent topics in a more specific and detailed atmosphere – through teleconferences, webinars, face-to-face meetings and publications. • Leverage MUSE resources to organize, plan and stage your meetings. - Alexa Thompson, Golden Valley Memorial Hospital, Clinton, Missouri

10:30 am

Chi-Town’s Top Hospital Swedish Covenant Hospital was the only hospital in Chicago to receive a 2013 Top Hospital designation from Leapfrog. The hospital focused safety efforts on reducing hospital-acquired infections and continuing its success in preventing central-line infections. Use of an electronic medical record system and comprehensive clinical documentation were critical factors in the enhancement of patient safety that resulted in the honor. - Sandy Swanson, Swedish Covenant Hospital, Chicago, Illinois

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2014 INTERNATIONAL MUSE CONFERENCE

Peer Group Leaders (PGLS) and Show & Tell Presentations and JAM Session Topics

SHOW&TELL JAMSESSIONS

A Show & Tell is a quick presentation that demonstrates some achievement and innovative solution. Show & Tell sessions are designed to be short, informative sessions in the peer group meetings where ‘users teach users’. It can be as simple as a quick online demonstration, a handout of a unique report, a straightforward PowerPoint show, or just a speech that explains a helpful tip or trick. A Show & Tell presentation can be interactive with the audience and it should generate good discussion.

A JAM session provides informal dedicated networking time for the peer group participants. Peer group meetings strive to focus on networking, education, and solutions. During the JAM session, the peer group leader will facilitate discussions on a variety of ‘hot’ topics.

ABS – Abstracting

Peer Group Leader: Karen Long, Financial Applications Manager Organization: Inland Northwest Health Services (INHS), Spokane, Washington JAM Session topics: • Projects and customer defined screens – Opportunities • Compiled Reports – Tips and tricks

AOM/RXM – Ambulatory Order Management Peer Group Leader: Suzanne Catalfomo Organization: Kalispell Regional Medical Center, Kalispell, Montana

BAR – Billing Accounts Receivable Peer Group Leader: Cathy Mulloy, Consultant Organization: Inland Northwest Health Services (INHS), Spokane, Washington

BBK – Blood Bank

Peer Group Leader: Sandra Swanson Organization: Swedish Covenant Hospital, Chicago, Illinois Show & Tell presentations: Optimized Blood Bank Orders for CPOE - Learn how Methodist Health System in Dallas, Texas evaluated existing work processes at four medical centers to design one set of optimized blood bank orders. Collaboration between blood bank, clinicians, infomaticists, nurses, and secretaries resulted in identifying key objectives for the order design: minimize interruption in workflow, optimize usability, avoid unnecessary mouse clicks and clinically irrelevant alerts, and evaluate transfusion practice. The result was optimized orders that contain instructions for nurses and for blood bank in one entry along with transfusion indications for each product order. - Monette Ballesteros, Methodist Health System, Dallas, Texas Conference Program 2014 MUSE INTERNATIONAL

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PGLS AND SHOW & TELL AND JAM SESSIONS

BMV / eMAR - Bedside Medication Verification Peer Group Leader: Cathy Alvarez, Clinical IS Analyst Organization: Uvalde Memorial Hospital, Uvalde, Texas JAM Session topics: • IV start and stop times • Titrating medications

CAH - Critical Access Hospitals Peer Group Leader: Ismelda Garza, CIO Organization: Comanche County Medical Center, Comanche, Texas

Show & Tell presentations: Learn about new CAH functionality that MEDITECH has introduced in their 5.66 release. It helps manage outpatient to inpatient rollovers throughout the continuum of care. One account will be maintained throughout the combined visit – it is less cumbersome for the provider entering orders for their patient. JAM Session topics: • Managing without a 24-hour pharmacy and respiratory department • 2-Midnight Rule requirements for CAHs • Medication Reconciliations – what is your process? • 5.66 PP 8 successes and failures • Any other challenges that CAHs encounter – let’s talk

CPOE/POM - Computerized Physician Order Entry, Provider Order Peer Group Leader: Kelly Lippold RN-BC, MSN, Applications Manager Organization: Salina Regional Health Center, Salina, Kansas

Show & Tell presentations: Learn how CPOE was rolled out in our facility, along with how we are working to optimize and maintain the system one year post go live. Specifics on how our Physician EHR committees are structured, end user training, and post go live support will be given. JAM Session topics: • Favorites • Transfer Routine • Discharge Routine • Medication Reconciliation Kelly Lippold RN-BC, MSN has worked in healthcare for 15 years with the last nine focusing on clinical informatics. She was the initial builder and support analyst for the PCS module including eMAR/BMV, TAR, and Med Rec. She also assisted with the implementation of EDM, OE, POM, PWM, and PCM. Currently, she is manager over the Information Systems Applications Department at Salina Regional Health Center and oversees both clinical and non-clinical projects.

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PGLS AND SHOW & TELL AND JAM SESSIONS

DR - Data Repository

Peer Group Leader: Craig LeBeau, Business Analyst/Specialist Organization: Cook Children's Health Care System, Fort Worth, Texas JAM Session topics: • Discover some SQL tips & tricks you should know for your queries and reports. Topics: o What are CTEs and how are they used? o How to calculate patient’s age like MEDITECH does. o COALESCE statement to get a patient’s admit/service date and discharge/depart date. o Don’t use functions in the WHERE clause if you can help it; why not, and alternatives. o Why you should create stored procedures and views in a separate database. • Plus, bring your tips to share with the group as well!

EMR – Electronic Medical Record

Peer Group Leader: Natasha Ringhofer, Clinical Informatics and Applications Specialist, RN Organization: Royal Victoria Hospital, Barrie, Ontario JAM Session topics: • EMR ID Mapping • EMR ID process for requesting • New Results and Physician Lists • Entering NOTES via EMR, PCS, PCM, dictation • Special, Custom and “Build My” Panels • Electronic Legal Record • Enhancements for updates 5.6 and 6.0

INT/NMI - Interfaces, Interoperability Peer Group Leader: Alex Anderson, Project Coordinator Organization: Clifton Springs Hospital, Clifton Springs, New York

ITS – Image and Therapeutic Services Peer Group Leader: Becky Blevins, Project Manager Organization: Ephraim McDowell Health, Danville, Kentucky Show & Tell presentations: • Learn how to set up physician queries through ITS JAM Session topics: • Use of voice recognition software with PACS • Meaningful Use requirement for viewing PACS images through EMR • Workflow for correcting ITS reports released into electronic systems (state health exchange or physician office EMR) • Auto-faxing of ITS reports

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PGLS AND SHOW & TELL AND JAM SESSIONS

LAB - Laboratory

Peer Group Leader: Cheryl Hannah, Clinical Systems Analyst Organization: Aspen Valley Hospital, Aspen, Colorado JAM Session topics: • Reference Lab Reflex Testing – How Do You Make MEDITECH Capture Those ‘Extra’ Charges?

LTC - Long Term Care

Presenter: Michelle Williams, Long Term Care Systems Analyst Organization: Citizens Memorial Healthcare, Bolivar, Missouri Show & Tell presentations: • Provider Messaging (PWM) JAM Session topics: • Bedside Medication Verification • Medication Packagers in LTC • Immunization Functionality

MHC - Meditech Home Care Peer Group Leader: Jennifer Earl, Clinical Systems Analyst Organization: Citizens Memorial Healthcare, Bolivar, Missouri

JAM Session topics: • 2.5 version release – hear from others on their experience • Discuss the value of creating Standing orders/Order Set • New Hospice Medication Reporting – Collaborate with users to see how they are reporting to CMS • Review the tools that MHC has provided us

MIC - Microbiology

Peer Group Leader: Tammy Way, LIS Coordinator Organization: St. Joseph Health System, Bryan, Texas Show & Tell presentations: • Reporting B.vaginalis infections from a Gram Stain with the aid of MIC calculations • Use of Group Prompts for reporting Verigene testing for Blood Cultures • Public Health HL7 Strategies (presented by Jim Sehloff) JAM Session topics: • Meaningful Use Stage 2 o LOINC coding o Patient Portal and Labs • 6.06 Migration – Coming out of the Fog!

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Peer Group Leader: Lori Oelschlager, Business Analyst Organization: Cook Children's Health Care System, Fort Worth, Texas Show & Tell presentations: • Alert information • Background job information

JAM Session topics: • Discuss background job processes vs. services – we would like to hear from those using Background Job Services to give others some pros, cons, and tips. • Auto Start BKG Daemons – discuss trials and tribulations; how to get the daemon auto start to help with bringing the system up and down. • Forgotten MIS parameters • Revisit alerts • Discuss known issues

PGLS AND SHOW & TELL AND JAM SESSIONS

MIS – Management Information System

MPM/APR - Medical Practice Management, Clinical Peer Group Leader: Cherilyn Austin, Clinical Analyst Organization: Citizens Memorial Healthcare, Bolivar, Missouri

Show & Tell presentations: • Implementation of EMR in Physician Clinics and ongoing support of new providers and clinics JAM session topics: • Meaningful Use: Success; Challenges; Best Practices • Voice Recognition software - Dragon • Health Maintenance • Referral Desktop • Dose Management • OB Flow Sheet • Immunizations – Community wide

MPM/PBR - Medical Practice Mgmt, Billing and Administrative Peer Group Leader: Catherine McCartney Organization: Arrowhead Regional Medical Center, Colton, California JAM Session topics: • Let’s discuss all topics related to MPM/PBR! Catherine McCartney is an Applications Specialist with IT at Arrowhead Regional Medical Center which is located in Colton, California. She has 16 years of clinical and hospital experience, 12 years of experience working in IT at Arrowhead Regional Medical Center and 7 years of experience working with Meditech C/S. She started supporting the Fiscal Modules and from there went on to implement and support the clinical modules. She is currently the Lead Project Analyst for our electronic implementation in the Acute Care setting. Arrowhead Regional Medical Center is a 463-bed facility. We are a Level II Trauma and Inland Empire’s only Burn Center.

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PGLS AND SHOW & TELL AND JAM SESSIONS

NUR - Nursing

Peer Group Leader: Patty Gillespie Organization: CHRISTUS Health, Houston, Texas

OE - Order Entry (CS)

Peer Group Leaders: Amber McGreevy RN, Project Manager, Alfred Bangit, Application Analyst Organization: Henry Mayo Newhall Memorial Hospital, Valencia, California JAM Session topics: • Use Interventions as orders • Application: Electronic Pathology ordering and documentation • Use Label queries creatively • Application: DME orders for discharge • Use Intervention documentation in OE orders • Application: Therapy Evaluation and Treatment orders

OE - Order Entry (Magic)

Peer Group Leader: Laura Zinger, RPhT, Informatics Analyst Organization: Guelph General Hospital/WHCA, Guelph, Ontario Show & Tell presentations: • OE RAD Exams to Multiple Modalities • OE Alternate Level of Care (ALC) JAM Session topics: • 5.66 Enhancements

6.0 OM/EMR – Order Management / Electronic Medical Record Peer Group Leader: Joyce Parsons, Director of Clinical Applications Organization: Steward Health Care System, Boston, Massachusetts

Show & Tell presentations: • Living in Divided Lands; MAT and NPR – learn about the the challenges of ITS, Lab and Pharmacy procedures and categories being sent to OM and the ramifications from an OM perspective. JAM Session topics: • Connection mnemonics • Lab departments/OM categories • Category groups • PCM display of orders, order history and order audit trails

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Peer Group Leader: Alice Rogers, Clinical Coordinator Organization: Uvalde Memorial Hospital, Uvalde, Texas JAM Session topics: • PCS assessments within the OR and Care Plans

PCM (PDOC/PWM) - Physician Care Manager, Desktop & Documentation Peer Group Leader: Kelly West, Application Analyst Organization: Citizens Memorial Healthcare, Bolivar, Missouri

PGLS AND SHOW & TELL AND JAM SESSIONS

ORM - Operating Room Management

Show & Tell presentations: • Utilizing Dragon Naturally Speaking JAM session topics: • Using voice recognition software • Standard content • PWM desktop - strategies for utilization • PWM tasking in acute care • Mid-Level/Student access and co-signing best practices • Template customization

PCS - Patient Care System

Peer Group Leader: Alexa Thompson, Clinical Systems Analyst Organization: Golden Valley Memorial Hospital, Clinton, Missouri Show & Tell presentations: • Being creative with PCS – SB for Pharmacy JAM Session topics: • Care plans - how are you making them individualized? • Status Boards/Surveillance Boards • IV spreadsheet

PHA - Pharmacy

Peer Group Leader: Laura Zinger, RPhT, Informatics Analyst Organization: Guelph General Hospital/WHCA, Guelph, Ontario JAM Session topics: • 5.66 Enhancements • 5.66 Outstanding Issues • Medication Reconciliation • Implementation Phasing o eMAR/BMV o POM/CPOE Conference Program 2014 MUSE INTERNATIONAL

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PGLS AND SHOW & TELL AND JAM SESSIONS

QRM - Quality Management and Risk Management Peer Group Leader: Kim Maples RN, Clinical Analyst Organization: Citizens Memorial Healthcare, Bolivar, Missouri Show & Tell presentations: • Risk Management Building Options • Ways to Optimize the Software JAM session topics: • Using Risk Management for Service Recovery

SCA - Scanning & Archiving Peer Group Leader: Brian Nelligan, Applications Analyst Organization: Rouge Valley Health System, Toronto, Ontario

JAM Session topics: • Join us for an informal roundtable of discussions on all topics related to SCA!

UPT - Update

Peer Group Leader: Jerri Arthur, IT Analyst Organization: Stillwater Medical Center, Stillwater, Oklahoma JAM Session topics: • Attendees will have an opportunity to discuss their experiences with the use of the UPT module with various update versions. Ample opportunity will be available for question and discussion with users and nonusers alike. Jerri Arthur, MS, IT Applications Analyst, has been in the healthcare arena for 20 years at Stillwater Medical Center, Stillwater, OK. Beginning as a clinical information systems specialist in nursing administration; managing scheduling, admissions, and switchboard departments; then implementing several Meditech CS modules and managing upgrades, etc. in the IT department; also involved with MUSE activities since 2002.

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2014 INTERNATIONAL MUSE CONFERENCE Educational Presentations

Reporting Tools 101 – The 3 R’s of MEDITECH: RW, RD, and DR; Oh Yeah, Compiled Reports and ESS Too Session: 1001 Presenter: Yvonne Martin Organization: Harnett Health System, Dunn, North Carolina

Scheduled: Thursday May 29 at 9:00 am

Abstract: There is a lot of confusion over what reporting tool to use to obtain information from MEDITECH. This seminar will cover what each one can do; where and when each is used; the difference of these tools and the amount of skill needed to become proficient. The attendee should be able to walk away from the presentation knowing which reporting tool to use for which task. Yvonne Martin is a Systems Analyst at Harnett Health System in Dunn, North Carolina. She is the main user of NPR Report Writer and M-AT Report Designer at her facilities. She began her experience with the MEDITECH system when she built the LAB module for a hospital in Baton Rouge in 1997.

Integrating Advanced Interfaces, Big Data, and Workflow Based Software Design in Current and Future Healthcare Systems Session: 1002 Presenter: Mark Casey Organization: Centura Health, Englewood, Colorado

Scheduled: Thursday May 29 at 11:00 am

Abstract: The last forty years of software design and functionality has evolved towards closely emulating real world user workflows and enhanced ease of use, as well as integrating knowledge derived from massive datasets into advanced decision making subsystems. This session will compare EHR systems from past to present, including MEDITECH, with other industries' advancements in complex adaptive software and AI. Mark Casey has 42 years of experience in computer science & technology development, with 35 years in healthcare. He was a pioneer in advanced systems for healthcare and others, including advanced worldwide systems and computer design, medical informatics, hospital computer systems, AI, VR, EHR, BPM, complex systems. He is the owner / scientist at Miyian

Is There a Cost Justification for RFID/RTLS Temperature and Device Tracking in a Small Hospital Environment? Session: 1003 Presenter: Charles Still Organization: Southwestern Vermont Medical Center, Bennington, Vermont

Scheduled: Thursday May 29 at 10:00 am

Abstract: Southwestern Vermont Medical Center is a 99-bed hospital which implemented temperature monitoring for some 50 refrigerators and piloted location tracking (RTLS) for 10 items of equipment in 2013. In 2014, the scope was expanded to more than 100 temperature and 300 RTLS items including Bladder Scanners, Smart Pumps, CPU beds, Telemetry monitors, and many more items. This presentation will review the results of the project, and review utilization statistics of the device tracking pilot. We will also share how a quick response implementation of temperature monitoring allayed a Joint Commission finding, along with other results of utilizing the technology. Charles Still is an Information Systems Project Manager at Southwestern Vermont Healthcare and founder of the software company PatientSafeRx.com. He was part of the team presented with the 2011 Waypaver Award for Bedside Barcoding. His work has been published in the Journal of Healthcare Information Systems and Patient Safety and Quality Healthcare. His 2011 HIMSS International BPOC presentation was awarded the "best educational session of the conference" by Mr. HIStalk. He has presented at numerous conferences in the US, UK and Canada. Charles serves as the Dean of Programs for the UnSummit University series of Monthly Web Education events on BPOC. Learner Outcomes: • Identify cost savings opportunities location and temperature monitoring may bring. • Explicitly identify targeted applications that may provide value in a small healthcare setting. • Utilize benchmarking metrics to validate potential cost savings. • Learn effective strategies for communicating savings potential to the C-level leadership team. Post lecture questions: • There is a lot of hype surrounding RFID in healthcare, what are key technology questions that must be answered to effectively assess the final cost of proposed solutions, in terms of accuracy and staff FTE allowances? • What are the limitations / advantages of active vs passive RFID solutions? • What are the key considerations necessary when implementing this technology?

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HIPAA Security – Been Around Forever, But Still New Session: 1006 Presenters: Jim Sehloff Organization: Holy Family Memorial, Manitowoc, Wisconsin

Scheduled: Thursday May 29 at 2:30 pm

Abstract: It seems like we have been working to comply with HIPAA security rules forever, but there is still much that is changing with compliance: the Omnibus Rule was published in early 2013; OCR is increasing its audits; a risk analysis needs to be done and reviewed; technology changes. This will be a practical way to look at complying with all the rules and changes. Jim Sehloff has been involved in MUSE activities since 1990. He served on the Central Region Board and has led many peer groups. Jim has a BS in Biology from the University of Wisconsin Green Bay (Go Pack...) and an MS in computer medicine from Texas Tech University. He also served as a co-chair for the security work group of the HIPAA Collaborative of Wisconsin (HIPAA COW).

Clinical IT Leadership and Governance Session: 1007 Presenters: Dr. Michael Polizzotto and Dr. Angela Tiberio Organization: Swedish American Health System, Rockford, Illinois; Dearborn Advisors

Scheduled: Thursday May 29 at 10:00 am

Abstract: “In a hospital, it is key that clinicians run the IT governance committees.” (John Halamka, MD, CIO Beth Israel Deaconess Medical Center) In order to make the best possible decisions, healthcare organizations need the involvement of healthcare clinicians. Over the course of the last two years SwedishAmerican Hospital has created a leadership and governance structure whose two goals are: 1. Decisions regarding clinical IT will be based upon the needs and opinions of the clinical users. 2. The process by which those decisions are made will be standardized, transparent and responsive. This presentation will discuss the challenges and opportunities of developing a formal change governance structure, EHR change request process, workgroup formation, and committee structure. Dr. Mike Polizzotto is Chief Medical Information Officer at SwedishAmerican Hospital, a 333-bed, full-service, non-profit hospital serving northern Illinois and southern Wisconsin. In addition, he is an associate clinical professor of Family Medicine at the University of Illinois at Chicago Medical School (Rockford Campus) where he sees patients and teaches in the Family Medicine Residency Program. Angela Tiberio, MD, has over 20 years of clinical and healthcare information technology experience. In her role as Associate Chief Medical Officer with Dearborn Advisors, Dr. Tiberio is highly experienced in clinician adoption strategies for CPOE and other EHR initiatives and in application of evidence-based principles to EHR implementations. Prior to joining Dearborn Advisors, Dr. Tiberio served as Chief Medical Information Officer and Associate Vice President at Rush University Medical Center in Chicago; as Medical Director of Medical Informatics at Spectrum Health System in Michigan; and Assistant Professor of Medicine at Michigan State University. Prior to working full time in Medical Informatics, Dr. Tiberio was Board Certified in Internal edicine and practiced as a hospitalist. She has written and presented extensively on medical informatics topics. Learner Outcomes: • Attendees will explore one model which can serve as a starting point for developing or modifying the leadership and governance structure and processes at their own institution. • Attendees will be able to recognize common obstacles in the development of leadership and governance structure and processes as well as how to approach these challenges. • Attendees will understand how to leverage commercial off-the-shelf technology to support the leadership and governance processes. Post lecture questions: • Governance is … o A committee

o A council

• In a hospital, it is key that ________________ run the IT governance committees. o Healthcare administrators Clinicians (i.e. doctors and nurses) • A metric is … A quantitative assessment used to track or compare performance o A “best guess” about how things are going o A Canadian alternative rock band

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o The process of making a decision o IT professionals


Session: 1008 Presenters: Becky Blevins Organization: Ephraim McDowell Regional Hospital, Danville, Kentucky

Scheduled: Wednesday May 28 at 11:00 am

Abstract: "Gump, you're a genius" – using lessons learned from Forrest Gump to get better response time on your MEDITECH tasks. Learn how to submit tasks more effectively to get the answers you need when you need them. Learn who to contact, what information to provide, how to escalate, and how to keep your tasks moving. Becky Blevins is the Project manager for Information Services Department at Ephraim McDowell Health. It is a multi-hospital health system, located in central Kentucky, using MEDITECH client server version 5.66 pp2. Becky has been with the organization for 28 years in a variety of roles including Medical Transcriptionist, Tumor Registrar, HIM Manager, IT application analyst, and IT Project Manager. Her current responsibilities include project planning, facilitating vendor selection, project implementation, and system maintenance. Other duties include managing the MEDITECH core team and leading the Meaningful Use project. She specializes in interfacing (both point to point and through an interface engine) various clinical systems to MEDITECH Client Server.

EDUCATIONAL PRESENTATIONS

Getting MEDITECH Tasks Resolved Quicker – Forrest Gump Style

Supporting Low Frequency Users of Computerized Patient Order Entry (CPOE) Session: 1009 Presenters: George Gellert, MD and S. Luke Webster, MD Organization: CHRISTUS Health, Houston, Texas

Scheduled: Wednesday May 28 at 11:00 am

Abstract: Consultants and physicians affiliated with multiple hospital systems infrequently generate patient orders at any single facility. With the advent of Computerized Patient Order Entry (CPOE), these physicians must commit to memory the navigation of multiple CPOE software modules, and may resist adoption. Continuing use of paper orders presents a risk to patient safety because they may be missed or delayed. We present data on the number of physician low frequency users (LFUs) at CHRISTUS Santa Rosa hospitals by month, day of week, shift and facility, and the options developed for hospitals to assist such physicians in using CPOE and eliminating use of paper orders. George Gellert, MD, MPH, MPA is the Regional CMIO for CHRISTUS Santa Rosa Health in San Antonio, TX responsible for ensuring superior execution of informatics launches and performance in five hospitals and two self-standing EDs. He trained in pediatrics and epidemiology and has served in industry, NGOs and the non-profit sector as well as government and the United Nations. S. Luke Webster, MD is Vice President and System CMIO for CHRISTUS Health. He is responsible for the Health Informatics function across the entire CHRISTUS enterprise and over 40 facilities. Dr. Webster trained in psychiatry and served previously in health information leadership positions at Kaiser Permanente and other leading healthcare delivery institutions. Learner Outcomes: • Describe the CHRISTUS Health Santa Rosa method for identifying a threshold for defining physician low frequency users (LFUs)of CPOE, and using quantitative analyses of patient care orders issued by physicians at three hospitals (over 1500 credentialed physicians) within the CHRISTUS Santa Rosa region of CHRISTUS Health, convey the magnitude of LFU physician presence in hospitals. • Examine patterns of patient care orders issued by CPOE Low Frequency User physicians over the first four months of 2013, assessing month to month variation, day of week variation, shift of day variation, and variation between facilities. • Review six CPOE support options to provide at the elbow assistance to Low Frequency User physicians without undermining the clinical decision support, safety and other benefits of CPOE, and move toward the complete elimination of paper orders. These options may generalize to other hospitals across the nation. Post lecture questions: • Which of the following contributes to the existence and number of physicians who generate patient care orders with low frequency at many hospitals? o Physicians may be multi-system affiliated and challenged with learning and committing to memory multiple different EMRs and CPOE modules o Certain physician specialties, and in particular consultants, may generate orders infrequently or only make recommendations for care to the attending physician without generating specific orders. o Hospitals may have large hospitalist groups who generate most of the care orders for patients. o All of the above may contribute to large numbers of physicians who generate orders with low frequency. • Which of the following is NOT an appropriate and safe option for managing physicians who infrequently generate patient care orders? o Assign a hospitalist or mid-level trained on CPOE to generate orders on behalf of a LFU physician. o Expand the duties of unit ward clerks trained as CPOE super users to provide at the elbow assistance to a LFU physician when entering orders in CPOE, with the physician interpreting and acting upon all decision support alerts. o Enable a nurse to enter orders on behalf of a LFU physician after the physician writes the orders and gives them to a nurse and leaves the unit. o All of the above are appropriate and safe options for managing LFUs. • True or False: In the analysis of orders generated by LFU physicians at three CHRISTUS Santa Rosa hospitals, there were large variations in the generation of clinical care orders by day of the week or shift of day. Conference Program 2014 MUSE INTERNATIONAL

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EDUCATIONAL PRESENTATIONS

Implementing Biometric Patient ID and MEDITECH's Outreach Module for a Long-Term Care Facility Session: 1010 Presenters: Sandra Swanson Organization: Swedish Covenant Hospital, Chicago, Illinois

Scheduled: Wednesday May 28 at 1:30 pm

Abstract: Laboratory testing in a hospital setting can provide significant benefits to patients, providers, and LTC facilities as compared to testing performed by an independent laboratory. Patients have LTC test results integrated into a medical record that covers a broader continuum of care. Providers get results more quickly, because they can be uploaded to a practice EHR, autofaxed, or accessed through the HIS. LTC facilities do not have to manage reporting to providers. The laboratory is challenged to ensure positive patient ID and manage its pre-analytical processes in an efficient and cost-effective way. This presentation will report on the experience of implementing a biometric patient ID system and the use of MEDITECH’s Outreach module to improve patient safety and the customer experience. Sandra Swanson is the Transfusion Service Manager and LIS support in a community hospital laboratory. She has been a MEDITECH user since 1992 and volunteered in multiple roles with MUSE, including a current member of the MUSE Education Committee. Learner Outcomes: • Describe basic principles of biometric identification in the context of this project • Identify project goals and expectations • Describe elements of implementation planning Post lecture questions: • How does biometric identification enhance patient safety? • What impact does pre-collection registration have on test turn-around-time? • Name any two elements of implement planning.

5.66 Discharge Session: 1011 Presenters: Tonya Girdler Organization: Ephraim McDowell Regional Hospital, Danville, Kentucky

Scheduled: Wednesday May 28 at 2:30 pm C/S

Abstract: In this presentation, we will cover our build of the discharge routine and current workflow process. We will also present the advantages for end users as well as challenges, and also include the list of DTS's that were supplied to us initially (along with a second round of DTS's). Tonya Girdler obtained a Bachelor's of Science in Nursing from Eastern Kentucky University. She began her nursing career in the telemetry unit at Ephraim McDowell Regional Medical Center. After becoming a super user in 2010 for CPOE, Tonya transitioned into the role of Clinical Information Systems Manager in late 2011. Learner Outcomes: • Ideas for the discharge desktop build • Ideas for improvements for workflow • Advantages of using the discharge routine Post lecture questions: • What kind of support should you offer physicians during the first week of using the new discharge routine? Elbow-to-Elbow • Is it helpful to list out the DTS’s that were needed to improve problems? • Was it helpful to provide the image of our patient visit report?

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Session: 1012 Presenters: Amy Feaster Organization: Centura Health, Englewood, Colorado

Scheduled: Thursday May 29 at 11:00 am

Abstract: This presentation will cover the steps necessary for a health system to prepare their presentation of a HIMSS Stage 7 survey. It will discuss the sections required for a presentation, ideas on the types of data to include and give examples that an organization can use in preparing their presentations. Amy Feaster is the Vice President of Information Technology for Centura Health. Amy and her teams support 15 hospitals, 7 senior living communities, medical clinics, affiliated partner hospitals, FlightForLife Colorado, 13 Colorado Health Neighborhoods and home care and hospice services with first class Information Technology Support. Centura Health, the region’s health care leader, is focused on connecting Colorado and Kansas to affordable, world-class care. All of the Centura hospitals have either achieved HIMSS Stage 7 or Stage 6 certification. Amy is the board chair for South Metro Health Alliance. She earned a Degree in Business Administration with a concentration in Information Technology. Amy has been with Centura Health for over 25 years.

EDUCATIONAL PRESENTATIONS

Preparing Your HIMSS Stage 7 Presentation

Striving for Excellence: Maintaining Quality and Integrity of the MEDITECH NUR Online Documentation System Session: 1013 Presenters: Laura-Lynne Lobo Organization: Guelph General Hospital, Guelph, Ontario

Scheduled: Wednesday May 28 at 1:30 pm

Abstract: It has been proven that the quality of the care that is provided to patients does depend upon the integrity, reliability and accuracy of the patient record (AHIMA, 2012). With more and more of clinical documentation being completed within the Electronic Health Record, focus must be placed on errors that can result in data being lost or incorrectly entered, displayed, or transmitted, leading to loss of information integrity (Sittig & Singh, 2011). Benefits of electronic documentation cannot be denied as they include improved efficiency of data capture, timeliness and legibility of information, consistency and completeness. However, when electronic systems are used inappropriately without proper education and controls, it can lead to inaccuracies and errors which can then impact the level and quality of the care that we are providing to our patients. Maintaining the integrity of the MEDITECH NUR and a third-party online documentation system is integral, from the involvement of front line staff and professional practice in the development of any new or revised documentation, to the education that is provided to new and returning staff, to the maintenance of historical screens. Supporting end users through identification, corrections to documentation, and remedial education in error prevention is also important. This presentation will be focusing on how Guelph General Hospital handles the above aspects of the online documentation systems including templates or standardized documentation screens and clinical decision support tools. We will be including the benefits of implementing standardization and support tools, but will also cover the clinical impact of improper usage. Also, this presentation will cover the measures that the organization has put into place to monitor and maintain the online documentation systems. American Health Information Management Association (2012). Data quality management model. Chicago IL: AHIMA, 2012 Sittig, D. & Singh, H. (2011). Defining Health information technology related errors. Archives of Internal Medicine. 171: 1281. As a Registered Nurse at Guelph General Hospital for 22 years, Laura-Lynne Lobo has been working as the Clinical Informatics Analyst since 2005. She was part of the multidisciplinary team implementing online documentation in 2005-2006, and also implemented and supported a third-party application in Maternal Child Unit. Her role is focused on education and build/maintenance of the NUR Online Documentation System. Learner Outcomes: • Learn how Guelph General Hospital defines Quality and Integrity of the MEDITECH NUR System. • Learn about Guelph General Hospital’s framework for maintaining Quality and Integrity of the MEDITECH NUR System. • Learn about some of the Clinical Decision Tools and Inclusion of Best Practices that have been incorporated and embraced by Guelph General Hospital. Post lecture questions: • Can you define what is quality and integrity of the MEDITECH NUR System? • What are the important relationships within an organization to facilitate maintaining quality and integrity of the MEDITECH NUR System? • What are the three overarching components to a framework for maintaining quality and integrity of the MEDITECH NUR System?

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TAR – Is Not Just For Roofs Session: 1014 Presenters: Gloria Johnson and Carolyn Belder Organization: Headwaters Health Care Centre, Orangeville, Ontario

Scheduled: Thursday May 29 at 10:00 am

Abstract: Transfusion Administration Record - Implementing Electronic Documentation for Blood Administration We opted to investigate the use of TAR with our 5.65 upgrade in November 2012. It provides for a more complete translation of data between clinical and blood bank. This assists with standardization and compliance, enhancing patient safety through electronic documentation. Gloria Johnson is a Registered Nurse and Applications Specialist, primarily responsible for S&S, OE, POM, PCS, EDM, EMR, and Med Rec. She has been employed at Headwaters Health Care Centre for approximately 33 years in various nursing roles, and has been working with MEDITECH Applications for approximately 12 years. Carolyn Belder MLT is the Senior Lab Quality Leader and LIS Co-ordinator / Lab Applications Specialist. Learner Outcomes: • Why implement the Transfusion Administration Record? • Who to engage; and the training processes • Monitoring compliance and potential gaps Post-Lecture questions: • What would the benefits be over your current practice? • What the safety aspects? • What is your current compliance to Policy and Regulations and would this improve them

ICD-10: How to Update Your MEDITECH System Session: 1015 Presenters: Linda Sharpe Organization: Inland Northwest Health Services (INHS), Spokane, Washington

Scheduled: Friday May 30 at 9:30 am

Abstract: This session will provide technical steps required to prepare your MEDITECH system for ICD-10. High level claims development will be discussed, as well as “how to” for loading codes, updating key parameters, code set overrides, and code set designation by payer and effective date. This presentation will also provide detailed instructions on how to use MEDITECH for both ICD-9 and ICD-10 code sets for dual coding. By the end of this session you will have the information needed to complete necessary ICD-10 updates within Abstracting, MIS and Billing modules, as well as an understanding of how to use MEDITECH for dual coding. Linda Sharpe is a System Analyst Leader for the Patient Financial support team. She provides leadership and project management for the patient financial analysts who primarily support the admitting, abstracting, and medical record index, applications for MEDITECH. Linda came to INHS with over 30 years of prior experience in health care coding. Linda was a manager in Health Information Manager for nearly 20 years. Linda’s extensive knowledge in hospital coding and management has been instrumental for clients who seek to maximize their current systems and create strategies for improved performance.

Still Using a UB or 4010 Claim Form? Are You Worried About Billing ICD-10’s? Session: 1016 Presenters: Cathy Mulloy Organization: Inland Northwest Health Services (INHS), Spokane, Washington

Scheduled: Thursday May 29 at 2:30 pm

Abstract: Although you may have a clearinghouse or billing product converting your claims into a compliant 5010, it’s time to take control of your claims. This presentation will provide you with the information needed to transition your existing claims to compliant version 5010’s. Strategies for using tools such as claim crosswalks and scripting will be reviewed. With ICD-10’s just around the corner, the time to get your claims updated is now! Cathy Mulloy is a Systems Analyst with the INHS Financials Team. After obtaining her Bachelor of Science degree in Human Biology from the Eastern Washington University she started her healthcare career in Managed Care Contracting in a large urban hospital. Cathy moved into Patient Financial Services where she supervised 14 staff in the following areas; batch posting, reimbursement management, credit balance, and document storage. She has experience with the Medicare Cost Report and the Medicare Quarterly Credit Balance Report. Cathy joined INHS in 2006 and currently provides technical support to specialty hospitals including Critical Access and Inpatient Rehabilitation.

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Session: 1017 Presenters: Heather Banker-Matzke Organization: Centura Health, Englewood, Colorado

Scheduled: Wednesday May 28 at 3:30 pm

Abstract: The purpose of the ICD 10 presentation is to describe the approach Centura has taken to prepare for a successful upgrade. Staffing, training plans and education surrounding this large change are tracked on several dashboards that will be reviewed. Modifications that we have made to ensure our systems are ready to interface and testing that has been done to prepare well in advance of this change. Remediation will also be broached. Plans regarding training and education of coders, hospital staff and providers to be discussed. New details on order set changes to meet new criteria. There will be discussion around the ambulatory training and staffing models to meet the outpatient requirements. Plus: ICD 10 Champions - What does this entail and why is it important to the success of ICD 10?

EDUCATIONAL PRESENTATIONS

ICD 10

Heather L. Banker-Matzke is a Program Manager with Centura Health in Colorado. Heather is the lead project manager on ICD10 for IT. In addition, Heather has successfully launched an Optimization Ambulatory LSS team and many other successful projects for Centura Health. Heather is also a member of the Education Committee for MUSE and has worked to bring an ambulatory track to assist those who use LSS. Learning Outcomes: • Systematic approach for ICD 10 readiness for the organization. • Training requirements based on job code. • Application and readiness dashboards to ensure IT readiness. Post-Lecture questions: • How do I identify applications impacted by ICD 10? • How does MEDITECH readiness impact my organization? • What kind of training is necessary to prepare providers and staff for ICD 10?

