Approved Presentations

Summary: Immunization Information Systems (IIS) are vital to public health, yet effective data exchange with Electronic Health Records (EHRs) is rarely seamless. Interoperability issues and data quality gaps frequently lead to incomplete records, vaccination discrepancies, and a heavier workload for healthcare providers.

If you’re tired of chasing down the same interface errors, join White River Medical Center and Tegria for a deep-dive, real-world case study that demonstrates how to transform your immunization data exchange process. This session moves beyond theory to provide you with a structured, proven approach to resolving frequent interface failures, so you can stop troubleshooting and start optimizing.

Results: Proactive monitoring is essential to ensure data accuracy and optimize clinical workflows. In this session, you will learn how to effectively manage frequent interface failures, transforming a daily frustration into a reliable, high-quality data exchange process.

Attendees will explore common challenges such as invalid patient demographics, gaps in health maintenance, and dictionary build issues. Through practical examples, we will walk attendees through error reporting workflows, data validation techniques, and collaborative communication protocols between clinical sites and public health agencies. The session will showcase how these strategies lead to measurable improvements at White River Medical Center, specifically, higher data completeness, increased provider satisfaction with integrated access, and enhanced clinical decision support.

Pediatric medication use presents unique challenges that require deliberate informatics design, governance, and continuous oversight. Unlike adult care, pediatric dosing is highly dependent on accurate weight, age, and developmental considerations, with small errors carrying significant risk. Informatic pharmacists play a critical role in translating pediatric clinical requirements into safe, standardized, and reliable clinical workflows.

MEDITECH Expanse offers functionality to support pediatric safety – including kilogram only weight management, weight-based dosing calculations, pediatric specific order sets, standardized concentrations, and clinical decision support. These tools are only effective when thoughtfully configured, tested, and governed. This presentation outlines the foundational pediatric concepts informatic pharmacists must understand, highlights Expanse capabilities, and reinforces best practices to ensure safe, efficient, and scalable pediatric medication-use systems across the enterprise.

Emergency departments rely on rapid awareness to support timely, safe, and coordinated patient care. Status Boards, specifically Big Boards, are a central tool for communicating real-time information. Critical data and information can often fail to align with what frontline nursing and providers need most to make fast, high-stake decisions.

This presentation explores how thoughtfully Expanse 2.2 can design a Big Board that can improve clinical efficiency by highlighting the information that matters most to clinicians. Through frontline input and feedback, we can identify key data elements that support rapid prioritization, including patient acuity, pending tasks, and throughput barriers. Differences and overlaps in nursing and provider information needs are examined to demonstrate how a shared visual platform can enhance team communication while respecting role-specific workflows.

Attendees will learn strategies for optimizing Big Boards designed to improve situational awareness, and support faster, more informed care decisions. The session will also discuss common pitfalls of overcrowded monitor displays and offer recommendations for readability and usability in high-pressure emergency care environments.

As healthcare technology evolves rapidly, Electronic Health Record (EHR) users – both clinical and non-clinical – must keep their skills relevant. Continuing education is essential for career sustainability and organizational success, affecting everyone from frontline clinicians to leaders responsible for strategy and optimization. This session targets a diverse EHR user audience, including clinicians, analysts, informaticists, IT professionals, trainers, and healthcare leaders.

The presentation focuses on how targeted continuing education enables individuals to remain effective in their current roles while preparing for future opportunities in an increasingly data-driven, evolving, and automated healthcare environment. Attendees will receive an overview of high-value certifications, degrees, short courses, and vendor-specific training pertinent to today’s EHR landscape.

The session clearly differentiates the most beneficial educational options for clinical users, non-clinical users, and hybrid informatics roles. Key considerations include return on investment, real-world applicability, and employer recognition for both frontline staff and organizational leaders.

The session aims to prompt participants to reflect on their skill gaps, career aspirations, and learning preferences. Mid-level executives will learn how continuing education supports workforce development and system optimization, while frontline users will leave with actionable next steps for professional growth.

