101 - Bedside Medication Verification (BMV): Right Patient, Right Med
Track: Patient Care
Presenter: Raymond Tom
Organization: Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario
In 2022, Holland Bloorview Kids Rehabilitation Hospital went live with Bedside Medication Verification (BMV) to align with best practice for medication administration to enhance patient safety. Holland Bloorview went live with both the use of wired scanners and mobile handheld point of care (POC) devices. The transition to BMV workflows met organizational goals for enhancing patient safety and hospital regulatory standards in terms of auditability, traceability of medication doses dispensed and administered. Attend this presentation to learn more about considerations for BMV implementation, staff training, and patient outcomes and lessons learned to date.
Learner outcomes:
- Identify key components to consider when planning to implement Bedside Medication Verification (BMV).
- Gain appreciation of training models used during BMV implementation and continued onboarding of new staff.
- Understand how BMV enhances patient safety and minimize medication administration errors.
Raymond Tom, Clinical Application Specialist on the Information Management & Technology team at Holland Bloorview has a clinical background as a Registered Practical Nurse with over eight years of experience in healthcare. In the role of Clinical Application Specialist, Raymond has been involved in various Expanse builds across web ambulatory, web acute, PCS and OM platforms. He has participated in project implementation related to the integration of Office 365, DAX Copilot, and helped to improve the efficiency of the nursing status board.
102 - Traversing to Traverse Exchange and TEFCA
Track: Interoperability / Integration
Presenter: Tina Whims
Organization: Frederick Health, Frederick, Maryland
In 2024, MEDITECH rolled out Traverse Exchange to its US customer base. Frederick Health joined as an Early Adopter. During this presentation we will share why we opted to join as an early adopter of this technology, what we learned during the implementation and our suggestions for others who are currently implementing or planning to implement in the future.
Learner outcomes:
- Learn about the benefits of implementing Traverse Exchange – both Regulatory and Patient Care.
- Understand what to expect when implementing Traverse and/or transitioning from CommonWell to Traverse.
- Learn about challenges we experienced and how we addressed them.
Tina Whims, Senior Applications Analyst, is a seasoned healthcare IT professional with extensive experience implementing, managing, and supporting ambulatory information systems. She is particularly interested in projects to improve access to clinical information for patients in our care.
103 - Electronic Case Reporting: An Unexpected Marathon
Track: Interoperability / Integration
Presenter: Tina Whims
Organization: Frederick Health, Frederick, Maryland
Frederick Health registered our Intent to Implement with our state Health Department in 2022. We never imagined that we would still be working on this project in late 2024. We will share the many implementation steps, lessons learned, and resources to help others on or starting this journey.
Learner outcomes:
- Learn about Electronic Case Reporting requirements and steps to implement.
- Become familiar with potential pitfalls and tips for moving as rapidly as possible through the process.
- Gain knowledge of resources available as a MEDITECH customer and from the CDC and AIMS.
Tina Whims, Senior Applications Analyst, is a seasoned healthcare IT professional with extensive experience implementing, managing, and supporting ambulatory information systems. She is particularly interested in projects to improve access to clinical information for patients in our care.
104 - Pediatric Medication Orders: An Approach to Standardization for EHR Implementation
Track: Expanse
Presenters: Zahirah Ahmed and Shreya Bodar
Organization: HCA Healthcare, Nashville, Tennessee
The transition to MEDITECH Expanse across HCA facilities requires a unified approach to pediatric and NICU drug builds to ensure consistency, safety, and operational efficiency. This initiative focuses on developing standardized pediatric order strings and retrofitting existing builds at previously transitioned facilities. By addressing the unique workflows of 24-hour hospitals, non-24-hour sites, and free-standing emergency departments, the project mitigates variability and enhances medication safety. Through multidisciplinary collaboration and standardization, this effort has achieved significant wins, overcome barriers, and identified opportunities for improvement. The approach is streamlined pharmacy workflows, optimized provider usability, and safer care delivery for pediatric and NICU populations across HCA facilities.