An Overview of LSS and Use of Health Maintenance Session: 1018 Presenters: Armin Espino Organization: Centura Health, Englewood, Colorado

Scheduled: Wednesday May 28 at 1:30 pm

Abstract: The purpose of this overview is to provide information on how the MEDITECH/LSS financials and clinicals system are being used in an outpatient (ambulatory) clinic environments. There will be information on how the system is being currently utilized within the patient experience cycle and the clinical workflows in a practice. LSS financials provides ambulatory practices the ability to manage patient appointments, demographic information, insurances, check in/out processes, billing, and collecting co-payments. LSS clinicals allows practices to maintain patients’ electronic medical records (EMR/EHR) and support provider documentation from patient encounters. Best practices and identified challenges will be shared surrounding the navigation and utilization of LSS. Promoting the Health Maintenance module, which is used as a tool for Patient Centered Medical Home (PCMH) initiatives and providing optimal care of patients within a particular diagnosis(es) and practicing preventive care. This will also involve demonstrations of provider documentation in the ambulatory setting, including ordering medications, in office and CPOE orders, and referrals. Lastly, there will be information shared on how to use the system as a secure patient communication tool with the providers and staff. Ammin Espino is a full time lead trainer with CHPG, Centura Health in Colorado. He is working on revamping the training program to make training for the adult learner more successful. Armin is responsible for ensuring that any barriers to training are addressed and resolved. Armin has been in the field of training for over ten years and takes great pride in showing the benefits to using an EMR and overcoming user limitations. Learning Outcomes: • Understand the similarities and differences between MEDITECH and LSS • Understand the benefits of utilizing LSS Financials and Clinicals in a physician practice • Understand the use of Health Maintenance/Disease Management Post-Lecture questions: • How can a physician practice benefit from utilizing LSS? • What tools are available within LSS to communicate patient information within a practice? • What are some examples of Health Maintenance/Disease Management items in LSS? Conference Program 2014 MUSE INTERNATIONAL

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Using Decision Support and Analytics to Implement Clinical Practice Guidelines Session: 1019 Presenters: Jessica Jones Organization: Ontario Shores Centre for Mental Health Sciences, Whitby, Ontario

Scheduled: Thursday May 29 at 3:30 pm

Abstract: Purpose/Objective: Ontario Shores Centre for Mental Health Sciences is committed to providing the highest quality care to its patients. In concert with MOHLTC and LHIN priorities, Ontario Shores Centre for Mental Health Sciences (Ontario Shores) is invested in implementing Clinical Practice Guidelines (CPGs) in a standardized way to support the best evidence-based care to the population it serves. Implementing CPG’s yearly is part of a five year strategic plan and is well-aligned with HIMSS Stage 7 achievement, which Ontario Shores is currently striving for. Methodology/Approach: This is an opportunity to be a “big data” organization, using clinical measures to drive quality improvement and improve patient outcomes. Year one includes the CPG for schizophrenia (inpatients) and metabolic monitoring for patients on antipsychotics (inpatients and outpatients). Go live for year one is scheduled for February 2014. Years two-five will include CPGs for: schizophrenia (outpatients), depression, bipolar disorder, personality disorders and concurrent disorders. Project Objectives include: • Operationalize the key recommendations in the clinical algorithm that can be used to support development of analytics and clinical decision support in the EMR • Perform a gap analysis illustrating current state versus desired state • Identify key indicators to track adherence to CPGs and monitor related clinical outcomes • Revise physician documentation tools and order sets to support CPG recommendations • Create physician decision support tools in the EMR to support adoption of evidence in to practice • Revise nursing/allied health documentation tools and clinical panels to conform with CPG recommendations • Identify clinical service changes that would be required for the organization to have adherence with identified CPGs • Develop custom reports to provide individualized feedback to clinicians about specific CPG suggestions • Develop custom reports that monitor guideline adherence and patient outcomes to agreed-upon measures Findings/Results: Year one project results include but are not limited to: • An enhanced process for monitoring metabolic side-effects for any inpatients and outpatients taking antipsychotics • New/Revised documentation templates for physicians and other health professionals with automated decision-support • A new tool to track medication history • Enhanced decision-support tools for choosing antipsychotics • A new clinical dashboard with CPG adherence measures and clinical outcome measures to be delivered at the organizational, program, unit and individual clinician level with comparisons to mean peer scores Conclusions/Implications/Recommendations For many organizations, the next step in the implementation of electronic records journey is to implement clinical practice guidelines. The implementation of clinical practice guidelines at Ontario Shores will improve patient safety and outcomes, standardize treatment, decrease costs related to care efficiency, and bridge the gap between research and practice. Jessica Jones is a Clinical Analyst at Ontario Shores. Jessica graduated from McMaster University in Hamilton, Ontario Canada with a degree in Kinesiology. While completing her studies she became interested in clinical informatics while working as a summer student on the Project EASIER team implementing the full suite of MEDITECH 6.X applications at Ontario Shores in both the inpatient and outpatient settings. Jessica currently supports Admissions (ADM), Community Wide Scheduling (SCH), Health Information Management (MRI), Scanning (SCA), Quality and Risk Management (QRM), and part of Imaging and Therapeutic Services (ITS). Learning Outcomes: • To learn about strategies that could be effectively used in implementing clinical practice guidelines • Develop an understanding of how MEDITECH EMR is a key part of implementation of clinical practice guidelines • To learn the MEDITECH EMR can be used to drive standard practice Post-Lecture questions: • How do you think your organization can implement CPGs into your EMR? • Do you know of additional decision support tools in MEDITECH related to implementing CPGs? • Could you share your story of implementing CPGs at your organization?

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Session: 1020 Presenters: Dave Long Organization: Ontario Shores Centre for Mental Health Sciences, Whitby, Ontario

Scheduled: Thursday May 29 at 10:00 am

Abstract: Purpose/Objective: In 2007 our organization began its successful journey to the implementation of a fully integrated EHR system. Our “Big Bang “approach to implementing our totally paper-less system enabled our organization to become recognized as a Stage 6 hospital on the HIMSS Electronic Medical Record Adoption Model (EMRAM). The HIMSS EMR Adoption Model is an excellent benchmarking tool that can support organizations on their journey to achieving a fully integrated electronic medical record. This presentation will outline how organizations can use the EMRAM model to refocus and reenergize their teams in the implementation, adoption and utilization of EMR’s in a more effective and efficient way to improve the quality of care.

EDUCATIONAL PRESENTATIONS

Improving EMR Adoption, Utilization and Analytics: Working Towards Obtaining Stage 7

Methodology/Approach: Taking into consideration the factors limiting EHR adoption and the key focus for the design and implementation, our organization chose to align the Clinical Informatics portfolio under the Professional Practice umbrella. This strategic alignment ensured that clinical practice and patient care needs were the focus for functionality design, build and implementation of the EHR. As we continue to develop our team and processes we have developed a structured work plan focused on: • Adoption/Utilization • Education/Knowledge Translation • Risk Management/System Integrity/System Maintenance As an evolving organization we are now in a phase where our access to clinical data is growing exponentially. The challenge associated with taking data and turning it into knowledge and then using this knowledge to support patient care, research and practice – required us to develop structures and strategies to cope with the increasing complexity of clinical knowledge and information. Development of the Hospital Information Systems Operations Committee and Data and Information Stewardship Committee have resulted in a consistent, streamlined and responsive approach to managing system change and data requests. Findings/Results: The creation of a key change management processes and committees has enabled a structured process for all stakeholders to review ongoing organization and clinical changes that impact the electronic system. Using both the HIMSS Stage 7 EMRAM Criteria and the Canada Health Infoway Benefits Evaluation Framework we have created evaluation metrics supporting the development of health informatics competencies throughout the organization. After reviewing our evaluation criteria our team has developed a number of strategies focused in the following key analytical areas: • Closed Loop medication Management • CPOE utilization by MD’s • Use of clinical data and system analytics to support quality care Conclusions/Implications/Recommendations As organizations continue to move forward with implementing electronic records it is critical to focus on sustainability in order to support adoption and utilization of these system in a meaningful way. Our organization believes a commitment to using the EMRAM as a benchmarking tool ensures organizations are invested in using electronic systems in an effective and efficient manner to support quality patient care. David Long is a Registered Nurse, with National Certification in Psychiatric Mental Health. David has been a member of the team at Ontario Shores since 1996, from front line clinician to Clinical Analyst his journey has brought a wealth of experience and knowledge to the Informatics role. David is one of the founding staff members of the Clinical Informatics department and has knowledge of and been responsible for a large variety of the MEDITECH 6.x applications. Having implemented or supported ADM/HIM/QRM/MRM/SCA/CWS/PCS/PCM/LAB/ITS/EMR, as well as developed moderate skills in NPR report writing, and growing skills in Report Designer. David’s primary responsibility is now project management/leadership and oversight, providing guidance and leadership to the organization as well as the delivery of clinical information internally and externally via reports and interfaces. Learning Outcomes: • To learn how a big bang EMR implementation went from paper to Stage 6 hospital on the HIMSS Electronic Medical Record Adoption Model (EMRAM) • To learn how to use the EMRAM model to refocus and reenergize teams in the implementation, adoption and utilization of EMR’s in a more effective and efficient way to improve the quality of care • To discuss optimization of the EMR and related processes to achieve HIMSS Stage 7 to improve patient safety and outcomes Post-Lecture questions: • One focus on the implementation strategy was? • How many years from paper to electronic for clinical documentation? • What are two of the four programs that overlap, provide the collaborative structure? Conference Program 2014 MUSE INTERNATIONAL

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Key Learning from the 5.66 Upgrade for the Financial Modules Session: 1021 Presenters: Troy Fishbeck and Courtney Smith Organization: CHRISTUS Health, Houston, Texas

Scheduled: Thursday May 29 at 9:00 am C/S

Abstract: This will be a group discussion from several analysts within the BAR/MM/AP/FA/GL modules regarding the 5.66 Upgrade. Discussion points would include: • Enhancements • Testing Methodologies • Go Live outcomes (Current Go Live Date is in March, so we would hope to have post Go Live outcomes to discuss.) Troy Fishbeck is Director, SLS Business/Finance at CHRISTUS Health. Courtney Smith is an Application Analyst II, (BAR/Rev Cycle) at CHRISTUS Health.

Enter the Top Dragon Session: 1022 Presenters: Cole Gillen and Alfred Bangit Organization: Henry Mayo Newhall Memorial Hospital, Valencia, California

Scheduled: Thursday May 29 at 9:00 am

Abstract: Henry Mayo Newhall Memorial Hospital (HMNMH) recently moved electronic ordering house-wide. Physician participation is integral to the successful adoption of CPOE. HMNMH owes some of its success to creating an air of competition amongst physicians and promoting the “Top Dragon”. In this session we will be discussing how the creation of reporting dashboards increased compliance and utilization. We will also discuss why the feedback we received from our physicians helped mold how HMNMH approached electronic ordering and measuring their success. Cole Gillen is a Financial System System Analyst at Henry Mayo Newhall Memorial Hospital, a 238-bed facility in Valencia, CA. He has BS in Business Administration and geared his study towards Organizational Behavior. In recent years he has explored the use of data in understanding organizations, trends and compliance. He has been supporting MEDITECH DR and NPR modules for the past two years. Alfred Bangit has been working at Henry Mayo Newhall Memorial Hospital for over five years. He started working as a new grad LVN in one of the hospital’s Medical Surgical units and after three years, he joined the Information Systems department to be a part of the hospital’s CPOE project. He is now a Clinical Systems Analyst and a part of the Clinical Inpatient Physician and Nursing Team responsible for the OE, PCS, PCM, and PWM modules. Learning Outcomes: • To be able to help physicians identify the requirements and to present benefits of CPOE • To help facilitate a more efficient and streamlined CPOE process for physicians. • To provide an effective methodology for physicians to strive for CPOE compliance within a competitive environment • To highlight the importance of defining compliance for Senior Leadership and Physicians Post-Lecture questions: • What does Henry Mayo call their top performers? • Who would staff ask for help during Henry Mayo’s PCM Go-Live? • What is one type of order excluded from a physician’s CPOE rate at Henry Mayo?

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Session: 1024 Presenters: Ken Kupetsky Organization: St. Mary's Childrens Hospital, Bayside, New York

Scheduled: Friday May 30 at 9:30 am

Abstract: This presentation will cover how the use of integrating clinical and non-clinical alerts with a wireless communication platform can enhance speed to resolution along with group notifications. We will evaluate the use of middleware to enhance the management of alarms and notifications to the proper personnel. Ken Kupetsky is the VP/CIO at St. Mary’s Healthcare System for Children in NYC. In 2006, as the CIO at Burke Rehabilitation Hospital, they were a finalist for the HIMSS Davies Award and in 2010 received HIMSS Analytics Stage 6 status. He currently handles all aspects of technology with his staff of 12 in St. Mary’s healthcare system which sees over 4,000 kids per day in their inpatient, homecare, and daycare programs. Ken received his B.S. in Computer Science from Syracuse University.

EDUCATIONAL PRESENTATIONS

Integrating Clinical Alerting into Daily Workflow

Medication Reconciliation Team after CPOE Go-Live Session: 1025 Presenters: Janine Francovich and Patricia Egetoe Organization: Henry Mayo Newhall Memorial Hospital, Valencia, California

Scheduled: Wednesday May 28 at 1:30 pm C/S

Abstract: Henry Mayo Newhall Memorial Hospital went live with house-wide CPOE October 15, 2013. The physician’s workload increased. Before October 15, the nurses, doctors and pharmacists all handled the paper home medication list. Nursing compiled the list, the admitting doctor reconciled it and the pharmacy made sure the medications were available to administer to the patients. After the Go-Live, the pharmacy no longer entered the orders from the faxed paper orders. The computerized orders were entered directly by the physician. The doctors ended up getting a list of medications that the computer did not recognize. The Medication Reconciliation process needed to be overhauled, the decision was made to build a Medication Reconciliations List Team composed of Pharmacy Technicians. Their primary responsibility is to provide the doctors with a clean admission Medication Reconciliation list. We are also training them to assist the doctors in the order entry process and help with discharges. We will discuss the necessity of a Medication Reconciliation Team, the cost vs. benefit of having a team. The creation and implementation of the team will be reviewed. We will also discuss the increase in physician satisfaction and CPOE compliance after they observed the efforts made to ease their workflow. Janine Francovich is a Clinical Informatics Project Manager as well as a RN, currently working on her BSN. She specializes in Peri-Operative Care and works at Henry Mayo Newhall Memorial Hospital. Patricia Egetoe BSN, RNC-MNN is a Clinical Informaticist at Henry Mayo Newhall Memorial Hospital. Her specialty is in Maternal-Newborn Care.

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EDUCATIONAL PRESENTATIONS

When Gremlins Take Over ... Provisioning MEDITECH Access Session: 1026 Presenters: Michele Banks Organization: Cook Children's Health Care System, Fort Worth, Texas

Scheduled: Wednesday May 28 at 1:30 pm C/S

Abstract: In the film, Gremlins, the caretaker was given three simple instructions to follow in caring for the Mogwai. Failing to follow the care instructions led to chaos and gremlins run amuck. Provisioning MEDITECH security can easily turn into a chaotic free for all without standardization and documented setup instructions. Our facility lacked documentation or standardized setup instructions. This absence of documentation lead to new staff frequently starting with incorrect module access or none at all, staff with the same job often had different menus, and/or staff were missing reports critical to performing their job. Our staff were frustrated by the inability to perform their job functions and our IS support staff were spending far too much time resolving access issues that were preventable. This presentation will focus on how to reclaim security setup from the chaos and develop a system of standards that ensure all staff have the correct access on Day 1. (Examples will be presented CS 5.6 without MEDITECH Payroll module.) In the first hour, attendees will learn the following: • To define and create role based access based on position and not staff preferences • Modification strategies to include staff users in modifying and standardizing current roles • How to perform quality checks that ensure the correct access on Day 1 • Methods of lowering IT maintenance thru standard menus and reduction of personalization of module access groups and menus • Practical examples of documentation and menu build strategies In the second hour, attendees will learn the following: • Instructions on creating and modifying custom NPR reports to ensure accuracy and quality of provisioning • Practical instructions on utilizing Microsoft Access and Data Repository for documentation of role based access • Exploration of unique issues in setup of providers Michele Banks RN, is Senior Business Systems Analyst at Cook Children's Medical Center in Fort Worth, Texas. She has supported CPOE/POM as well as a variety of other IT projects. She has spent the past three years standardizing and re-structuring MEDITECH access provisioning at Cook Children's.

Labeling Breast Milk for BMV Session: 1027 Presenters: Gregory Kirschner Organization: Jordan Hospital, Inc., Plymouth, Massachusetts

Scheduled: Wednesday May 28 at 2:30 pm

Abstract: When newborns are to be fed their mothers’ breast milk during a hospital stay, it is essential that the hospital staff ensure that they receive the correct mother’s milk. If a mistake happens, the parents of the baby undergo undue anxiety, and the baby and the mother who provided the incorrect breast milk are generally forced to undergo additional blood work to determine if it either has a transmittable disease, such as HIV or hepatitis. Utilizing BMV and a custom NPR report, it is possible to create printable breast milk labels to guarantee that the correct baby receives the correct milk every time by having the RN scan the newborn’s wristband and a barcode label on the breast milk bottle. Details will be provided on how to build the NPR report for the labels, add the report to an RN menu, setup the breast milk in the pharmacy drug dictionary, and create an assessment for the PCS Worklist to document the feeding. Finally, the intended workflow will be demonstrated, showing how to print the labels, order the breast milk (as a “Med”), scan in BMV, and document the Worklist assessment. Greg Kirschner is a Clinical Informatics Analyst at Beth Israel Deaconess Hospital Plymouth (formerly Jordan Hospital) in Massachusetts. He previously worked at MEDITECH for seven years. Learner Outcomes: • How to build a custom NPR report used to print breast milk labels from an RN menu • How to enter breast milk as a medication in the system so it may be used for BMV • The workflow of an RN to utilize labels for the newborn’s mother’s breast milk and to use BMV scanning during each feeding Post-Lecture questions: • What type of barcode is used for breast milk labels- Rx Number or NDC Number? • Do the labels need to print in the pharmacy with other medication labels? • What happens when a user attempts to print a label for a medication that is not a breast milk label?

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Session: 1028 Presenters: Sharon Kirby Organization: Centura Health, Englewood, Colorado

Scheduled: Wednesday May 28 at 1:30 pm

Abstract: Centura Health is continually evaluating ways to leverage technology to improve our patient outcomes. To that end, we developed a proactive early warning alert surveillance status board to assist in identifying patients that may be exhibiting symptoms of sepsis. This allows for early intervention to avert untoward complications that could negatively affect a patient’s recovery. Using MEDITECH’s status board functionality, we were able to create a tool that facilitated the clinician’s ability to aggregate patient data concurrently to make care decisions sooner. It was designed to bring relevant information to the nurse to obtain timely and critical information with which to make immediate care decisions in critical situations. The implementation of the sepsis surveillance status board went beyond our expectations as it was found to be a useful tool for not only sepsis patients but also assisted in identifying subtle changes on other types of patients that ordinarily would have gone unnoticed.

EDUCATIONAL PRESENTATIONS

Use of a Sepsis Surveillance Status Board as a Proactive Early Warning Alert

There is evidence to support the fact that a proactive early warning tool designed to avoid a patient’s deterioration to a critical status can have substantial cost savings. Based on the CMS average of ICU bed cost of $4,850, and an average ICU stay of three days, this represents a cost avoidance of $640,000 per year by increasing surveillance using our EHR. This clearly demonstrates how Centura Health is able to leverage technology to improve our patient outcomes as well as improve value. It has been shown that some 60% of code blues could be avoided if a clinician intervened earlier in the process. The surveillance status board is an accumulation of evidence-based physiologic data points that alerts the clinician leading to early intervention. Through this early detection and intervention, the survival rate among cardiopulmonary arrest patients is greatly increased, while the costs of increased lengths of stay and additional days in the intensive care unit are reduced. Sharon B. Kirby MSN RN-BC is Chief Nursing Informatics Officer for Centura Health, a 15-hospital system and the largest healthcare provider in Colorado. She is an RN with nearly three decades of clinical nursing experience in a wide variety of specialty areas and over five years of informatics experience. She holds a MSN with an Informatics Specialization. Ms. Kirby’s responsibilities include providing visionary clinical nursing leadership to advance Centura Health’s utilization of the clinical information systems consistent with their clinical and strategic goals and initiatives. She provides leadership for the Centura Clinical Nurse Informatics team, directing and managing the development, implementation, and maintenance of the clinical information system from the perspective of the system user. She develops and leads programs to manage and integrate clinical systems so as to improve patient safety, improve clinical work flow and functionality, assure communication of clinical information, and ensure data integrity. Ms. Kirby’s informatics oversight includes EDM, ORM and PCS on the inpatient side as well as MEDITECH LSS and MEDITECH Home Care and Hospice on the outpatient side to align patient care coordination across the continuum. Ms. Kirby has experience with many IT initiatives including EHR implementation of all MEDITECH modules, MEDITECH Magic to C/S conversion, BCMA implementation for inpatient and ED, ED Medication Management, inpatient CPOE and Physician Documentation (PDoc). Centura has recently completed CPOE implementation throughout all of its 15 facilities and each has attested for HIMSS Stage 6. They are now in the process of attesting for HIMSS Stage 7 at each of their hospitals. They are on MEDITECH C/S 5.66 PP8. Ms. Kirby is Board Certified in Nursing Informatics and an active member of HIMSS/CHIMSS, ANIA and AMIA.

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EDUCATIONAL PRESENTATIONS

Downtime Readiness – Aligning Acute and Ambulatory Downtime Policies and Processes Session: 1029 Presenters: Lisa Stephenson and Sharon Kirby Organization: Centura Health, Englewood, Colorado

Scheduled: Thursday May 29 at 11:00 am

Abstract: With the advent of Meaningful Use, we in healthcare IT have found it necessary to take more frequent upgrades and priority packs to our medical software than ever before. This phenomenon has caused our organization to continually refine our downtime processes and policy for our acute care hospitals. As our ambulatory practices become more dependent on the EHR we recently found it necessary to replicate our downtime policies and procedures on the ambulatory side within our clinic and physician practices. As we know, upgrades are scheduled downtimes that usually give us ample time to prepare for the system being down. Our enterprise prides itself in using this scheduled downtime to fine tune all downtime processes so as to ensure readiness in the event of an unscheduled downtime. When preparing for a recent upgrade, we updated our acute care downtime policy to include CPOE and PDoc. Although we had a robust downtime policy for the inpatient side of our organization, it was obvious to us we did not have the same content on the ambulatory side. With over 438 employed/contracted providers, 106 practices, 45 specialty practices and 1.8 million ambulatory visits annually, our outpatient arena is the fastest growing portion of our healthcare system. We found it imperative we take this scheduled downtime opportunity to develop necessary ambulatory processes and policy. Lisa Stephenson, RN, MSN is the Director of Clinical Informatics for Centura Health, a 15-hospital system and the largest healthcare provider in Colorado. She is an RN with experience in a wide variety of specialty areas including pediatrics, hospice home care, ED, acute care inpatient, and quality. She holds a MSN in nursing management and leadership and is an active member of HIMSS/CHIMSS and ANIA. Mrs. Stephenson’s responsibilities include providing clinical leadership to advance Centura Health’s utilization of the clinical information systems. She provides leadership for the Centura Clinical Nurse Informatics team in their efforts with implementation and maintenance of the clinical information system. In addition she leads several projects to improve patient safety, clinical work flow and functionality in the clinical information system. Mrs. Stephenson’s informatics oversight includes the acute inpatient side as well as ambulatory, long term care and home care areas to align patient care coordination across the continuum. Mrs. Stephenson has experience with many IT initiatives including BCMA implementation for inpatient and ED, Meaningful Use stage 1 and 2, transitions of care, and CPOE and Physician Documentation (PDoc) implementation. Centura has recently completed CPOE implementation throughout all of its 15 facilities and each has successfully attested for HIMSS Stage 6. They have also achieved HIMSS Stage 7 at six of their 15 hospitals and continue through the process of attesting for each of their facilities through Mrs. Stephenson’s leadership. Centura Health is on MEDITECH C/S 5.66 PP8. Sharon B. Kirby MSN RN-BC is Chief Nursing Informatics Officer for Centura Health, a 15-hospital system and the largest healthcare provider in Colorado. She is an RN with nearly three decades of clinical nursing experience in a wide variety of specialty areas and over five years of informatics experience. She holds a MSN with an Informatics Specialization. Ms. Kirby’s responsibilities include providing visionary clinical nursing leadership to advance Centura Health’s utilization of the clinical information systems consistent with their clinical and strategic goals and initiatives. She provides leadership for the Centura Clinical Nurse Informatics team, directing and managing the development, implementation, and maintenance of the clinical information system from the perspective of the system user. She develops and leads programs to manage and integrate clinical systems so as to improve patient safety, improve clinical work flow and functionality, assure communication of clinical information, and ensure data integrity. Ms. Kirby’s informatics oversight includes EDM, ORM and PCS on the inpatient side as well as MEDITECH LSS and MEDITECH Home Care and Hospice on the outpatient side to align patient care coordination across the continuum. Ms. Kirby has experience with many IT initiatives including EHR implementation of all MEDITECH modules, MEDITECH Magic to C/S conversion, BCMA implementation for inpatient and ED, ED Medication Management, inpatient CPOE and Physician Documentation (PDoc). Centura has recently completed CPOE implementation throughout all of its 15 facilities and each has attested for HIMSS Stage 6. They are now in the process of attesting for HIMSS Stage 7 at each of their hospitals. They are on MEDITECH C/S 5.66 PP8. Ms. Kirby is Board Certified in Nursing Informatics and an active member of HIMSS/CHIMSS, ANIA and AMIA.

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Session: 1030 Presenters: Deb Gardner Organization: Centura Health, Englewood, Colorado

Scheduled: Friday May 30 at 9:30 am

Abstract: Centura Health is a large multi-facility health system that uses MEDITECH extensively. When Centura decided to add the Oncology module three years ago, the long journey began. Finding that the Oncology module did not meet the needs for a multi facility system, MEDITECH agreed to work with Centura (and other facilities) to make the product meet their needs. In this presentation, we will review lessons learned, enhancements made and how the implementation of this module will help Centura’s many Oncology Clinics use the electronic medical record to improve productivity, communication and meet the many quality and regulatory requirements.

EDUCATIONAL PRESENTATIONS

Oncology: The Long, Eventful Journey

Deb Gardner RN, BSN has 30+ years of experience in healthcare, the last 18 years in Healthcare IT. She has brought a wide range of build/ implementation/clinical lead experience in MEDITECH modules (ED, PCS, OR, CPOE, BCMA, Lab and Pharmacy) to Centura’s Oncology Implementation Project. Deb is now the Clinical lead of the Oncology Project. Learner Outcomes: • How do you charge for chemo waste for single and multi-dose dials? • What priority packs/DTS’s should you have before you go Live? • How does tasking help with communication? • What should you consider when setting up the ordering Process? Post-Lecture questions: • How do you charge for Chemo waste? • What do you need to consider when determining the best billing method? • What are some key features not yet available in the oncology module?

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EDUCATIONAL PRESENTATIONS

Meaningful Use – 2014 and Beyond Session: 1031 Presenters: Heather Stocker Organization: Centura Health, Englewood, Colorado

Scheduled: Thursday May 29 at 10:00 am C/S

Abstract: Meaningful Use, and its achievement, has evolved significantly since its inception in the 2009 HITECH Act and even since its initial conception born before that. Achieving Meaningful Use of Electronic Health Records (EHRs) has become a paramount goal for both the majority of healthcare organizations and eligible professionals over the past five years. With the release of Stage 2 Meaningful Use requirements and pending Stage 3 and beyond proposals the topic is not one that clinicians or administrators alike can afford to disregard. This presentation will highlight not only the finalized Stage 2 requirements but also proposed modifications and implications that will be important to know for those attempting their attainment. Heather Stocker currently works on Special Projects for the Vice President of the IT Department with Centura Health. Her projects range from Affiliate Relationship Development and Project Management to Meaningful Use involvement and Care Management related project oversight. Ms. Stocker has extensive work in the healthcare industry with an intimate familiarity of Federally Qualified Health Centers (FQHCs) as well as vast experience working with and training around underserved and disparate populations. Ms. Stocker is the previous Director of Clinical Programming and Development for Colorado Community Managed Care Network, a Health Center Controlled Network organization, where she oversaw quality improvement efforts, the implementation of evidence-based clinical programs, electronic health record (EHR) template and reporting integration, Patient-Centered Medical Home, and Regional Extension Center efforts. Ms. Stocker lead Accountable Care Organization related efforts with the state’s initial edicaid pilot program, as well as oversaw initial efforts related to Meaningful Use work beginning in 2009. Ms. Stocker has a diverse professional background that includes having taught for over six years at Boise State University and has taught as an adjunct for the last two years at Colorado Technical University. She has almost twenty years of grant writing experience with having brought in close to ten million dollars in funding and over fifteen in project management and working at an executive level as an Executive Director of a non-profit organization and President of a small consulting business. Ms. Stocker was a member of the first graduating class from the University of Colorado Denver’s Nursing Department’s Masters Certification in Informatics. She earned a Masters in Counseling Psychology and Bachelor degree in Psychology at Gonzaga University in Spokane, Washington, in addition to her certification in Motivational Interviewing from Oregon Health and Sciences University. Learner Outcomes: • Summarize finalized Stage 2 requirements • Describe changes between Meaningful Use Stage 1 and Meaningful Use Stage 2 • Identify recommendations for Meaningful Use Stage 3 requirements Post-Lecture questions: • What is one of the significant differences between Meaningful Use Stage 1 and Meaningful Use Stage 2? • How do proposed Meaningful Use Stage 3 recommendations differ from previous Stages? • What are some implications of the proposed Meaningful Use Stage 3 recommendations for your organization?

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Session: 1032 Presenters: Carl Smith Organization: King's Daughters Medical Center, Brookhaven, Mississippi

Scheduled: Friday May 30 at 9:30 am

Abstract: The purpose of this session is too share experiences in leading an IT department for the past 20 years as it relates to keeping employees happy and productive. With all the new government regulations, IT departments are continuing to expand and grow in new areas. This makes it increasingly difficult to keep employees happy and reduce turnover within the department. Topics of discussion: • Make work meaningful • Meet regularly • Be a leader • Recognition program • Effective helpdesk • Governance • Eliminate giving out direct lines and cell numbers • Recognize burnout • Accountability • Customize duties; take advantage of strengths • Fight for your employees • Provide necessary tools • Involve staff in overall facility information

EDUCATIONAL PRESENTATIONS

The Secret of (IT) Happiness

Carl Smith is the Director of Information Systems for King's Daughters Medical Center. He has over 25 years IT experience with 20 being in a Director's role. King's Daughters is a 122 licensed bed facility with an IT staff of 10.

MPM 101: Tips & Tricks Session: 1033 Presenters: Jennie McWhorter Organization: Ephraim McDowell Regional Hospital, Danville, Kentucky

Scheduled: Wednesday May 28 at 11:00 am C/S

Abstract: This session will include helpful information related to the setup and use of Medical Practice Management (MPM / LSS). Some areas of discussion will be user setup, equipment, access issues, desktop configuration, Rx refill requests, invalid tasks, incorrect documentation, and other miscellaneous discussion points. Jennie McWhorter began working at Ephraim McDowell Health in 2006 and has worked with MEDITECH since day one. She was involved in the setup, training, and implementation of LSS. They currently have 11 clinics (over 40 providers) live with the system with another clinic to come onboard beginning in February of 2014. Eligible professionals at all the clinics have met Stage 1 Meaningful Use; preparations to meet Stage 2 requirements have begun.

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EDUCATIONAL PRESENTATIONS

The CPOE Journey: From Inception to Implementation to Successful Early Adoption Session: 1035 Presenters: Amber McGreevy Organization: Henry Mayo Newhall Memorial Hospital, Valencia, California

Scheduled: Thursday May 29 at 11:00 am C/S

Abstract: Henry Mayo Newhall Memorial Hospital (HMNMH) successfully implemented house-wide inpatient CPOE/Order Sets. In preparation for Go-Live, the interdisciplinary Order Set Team built over 190 evidenced based order sets, reconciled over 70 existing electronic order sets, and revised hundreds of electronic lab, diagnostic, nursing, and consult orders for ordering from a physician perspective. In this session, we will discuss our CPOE journey from the beginning to the successful physician adoption and use of our Order Sets. We will review the importance of our physician champions, our pharmacy build, Lab/Diagnostic build, training, open house sessions, and the obstacles we encountered along the way. Amber McGreevy, RN, BSN, is a Clinical Informatics Project Manager for inpatient applications at Henry Mayo Newhall Memorial Hospital, a238-bed facility in Valencia, CA. She led the interdisciplinary Order Set Team, along with the inpatient Order Set Physician Champion. Learner Outcomes: • How to build appropriate, evidence-based orders from a physician perspective. Specifically, lab and diagnostic orders that reflex clinically relevant orders • How to build evidence-based order sets that integrate with physician documentation, nursing interventions, and clinical decision support measures • How to successfully obtain physician feedback for the Order Set build and how to train to the use of electronic order entry. Specifically, order set open houses and individual physician training provided. Post-Lecture questions: • What key roles should be involved in order set build development? • What is key to a successful CPOE implementation? • What is a key process in the order set build?

Unplanned Downtime – It's Not Going to Happen to Us, But it Did! Session: 1036 Presenters: Mary Lou Schmulbach Organization: Memorial Hospital, Belleville, Illinois

Scheduled: Thursday May 29 at 10:00 am

Abstract: Our facility experienced an unplanned downtime that lasted 12 days. We had downtime plans that we thought would work but were not realistic for an extended downtime. Once the system was released we were back with an electronic EMR in both our facilities within 39 hours. We would like to share how we did it and how you can prepare should this every happen to you. Mary Lou Schmulbach, MSN is a registered nurse with 43 years nursing experience and 12 years of experience in informatics. She is a Certified Nurse Executive and is currently Director of Clinical Informatics – a relatively new department for the organization which is a Magnet facility.

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Session: 1037 Presenters: Dr. Patrick Sankovitz Organization: Centura Health, Englewood, Colorado

Scheduled: Thursday May 29 at 9:00 am

Abstract: Centura Health is the largest healthcare system in the state of Colorado and is fully integrated on MEDITECH client-server platform (5.66). Centura Health completed a 20 month roll-out of CPOE and Provider Documentation in all 14 of its facilities in 2013. It completed the 5.66 implementation, including the multidisciplinary discharge routine, in late 2013. This presentation will provide guidance on preparing and implementing both mandatory and voluntary training systems to prepare providers of varying technical skill to competently manage the health information system.

EDUCATIONAL PRESENTATIONS

Provider Training: Sisyphus Only Had to Push a Rock

Participants will: • Receive an overview Centura’s approach to training, including descriptions of our preparations, methodologies and outcomes. • Learn about what worked for Centura and what did not. • Learn about face-to-face training and web-based training. • Explore engagement strategies that can help with training and with sustaining competency. • Join in the dialogue, including the challenges of training, the debate over mandatory training and consideration of end-user certification of competency. Dr. Patrick Sankovitz is a Physician Director of Informatics for Centura Health, a 15-hospital system in Colorado and Kansas which also has seven senior living communities, medical clinics, affiliated partner hospitals, FlightForLife Colorado, and accountable care communities. Centura, the region’s health care leader, is focused on connecting Colorado and Kansas to affordable, world-class care. All of the Centura hospitals have either achieved HIMSS Stage 7 or Stage 6 certification. Dr. Sankovitz is a Family Physician who practiced for many years in academic medicine, followed by six years as Chief Medical Officer for a Centura hospital. He earned an undergraduate degree in Biomedical Engineering from Marquette University and his medical degree from the University of Wisconsin.

2014 International MUSE Conference

DALL AS, TEXAS MAY 27-30

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EDUCATIONAL PRESENTATIONS

Physician Engagement: One Doc at a Time Session: 1038 Presenters: Dr. Patrick Sankovitz Organization: Centura Health, Englewood, Colorado

Scheduled: Thursday May 29 at 11:00 am

Abstract: Centura Health is the largest healthcare system in the state of Colorado and is fully integrated on MEDITECH client-server platform (5.66). Centura Health completed a 20 month roll-out of CPOE and Provider Documentation in all 14 of its facilities in 2013. It completed the 5.66 implementation, including the multidisciplinary discharge routine, in late 2013. We will discuss our experience of physician engagement in this context. We will review strategies and tactics for engagement that support and maintain physician commitment to a successful patient-centered EMR. We will review key preparatory steps, methodologies and outcomes. In addition, we look forward to passing along pitfalls, regrets and lessons learned. • • • • •

Learn to plan the strategic and tactical elements of physician engagement. Learn common techniques, tricks and pearls that initiate, engage and sustain physicians in the context of EMR adoption. Learn common pitfalls and mistakes to avoid. Learn to integrate EMR functionality with medical staff bylaws, rules and regulations. Learn how to establish a sustainable IT-positive medical staff community

Dr. Patrick Sankovitz is a Physician Director of Informatics for Centura Health, a 15-hospital system in Colorado and Kansas which also has seven senior living communities, medical clinics, affiliated partner hospitals, FlightForLife Colorado, and accountable care communities. Centura, the region’s health care leader, is focused on connecting Colorado and Kansas to affordable, world-class care. All of the Centura hospitals have either achieved HIMSS Stage 7 or Stage 6 certification. Dr. Sankovitz is a Family Physician who practiced for many years in academic medicine, followed by six years as Chief Medical Officer for a Centura hospital. He earned an undergraduate degree in Biomedical Engineering from Marquette University and his medical degree from the University of Wisconsin. Learner Outcomes: • Identify five fundamental elements of engagement strategy. • Understand techniques of engagement through all phases of IT implementation. • Identify 10 common mistakes made in physician engagement. Post-Lecture questions: • What are the likely character types you will meet while engaging physicians in the setting of IT transformation, and how do these types help you with change management? • What is a foundational technique of change management, regardless of the phase of transformation? • What is the “Never Event” of IT Transformation?

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Session: 1039 Presenters: Christina Lim Organization: Bridgepoint Health, Toronto, Ontario

Scheduled: Wednesday May 28 at 1:30 pm

Abstract: In 2006, Bridgepoint Health made the decision to use MEDITECH as its primary HCIS clinical and business application. Since then, we have used MEDITECH as primary data source for over 14 modules such as ADM, PCS, HR, PP, GL, and BAR. These MEDITECH modules are the backbone of our corporate data mart that pulls data from MEDITECH and generates reports that are published to our reporting portal and viewed by our stakeholders/end users. With such an abundance of data available to our users, it is essential that we keep in mind three important aspects of the data service: Integrity, Security, and Availability. To do this, the aspects were broken apart and addressed through three separate projects: The data repository “water tank” project, the Securities Access Management (SAM) project, and the Downtime Procedures project.

