Educational Presentations

Surveillance:  Practical Applications to Improving Care

Track:  Patient Care
Presenter:  Lindsay Tahiry
Organization:  LifePoint Health, Brentwood, Tennessee

By incorporating Quality Management Surveillance functionality into your EHR, you can improve outcomes and help nurses to identify patients who are at risk for falling or developing CAUTI, as well as a number of other conditions. In addition to helping nurses, surveillance tools provide the necessary decision support to help clinicians render a diagnosis, keep the quality manager informed, enable care managers to focus on specific areas of risk, and assist executives with identifying areas of improvement for all potential points of service across LifePoint’s 6.15 facilities. In this session, you’ll hear from LifePoint Health on how to use Surveillance watchlists and EHR toolkits to optimize your organization’s clinical processes.

Lindsay Tahiry has over 10 years of experience as an application analyst, including six years spent supporting MEDITECH Advanced Clinical modules. She consulted as the PCS lead for seven 6.x implementations before joining RCCH Healthcare Partners (now LifePoint Health) as a senior application analyst on the nursing and quality team in 2017. Over the past 18 months, she successfully adopted MEDITECH’s Surveillance functionality in a multi-facility 6.15 environment. Lindsay received a Bachelor of Science in Technology Management from the University of Findlay in 2002, and Bachelor of Nursing Science from Regis University in 2006. More recently, she graduated from University of Colorado with a Master of Nursing Informatics and became board-certified in nursing informatics in 2014.    

Learning objectives:

• Identify three ways Surveillance functionality can improve patient care and outcomes.
• Discuss two use cases for applying Surveillance functionality.
• Describe how to measure the impact of Surveillance adoption.

MEDITECH Expanse Data Conversions Lessons Learned

Track:  6.x/Expanse
Presenter:  Michael Ward
Organization:  Anderson Healthcare, Maryville, Illinois

Anderson Healthcare, a long time MEDITECH C/S site, is in the process of replacing four different EMRs (MEDITECH C/S, CPSI, NextGen, and eMDs) with MEDITECH Expanse (Go-Live planned for November 2019). Determining what data from your systems can be migrated takes considerable understanding of all the options offered by MEDITECH and other third-party vendors. Significant time was spent learning and relearning how the mesh of vendors and conversion tools work together to provide useable data at go-live. Anderson was fortunate to have the right mix of knowledge experts to work with our consulting partners and MEDITECH to come up with a comprehensive plan. Once a conversion strategy was developed, Anderson spent considerable effort discussing and teaching stakeholders about the data conversion process. This presentation will review Anderson’s lessons learned specific to data their data conversion journey during their Expanse migration.

Mike Ward is the CIO for Anderson Healthcare, a regional healthcare network with two hospitals and many clinics. Mike has worked in the health IT industry for nearly 25 years. As the Director of IT for Anderson Hospital, he helped it grow in to a multi hospital organization with a constantly expanding geographic footprint. Mike is overseeing Anderson's Project 1 a multi-year project to consolidate four different EMRs into one.

Expanse Point of Care - Mobility for Nurses and Therapists

Track:  6.x/Expanse
Presenter:  Joe Farr
Organization:  King's Daughters Medical Center, Brookhaven, MS 

Expanse Point of Care is MEDITECH's mobile solution for nursing and therapy staff. Point of Care technology encompasses med administration and patient care documentation as well as order and lab review, all on one hand-held device. As the first site to go live with this technology, Joe will discuss wins, challenges, FYI's, and lessons learned.

Joe Farr has been a registered nurse since 2001 serving primarily in the Emergency Department and is currently serving as the Clinical Application Coordinator for Information Systems at King's Daughters Medical Center in Brookhaven, MS. Joe has been instrumental in the implementation and support of many provider-facing applications in his organization, including MEDITECH 6.15 followed by Expanse WebAcute/Web ED and most recently Expanse Point of Care. Though Clinical IT is his primary focus at this time, he continues to practice nursing in the ED.