Many healthcare organizations that implemented MEDITECH Expanse during the COVID era did so under accelerated timelines, prioritizing continuity of care and system stability. As organizations have continued to mature in their Expanse environments, many have recognized opportunities to further optimize how data is accessed, interpreted, and used to support operational and financial decision-making.

McCurtain Memorial Hospital (MMH), a rural facility, took a proactive approach to enhancing data visibility and reporting capabilities to support informed leadership decisions. By reviewing existing system views and workflows, the organization identified opportunities to expand insight into key operational and revenue-related data elements and strengthen confidence in system reporting.

Through targeted on-site analysis and collaborative reporting support, MMH worked to extract and analyze data elements that enhance and complement standard MEDITECH workflows, providing deeper insight into system behavior and data relationships. By leveraging Report Writer, Report Designer, and SQL-based extracts – without building a full internal reporting team – the hospital strengthened its understanding of workflows, data relationships, and system performance.

This session shares MMH’s optimization journey toward greater data transparency and actionable insight, demonstrating how strategic external expertise can help organizations maximize the value of their MEDITECH data, validate workflows, and build internal reporting confidence – even with limited resources.

Attendees will walk away with practical strategies for improving data visibility, asking more effective questions of their systems, and optimizing MEDITECH reporting capabilities without significant internal investment.

Ste. Genevieve County Memorial Hospital (SGCMH) is an independent 25-bed critical access hospital located in Southeast Missouri. SGCMH has been a MEDITECH customer for more than 23 years, beginning with Magic in 2003, transitioning to MEDITECH 6.08 in 2014, and most recently implementing MEDITECH Expanse 2.2 MaaS in 2024.

In 2022, SGCMH initiated a comprehensive EMR selection process evaluating MEDITECH Expanse, Cerner, and Epic Community Connect solutions. With the support of a consulting partner, the organization conducted vendor demonstrations with an interdisciplinary team, completed structured vendor evaluations, and held discussions with surrounding tertiary care organizations using Epic. After careful consideration, SGCMH elected to remain with MEDITECH and transition to Expanse MaaS.

A key decision point following vendor selection was determining the future state of the technical environment – maintaining control through third-party hosting or on-premises servers versus contracting MEDITECH Expanse MaaS. SGCMH ultimately selected the MaaS model.

In addition to the Expanse implementation, SGCMH transitioned from the MEDITECH 6.08 Payroll application to a third-party Human Resources Information System (HRIS). The organization also significantly expanded its MEDITECH footprint, adding new applications including Patient Connect, Surgery, Oncology, Quality/Risk Management/Surveillance, Business and Clinical Analytics, Care Compass, electronically signed patient registration forms, an updated patient portal, and more than 85 interfaces with external vendors.

Despite the scope and complexity of these changes, SGCMH successfully went live on the originally planned implementation date, becoming the only one of three sites to do so.

This presentation will explore the challenges and successes encountered throughout the Expanse MaaS journey. Attendees will gain insight into lessons learned related to change management, communication strategies, branding and marketing, stakeholder engagement, and how SGCMH achieved organizational buy-in to successfully deliver a large-scale transformation.

Ste. Genevieve County Memorial Hospital (SGCMH), a 25-bed Critical Access Hospital in Southeast Missouri, transitioned from MEDITECH 6.08 to MEDITECH Expanse 2.2 on May 1, 2024. Under the 6.08 system, nursing departments – including the Emergency Department, Med Surg, OB, and Wound Care – relied on a manual “Charge Sheet” intervention to capture charges at the end of each patient visit. This process was time-consuming, prone to missed or unsupported charges, and required significant staff effort.

During Expanse implementation, SGCMH aimed to modernize charge capture by shifting to real-time charges dropping directly from clinical documentation. However, limited standard content within the EDM and PCS modules created significant challenges. During Mock Live, two months before go-live, SGCMH identified that charge setup was incomplete and charges were not dropping as intended. To avoid revenue loss, the organization made the difficult decision to revert temporarily to the legacy “Charge Sheet” workflow for go-live.