EDUCATIONAL PRESENTATIONS

Business Intelligence Using a Data Farm

These three projects combine to account for all of the steps involved in gathering data and providing it to the end users with a high level of security and accessibility. The overall product is likened to a dairy farm producing milk for consumers. The process starts with the cows, who produce milk for the farmer, who sells the milk to a grocery store where it gets stored in a warehouse before finally being sold to a consumer who wants to turn his captain crunch from a crispy corn starch pellet of mouth tearing blades into a nice, soggy, milky breakfast that is more fit for dessert. With MEDITECH at the centre, each data project represents a step along the process of supplying “the milk” (our data) to “the consumer” (our end users). The first block in the structure is the data repository. Using a newly implemented data repository, our data is available to us in the form of a “water tank”, so called because the data is always available for us to siphon from while the system continually fills the tank with data from our MEDITECH system. This ensures that all data is up to date and available and provides a sense of comfort and peace of mind that comes with the software taking control of our data extraction requirements. This project provides the integrity of our data package. Our data is frequently downloaded and updated to synchronize every 30 minutes with MEDITECH data. This allows our reporting system to be as close to real-time data as is feasible. Now that our data is available, it is essential that the proper access is granted to our users. It is also important that our patient’s information is being used properly and by the right people who should have access in order to care for the patient. There are many layers of security within our reporting structure. These layers are there to ensure that the correct access to information is given to each individual staff member. On our reporting portal, users are only able to see select reporting folders based on their position and department within Bridgepoint Health. Within those folders are reports that also have a level of security imbedded within. If a user is in charge of a department, they are only able to see information related to that department. For example, the Director of Information Management cannot see information related to Environmental Services. We have also implemented a Securities Access Management project which takes information from the MEDITECH logs, uploads it to our corporate SQL databases and processes it to send out notifications when user’s activity may be suspect. Some criteria we have established are when Registered Nurses and Registered Practical Nurses access patient information for a patient who is not currently on their unit or if a nurse accesses patient information from someone who has their same last name. These instances are investigated accordingly. This is done to ensure that MEDITECH users are using the programs and the data available to them in the right way, and also serves to protect patient information. The final piece of the puzzle is to ensure availability of the data for our end users. Once we have established the source of data, and ensured the users have access to the data that is relevant to them, we must ensure that end users will have access to that data any time, day, evening and night. This is no problem under normal circumstances; everyone does this all the time. However, in the event of unplanned downtime, where we are unprepared to provide important patient information such as Lab orders and recent documentation through the MEDITECH system where it is normally available, we need a system that can still deliver as close to real-time information as possible. Current state is when unplanned downtime occurs clinicians on the nursing units utilize manual documentation procedures and forms which are later entered into MEDITECH once downtime is over. They are unable to view any data related to lab orders, results or recent documentation. To resolve this issue we have designed a downtime procedure that incorporates our existing data repository and our online reporting portal to make the most up to date as possible data available even when MEDITECH systems are down, or even in the event of a power outage. The required reports are routinely, every 30 minutes, downloaded from MEDITECH and distributed to the hard drives of work stations on the clinical units. These workstations have emergency power or access to emergency outlets that allow them to access these reports even in the event of a power outage. This ensures that the clinical units experience as little loss of effectiveness as possible even when our systems are in downtime. The combinations of these three aspects of delivering information are what define our data farm. We have consistent data flow and storage, appropriate access and constant data availability. MEDITECH is the driving force behind the functionalities of the each piece of machinery. The centralization of all data modules is what makes this data farm possible and allows us to fully customize and implement our business logic to suit end user’s needs. Christina Lim is a former ICU RN with a Master of Nursing Degree from the University of Toronto, with a focus on Nursing Administration. She is currently the Director of Clinical Informatics Services and Support at Bridgepoint Active Healthcare in Toronto, Ontario Canada. She has been involved in large-scale corporate-wide clinical informatics projects including full migration to 6.0 platform, and roll-out of various MEDITECH modules and applications. Christina has extensive clinical management and program planning management experience in other acute care organizations as an Inpatient Surgical Manager, Outpatient Bariatric Program Manager and Outpatient Rehabilitation and Regional Evaluation Centre Manager, along with previous clinical educator experiences in acute cardio-respiratory and general internal medicine. Jerry Shao, Manager, Business Intelligence and Data Quality Matthew Inch, Data Analyst Benny Kayaniyil, Applications Specialist

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EDUCATIONAL PRESENTATIONS

Think Big and Integrate: From Parallel Silos to Integrated Electronic System for Staff Scheduling, Human Resources, and Payroll Session: 1040 Presenters: Roxanne Cain, Camille Thomas, and Sheryl Bernard Organization: Ontario Shores Centre for Mental Health Sciences, Whitby, Ontario

Scheduled: Thursday May 29 at 2:30 pm

Abstract: Ontario Shores is the only organization to fully integrate the Staff Scheduler module, with the Human Resources and Payroll module in MEDITECH 6.06. We will demonstrate how we support a fully centralized scheduling and staffing process that interfaces with human resources and payroll. Ontario Shores Centre for Mental Health Sciences is a 329- bed public hospital in Whitby, Ontario that provides a spectrum of specialized assessment and treatment services to those living with complex and serious mental illness. Employing over 1,200 staff, Ontario Shores is committed to providing excellent patient care, ongoing learning and maintaining a safe, respectful and positive environment. We will provide our history prior to MEDITECH and share previous methods used to support our HR, Payroll and Staffing processes. Additionally, we will briefly describe the parallel silos that were used for HR, Payroll and Staffing and scheduling and share how the inefficiencies contributed to duplication and multiple hand-offs. We will take you through our implementation journey, while highlighting the challenges and lessons learned. Pros and Cons of the system will be noted while demonstrating creative strategies we put in place to ensure that customization and streamlining of our HR, Payroll and staffing and scheduling processes were appropriate for our unique work environment. We will go through the various modules we have adapted through MEDITECH in order to streamline our HR, Payroll and Staffing and scheduling practices. We will demonstrate how the system is interlinked. We will share the various reports that are used to capture HR requirements, new staff, transfers, staffing levels, patterns, scheduling templates and payroll timecards. Plus, learn about the system from a users’ perspective; likes vs. dislikes; and efficiencies gained. With over 15 years of experience in the healthcare field, (11 years’ experience in staffing and scheduling), Roxanne Cain is knowledgeable in the implementation and maintenance of staffing and scheduling practices and policies. Her work experience has been obtained through her various staffing and scheduling work obtained through her experience working with two major hospitals as well as the various work she does in her staffing and scheduling consultant business. Currently she is the Clinical Manager of the Nursing Relief pool and the Centralized Scheduling and Staffing Office (CSSO) at Ontario Shores. Roxanne has been instrumental in developing staffing and scheduling processes, that have helped the Clinical Managers in ensuring that each units staffing and scheduling practices are in alignment with the units approved budgeted numbers, as well as adhering to the staffing and scheduling policies and procedures. Roxanne has been very successful in ensuring that her team provides effective and excellent customer service and patient care to Ontario Shores. Camille Thomas is an experienced Human Resource Consultant having extensive exposure to areas of Recruitment, Training, Compensation & Benefits, Negotiations, Pay Equity, Employee & Labour Relations, and re-organization. She has over 17 years of extensive top-level exposure functioning in areas that include both the public and private sectors. Camille has been instrumental in the development of the Human Resources module in MEDITECH, including customizations to meet the needs of the organization. She continues to look for opportunities to improve the Human Resources services and processes to meet the needs of the organization. Sheryl Bernard is a registered nurse and a Certified Health Leader with clinical and administrative experience across various healthcare sectors. Her current role is Director at Ontario Shores for the Geriatric and Neuropsychiatry Program, Centralized Scheduling and Staffing Office (CSSO). She has served as Corporate Lead for Clinical Informatics and has led the design and build of CSSO. She was an active member of the Expert Panel and Design Teams for the groundwork of the Regional Specialized Geriatric Services (RSGS) and further contributes to the transformational change for RSGS and various LHIN projects. Sheryl is an Adjunct Professor, Health Sciences Faculty, University of Ontario Institute of Technology and a PhD student, Health Administration and Health Policy at D’Youville College. Her passion to advance integration of services across primary, tertiary, home and acute care sectors demonstrates her drive for system collaboration, advocacy for nursing, capacity building and dedication to an improved health system. She is a skilled administrator and change agent who is recognized for leadership, passion and advocacy on behalf of health care practitioners, patients and the community.

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Session: 1041 Presenters: Ryan Ellerton Organization: Halifax Health, Daytona Beach, Florida

Scheduled: Thursday May 29 at 2:30 pm C/S

Abstract: Learn how we shortened our scheduled reboots from 2 hours to 30 minutes and scheduled patching from 3.5 hours to 1.5 hours. Topics: • Historical overview of server configuration and reboot procedures • A 95% Virtual environment o Getting there o Virtual environment overview o Impact on boot times/system performance • Automating background job clients o Pitfalls o Benefits o Reboot/Patching Process • Making EMR data available during scheduled and unscheduled downtimes

EDUCATIONAL PRESENTATIONS

Minimizing Downtime – Scheduled MEDITECH Reboots in 30 Minutes

Ryan Ellerton is a Senior Business Analyst for Halifax Health in Daytona Beach, Florida supporting MEDITECH MIS, EMR and technical operations as well as other vendor integration and multiple other enterprise application.

MEDITECH Data Repository – The Possibilities are Endless! Session: 1042 Presenters: Ross Stolle and Brandon Niewenhuis Organization: Avera Health, Sioux Falls, South Dakota

Scheduled: Wednesday May 28 at 2:30 pm

Abstract: As a hospital with the DR, we did as most people did; we turned it on then wondered what to do with it and how to do it. Once we were tasked with HAVING to use it, we found that the possibilities of what we could do out of the DR were endless. Since that revelation, the DR team at Avera has been churning out some of the most useful reports we've ever seen. And even more exciting, we've created tools. Useful tools! Some of the things we plan to show you in our presentation are: • Job Tracker • Patient Portal E-mail Notification • Physician Patient Handoff • Physician Scheduling Notification • Materials Tracker • ... and more! Plus, we will discuss how we have streamlined our intrastucture at Avera through replication of the DR. So, come open minded to the possibilities of the DR and bring your ideas! Ross Stolle is the Manager of the Integration Team at Avera Health. He has 19 years of experience in IT at Avera, ranging from a Systems Analyst, Integration Engineer and Manager of the Integration Team. Brandon Niewenhuis is an Integration Engineer with 15 years of experience in healthcare IT. His extensive knowledge of the MEDITECH data, along with his exceptional SQL knowledge has helped the Avera Data Repository become what it is today.

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EDUCATIONAL PRESENTATIONS

Standardizing Across Multiple Facilities Session: 1043 Presenters: Juliann Johnson and Maria Coughlin Organization: Avera Health, Sioux Falls, South Dakota

Scheduled: Wednesday May 28 at 1:30 pm C/S

Abstract: Join us for a journey of standardizing across multiple facilities. We worked with physician review teams to standardize order sets and Pdoc templates, and engaged nurses, quality officers, and analysts to standardize assessments. Learn about our standardization successes across many facilities of varying sizes. Juliann Johnson, RN worked in the ICU for four years, and then worked as an EMR analyst for over four years, and is now a Clinical Systems Manager for the Nursing, Pharmacy and Ancillary team. Maria Coughlin, RN worked in the ICU as an RN for three years, and then moved to the clinical educator position for three years. After time working as a systems analyst, she is now the Clinical Systems Manager for the Physician Services team. Learner Outcomes: • Understand what standardization is • Understand why it is important • How to begin the process Post-Lecture questions: • Were you able to understand the purpose of standardization from this presentation? • Were you able to understand how to get started? • Were the speakers easy understandable and helpful?

It's Not Easy Being Green: Leapfrog Testing Your EHR Session: 1044 Presenters: Lorraine Souza and Becky Peery Organization: Centura Health, Englewood, Colorado

Scheduled: Thursday May 29 at 9:00 am C/S

Abstract: This presentation will give an overview of what Leapfrog testing is all about. The presentation will provide some examples of testing and how a hospital system analyzed their results and used the results to make a better EHR at their facilities. Lorraine Souza is the IT Director of Clinical Systems for Centura Health a role she has held for nine years. She manages the physician, nursing and ancillary, Lab, Pharmacy, OR, ED, ONC and QM MEDITECH staff and their associated applications. She has been in IT healthcare for 25 years and previously was an IT professional in various other industries. Lorraine is passionate about improving healthcare through safer and more intuitive system utilization. Rebecca (Becky) Peery, RPH is a licensed pharmacist who has 25 years of experience in hospital pharmacy. She was integral in implementing the MEDITEVCH Client Server modules, BMV, PCS eMAR, and PHA for Centura in 2006. In 2011, she migrated to a clinical PHA IT Team Analyst role with Centura where she led the standardization of the formularies and processes for CPOE across the 13 Centura hospitals. She just recently has become the PHA IT Manager for Centura with hopes of facilitating pharmacy becoming more integrated in all the hospital clinical systems.

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Session: 1045 Presenters: Greg Hartman Organization: Avera Health, Sioux Falls, South Dakota

Scheduled: Wednesday May 28 at 1:30 pm C/S

Abstract: This presentation will provide an overview of the implementation of the discharge routine in CS 5.66. Specifics will include current to future state process mapping, setup for different discharge dispositions i.e. swing bed, rehab, home. The process developed met the needs of a large tertiary hospital (over 400 beds) to a 25-bed critical access facility in a standardized fashion. Greg Hartman RN, BSN is a clinical informaticist at Avera. He has five years of nursing experience and has been in clinical informatics the last two years supporting multiple client server installations/implementations. Greg currently represents Avera on the MEDITECH Nursing Advisory Board.

EDUCATIONAL PRESENTATIONS

The Discharge Routine Rodeo

Safe Medication Practices – From Receipt in the Pharmacy to the Patient Bedside; Compounding, Downtime, and Beyond Session: 1046 Presenters: Charles Still Organization: Southwestern Vermont Medical Center, Bennington, Vermont

Scheduled: Thursday May 29 at 2:30 pm

Abstract: This presentation will highlight the necessary hospital workflows and processes from the receipt of medications in the pharmacy to their eventual administration at the bedside. Specifically we will speak to: • The challenges of constant NDC Dictionary Maintenance and solutions via o Barcode scanning upon receipt o Barcode scanning to ADC fill o Barcode scanning at the patient bedside • • • •

Positive Patient Identification enhancements with 2D Barcode direct printing from MEDITECH Prescription Verification Scanning Downtime Medication Administration Safety and HIPPA Security Challenges - Making data both available and secure during a system outage. The appropriate use of Color Coding in IV and other Pharmacy Labels - Printing color coded pharmacy labels direct from MEDITECH.

Charles Still is an Information Systems Project Manager at Southwestern Vermont Healthcare and founder of the software company PatientSafeRx.com. He was part of the team presented with the 2011 Waypaver Award for Bedside Barcoding. His work has been published in the Journal of Healthcare Information Systems and Patient Safety and Quality Healthcare. His 2011 HIMSS International BPOC presentation was awarded the "best educational session of the conference" by Mr HIStalk. He has presented at numerous conferences in the US, UK and Canada. Charles serves as the Dean of Programs for the UnSummit University series of Monthly Web Education events on BPOC. Learning Outcomes: • Identify safe medication practices that will enhance patient safety. • Assess current hospital practices and identify improvements to increase their effectiveness. • Identify key patient confidentiality requirements of the HITEC act and HIPAA. • Identify measurement criteria and reporting strategies to foster continuous improvements. • Implement a secure and useable downtime medication administration safety strategy. Post-Lecture questions: • What are specific steps you can bring to your organization to enhance patient safety? • What has actual clinical environment research told us regarding patient safety systems, and their impact on patient care? • Is my organizations downtime strategy adequate?

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EDUCATIONAL PRESENTATIONS

Change Control Approval Process Session: 1047 Presenters: Apryle Jefferson Organization: CHRISTUS Health, Englewood, Colorado

Scheduled: Thursday May 29 at 3:30 pm

Abstract: This session will focus on the Change Control process. You will learn how we have incorporated the ITIL (Information Technology Infrastructure Library) process into MEDITECH’s Change Control request for approval. See the process we follow for allowing MEDITECH to work in our TEST and LIVE environment. Understand how we work with our business owners and leadership team to obtain approvals prior to post Change Control, this process provides visibility to what’s being done and minimizes outages and downtimes which impacts our hospitals, key departments and the user community.

MEDITECH Client Server Virtualization Session: 1048 Presenters: Shecara Goodrum Organization: CHRISTUS Health, Houston, Texas

Scheduled: Wednesday May 28 at 2:30 pm C/S

Abstract: This session topic will cover the benefits of virtualizing a MEDITECH Client Server environment and the roadmap taken. The roadmap to virtualizing a MEDITECH C/S environment is a collaborative effort that has the ability to significantly improve the end user experience. A glimpse of our past, our present and potential for the future will be presented. Further discussion will take place on the planning and multiphase approach used to make this huge undertaking a success. Finally, additional topics on improved system performance, cost savings and lessons learned will each be covered.

Uncover the Power of Automation Session: 1049 Presenters: Tim Fail and Joe Austin Organization: Wayne Memorial Hospital, Goldsboro, North Carolina

Scheduled: Friday May 30 at 10:30 am

Abstract: Automation…“A term coined about 1946 by a Ford Motor Co. engineer, used to describe a wide variety of systems in which there is a significant substitution of mechanical, electrical, or computerized action for human effort and intelligence.” We are always searching for a better way of accomplishing daily tasks and we think we have found the “Golden Egg”. No need to reinvent the wheel when you can follow in our footsteps and learn how to build a process to automate mundane daily tasks while allowing your staff to concentrate on more important issues. We will present which items we currently automate as well as the process we use from start to finish. If nothing else stop by and see how automation keeps our dictionaries matching between Test and Live. YES, you heard that correctly....we have a process that keeps our MEDITECH dictionaries matching between Test and Live! This presentation is geared toward all audiences and can be leveraged across all MEDITECH platforms. Tim Fail is a Sr. Financial Analyst at Wayne Memorial Hospital, Goldsboro, N.C. He started working with Magic in 2002, converted to 6.x and been supporting 6.x since 2008. He supports the financial departments and implements third party vendor software that interacts with these departments and MEDITECH. Joe Austin is an integration analyst at Wayne Memorial Hospital, Goldsboro, N.C. with over six years of experience as an HL7 programmer, five years of experience with SQL and automation technology products. Prior to joining Wayne Memorial Hospital, Joe worked as an air traffic controller and MICRO EARTS Programmer with the United States Air Force for 21 years.

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Session: 1050 Presenters: Heather Crouch Organization: East Tennessee Children's Hospital, Knoxville, Tennessee

Scheduled: Friday May 30 at 9:30 am

Abstract: No one realizes the impact of computerized documentation until it is occurring in real time. The computer can be intimidating to staff, leading to sub-standard documentation. This is something that must to be overcome. Pen and paper are gone. The computer can provide more information than pen and paper ever could. It’s up to the builders and the users to make the computer give the output that is needed. However, the output is only as good as the information inputted. It was obvious after unofficial chart reviews that staff needed reminders of critical documentation measures. Through audits, staff suggestions, hospital policies, and regulations numerous changes and improvements have occurred since implementing computer documentation in the Emergency Department in August 2011. Some examples of the changes that have been made are: the Tracker has been updated to alert staff when certain documentation hasn’t been completed in an appropriate amount of time; certain assessments have been combined to one intervention to decrease clicks and improve the consistency of asking specific questions every time; certain items have been set as required so that staff cannot complete the intervention until the assessment questions have been answered; selected interventions have been added to the discharge screen so that the patient cannot be discharged until the assessments are addressed.

EDUCATIONAL PRESENTATIONS

Computer Documentation: It’s the New Pen and Paper

In order to see if improvements have been successful, monthly audits are completed by staff. They are given the documentation expectations and policies to ensure these are being followed. Seven different categories are audited: triage category, triage protocol implementation, rounding, pain documentation, documentation of IV insertion, documentation of maintain the IV site, and documentation of discontinuing the IV. The lowest category when we began was documentation of maintaining an IV site at 0%. While it remains the lowest documentation percentage it has improved to 60%. Required competencies occur monthly and have included staff participation in documentation and computer use. Heather Crouch received her BSN from East Tennessee State University in May 2002. She has worked at East Tennessee Children's Hospital since June 2003. She began as a staff nurse in the float pool working throughout the hospital. In November 2003, Heather was offered and accepted a staff nurse position in the Emergency Department where she has worked since. During the last 10 years, she has worked as a staff nurse, charge nurse, Assistant Nurse Manager, and currently, ED Informatics Nurse. Heather began working with informatics in fall 2004 when she was asked to participate in the implementation of the Tracker. In spring 2010, she was asked to participate in the migration the system to MEDITECH 6.0. She has continued working with informatics since spring 2010, and is currently pursuing my MBA in Healthcare Informatics at Southern New Hampshire University. Heather has participated with implementing the Emergency Department Nursing Documentation, Provider Documentation, Computerized Provider Order Entry, E-prescribing, Meaningful Use, ARRA, Patient Portal, and IMO. She works daily with the IT department and other ancillary departments across the hospital to improve the efficiency of the system for everyone that encounters the system.

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EDUCATIONAL PRESENTATIONS

Community Wide Scheduling in the OR? Is it Possible?! Session: 1051 Presenters: Katie Jarick and Gary Praznik Organization: Georgian Bay General Hospital, Midland, Ontario; Beacon Partners

Scheduled: Wednesday May 28 at 2:30 pm

Abstract: With constant changes in the healthcare industry, how do healthcare organizations implement and sustain technology when budgets and resources are being reduced? This session will illustrate how the Georgian Bay General Hospital was the first healthcare organization to implement Community Wide Scheduling (CWS) in an OR setting. During this session, you will learn to: • • • • •

Improve the productivity of the Operating Room through use of electronic scheduling tools. Improve the usefulness and accuracy of CWS to support clinical quality reporting. Improve the ability for users to analyze data and create custom reports. Provide active staff physicians with information that will improve physician satisfaction and retention. Deploy a tool that consolidates clinical (patient) information, resource information, and administrative information of use/value to physicians, corporate initiatives and patients.

Attendees will be able to recognize the creative approach used in scheduling Operating Rooms with available MEDITECH applications and resources through: Standardization of booking process • Improved ability to predict and manage activity • Track utilization of physical and human resources (physicians, equipment, staff) • Automated data collection – add-ons, volumes by department and procedure, utilization, wait times Katie Jarick RPN is the Application Specialist/Wait Time Coordinator at Georgian Bay General Hospital. Katie has 16 years of healthcare experience, with a primary focus of acute care. Her informatics career began in 2011. Her experience of implementing Community Wide Scheduling and support of a wide range of MEDITECH modules allows her to be a very diverse Informatics Specialist. Gary Praznik, Associate Practice Director, Beacon Partners Inc.

6.X Rules, or How to Make it Harder to Make Mistakes Session: 1052 Presenters: Chris Burke Organization: Cornerstone Advisors

Scheduled: Wednesday May 28 at 2:30 pm

Abstract: Incorporating regulatory agency requirements into clinical software can be a significant challenge. In this presentation the application of custom built rules in MEDITECH 6.X to evaluate criteria and perform a wide range of functions is discussed. The focus is on rules in PCS and OM, but other creative rule applications are included as well. PCS examples include requiring queries based on other query responses, preventing documentation from being saved unless other documentation has been saved previously, limiting recall of documentation to only the users own documentation, limiting recall to a specified time frame and calculating simple and complex values. OM examples include calculating values in Customer Defined Screens in OM, defaulting in values based on patients OM Location, making fields editable or required based on OM location, requiring or skipping queries based on other queries, and preventing an order from being placed more than once. We will also review the use of rules in the PCS discharge forms and converting medications on discharge. Attendees can take advantage of “lessons learned”. In addition, several rule examples that have been successfully implemented to support and guide clinical staff members with decision making tasks during documentation and order entry will be demonstrated. Chris Burke is a Senior Consultant at Cornerstone Advisors. Previously he has worked as an ICU staff RN for 18 years and became involved in Informatics as his hospital transferred from paper to electronic documentation. Chris was part of the initial build team for the MEDITECH PCS implementation and transitioned into the hospital IT department as a Clinical Analyst. He was involved in many aspects of the advanced clinical processes, participating in the build and Go-Lives for many projects, among them PCS, CPOE, EMAR/BMV, Medication Reconciliation and the patient portal.. Learning Outcomes: • Have a better understanding of how to use rules to support and guide clinical staff members with decision making tasks during documentation and order entry • Improving compliance and accuracy of regulatory agency requirements related to documentation and order entry • Expand knowledge of the options and limitations of rules in different modules Post-Lecture questions: • Where are PCS rules attached to documentation? • Where are OM rules attached to orders? • True or false: Result queries are the only type if queries that can have values defaulted in?

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Session: 1053 Presenters: Jennifer Miller Organization: SISU Healthcare IT Solutions, Duluth, Minnesota

Scheduled: Thursday May 29 at 9:00 am

Abstract: Using MEDITECH acute and ambulatory products (previously known as LSS) from “cradle to grave” as advertised takes a lot of in-depth knowledge. Whether you are entering RXM medications from EDM, EMR, PWM or PCM, the screens work differently and have unique errors and concerns. Yet your patients and providers need all that information to integrate smoothly, especially to meet meaningful use thresholds. SISU shares the challenges and solutions they’ve addressed in getting hospital and clinic medications in RXM to integrate. We share which approaches work best if you’ve had RXM for years and need to clean up, or are implementing from scratch. We include tips on how the new 5.66 functionality such as common medication lookups, the new continue from ambulatory screen, and the discharge routine impact RXM drug usage and troubleshooting.

EDUCATIONAL PRESENTATIONS

5.66 CS RXM Integrated Acute and Ambulatory Medications

Jen Miller has been with SISU since 2010 and has over 11 years of healthcare and IT experience. Jen is a MEDITECH acute and ambulatory clinical analyst at SISU. She focuses on implementing and supporting the ambulatory modules: MPM, APR/EAR, PWM, AOM, and acute modules: EMR/PCI/EPS, PCM, PDoc, POM, OE, and RXM. She has extensive experience integrating these modules with PHA, LAB, ITS/RAD, and BAR modules. She is the lead 6.0 subject matter expert for OM to prepare SISU for the future. She is the lead RXM analyst helping clean up and maintain RXM for e-prescribing, CPOE, discharge, and meaningful use projects. Prior to joining SISU, Jen was a clinic manager and worked for LSS Data Systems as a project manager of clinical products. She has supported, implemented, and trained sites using MEDITECH, LSS Data Systems, Centricity, Allscripts, NextGen, eClinicalWorks, and Epic software. She is NextGen certified. She has her masters in training and development from the University of St Thomas. Learning Outcomes: • An understanding of exactly where within MEDITECH acute and ambulatory RXM is being used • An understanding of how this setup directly impacts meaningful use objectives for acute and ambulatory • At least 1 “don’t do this or it will result in this problem” take away on RXM drug and access build Post-Lecture questions: • What will happen if I leave a drug in RXM as “Link to FSV = N”? • What will happen if I leave days on drug strings for RXM? • How do I create my own drug but also have it linked to the FSV?

Can You Recover Your Data? MEDITECH Best Practices for Backup and Disaster Recovery Session: 1054 Scheduled: Wednesday May 28 at 1:30 pm Presenters: Frank Tollefson and Chris Welch Organization: Inland Northwest Health Services (INHS), Spokane, Washington; BridgeHead Software Abstract: With several data loss events in recent history and the increasing reliance on MEDITECH systems within hospitals, we feel data protection is of increasing importance. We will share the current best practices for a robust and mature MEDITECH backup and disaster recovery solution based on INHS’ past 20 years of operating a large multi-hospital MEDITECH system. The speakers will share what INHS is currently doing to provide a high level of protection for their systems and also discuss similar strategies and approaches to providing a highly available and recoverable environment with up times measured in years rather than weeks or months. Frank Tollefson, Manager Server Systems, has worked for more than 10 years at INHS. He manages a team of 11 Engineers. Frank earned an AAS in Electronics Engineering, and has numerous industry certifications: VMware VCA-CLOUD, VCA-WM, VCA-DCV, VCP5-DCV and VCP41 - Microsoft MCSE and MCP. Frank has been working in IT for over 20 years with over 17 years supporting healthcare and financial customers.

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The Cloud – Moving Beyond Traditional Tape for Backup and Local Archive Session: 1055 Scheduled: Thursday May 29 at 10:00 am Presenters: Chad Skidmore Organization: Inland Northwest Health Services (INHS), Spokane, Washington; BridgeHead Software Abstract: With data growth increasing exponentially due to increasing regulatory requirements as well as a desire to retain data for longer term analytics, many MEDITECH customers are finding their storage budgets strained. With this increasing data growth in an overall MEDITECH system as well as Scanning & Archiving and Data Repository specifically, many customers are finding their backup windows to be inadequate and their need for storage increasing at a rapid rate. INHS feels that cloud-based solutions to replace traditional offsite tape storage in addition to cloud-based archive help provide a more robust solution. We will present a cloud-based approach to meeting these needs which is HIPAA compliant and also discuss how it is being used by some early customers. Chad Skidmore, Director of Network Services for INHS, is responsible for all data centers, server systems, storage systems, and network connectivity for INHS. Mr. Skidmore and his team operate the foundation systems for INHS’ Information Resource Management Division which, under his leadership has experienced significant infrastructure and customer growth in the past six years. His department manages over 1200 servers across multiple data centers supporting healthcare customers throughout the United States. Mr. Skidmore joined INHS in 2005 from the telecommunications industry where he spent 15 years in various roles including management, business development, engineering, operations, and product development. Prior to INHS Mr. Skidmore was the President and COO of a Spokane Washington based Competitive Local Exchange Carrier, OneEighty Networks, providing advanced data services throughout markets in Washington, Idaho, and Oregon. Mr. Skidmore brings a strong entrepreneurial background to his role with INHS as well as many years of experience in a highly competitive and highly regulated technology business. Mr. Skidmore also volunteers with a regional non-profit, all volunteer Mountain Rescue team based in Spokane Washington and is currently a board member and former President of that organization. Mr. Skidmore, along with his wife, son, and daughter, has been happy to call Spokane home for the past 21 years.

Patient Portal – Success! It's Up; It's Implemented, So Where are the Patients? Session: 1056 Presenters: Marcia Cheadle Organization: Inland Northwest Health Services (INHS), Spokane, Washington

Scheduled: Thursday May 29 at 11:00 am

Abstract: Patient Engagement through portals is a requirement for hospitals. Meeting this requirement however has proved to be a bit more challenging than anticipated. This session will share experiences and lessons learned, with hopes of providing a guide for your journey through these newly defined roles for facilities of all shapes and sizes. Sharing detailed work streams required for a successful portal implementation targeted to meet ARRA requirements for 2014 Stage 1/Stage 2. Topics include a review of the ARRA requirements, timelines, tools for organizing, strategies for meeting requirements and lessons are patients are sharing with us about what is important to them. Marcia Cheadle, RN, is Senior Director of Advanced Clinical Applications for Inland Northwest Health Services (INHS). She is responsible for the implementation and integration of more than 25 hospital advanced clinical and client server applications programs. She has directed multiple implementations leading to HIMSS Stage 6 and most recently HIMSS Stage 7 recognition. Over the past 4 years, Marcia has orchestrated Meaningful Use strategies, achieving multiple ARRA Stage 1 and Stage 2 Attestations. She is currently focused on program development related to interoperability across vendor platforms and data analytics addressing clinical outcomes. Marcia maintains her profession as a practicing nurse at a local Emergency Department. Learning Outcomes: • Define Patient Portal including common characteristics • Describe three barriers/challenges for successful patient engagement using portal technologies • List three examples/metrics linking Patient Portal to improved patient outcomes Post-Lecture questions: • What are the Stage 2 ARRA - 2014 metrics for meeting MU Patient Portal criteria? • What are two of the four quadrants presented for successful portal implementation? • How does a Patient Portal impact patient outcomes?

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Session: 1057 Presenters: Sandy Ebert Organization: Inland Northwest Health Services (INHS), Spokane, Washington

Scheduled: Thursday May 29 at 9:00 am

Abstract: Stage 2 Year 1 - IT has been delivered, but you need a few strategies for implementation and increasing thresholds, what it took to manage, engaging vendors, patients, and hospital teams for successful attestation. Discussion to include ARRA requirements, specific work efforts, project management tools, and work streams as well as specific requirements noted during attestation, and strategies in preparing for Stage 2 audits. Sandy Ebert CHTS-TS is a Systems Analyst 4 Leader Nursing at Inland Northwest Health Services (INHS). For the past four years, Sandy has served as the Lead Analyst for the Meaningful Use Program at INHS. In that role she has actively assisted 22 hospitals achieve Meaningful Use Stage 1; worked closely with nine hospitals to successfully pass a CMS Stage 1, Meaningful Use Audit; participated in Gap Analysis Reviews for various sites working toward Meaningful Use; and is currently working with a number of sites on Meaningful Use Stage 2 requirements.

EDUCATIONAL PRESENTATIONS

MU Stage 2 and Attesting in 2014 – "IT" Has Delivered. Now What?

Sandy has 30+ years of experience in Information Technologies, 26 of those years within the health care industry. Sandy has successfully passed the Government Certification for Certified Health Care Technology with an emphasis on Technical/Software Support. This Certification is a component of the ONC Health Information Technology Exams, developed as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009.

Quality Measures and e Submission Session: 1058 Scheduled: Thursday May 29 at 3:30 pm Presenters: Stacey Stockton and Sue Mauro Organization: Inland Northwest Health Services (INHS), Spokane, Washington; BridgeHead Software Abstract: Stage 2 Year 1 - Quality Measures - Aligning Quality with Clinical Work Flow. This presentation will focus on the clinical workflow approach to addressing the 2014 Clinical Quality Measures, along with the e-submission efforts and successes. The presenters will walk through the tools used to organize and communicate with the clinicians the required Quality Measure components, the standards, and strategies for how to embed into the clinical work flow. The presentation will also review the monitoring of quality and the submission process. Stacey Stockton, RN is the Assistant Director of the Advanced Clinical Team at INHS/IRM. Stacey has been a Registered Nurse for 33 years; bedside in Medical/Rehab and Maternal Child for 23 years; Informatics for five years implementing NUR, EDM and CPOE at multiple facilities; and in management for the past five years leading a multidisciplinary team of analysts, programmers and hospital leads to design and develop a clinical workflow approach for Quality Measures. Stacey has also overseen clinical application implementations at multiple facilities with an emphasis on Meaningful Use. Sue Mauro RN, serves as a Nursing Systems Analyst and Meaningful Use Specialist for Inland Northwest Health Services (INHS). Her Meaningful Use and MEDITECH experiences have crossed many platforms as well as being involved with assisting 22 hospitals on their Meaningful Use Stage 1 journeys. Sue has been a Registered Nurse for 25 years ranging from a Hospital Nurse Educator to a bedside Medical/Surgical Nurse and Psychiatric Nurse Mental Health Professional. Learning Outcomes: • Review the new requirements for 2014 Quality Measures • Review the quality domains • Review options for Quality Measure submission Post-Lecture questions: • Name three changes with 2014 Quality Measures • Name three Quality Measure domains • Name the options for QM attestation in 2014

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A New Era of Upgrades – Fitting IT into YOUR Busy Schedule Session: 1059 Scheduled: Wednesday May 28 at 3:30 pm Presenters: Marcia Cheadle Organization: Inland Northwest Health Services (INHS), Spokane, Washington; BridgeHead Software Abstract: 5.66; 6.07; PP8, PP3, DTS Bundles, Top Offs … The push to implement and the rush to deliver has brought new meaning to project alignment and project collisions. This presentation will review some basic strategies for working with vendors and MEDITECH to achieve the desired timelines and outcomes necessary to meet and maintain operational goals. Included will be a review of strategies for testing, projecting dates, resource efficiencies, and end user communication coordination. Real examples will be offered, of how different hospitals have successfully maneuvered through these new processes including lessons learned; things to avoid; and assumptions from the past that no longer apply. Marcia Cheadle, RN, is Senior Director of Advanced Clinical Applications for Inland Northwest Health Services (INHS). She is responsible for the implementation and integration of more than 25 hospital advanced clinical and client server applications programs. She has directed multiple implementations leading to HIMSS Stage 6 and most recently HIMSS Stage 7 recognition. Over the past 4 years, Marcia has orchestrated Meaningful Use strategies, achieving multiple ARRA Stage 1 and Stage 2 Attestations. She is currently focused on program development related to interoperability across vendor platforms and data analytics addressing clinical outcomes. Marcia maintains her profession as a practicing nurse at a local Emergency Department.

Rural Healthcare: Our Journey Down the Yellow Brick Road Session: 1060 Presenters: Sandy Botts Organization: George L. Mee Memorial Hospital, King City, California

Scheduled: Wednesday May 28 at 11:00 am

Abstract: Learn from Dorothy and her friends … • Imagine Dorothy as the project manager, and Kansas as the project goal. Meanwhile, the wizard is the stakeholder. Dorothy had to make sure the wizard got what he needed before she could reach the goal but not without a clearly defined strategy. • Imagine the yellow brick road as the feedback to stakeholders and the journey towards success. It is the one thing that Dorothy and her team could rely upon as proof they were on the right path, but not without leadership and direction. • Imagine Dorothy and her companions — Scarecrow, Tin Man and Cowardly Lion — as a team who all had to compromise and support each other to reach their goals, while enduring may obstacles. Learn how George L Mee Memorial Hospital addressed those obstacles and expertise being our main challenges and how we took those challenges and turned them into successes. Also, learn how we leveraged MUSE to expand our knowledge and networking. Sandy Botts works as the Clinical Informatics, RN in King City, California. Prior to working as a Clinical Informatics she worked in San Luis Obispo, California as a Registered Nurse in ICU. Sandy’s position at Mee Memorial Hospital has been gratifying. In 2012 she successfully led the Nursing/BMW implementation and has since continued to play a very active role in all stages of MEDITECH: from upgrades to enhancements to full implementations. Sandy is currently the Project Lead for the LSS Medical and Practice Management implementation.