Safe Discharge – Patient Oriented Discharge Summary (PODS) Checklist

Track:  Patient Care
Presenter:  Amy Bellisle
Organization:  Georgian Bay General Hospital, Midland, Ontario

Learn how Georgian Bay General Hospital (GBGH) streamlined the discharge processes with the successful implementation of Safe Discharge PODS Checklist. We increased both patient satisfaction and patient engagement, improved the overall discharge process, and reduced the risk of readmission, all while strengthening transitions from hospital to home. 

Amy Bellisle is a Registered Nurse - Application Consultant in Clinical Informatics at Georgian Bay General Hospital. During her nursing career of 26 years, she has been active in Clinical services where she has excelled in leadership roles. Amy moved into Information Systems department nine years ago where she continues in a Clinical Leadership role in Informatics. 

Amy works with the Clinical Educators, physicians, Clinical Managers to assess the level of satisfaction and utilization of the information system, evaluate the usefulness, quality and comprehensiveness, and potential of output relating to electronic documentation for all patient services offered at GBGH.

Amy focuses on efficiencies thru technology as part of our GBGH’s lean strategies. Amy was the Clinical Lead with the successful implementation of the Safe Discharge PODS Checklist and worked collaboratively with frontline staff to streamline processes. Amy has continued to improve and enhance the discharge processes for an overall successful patient and staff satisfaction.

Recently, Amy was given the opportunity to Chair the Provincial Initiative Group for the Emergency module in Expanse and sit on the membership for Clinicals - The MEDITECH Collaborative Model is based on evidence and best practice allowing the sharing of common data to improve client outcomes/experience and healthcare provider practice.

Learning objectives:

• They will learn how Safe Discharge PODS Checklist was developed to improve the discharge process for patients, assist in reduction of readmission, strengthening transition from hospital to home while improving patient safety.
• They will learn how five key pieces of information are used to assist patients and families upon discharge: Signs and symptoms to watch out for when at home; Medications instructions; Appointments booked or need to be booked; Routine and lifestyle changes
• The learner will see the build in PCS and the report written to capture the multidisciplinary documentation and the process for delivery of PODS to the patients in an easy to read format.

Benefits of Bed Management Desktop 6.08

Track:  6.x/Expanse
Presenter:  Angela Clark
Organization:  Catawba Valley Medical Center, Hickory, North Carolina

Leadership from the Emergency department requested using Bed Request to assist in decreasing ED throughput times. Upon evaluation, there were many things that needed to happen before this functionality could be implemented. It has taken over two years and several phases to implement Bed Management Desktop. The first phase of the project was to change location mnemonic and accommodation codes. The next phase evolved around Environmental Services’ needs. The last phase was to understand the impact on the Administrator on Duty and clinical areas. Upon gathering data from multiple disciplines and departments, we have found some benefits of using Bed Management Desktop. It has assisted with decreasing clicks, multiple phone calls and ability to review patient information on one screen.

Angela Clark has been a Registered Nurse for 22 years with a background primarily in emergency nursing. Seven years ago, she began working in informatics with a primary focus in EDM and migrating from Magic to 6.08. Since migrating to 6.08, she has assisted with implementing Physician Order Entry and electronic documentation for ED providers. Other duties include working on the hospital order set team, Report Designer and creating an inpatient Sepsis alert. Her most recent project is implementing Bed Management Desktop.

Lab Stewardship – This is How We Do It!

Track:  Patient Care
Presenter:  Sherrie Babcock
Organization:  HCA West Florida Division IT&S, Clearwater, Florida

Lab Stewardship is a multi-disciplinary process by which lab tests, using evidence-based methodology, are evaluated for efficacy in diagnosis and treatment of patient conditions. 

Stewardship is defined by Merriam Webster, as

1. The office, duties, and obligations of a steward
2. The conducting, supervising, or managing of something; especially, the careful and responsible management of something entrusted to one’s care.

What could be more important than the management of the care of the patients entrusted to us?

The Lab Stewardship committee determines the appropriate pathway to eliminate over-utilization of tests that have minimal value in the diagnosis, care and treatment of hospitalized patients. This committee partners with Information Systems analysts to develop rules and customer defined screens that provide clinical decision support to providers and end-users with the lab ordering process. An important task of the committee is to take into consideration the down-stream impacts to patients, end-users, and processes.