Following stabilization after go-live, SGCMH partnered closely with MEDITECH through a series of optimization sessions to re-establish the goal of charges-from-documentation. The team began with Respiratory Therapy, Wound Care, and the Emergency Department – building detailed charge spreadsheets, mapping documentation queries, and identifying appropriate doc sections for charge linkage. Once these areas are fully implemented, SGCMH will expand the model to Med Surg and Oncology.

This session will share SGCMH’s decision-making process, challenges with missing standard content, strategies for charge-mapping across departments, and lessons learned in driving successful charge automation in MEDITECH Expanse. Attendees will gain practical insights for implementing charges-from-documentation workflows in their own Expanse environments.

Willis Knight Health recently completed an integration project between the BD Alaris Infusion Smart Pumps and MEDITECH Expanse. During this presentation, we will review what this integration experience looks like for documentation within MEDITECH Expanse, our roadmap towards implementation, lessons learned to help others avoid potential pitfalls, and our end user feedback with having these pumps integrated.

The Vaccines for Children (VFC) program is a federally funded initiative that ensures access to ACIP-recommended immunizations for children from birth through age 18 who are uninsured or underinsured. While the program’s core mission is consistent nationwide, its operational and billing requirements vary by state. In Utah, VFC-enrolled facilities must navigate specific billing constraints, including eligibility screening, fee waivers, and strict limitations on patient billing practices.

This presentation explores the practical challenges and solutions involved in implementing a compliant VFC program within a MEDITECH Expanse ambulatory environment. Attendees will learn how our facility identified and addressed gaps in state interface functionality, updated HL7 mappings, and restructured documentation workflows to ensure eligibility data transmission. We will detail the creation of a patient status board for real-time insurance visibility, the refinement of reimbursement rules and charge matrices to align with Medicaid and self-pay scenarios, and the development of a proration check to prevent inappropriate billing or collections activity.

Through this case study, participants will gain insight into the full life cycle of vaccine charge management - from patient intake and eligibility verification to final billing and fee adjustment.

Clinicians at Holland Bloorview Kids Rehabilitation Hospital often see and treat both ambulatory and acute rehab patients in group settings, ranging from writing clubs for patients with brain injuries, to all-day and overnight camps that help youth with disabilities gain independence. Holland Bloorview has recently implemented the Group Documentation functionality, which lets clinicians document group session notes and patient-specific notes seamlessly in one template.

This presentation will provide a broad look at how we:

• Schedule group sessions
• Eliminated the need for clinicians to copy and paste the shared content for patients within a group into a separate documentation template.
• Created group documentation templates
• Adapted the group scheduling and documentation functionality in MEDITECH to our own workflows, including the need to add co-signers to group documentation
• Implemented group documentation in defined phases

Unplanned downtimes in healthcare whether caused by cyberattacks, infrastructure failures, or vendor outages pose significant risks to patient safety and operational continuity. At HCA Healthcare, we recognized downtime as a critical patient safety issue, not just an IT concern. This session will share how we developed and implemented the Enterprise Clinical Downtime (ECD) Program across 190+ hospitals to safeguard uninterrupted care during EHR outages.

Attendees will learn how our program integrates national frameworks such as Joint Commission Sentinel Event Alert #67, CMS Emergency Preparedness Rule, and SAFER guidelines into practical tools and workflows. We will showcase strategies including downtime drills, the clinical downtime guidance, and innovative technological solutions. Real-world case studies will illustrate the financial and clinical impacts of recent cyber incidents and demonstrate how proactive readiness reduces risk.

Participants will leave with actionable insights, templates, and a roadmap to build resilience in their own organizations transforming downtime from a crisis into an opportunity for growth and safety.