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Session: 1061 Presenters: Jonathon Forsman Organization: SISU Healthcare IT Solutions, Duluth, Minnesota

Scheduled: Thursday May 29 at 10:00 am C/S

Abstract: A “soup to nuts” guide to the implementation of the MEDITECH Patient and Consumer Health Portal, whether your concerns surround product functionality, marketing suggestions or simply “WHAT IS VALUE SET MAPPING???” SISU will share the opportunities and success we have observed as we rolled out the PHP at eight facilities concurrently. We intend to provide information including, but not limited to: what was suppressed and why, snapshots of activities by time and workload, suggested methods for customer adoption, and troubleshooting tips/tricks. Jon Forsman has been with SISU since 2011 and has over 14 years of management experience. Jon has managed a magnitude for projects, from small reoccurring operational improvements to full site application implementations and upgrades. Prior to joining SISU, Jon worked at First Data Corporation (FDC) as a lead Project Manager for a multi-site Data Center Migration/Consolidation. He holds a bachelor’s degree from the University of Wisconsin – Madison and a PMP certification from the Project Management Institute.

EDUCATIONAL PRESENTATIONS

5.66 CS Patient and Consumer Health Portal Implementation and CCD Value Set Mapping

Learning Outcomes: • Understanding of the PHP Implementation needs • Understanding of CDA mapping needs • Tips to streamline work-effort of CDA Mapping Post-Lecture questions: • How much time did you have allocated for the total build? • What percent of patients have been leveraging the patient portal? • What was the single most difficult part of the install?

Making the Transition to Comply with the MU Transitions of Care Measure Session: 1062 Presenters: Kim Maples and Karrie Ingram Organization: Citizens Memorial Hospital, Bolivar, Missouri

Scheduled: Thursday May 29 at 11:00 am

Abstract: Citizens Memorial Hospital started their Stage 2 reporting period on January 1, 2014. Come hear how they prepared for meeting the Transitions of Care measure and lessons learned, including setting it up, hurdles that might be encountered, and working with departments to ensure that the new processes are put in place. Kim Maples, RN BSN has been a Systems Clinical Analyst at Citizens Memorial Hospital in Bolivar, Missouri for the past 5 years. She is the primary support for PCS for nursing and all ancillary services and secondary support for EDM and ORM for their MEDITECH 5.66 CS platform. She was a leader in the implementation of the QM/RM module for the organization in 2012. With a nursing background in ICU, Med/Surg, and as a clinical nursing instructor she has also been able to be the lead in many quality projects and was responsible for implementing the clinical quality measures for MU Stage 1 and Stage 2. Currently she is serving on the MEDITECH Nurse Advisory Board. Karrie Ingram, PMP is the Project Manager for a HRSA Rural Health IT Network Development grant; assisting CMH and eight network partners in implementing the tools and processes needed to meet the Meaningful Use requirements. She is currently managing the Patient & Consumer Health Portal project and the DIRECT project for CMH.

Key Points to a Successful MEDITECH Upgrade Session: 1063 Presenters: Keith Jackson Organization: Arrowhead Regional Medical Center, Colton, California

Scheduled: Thursday May 29 at 10:00 am C/S

Abstract: A good plan can help you to have a successful upgrade. This presentation will cover the techniques used to create a good plan, along with the pitfalls to avoid in creating and implementing the plan. Keith Jackson is a Supervising Automated Systems Analyst at Arrowhead Regional Medical Center in Colton, California. He has over 8 years of experience with MEDITECH and healthcare IT and over 15 years of experience in managing IT. In 2006, he graduated from the University of Redlands with a Master of Science in Information Technology. He is a dedicated, results-oriented Professional with a proven background in evaluating and executing multimillion dollar cost reduction initiatives, successfully launching large scale technology enhancements and an unmatched ability to deliver results during challenging periods.

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How to Get PCS Information on Your Claim Session: 1065 Presenters: JoDee Clarkson Organization: Ozarks Medical Center

Scheduled: Thursday May 29 at 11:00 am C/S

Abstract: The purpose of this session is to share with you the technical steps required to gather information from PCS Nursing Documentation and how to pull that information onto a claim in BAR. JoDee Clarkson is an Applications Analyst at Ozarks Medical Center in West Plains, Missouri supporting BAR and ABS. JoDee has 10 years of billing experience and eight years of experience from the IT side. Ozarks Medical Center is a 112-bed rural hospital running MEDITECH CS 5.66.

Provider Portal: Delivering Patient Information in a Rural-Based Practice Session: 1066 Presenters: Jeff Carey Organization: Western Health, Corner Brook, Newfoundland

Scheduled: Wednesday May 28 at 3:30 pm

Abstract: Western Health is a diverse health care network of acute, long term care and community-based facilities. Western Health provides a broad range of programs and services to the people of Western Newfoundland. Many of these programs and services are based in rural community settings. In rural based practice, providers cover clinics in multiple towns, often alternating days between these clinics. This coverage presented Western Health with unique challenges in ensuring patient information and results were delivered to the provider in an efficient and effective manner. This presentation will share with you how Western Health was able to bridge the gap using a portal in the rural based practice; ensuring privacy, accessibility, and accountability in the delivery of patient information to health care providers. Jeff Carey is a Registered Nurse employed with Western Health for the past 12 years. Jeff has an extensive clinical background in Critical Care, Perioperative, Renal Care, and Occupational Health. His current role is with Western Health’s IM&T Department as a Clinical Information Specialist and project lead for the implementation of the Provider Portal Project.

Successful Meaningful Use Stage 1 Attestation and Planning for Stage 2 Session: 1067 Presenters: Mickey Waters Organization: Conway Medical Center, Conway, South Carolina

Scheduled: Wednesday May 28 at 3:30 pm

Abstract: Conway Medical Center, a patient-centric, forward-thinking facility, set a goal to attest for Meaningful Use Stage 1 at the end of the third quarter in 2012. Many core set and menu set objectives were attainable however there were a few gaps that needed to be filled. To close these gaps and ensure a successful attestation to CMS, Conway Medical Center faced more than one challenge as reporting Clinical Quality Measures requires collecting data elements from numerous systems. This presentation will share with you how Conway Medical Center was able to attain their attestation goal on a very tight timeline. The journey’s emphasis was on commitment, cooperation, collaboration, and communication. Having learnt from their Stage 1 attestation experience, Conway has started early in their planning for Stage 2 and the presenter will share Conway’s strategy for stage 2 attestation. Mickey Waters has been a CIO/IT Director for over 20 years and his current employment at Conway Medical Center spans nine years. Mickey’s wealth of experience and passion for health care is evident in the smooth operation of his department, performance of his staff and by the excellent outcomes they achieve. Mickey is a natural leader, organizing teams from several areas of expertise, to provide the best possible outcome for the project at hand. Mickey is also the HIPAA Security Officer at Conway, ensuring that all patient information is respected and kept confidential.

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Session: 1068 Presenters: Carrie Confare and Tammy Cieplowski Organization: Beaufort Memorial Hospital, Beaufort, South Carolina

Scheduled: Wednesday May 28 at 11:00 am

Abstract: This presentation is about using MEDITECH 6.0's Utilization Module to track real time avoidable day data. It is a way to identify trends early that can be used for process improvement projects, provide educational opportunities within the organization, and highlights care coordination roles. It utilized expanded IT systems in MEDITECH and creates a standardized process for tracking. This process allowed for a new system to be used by staff that allows the tracking of avoidable days that can be converted to show a dollar amount of what was lost or can be saved by reducing these days. As healthcare changes, hospitals will need to continue to utilize resources in the most effect way and highlight areas where improvements can be made. Carrie Confare, Director Utilization Review at Beaufort Memorial Hospital, grew up in North Dakota and attended the University of North Dakota where she earned a Bachelor’s in Social Work. She worked for a Community Action agency in Minnesota managing seven programs including a Money Management program and First Time Home Owner’s Loan Education program. She moved to South Carolina with her husband in 1997 and has worked at Beaufort Memorial since her move. She started working on the surgical floor of the hospital and then moved on to be the Director of Care Coordination in 2008. She has been a licensed Social Worker for 19 years and loves living in SC along the coast, spending time on the water and searching for Loggerhead turtle nests on Hunting Island.

EDUCATIONAL PRESENTATIONS

Catch the Wave with MEDITECH's 6.0 Utilization Module

Tammy Cieplowski is a Senior Programmer Analyst at Beaufort Memorial Hospital. Learning Outcomes: • What are the benefits to have an electronic Avoidable Day process? • Why is increased visibility a positive for your organization? • What can influence your Avoidable Days process, both good and bad? Post-Lecture questions: • Having an electronic Avoidable Day recording process can be done in an easy and consistent manner and provides real time data at any time. True/False • Replacing cumbersome work processes will improve work flow and efficiency. True/False • Communication and Organizational Culture are 2 Influencers that can be a Positive or Negative to changes in your work flow. True/False

Scheduling Pediatric Rehab Services: Supporting Clinical Practice from a Client-Centered Perspective Session: 1069 Presenters: Raheema Visram Organization: Bloorview Kids Rehab, Toronto, Ontario

Scheduled: Friday May 30 at 9:30 am

Abstract: Scheduling appointments for a child can be a nightmare for some families, especially if the child is being followed by several different health care providers. Having the ability to get comprehensive appointment information from a central location, as well as being able to coordinate multiple appointments on the same day, can save much time and stress for the family. This presentation will provide a broad look at the implementation of centralized referral management and scheduling within MEDITECH for a pediatric rehab facility. Raheema Visram (BHSc) is an Applications Specialist within the Clinical Information Systems department at Holland Bloorview Kids Rehabilitation Hospital, Canada’s largest pediatric rehabilitation hospital. Raheema began her career at Holland Bloorview in 2007 in Registration Services, giving her the end-user perspective with the MEDITECH modules she supports. Raheema has supported several modules including MIS, ITS, ADM and SCH. She has also provided training to all professions in various clinical modules such as EMR, PCS and OE. Notably, Raheema was heavily involved in the successful implementation of an organizational-wide centralized scheduling model, which has been LIVE as of July 2013.

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CPOE Take 2 Session: 1070 Presenters: Alexa Thompson Organization: Golden Valley Memorial Hospital

Scheduled: Thursday May 29 at 2:30 pm

Abstract: In this presentation, we will discuss lessons learned on achieving Stage 2; and it’s not all about CPOE, or is it? That is the question. CPOE affects EVERYTHING. CPOE makes us move forward and backward. Are we really getting anywhere ... only the reports will tell. Alexa Thompson has been an RN for 12 years. Her clinical background is a float pool nurse. She loved the constant change working in the float pool, therefore, she loves working as a Clinical Analyst. Alexa has been in IT for eight years. She is the lead specialist for EDM, PCM, POM, and Dragon, and co-supports PDoc, OR and PCS. She co-supports the MAKN IT peer group and currently serves on the MUSE Education Committee. Alexa is a past member of the MEDITECH Nursing Advisory Committee. Learner Outcomes: • Provider buy-in is a must for developing and implementing any project. Providers must be educated on the how and why it will impact their patients and themselves. • Administration support - How can you offer incentives to keep providers motivated? • CPOE is never a "completed" project. CPOE is a project that will forever be in a development state. There is always something that is changing. It could be a process, a regulation, or evidence that change. CPOE will always require heavy maintenance and how do you deal with the workload of CPOE. Post-Lecture questions: • Are your providers really on board? • What incentives can you offer; is it the right thing to do? • Have you assessed everything that will affect CPOE and are you able to speak to why you don’t have it live?

A Form is All it Takes: The ABCs of Student Setup Session: 1071 Presenters: Amy Loong and Raheema Visram Organization: Bloorview Kids Rehab

Scheduled: Wednesday May 28 at 11:00 am

Abstract: Holland Bloorview Kids Rehabilitation Hospital is one of Canada’s leading pediatric rehabilitation teaching facilities. Each year we have hundreds of student placements from all disciplines from various colleges and universities across Ontario. In collaboration with the technical and student coordinator teams, a student computer access form was created that clearly defines the technical, network and MEDITECH access requirement for each student. This presentation will review our process from the time the Student Access Form is received to the time training is provided in class or via elearning. We will give you an overview of our MIS user profiles and access levels in the various MEDITECH modules based on the student’s discipline and level of education. The three wins for the organization are: time saved for the IT staff; immediate access for the student; and patient safety is ensured. Amy Loong is Applications Specialist supporting MIS and ITS modules. She has been working at Holland Bloorview Kids Rehabilitation Hospital since 2001. Amy started at Holland Bloorview as the unit secretary in the Constant Continuing Care Unit, and moved to Registration Services. She has acquired extensive knowledge and end user experience from her previous positions which she brought when she joined the Information Systems team in 2011. Amy also provides in class training to all disciplines in various modules including EMR, eMAR, OE, POM, PCS, ITS. Raheema Visram (BHSc) is an Applications Specialist within the Clinical Information Systems department at Holland Bloorview Kids Rehabilitation Hospital, Canada’s largest pediatric rehabilitation hospital. Raheema began her career at Holland Bloorview in 2007 in Registration Services, giving her the end-user perspective with the MEDITECH modules she supports. Raheema has supported several modules including MIS, ITS, ADM and SCH. She has also provided training to all professions in various clinical modules such as EMR, PCS and OE. Notably, Raheema was heavily involved in the successful implementation of an organizational-wide centralized scheduling model, which has been LIVE as of July 2013.

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Session: 1072 Presenters: Dr. Patrick Sankovitz Organization: Centura Health, Englewood, Colorado

Scheduled: Wednesday May 28 at 2:30 pm

Abstract: MEDITECH’s Patient and Consumer Health Portal can be used as a tool to allow patients to access and manage their health information online. The patient portal allows users to view details about their medications, allergies, immunization, lab results, and more. If the portal is implemented with additional parameters, patients can request appointments, medication refills, and updates to their demographics. For several years now, patients have been asking their physicians for online portals. Now, through meaningful use criteria, the government is not only requiring hospitals and physicians provide these tools, but also requiring patients actually use them. This presentation will outline important decisions to consider when preparing to go live with MEDITECH’s new patient portal. We will detail the operational needs an organization must address during configuration, implementation, and support, as well as during subsequent patient engagement activities. Those attending this presentation will hear how Centura Health, a 15-hospital health system with over 100 physician practices successfully rolled out the new patient portal to all of its patients in early 2014, with the majority of activities occurring over a 60-day period. Centura took an innovative approach to its implementation of the patient portal, employing an automated registration process, among other tools, to ensure high levels of adoption in both the acute and ambulatory environments.

EDUCATIONAL PRESENTATIONS

Engaging Your Patients Online with MEDITECH’s Patient Portal

Specific topics to be discussed during this presentation include key considerations regarding: • Internal and external marketing • Meaningful use • Training and support • System configuration • Application setup • Data security By the time of this presentation in May 2014, Centura will have collected a significant amount of data regarding the adoption of its patient portal at its hospital facilities and physician practice locations. This presentation will provide details regarding Centura’s ongoing efforts to improve and/or sustain its adoption levels as the summer approaches, as well as to achieve meaningful use requirements as the organization plans for 2015 and beyond. To the extent possible, real scenarios will be presented to demonstrate the outcomes of a variety of methods used to increase adoption, such as automated registration and discharge processes, the use of on-site tools (e.g., iPads, kiosks), and provider, staff, and patient incentive programs. Dr. Patrick Sankovitz is a Physician Director of Informatics for Centura Health, a 15-hospital system in Colorado and Kansas which also has seven senior living communities, medical clinics, affiliated partner hospitals, FlightForLife Colorado, and accountable care communities. Centura, the region’s health care leader, is focused on connecting Colorado and Kansas to affordable, world-class care. All of the Centura hospitals have either achieved HIMSS Stage 7 or Stage 6 certification. Dr. Sankovitz is a Family Physician who practiced for many years in academic medicine, followed by six years as Chief Medical Officer for a Centura hospital. He earned an undergraduate degree in Biomedical Engineering from Marquette University and his medical degree from the University of Wisconsin.

2014 International MUSE Conference

DALL AS, TEXAS MAY 27-30

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EDUCATIONAL PRESENTATIONS

Multidisciplinary Discharge Process: A Post-Implementation Review of Build, Preparation, End-User Training and Go-Live Experiences Session: 1073 Presenters: Dr. Patrick Sankovitz, Jennifer Alexander, and Tonja Graves Organization: Centura Health, Englewood, Colorado

Scheduled: Wednesday May 28 at 11:00 am

Abstract: Centura Health, a 14-hospital health system in Colorado, went live in late October with the Multidisciplinary Discharge Process (MDDP) as part of the 5.66 up-grade. The MDDP opens a new era in which all members of the care team participate together, in real time, to bring better coordinated care to the patient. Members of the implementation team, representing analysts, nurses and physicians, will present general impressions and lessons learned about the MDDP in this context. Basic resource data for building, training and go-live support will be provided. The presentation team will discuss the strengths and weaknesses of current functionality along with their wish-list for future improvements in the MDDP. Dr. Patrick Sankovitz is a Physician Director of Informatics for Centura Health, a 15-hospital system in Colorado and Kansas which also has seven senior living communities, medical clinics, affiliated partner hospitals, FlightForLife Colorado, and accountable care communities. Centura, the region’s health care leader, is focused on connecting Colorado and Kansas to affordable, world-class care. All of the Centura hospitals have either achieved HIMSS Stage 7 or Stage 6 certification. Dr. Sankovitz is a Family Physician who practiced for many years in academic medicine, followed by six years as Chief Medical Officer for a Centura hospital. He earned an undergraduate degree in Biomedical Engineering from Marquette University and his medical degree from the University of Wisconsin. Tonja Graves graduated with a double Bachelor’s degree in Biology and Health Information Management. She worked as an RHIA for an HIM Department in Coding and HIPAA Privacy for three years at a large hospital in Nebraska, and then briefly as a Clinical Study Manager managing pharmaceutical trials. Tonja returned to healthcare when she began working for Centura Health upon moving to Colorado in 2007; first as a Physician Trainer during the original MEDITECH implementation, then joining IT in 2009 to support Acute Physicians in MEDITECH. Since 2009, she has worked with multidisciplinary teams to implement the Physician Desktop, Physician Documentation, CPOE, Electronic Medication Reconciliation, and multiple major MEDITECH upgrades, most recently 5.66 which features the Multidisciplinary Discharge Routine. Learner Outcomes: • Identify necessary members of your discharge desktop design team • Identify the components of the discharge process that you will want to include in your build • Identify your challenges and opportunities in training nursing and provider staff with the multidisciplinary discharge process. Post-Lecture questions: • Name at least five (5) member of your multidisciplinary team who will be involved in the discharge process and their respective roles in the process. • Name at least six (6) different functions that you may include in the discharge desktop. • Name at least three (3) work-flow challenges that come with the multidisciplinary discharge routines.

Using the Interdisciplinary Discharge Desktop in a Meaningful Use Attestation Environment Session: 1074 Presenters: Janice Kerwin and Heather Burnett Organization: Hospital Sisters Health System, Springfield, Illinois

Scheduled: Wednesday May 28 at 2:30 pm C/S

Abstract: Use of the Interdisciplinary Discharge Desktop presents hospitals with multiple ways to reach their goals for meaningful use attestation while keeping patient discharge information clear, easily understood and strives to improve patient safety. Providing access of a shared desktop function to various clinical staff helps put into place a system of checks and balances regarding medication reconciliation, clear, relevant follow up orders/instructions and patient instructions and care plan, thus improving the overall patient education experience. Our presentation details our 8+ month journey to achieve a quality product that is deemed useful and helpful to staff for the safety of the patient. Janice Kerwin,RN has 38 years of nursing experience, over 18 years of which have been in Information Technology. Jan has worked with Hospital Sisters Health System (HSHS) for seven years beginning with PCS/EDM build and support, EMR, BMV/eMAR implementation, then moving on to implementation of PWM, PDOC and Mobile Rounding, 2009 to the present. Current responsibilities include oversight, as team lead, of all 10 HSHS MEDITECH hospitals PDOC/PCM template building and support, ICD 10 related projects, IMO mapping and MU 2 related projects. In addition to her nursing diploma, Jan has an Associate Arts in Nursing and studied and obtained certification in Legal Nurse Consulting. Jan presented at MUSE on Mobile Rounding and PWM in 2010. Heather Burnett has worked for Hospital Sisters Health System for over four years. She supports 10 hospitals’ MEDITECH PHA, RXM, and PYXIS applications. She has implemented the PHA and RXM modules of MEDITECH at six HSHS hospitals. She was the project lead in the HSHS Standardization Project and has been involved in two MEDITECH upgrades. Prior to that, she represented pharmaceutical companies, Astra Zeneca, Glaxo Smith Kline, and Eli Lilly. Heather holds a degree in Business Administration from the American Intercontinental University, Buckhead, GA.

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Post-Lecture questions: • Identify at least two of the MU2 Core Measures that can be met by using the interdisciplinary discharge desktop o Patient Instructions o Medication Reconciliation o Problem List used to develop disease specific monitoring reports • Name three menu requirements for MU2 that can be utilized for attestation purposes o Electronic Notes in patient records o Generate and transmit permissible discharge Rx electronically (eRx) o Structured electronic lab results to ambulatory providers (CCDA/TOC) • Identify at least three positive patient safety measures accomplished through use of the discharge desktop o Preventable med errors upon discharge due to interaction/conflict checking o Decreased phone calls to clarify orders due to conflict checking and warning messages regarding unresolved conflicts and duplicates o Reconciliation of ALL home meds takes place so that patient has the most accurate med list available to them o Electronic transmission of prescriptions to patient pharmacy-saves time, allows for additional interaction checking and promotes accuracy o Print packet to send patient discharge education/instructions to the eChart/legal record

EDUCATIONAL PRESENTATIONS

Learning Outcomes: Participants will have a better understanding of the correlation of use of the Interdisciplinary Discharge Desktop to meet Meaningful Use II requirements as well as be able to identify the following: • Discuss the relationship and integration of the interdisciplinary desktop to facilitate meeting specific core and menu MU 2 objectives • Identify some of the pitfalls of an interdisciplinary process • Discuss the importance of identifying the process workflows, mapping out the roles and responsibilities for the discharge process and developing an education plan for end users • Identify the patient safety measures achieved through use of the discharge desktop and Meaningful Use 2 requirements

Getting Vitals and More into EMR and PCI: How to Succeed and What the Future Holds Session: 1075 Presenters: Chris Roark and Jeff McGeath Organization: Stillwater Medical Center, Stillwater, Oklahoma; Iatric Systems, Inc.

Scheduled: Wednesday May 28 at 3:30 pm

Abstract: In 2013, West Health Institute reported hospitals could save more than $30 billion by automatically passing vital signs and data from other medical devices into our hospitals’ Electronic Health Records (EHRs). Imagine recouping $30 billion — that’s more money than was promised in Stage 1 Meaningful Use incentive funds. The million-dollar question is how can we succeed and achieve that level of interoperability between medical devices and MEDITECH? This presentation will outline Stillwater Medical Center’s multidisciplinary, phased implementation approach, including which devices were integrated and why; resources needed in terms of personnel, hardware, and software; the project’s timeline; how training was handled, what’s next, etc. We will discuss how the project saved nurses time and improved patient safety by eliminating manual documentation, and gave physicians access to patient vitals real time to help improve patient care. The presentation will also cover medical device interoperability standards, and will delve into West Health Institute’s comprehensive 2013 report, which states “90% of hospitals use six or more types of devices that could be integrated with EHRs.” It also will detail how integration of different device types with the EHR can help eliminate drug errors, redundant testing, and delays in treatment. Attend this presentation to learn how to successfully pass vital signs and other medical device data into EMR and PCI, and learn what the future of medical device integration can hold. Chris Roark is CIO of Stillwater Medical Center, a 117-bed not-for-profit, acute care C/S hospital dedicated to providing high-quality care to local residents and surrounding communities in north central Oklahoma. Stillwater’s vital signs integration project was featured in Advance Health Network magazine. Jeff McGeath is a VP at Iatric Systems and co-chair of the Patient Care Device (PCD) Domain of Integrating the Healthcare Enterprise (IHE). IHE is a not-for-profit organization fostering national adoption of standards that enable interoperability of healthcare IT systems. The PCD Domain specifically addresses integration of medical devices to significantly enhance patient care and safety.

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MEDITECH 6.0 – It's a Love / Hate Relationship Session: 1076 Presenters: Jim Hruby, Valerie Inmee, and Paulette Schroeder Organization: Parkview Medical Center, Pueblo Colorado; Jacobus Consulting

Scheduled: Thursday May 29 at 9:00 am

Abstract: Join us for an informal discussion on the good and bad opportunities when migrating to MEDITECH 6.0. We will offer a detailed look into four major areas of MEDITECH and how the migration to 6.0 will affect you: lessons learned on CPOE; ring releases; interfaces; and reports. Topics will be discussed with both a positive and a negative clinical perspective. Will discuss how our migration affected Meaningful Use attestation and clinical workflow. Jim Hruby is the Program and Project Manager for a 350-bed community hospital, Parkview Medical Center. He used PMP and Lean Six Sigma Blackbelt tools to successfully implement new software packages throughout the hospital including Pulsecheck in the Emergency Department and API for a new time, attendance, staffing and scheduling program. Jim was the Program Manager for the MEDITECH 6.0 implementation for Parkview which included the management of over 150 people and over $10 million in budget. He successfully implemented both CPOE and PDOC for the physicians, and is currently working on the implementation of the ICD-10 project. Valerie Inmee RCP is a Senior Management Consultant in the Clinical Practice for Jacobus Consulting – a large, US-based MEDITECH consulting firm. Val has a clinical practice background in respiratory care working initially as a staff therapist and then as charge therapist. She moved into IT where she successfully implemented various MEDITECH clinical modules at several hospitals in the US and eventually into consulting, where she is currently helping numerous hospitals across the US implement MEDITECH clinical software solutions on the Magic, Client Server, and 6.0 platforms. Paulette Schroeder, RN, BSN, PMP, BC in Nursing Informatics is the MEDITECH Clinical Practice Director for Jacobus Consulting – a large, US-based MEDITECH consulting firm. Paulette has a clinical practice background in Oncology, Rehab, Med-Surg, Pediatrics, ICU, and ED working initially as a staff nurse and then as a clinical director. She moved into IT where she successfully implemented various MEDITECH clinical modules at several hospitals in the US and eventually into consulting, where she is currently helping numerous hospitals across the US implement MEDITECH clinical software solutions on the Magic, Client Server, and 6.0 platforms. She is a Certified Project Manager and a regular educator providing workshops in clinical documentation improvement, clinical documentation standardization, and physician adoption of electronic systems.

On to Stage 2: Preparing for Useable Data, Outcomes, Audits, and Appeals Session: 1077 Presenters: Annette Ballard and Paulette Schroeder Organization: Murray-Calloway County Hospital, Murray, Kentucky; Jacobus Consulting

Scheduled: Thursday May 29 at 2:30 pm C/S

Abstract: Overflowing with data; now what? How about impending audits and appeals? This session will provide attendees with the tools to move from Stage 1 data collection to Meaningful Use of data and the supporting strategic outcomes demanded by Stage 2. Stage 1 deadlines were tight. Requirements were clear cut. However, some approaches drove near term objectives without addressing long range desired outcomes. Learn how to plan for meeting Stage 2 and 3 measures, while positioning for long term success. And in the process, establish what is needed to plan ahead for audits or navigate through appeals. This session will be presented by Meaningful Use educators, and a hospital that has experienced the joy of a Meaningful Use Audit. Annette Ballard serves as CIO at Murray-Calloway County Hospital, in Murray, Kentucky. Annette has been working with the MEDITECH System from the customer end for more than 10 years, starting with the system selection process, to managing the infrastructure after go-lives. Her career started as IT Director at Hardin Memorial Hospital in Elizabethtown, Kentucky transitioned to Senior Management Consultant with Jacobus Consulting, in Margarita CA. Annette has a Bachelor’s Degree in Management Information Systems, Certified Professional in Health Information and Management Systems (CPHIMS) and Certified HIPAA Privacy and Security Expert (CHPSE). Paulette Schroeder, RN, BSN, PMP, BC in Nursing Informatics is the MEDITECH Clinical Practice Director for Jacobus Consulting – a large, US-based MEDITECH consulting firm. Paulette has a clinical practice background in Oncology, Rehab, Med-Surg, Pediatrics, ICU, and ED working initially as a staff nurse and then as a clinical director. She moved into IT where she successfully implemented various MEDITECH clinical modules at several hospitals in the US and eventually into consulting, where she is currently helping numerous hospitals across the US implement MEDITECH clinical software solutions on the Magic, Client Server, and 6.0 platforms. She is a Certified Project Manager and a regular educator providing workshops in clinical documentation improvement, clinical documentation standardization, and physician adoption of electronic systems. Learner Outcomes: • The attendees will have an increased knowledge of the Meaningful Use Audit process • The attendee will be able to identify key risk factors related to a Meaningful Use Audit • The attendee will be able to identify proactive steps to take to be in a position to pass a Meaningful Use Audit Post-Lecture questions: • What is the leading cause of hospitals failing a Meaningful Use Audit? • In gathering screen shots for build validation, what are the key elements that need to be present on the document? • What change to your current process and/or documentation will prepare you more fully for an audit?

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Session: 1078 Presenters: Michael McEldowney Organization: Salina Regional Health Center, Salina, Kansas

Scheduled: Thursday May 29 at 10:00 am

Abstract: As Health Information Technology becomes more and more integrated into the patient care work-flow, the tolerance for downtime becomes zero. Do you have the system infrastructure to truly support your providers as they take care of patients in an electronic charting environment? Are you prepared for the inevitable patient code during a downtime? In this session you will learn some of the options available for disaster recovery, designing infrastructure resiliency, and planning for downtime and what a mid-sized mid-west health center has done to make sure that patient care is not compromised because of computer system maintenance. Mike "Mac" McEldowney started his healthcare IT career in 1995 as a Network Administrator at Alleghany Regional Hospital, a rural Columbia/HCA facility in Southwest Virginia. He became the Director of IT there in 1996. In 1999 he moved to the Mississippi Delta as Director of IT to assist Delta Regional Medical Center implement MEDITECH MAGIC in time for Y2K, and stayed until 2007 when he moved to Kansas. He has been Director of IT at Salina Regional Health Center since then. When he isn't playing EVE Online, Mac enjoys playing bad golf, rooting for the Kansas State Wildcats, and camping with his wife of 26 years and their four cats and two dogs.

EDUCATIONAL PRESENTATIONS

CPOE Support Infrastructure and Downtime Strategy

ICD-10: Hail Mary Session: 1079 Presenters: Liz Morgan Organization: Consultant People

Scheduled: Wednesday May 28 at 2:30 pm

Abstract: A Hail Mary pass is a very long forward pass in American football made in desperation with only a chance of success. Ready or not, on October 1, 2014, ICD-10 is here. Is your hospital like many who have done little to prepare for ICD-10? Are you worried? Come and discuss the short list of “must-do”. Discussion points include clinical documentation, risk management, testing, dual coding, and training. Will you make it?? Liz Morgan is a Vice President with the MEDITECH centric consulting organization, CPeople. With administrative, financial, and clinical consultants with decades of experience, we know MEDITECH. Ms. Morgan has over 15 years in a variety of roles in healthcare IT and has experience managing the changing role of IT in healthcare. She currently resides in Rockville Maryland with her husband and three children.

Home Brewed Solution: From Marker Board to Digital Whiteboard Session: 1080 Presenters: Jonathan Moores, Bolivar, Missouri Organization: Citizens Memorial Hospital

Scheduled: Wednesday May 28 at 11:00 am C/S

Abstract: At Citizens Memorial Hospital, we have learned how to get our patients more engaged and informed by deploying digital whiteboard’s throughout the hospital, completely built from our own staff. Being able to push pertinent, concise, and informative information to the patient, patients’ families, and medical staff can take your patient care to the next level. Attend this session to learn: • Benefits of utilizing “your own” staff to deploy a fully realized Digital Whiteboard solution • How to push unique content to each individual room – How to grab the appropriate data • Pitfalls to Avoid • The positive effects on patients and the medical staff Jonathan Moores is a Network Administrator who has worked at Citizens Memorial Hospital since 2008. He is currently part of a team working on the HRSA Rural Health IT Network Development Grant. Key issues he is tackling include: Interoperability with eight network partners, Interoperability with the state, and patient engagement.

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EDUCATIONAL PRESENTATIONS

Interoperability: Improving Health Care’s Effectiveness and Efficiency One CCDA at a Time Session: 1081 Presenters: Marcia Cheadle and Nancye Lahue Organization: Inland Northwest Health Services (INHS), Spokane, Washington

Scheduled: Thursday May 29 at 2:30 pm

Abstract: This presentation will focus on "new" languages associated with IHE standards of interoperability including PIX, XUA, XDS, etc. Utilizing MEDITECH's platforms, we are successfully exchanging CCDA documents. By optimizing MEDITECHs ITI interoperability suite, Magic, C/S and 6.x platforms are positioned for exchange of patient data between disparate health systems. Data is exchanged real-time at specific points of care, while working within a federated model. Consumption of discreet MEDITECH data into an EMR will also be demonstrated. Discussions will include use case scenarios; sharing improved efficiencies; and effectiveness of technologies during patient care. Marcia Cheadle, RN, is Senior Director of Advanced Clinical Applications for Inland Northwest Health Services (INHS). She is responsible for the implementation and integration of more than 25 hospital advanced clinical and client server applications programs. She has directed multiple implementations leading to HIMSS Stage 6 and most recently HIMSS Stage 7 recognition. Over the past 4 years, Marcia has orchestrated Meaningful Use strategies, achieving multiple ARRA Stage 1 and Stage 2 Attestations. She is currently focused on program development related to interoperability across vendor platforms and data analytics addressing clinical outcomes. Marcia maintains her profession as a practicing nurse at a local Emergency Department. Nancye Lahue is a technical director with Inland Northwest Health Services (INHS). She oversees the development, implementation and support for a variety of large-scale projects, which includes the implementation of the INHS HIE technology. With 20 years of experience in healthcare information technology, she has been very involved in the numerous initiatives over the past several years including participating in the ONC Beacon – EHR Vendor Affinity Work Group. She has a MBA in Health Care Administration and a BS in Leadership and Management.

F5 Tornado: How to Survive the Destruction of One of Your Hospitals Session: 1082 Presenters: John Meharg Organization: Norman Regional Hospital, Norman, Oklahoma

Scheduled: Thursday May 29 at 9:00 am

Abstract: In May 2013, one of the hospitals owned by Norman Regional Health System was destroyed by an F5 tornado as the tornado tore a path of destruction and death through Moore, Oklahoma. The presentation will deal with that event from an IT standpoint, what worked well, what didn’t work well, and what lessons were learned. This will not be an IT disaster recovery type session, but instead will highlight what can IT do to support and supplement all that happens and is needed in a disaster like this. John Meharg is the Director of Health Information Technology for Norman Regional Health System and has worked in healthcare for well over 30 years. In those 30 years, John has done many presentations and has served in various leadership positions, including president, of several national healthcare users groups. He is also active in professional organizations, and is currently serving as Treasurer of the Oklahoma HIMSS organization.

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Session: 1083 Presenters: Dr. Stephanie Lahr and Jeff Webber Organization: Kootenai Health, Coeur d’Alene, Idaho; Cornerstone Advisors

Scheduled: Wednesday May 28 at 3:30 pm

Abstract: Why is it so hard to create physician buy-in when introducing physician computerized tools? Physicians all have IPADs and seem happy, yet most push back when we ask for project participation, testing feedback and training times. Could it be that we genuinely do not understand what physicians need and want from technology? Join us as we ask a practicing hospitalist to explain, What Do Physicians Want? If you have ever been involved with an IT project deploying CPOE, Evidence Based Order sets, Physician Documentation, or Physician Rounding tools, you know that it is difficult to meet the expectations of one doctor, let alone all physicians. By asking different questions, less about the appropriate protocol or the proper order string, we can learn to appreciate what physicians need and help to increase the level of success for physician IT projects.

EDUCATIONAL PRESENTATIONS

What Do Physicians Want?

Topics: • Learn what physicians are looking for in healthcare technology. • Learn how physicians want to participate in the design and planning of Physician IT Projects. • Learn how and when physicians want to be trained. • Learn what physicians want to see in an IT support team. Dr. Stephanie Lahr, Medical Director of Information Systems at Kootenai Health, is a practicing hospitalist, physician champion, IT Medical Director, consultant and Physician Demonstrator for MEDITECH. Dr. Lahr brings her refreshing outlook to Physician Informatics, championing projects in the technical, usability, adoption, and governance aspects. She is a leader at her health system leading the optimization of clinical information systems to support safety and promote efficiencies in patient care delivery. Jeff Webber, Vice President, Cornerstone Advisors, is a solutions-oriented project leader with over 17 years of notable success directing a broad range of clinical project initiatives. Mr. Webber has led and participating in the planning, design, management, and support of information technology solutions in direct support of his clients business objectives. Mr. Webber has a thorough understanding of the project strategies and tactics necessary to manage both financial and clinical projects across multiple healthcare information system platforms.