Learner outcomes:
- Discuss technical and operational requirements in aligning pediatric needs with the capabilities of a new EHR system.
- Summarize key insights gained from each phase of the pediatric drug build process.
- Define strategies for continuous monitoring and maintenance of pediatric drug standards within the EHR.
Zahirah Ahmed is a Clinical Pharmacy Informatics Pharmacy Manager with over 11 years of experience in inpatient pharmacy. She currently serves at HCA Healthcare, where she collaborates with interdisciplinary teams to optimize electronic health record systems for improved patient care and medication safety. Zahirah Ahmed holds a Doctor of Pharmacy (PharmD) and a Masters of Management in Healthcare (MMHC). She has developed a keen interest in her new role in pharmacy informatics. She is excited to explore how leveraging informatics can transform the future of pharmacy practice and contribute to more efficient, patient-centered care.
Shreya Bodar is the Director of Clinical Pharmacy Informatics for HCA Healthcare in Nashville, Tennessee. Prior to joining the HCA Clinical Informatics team as Director, she held multiple positions within HCA East Florida Division, including Division ITG pharmacy manager expanding to include advance clinical team supporting MEDITECH and PatientKeeper sites. Shreya Bodar is currently in a leadership role for enterprise-wide adoption for multiple EHR projects including Promoting Pharmacy Informatics multi-disciplinary collaboration, Enhance Interoperability, Pyxis support, MEDITECH Service release updates and CPOE.
105 - Cloud Portal and Current Stay Dashboard Implementation
Track: Patient Engagement
Presenter: Whitney Spiegel
Organization: Citizens Memorial Hospital, Bolivar, Missouri
In this presentation, we will review the engagement of patients and their caregivers using the current stay dashboard, highlighting the transition from legacy portal to cloud portal.
Learner outcomes:
- Develop strategies to engage stakeholders in expanding the patient portal functionality to include the current stay dashboard.
- Identify and capitalize on benefits of increased patient and their caregiver's interactions.
- Highlight the cloud portal transition process and the benefits of migrating from legacy portal.
Whitney Spiegel has worked at Citizens Memorial Hospital since 2012. She has worked as a Systems Analyst since 2016 supporting Registration, Authorization and Referral Management, Community Wide Scheduling, and the Patient Portal for clinics, hospital, and long-term care.
106 - Sound the LONGHORN on Expanse Order Entry Conflict Alert Optimization!
Track: Expanse
Presenter: William Storey Cooper
Organization: HCA Healthcare, Nashville, Tennessee
HCA is in the middle of a conversion from MEDITECH Magic to Expanse Cloud for all of its Magic sites. This conversion has shifted the landscape of alerts. Upon a review of its current sites and 2.5 million alerts an optimization effort was begun to ensure those alerts were appropriate for patient care. This presentation will take you through 5 Pillars of Alert Optimization. Attendees will be able to learn from and utilize some of the strategies of how HCA worked to optimize alerts for its system.
Learner outcomes:
- Discuss strategies to optimize medication order entry alert conflicts in Expanse.
- Review change control and documentation of alert customizations.
- Understand how over or under alerting can impact patient care.
Will Cooper Pharm.D., CPHIMS works at HCA as a Manager of Clinical Pharmacy Informatics. He actively engaged with out of the box and vendor supplied medication clinical decision support, change control and governance of HCA's conversion to Expanse Cloud, and supports other areas of pharmacy and informatics. He has a passion for making sure healthcare continues to progress towards more effective, efficient, and safe care for patients.
107 - Helping Make Sense of Enterprise Medication Data
Track: Patient Care
Presenter: Huner Aradini
Organization: HCA Healthcare, Nashville, Tennessee
Healthcare data is often perceived as complicated and difficult to interpret, especially when it comes to medication information within an Electronic Health Record (EHR). Medication build may be structured in various ways and interact with multiple third-party systems outside of the EHR, adding to the complexity. This variability can arise from differing standards across EHR platforms or from the unique user input and operational practices within healthcare settings. To address these challenges, enterprise-level strategies are implemented to enhance data accessibility and improve the user experience in consuming healthcare data.