Benefits of Lab Stewardship include patient safety, scalability/replication of consistent end-user experiences and awareness using evidence to drive content and clinical decision support. There are also challenges to Lab stewardship that must be addressed as well – achieving consensus, identifying all impacted parties, compliance monitoring, organizational differences, perceived delays and perceived loss of independence with provider ordering.

This presentation will review various Lab Stewardship initiatives in the West Florida Division and provide various examples of how to provide IT support in those initiatives.

Sherrie Babcock has been a licensed registered nurse in Florida for 34 years. She has worked a variety of clinical settings - CCU, Cardio-Pulmonary Rehab, House Nursing Supervisor, and Pre-Admission testing. In 2010, Sherrie transitioned to IT&S with Wave 1 CPOE implementation as an order set specialist. Since that time, she has supported CPOE/Advanced Clinicals and has served as the Project lead for Division Led CPOE Implementations. Most recently, she was promoted to Manager EHR Support - Advanced Clinicals/CPOE in September 2018.

Protocols – The Evolution from Paper to Electronic

Track:  Patient Care
Presenter:  Susan A. Hines
Organization:  CalvertHealth Medical Center, Prince Frederick, Maryland

Over the last several years, regulations have changed in how to handle protocols that nursing is to follow. No longer can we just mention in a note that we followed the specific protocol and that was all. Keeping a paper/pdf copy of the protocols is not enough. Now those protocols need to be part of the medical record and be sure that the versions of the protocols are up-to-date for the time of the visit. This presentation will show how CalvertHealth Medical Center has changed the way it utilizes the protocols as part of the chart and to improve compliance with documentation.

Susan A. Hines, RN, MSN is a Nurse Application Specialist working in the Information Services Department at CalvertHealth Medical Center (CMHC). Susan graduated from Walden University with a Master of Science in Nursing, specializing in Nursing Informatics. For the last eight years, she has supported the clinical staff (Nursing, Providers, Rehab, etc.) to varying degrees in both MEDITECH Magic and now MEDITECH 6.15, though nursing does keep her very busy.

After receiving in-depth training and surviving a strenuous build CalvertHealth had a successful implementation of MEDITECH 6.15 which went LIVE on October 1, 2016. Susan was the Core Team Lead for PCS and its various components. The focus was to improve documentation without losing functionality. New additions were the transition to the electronic TAR, Critical Care module with the Critical Care Flow Sheet, and Charge on Documentation for ancillary clinical staff and various outpatient clinics. She worked with the build teams for EDM, SUR, OM, and PCM/PDoc to help maintain good documentation workflow that was especially important for shared documentation and parameters that affected several or all of the areas, including the EMR. Susan continues to support clinical and ancillary staff and modules with her coworkers, both inside and outside of the IS department.

Road to MIPS 2017, 2018, and Beyond …

Track:  Regulatory
Presenter:  Donnie Dykes
Organization:  Lane Regional Medical Center, Zachary, Louisiana

Lane Regional Medical Center is a 140-bed facility with several ambulatory clinics serving the city of Zachary, LA (population estimation of 20,000) and the surrounding area. We are currently a Magic facility with an EXPANSE go LIVE date set for February 1, 2019. With the introduction of the Merit-Based Incentive Payment System (MIPS) there were many challenges.  In this presentation we'll review MIPS and discuss the different aspects of quality, Improvement Activities (IA), Advancing Care Information (ACI), and cost.

Throughout the presentation, each topic in MIPS will be explored along with discussing some of the pitfalls to avoid. We will explore a few problem measures for Lane's ambulatory clinics and what we did to address those and improve our scores for 2017 and our road to an ACO in 2018. We will also discuss our choices for IAs and how we adopted those. In summation, we will discuss changes for 2019 with regard to MIPS and what those changes will mean, along with Lane's decision to join an ACO and how we plan to engage with EXPANSE to continue to meet the requirements set forth by CMS.