Setting the Pace with MEDITECH: A Solution for Implantable Cardiac Device Documentation Session: 1084 Presenters: Nissar Hussain and Vigneshwaran Cumareshan Organization: HCA International, London, UK

Scheduled: Wednesday May 28 at 1:30 pm

Abstract: In May 2011, IT&S Applications at HCA International were approached to look at a solution for our Cardiology Departments which would be used at our hospitals to capture Implantable Cardiac Defibrillator (ICD)/Pacing device information. The Department’s intention was to purchase an off the shelf solution, the cost of which would be approximately £300K ($500K) to implement and £30K ($50K) annual maintenance fee. Prior to this project, users were faced with the following: • Poor data quality • Non-cohesive work flow process • Lack of reporting • Patient data fragmented across multiple databases • No ability to print forms and patient pacing information cards • Protracted processes to submit data to Central Cardiac Audit Database (CCAD) Under the National Health Service (NHS) in the UK, all hospitals are expected to provide Heart Disease Audit Data to the CCAD, as part of the National Clinical Audit Support Programme (NCASP). IT&S Applications were approached to review the possibility of implementing this proposed solution. The question was put forward “Why is MEDITECH not being considered as a solution?” After initial scoping what began as a straight forward data collection, utilising a Customer Defined Screen became an in-depth, cross module solution that would streamline and standardise work processes across all facilities. This presentation looks at the journey taken to provide a fully MEDITECH-based solution for storing, reporting and exporting data. Nissar Hussain has been with HCA International since 2010, employed as an application analyst in the clinical team within the IT&S department. Prior to this Nissar worked for the NHS as an Application Support Analyst. Vigneshwaran Cumareshan has been with HCA International since 2007, working as an Application Analyst in firstly the Financial Team and presently the Clinical Team, gaining experience in both sets of applications. Prior to this, Vignesh comes from a Biomedical Science Background and graduated in Biomedical Engineering.

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EDUCATIONAL PRESENTATIONS

Implementing Software Quality Assurance in a Complex Healthcare System Session: 1085 Presenters: Cheryl Menard Organization: Steward Health Care System, Boston, Massachusetts

Scheduled: Friday May 30 at 9:30 am

Abstract: In 2011, faced with major MEDITECH software updates and planning to add four additional hospitals to their multi-facility network in 2013, Steward Health Care decided to implement a formal Software Quality Assurance (SQA) process to address their increasingly complex software management needs. Steward Health Care System is an Accountable Care Organization and a hospital network comprised of 11 hospitals with 2000+ beds and 17,000 employees in eastern Massachusetts. We will offer an informed perspective on why and how a comprehensive SQA process was built from the ground up at Steward Health Care. This presentation will address the questions: • Why do SQA? • What is the SQA process? • How does one build a SQA team? • What tools does a SQA team need? • What are the costs of SQA? • What are the benefits of SQA? • How is it all working at Steward? You will leave this session with a better understanding of the work to be done to ‘justify’ SQA. You will also be assured that one size does not fit all. Cheryl will discuss a range of SQA solutions available based on your organization’s needs, from implementing a full SQA team to building a subset of SQA processes. Cheryl Menard is the Director of Quality Assurance at Steward. She has been at Steward for the past two years. Prior to Steward, she was the Quality Assurance Manager at Mercer, a consulting firm focused around helping clients with health, retirement, and investments. Prior to Mercer, Cheryl was Quality Assurance Manager at Putnam Investments. Cheryl has over 20 years of leadership experience that includes both Software Quality Assurance and Project Management. She has a proven track record of establishing Software Quality Assurance groups within Fortune 500 companies, and has expertise in process improvement, resource management, offshore teams, budgeting, planning, and reporting.

Delivering Information: Building the Bridge Between MEDITECH and the Information Consumer Session: 1086 Presenters: Mark Helmak and James Weir Organization: Alberta Health Services, Grande Prairie, Alberta

Scheduled: Thursday May 29 at 2:30 pm C/S

Abstract: Within Alberta Health Services, CCIS, the Community Care Information System, is a solution that spans multiple information systems including MEDITECH. NPR-based reporting therefore only offers limited access to key information. Learn how Alberta Health systems evolved it reporting solution within Seniors Health. Starting with NPR-based extracts and user access to the MEDITECH Data Repository, we’ve been able to close the gap between data collection and the information consumer. Using tools such as SQL Server, SQL Reporting Services and HL7 Integration, AHS IT has been providing a comprehensive view of Seniors Health data which spans the entire CCIS. Mark Helmak is the Director IT, Community Care Systems with Alberta Health Services. He has 25 years of clinical application experience in acute/community health environments, and exposure to in-house applications and vendor-based solutions. Mark is a graduate of Computer Systems Technology at the Northern Alberta Institute of Technology (NAIT) in 1986. James Weir is the Manager IT, Seniors Health Systems with 17 years of collective experience in both systems analysis and leadership focused on meeting the Information needs our Seniors Health group within Alberta Health Services. He is the Technical Lead for the implementation of MEDITECH for the Edmonton Zone in 2011 and Operations Lead for MEDITECH within Seniors Health.

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Session: 1088 Presenters: Joshua Schmees Organization: Hospital Sisters Health System

Scheduled: Wednesday May 28 at 2:30 pm

Abstract: One of the biggest issues with an Electronic Medical Record (EMR) is how do you provide effective clinical decision support, but not cause an overabundance of medication alerts. Alert stimuli can come from: printouts, reports, prompts, drug interactions, drug dose warnings, and even associated lab alerts. Alert pitfalls can result from: high volume, lack of specificity, lack of clinical relevance, inappropriate alert timing, or unavailable but necessary information. The purpose of this project was to identify and decrease several sources of medication alert fatigue. Once sources were identified, tools for measuring alert volumes were identified and developed. By measuring alerts, we could prioritize our efforts; thus, we started with lab test view groups, then formulary service vendor drug interactions, and dose range checking. With lab test view groups we were able to turn off 29.4% (48,929 annual alerts) and change 66.9% (111,357 annual alerts) from always firing to only abnormal firing in our Southern Illinois Division hospitals. Across our 10 MEDITECH Hospital Sisters Health System (HSHS) facilities, 186,639 drug-drug interactions fired in nine months. A workflow process was developed called the alerts workgroup involving pharmacist and physician review and approval of modifications. As of December 2013, 15 drug-drug interactions were turned off that resulted in a decrease of 34.6% (64,522 annual alerts) across HSHS. With respect to dose range checking, 135 medications were turned off and decreased our alerts by 62.6% (7,020 annual alerts) at one facility as of December 2013. By evaluating data and effectively using tools available, it is possible to have a major impact on medication alert fatigue.

EDUCATIONAL PRESENTATIONS

Ways to Win the Battle Against Medication Alert Fatigue

Josh Schmees, PharmD, is the HSHS Southern Illinois Division System Pharmacist of Informatics and Automation Services. Dr. Schmees received his Doctor of Pharmacy from the Ohio Northern University- Raabe College of Pharmacy. Prior to joining HSHS, Dr. Schmees served as the St. Elizabeth Hospital- Belleville Pharmacy Manager of Operations and Technology. Learner Outcome: • Understand options available for measuring and evaluating alerts. • Learn techniques for deciding between value-added alerts and non-value-added alerts. • Recognize alternative tools that can be used to maintain patient safety while still decreasing alerts. Post-Lecture questions: • What is an effective way to measure alerts? • Which of following is an example of non-value alert? • Which of the following is alternative tool that can help maintain safety and decrease alerts?

Moving from Paper to Electronic Documents and Using the System Effectively Session: 1089 Presenters: Dena Daniel Organization: Jackson County Memorial Hospital, Altus, Oklahoma

Scheduled: Thursday May 29 at 2:30 pm

Abstract: This presentation will show users how Jackson County Memorial Hospital has moved from paper-based records to electronic records. It will cover the conversion of MEDITECH text archived reports, scanning of clinical and non-clinical forms along with importing of digital pictures and clinical interfaces. Attendees will leave with information on how one hospital went through the selection, setup and conversion process to have integrated electronic forms available to all areas of the hospital. Dena Daniel is the Information Technology Director at Jackson County Memorial Hospital, a 99-bed county hospital in Altus, OK. Dena started at the hospital in 1999 as a Data Processing Clerk and has held positions as the IT Assistant Director, Revenue Cycle Director and now IT Director. She was the project lead when the hospital moved from paper to electronic forms and optical archiving and has also been involved in the hospital's conversion. She has worked with all modules within MEDITECH along with many other systems in the clinical and business areas.

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EDUCATIONAL PRESENTATIONS

Go On Now Go: 5.66 Interdisciplinary Discharge Session: 1090 Presenters: Suzanne Catalfomo, Dr. John Tollerson, and Lori Myers Organization: Kalispell Regional Medical Center, Kalispell, Montana

Scheduled: Wednesday May 28 at 3:30 pm C/S

Abstract: The MEDITECH Interdisciplinary Discharge functionality allows institutions to customize electronic documentation of processes for patient discharge. At Kalispell Regional Healthcare, paper processes for DME, Skilled Nursing Facility discharge and Inpatient Rehab discharge were transitioned to electronic processes using this discharge functionality. This presentation will discuss the good, bad and ugly of implementing these tricky workflows at multiple facilities in Northwest Montana. Specific focuses will include medication reconciliation processes, patient education, documentation, and ordering in each scenario. Suzanne Catalfomo, RPh is the pharmacy informatics specialist at Kalispell Regional Healthcare. In her years as a pharmacist, she has worked in retail, hospital, consulting and now informatics. She has participated in multiple pharmacy-related implementations over the past 8 years in that role. John Tollerson, DO has been the co-CMIO at Kalispell Regional Healthcare for the past three years. He graduated from DMU, and did his internship at Spokane Family Medicine. He has been at Big Sky Family Medicine for seven years, acting as medical director for four of those years. Lori Myers MSN, RN has over 30 years of healthcare experience which includes 18 years working in acute care, clinic nursing and skilled nursing facility and the past 14 years in nursing informatics. She has worked with various systems with the most recent being MEDITECH Magic and Client Server system. Lori is currently involved with all clinical application implementation and support in both hospital inpatient and outpatient departments. She supervises the hospital applications team who supports a variety of products including MEDITECH, FormFast, Summit-Healthcare DRS, GE CPN, Perceptive Image Now scanning solution along with a variety of financial applications. Learner Outcomes: • One method to get and keep the 'best' home med list • One method to document DME needs • One method to 'discharge' to new account in same facility Post-Lecture questions: • What impact does within facility ‘transfers’ with multiple account numbers have on home med list accuracy? • What are limitations of ‘one-stop’ process for durable medical equipment ordering? • How can you ensure accuracy with restorable orders?

Virtualized Point of Care Desktops at Community Memorial Health System Session: 1091 Presenters: Joe Jordan Organization: Community Memorial Health System, Ventura, California

Scheduled: Thursday May 29 at 3:30 pm

Abstract: Community Memorial Health System (CMHS) has begun the production phase of the Virtualized Point of Care Desktop project. The presentation will describe the technology used for the solution that CMHS chose and what steps were taken to develop the solution. Then finally there will be discussion on the experience the solution has provided to the clinical end user. Joe Jordan has worked in the healthcare IT industry for the last six years with over 20 years in the IT industry combined. He is currently the Manager of Technology Services for Community Memorial Health System starting in March 2013. Before that he worked for Aspen Valley Hospital in Aspen, CO for five years. Both MEDITECH based hospitals. Joe has an extensive background in server and desktop virtualization in the HealthCare industry. He is a VMWare Certified Professional 5 and an Imprivata Certified Engineer

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Session: 1092 Presenters: Bency Mathew Organization: St. Mary's Childrens Hospital, Bayside, New York

Scheduled: Wednesday May 28 at 1:30 pm

Abstract: The presentation will cover medication events and how the challenges of collection, reporting and review were overcome within the MEDITECH 6.06 system. We detail on how process changes were implemented for physicians, nurses and pharmacists based on analysis of medication errors and how improvements were obtained through clinical teamwork. Bency Mathew MSN, RN, RN-BC, C-NE is a Registered Nurse and spent most of her nursing career in Pediatrics Specialty. She worked in Pediatric Critical Care and Pediatric Emergency Room and came to St Mary's Hospital to pursue a career in administration. Bency worked as a Nurse Manger for about six years and accepted her latest position in St Mary's as the Director of Clinical Technology and Informatics. This new role as Project Manager involves implementing an integrated Electronic Medical Record using MEDITECH. She earned a Masters’ Degree in Nursing Administration with Informatics from Molloy College, New York.

EDUCATIONAL PRESENTATIONS

Medication Events: Data Collection, Analyzing and Process Change

Cloud-Based Disaster Recovery – Improving Cost and Performance Session: 1093 Scheduled: Wednesday May 28 at 3:30 pm Presenters: Mark Middleton and Audrey Parks Organization: Park Place International; Salinas Valley Memorial Healthcare System, Salinas, California Abstract: Disaster recovery services can be complex and costly, but absolutely essential in our world of electronic medical records and healthcare reform. Join us as we discuss ideas for advancing disaster recovery solutions for healthcare, including ways to reduce Recover Point and Time Objectives, strategies for reducing cost, resilient network designs, and lessons learned from real-world implementation and testing. The session will include how to determine critical services, tips for implementation and testing, an overview of network designs, backup technologies, client access methods, and data replication technologies. Mark Middleton serves as Vice President of Cloud Services at Park Place International. Mark served 29 years at CHRISTUS Health in the fields of Biomedical Engineering and Information Technology, leading projects such as a $30 million data center build, relocations, centralization of IT operations, and operating one of the largest MEDITECH Client/Server 5.X implementations in the nation. Mark’s current work is the delivery of cloud-based service offerings to enable MEDITECH customers to provide sustainable and cost effective operations for their facilities. Mark is a multi-time finalist in the Data Center Executive Excellence Awards and holds degrees in Biomedical Technology and Business Administration, as well as the highest level ITIL Expert Certification. Audrey Parks is Sr. Administrative Director for Salinas Valley Memorial Healthcare System. She has been in her role for the past 12 years, leading the organization from MEDITECH MAGIC to MEDITECH 6.07. She also manages IT regulatory compliance with HIPAA and Meaningful Use. She earned her bachelor’s degree from University of California Riverside and her MBA from New York Institute of Technology. Salinas Valley Memorial Healthcare System is a 269-bed acute care hospital with an integrated network of health care programs, services and facilities.

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Virtual Desktop Infrastructure – Lessons Learned for a Successful Deployment Session: 1094 Presenters: Matt Donahue, Leo Maguire, Samuel Mata, and Annette Ballard Organization: Park Place International; Murray-Calloway County Hospital, Murray, Kentucky

Scheduled: Wednesday May 28 at 11:00 am

Abstract: MEDITECH requires a 3- tier connectivity solution for connecting wireless devices and devices in remote locations to the MEDITECH HCIS. Join our panel of industry experts and an experienced customer in a round table discussion where we will dive into the real-world challenges of deploying and using a 3-tier solution, whether on-site in your data center or delivered from a cloud provider. We will examine a variety of issues associated with implementing client access, including firewall security, session roaming, end-user devices, printing, and BYOD (bring-your-own device) policies, and strategies to address them. Matt Donahue serves as CTO at Park Place International. Matt has been working with MEDITECH and their hospital customers for over 10 years across multiple roles as both an end user customer at Saints Medical Center and as service provider with JJWild, Perot Systems, Dell Services and Park Place International. Matt’s current professional goal is to redefine traditional backend infrastructure technologies used by hospitals to allow true adoption of cloud services and achieve an “always available from anywhere” architecture. Matt studied Applied Mathematics and Physics at the University of Massachusetts Lowell and is a regular guest speaker to in their Operations and Information System department. Leo Maguire is a Technical Consultant at Park Place International. As a Citrix Certified Administrator and VMware Certified Professional in both Infrastructure and Desktop Virtualization, Leo worked with the OpSus team to design and deploy the OpSus VDI environment, providing remote connectivity for our Cloud customers. Prior to joining Park Place two years ago, Leo worked for Dell’s MEDITECH Solutions Group as an Engineer at MSite, and in their development lab. Leo’s current focus is providing technical consulting services to MEDITECH customers, specializing in virtualization, MEDITECH systems optimization, and end user computing. Samuel Mata is a United States Air Force veteran with over 10 years’ experience in Information Technology. Samuel now serves as a Senior Cloud Engineer on the OpSus team at Park Place International. He has extensive knowledge and experience in cloud technologies along with industry certifications. Annette Ballard serves as CIO at Murray-Calloway County Hospital, in Murray, Kentucky. Annette has been working with the MEDITECH system from the customer side for more than 10 years, from the system selection process through managing the infrastructure after go-live. Her career started as IT Director at Hardin Memorial Hospital in Elizabethtown, Kentucky. Annette then transitioned to become a Senior Management Consultant with Jacobus Consulting in Margarita, CA. Annette holds a Bachelor’s Degree in Management Information Systems, is a Certified Professional in Health Information and Management Systems (CPHIMS), and a Certified HIPAA Privacy and Security Expert (CHPSE).

Build a Reliable Infrastructure for Patient Care Session: 1095 Presenters: Matt Donahue and Michael Martz Organization: Park Place International; Meadville Medical Center, Meadville, Pennsylvania

Scheduled: Friday May 30 at 9:30 am

Abstract: Now more than ever, your MEDITECH HCIS is a critical instrument in providing patient care. We review the technology and design options available to build a resilient, highly available private cloud infrastructure platform for the MEDITECH HCIS. Meadville Medical Center put high availability, data recovery, and operational continuance considerations as priorities when it came to implementing MEDITECH 6.1. Learn from us about the organization’s goals and concerns, the impact they had on the design process, and the strategies and technologies deployed to meet these goals. Matt Donahue serves as CTO at Park Place International. Matt has been working with MEDITECH and their hospital customers for over 10 years across multiple roles as both an end user customer at Saints Medical Center and as service provider with JJWild, Perot Systems, Dell Services and Park Place International. Matt’s current professional goal is to redefine traditional backend infrastructure technologies used by hospitals to allow true adoption of cloud services and achieve an “always available from anywhere” architecture. Matt studied Applied Mathematics and Physics at the University of Massachusetts Lowell and is a regular guest speaker to in their Operations and Information System department. Michael Martz serves as CIO at Meadville Medical Center in Meadville, PA.

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Session: 1096 Presenters: Charity Cartier and Gloria Reid Organization: Dell Services

Scheduled: Thursday May 29 at 3:30 pm

Abstract: Preparing for Meaningful Use Stage 2? Getting ready to take code for MEDITECH CCD Interface Suite? Please join us for this information filled session where we will be discussing an overview of the electronic data exchange of the Clinical Care Document (CCD). We will review the data flow between MEDITECH and the Regional Health Information Organization (RHIO) including a detailed discussion of the MEDITECH interfaces needed for this implementation. In addition we will provide you with critical lessons learned during the implementation of an early adopter Stellaris Healthcare Network. Charity Cartier, Team Lead, Dell MEDITECH Applications Management Team is a leader who has more than 26 years of healthcare experience in Diagnostic Manufacturing, LIS Software Manufacturing and healthcare IT. She has worked with MEDITECH and best of breed hospital applications for the last 18 years. Her diverse expertise supporting almost all areas of the hospital environment has been developed through various roles such as Director of Information Technology, Clinical Systems Analyst, Project Manager and HIPAA Security Officer. Charity’s body of work includes project management of MEDITECH implementations, clinical and network assessments and optimizations, as well as management of regulatory and system updates. Charity earned her BS in Biology from California State University, Sacramento.

EDUCATIONAL PRESENTATIONS

Continuity of Care Document (CCD) Implementation - Early Adopter Lessons Learned

Gloria Reid, Advisor, Dell MEDITECH Applications Management Team is an Ancillary Clinical Analyst with the Dell MEDITECH Healthcare Solutions Group who has 19 years of healthcare experience in both the clinical setting and information technology arena. She has worked with MEDITECH and best of breed applications for the last 19 years. Her knowledge of the MEDITECH system began working as an end user within the Lab as a Medical Technologist and Chemistry Supervisor. Then, in 1999 she transitioned into information technology application support. She has supported applications utilized in virtually all areas of the hospital environment through roles such as Clinical Systems Analyst, Business Systems Analyst, Physician Liaison, Project Manager, Assistant Director and Manager of Information Technology. Gloria’s body of work includes day-to-day applications support, project management of application implementations and upgrades, optimizations, workflow designs, implementation of various regulatory requirements, security assessments, hardware and network assessments, and much more. Gloria earned her BS in Clinical Laboratory Science from the University of North Carolina in Chapel Hill, NC. She is also an ASCP certified Medical Technologist

Best Practice Data Management for MEDITECH Hospitals: What To Do About Scanned Images? Session: 1097 Presenters: Chris Welch Organization: BridgeHead Software, Inc.

Scheduled: Thursday May 29 at 11:00 am

Abstract: Applications like MEDITECH SCA create many millions of files, and require administrative oversight for management. In this session, we will educate IT administrators on how to design a data protection approach combining archive and backup software which is practical and effective, and frees administrators from the burden of daily scanned image file management. We will share the real-world experiences of hospitals, such as Humber River and Rochelle Community Hospital, who have taken this approach to managing SCA in their MEDITECH hospitals. Chris Welch is a Technology Consultant and expert with BridgeHead Software.

2014 International MUSE Conference

DALL AS, TEXAS MAY 27-30

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EDUCATIONAL PRESENTATIONS

Tips for a Successful Single Sign On (SSO) Deployment in a Virtual Environment – Panel Session Session: 1098 Presenters: Lee Howard Organization: Forward Advantage, Inc.

Scheduled: Friday May 30 at 10:30 am

Abstract: An increasing number of MEDITECH hospitals have moved to a virtual environment, or are planning to. Hear from a panel of CIO’s and MD’s who have successfully deployed a combination of Single Sign On with virtual desktops to streamline access and remove the repetitive steps that frustrate and distract care providers. In this session, panelists will discuss how they made a successful transition and will review best practices and tips for a well-adopted deployment of SSO in a virtual environment. The panel discussion will include: • How each hospital has deployed SSO alongside virtual desktops to create a consistent experience and a single point of password management • Where the single sign on market headed in relation to virtualization technologies • Common and successful approaches used by these MEDITECH facilities • Tips for optimizing your virtual environment • How to increase user adoption through training and education Panelists: • Larry Myers, CIO - Wilson Memorial Hospital • Carl Smith, CIO - Kings Daughters Hospital • Brian Yeaman, MD - Norman Regional Health System Lee Howard is Vice President of Client Services for Forward Advantage, Inc. and has over 20 years of experience in healthcare information technology.

Revisiting Network and Security Architecture in the Virtual Era Session: 1099 Presenters: Jim Fitzgerald and Jay Bazzinotti Organization: Park Place International

Scheduled: Thursday May 29 at 2:30 pm

Abstract: Virtualization has taken over server farms and is bleeding its way into storage and networking. The disbursement of Meaningful Use dollars has been accompanied by a new set of audit teeth in the HIPAA and HITECH acts. Networks architected and installed during the Clinton/Bush era cannot handle the full-blown “network computer” created by virtualization nor can they easily accommodate the security and availability needs of modern healthcare. Join us for a fast-paced discussion of new technologies that lower the cost of modern networking, enhance internal and external security, and improve systems availability in line with planned enhancements to the MEDITECH platform. Jim Fitzgerald is Executive Vice-President of Park Place International where he is responsible for technology solutions strategy, development, and quality spanning the entire Park Place portfolio of Technology Integration, Technical Consulting, and Cloud Services. In a 28 year career spanning Microcom, Internetwork Systems, JJWild, Perot Systems, and Dell, Jim has enjoyed the opportunity to observe and participate in the evolution of network computing platforms and their application to business and healthcare workflows. His current passion is helping hospitals developing the right mixture of local and cloud-delivered services in order to achieve operational sustainability. Jim holds a B.A. in Psychology from Bates College and an M.B.A. with high distinction and a concentration in technology from Babson College where he was awarded the Douglass Foundation Prize for Entrepreneurship in 1992. Jay Bazzinotti serves as a Product Manager at Park Place International. Jay has 25 years of product management experience bringing technology solutions to market. He holds patents in networking, security, load-balancing, and fail-over, with the technology deployed in thousands of sites worldwide. Jay’s current mission is to assist in the design, development, and delivery of technology solutions that enable MEDITECH hospitals to deliver services to their users securely and reliably.

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Session: 1100 Scheduled: Thursday May 29 at 8:30 am Presenters: Jim Fitzgerald, Joseph Kelly, Mark Middleton, Rob Bruno, Leo Maguire, and Samuel Mata Organization: Park Place International Abstract: Exciting things are happening at MEDITECH with their upcoming ambulatory EHR, business analytics, new web front ends in 6.1.4 and up, as well as ever-expanding interoperability and extensive updates to support ARRA. Join us to get an up-to-the conference view of these important evolutions to MEDITECH and how they will impact planning for access, availability, networks, systems, storage, and security. Participants will gain important insights as to how to align their technology strategy to best take advantage of new developments. The panel will also devote some time to the current state of the MEDITECH technology platform and share the most recent insights on backup and recovery, disk and file access table defragmentation, systems management, and security given MEDITECH’s most recent technical bulletins. Time will also be allotted for extensive Q&A, so bring your tough questions with you!

EDUCATIONAL PRESENTATIONS

MEDITECH Technical Systems Update 2014

Jim Fitzgerald is Executive Vice-President and CTO of Park Place International where he is responsible for technology solutions strategy, development, and quality spanning the entire Park Place portfolio of Technology Integration, Technical Consulting, and Cloud Services. In a 28 year career spanning Microcom, Internetwork Systems, JJWild, Perot Systems, and Dell, Jim has enjoyed the opportunity to observe and participate in the evolution of network computing platforms and their application to business and healthcare workflows. His current passion is helping hospitals developing the right mixture of local and cloud-delivered services in order to achieve operational sustainability. Jim holds a B.A. in Psychology from Bates College and an M.B.A. with high distinction and a concentration in technology from Babson College where he was awarded the Douglass Foundation Prize for Entrepreneurship in 1992. Joseph Kelly is the Director of Technical Consulting at Park Place International. Joe has been working with Healthcare providers and/or payers since the mid 1980’s and focused solely on MEDITECH and MEDITECH hospitals since 1997. Joe has provided technology consulting, architecture, design and planning services while at organizations such as EDS, JJWILD, Perot Systems, Dell Services, and now Park Place International. Joe’s overall all goal is to bring the leveraged, cloud based virtual universe down to earth to most effectively meet real world objectives for MEDITECH hospitals. Joe has a BS in Computer Information Systems from Bentley University. Mark Middleton serves as Vice President of Cloud Services at Park Place International. Mark served 29 years at CHRISTUS Health in the fields of Biomedical Engineering and Information Technology, leading projects such as a $30 million data center build, relocations, centralization of IT operations, and operating one of the largest MEDITECH Client/Server 5.X implementations in the nation. Mark’s current work is the delivery of cloud-based service offerings to enable MEDITECH customers to provide sustainable and cost effective operations for their facilities. Mark is a multi-time finalist in the Data Center Executive Excellence Awards and holds degrees in Biomedical Technology and Business Administration, as well as the highest level ITIL Expert Certification. Matt Donahue serves as CTO at Park Place International. Matt has been working with MEDITECH and their hospital customers for over 10 years across multiple roles as both an end user customer at Saints Medical Center and as service provider with JJWild, Perot Systems, Dell Services and Park Place International. Matt’s current professional goal is to redefine traditional backend infrastructure technologies used by hospitals to allow true adoption of cloud services and achieve an “always available from anywhere” architecture. Matt studied Applied Mathematics and Physics at the University of Massachusetts Lowell and is a regular guest speaker to in their Operations and Information System department. Rob Bruno is Senior Technical Principal in the Office of the CTO at Park Place International. Rob has extensive MEDTITECH experience. He has closely worked with MEDITECH senior engineering since 1991 while working for Gandalf Systems. After joining JJWild in 1993, and subsequently Perot Systems and Dell Services, he has continued to work closely with engineering resources to develop customer support networks, disaster recovery procedures and cloud based hosting facilities. Rob shares a common goal of making the cloud computing model work in the real world of Healthcare Information Systems. Rob holds a B.A. in Computer Information Sciences and Mathematics from Iona College. Leo Maguire is a Technical Consultant at Park Place International. As a Citrix Certified Administrator and VMware Certified Professional in both Infrastructure and Desktop Virtualization, Leo worked with the OpSus team to design and deploy the OpSus VDI environment, providing remote connectivity for our Cloud customers. Prior to joining Park Place two years ago, Leo worked for Dell’s MEDITECH Solutions Group as an Engineer at MSite, and in their development lab. Leo’s current focus is providing technical consulting services to MEDITECH customers, specializing in virtualization, MEDITECH systems optimization, and end user computing. Samuel Mata is a United States Air Force veteran with over 10 years’ experience in Information Technology. Samuel now serves as a Senior Cloud Engineer on the OpSus team at Park Place International. He has extensive knowledge and experience in cloud technologies along with industry certifications.

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Equip your EHR with Integration-Ready Patient Education to Achieve Quality Initiatives Session: 1101 Presenters: Anne Marie Smith and Laura Harter Organization: Halifax Health, Daytona Beach, Florida; Truven Health Analytics

Scheduled: Thursday May 29 at 10:00 am C/S

Abstract: Equipping your EHR with integration-ready, high-quality resources to deliver effective patient education is essential to achieve Meaningful Use (MU). In this presentation, we will discuss: • Integrating evidence-based patient education into your MEDITECH EHR to help achieve MU • How clinicians can use patient education resources to engage and empower patients to actively participate in their care • The benefits of integrated patient education including clinical consistency across the care continuum, time savings, and decreased risk and liability • Best practices and considerations when choosing a patient education vendor Anne Marie Smith, RN, BSN is a Senior Clinical Informaticist and the PCS Functional Team Lead for Halifax Health in Daytona Beach Florida. Her clinical background includes Critical Care, Telemetry, Medical/Surgical and Quality Improvement. She has worked with MEDITECH Magic and Client Server platforms. For the past 10 years she has worked in as an Informaticist to support various MEDITECH modules such as PCS, BMV, OE, ITS, EMR, and RXM. She has been the team lead for a variety of clinical projects and implementations. She was the inpatient team lead for the implementation of CareNotes Patient Education for Halifax Health in August 2013. Laura Harter has worked in the healthcare marketplace for 20 years. Over the last 12 years she has focused on clinical decision support and patient education solutions working both in market management and sales capacities. For the last five years she has been a product specialist with Truven Health Analytics, supporting Micromedex Solutions, including CareNotes Patient Education.

Nomenclature Mapping – Avoiding the Pitfalls, Detours, and Bad Directions Session: 1102 Presenters: Debra Furbush Organization: Blanchard Valley Health System, Findlay, Ohio

Scheduled: Friday May 30 at 9:30 am

Abstract: Blanchard Valley Health System (BVHS) embarked on the nomenclature mapping journey in early 2013. During the journey we encountered some detours, roadblocks, and bad GPS directions. During this presentation, we will share with other MEDITECH facilities our experience in implementing nomenclature mapping. BVHS uses MEDITECH Magic 5.66 PP3 (PP8 arrived in mid-February), and Client Server for ITS, and 6.x for PHM, and Maestro. Debra Furbush has been at Blanchard Valley Health System for 35 years in the following roles: IT Applications Manager 2001-2007 and 2013 to present IT CPOE Coordinator 2007-2013 IT Clinical analyst 1991- 2001 Laboratory LIS Coordinator and MLT (ASCP) 1978-1997

Report Designer and NPR Tips and Trickss Session: 1103 Presenters: Joe Cocuzzo Organization: Iatric Systems, Inc

Scheduled: Thursday May 29 at 10:00 am

Abstract: “An Old Dog is Still Learning New Tricks” We will present a variety of Report Designer and NPR tricks, including (but not limited to): • A Report Designer “search report for fields” equivalent • Gray bars where you want them in RD. • “Two and a half tools” a Rosetta stone of sorts for report writers using Magic NPR, C/S NPR, and RD. • Turn an NPR report into a procedure • Exploit user activity data in a BAR report to track comments efficiently. Joe Cocuzzo is a Senior Vice President at Iatric Systems, leading the Report Writing Services division where he has worked since 2000. Before that he was a Senior Programmer Analyst at Newton-Wellesley Hospital for nine years, where he did a variety of magic NPR and $T report writing, VB Scripting and VB programming. Before that he was an Applications Consultant at MEDITECH where he supported ABS/ADM/MRI/MIS and also taught NPR RW classes.

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Session: 1104 Presenters: Willa Roberts Organization: HealthNET Systems Consulting, Inc.

Scheduled: Thursday May 29 at 9:00 am

Abstract: Blood Bank validation is necessary to meet FDA requirements, AABB standards, CAP and ISBT. Validation can be very time consuming and resource intensive. Proper planning and understanding can help to prepare for this process and ensure success. This session will cover the topics: • Various requirements from regulatory agencies that impact BBK Validation • Timing and duration for a typical BBK Validation • Ways that Information Systems can assist and help expedite BBK Validation process • Reports and Reporting • Frequency requirements for BBK Validation (i.e. with system updates, changes, etc) • Project planning

EDUCATIONAL PRESENTATIONS

Blood Bank Validation – 101 and Beyond

Willa Roberts, MBA, MT(ASCP) currently serves as a consultant at HealthNET Systems Consulting, Inc. Willa is a Medical Technologist by background with over 20 years of experience in Healthcare including 12 years in of IT experience. Her expertise includes project management, IT planning, IT assessments, clinical systems implementation, system upgrades, process redesign, training, HCIS and hardware selections, LIS migration, Blood Bank validation and CAP/AABB/FDA readiness.

Not Getting the Most from Your Training Investment is Like Kissing Frogs Session: 1105 Presenters: Linda Hainlen Organization: Sedona Learning Solutions

Scheduled: Wednesday May 28 at 1:30 pm

Abstract: Many organizations spend a lot of money training their end-users just to find them unprepared at go-live to adequately utilize the system. We will share proven techniques to ensure end-user readiness and adoption of the system that are measurable. Partnering with facility leadership and build teams will be emphasized as well as measurable results. Disney's "Princess and the Frog" video and music will be utilized throughout this fun, interactive session. Linda Hainlen is a Kirkpatrick Certified Facilitator, an international author, and the Director of Business Development at Sedona Learning Solutions in Phoenix Arizona. She served as Director of Learning Solutions for IU Health in Indianapolis, IN for 18 years. Linda has over 25 years of proven experience as a training manager – including real world experience applying the Kirkpatrick principles. Linda is an engaging facilitator and presenter, who authentically and successfully connects with audiences by bringing concepts to life through sharing her own experiences from working in a highly regulated industry. Her practical and genuine approach inspires participants not only in thinking but in applying their newfound knowledge and skills. She is one of the first Learning and Development leaders in the world to incorporate Baldrige, Lean-Six Sigma, Strategic Planning, Innovation, and Intelligent Risks models into the processes and operation of the learning function. Under Linda’s leadership, her division at IU Health was awarded the highly prestigious ASTD Best award in 2011. Linda has been published several times, including a white paper co-written with Jim Kirkpatrick on the topic of healthcare. Her American Society of Training and Development (ASTD) Infoline on “Designing Informal Learning” made the top 50 best sellers and was translated into 83 languages. Linda has spoken at several international conferences and worked with companies from around the world to improve their effectiveness and achieve measurable outcomes. Industries served include higher education, corporate learning, nuclear, and healthcare.

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Supply Chain and Cost Reduction Management Session: 1106 Presenters: Farrah Mahoney Organization: Healthcare Insights

Scheduled: Thursday May 29 at 10:00 am

Abstract: In the ever-changing healthcare environment, hospitals and health systems are facing many challenges such as lower reimbursement with increasing costs. For many organizations, labor management is the primary expense at 50% of net revenue, coming in right behind that is supply expense which used to run 15-18% of net revenue. Now that rate has increased to 18-20% of net revenue and growing. In this session we will discuss: • The reasons why there is a great need and opportunity to reduce non-salary expenses; • Identify specific areas of opportunity for rational supply chain expense reductions; and • Review examples of how other healthcare organizations have tackled this issue. Farrah Mahoney is the Director of Business Development for Healthcare Insights, LLC, which specializes in the teaching and consulting of healthcare financial management issues. She has been with Healthcare Insights, LLC for almost eight years. As part of her responsibilities, Farrah advises clients on best practice reporting and monitoring techniques. Prior to her role at Healthcare Insights, Farrah spent seven years working in the finance department of several healthcare providers. These included a 350-bed acute care hospital, as well as long-term acute care providers and a physician group. She holds a Bachelors of Science degree in Accounting and a Master of Business Administration from the University of Southern Indiana.

So You Want to Be a Hospital CIO? Session: 1107 Presenters: Chris Blakemore Organization: Cornerstone Advisors

Scheduled: Friday May 30 at 10:30 am

Abstract: Google “Wanna be a CIO”, and you’ll get 28,000 hits. Google “Wanna be a hospital CIO" – not so many – just a couple. There are some key differences between being a CIO in a hospital and in other industries and the average tenure, according to Gartner, for a CIO in healthcare is a little greater than four years. While there is no “common” path for moving up the ladder to healthcare CIO, there are some common themes for demonstrating your ability to become, and stay, a successful healthcare CIO. There are also some common derailers to avoid in the process and along your career path. This session will investigate both – how to become a hospital CIO and how to avoid the derailers. The session is intended for managers and directors in healthcare looking for strategies to continue to grow in their careers. Chris Blakemore has served in multiple CIO and Associate CIO roles for multi-hospital systems ranging in size from three to 26 hospitals. He has worked in Magic, Client Server and MEDITECH 6.X hospitals for over 20 years. Chris has coached a number of individuals in their hospital IT careers. Chris brings a unique blend of IT and business experience to the consideration of what it takes to be a successful hospital CIO.