Learner outcomes:
- Understand obstacles of utilizing medication data across an enterprise.
- Identify various sources of medication data and commonalities.
- Recognize methods to help normalize medication data
Huner Aradini graduated from Lipscomb College of Pharmacy with a Doctor of Pharmacy degree and also completed his Master of Science in Healthcare Informatics while pursuing his pharmacy degree at Lipscomb University. Dr. Aradini began his practicing career focused on pharmacy informatics and pharmacy operations within a hospital setting. Dr. Aradini then transitioned to a role helping support multiple heath systems and hospitals within a single EHR system. He is now a Clinical Pharmacy Informatics Manager, within the Clinical Pharmacy Informatics team, at HCA Healthcare in Nashville, TN. His passions in the field of pharmacy informatics are closely tied to improving operations and workflow to help better support patient care. This includes enhancements within an EHR, product support, data management, and other supportive measures.
109 - Automatic Appointment Reminders
Track: Patient Engagement
Presenter: Raheema Visram Neely
Organization: Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario
One of Holland Bloorview’s 2030 Strategic Plan was to optimize client experience and access to care and services by leveraging automation for appointments. We selected Patient Connect for appointment reminders with the added ability of seamless integration back into Expanse with the goal of improving our no-show rate.
In collaboration with various teams across the organization, the Applications Specialists along with Senior Applications Specialist were able to create the process for Patient Connect such as frequencies and reminder variations like onsite, offsite, telephone and virtual reminders. We will do a walk through of our journey from manual telephone reminders to automated text or voice messages.
Learner outcomes:
- Information on Patient Connect and setup in MEDITECH CWS and Ambulatory.
- Integration setup in both Patient Connect and Expanse.
- Share lessons learned with audience
Raheema Visram Neely is a motivated and experienced healthcare technology professional, and has been an Application Specialist at Holland Bloorview Kids Rehabilitation Hospital for 15 years. During this time, she has participated in numerous project implementations, including the establishment of a coordinated system for referrals and scheduling across the organization, the move to fully electronic documentation, and Holland Bloorview’s upgrade from Client Server to Expanse.
110 - Transforming Ambulatory Care: Mastering Clinical Design, Build, and Testing for Exceptional Outcomes
Track: Expanse
Presenters: Mark Galea and Douglas A. Janowski, M.D.
Organization: Willis Knighton Health System, Shreveport, Louisiana
Ambulatory care environments face increasing pressure to deliver high-quality, efficient, and patient-centered care amidst growing patient volumes and complex regulatory requirements. Inefficient clinical workflows, poorly optimized system designs, and insufficient testing processes lead to delays, increased provider burnout, and diminished patient outcomes. Without a structured approach to clinical design, build, and testing, healthcare organizations risk falling short of achieving exceptional outcomes and operational excellence.
Willis Knighton Health System successfully mastered clinical design, build, and testing for exceptional outcomes! We equipped our organization with the strategies and tools necessary to optimize clinical workflows, improve system design, and implement rigorous testing processes. By focusing on innovation and efficiency, Willis Knighton Health Systems enhanced care delivery, reduce provider burden, and ensured patient satisfaction, ultimately driving exceptional outcomes in our ambulatory care settings.
Learner outcomes:
- Optimize Clinical Workflows: Understand and implement strategies to streamline clinical workflows, improve operational efficiency, and enhance the patient care journey within ambulatory settings.
- Enhance System Design and Testing: Gain expertise in designing and rigorously testing clinical systems to ensure seamless integration, functionality, and reliability in support of exceptional care delivery.