Data is a vital resource. In order to develop the best tools to deliver information that is timely, meaningful, and actionable across all areas of a healthcare organization, it takes more than just a team of SLQ programmers or an easy-to-use data visualization tool. Frederick Health has found success with the creation of a Data Steward team, a selection of individuals in many different areas of clinical and non-clinical disciplines. This presentation will discuss the purpose of and journey to establishing the Data Steward Program at Frederick Health, impacts of the program, and best practices found in the process.

Many healthcare teams track critical patient information manually – through spreadsheets, sticky notes, shared drives, or memory. While these workarounds may start small, they often become unsustainable as patient populations grow and regulatory demands increase.

This presentation explores how clinical registries within MEDITECH Expanse were leveraged at Moab Regional Hospital to transform manual tracking into scalable, automated workflows. Using the Recovery Center Registry and Colonoscopy Registry as case studies, we demonstrate how registries can support both large population health initiatives and small, high-touch specialty programs.

Attendees will learn practical strategies for building meaningful tracking tools, and aligning registry data with quality metrics, health management protocols, and provider workflows. With a frontline nursing perspective and an informatics lens, this session highlights how thoughtful registry design can improve efficiency, close care gaps, and strengthen patient outcomes, without adding burden to staff.

After implementing MEDITECH Expanse Ambulatory in 2019, Anderson Hospital experienced a familiar pattern: strong provider engagement during design, followed by rapid dissatisfaction after go-live when real-world workflow, data flow, and click burden became clear. With ~20 independent practices and inconsistent office role clarity, many “system” issues were actually operational issues.

We developed a repeatable practice reset approach – full-day, practice-wide sessions combining workflow redesign, role clarification, and targeted Expanse optimization – then sustained gains through weekly operations collaboration and an evolved physician governance model. We’ll share lessons learned, governance adjustments, and onboarding/offboarding checklists that stabilized adoption and made optimization durable despite staff turnover.

Modern clinical workflows increasingly rely on patients taking an active role in administering their own medications or operating personal medical devices – introducing a unique combination of autonomy, safety considerations, and technical complexity. For MEDITECH analysts, this means designing workflows that not only capture patient-driven actions accurately but also maintain consistency, compliance, and visibility across interdisciplinary teams. This session dives into the real-world build strategies and system behaviors that support dependable Self-Administration and patient-owned insulin pump workflows in the acute setting.

Attendees will gain a practical understanding of how to translate clinical expectations into reliable system behavior – bridging the gaps between provider intent, nursing workflow, pharmacy verification, and MEDITECH’s technical capabilities. We will walk through the architectural differences between Self-Administration and Patient's Pump workflows, examine cadence-driven documentation requirements, and demonstrate how clear build governance can prevent downstream issues that impact safety, compliance, and data integrity.

Whether you're evaluating your current configuration or planning future optimization, this presentation provides actionable guidance to strengthen interdisciplinary alignment and ensure these high-variability workflows hold up in real-world acute care environments – even when patients are the ones pushing the buttons.

This presentation explores the integration of Expanse Cam into SANE (Sexual Assault Nurse Examiner) and WOUND documentation workflows, highlighting its role in improving image quality, documentation accuracy, and legal defensibility. Attendees will leave with actionable strategies to optimize digital imaging documentation while supporting high standards of patient care and forensic integrity.

The implementation of an integrated Anesthesia Information Management Systems (AIMS) is a critical element to the continuum of a singular patient record within Expanse. MEDITECH offers a 14-point Anesthesia suite to enable a seamless environment that concurrently enables Anesthesia to provide care within a specialty-specific application while communicating directly into and from Expanse to ensure data integrity.