Navigating Regulatory Agency Requirements for Laboratory Information Systems (LIS) Session: 1108 Presenters: Willa Roberts Organization: HealthNET Systems Consulting, Inc.

Scheduled: Wednesday May 28 at 3:30 pm

Abstract: In the era of ARRA and Meaningful Use requirement it is easy to forget the role that IS plays in helping organization navigate requirements with regulatory agencies such as CAP, AABB, Joint Commission (JC), and the Federal Drug Administration (FDA). This session will cover the necessary steps of planning and development of reporting, LIS development and optimization, IS requirements, the importance of standardization, and preparation strategies. Key topics will include: Methods for proactively preparing for regulatory audit/inspection, Technology needs for future growth requirements (i.e. ICD10 migration, LOINC code mapping, ISBT, BBK validation, TAR requirements, etc.), optimal data flow, and improve clinical documentation, report automation and development will also be discussed. Willa Roberts, MBA, MT(ASCP) currently serves as a consultant at HealthNET Systems Consulting, Inc. Willa is a Medical Technologist by background with over 20 years of experience in Healthcare including 12 years in of IT experience. Her expertise includes project management, IT planning, IT assessments, clinical systems implementation, system upgrades, process redesign, training, HCIS and hardware selections, LIS migration, and CAP/AABB/FDA readiness.

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Session: 1109 Presenters: Chad Ashman Organization: 3Cords Solutions, LLC

Scheduled: Thursday May 29 at 11:00 am

Abstract: Do the NPR reports you write feel archaic? Many times it seems scary to think about leaving the safety of the entry level NPR cave. However, there is a whole world of wonder and flexibility waiting outside of the cave. I want to help you take the first steps to understanding how utilizing macros can open new worlds of report writing. We will look at how macros are invoked, syntax, and real life examples macro-containing reports. Shed the dimly lit cave and let’s head toward the light! Consultant, Chad Ashman is a professional and disciplined team player. He has more than 13 years of healthcare experience in management and system analysis/programming with a strong background in MEDITECH system development, report design/implementation, support and general/project management. In his experience, he has held positions as a MEDITECH programmer, project manager and manager for a MEDITECH technical service team.

EDUCATIONAL PRESENTATIONS

Macro Evolution: Evolve Your NPR Reports

Data Repository Best Practices Session: 1110 Presenters: Brandon Woodley Organization: Iatric Systems, Inc

Scheduled: Wednesday May 28 at 10:30 am

Abstract: Efficiency, code readability, scalability and maintenance are all import considerations when leveraging your Data Repository for reporting needs. Ensure short and long term success by following our DR best practices from the start. In this session we will explore the best methods and standards used for optimal reporting. Topics include: • Coding and Commenting Standards • Naming Conventions • Efficiency and Pitfalls • Creating Indexes • Creating Views • Report Development Brandon Woodley is an HIS Programmer/Analyst at Iatric Systems and has 10 years of Healthcare IT experience in Canada. Currently he writes reports for Data Repository, NPR, Report Designer and Cerner CCL. Prior to Iatric, he supported clinical applications for Canadian healthcare organizations such as Interior Health, Hamilton Health Sciences and London Health Sciences Centre.

VTE/Stroke – Meaningful (Use) Clinical Rules Session: 1111 Presenters: Kevin McConnell Organization: Infinity HIT, LLC

Scheduled: Thursday May 29 at 11:00 am

Abstract: In this presentation, we will review the UMLS/HITSP Tech Notes and the backbone build strategy for clinical rules to become proactive, instead of merely collecting data on the backend. Topics: • VTE_3 • VTE_4 • VTE_6

• STROKE_2 • STROKE_3 • STROKE_5

• STROKE_6 • STROKE_2_3 • STROKE_2_3_6

• STROKE_2_6 • STROKE_3_6 • Admission Diagnosis requirements

Knowledge of clinical rules is not required, but is preferred. Dr. Kevin McConnell has roughly 24 years of relevant professional experience including over 17 years of experience as a MEDITECH consultant, project manager, and application specialist in healthcare system implementation/assessments and is currently a managing partner and Executive VP with Infinity HIT, LLC. Dr. McConnell specializes in the implementation and support of MEDITECH’s Advanced Clinical Applications with a particular emphasis on the Pharmacy and Order Management modules, and related interfaces/applications. Areas of expertise include pre and post implementation assessments, developing implementation and training plans, revenue cycle, coordinating process and departmental workflow enhancement/redesign, facilitating/managing application implementation teams, training end-users and change management, and meaningful-use attestation assessments. Dr. McConnell has experience in all of MEDITECH’s latest releases – Magic 5.66, Client Server 5.66, and MEDITECH 6.07. Conference Program 2014 MUSE INTERNATIONAL

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Addressing Insider Threats Session: 1112 Presenters: Rob Rhodes Organization: Iatric Systems, Inc.

Scheduled: Thursday May 29 at 3:30 pm

Abstract: There are many alarming patient privacy issues facing your healthcare organization: • Joy Pritts, Office of the National Coordinator for Health Information Technology (ONC), says that insider snooping is one of her biggest concerns. • A report from the Ponemon Institute shows a 20% increase in medical identity theft. • The HIPAA Omnibus Rule that went into effect September 23, 2013, promises hefty fines, more audits, and added enforcement in protecting patient health information. Join us for this insightful educational session to learn what you can do to keep your healthcare organization safe from unauthorized access to patient data. You'll hear how you can ensure that your policies, procedures, and technology effectively protect your patients' privacy. You'll learn what healthcare organizations are doing to identify medical identity theft, deter and detect insider snooping, and be in compliance with HIPAA regulations. This educational session will cover: • Establishing key policies to make sure your systems are aligned • Setting up risk assessment guidelines and practices, identifying gaps, and creating an effective feedback loop • Defining communication practices for your workforce, HR department, and other departments • Determining appropriate enforcement sanctions Rob Rhodes is the Senior Director of Patient Privacy Solutions at Iatric Systems. In this capacity, he is responsible for the overall management of the Security Audit Manager and Medical Records Release Manager products. Before joining Iatric Systems, Rob worked for several healthcare software vendors and hospitals. Most recently Rob was Chief Information Officer for Houston Healthcare in Warner Robins, Georgia. Rob has more than 22 years of experience in the healthcare IT field, is a Certified Professional in Healthcare Information & Management Systems (CPHIMS), Certified Healthcare CIO (CHCIO), and holds a Master’s Degree in Information Assurance from Norwich University.

Clinical Documentation Standardization: Big Decisions That Align and Empower Success for Clinical Projects Session: 1113 Presenters: Paulette Schroeder Organization: Jacobus Consulting

Scheduled: Friday May 30 at 10:30 am

Abstract: Clinical Documentation Standardization is not always well understood, and consensus on an approach is not always attained. Yet, it is a critical success factor when implementing MEDITECH Advanced Clinical modules and ICD-10. The decision to standardize can come when looking at optimizing clinical models that were implemented several years ago to mirror updated regulations and practices, or even when a significant opportunity for change warrants a redesign – like migrating to 6.x or implementing ICD-10. What are the most important pieces of standardization when implementing or optimizing your online clinical documentation? This presentation looks at what standardization means, how it applies to a healthcare organizations (with implementation examples), why it is so important, and the optimal outcomes. We will also explore what “big decisions” need to be made prior to software delivery and build. These decisions and the early work in the project can be the key to the success of your project and prevention of re-work as you add new modules, processes, and functionality. Paulette Schroeder, RN, BSN, PMP, BC in Nursing Informatics is the MEDITECH Clinical Practice Director for Jacobus Consulting – a large, US-based MEDITECH consulting firm. Paulette has a clinical practice background in Oncology, Rehab, Med-Surg, Pediatrics, ICU, and ED working initially as a staff nurse and then as a clinical director. She moved into IT where she successfully implemented various MEDITECH clinical modules at several hospitals in the US and eventually into consulting, where she is currently helping numerous hospitals across the US implement MEDITECH clinical software solutions on the Magic, Client Server, and 6.0 platforms. She is a Certified Project Manager and a regular educator providing workshops in clinical documentation improvement, clinical documentation standardization, and physician adoption of electronic systems.

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Session: 1114 Presenters: Tracy Rainwater Organization: Dell Services

Scheduled: Thursday May 29 at 2:30 pm

Abstract: Nomenclature mapping relates to medical vocabularies housed in a single database, enabling EHR systems to become more clinician friendly. The expected result is higher physician utilization and satisfaction as well as billing right the first time. Nomenclature mapping enables clinicians to find diagnoses and procedures in terms they are familiar with. Once fully implemented, you get up to date nomenclatures applied directly to reporting dictionaries. In this implementation, reporting codes are housed in one place, including ICD-9/10, Snomed, LOINC, etc. This implementation experience will show you what to look for from the early adopter standpoint including lessons learned. Tracy Rainwater, RN, Advisor, Dell MEDITECH Applications Management is a clinical information systems applications analyst who has more than 20 years of healthcare information systems and clinical experience. She has worked with MEDITECH applications for the last 20+ years. Her expertise has been developed through various roles such as RN in various critical care areas, Clinical Systems Analyst as well as a Consultant, and Programming Analyst. Tracy’s body of work includes project management of MEDITECH implementations, work flow assessments and optimizations, as well as management of clinical systems implementations and system updates. Tracy earned her BS in Computer Science from Dekalb/Control Data Institute Dual Degree and her RN from Georgia Highlands in Rome Georgia.

EDUCATIONAL PRESENTATIONS

Nomenclature Mapping Implementation: An Early Adopter Experience

Engaging Physicians in Clinical Documentation Improvement and the Transition to ICD-10 Session: 1115 Presenters: Dr. Reid Coleman and Patricia Trumm Organization: Nuance Communications

Scheduled: Wednesday May 28 at 1:30 pm

Abstract: Your goal is engage your clinicians and ensure that clinical documentation at your organization is as accurate and as complete as possible. Why? Inaccurate documentation can affect the financial health of your organization and – most importantly – the care of your patients. Discover how balance of education and technology can be a fundamental breakthrough for your organization. Utilizing innovative technologies, including primary real time documentation methodologies, computer assisted physician documentation, can transform traditional clinical documentation improvement (CDI) programs for complete and accurate documentation from the start. Reid W Coleman MD FACP, CMIO Evidence Based Medicine Nuance Communications Inc. received his AB and MD from Brown University and then completed residency in internal medicine. During twenty years of practice as a primary care internist he also served as associate director of an ICU for three years and director of a residency program for three years. He then became Medical Informatics Officer for Lifespan, a four hospital system in Providence RI. During his tenure, three of the Lifespan hospitals achieved HIMSS Analytics Level 6 designation and the system received full Meaningful Use funding in the first year of the program. Dr. Coleman left Lifespan in 2011 to become CMIO for Evidence Based Medicine at Nuance Communications Inc. Among other projects he is working on the development of Watson for healthcare. He is an Associate Professor of Clinical Medicine at the Warren Alpert School of Medicine at Brown and continues to see patients in a residents' clinic. He has received seven housestaff teaching awards, the AMDIS Physician Achievement Award in 2005, the Beckwith Family Award at Brown University for Excellence in Teaching in 2011, and in 2010 was named by Modern Healthcare Magazine as one of the top 25 Medical Informaticists in the United States. Patricia Trumm M. Ed, is a Director of Customer Experience in Healthcare Solutions Marketing. She is responsible for integrating Customer Marketing with the Customer Satisfaction/Loyalty Programs. This includes including customer reference and Net Promoter Score programs, Customer events, Customer Advisory Board, managing KLAS and market leadership teams and new customer welcome programs. In her previous role as Solutions Marketing Manager, drove the marketing of Nuance’s end to end clinical documentation and coding solutions as well as serve as a resource to those working on EHR integration efforts. Her focus is on driving positive outcomes by utilizing technology and best practices and for clinical documentation improvement. Patricia has over 19 years in EHR and healthcare IT experience. Before coming to Nuance, she worked at MEDITECH Inc. where she was responsible for creating programs to strengthen customer relationships, maintain customer retention and improve clinician satisfaction. This includes creating, organizing and delivering content and resources focused on optimizing workflow utilizing best practice techniques. She is respected for her expertise in the development and implementation of integrated, multi-application health care delivery systems for both inpatient and outpatient settings. She is also an advocate for the use of information technology to improve the safety, quality, and efficiency of health care. She earned a BA in Biology and a M. Ed. in Organizational Management. Learner Outcomes: • Building physician knowledge and engagement, resulting in markedly improved program success • New technology using a physician-centered philosophy to facilitate the CDI process • Strategies maximizing physician recognition of the positive impact of such solutions on their clinical practice Post-Lecture questions: • How does technology influence the role of a CDI specialist? • Why does a clinically focused documentation improvement program increase adoption? • What is the benefit to transitioning to the ICD-10 code set?

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Improving Patient Safety and Reducing Duplicate Records with Biometric Patient Identification Session: 1117 Presenters: Mike Knebel Organization: Forward Advantage, Inc.

Scheduled: Thursday May 29 at 11:00 am

Abstract: Hospitals and healthcare providers face a daunting challenge when it comes to accurate patient identification. In this day and age of the widespread adoption of electronic medical records, it is more important than ever to make sure that you have the right patient associated with the right record. In doing so, some of the key challenges/issues include: misidentification of patients caused by same / similar names, creation of duplicates and overlays, and fraudulent attempts by patients using someone else’s insurance (known as “medical identity theft”) or willingly sharing insurance among family members and friends. All of these issues are considered direct threat to patient safety and can leave healthcare organizations with some serious risks and consequences. In this session we will discuss the future of biometric patient identification and how using biometrics as part of your patient registration process can help you: • Reach the right patient each and every time • Reduce duplicate record administration costs • Increase patient satisfaction • Become a technology leader in your community Mike Knebel is the Vice President of Sales for Forward Advantage Inc. and has over 20 years of experience in the Healthcare industry including roles in Finance, Operations, Business Development and Information Technology.

There is No I in Team Session: 1118 Presenters: Candace Adams, Erica Gillin, and Kelly Wauters Organization: Methodist Health System, Dallas, Texas

Scheduled: Wednesday May 28 at 2:30 pm C/S

Abstract: HIM and IT are working together to implement projects and changes in the HIM department. Starting with the purchase of SCA (which allowed Methodist Health System (MHS) to centralize HIM) to reduce staffing, and to bring the ‘Release of Information’ back in-house. MHS utilized a third-party vendor for all consents, PDOC in the ED, and, at one facility, for progress notes, CPOE, and of course nursing/ancillary documentation. Candace Adams is a manager in the Health Information Management department. She is over transcription and record processing for Methodist Health System. Candace obtained a Bachelor’s degree in Business Administration from Texas Woman’s University and Master’s degree in Health Information Management from the College of Saint Scholastica. She obtained her RHIA certification after completing her master’s degree. Her current role responsibilities are managing at home transcriptionist and the transcription function and chart analysis for all campuses, she also serves as the liaison between HIM and IT, report compilation, and managing IT related HIM products. Erica Gillin is a Project Leader for the Information Systems Department at Methodist Health System. Erica has been with the organization for 12 years supporting their information systems. Her current responsibilities include project management and implementation. She specializes in Scanning and Archiving, Admissions and interfacing various systems to and from MEDITECH Client Server. Kelly Wauters, RHIA is the AVP of Health Information Management (HIM) for Methodist Health System (MHS) in Dallas, Texas. Kelly has been with MHS for 21 years and has been in several different positions within HIM. Her current responsibilities include HIM planning, budgeting, system analysis and overall operation of the department.

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Session: 1119 Presenters: Becky Peery and Stephanie Broderick Organization: Centura Health, Englewood, Colorado; First Databank

Scheduled: Thursday May 29 at 11:00 am

Abstract: More than one million serious medication errors occur every year in U.S. hospitals. Such errors include administration of the wrong drug, drug overdoses, and overlooked drug interactions and allergies – and that can lead to patient harm. Contributing to the problem is over-alerting: drug interactions that aren’t pertinent and duplicate warnings that don’t make much sense. Centura Health, a network of 15 hospitals, six senior living communities, health neighborhoods, physician practices and clinics, home care and hospice services in Colorado and western Kansas, sought a better way. Centura Health is committed to an increasing level of excellence in patient safety and driven to provide their clinicians with relevant information to guide high quality patient care. Through collaboration with their vendor partners and a group of other equally committed hospitals, a unique cloud-based solution was born that is dedicated to making this massive amount of information manageable and meaningful to patient care.

EDUCATIONAL PRESENTATIONS

Ideas in the Cloud – A New Solution for Drug/Disease Contraindications and Duplicate Therapies

This presentation will cover the new cloud-based solution aimed at providing relevant duplicate and drug contraindication warnings. See first-hand before and after examples of how care will be improved and a provider’s ability to manage critical alerts made easier through the new cloud-based solution. This solution is intended to serve MEDITECH customers on a MAGIC and 5.66 platforms. Rebecca (Becky) Peery, RPH is a licensed pharmacist who has 25 years of experience in hospital pharmacy. She was integral in implementing the MEDITECH Client Server modules, BMV, PCS eMAR, and PHA for Centura in 2006. In 2011, she migrated to a Clinical PHA IT Team Analyst role where she led the standardization of the formularies and processes for CPOE across the 13 Centura Hospitals. She just recently became the PHA IT Manager for Centura with hopes of creating a more streamlined experience for end users. Stephanie Broderick is Senior Product Manager for FDB’s MedKnowledge Package Product, State and Federal Controlled Substances, Images, Imprint, and Consumer Drug Information modules. In 2013 Broderick took on a new role as Product Manager for FDB’s new web services initiative, the FDB Cloud Connector. In 2014 she added the MedKnowledge and OrderKnowledge Frameworks to her product responsibilities. Prior to her transition to Product Management in 2011, Broderick was a Senior IT Leader with over 23 years of experience leading product development and large systems development initiatives across multiple business functions in healthcare, manufacturing, consulting and IT services. In Broderick’s 18 years with FDB, she has managed business and clinical systems and had oversight for teams covering a variety of IT roles. Prior to joining FDB, Broderick was a software consultant and project manager for Charles H. Mack and Associates located in Cincinnati, OH. In this role, she worked with Medi-Span, Inc. on a three-year multi-million dollar project to build a fully customized front and back office ERP system. She has also held roles in application development, systems analysis and design and project management for companies such as Power Wheels, Inc., Kransco Group Companies and Apple Computer where she was a software consultant to Apple USA’s IS&T Business Support Group. Broderick is a graduate of Coleman College.

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EDUCATIONAL PRESENTATIONS

Putting Alert Fatigue to Bed Session: 1120 Presenters: Darci Bernardi, Virginia Halsey, and David Troiano Organization: Benefis Hospital, Great Falls, Montana; Dearborn Advisors

Scheduled: Friday May 30 at 10:30 am

Abstract: Alert fatigue is an all too common issue facing care providers. From the constant beeping of devices to alerts when placing orders, clinicians have become not only desensitized to the alert information being presented, but have become annoyed with the sometimes constant barrage of alerts. Benefis Health System, in Great Falls, Montana approached the problem of alert fatigue in earnest as they moved forward with the roll out of CPOE across their organization. They were aware early on that Providers would likely be overwhelmed with the sheer number of medication related alerts, thereby causing these alerts to not only lose their effectiveness but to actually increase the risk of medication errors due to alert fatigue. Working with their formulary service provider and a consulting firm, Benefis was able to not only very quickly reduce alerts by 1/3, but in the process developed an approach that would serve to guide ongoing efforts for alert reduction. This presentation will review the methodology that was used for the analysis and decision-making processes and describe some of the findings and the thought processes that led to this success in reducing the risk of alert fatigue and improving Provider satisfaction with the CPOE system roll-out. Darci Bernardi graduated from the University of Montana in 2000 with a Doctorate of Pharmacy degree. She worked in a retail setting for eight years before moving to Benefis Hospital in Great Falls, MT. The rollout of Bedside Medication Verification and barcode scanning prompted a need for an informatics pharmacist. Darci took on this role and the position grew rapidly. With Meaningful Use, came the need for Computerized Physician Order Entry. Darci was involved in the pharmacy build, along with bringing in Alert Space to decrease the alert fatigue the providers would soon face. Virginia Halsey is product management director with First Databank (FDB), the source of medication content integrated into MEDITECH and the majority of EMRs and other systems providing care guidance for medications. She is responsible for the AlertSpace product line, a web-based solution for managing alerts used by over 100 MEDITECH sites for tackling alert fatigue. Halsey has over twenty years of experience with medication content integrated into software and has worked on a number of initiatives that have addressed alert fatigue. In addition to product management, this experience has included early stints in programming, implementation and account management. She holds a B.A. with honors from the University of California, Berkeley. David Troiano is a Registered Pharmacist with more than 30 years of experience with clinical performance improvement and information systems, including 11 years as a vendor of healthcare information systems and 18 years as a consultant. He leads the Medication Management Performance Improvement Development Team in the development and implementation of consulting services to improve medication safety, reduce costs and improve efficiencies in medication management. Prior to working in consulting, Mr. Troiano worked for clinical information system vendors in implementation and as a Product Manager where he designed and oversaw the development and implementation of a wide range of clinical information systems. He has also held positions as a Pharmacist and Pharmacy Manager in a large urban hospital.

A Successful Strategy for Optimizing VBP Reimbursement, Reducing Readmission and Hospital Acquired Conditions Session: 1121 Presenters: Nancy Fogarty Organization: Roger Williams Medical Center, Providence, Rhode Island

Scheduled: Friday May 30 at 9:30 am

Abstract: We will discuss how Roger Williams Medical Center addressed best practices by instituting an automated alert system to enable concurrent review, which: • Dramatically reduced the manual collection of data from multiple sources • Provided detailed patient information while patients were still in-house • Identified critical populations at a glance This presentation will cover how the following results were achieved: • Reduced CHF readmissions from 26.7% to 8.3% • Improved Care Transition across the CharterCARE continuum • Reduced central line infections in the ICU and hospital wide • Reduced CAUTI hospital wide • Received optimum VBP points for 5/9 Core Measures in FFY 2015 Program • Improved daily patient safety rounding • Closed gaps in delivery of care • Improved quality of care and outcomes Nancy Fogarty BS, CPHQ, CPEHR is Director of Quality and Performance Improvement at Roger Williams Medical Center, a Partner in CharterCARE Health Systems. In this role, she is responsible for leading and developing the overall vision and oversight of clinical quality, quality performance and patient safety programs across the organization. Prior to assuming her current role she held positions in the Quality and Performance Improvement Departments at Rhode Island Hospital and St Joseph Health Services. Nancy is a member of NAHQ and has served as Past President of the RI Chapter of NAHQ. She most recently obtained her Certified Professional in Electronic Health Records in 2013. Fogarty received a Bachelor of Science degree from Providence College in health services administration.

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Session: 1122 Presenters: Chad Turner Organization: HealthNET Systems Consulting, Inc.

Scheduled: Friday May 30 at 9:30 am

Abstract: From maximizing reimbursement to achieving clinical excellence in the organization, MEDITECH’s Physician Care Manager (PCM) is a suite of products with incredible benefit to the organization for achieving Meaningful Use and clinical excellence goals. Automating processes, designing documentation that is streamlined and efficient for physicians, providing clinical decision support, and assuring data flow between clinical staff and physicians in both the ED and the in-patient setting are all crucial in developing an optimal system. Come see how your organization can develop PCM, maximize quality, accomplish Joint Commission goals, and develop the system to meet Meaningful Use criteria to accomplish financial and clinical excellence.

EDUCATIONAL PRESENTATIONS

Physician Care Manager (CPOE, MEDREC, eRX, PWM, and PDOC), Optimizing Outcomes and Utilization

This session will cover the necessary steps of planning and development, the importance of standardization, and implementation strategies. Key topics will include: Documentation methodology, nomenclature, Medical Problem List development and implementation strategies (ICD9/ICD10/SNOMED/IMO Staging, A&P), computerized physician order entry (CPOE), ePrecribing (eRX), Medication Reconciliation (MEDREC), and physician on-line documentation (PDOC). Technology, clinician/physician buy in, optimal data flow, and Clinical Documentation Improvement Program (CDIP) development will also be discussed. We will also discuss the use of Rules and development to provide Clinical Decision Support for both Meaningful Use Stage II goals and HIMSS Analytics within CPOE, PDOC, and Medication Reconciliation (RXM). Chad Turner currently serves as an Advanced Clinical Specialist at HealthNET Systems Consulting, Inc. Chad has over 17 years of experience in Healthcare IT that includes project management, IT planning, IT assessments, clinical systems implementation, system upgrades, process redesign, training, HCIS and hardware selections. Chad has extensive experience in the areas of project management, advanced clinical information systems, multi-facility implementations.

Halifax Health’s Road to Becoming a Paperless Hospital Session: 1125 Presenters: Tom Stafford Organization: Halifax Health, Daytona, Florida

Scheduled: Thursday May 29 at 9:00 am

Abstract: Halifax Health, the largest hospital in Daytona, Florida, once relied on pre-printed paper forms, which were costly, required manual processing and left information trapped on paper when it needed to be in MEDITECH’s EHR. In addition, the hospital used to collect ink-on-paper signatures, which were difficult to secure and were sometimes missed as staff collected admissions packets – potentially leading to billing and care delays. To solve these problems, Halifax turned to an electronic forms on demand and e-Signature solution. In this presentation, attendees will learn how the team charted its course from paper-based to paper-light processes, and how the hospital is moving forward to a fully paperless environment. Topics covered will include: • Eliminating the costs and delays of pre-printed forms • Ensuring all information and signatures required for care delivery and billing are captured at the point of registration • Sending signed e-forms into MEDITECH’s EHR without user effort • Improving patient engagement • Supporting regulatory compliance by ensuring only up to date e-forms are used • Boosting staff productivity and enabling registrars to stay with patients instead of processing paper • Saving time and eliminating scanning and indexing errors in HIM • Looking forward to fillable web-based forms that can be used on tablets, smartphones and any other device Tom Stafford is the CIO at Halifax Health. Since arriving at Halifax Health in 2007, Tom has transformed the facility’s healthcare IT strategy and helped move the hospital toward its goal of offering fully electronic health records. Tom is also an active member of the MEDITECH user community and is an instrumental figure in the MUSE 500 Club.

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EDUCATIONAL PRESENTATIONS

Vanishing Revenue & EHRs – Are Your New EHR Driven Charging Processes Costing You Lost Revenue? Session: 1126 Presenters: Sharon Clayton, Valerie Inmee, Marcella Whooley, and Paulette Schroeder Organization: Jacobus Consulting

Scheduled: Friday May 30 at 9:30 am

Abstract: You’ve built a fabulous EHR, but are you losing money due to inappropriate charging? Is your system helping or hindering the capture of charges? Electronic medical records enhance patient care and quality for clinicians; however charge capture of clinical procedures through EMR is often not a first consideration. Sometimes, nurses and other clinicians are often not even aware of the potential for lost charges, nor are they built into the system for automatic capture. Perhaps auditing and reconciliation of EHR driven charges may not be a process you have bulletproofed yet. For years, clinical unit’s focus of charging was on what was used on a patient, not what services were done for a patient. This has changed. There are now numerous entities auditing the medical record retrospectively for documentation supporting charges. This makes creating a record with easily defendable documentation of chargeable events more important than ever. Worse, worry about fraudulent charging may lead to inappropriate under charging – hurting financial performance. Knowing the potential procedure charges and the necessary documentation is essential in building a sound EMR and charging process. This session will show how the ideal EMR should assist in charge capture in the most seamless way and guide clinical documentation to support those charges. We will focus on best practice and provide advice on how MEDITECH build teams can take on this critical task. Sharon Clayton RN, MA, MBA, CPC is a Senior Director of Advisory Services in Jacobus Consulting’s Revenue Cycle Practice, where she is responsible for growth and delivery of the company’s Revenue Cycle offerings. Sharon brings a lengthy track record of clinical practice leadership as a nurse and hospital executive, followed by a distinguished career consulting at hospitals nationwide. In Sharon’s 25 years of healthcare provider experience, she has served in leadership roles at both the executive and departmental hospital management level. In 13 years serving as a healthcare consultant, Sharon has performed numerous CDM reviews, coding and billing audits, and education for hundreds of providers and hospitals, including critical access. Her specialties include E/M coding for professional and facility services, and compliance and self-disclosure audits for hospitals and physicians utilizing CMS/OIG protocol. Valerie Inmee RCP is a Senior Management Consultant in the Clinical Practice for Jacobus Consulting – a large, US-based MEDITECH consulting firm. Val has a clinical practice background in respiratory care working initially as a staff therapist and then as charge therapist. She moved into IT where she successfully implemented various MEDITECH clinical modules at several hospitals in the US and eventually into consulting, where she is currently helping numerous hospitals across the US implement MEDITECH clinical software solutions on the Magic, Client Server, and 6.0 platforms. Marcella Whooley, RN, BSN is a Clinical Manager for Jacobus Consulting. Marcella has a robust nursing background including medical, surgical, critical care, and emergency clinical nursing practice. She has also worked in quality management, case management, and utilization review. She began her career as a clinical staff nurse, transitioned to case management and quality management and to Clinical Information System (CIS.) Marcella has successfully implemented various MEDITECH clinical modules in a variety of hospitals and is currently responsible for maintaining quality and standardization of CPOE Optimization and related processes. She facilitates projects related to clinical documentation improvement, clinical documentation standardization, and physician adoption of electronic systems. Paulette Schroeder, RN, BSN, PMP, BC in Nursing Informatics is the MEDITECH Clinical Practice Director for Jacobus Consulting – a large, US-based MEDITECH consulting firm. Paulette has a clinical practice background in Oncology, Rehab, Med-Surg, Pediatrics, ICU, and ED working initially as a staff nurse and then as a clinical director. She moved into IT where she successfully implemented various MEDITECH clinical modules at several hospitals in the US and eventually into consulting, where she is currently helping numerous hospitals across the US implement MEDITECH clinical software solutions on the Magic, Client Server, and 6.0 platforms. She is a Certified Project Manager and a regular educator providing workshops in clinical documentation improvement, clinical documentation standardization, and physician adoption of electronic systems.

From MEDITECH to Data Repository to CMS – Is Everything Making it Through? Session: 1127 Presenters: Jennifer Fortin Organization: Blue Elm Company

Scheduled: Friday May 30 at 9:30 am

Abstract: Meaningful Use Stage 2 is here. Data Repository is required to send the Clinical Quality Measure (CQM) information. That’s an extra stop along the way of moving critical data that could impact your incentive payments if not reported correctly. In this session we will evaluate various methodologies to use to compare the data between your MEDITECH applications and Data Repository. Jennifer Fortin has worked in the MEDITECH space for over 16 years, spending eight years at MEDITECH in implementations for OR, SCH, MM and PHA, as an HCIS Coordinator and in sales. She has since spent her time at software and consulting companies always working with MEDITECH hospitals, helping them solve integration and implementation challenges. She is currently leading Blue Elm’s Sales, Marketing and Business Development efforts.

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Session: 1128 Presenters: Anita Karcz Organization: Institute for Health Metrics

Scheduled: Friday May 30 at 10:30 am

Abstract: Pay for Performance (P4P) sounds deceptively simple – just document the good work you are already doing as defined by evidence based measures. But what about: • The evidence behind the measures – how well made are those new clothes? • The IQR shift to eCQM reporting – they don’t look that good • Value Based Purchasing – they aren’t that expensive • Readmission Penalty Program – actually, they are pretty pricey • Hospital Acquired Conditions Penalty Program – and they keep getting more expensive

EDUCATIONAL PRESENTATIONS

Pay for Performance: The Emperor’s New Clothes and Other Tales

This session will examine the evidence behind pay for performance and strategies for improved compliance. By federal fiscal year 2017, federal pay for performance programs will put nearly 8% of a hospital’s Medicare revenue at risk. That’s a tale not guaranteed to have a happy ending. Anita Karcz MD MBA is Chief Medical Officer and co-founder of the Institute for Health Metrics. She spent several years as a practicing emergency physician and was active in hospital and professional society leadership roles. She has performed research and product development in the areas of clinical outcomes and decision support. She was Vice President of Clinical Product Development at InterQual Inc., a company that developed utilization criteria for hospitals and managed care. She served as a member of the AHRQ advisory panel on severity adjustment research. She was also an invited participant for the President’s Council for Science and Technology Advisory meeting in 2013. She serves on the University of Massachusetts (Amherst) College of Natural Sciences Advisory Board. She has a BS and an MD from the University of Massachusetts and an MBA from Northeastern University.

Meaningful Use Stage 2 – Understanding Direct Messaging, HIE CCD Exchange and Public Health Interfaces Session: 1129 Presenters: Suma Krishnaprasad Organization: The Shams Group

Scheduled: Thursday May 29 at 3:30 pm

Meaningful Use Stage 2 now requires eligible hospitals and critical access hospitals to perform CCD exchange either via an HIE or Direct messaging and all three public health interfaces as Core Measures. For those hospitals that are struggling to understand the requirements and what needs to be done to meet these core measures, this presentation walks the audience through the requirements in detail. Provides insight into what needs to be done to achieve these measures in a timely manner in order to attest on schedule for MU stage 2 Whether the hospital has purchased MEDITECH’s CCD Exchange suite along with public health interfaces or if they are still struggling to decide which way to go, this presentation provides clarification on the best approach to take. It outlines the differences between Direct and HIE interfaces, which method is better and when to use each. Different states have different submission methodologies for each of the Public Health Interfaces – Immunizations, Syndromic Surveillance and Electronic Lab Results. You may have heard terms such as PHINMS, VADS, Bio Sense, HTTPS – SOAP, SFTP etc. We will demystify these terms and provide clarity on what these mean, the onboarding process and going live with the interfaces.

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EDUCATIONAL PRESENTATIONS

Achieving Success with CPOE and Order Set Adoption Using an FMEA Approach Session: 1130 Presenters: Dr. Sam Bagchi Organization: Methodist Health System, Dallas, Texas

Scheduled: Wednesday May 28 at 11:00 am C/S

Abstract: The role of clinical content management strategies to promote uptake of evidence-based practices at the point of care has never been more critical for healthcare organizations. Successfully navigating the challenges of the performance-based regulatory landscape will require a solid foundation of clinical decision support (CDS) technology that includes electronic, evidence-based order sets to drive high-quality CPOE and better outcomes. While few in the industry would deny the potential of evidence-based order sets to drive performance improvement and position healthcare organizations for the future, the challenges to these complex technological rollouts are many. Driven by informatics and requiring tremendous cross-functional collaboration and management, there are hundreds of facets to these complex projects requiring a huge draw on time and resources. And if just one facet goes awry, a project can stutter or fail. We will outline experiences using the Failure Modes and Effects Analysis (FMEA) framework as a foundation for success. We will provide insights into how this strategy has helped the organizations achieve high adoption rates, leading to improved quality care and patient outcomes. Sam Bagchi, MD has been at Methodist Health System since 2012 and leads the Clinical Informatics imp@ct team (impact: informatics maximizing patient safety and achieving clinical transformation) focused on large-scale patient care experience and patient safety improvement through clinical IT. Recent successful informatics projects at Methodist include a high-adoption inpatient CPOE implementation at the Methodist Richardson facility, a multi-facility electronic physician documentation go-Live in the Methodist Emergency Departments and successful implementation of an evidence-based order set clinical decision support tool. Dr. Bagchi has recently taken responsibility for corporate quality functions and is further integrating quality improvement with informatics at Methodist. Learner Outcomes: • Analyze the components of Value-Based Purchasing and its impact on standardization of disease-based care. • Discuss the role of evidence-based order sets to standardization of care and the complexities of implementing an order set initiative. • Demonstrate the effective use of the Failure Mode Effect Analysis to physician engagement in order set development and governance processes at a large integrated health system. Post lecture questions: • What percentage of Medicare revenue is at risk in the Value Base Purchasing program for 2015? a. 0.5% b. 1-3% c. 10% d. 50% • Which of the following is a typical Failure Mode for physician order set engagement? o Physician time is wasted o Physicians given lunch at meetings o Physicians allowed to use a remote review tool for order set feedback o “Shuttle” diplomacy used for specific groups where conflict over order sets is likely • How many phases of standardization were discussed in the presentation? o This is a one step process that achieves standardization instantly. o This is open-ended journey to perfection o There are three phases that consist of 1. Usability & Adoption; 2. Consolidation of varied content; 3. Integration of stand content – Rapid Improvement Phase

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Session: 1131 Presenters: Jamie Gerardo Organization: Acmeware Inc.

Scheduled: Wednesday May 28 at 1:30 pm

Abstract: Operating Room (OR) resources are among the most expensive items in a healthcare institution’s charge master dictionary. Understanding how these resources are being utilized is critical to the fiscal success of surgical services. During this session, we will demonstrate how to develop numerous Data Repository (DR) based reports that provide an at-a-glance summarization of OR resource utilization. Demonstrated reports will provide clear graphical feedback on indicators such as: Actual OR Times versus Scheduled Times; OR Delay Reasons By Provider Group and Provider; OR Turnaround Times; and Block Utilization. We will show reports that summarize data as well as providing drill-down capabilities to look at detail -- easily identifying trends and outliers. We will demonstrate how you can develop these reports, review strategies for testing the findings and discuss the software used to present and deploy the OR reports to a web portal. If you want to know “What’s going on the Operating Room?” don’t miss this session.