- Drive Innovation and Patient Satisfaction: Learn how to apply innovative tools and approaches to reduce provider burden, improve communication, and achieve high levels of patient satisfaction, resulting in sustained operational success and exceptional outcomes.
Mark Galea is the Senior Vice President/CIO.
Douglas A. Janowski, M.D. is the Senior Physician Advisor for Information Technology and Clinical Integration, and the Clinical Integrated Network.
111 - Avoiding the Dreaded Chart Review Email – Documentation That Guides Quality Metrics
Track: Expanse
Presenter: Jason Johnson
Organization: Willis Knighton Health System, Shreveport, Louisiana
Willis Knighton Health bedside nurses are held to standards of documentation from varying agencies throughout the healthcare industry. The quality measures are constantly evolving to ensure the best care is being provided to patients and have significant financial and clinical impacts to an organization. Ensuring that staff nurses are up to date on the latest quality measures can be difficult and guiding the documentation within Expanse has challenges.
Our organization has developed narrators and checklists within the Expanse nursing documentation to help guide nurses on quality documentation requirements for Stroke and Psychiatric Care patient populations in our emergency department with success. This presentation will demonstrate a set up that is successful in guiding the nurse through accurate clinical documentation that reflects the patient experience but also matches quality metrics needed.
Learner outcomes:
- Discuss challenges between bedside nursing documentation and meeting evolving quality measures.
- Show how documentation at our organization is completed for stroke and psychiatric patient populations using narrators and checklists to help guide bedside nursing staff to complete all needed documentation to meet quality measures.
- Demonstrate the setup and build for how to create assessments like this and further use cases that are in our pipeline for development.
Jason Johnson, Clinical Systems Analyst Manager, is a Registered Nurse at Willis Knighton Health in Shreveport, LA. Jason has been an emergency room nurse for Willis Knighton since 2016 and joined the IT department in 2021. In his spare time, Jason is an avid board game enthusiast and movie watcher.
112 - Expanse Order Sets: The New Frontier
Track: Expanse
Presenter: Douglas A. Janowski, M.D.
Organization: Willis Knighton Health System, Shreveport, Louisiana
Advanced Architecture Beyond Standards of Flat Sets to Optimize Efficiency and Drive Best Practices for Quality
This presentation outlines a comprehensive approach to the design and architecture of clinical order sets, with a focus on driving best practices for clinical care and achieving quality measures. The methodology emphasizes the importance of structured and evidence-based order sets that enhance clinical workflows, improve patient outcomes, and align with organizational quality goals. It highlights strategies for integrating interdisciplinary collaboration and leveraging informatics tools to optimize order set development and utilization.
The intended audience for this framework includes the Clinical Informatics Team – comprising physicians and nursing staff – who are instrumental in ensuring clinical relevance and usability. Additionally, it targets Analyst Teams specializing in operational management (OM), patient care services (PCS), surgical services (SUR), and pharmacy (PHA), whose expertise supports the technical and functional implementation of these tools. Leadership stakeholders are also engaged to ensure alignment with strategic objectives and resource allocation.
This presentation serves as a resource for healthcare organizations striving to enhance clinical care delivery through thoughtful and systematic order set design.
Learner outcomes:
- Recognize the Key Principles of Effective Order Set Design: Participants will understand the foundational elements of designing and architecting clinical order sets that align with best practices for clinical care, ensuring evidence-based and patient-centered outcomes.
- Develop Strategies to Align Order Sets with Quality Measures: Learners will explore methodologies to integrate organizational quality goals and regulatory standards into the development and implementation of order sets to achieve measurable improvements in care delivery.
- Collaborate Across Multidisciplinary Teams to Optimize Order Set Utilization: Participants will learn to foster effective communication and collaboration among clinical informatics, analyst teams, and leadership to ensure the successful adoption and ongoing refinement of order sets in clinical practice.
Douglas A. Janowski, M.D. is the Senior Physician Advisor for Information Technology and Clinical Integration, and the Clinical Integrated Network.