Reginald D. "Donnie" Dykes, Jr, MHI, BSN, RN-BC is a registered nurse with over 10 years of healthcare experience. He began his nursing career working in the Medical Intensive Care Unit at a local Baton Rouge hospital. Donnie became interested in the technical side of healthcare and took a position as a Nurse Clinical Informatics Specialist in January 2015 at Lane Regional.  Over the last four years, he has learned much about EHRs, having completed his Masters of Health Informatics at Louisiana Tech University in August 2017. A father of two small children under four, he spends much of his free time with family. Donnie enjoys movies, church activities, dining out, movies, football, and classic cars.

Utilizing Technology to Improve Nursing Informatics Education

Track:  Culture
Presenter:  Amy Speanburg
Organization:  The Saratoga Hospital, Saratoga Springs, New York

In the hospital, there are constant needs for staff education. With our hospital growing at a rapid rate, “MEDITECH Education” can mean something different for each job type and clinical area. Having a standard education for basic orientation to the system just did not work anymore.

Utilizing screen-recording technology, we implemented a self-paced learning style that we use for not only new hire orientation but for new project implementations such as our recent smart pump integration project.

This presentation will discuss:

• Issues with large classroom style learning
• How we incorporated documentation of quality measures into orientation to improve documentation
• Using available resources
• Creation of self-directed learning modules to facilitate different learning types and accommodate all speeds of learners

Amy Speanburg MS, RN, started her nursing career working in medical/surgical/orthopedic nursing. When she began her career at Saratoga Hospital in 2008, she was asked to be part of the team to implement Nursing Documentation. Since then, Amy has advanced to Clinical Informatics Specialist and has worked on and implemented many projects such as ICU documentation, CPOE, ORM, Physical Therapy, Respiratory Therapy, Smart Pump EHR Integration, and more.

Learning objectives:

• Describe three issues with large classroom style learning
• Discuss how to incorporate quality measure documentation into new hire orientation education
• Understand the meaning of self-directed learning to accommodate different disciplines and learning styles

Radiation Right:  High Dose Fluoroscopy eScreening

Track:  Regulatory
Presenter:  Christy Casale
Organization:  HCA West Florida Division IT&S, Clearwater, Florida

HCA’s Radiation Right® Initiative aims to reduce the patient’s exposure to radiation in accordance with The Joint Commission’s radiation safety standards.

The Fluoroscopy eScreening tool was developed by West Florida Division and provides an electronic method of documenting the evaluation of the patient receiving potentially high dose fluoroscopy treatments and procedures. The goal of the screening is to avoid patient harm through avoidance of overexposure; as well as timely identification and notifications when Substantial Radiation Dose Level (SRDL) does occur. It also provides a consistent and standardized electronic documentation process in accordance with HCA’s Radiation Right Policy. With the electronic documentation tool replacing all paper documentation tools, the data is now centrally available and available for use in real time (for decision support and care coordination) or retroactively (for audits and process improvement functions). 

This presentation will provide an overview of how the electronic documentation and decision support tools have helped with the Radiation Right® initiative in the West Florida Division.

Christy Casale is a Sr. Clinical Analyst working for HCA (Hospital Corporation of America) since 2013, supporting Fawcett Memorial Hospital in the West Florida Division. She has a Master’s Degree in Business Administration (MBA) from University of Nevada, Las Vegas and is a Registered Nurse, Board Certified in Informatics.

Learning objectives:

• Identify the three main components of the Fluoroscopy eScreening and state the purpose of each component.
• Discuss three ways EHR technology can be leveraged to reduce risk or improve outcomes in regards to fluoroscopy overexposure.
• Thinking of your current EHR and systems, identify at least one way you might leverage the technology available to avoid overexposure and/or streamline care coordination in the event of overexposure.

ORM to SUR – Making the Cut

Track:  Other
Presenter:  Riki Watts
Organization:  St. Claire HealthCare, Morehead, Kentucky

Transitioning surgical services from ORM to SUR requires a multidisciplinary approach to the balance of information services and clinical patient care. St. Claire HealthCare successfully improved clinical documentation, supply management and applied electronic versions of evidence based surgical care through SUR implementation. A team of dedicated information service professionals, surgical staff and perioperative leadership transitioned the electronic health record into a best practice tool to deliver the highest quality surgical care. From focused workflow management to the testing phase, a shared governance approach ensured that the end user was an integral part of the build. This presentation provides the details behind one organization’s journey from ORM to SUR and how the successful implementation made a real change in patient outcomes.