EDUCATIONAL PRESENTATIONS

Discover What's Going On in the OR Using Data Repository

Jamie Gerardo spent 6 years at Hays Medical Center (MEDITCH C/S) in the IT and Decision Support Departments. She helped implement and support the MIS, OE, and BAR applications, and specialized in NPR report development. Jamie implemented MEDITECH’s DR at Hays Medical Center in 2005 and its DR reporting is now an integral part of daily operations. Jamie brought her combination of MEDITECH knowledge and healthcare process experience to Acmeware Inc. in 2008. Jamie is a Microsoft certified Technical Specialist in Business Intelligence.

Pondering 6.x Session: 1132 Presenters: Joe Grinstead Organization: Cornerstone Advisors

Scheduled: Thursday May 29 at 10:00 am

Abstract: With one of the largest install bases of any EHR vendor, there are well over 1,000 organizations running some form of MEDITECH. A large percentage of those organizations are running one of MEDITECH’s proven “legacy” platforms: Magic or Client/Server. As demonstrated by Meaningful Use attestations and other recognitions, both of these platforms are viable options to take an organization into a leading position in the utilization of technology in the clinical setting. With all that said, most Magic and Client/Server organizations are already considering or should be considering MEDITECH’s latest 6.x platform of products. There are many compelling reasons to consider taking the step to upgrade including the user interface, a more modern infrastructure and positioning to take advantage of all of the latest capabilities that MEDITECH offers today and will be offering in the future. A decision to move to 6.x is not simple. Aside from the cost, there will be disruption to the organization, distraction from other projects and the general challenges that change creates. But, at the same time, there is great opportunity and value. During this session, we’ll walk through a process for preparing for and conducting a decision making and strategy development process that will not only confirm your organization’s desire to jump forward to 6.x but will also provide a roadmap for how you plan to get there in a way that maximizes the value while managing/minimizing the risk. Using a combination of presentation and team activities, attendees will get the chance to work on a pseudo organizational scenario. Joe Grinstead, Director at Cornerstone Advisors, is a 20+ year veteran of the Healthcare IT and MEDITECH space. Working in hospital/healthcare systems, consulting and professional services, he has a strong understanding of the challenges facing healthcare organizations and demonstrated experience helping IT deliver results.

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EDUCATIONAL PRESENTATIONS

MEDITECH Implementation Success … High Performance Teams (HPTs) Session: 1133 Presenters: Kristen Kneisel Organization: Cornerstone Advisors

Scheduled: Thursday May 29 at 9:00 am

Abstract: High-performance teams (HPTs) is a concept within organization development referring to teams, organizations, or virtual groups with specific roles and complementary talents and skills, aligned with and committed to a common purpose. High-performance teams consistently show high levels of collaboration and innovation that produce superior results. Within the high-performance team, people are highly skilled and are able to interchange their roles since leadership is not vested in a single individual. Learn to: • Create a road map to achieve and sustain high-performance teams through organizational assessment, leadership skill development and team creation • Recognize the value added by creating a high-performance team • Identify the factors required to sustain a high-performance team • Improve project turn-around time: purpose, patients, professionals, processes and patterns • Build and maintain trust through accountability – hospital, IS, consultants and MEDITECH • Creates a team spirit due to passion and purpose of expected implementation results Objectives: • Understand how leadership style drives team performance • Identify those crucial leadership skills required to effectively implement change • Value add to the organization in creating high-performance teams • Reframing the leadership lens to create and sustain adaptive change Kristen Kneisel has 16 years of MEDITECH experience and eight years of director experience with strategic planning, system design, budget, and contract and staff management. She is an excellent motivator with highly effective communication, organization, application and technical skills. She is instrumental in enterprise-wide technology initiatives.

CCDA and Direct: The Framework to Obtaining True MU 2014 Interoperability Session: 1134 Presenters: Brian Rogers Organization: Summit Healthcare Services, Inc

Scheduled: Thursday May 29 at 3:30 pm

Abstract: Meaningful Use 2014/Stage 2 has placed a significant amount of its foundation in document architecture and interoperability with an objective to further expand upon the partial integration incentives developed by Stage 1 adopters. CMS seeks to ensure that connected and disconnected facilities have the ability to view/share/transmit patient health information through interoperability standards. At the top of the list is the Continuity of Care Document with follows the IHE developed Consolidated Clinical Document Architecture (CCDA) XML standard. With the CCDA comes many questions: • How do I implement it? • What transmission methods are available to me? • How does the DIRECT Project add value? • Where does the CCDA play into MU 2014/Stage 2? • How can I mate the CCD/CCDA into my workflow to provide my patients with the best shared service possible? Let us answer all those questions and more! This presentation is geared toward all audiences. Brian Rogers has been in healthcare IT for ten years and at Summit Healthcare for seven years. He oversees the Summit Healthcare product technologies and has worked closely with countless MEDITECH hospitals through all stages of their integration objectives and strategies.

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Session: 1135 Presenters: Eric Jansen and Alex Anderson Organization: Clifton Springs Hospital, Clifton Springs, New York

Scheduled: Thursday May 29 at 3:30 pm

Abstract: We will cover the journey of a rural hospital from a data rich environment to an information rich environment … • All this data and not a piece to use • Information Services department responsible for mining data and presenting it in a format that can be consumed and used to support organizational decisions • Challenges o Limited expertise in NPR reporting outside of Information Services o Limited tools for mining information o Chasm between clinical departments and information services o Cost

EDUCATIONAL PRESENTATIONS

A Whole Sea of Data and Not a Drop to Use

• Developed a multi-prong approach to data mining and presentation: o Developed working dashboards based on NPR reports o Implemented MEDITECH Data Repository (SQL reporting) o Contracted with consultants to provide reporting of our own data o Implemented NAAVIS Enterprise Solution Challenges to creating an information rich environment: • Conversion from current EHR to MEDITECH o Scripting problems o Dictionary builds and uniqueness of a Critical Access Hospital environment • “…but I’m a nurse…” bringing clinical departments into the information age o Developing technical skills to utilize information o Delivering information in a format that clinicians can easily access • The “report is wrong” bridging the gap between data input and data output o Understanding workflow effect on data collection o Implementing MEDITECH modules with the correct data points Getting the right tools: • SQL reporting • NPR and Data Repository Reports - The need for real time reporting; vendor selection Plus, recommendations and things we would do differently! Alex Anderson is currently a Project Manager/Lead Technical Analyst in the Information Services Department at Clifton Springs Hospital, in Clifton Springs, NY. Alex started in the healthcare industry in 1996, moving to Healthcare IT in 1998 predominately working with the MEDITECH system. He has led multiple teams for implementation of new modules, ring releases and updates, and integrations in both the Magic and Client server environments. Eric Jansen is the Assistant Vice President for Clinical Services at Clifton Springs Hospital and Clinic in Clifton Springs NY since 2013. Clifton Springs Hospital is a 104 bed rural General Hospital with an attached 108 Bed Nursing Home and various associated outpatient clinics. Eric has nearly thirty years of leadership experience as a Nurse Leader and Director of Nursing with rural hospitals in Oklahoma and New York. He holds a B.S. degree from Keuka College, Keuka Park, New York, and was awarded his Master’s degree from Roberts Wesleyan College, Rochester New York. Eric is originally from Clifton Springs. NY. He has been a President of the Board and a Board member for multiple Local and Regional community organizations. Prior to his current position in Clifton Springs, Eric worked for Clifton Springs Hospital as a Director of Behavioral Health Services where he led the implementation process of several CS modules including PCS implementation for inpatient addictions recovery and inpatient mental health units. In his current position, he has led the implementation of MEDITECH CS 5.66 and preparedness to meet Meaningful Use Stage II as well as implementation of productivity and data/information reporting structures for the hospital.

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Build a Better Status Board using Data Repository Session: 1136 Presenters: John Bednarski and Ian Proffer Organization: Tenet Healthcare, Worcester, Massachusetts; Acmeware Inc.

Scheduled: Wednesday May 28 at 10:30 am

Abstract: Clinical Status Boards are an excellent tool for providing real-time summary information about your patients. Tenet Healthcare is using MEDITECH’s Data Repository (DR) to update Status Boards at St. Vincent’s Hospital with up to the minute information for clinical staff in their nursing units, Pharmacy, ICU and ED. This session will provide an overview of several DR-based status boards in use at Tenet’s St. Vincent Hospital. Tenet staff built their status boards in-house, using off the shelf technologies which are already part of your MEDITECH Data Repository, including Microsoft SQL Server’s database platform and Reporting Services components. Some of the advantages of using the DR and SQL Server to deliver status boards include: • Ease of use – either as a static or interactive display • Customizability – you can present similar data in different ways, depending upon user group needs • Seamless integration – information from other applications and vendors can be easily integrated and displayed in a unified way • Intuitive displays – data can be presented graphically, using icons, colors, and other methods to emphasize critical elements • Low cost, high ROI – if you have the DR, you have all the tools you need • Ease of support – but be ready for your users to be enthusiastic with suggesting new features! • High adoption rate – the users “own” the display and work with you to make it better If you want to build impressive, up to date, and visually impactful status boards for your hospital, don’t miss this session. John Bednarski, RN is information services’ manager of business applications, integration and nursing informatics at Tenet Healthcare, northeast region. He has been working in health care for over 30 years, as a paramedic, registered nurse, and informatics specialist. John leads a talented informatics and analytical team at a multi-hospital environment, using the MAGIC 5.66 platform as their core HCIS. Acmeware Vice President Ian Proffer spent seven years in healthcare IT at Jefferson Healthcare in Port Townsend, WA (a MEDITECH C/S site) and Harborview Medical Center in Seattle before joining Acmeware in 2007. Ian has over 19 years of experience as a database analyst, administrator and architect, including four years at Microsoft Corp., where worked extensively with SQL Server starting on version 4.21. His practical work experience in healthcare includes database analysis and administration, report and application authoring and development, and user education and training.

Implementing MEDITECH’s Advanced Interoperable Interfaces under the IHE ITI Technical Framework into a Private Integrated Healthcare Exchange Session: 1137 Presenters: Phil Wasson Organization: Winthrop Resources Corporation

Scheduled: Thursday May 29 at 3:30 pm

Abstract: TriRivers Health Partners has been implementing advanced ITI based interfaces for full document exchange into an integrated HIE, this includes the interfaces required for both Client-Server and 6.x. These interfaces employ the IHE ITI Technical Framework components and current are fully integrated within the HIE exchanging CCD and C32 documents. As part of the implementation TriRivers has also developed with its partners a full Regionally-Based Data Use Reciprocal Sharing Agreement (“DURSA”) governance model that provides for development and growth of the HIE under this important governance framework. This presentation will discuss specific MEDITECH components and steps for advanced ITI technical interoperable implementation, along with example functionality associated with the implementation of MEDITECH’s specific advanced interoperability. We will also discuss complexities and barriers which have been encountered among all vendor platforms when implementing this high level of HIE interoperability. TriRivers Health Partners continues its implementation of a private HIE in the States of Illinois and Wisconsin to develop a sustainable and practical eHealth framework that enables secure integrated exchange of records between different EMR applications. Our model is one of integrating EMR applications using their acquired interoperable interfaces from a variety of vendor applications and demonstrating the benefit of bringing those applications directly into EMR applications like MEDITECH. This presentation will also outline sequenced components and the overall technology model for implementing MEDITECH’s advanced interoperable interfaces using an IHE based standards approach. An accomplished healthcare Chief Information Officer with more than 20 years of healthcare experience Phil Wasson has a history of providing for broad-based executive and strategic leadership in both large multi-hospital and single hospital based systems. He has a background of finding and developing innovative technology options and solutions and has led a variety of technical and strategic activities. Starting originally in healthcare as a Respiratory Therapist his background and interest in clinical development has led him to the development of a high energy and dynamic leadership style. Joining the CHIME organization in 1994 during the transition to Health Care Information systems in the early 1990’s Phil led the systems development at Affinity Health Systems and later developed the first CIO position at Mercy Medical Center in Cedar Rapids, IA. Today Phil is the President and CEO of TriRivers Health Partners which is a unique joint venture Health I.T. organization located in Rockford, IL Phil holds Bachelor’s in Health Care Management from Southern Illinois University and has had graduate level studies in Public Administration from the University of Wisconsin- Oshkosh. Phil has also achieved Fellowship status in the American College of Healthcare Executives and is certified in Healthcare Management.

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Session: 1138 Presenters: John Danahey Organization: Iatric Systems, Inc.

Scheduled: Friday May 30 at 10:30 am

Abstract: It may not be news that barcode specimen collection virtually eliminates mislabelled specimens, yet many hospitals still ask, "How can we afford it?" or, "Is it worth the investment?" This educational session presents a solid business case for the addition of mobile phlebotomy and barcode specimen collection at your hospital. It addresses how the statistics and other recent findings fully support the funding of this mobile technology – regardless of the size of the hospital or staff to be trained.

EDUCATIONAL PRESENTATIONS

The ROI of Barcode Specimen Collection: Save Your Hospital’s Dollars and Improve Patient Safety

Attend this insightful presentation where you'll get all the facts behind a recent article in ADVANCE Healthcare Network that clearly demonstrates how this technology saves hospitals' money through staff efficiencies and faster turnaround times. "One hospital ED reduced turnaround time from 65 minutes to 46 minutes per test, increasing capacity and netting more than one million dollars in annual incremental revenue." Don't miss this informative session and you'll also learn how barcode specimen collection can dramatically improve patient safety while providing hard dollar savings. John Danahey, Sr. VP of Sales and Marketing, has worked in the healthcare industry for 23 years, with over 16 years of experience within healthcare IT. John has combined a unique blend of formal business education, clinical hospital positions and Healthcare IT experience that allow him to formulate practical business solutions for Iatric Systems' customers.

Discover 6.1: A Fresh Look at MEDITECH’s Successful Deployment Strategies Session: 1139 Presenters: Janet Desroche Organization: MEDITECH

Scheduled: Thursday May 29 at 11:00 am

Abstract: Come learn the benefits of transitioning to MEDITECH’s 6.1 platform. In addition to new solutions and product features, we’ll outline our approach to providing targeted implementation services that ensure success for MAGIC customers moving to 6.1. We’ll further highlight how we incorporate elements of this enhanced implementation approach into the process of moving customers from Client/Server to 6.1. Standard content, physician mentoring, ongoing ‘scorecard’-based project management, and training targeted to best practice integrated workflows -- are all features of the program that we will present. Janet Desroche, Director, 6.x Client Services has been with MEDITECH for 30 years and is currently responsible for development and coordination of MEDITECH's physician consultant programs and is part of the leadership team overseeing the READY implementation methodology. In addition, Janet has responsibility for internal Training and Education (new staff and continuing education) and oversight of 6.x ARRA Meaningful Use customer coordination. Her background prior to MEDITECH was in teaching and education.

The Journey to HIMSS Stage 7 Session: 1141 Presenters: Lisa Leary Organization: MEDITECH

Scheduled: Thursday May 29 at 9:00 am

Abstract: Learn how our customers are successfully reaching HIMSS Analytics Stages 6 and 7. We'll walk through the process for moving your organization toward these goals, and will share a toolkit we've created to help get you there! As a Senior Project Coordinator in the Client Services division, Lisa Leary oversees MEDITECH’s Stage 7 program designed to help MEDITECH’s existing Client Server and Magic customers reach Stage 7 EMR adoption recognition from HIMSS Analytics. Ms. Leary joined MEDITECH’s s Sales division in 2002. As a senior marketing consultant she supported existing customers and also worked with new prospects. In the fall of 2012 she transferred to the Client Services division to start up the new Stage 7 program and to work on strategic projects helping customers address key industry initiatives with their MEDITECH system. Conference Program 2014 MUSE INTERNATIONAL

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Surviving a Meaningful Use Audit Session: 1142 Presenters: Pamela McNutt and Barbara Hobbs Organization: Methodist Health System, Dallas, Texas; MEDITECH

Scheduled: Wednesday May 28 at 1:30 pm

Abstract: Preparing for an EHR incentive audit starts before attestation. Attend this customer-led session and learn about the different types of audits – CMS, Medicaid, and OIG – and what to expect from each. We’ll also discuss the new considerations that need to be given for Stage 2 audits. Pamela McNutt has been in the field of healthcare information technology for 32 years, the last 21 of which in the role of Chief Information Officer (CIO). She has worked for Medicus/HBOC, Hermann Hospital and is currently the Sr. Vice-President and CIO with Methodist Health System in Dallas, Texas. Ms. McNutt has served as a Director on the HIMSS national Board (1998-2001), on CHIME as a Trustee (2007-2009) and as Chair of the Healthcare Information Systems Executives Association. Pamela is a fellow in CHIME and HIMSS. She was awarded the John Gall CIO of the year award in 2002, the HIMSS Leadership award in 2001 and the HIMSS Information Systems award in 1998. She participated as faculty in the CHIME Healthcare CIO Boot Camp 2003- 2006, served as Chair of the CHIME Advocacy Leadership Team (2008 - 2009) and Chaired the CHIME Policy Steering Committee (2009 - 2011). Modern Healthcare named Pamela one of the Top 25 Women in Healthcare in 2011 and she was named as “56 Women Hospital & Health care Leaders to Know” by Becker's Hospital Review magazine. Pamela continues to work to shape national Healthcare IT policy as member of the CHIME Policy Steering Committee and the American Hospital Association Healthcare IT advisory committee. She serves on the Texas Health Care Information Council for the Texas Department of Health, the Texas Health and Human Services Commission Electronic Health Information Exchange System Advisory Committee, and the North Texas Accountable Care Partnership HIE committee. Pamela is a frequent speaker on the topic of the implications of the ARRA HITECH incentives and HIPAA regulations. Barbara Hobbs has been at MEDITECH for 17 years and is the Senior Manager of the EHR Initiatives Group. This group is primarily responsible for Managing MEDITECH's Meaningful Use Compliance, Patient Engagement Strategies and Interoperability Initiatives. Accordingly, her team manages the certification of all MEDITECH's platforms and works with both Development and Implementation teams to ensure customers remain compliant. Barbara by trade is a Respiratory Therapist and prior to her joining MEDITECH to implement Nursing and Physician Care Manager, she spent many years working in both hospitals and physicians practices in California and Massachusetts.

Population Health Management Session: 1143 Presenters: Dr. Jeffrey Kosowsky and Rachel Wilkes Organization: MEDITECH

Scheduled: Friday May 30 at 10:30 am

Abstract: Business and Clinical Analytics is a dashboard-driven solution that empowers your organization to utilize data to improve financial performance, patient outcomes, and operational efficiencies. Attend this session and get an update on our development efforts and see this exciting new tool in action! Jeffrey Kosowsky, MD combines deep backgrounds in both medicine and high tech/software. He received his Doctor of Medicine from Harvard Medical School along with his PhD in Applied Mathematics from Harvard University. He completed his surgical internship in General Surgery at the New England Deaconess Hospital. Dr. Kosowsky has more than 15 years of consulting and management experience in both high tech and healthcare. He was an Associate partner at McKinsey and Company. Over the years, he has worked at a senior executive level with a broad range of public and private companies in both operating and consulting roles. Dr. Kosowsky is working with MEDITECH on business analytics strategy and solutions. Rachel Wilkes, Manager, Quality Reporting. Rachel leads MEDITECH's certification and best practice documentation efforts for Eligible Hospital Meaningful Use Clinical Quality Measures. Rachel also serves as content product manager for MEDITECH's Business and Clinical Analytics solution.

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Session: 1144 Presenters: Marcia Cheadle and John Valutkevich Organization: Inland Northwest Health Services (INHS), Spokane, Washington; MEDITECH

EDUCATIONAL PRESENTATIONS

Using Interoperability Solutions to Deliver Coordinated Care Scheduled: Thursday May 29 at 10:00 am

Abstract: Health Information Exchanges are the lynchpin to connected patient care, clinician satisfaction and an organization's ability to achieve Meaningful Use. Come to a discussion to hear how one organization is delivering real-time coordinated care via Interoperability Solutions. Learn about the planning and decisions that went into deploying the CCD Interface Suite and then the enhanced workflows and patient care that has been the result. In addition hear about the current state of HIE's, emerging trends and MEDITECH's support model for customers engaging in HIE's. Marcia Cheadle, RN, is Senior Director of Advanced Clinical Applications for Inland Northwest Health Services (INHS). She is responsible for the implementation and integration of more than 25 hospital advanced clinical and client server applications programs. She has directed multiple implementations leading to HIMSS Stage 6 and most recently HIMSS Stage 7 recognition. Over the past 4 years, Marcia has orchestrated Meaningful Use strategies, achieving multiple ARRA Stage 1 and Stage 2 Attestations. She is currently focused on program development related to interoperability across vendor platforms and data analytics addressing clinical outcomes. Marcia maintains her profession as a practicing nurse at a local Emergency Department. John Valutkevich is the Manager Interoperability Initiatives with MEDITECH. John’s group in the Marketing Division is responsible for tracking industry initiatives as they relate to Interoperability, participating in the meaningful use certification of interfaces and also product management. John and his team work with existing and prospective customers to understand what interoperability solutions are available and best suited to connect each to their community and meet Meaningful Use. John is also a member of the ONC Direct IWG Workgroup and the HIMSS EHRA Standards and Interoperability Workgroup. John earned a Bachelor of Science in Finance from Bentley University and holds a Masters Degree in Business Administration from Framingham State University. John has been with MEDITECH for 20 years and prior to joining the Marketing Division, John spent 10 years supporting customers as Manager of Technical Support. He also is an Adjunct Faculty at Endicott College teaching in both their Graduate and Undergraduate Management and Information Technology degree programs.

Ordering Everywhere: Mobile Ordering and the Future of Ordering at Your Facility Session: 1145 Presenters: Jennifer McKay, MD and Leo Cook Organization: Avera Health, Sioux Falls, South Dakota; MEDITECH

Scheduled: Wednesday May 28 at 2:30 pm

Abstract: Join us for this interactive session where we’ll discuss implementation, maintenance, and the future of ordering in your facility. Share your ideas, solutions, and concerns, while hearing about exciting new functionality coming for your physicians in 5.66. Jennifer McKay, MD, MS is a corporate medical information officer at Avera Health (Sioux Falls, SD). An internal medicine physician and hospitalist with quality improvement and patient safety education from Northwestern University’s Institute for Health Studies, Dr. McKay is an expert on the management of inpatient medical care. Dr. McKay received her medical degree from the University of South Dakota Sanford School of Medicine. She received her Masters in Healthcare Quality and Patient Safety from Northwestern University, Chicago, and a Masters in biology from the University of South Dakota. As a supervisor of the Strategic Customer Optimization Team, Leo Cook oversees a team of project coordinators who assist hospitals with the assessment, planning, roll-out, and support of MEDITECH's physician products. Leo and his team also coordinate 5.x physician initiatives as well as the “Getting the Most from Your MEDITECH System” regional events. In his previous role as an Advanced Clinical Coordinator, Leo traveled extensively to hospitals throughout the United States and Canada developing a strong understanding of hospital workflow and the integration of MEDITECH's clinical products into those processes. Leo has been supporting MEDITECH’s advanced clinical and pharmacy products for over none years.

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EDUCATIONAL PRESENTATIONS

In the Information Mix: Discharge and the Patient Portal (5.x) Session: 1146 Presenters: Karrie Ingram and Kerri Nash Organization: Citizens Memorial Hospital, Bolivar, Missouri; MEDITECH

Scheduled: Thursday May 29 at 2:30 pm

Abstract: The Multidisciplinary Discharge routine increases care coordination among providers, while the Patient Portal keeps patients informed and engaged after they leave your facility. Attend this session to learn how the MEDITECH EHR benefits both clinicians and patients – and be the first to get a sneak peak at the 5.x Discharge Medication Reconciliation redesign! We’ll discuss hot topics related to Discharge in 5.66, as well as lessons learned and implementation strategies. Citizens Memorial Healthcare, MEDITECH’s first customer to achieve Stage 7 recognition from HIMSS, will share their success with Patient Portal implementation. You don’t want to miss this! Karrie Ingram, PMP is the Project Manager for a HRSA Rural Health IT Network Development grant; assisting Citizens Memorial Hospital (CMH) and eight network partners in implementing the tools and processes needed to meet the Meaningful Use requirements. She is currently managing the Patient & Consumer Health Portal project and the DIRECT project for CMH. Since joining MEDITECH in 2006, Kerri Nash, Project Coordinator, Client Services, has held several positions supporting and implementing MEDITECH’s physician products. Kerri has worked with hundreds of customers throughout the United States; assisting with the planning, roll-out and LIVE support of MEDITECH's Medication Reconciliation and Discharge solutions. As a current member of the Strategic Customer Optimization Team, Kerri serves as a strong customer advocate helping hospitals realize optimal usage of their MEDITECH products. Prior to MEDITECH, Kerri worked for several years as a Clinical Research Assistant with Harvard Medical School, conducting clinical drug trials on individuals diagnosed with Schizophrenia and co-occurring psychiatric disorders.

New Tools for a Modern Physician’s Workflow Session: 1147 Presenters: Dr. Andrew Burchette, Janet Desroche, and Jenny Capizzi Organization: Avera Health, Sioux Falls, South Dakota; MEDITECH

Scheduled: Wednesday May 28 at 3:30 pm

Abstract: Join us for a LIVE and interactive demonstration of the 6.1 Ambulatory solution presented by Dr Andrew Burchette of Avera. Dr. Andrew Burchette is the Chair of Family Medicine at Avera McKennan Hospital in Sioux Falls, South Dakota. He has been a practicing family physician with Avera Medical Group for seven years. Avera Medical Group is made up of 545 providers at more than 130 locations, in more than 50 communities in a five state area. Dr Burchette is one of the medical information officers for Avera Health, acting as a liaison for the medical community and IT. He is also board certified in Hospice and Palliative Medicine and is part of the Palliative Medicine Service at Avera. He is an assistant professor in the departments of family and internal medicine at the University of South Dakota School of Medicine. Dr. Burchette attended Des Moines University and completed his residency in Family Medicine at the University of South Dakota. Janet Desroche, Director, 6.x Client Services has been with MEDITECH for 30 years and is currently responsible for development and coordination of MEDITECH's physician consultant programs and is part of the leadership team overseeing the READY implementation methodology. In addition, Janet has responsibility for internal Training and Education (new staff and continuing education) and oversight of 6.x ARRA Meaningful Use customer coordination. Her background prior to MEDITECH was in teaching and education. Over the last seven years at MEDITECH, Jenny Capizzi, Supervisor, Client Services, has supported and implemented the various components of the Physician Care Manager suite as well as served as an Advanced Clinical Coordinator. She has worked with a wide scope of customers to optimize their Advanced Clinicals as well as achieve Meaningful Use. Jenny is currently the Supervisor overseeing the Physician Analyst team involved with facilitating internal/external education and serving as Development liaisons and collaborators for the Physician Products. Prior to MEDITECH Jenny worked in several clinical settings with various software systems, and was heavily involved in a project to implement, roll out, and maintain an EHR system at a large Internal Medicine practice which resulted in making the office completely paperless in 6 months. It was that experience that sparked her interest in the field of Medical Software and brought her to MEDITECH in 2007.

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Session: 1148 Presenters: William Salemi Organization: Infinity HIT, LLC

EDUCATIONAL PRESENTATIONS

RXM/AOM Expunge – How Do You Make Your Decision? Review the Process and Strategic Planning Scheduled: Thursday May 29 at 10:00 am

Abstract: If you have been live with your Ambulatory Drug Dictionary for many years and/or discussing the implementation of ePrescribing, you have probably been considering the Priority Events 257 and 327 to complete the RXM/AOM Expunge. Throughout this presentation we will walk through the process to successfully accomplish the cleanup for PE 257/327. Our discussion will focus on the review of the provided Generic (PHA and RXM) and Trade Name (RXM) reports, your options when preparing to expunge, the cleanup associated with the different choices and some lessons learned. We will also review the planning associated with the project including a realistic timeline and the necessary resources. By setting those expectations and understanding the process it will assist you in making an educated decision about when to begin. William Salemi has more than 20 years of experience in healthcare IT as a Project Manager, IT Director and Subject Matter Expert as well as several years of experience as a Certified Pharmacy Technician. Currently as Director at Infinity HIT, Bill specializes on the implementation and optimization of the Pharmacy databases, ePrescribing and MEDITECH’s Advanced Clinical Applications. Learner Outcomes: • Better comprehension of the FSV process and its importance • Better understanding of the Ambulatory Drug workflow and maintenance • Why the cleanup is recommended/necessary before proceeding with ePrescribing Post-Lecture questions: • What does the phrase "Recycled Drug" mean? • What's the importance to updating the FSV each period, post-expunge? • What are the three important components to the post-expunge cleanup?

Building a Successful Evidence-Based Wound Care Order Set Session: 1149 Presenters: Jon Nolin Organization: CHE, St. Peter’s Health Partners, Troy, New York

Scheduled: Friday May 30 at 10:30 am

Abstract: Evidence-Based order sets provide physicians with supporting medical evidence and guidelines that help them meet best practices. These orders also determine therapy based on formulary medications and provide important treatment information for nursing. Building a successful order set that improves workflow can be a challenge. This presentation describes in detail the step by step planning and building of our Evidence Based CPOE wound care order set in MEDITECH as it addresses fourteen separate wound diagnoses. This wound set has been well received by our hospitalist and nursing staff. We use MEDITECH Magic 5.66. The planning process, dictionary builds, administration criteria and treatments are applicable to C/S and 6.0. The intended audience includes nursing, pharmacy, physicians, and IT. Jon Nolin, RPh, SP is the Pharmacy Informatics Supervisor for CHE/St.Peter’s Health Partners at Samaritan Hospital, Albany Memorial Hospital, St. Mary’s Hospital, and Sunnyview Rehabilitation Hospital in upstate New York. He is a past MUSE International Chairperson and IEE award winner. Learner Outcomes: • Analyze the challenges in creating an Evidence Based Wound Care order set • Describe the main components that make up a Non-Surgical Wound Care order • List four main dressing changes necessary in Non-Surgical Wound Care Treatment • Specify advantages Wound Care Treatment is offered through the use of Evidence Based Wound Care Order Sets Post-Lecture questions: • True or False: Order sets provide physicians with supporting medical evidence, narrative guidelines, and help meet best practice standards. • True or False: Successful Wound Care order sets take into consideration Evidence Based Medicine, Pharmacy Drug Formulary, Nursing and Physician work flow. • True or False: An important part of Wound Care Management is attaching nursing administration criteria to the electronic medication administration record. Conference Program 2014 MUSE INTERNATIONAL

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EDUCATIONAL PRESENTATIONS

Obtaining Meaningful Use is Not Just an IT Project; It’s an Organizational Transformation – Meaningful Use Stage 2 FY14 Session: 1150 Presenters: Bart Brizee RN Organization: Dell Services

Scheduled: Friday May 30 at 10:30 am

Abstract: Join us for these topics: • Success factors for achieving Meaningful Use • Learn to overcome barriers to implement and deploy MU Stage 2 requirements successfully • Develop and support an overall strategy to gain and maintain Meaningful Use compliance • Understand technology requirements for initial design and implementation as well as updates needed to meet Stage 3 and beyond • Learn how to prepare your organization for CMS audits • Review Stage 2 FY14 Highlights and Detail Core and Menu Objectives and Requirements within MEDITECH Bart Brizee RN, Solutions Consultant Principal II, Dell Services, a registered nurse with over 25 years of clinical experience in nursing and eight plus years’ experience in information systems. Bart has experience in implementing and managing complex Health Information System efforts with a primary focus on MEDITECH Advanced Clinical applications. Bart has participated in successful implementations in MEDITECH’s Emergency Department Management (EDM), Nursing (NUR), Electronic Medication Administration Record (eMAR) and Bedside Medication Verification (BMV) in a community hospital setting. Bart also has a deep experience in Order Entry/Provider Order Management (OE/POM) exploiting the systems to provide return on investment via inventory management and time optimization. Skilled in designing, building, maintaining and optimizing the MEDITECH advanced clinical dictionaries he is proficient in the MAGIC platforms across multiple releases. Understanding of the interoperability of both clinical and administrative application of the MEDITECH system and has used the knowledge to successfully implement clinical modules. Bart has worked extensively with emergency departments, nursing, physicians and pharmacists to maximize the efficiency of their Information Systems. He has a proven ability to analyze hospital processes and paperwork flows from the perspective of both patients and care providers and apply that understanding to building an effective and efficient Information System.

Value-Based Healthcare – Are You Really Ready for Risk? Session: 1151 Presenters: William J. Leander Organization: Santa Rosa Consulting

Scheduled: Friday May 30 at 10:30 am

Abstract: This presentation shares the five key dimensions of a successful transformation from volume to value, the primary requirements and critical success factors within each dimension, as well as a related assessment methodology that organizations can apply to gauge their current preparedness for value-based healthcare, or to improve their progress and results if they already manage at-risk populations. The primary take-away is a clear, objective framework to understand and evaluate the major elements of success in this profound shift facing every healthcare organization. Value-based healthcare is gradually yet inevitably becoming reality for healthcare providers. Early stages of at-risk delivery, such as for captive employee populations under a single payer, can be accomplished through brute force. But as at-risk revenue approaches a tipping point, providers must make major changes to systems, processes and management approaches. Nothing less than full DNA shifts will position providers for success. Many organizations understand the basic concepts of value-based healthcare, yet find the transformation requirements confusing and overwhelming. This presentation will share insights and a framework to clarify and organization those requirements, and offer a self-assessment methodology to help organizations objectively gain visibility into their preparedness and capabilities to leave fee for services behind and transition to at-risk delivery. William Leander is a senior vice president with Santa Rosa Consulting and leads the Strategic Advisory Services practice. Mr. Leander brings 25 years’ successful, results-driven leadership experience in healthcare consulting services and information technology in diverse managerial, cultural, and competitive environments ranging from entrepreneurial start-up ventures to mid-sized and global publicly-held companies. His expertise is combining strategic, operational, clinical and technical capabilities into the comprehensive solutions needed to overcome complex challenges. His breadth of view is forged through a diverse background in healthcare that includes serving as CEO of a business intelligence and analytics software company, senior roles at global consultancies, and founder of several entrepreneurial HCIT ventures. Mr. Leander received his MBA from Carnegie Mellon University and holds a BS in Industrial Engineering/ Operations Research from Cornell University.

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Session: 1152 Presenters: Mike Murphy Organization: Forward Advantage, Inc.

Scheduled: Friday May 30 at 9:30 am

Abstract: This session focuses on what healthcare organizations need to know about health information exchange (HIE) for Meaningful Use and beyond. The presenters will provide guidance on what organizations should be thinking about and planning for from an HIE perspective and will be based on their practical experience working with many organizations trying to better understand and implement HIEs in their respective communities. Building interoperability among healthcare systems to seamlessly and easily exchange information in near real time is critical to making meaningful improvements in healthcare delivery. The combination of a community patient index, consolidated medical records, network connectivity and record locator capabilities helps achieve this goal by providing the ability to query the location of a patient’s health records and retrieve them for coordinated patient care.

EDUCATIONAL PRESENTATIONS

What You Need to Know About HIE for Meaningful Use and Beyond

For Stage 2 Meaningful Use, eligible hospitals and critical access hospitals should provide a summary of care record for each transition of care or referral. The target objective is to provide these for over 50% of all transitions of care and referrals. Pertinent to this seminar, is the part of the measure that states 10% of these transitions must be transmitted electronically using Certified EHR Technology to a recipient with no organizational affiliation and using a different Certified EHR Technology vendor than the sender. In this session you will learn: • What implementation or upgrades of existing health information systems you need to make to meet these requirements. • The elements most critical in increasing the effectiveness, quality and efficiency of health care delivery in support of Meaningful Use objectives. • The various ways requirements can be fulfilled • How patient care coordination and health outcomes can be significantly enhanced through health information exchange Mike Murphy is Director of HIE for Forward Advantage, Inc., and has more than 25 years of experience in information technology and telecommunications. Over the past eight years, he has focused on the application of these tools to the health care domain.

Canadian Issues Session: 1153 Facilitator: Corey Tillyer Organization: Fraser Health Authority, Surrey BC Hockey, eh?

Scheduled: Friday May 30 at 10:30 am

Ok, now that we have the attention of the Canadians …

Join us for an informal discussion of Canadian issues! Topics of discussion: • The MUSE Community Peer Groups model. • With the creation of more and more health regions and authorities in Canada, is it time you looked at your organizations information management strategy? (Corey Tillyer) • What are your Canadian issues, questions, ideas that we need in our health information system? Bring your thoughts and let’s discuss! Corey Tillyer is the Director of Health Informatics - Advanced Clinical Systems with Fraser Health Authority and your MUSE Board Chair. Corey has worked in Health Informatics and with MEDITECH since 1995. Corey's background in nursing along with a Graduate degree in Healthcare Leadership helps her to bring together the clinicians needs with IT's ability to support those needs.

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Ambulatory Drug Dictionary: Lessons Learned for Medication Reconciliation in Magic 5.66 Session: 1154 Presenters: Jenna Lipawsky Organization: HealthNET Systems Consulting, Inc.

Scheduled: Wednesday May 28 at 11:00 am

Abstract: For organizations implementing Medication Reconciliation and e-Prescribing, there are key build items to take advantage of what the system has to offer with the Ambulatory Order Management application. There are multiple tips and tricks that can assist with clean-up, mapping, and strings to accomplish a successful and complete Ambulatory drug build. Using these implementation guidelines will assist your Organization in meeting the e-Prescribing Menu item for Stage 2 Meaningful Use by eliminating setbacks in the electronic transmission process. For Clinicians utilizing Medication Reconciliation upon admission and discharge, the common string functionality and the favorites build will streamline the home medication entry and prescription process. We will review the importance of having a completely active Ambulatory Drug Dictionary and the set up to make this substantial home medication and prescription look-up Clinician friendly. The preparation of the Medication Reconciliation roll out with e-Prescribing in mind will be the focal point of this presentation, while keeping Clinician satisfaction and patient safety as a top priority. Jenna Lipawsky currently serves as a Pharmacy and Ambulatory Management professional at HealthNET Systems Consulting, Inc. Jenna has 5 years of experience in Healthcare IT that includes Pharmacy implementations, Medication Reconciliation implementations, system upgrades, process redesign, and training.