Riki Watts is the Administrative Director of Perioperative Services at St. Claire Health Care. She has been in nursing leadership for the last nine years and has served in a variety of roles. Riki serves on multiple councils and committees within the organization and is a member of the Nurse Executive Council.

Riki obtained her Associate Degree in Nursing from Ashland Community and Technical College in 2003 and completed the Master of Science in Nursing degree in 2013.  She is a Board Certified Nurse Executive (NE-BC) and a Certified Nurse-Operating Room (CNOR).  Riki is a volunteer item writer for CCI, adjunct professor at Northern Kentucky University and a certified Team STEPPS trainer.

Riki has clinical experience in the Intensive Care Unit, Post Anesthesia Care Unit, General Surgery, and Cardiovascular Operating Room. She is an active member of the Kentucky Nurses Association, American Nurses Association, Association of periOperative Registered Nurses, Society of Gastroenterology Nurses and Sigma Theta Tau International Nursing Honor Society.

Learning objectives:

• Recognize the resources needed in transitioning from ORM to SUR.
• Understand the need for thorough workflow and process management.
• Understand the Evidence Based Practice behind SUR documentation.

Violent Restraint Order Build

Track:  Patient Care
Presenter:  Caitlin Ryan
Organization:  Catawba Valley Health System, Hickory, North Carolina

Restraint guidelines for violent/self-destructive management differ in multiple ways from non-violent guidelines. These differences provider unique challenges to the electronic ordering process. Non-violent restraints require that the order be renewed every 24 hours, while violent restraints require the order be renewed every four hours. MEDITECH has a best practice model that follows these guidelines by allowing ordering restraints as a “series.” This function provides a “parent” order and the renewal orders exist as “child” orders. While this functionality works well for non-violent restraints ordered for every 24 hours, it queued four renewals for violent restraints at once. This gave the illusion that restraint orders were being placed in advance.  Ordering restraints this way is the same as ordering them as a standing or “as needed” order, and is prohibited by the Center for Medicare and Medicaid Services (2018). A modified electronic workflow was constructed that tackled this issue, resulting in a streamlined process that resulted in cleaner electronic health records.

Caitlin Ryan has worked for Catawba Valley Health System since July of 2009. She worked first as a floor nurse on the psychiatric unit before being promoted to charge nurse, intake nurse, and finally as a patient care coordinator. She now works as a clinical informaticist in the health informatics department at Catawba Valley. She received her Bachelor's in Nursing at the University of North Carolina at Charlotte in May of 2009. She then went on to receive her Master's of Nursing with a specialty in informatics from Duke University in December of 2016.

Learning objectives:

• Explain need for restraints
• Identify Center for Medicare and Medicaid Services (CMS) violent restraint guidelines
• Compare MEDITECH best practice restraint build vs modified Catawba Valley Health System (CVHS) build

Making Project Management Work in a Clinical Setting

Track:  Culture
Presenter:  Becky Blevins
Organization:  Ephraim McDowell Regional Hospital, Danville, Kentucky

In this presentation, we will compare and contrast project management in a traditional setting and the modifications needed to make it work in a clinical setting. We will look at the difference in clinical customers from conventional customers, and how your role as a project manager has to be adapted to successfully facilitate meetings, build relationships and teams in the clinical environment. We will discuss how LEAN and Six Sigma can successfully be used in the clinical setting. Give real life project example of these concepts.

Becky Blevins is the Information Services Systems Manager for Ephraim McDowell Health, a multi-hospital health system, located in central Kentucky. Her responsibilities include management of the project team as well as the MEDITECH clinical team. She has more than 30 years of experience in healthcare. She became certified as a PMP in 2016.

Building Surveillance Profiles

Track:  6.x/Expanse
Presenter:  Kristen Springer
Organization:  CalvertHealth Medical Center, Prince Frederick, Maryland

In this presentation, we will be showing step-by-step how to create Surveillance Profiles. These profiles can be added to an Indicator Scheme and then added to a Tracker or Status board. We will provide many examples of how Surveillance can be used to help identify critical care flags.   We hope to spark some interest on this topic and even show how the profiles can be set up to send email notifications.

Kristen Springer began her career at CalvertHealth Medical Center as a Medical Technologist in the Laboratory. After 13 years, she transitioned to the I.T. department. She supported the Laboratory, Radiology, Registration, Community Wide Scheduling and the Patient Portal. In October of 2016, the facility went Live with MEDITECH 6.15. Through this transition, Kristen advanced in MEDITECH rule building and Report Designer. She was then recruited to take a position in the fast paced Emergency Department. In this role, her support provides innovative solutions for difficult problems. With over 23 years of experience, she is an advance MEDITECH problem solver and would like to share her knowledge to help others.

The Impact of History Alerts

Track:  Supporting Workflow
Presenter:  Penny Mills
Organization:  HCA, Nashville, Tennessee

How many times have your providers ordered Cat Scans on a patient that was not necessary? If you knew the patient had a scan within the last 365 days, multiple scans could be avoided, and prevent your patients to unnecessary radiation exposure, contrast administration, and cost. In HCA West Florida Division, we have implemented a CT Alert process that will inform your providers when the patient has had a recent CAT scan.

We have also implemented a Cdiff Alert process to identify and prevent duplicate Cdiff testing in hospitalized patients who have been previously tested for Cdiff and improve the predictive value of C difficile Infection (CDI) testing if the patient had a laxative administered within the past 48 hours of testing. 

In this presentation, we will explain how these processes are being utilized and show the benefits it has provided to our patient population.

Penny Mills, RN is an EHR Clinical Analyst II working for HCA for the last 17 years, and has been in IT&S for the last eight years supporting South Bay Hospital, and Medical Center of Trinity in West Florida Division. She presented at the MUSE Conference in 2018 on “What Trends Does your Discharge Process Show? Penny has been a Critical Care Registered Nurse for 22 years, and holds a Certification in Healthcare Informatics.

Smart Pump EHR Integration – A Pharmacy Perspective

Track:  Patient Care
Presenter:  Astrid Cook
Organization:  The Saratoga Hospital, Saratoga Springs, New York

When technology is embraced, it can result in big benefits for patient safety, and time savings for staff. Integrating our smart pumps with MEDITECH has definitely accomplished both at The Saratoga Hospital.

To date, we’re one of only two hospitals in the world that have brought this cutting-edge technology LIVE. This educational session will describe our journey, primarily from the pharmacy’s perspective, to help others benefit from our experience.

During the presentation, we’ll discuss:

• What smart pump integration is, and why we chose to do it
• Who participated in the project, and the FTEs it required
• The scope of the project (for Saratoga, all infusions in Inpatient and ED areas)
• Analysis of workflow and alignment between EHR and smart pump drug library
• What is the mapping and testing process?
• Special challenges – one to many verse many to one concept, weight based titrations & workflow, how to identify different pump modes - continuous infusion verse intermittent, rounding.
• Education of nursing/pharmacy staff.
• Troubleshooting

Smart pump integration with MEDITECH is a complex project that involves the Pharmacy, Nursing, IT, and the hospital’s Biomedical Engineers. This session will have a heavy focus on the pharmacy aspect of the implementation, but nurses and anyone interested in connecting smart pumps to MEDITECH will benefit from attending. 

Astrid Cook, RPh, has more than 20 years of Pharmacy experience, including 10 years working in Pharmacy Informatics, which is her passion. The Saratoga Hospital was a completely “paper” hospital when she began working there. During her 18-year tenure at Saratoga, projects in which she has participated include eMAR, BMV, CPOE, installation of Omnicell, ePrescribing (NY was the first state in the nation to require e-Prescribing including controlled substances), installation of smart pumps with a drug library, conversion of the Pharmacy formulary from MediSpan to First DataBank, and most recently of course, Smart Pump EHR Integration.