Optimizing Revenue Cycle Operations – It Takes a Village Session: 1155 Presenters: Jeanette Frank Organization: Dell Services

Scheduled: Wednesday May 28 at 11:00 am

Abstract: Challenges in Revenue Cycle operations rarely stem from one specific area. They are tied to inefficiencies in workflow, lack of adequate training and ongoing education, as well as poorly implemented and maintained software systems. Healthcare organizations are also faced with ever changing government and third party insurance requirements and regulations. How do you effectively implement Revenue Cycle improvements without disrupting operations? Jeanette Frank, Services Leader, Global Healthcare Consulting is a professional consulting leader who has more than 27 years of healthcare information systems and finance experience. She has worked with MEDITECH applications for the last 25 years. Her expertise has been developed through various roles such as Director of Information Technology and Financial Systems Analyst. Jeanette’s body of work includes project management of MEDITECH implementations, revenue cycle assessments and optimizations, as well as management of regulatory and system updates. Jeanette earned her BS in Business Administration from University of North Carolina at Greensboro.

The Road to 6.1 – A Customer Story Session: 1156 Presenters: Jackie Rice Organization: Frederick Region Health System, Frederick, Maryland

Scheduled: Friday May 30 at 10:30 am

Abstract: Our hospital was a beta site for the implementation of MEDITECH’s 6.1 platform with all the new financial applications. We share our journey through the implementation process including lessons learned. Jackie Rice RN BSN has more than 25 years of experience within the healthcare industry, most recently as the IS Director of Clinical Applications for Frederick Region Health System leading application support teams and numerous software implementation projects. Since joining the IS department at FMH in 2004, Jackie has helped lead her staff through the implementation of various IS initiatives moving the organization from Stage 3 to Stage 6 on the EMR Adoption Scale. Jackie was helped her team successfully achieve the ARRA Meaningful Use at FMH through the Stage One attestation process for three consecutive years resulting in over $8 million in stimulus incentive payments for the hospital. Jackie also project managed the implementation of MEDITECH 6.1 at FMH – the first hospital in the United States to go live with that platform and the new financial applications.

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Session: 1158 Presenters: Kelly Moxon and Cindy Willis Organization: Infinity HIT, LLC

Scheduled: Thursday May 29 at 3:30 pm

Abstract: You’re knee deep in your MEDITECH implementation. Then someone new joins the team and shows some cool way to make your work so much more streamline. Or a 2 am thought that wakes you up and makes you sit straight up with your brilliant idea and you have to write it down that minute before you lose the thought. The presenters, who have experienced both of these scenarios as well as multiple implementations of MEDITECH’s advanced clinical modules, are here to share their trade secrets. We will show you some tricks of the trade that will make you say “Why didn’t I think of this sooner?” or “OMG It can’t be that easy”. Hopefully they will show you at least one thing that will make you walk away thinking “this will make a difference is the way we build from this point forward”

EDUCATIONAL PRESENTATIONS

MEDITECH: Eureka a Goldmine of Build Ideas

Kelly Moxon is a registered nurse with a clinical background in Med/Surg, Telemetry, and IMU. She has over 13 years of experience in healthcare IT and with MEDITECH systems. Kelly has experience with MEDITECH Client Server and 6.0 and has implemented the advanced clinical modules in multi-facility health systems as well as stand-alone hospitals across the country. Cindy Willis in a registered nurse in the state of Texas. She was first introduced to MEDITECH in 1994. She has been consulting for 13 years. Cindy’s forte is implementing the advanced clinical applications. Before she started consulting she was a clinical applications specialist for The Methodist Hospital Willowbrook and Texas Orthopedic Hospital. She has a nursing background that started at Texas Children’s Hospital on the Pedi Neuro unit. She spent most of her bedside nursing in Orthopedics and in clinical education.

Lessons Learned MEDITECH 5.66 Upgrades: A Program and Project Prospective Session: 1159 Presenters: Jovan Chapman and Sean Brown Organization: Catholic Health Initiatives, Washington, DC; Logic Healthcare

Scheduled: Wednesday May 28 at 11:00 am

Abstract: The purpose of this presentation share valuable lessons learned from Catholic Health Initiatives’ (CHI) MEDITECH 5.66 Upgrade Program to increase the MEDITECH professional community’s knowledge base. The intent is to showcase the viewpoint from a Program Level and Project Management Level perspectives. We live in world were information is power and it is shared at the speed of light. Unfortunately, not everyone has access nor knows how to gain the information that can either save their organization(s) time, money, or more importantly, increase the outcomes for our customers – the patient. This presentation will share information by reviewing our lessons learned and key action items taken in the goal to help MEDITECH implementation professionals, the clients they serve, and the healthcare community overall. As National MEDITECH Program Manager at Catholic Health Initiatives (CHI), Jovan Chapman oversees the company’s national MEDITECH programs, including all major initiatives, upgrades and projects. Celebrating 14 years of prior military service as a Naval Officer in the United States Navy, Jovan worked as the Integration and Transition Program Manager for Base Realignment and Closure (BRAC) prior to his role at CHI. Jovan initiated his career in nursing upon receiving a Baccalaureate of Science degree from University of Maryland, Baltimore. He further augmented his wealth of knowledge and experience through his receipt of an executive level degree, Master of Business Administration, from Smith School of Business. Sean Brown, Principal Consultant, Logic Healthcare is an experienced and proven project manager with over 17 years in IT with the last 13 years in healthcare working with MEDITECH. Sean also has over six years medical experience working as a trauma tech in an emergency room and as a paramedic.

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EDUCATIONAL PRESENTATIONS

Overcoming the Challenges of Connecting to Disparate EMR’s Session: 1161 Presenters: Mike Murphy Organization: Forward Advantage, Inc.

Scheduled: Friday May 30 at 10:30 am

Abstract: Hospitals and physician practices, motivated by federal stimulus funds, are striving to demonstrate Meaningful Use of Electronic Medical Records (EMRs). The problem is that interoperability solutions are often expensive and require too many internal resources to implement and maintain. Demonstrating the exchange of information can be a daunting task, and MEDITECH hospitals often have challenges connecting to disparate EMR’s. This session will cover the challenges hospitals are faced with and best practices around breaking down the barriers of information exchange between multiple EMR’s. In this session, participants will learn: • The latest information regarding the MU requirements around EMR’s • Things to consider when selecting the right solution • Best ways to demonstrate exchange of information Mike Murphy is Director of HIE for Forward Advantage, Inc., and has more than 25 years of experience in information technology and telecommunications. Over the past eight years, he has focused on the application of these tools to the health care domain.

The Challenges and Rewards of SaaS Analytics for Hospitals Session: 1162 Presenters: Gregory Magazu Organization: Institute for Health Metrics

Scheduled: Thursday May 29 at 10:00 am

Abstract: Hospitals are faced with the choice of how to create analytic capabilities that support their clinical and administrative objectives as well as give them a window into the operation of their hospital. With the changing regulatory landscape and the pressures on hospitals to cut costs these capabilities are critical to success. Hospitals are thus faced with a choice: • Build it – Hire the IT staff to create tools that the hospital can use • Buy it – Buy and install a product that might meet the hospital needs • Subscribe to a SaaS product – Partner with a company to meet the hospitals needs and goals Each of these provides different levels of control as well as different implementation and support challenges. This talk reviews the trade-offs and identifies features and capabilities that hospitals should focus on in the decision making process. Additionally this session will address: • Costs of each choice • Implementation processes • Support requirements o Ongoing support o Upgrade process o Maintaining of content • Scalability Gregory Magazu is a member of the product management team for IHM Service Company. Greg is involved in all aspects of product vision, direction, and implementation for IHM's current and future products. Greg has an MBA in Technology Management and over 13 years of experience in IT and healthcare product development.

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Nursing CNE MUSE International is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Individual sessions that have nursing CE are indicated by Unless otherwise noted, individual sessions are approved for one hour of nursing continuing education.

EDUCATIONAL PRESENTATIONS

Certifications

Pharmacy CEU Educational Review Systems is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmaceutical education. Individual sessions that have been approved for pharmacy CE are indicated by Individual sessions are approved for one hour (0.1CEUs) of continuing pharmacy education unless otherwise noted. Statement of credit will be emailed within 4 to 6 weeks to participants who have completed all of the requirements for continuing education. Participants must participate in the entire presentation and complete the course evaluation to receive continuing pharmacy education credit.

2014 International MUSE Conference

DALL AS, TEXAS MAY 27-30

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2014 INTERNATIONAL MUSE CONFERENCE Product Demonstrations

Summit Care Exchange - CCD and Integrated HISP Session: 501 Organization: Summit Healthcare Services, Inc.

Scheduled: Thursday May 29 at 11:00 am

Is your organization still devising your integration strategy for addressing the Transition of Care Requirement associated with Meaningful Use? Are you still determining the easiest, most efficient, and affordable way to share Summary of Care (SOC) records or Continuity of Care Documents (CCD)? We have seen a shift in the evolution of data exchange throughout the industry with a variety of pathways for organizations to begin sharing SOC/CCD, more easily and cost effectively. This has never been more the case, than with the emergence of Direct Messaging protocols. However in order to comply, a Health Information Service Provider (HISP) needs to be in place, yet not all EHR technology vendors provide their customers a HISP. Looking for answers? Summit Healthcare has supported countless hospital organizations with laying the foundation for Stage 1 integration and has stepped up the game to support interoperability for Stage 2. The Summit Care Exchange technology can support your CCD exchange including your Direct Project protocols with an integrated HISP offering. Learn more by joining our session! Summit Healthcare has been providing integration technology supporting the MEDITECH community since 1999. Our presenter and demonstrator brings a wealth of industry experience to the presentation today including MU integration requirements specifically tied to CCD integration and the support of direct protocols.

StreamTask+ for Software Quality Assurance and Update Management Session: 502 Presenter: Ted Molloy and Alice Rogers Organization: Array Software, Inc.; Uvalde Memorial Hospital, Uvalde, Texas

Scheduled: Thursday May 29 at 10:00 am

StreamTask+ is a web-based application that is helping dozens of MEDITECH hospitals manage software updates, conversions and implementations. Leaders in other industries have relied on similar tools for years. Now faced with an unprecedented emphasis on change and the risks associated with it, Hospital IT leaders are coming to the conclusion that they need more than spreadsheets to meet their critical quality assurance goals. Array will demonstrate how this versatile tool can help you: • Organize granular DTS documentation, showcasing the ability to isolate specific DTS tasks by key word(s), and globally escalating, removing or re-assigning any number of tasks in a matter of seconds • Assign and track unit testing results for all DTS tasks, or for specific enhancements • Perform functional, integrated, regression and parallel testing by launching re-usable testing scenarios that track progress at the “step” level • Manage all tasks associate with your Project Plan • Address defects that result from your testing efforts Co-presenter Alice Rogers, Clinical Coordinator at Uvalde Memorial Hospital, will offer her perspective on how StreamTask+ has helped her team manage upgrades from 6.06 to 6.07, and most recently to 6.07 PP3A. Ted Molloy, Executive Vice President, Array Software, Inc. has been supporting process improvement initiatives for more than 30 years in a variety of industries. Most recently he has been helping hospital IT teams standardize their update, implementation and conversion efforts using proven methodologies and mission-specific tools. Alice Rogers, RN, Clinical Coordinator, Uvalde Memorial Hospital (Uvalde, TX) has been working with MEDITECH since 1999. She has supported most of the Clinical modules from the Magic Platform to the 6.x platform.

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Session: 503 Presenter: Erin Jospe, MD Organization: PatientKeeper, Inc

Scheduled: Friday May 30 at 9:30 am

PatientKeeper offers a suite of physician-friendly clinical and financial workflow applications that overlay MEDITECH systems. The result is an EMR that works for the hospital *and* for physicians. PatientKeeper CPOE, medication reconciliation, documentation, physician portal, charge capture and sign-out streamline physician workflow and advance meaningful use because they are easy for physicians to learn and use. In fact, KLAS® recently ranked PatientKeeper CPOE (as an EMR component) easier to use than all the popular complete hospital EMRs, including MEDITECH MAGIC, Client/Server and 6.x. Furthermore, PatientKeeper is available as a native app for iOS and Android devices, and as a Web-based application on desktop and laptop computers, so physicians can use PatientKeeper anytime, anywhere.

PRODUCT DEMONSTRATIONS

PatientKeeper Physician Workflow Applications

Erin Jospe, MD, is Board-Certified in Internal Medicine and brings over 10 years of experience as a practicing primary care and urgent care physician, as well as leadership experience in medical quality and safety, to her role as Associate Chief Medical Officer at PatientKeeper. Dr. Jospe practiced at the Affiliated Practice Group of Beth Israel Deaconess in Boston and at Harvard Vanguard Medical Associates, where she continues to see patients. She also served as Assistant Medical Director of Quality and Safety at Atrius Health, an alliance of non-profit community-based physician groups in the greater Boston area. Dr. Jospe earned a bachelor’s degree with honors from Haverford College and an M.D. from Johns Hopkins School of Medicine. She completed her internship and residency at Beth Israel Deaconess Medical Center in Boston.

eLearning and New eBook for Physicians and Other Roles on iPad Session: 504 Presenter: Linda Hainlen Organization: Sedona Learning Solutions

Scheduled: Thursday May 29 at 3:30 pm

eLerning & eBook offerings: Training should never be an afterthought to an implementation since is has a profound impact on user adoption and utilization of the system. Although there is never a one-size-fits-all solution, eLearning can be a great addition to your learning offerings. Come see how Sedona Learning incorporates your customized build, your process and workflow, interactivity, and adult education principles to create a learning tool that will increase end-user confidence and system utilization. Statistics show that 50% of learning effectiveness can be attributed to supporting the learner after a learning event. See our innovative eBook learning tool, available on iPADs that can be available to clinicians when they need it, where they need it! (This is particularly well received by physicians!) Linda Hainlen has been in healthcare implementation training for over 15 years and has spoken at several international conferences. Linda was the Director of Learning Solutions at a major hospital during their EHR implementations and has a wealth of practical experience with EHR implementation training. During her tenure there, Linda's department was awarded the coveting ASTD BEST! Linda is also a Kirkpatrick Certified Facilitator.

FairWarning Managed Services Session: 505 Presenter: Chuck Burbank Organization: FairWarning, Inc.

Scheduled: Thursday May 29 at 10:00 am

In this hands-on product demonstration, Chuck Burbank, will cover how FairWarning’s Managed Services conducts a complete privacy program designed to help healthcare providers achieve sustainable and affordable HIPAA compliance. By leveraging our expert staff, an organization can achieve a cost effective, defensible position with regards to misuse of access to EHRs. FairWarning Managed Services: • Offloads the burden of establishing an effective user activity monitoring program, positioning customers for HIPAA compliance • Includes follow-up and investigation of potential incidents, relieving the burden on internal staff so they can focus on other priorities and responsibilities Chuck Burbank, CHP, CHSS is a healthcare privacy and security expert currently serving as Director of Privacy Monitoring and Remediation Services at FairWarning, Inc. where he leads a team offering managed and professional services to customers to assist them in achieving a culture of privacy and security of electronic protected health information. Chuck has over 34 years of experience in the healthcare industry covering clinical, administrative, privacy and security. Prior to coming to FairWarning, Chuck served as Manager, Information Security and Enterprise Network Services, Privacy Specialist for a multi-hospital healthcare system; HIPAA Privacy and Security Contractor for the U.S. Air Force covering two medical facilities; and Chief, Patient Administration (including HIPAA Privacy Officer and Director of Medical Records responsibilities). Chuck is a Certified HIPAA Professional and Certified HIPAA Security Specialist. Conference Program 2014 MUSE INTERNATIONAL

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PRODUCT DEMONSTRATIONS

IT Rapid Prioritization, Roadmapping and Resource Planning Session: 506 Presenter: Anne Marie Herrera Organization: Leidos Health

Scheduled: Thursday May 29 at 3:30 pm

In order for organization’s to effectively focus and invest in the “most aligned” and valued added IT projects, IT investments must be prioritized based on strategic decision drivers. Leidos Health has a tailored methodology, IT Prioritization, Roadmap, and Resource Planning Program to be able to meet all aspects of IT planning and execution. This methodology effectively approaches prioritization of a myriad of IT projects, creates an achievable 2-3 year IT roadmap, and identifies resource and budgetary requirements and challenges. Leidos Health’s exclusive strategic planning tool (Stratana) is an effective visual, dynamic and interactive tool that allows for transparency and collaboration for effective leadership decision making and determining “realistic expectations” on IT investments. The tool also has a number of other capabilities such as Portfolio Management, Project Management, Performance Management, Risk Management and a Workflow capability. Anne Marie Herrera is the Vice President of Strategy and Business Development for Leidos Health (formerly maxIT-VCS). She has been an IT professional for over twenty five years and has held senior IT leadership positions for two very prominent and large California based Health Systems. She has provided these organizations consulting expertise in the areas of IT strategy, governance, PMO, IT Quality Performance Management, IT Facility Management, IT Customer Help Desk, and IT Outsourcing/Insourcing. She also initiated an IT Lean program and re-engineered, at both health systems, the IT prioritization process. In her current role, she is a senior leader in the Leidos Health MEDITECH Practice and works closely with the MEDITECH vendor and 3rd Party MEDITECH vendors. She also introduced a Strategy Management tool that has enabled the Leidos Health to enhance their capabilities in the area of Strategy, Portfolio Management, Performance Management and a number of other areas. She works closely with and supports the other Leidos Health Practices within the organization.

The Breakaway Method for Adoption of HIT Session: 507 Presenters: Nanette Koch Organization: Xerox

Scheduled: Thursday May 29 at 2:30 pm

An Extraordinary Solution to Achieving Adoption of Your Electronic Health Record Healthcare organizations continue to implement new technology at an impressive pace. Electronic health records, analytics solutions, computer assisted coding, telehealth applications, mobile solution and more! Join us for a demonstration of an extraordinary solution to achieving and maintaining adoption of your electronic health record. Learn about the difference between “implementation vs. adoption”. Our research provides valuable insights into the factors that impact effective use of technology in healthcare. We will share the key processes used by healthcare organizations to ensure value in the long-term. Nanette Koch has over 35 years of experience in healthcare management, specifically in clinic, ambulatory surgery, and hospital environments. Her proven experience includes strategic planning, healthcare business operations, workflow analysis, end-user adoption and system implementations for hospitals, ambulatory clinics, physician groups and diagnostic facilities. Ms. Koch has managed an ambulatory surgery center with multiple physician clinics and also developed and managed several radiology facilities. Nanette utilized her skills and entrepreneurial background to open her own diagnostic imaging center. She has immense experience in healthcare marketing, growth, and development and has provided consulting services to healthcare providers nationwide. Nanette has led successful implementations at hundreds of hospital and physician practice groups and currently is the SVP, Business Development at The Breakaway Group. Ms. Koch is a published author, including Jumping to Solutions, Health Management Technology, Getting an Early Start-RIS/PACS Implementation, Advance.

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Session: 508 Presenter: Nick Adams Organization: Beacon Partners

Scheduled: Thursday May 29 at 2:30 pm

This session will demonstrate how healthcare organizations using MEDITECH can leverage Care Thread as their mobile care collaboration platform to improve the way providers communicate and coordinate care in real time. Attendees will see how Care Thread unites a patient’s team of providers in one virtual platform to deliver more efficient, patient-centered care on the go. In addition, we will demonstrate how the Care Thread solution integrates with any version of MEDITECH to serve real-time clinical information to providers’ mobile devices “as it becomes available” allowing everyone on the care team to communicate through secure text, audio and video about relevant patient information.

PRODUCT DEMONSTRATIONS

Care Thread, a HIPAA-Compliant, Mobile Communication and Care Collaboration Solution

Highlight the following Care Thread features: • Secure Mobile Messaging with Care Team Mapping • Care Team Collaboration • Real-time Clinical Information Attendees of this demonstration will learn: • How secure mobile messaging can accelerate communications between providers. • View a demonstration on how Care Team Mapping connects all members of a patient’s care team in one virtual application. • How the collaborative workflow model can foster better teamwork, reduce medical errors and improve quality of care. • How providers would gain access to patient clinical information as it becomes available. Improving healthcare for patients and the ability of providers to deliver care through mobile technology is Nick Adams’ passion and reason for co-founding Care Thread in 2012. Growing up in a family with generations of physicians and nurses, Nick understands the communication challenges confronted by medical professionals. Prior to co-founding Care Thread, Nick spent 15 years as a sales executive for leading pharmaceutical and biotech companies including Roche, Pfizer, and Gilead Sciences. He has experience selling to a wide array of institutions and has grown sales in large, multi-state regions from $1 million to over $30 million annually. In addition, Nick has trained hundreds of sales professionals, developed organization-wide training curricula, and helped launch multiple blockbuster antiviral drugs. Nick brings a wealth of business, sales, and customer development experience to Care Thread as Co-founder & President. Nick has a BA in Chemistry from Macalester College and an MBA from the Wisconsin School of Business.

eSignature – Paperless Electronic Signature Capture Session: 509 Presenter: Cliff Babbitt Organization: FormFast

Scheduled: Thursday May 29 at 9:00 am

FormFast presents to you an electronic patient-signature capture solution (eSignature) that integrates effortlessly with all MEDITECH platforms, including 6.0 and now Magic. See a demonstration on how an eSignature solution can replace manual signing and archiving, saving your organization time and money on handling preprinted paper forms. Cliff Babbitt – Solution Architect

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PRODUCT DEMONSTRATIONS

Kiosk - The Future of Self-Service in Healthcare - Going Mobile Session: 510 Presenter: Omeed Shams Organization: The Shams Groups (TSG)

Scheduled: Thursday May 29 at 9:00 am

Although self-service kiosks can provide numerous advantages to healthcare providers, barriers such as high equipment & maintenance costs, clunky devices with large footprints and unintuitive UI designs have slowed down the adoption for both patients and providers. To alleviate some of the strains that are associated with existing kiosk technologies, The Shams Group has developed a completely mobile kiosk – built on our Mobile Solution Platform (MSP). Our Patient Kiosk application, for patient registration and check-in, is just one component of our Mobile Solutions Platform (MSP). We developed the end-user application as a native iPad app – and by both leveraging iOS’s intuitive UI and widely recognizable controls, as well as creating our own custom controls, we have created a familiar and pleasant experience for the end user; thus increasing patient adoption. Providers can also leverage our MSP to go BEYOND patient intake - capturing any discrete data, images, signatures, payment and more to streamline any workflow in their existing environment. This is all done via touch-based iPad technology, and seamlessly integrates with MEDITECH using TSG’s MEDITECH engine & adapter (no involvement from MEDITECH required). Some examples of workflows that can be built on our MSP include: • Patient Services (registration/check-in, e-sign, co-pay collection, medical assessments/triage, way finding, surveys) • Visitor Services (visitor/vendor check-in, cafeteria menu, way finding, retail) • Employee/Hiring • More! Functionality of our MSP includes: • Discrete data capture • Electronic/digitized forms with e-sign • Quick patient identification • Image capture • Payment collection • Health card validation • Insurance eligibility checking • Live chat • Multi-lingual capabilities • Voice Narration • Wayfinding and more! Omeed Shams is a Product Manager for The Shams Group specializing in Innovation & New Product Development, with a focus on Patient Engagement. He is responsible for guiding Front-End Development & End-User Experience Initiatives for TSG’s Patient-Centric Solutions. Mr. Shams has also published articles and has spoken on various topics emphasizing Enhancing Patient Engagement & Satisfaction through the adoption of Information Technology. In addition to his role as a Product Manager, Mr. Shams has been involved in several other areas at The Shams Group including managing Marketing and Communication efforts, IT, Business Development, and more. He earned his B.B.A in Entrepreneurship from the University of North Texas in 2011.

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Session: 511 Presenter: Omeed Shams Organization: The Shams Groups (TSG)

PRODUCT DEMONSTRATIONS

Patient Portal - Enterprise-Wide, EHR Agnostic, Patient Portal for MU2 Scheduled: Wednesday May 28 at 1:30 pm

Amongst the new Core Measures released for MU Stage 2, are the new requirements for electronic patient engagement. Under the final rule, HC organizations must make health information available online to more than 50 percent of their patients. Now the “catch” is that more than 5 percent of these patients need to view, download, or transmit their information on an online portal. Similarly, more than 5 percent of patients must also send an electronic message to their provider. What’s so alarming is that HC organizations will not only be measured on what they do, but also on what their patients do. How can healthcare organizations meet the government’s targets for electronic patient engagement? The answer is an Enterprise-Wide integrated Patient Portal, combined with powerful messaging technologies, into a seamless workflow which results in sustainable patient interaction and engagement. Key Strengths of our Portal: • Enterprise-Wide architecture - supporting multiple MPI & EHR data across your healthcare continuum, all under one portal (i.e. MEDITECH & other outpatient PPM systems). • Enables patients to dynamically view personalized information - based on criteria/associated risks with treatments, advices, and precautions; in order to create interoperable and community-based healthcare delivery networks. • Direct Connect under Meaningful Use Stage II - allows providers to transmit downloaded C-CDA files directly and connect to other hospitals and providers at a community, regional and state-wide level to exchange PHI in a live environment and facilitate proficient referrals. Features and Benefits: • Electronic Copy of Health Record • Patient Care Reminder Ability to send alerts for future scheduled appointments , medication reminders, and send notification to patients for follow-up based on certain diagnosis as per the facility requirement • Ability to View, Download and Transmit Continuity of Care Document and Data Portability • Secure messaging ability to communicate with care givers • Electronic Record Amendment Request • Ability to enter Family Health History to assist with patient care • Point & click physician directory for finding physicians based on specialty, location, payer type, etc. • Ability to request online appointments and eliminate the wait and phone tags, helping to improve physician staff productivity and enhance patient satisfaction • Educational and condition-specific knowledge base and content • Pharmacy Rx refills request online, and refills being automatically communicated to preferred pharmacy • Option to view Personal Electronic Chart Management in a safe and secure manner • Patient authentication – Secure way to verify existing patients using your hospital’s Master Patient Index data; expands patient profiles for personalized service • Ability to pre-register and update online demographic data for faster care service across the continuum • Option for integrating physician systems with hospital systems (if required) for seamless patient and data flow – no need to ask the same questions over and over again • Procedure-based guidance for before and after-care • Maps and Directions for finding physicians, hospitals, etc. Omeed Shams is a Product Manager for The Shams Group specializing in Innovation & New Product Development, with a focus on Patient Engagement. He is responsible for guiding Front-End Development & End-User Experience Initiatives for TSG’s Patient-Centric Solutions. Mr. Shams has also published articles and has spoken on various topics emphasizing Enhancing Patient Engagement & Satisfaction through the adoption of Information Technology. In addition to his role as a Product Manager, Mr. Shams has been involved in several other areas at The Shams Group including managing Marketing and Communication efforts, IT, Business Development, and more. He earned his B.B.A in Entrepreneurship from the University of North Texas in 2011.

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PRODUCT DEMONSTRATIONS

TSG EHR Suite; Meaningful Use 1 & 2 Certified Session: 512 Presenter: Suma Krishnaprasad Organization: The Shams Groups (TSG)

Scheduled: Wednesday May 28 at 3:30 pm Scheduled: Thursday May 29 at 11:00 am

Meaningful Use Stage 2 - Ready for the changes? As healthcare organizations look towards Meaningful Use stage 1 & 2 certification, The Shams Group (TSG) is ready with Modular Solutions certified for the required Core and Menu Set Objectives. Our easy to use Web-based Physician and Patient Portals, Interoperability Interfaces for CCD exchange and Public Health, robust decision support tools, Clinical Quality Measures are designed to ensure a high degree of success. Below is a list of Modular Solutions TSG has been certified for, with deep integration to your EHR: • Patient Portal and Empowered Engagement • Physician Portal with CPOE, Physician Documentation, Clinical Information Reconciliation (Meds, Problems and Allergies) • Clinical Quality Measure Reporting and Dashboard for real-time monitoring and clinical process improvement • Automated Measures Dashboard to monitor your MU Core and Menu Measures and help attest for certification • Patient List with specific conditions • CCD/CCR Interoperability Interfaces Interoperability Interfaces for Public Health: • Syndromic Surveillance Interface • Submission of Immunization Interface • Reportable Labs Interface Join us for full demo on how TSG can help you meet meaningful use attestation on your timeline. Suma Krishnaprasad is the VP of Product Research and Development at The Shams Group Inc. As the VP of Research and Development, she is responsible for the entire development team at TSG. Suma works closely with software architects, product technical leads, product managers and developers both offshore and on-shore to manage projects, resources, timelines and budgets. She has lead all major projects for this organization where her team has built several applications on Windows, Web and Mobile platforms. Suma is a talented Senior Executive with comprehensive experience delivering high technology solution to the healthcare industry. She is able to mobilize and lead technical teams of engineers, IT specialist, and quality assurance experts to develop new software programs. Suma holds a B.S. degree in Computer Science and Engineering from Bangalore University, India (1996), MBA in Healthcare-IT from the University of Dallas (2010), PMP and CPHIMS certifications.

IMO Problem (IT) Terminology Session: 513 Presenter: Andrew S. Kanter, MD and Curtis Winn Organization: Intelligent Medical Objects

Scheduled: Wednesday May 28 at 11:00 am

This IMO session will provide you with the latest news and developments from IMO, MEDITECH’s partner for medical terminology and vocabulary management. IMO® Problem (IT)™ Terminology is the most-widely used terminology solution for EHR’s and seamlessly maps terms to all standards required for Meaningful Use, allowing for easier attestation. Topics will include CQM/Attestation support, an update on migrations, integration of Medical Necessity, and IMO’s new ICD-10 widget. Andrew S. Kanter, MD, MPH, FACMI is IMO’s chief Medical Officer and Director of Health Information Systems/Medical Informatics for the Millennium Villages Project at the Earth Institute and is Asst. Prof. of Clinical Biomedical Informatics and Clinical Epidemiology at Columbia University. He received both his MD and MPH from Harvard University in 1991 and completed a medical residency and Chief residency in Internal Medicine at the University of Washington in Seattle from 1991-1995. Through his interest in the application of ICT to health for the developing world, he has worked in and traveled through more than 50 countries. He has spent twelve years with IMO as Chief Medical Officer, Chief Operating Officer and President (at various times). While at Columbia, he is currently coordinating the development and implementation of the Millennium Global Village-Network (MGV-Net) for the Millennium Villages Project. Curtis Winn is the Senior Director of IMO’s Knowledge Team where he is responsible for managing the creation and ongoing maintenance of IMO’s content. Prior to joining IMO, he led concept development, design, development, and delivery of new products and services across a number of sectors including healthcare, finance, and retail. Curtis has over 20 years of business and technical experience including building Development, Program Management, and Operations teams focused on delivery. Curtis earned an MBA from Northeastern University’s Graduate School of Business and a Project Management Professional Certificate from the PMI.

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Session: 514 Presenter: Mae-ellen Gavin Organization: Imprivata

Scheduled: Wednesday May 28 at 2:30 pm

Today the Federal Drug Enforcement Agency (DEA) and 44 states allow electronic prescriptions for controlled substances. New York is leading the nation in its efforts to stop the diversion of prescription drugs with the I-STOP (Internet System for Tracking Over-Prescribing) law that mandates the use of electronic prescribing by all prescribers, for all medications, including controlled substances, no later than March 27, 2015. Whether driven by a regulatory, productivity or security perspective, many facilities are making the move to one electronic workflow for prescribing all medications, which can increase overall e-Prescribing adoption and lead to higher incentives for Meaningful Use. Despite the clear benefits, e-Prescribing can be challenging, especially when it pertains to controlled substances. Electronic Prescribing of Controlled Substances (EPCS) requires a new approach that includes certification, identity proofing and credentialing providers, and often, new technology for 2-factor authentication.

PRODUCT DEMONSTRATIONS

Electronic Prescribing of Controlled Substances (EPCS)

In this session, Mae-ellen Gavin, Product Marketing Director at Imprivata, will share knowledge and customer experience, and lead a guided discussion around what MEDITECH facilities need to know about EPCS, and where their plans stand today. Mae-ellen Gavin is the Director of Product Marketing at Imprivata, where she leads a team responsible for defining, building and launching solutions that improve provider productivity and enable better focus on patient care. She has extensive experience in healthcare, working with customers, prospects, partners and development teams to bring to market products and services that improve workflows, secure data and simplify collaboration among providers. Mae-ellen is leading the Electronic Prescribing of Controlled Substances (EPCS) initiative at Imprivata. Prior to joining the company in 2011, she held positions in Product Management and Product Marketing at Patient Keeper, Cerner and Kronos.

Imprivata Cortext Session: 515 Presenter: Justyna Evlogiadis Organization: Imprivata

Scheduled: Friday May 30 at 10:30 am

Providers waste more than 45 minutes per day using outdated communications technologies such as pagers, impacting their productivity and ability to focus on patient care. As healthcare organizations move to accountable care, they need to communicate efficiently and securely across the entire care continuum. As a secure communications platform, Imprivata Cortext enables healthcare providers to coordinate care within and between healthcare organizations such as hospitals, health systems, ACOs, physician practices or home health agencies. Attend this session to learn how healthcare organizations are improving care team communication across smartphones, tablets and workstations and saving providers valuable time with Imprivata Cortext. Justyna Evlogiadis is the product marketing manager for Imprivata Cortext. Justyna is helping drive the market development for Imprivata’s secure messaging solution as well as adoption of the product within clinical environments.

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Sandlot Solutions Product Suite Session: 516 Presenter: Derek Plansky Organization: Sandlot Solutions

Scheduled: Friday May 30 at 10:30 am

As MEDITECH users continue to move towards value-based contracts, establish defenses against competitors and embrace meaningful use, they recognize a need for additional, community based technology tools. These tools allow MEDITECH users to expand their sphere of influence by providing technology solutions to non-owned/affiliated community partners that allow access to MEDITECH generated data. By extending the data boundaries of MEDITECH to a larger community, users gain visibility to data that allows them to better manage value-based contracts, defend their provider relationships and achieve Meaningful Use compliance. Sandlot Solutions provides the ability to evaluate and analyze Population Health, provide real time exchange of community based data for optimal care management. We are currently being implemented at multiple MEDITECH based hospital systems in the United States. During these implementations, we assist our clients in addressing emerging business issues such as Accountable Care participation, meeting meaningful use and supporting aggressive value based contracts. Recently, we completed the initial implementation of our Sandlot Connect and Sandlot Dimension products at Augusta Health in Virginia. During this implementation, and others in the US, we have solved challenges for our client demonstrating such capabilities as integrating CCDAs within the MEDITECH technical environment, matching ambulatory EMR unique IDs with MEDITECH global IDs and assisting with obtaining Meaningful Use compliance through our DIRECT and Connect product. Our session will focus on exploring these areas and providing focused demonstrations of the Sandlot Product suite. Derek Plansky brings more than 15 years of technology and business experience to Sandlot Solutions, including extensive know-how in information exchange, data analytics, as well as SaaS technologies and business models. Prior to joining Sandlot Solutions, Derek worked at MedPlus, a Quest Diagnostics company, where he was responsible for architecting all customer-facing interoperability solutions including the health information exchange (HIE) offering and connectivity solutions for Care360 EHR. Derek has served on a number of state HIE technology boards including New York, Michigan, Texas and California. Prior to that, he was with LexisNexis, where he was the lead architect for the Federal solutions group. He also worked for IBM, Space Systems/Loral and a number of start-ups including Seisint and iBeam Broadcasting. Derek is an alumnus of the Massachusetts Institute of Technology (MIT), where he received an S.M. in Aeronautics and Astronautics, and he earned his Bachelor of Applied Science from the University of Toronto in Engineering Science.

Cloud Computing Session: 517 Presenter: John Ebel Organization: Dell Services

Scheduled: Friday May 30 at 10:30 am

Cloud computing is a growing force in healthcare and, while many organizations understand the opportunity that the cloud offers, why and how to get there is widely debated. As providers evaluate the pros and cons of cloud based solutions, several different adoption strategies are fast emerging. Taking the right approach is critical to determining future readiness as healthcare becomes more information-driven and connected, and moves towards collaborative care models and payment reform. This workshop will examine key applications of cloud computing in healthcare (including hosting, security/privacy and medical image archiving), highlight cloud change management strategies from a technical/operational/process perspective, and help participants identify the pros and cons of different cloud models including public vs private. John Ebel Senior Solutions Architect, MEDITECH Solutions Group within Dell John manages the team responsible for Dell MEDITECH Solutions Group’s product strategy, development and management. John is directly responsible for the definition and rollout of data management solutions for MEDITECH hospitals. These solutions focus on data protection, security, archival, and Healthcare Operational Continuance. John has spent the last 25 years providing technology solutions for healthcare, and his professional background includes business development, product management, and direct sales at technology start-ups as well as large enterprises such as IBM and Sybase.

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Clinical

Consulting

First Databank

Dell Services

120 Royal Street Canton MA 02021 www.dell.com/meditechsolutions Corrine Cutler Tel: 781-401-2104 corrine_cutler@dell.com

701 Gateway Blvd Suite 600 South San Francisco CA 94080 www.fdbheath.com Pam Quinlan Tel: 650-588-5454 ext. 867 pquinlan@fdbhealth.com

Interfaces Summit Healthcare

35 Braintree Hill Park Suite 303 Braintree MA 02035 http://www.summit-healthcare.com Tara Marchi Tel: 781-519-4840 tmarchi@summit-healthcare.com

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2014 International MUSE Conference Program