Prior to The Saratoga Hospital, Astrid worked at Albany Medical Center and Glens Falls Hospital, where she gained some experience with the Cerner system. She holds a Bachelor of Science in Pharmacy from the Albany College of Pharmacy.

Learning objectives:

• Understand the basic concept of Smart pump of auto- programming and auto documentation, understand the technology that needs to be in place in order to integrate smart pumps with an eHR.
• Understand the timeline and proper team needed to accomplish and integration.
• Basic understand of the smart pump integration process and special pharmacy challenges involved integration.

MEDITECH Client Server to Expanse:  Streamlining ED Charge Capture

Track:  6.x/Expanse
Presenter:  Modessa Neyens
Organization:  Avera McKennan, Sioux Falls, South Dakota

This presentation will discuss Avera’s path to the standardization of technical and procedural level charges with the EDM module in MEDITECH Expanse. You will learn how we identified gaps and discrepancies among facilities and how a multidisciplinary approach was used to minimize financial impacts. You will also see how a standardized build can help normalize charges and lead to a possible optimization in revenue.

Modessa Neyens is a Board-Certified emergency nurse at Avera McKennan in Sioux Falls, SD. She has 10+ years of clinical experience with the majority of her career spent in emergency medicine. She has practiced in various roles within the Emergency Services division including Avera's expansive Telemedicine department. Most recently she serves as the clinical subject matter expert for emergency medicine workflows in the transition from MEDITECH Client Server to the implementation of Expanse. She participates in various committees within the project scope including ED Physician Review Teams and Education Review Teams. She has played a pivotal role leading the implementation of a documentation-based acuity billing process.

Learning objectives:

• List and identify gaps or discrepancies to assist in streamlining clinical charge capture while developing best practices, policies, and procedures.
• Discuss how to set up and monitor technical and procedural charges within the EDM module in MEDITECH Expanse.
• Discuss how standardizing clinical charge capture can impact finance in attempts to remain budget neutral.

Shaping Behavioral Health Care with Expanse

Track:  6.x/Expanse
Presenter:  Madeline Miller, RN-BC
Organization:  Avera McKennan Hospital and University Health Center, Sioux Falls, South Dakota 

Explore how the Care Plan module in MEDITECH 6.1 can be used to develop a holistic plan of care for the behavioral health patient in the inpatient psychiatric setting. Care plans were built specific to psychiatric diagnosis to support individualized patient care. Patient problems and outcomes were creatively designed to support comprehensive documentation of patient progress and treatment participation, including nursing goals, patient goals (such as journaling/therapy assignments), and crisis response planning.

Madeline Miller is a Registered Nurse at Avera McKennan Hospital and University Health Center in Sioux Falls, SD. She is certified in Psychiatric Mental Health Nursing and has served as a resource nurse at the Avera Behavioral Health Center for five years. Her area of specialty is inpatient pediatric psychiatry. She is a member of the Avera MEDITECH 6.1 PCPS Core Team, representing the unique needs of the behavioral health population.

Getting Started with MEDITECH Surveillance

Track:  6.x/Expanse
Presenter:  Chris Neumann
Organization:  The Valley Health System, Ridgewood, New Jersey

In this session we will go over the basics of how to build surveillance profiles and give you a base for building future profiles. We will discuss:

• Setting up parameters and discuss hardware needs
• Building reusable fact and rules
• When to use groups and when not
• Strategies for using removal rules vs qualifying rules only
• Using Surveillance to feed indicators and sending email alerts
• Setting up actions
• Building patient list formats

We will use the MEDITECH user guide as a base with working examples from the Valley Hospital’s live system.

Chris Neumann has been working with the Valley Health System for the last five years and in healthcare since 2005. Since the implementation of 6.14 in 2015 Chris has been the primary analyst for the Surveillance module along with the Bed Management and Environmental Services modules

Learning objectives:

• Ability to build surveillance profiles in the MEDITECH system
• Develop a better understanding of how surveillance works and what it is capable of
• Build more efficient facts and rules