As MEDITECH does not offer its own Anesthesia module, the successful implementation of an AIMS applications requires a well-designed and staged project inclusive:

• Designing a project mission and RFP
• Assembling a selection committee with clearly defined goals and requisites
• Upon selection (and contracting of the partner vendor), a systematic and tightly managed project plan for:
  • Governance
  • Full interface configuration and testing
  • Template configuration
  • Hardware acquisition, testing, and implementation to accommodate the unique workflows of Anesthesia
  • End-to-end testing to satisfy the necessary requirements of all engaged stakeholders, including Anesthesia (Anesthesiologists, CRNAs); Pharmacy; HIM; Nursing; Accounting / Revenue Cycle; Quality
  • Training
  • Go-Live Support
  • Post-Live Support and Optimization

This session explores four areas that are often over-looked, undervalued, or poorly planned in an EHR/EPI implementation. These areas are foundational and should have early and substantial focus. Learn how to navigate these areas and learn about tools and techniques to better plan and sequence your implementation project.

The 21st Century Cures Act mandates healthcare organizations must not unreasonably interfere with, prevent, or discourage access, exchange, or use of electronic health information. Staying compliant requires proactive measures, including updating workflows, ensuring interoperability, and regularly reviewing policies to avoid inadvertent blocking of patient information. Information blocking risks regulatory penalties, erodes patient trust, and hinders empowering patients to take charge of their health.

Organizations can assess their legacy systems for barriers that may unintentionally restrict access, such as outdated interfaces, limited retrieval capabilities, or fragmented workflows. By prioritizing transparency and usability, and training staff on compliance requirements, healthcare providers can ensure they remain on the right side of the law while delivering secure, meaningful access to health information for every patient.

Integrating information blocking considerations into cybersecurity and interoperability strategies supports regulatory compliance and the broader mission of advancing patient engagement and care quality. As healthcare evolves, maintaining awareness of legislative requirements and adapting systems accordingly are essential for fostering trust and closing gaps in access across all platforms.

Access to health information empowers patients to actively participate in their own care, make informed decisions, and communicate effectively with healthcare providers. When patients have timely, secure access to their records, they can verify information, track treatment progress, and address discrepancies that may affect their health outcomes. Improved access also helps close gaps in care, supports transparency, and fosters trust between patients and providers, leading to better engagement and overall health management.

This session will explore the complex landscape of health information access, challenging the notion that patient engagement begins and ends with digital portals. We’ll discuss real-world barriers such as fragmented workflows, legacy electronic health record (EHR) vulnerabilities, and regulatory hurdles, and introduce strategies for achieving true interoperability and secure, patient-centered access.

Attendees will learn practical approaches to archiving, workflow redesign, and inclusive data retrieval, supported by case studies demonstrating how innovative solutions can bridge the digital divide and advance patient care. Participants will be equipped with actionable insights into balancing compliance, security, and usability, ensuring every patient has meaningful access to their health information, regardless of platform or provider. They'll also discover how ASTP and others in the government alphabet soup are doing enforcement now AND calling our data hoarders.

We partnered to develop a predictive analytics solution that accurately forecasts hospital revenue using MEDITECH-derived operational and clinical data. By modeling time-series trends, surgery volumes, and stratified appointment patterns, the project significantly improved forecasting accuracy (R² = .884), enabling leadership to proactively plan staffing, budgeting, and service line strategies. This collaborative initiative demonstrates how MEDITECH hospitals can leverage modern predictive methods – integrated directly into Power BI – to enhance financial stability, operational decision-making, and long-term strategic planning.

By the end of this session, participants will be able to:

• Recognize how hospitals can use forecasting to improve financial planning, staffing decisions, and service line strategy.
• Apply a replicable framework for predictive analytics that can be adopted by other MEDITECH hospitals seeking to improve financial stability and operational visibility.
• Describe the benefits of a collaborative hospital–vendor approach to building, validating, and operationalizing predictive models.

Ransomware attacks on hospitals don’t just threaten data – they put patient safety and the delivery of care at risk. This session dives into the real-world response and recovery from a disruptive ransomware incident at a healthcare facility, revealing the hard-won lessons that shaped the organization’s playbook. Attendees will gain actionable strategies to boost cyber resilience, avoid common pitfalls, and strengthen response plans with proven recommendations. Walk away ready to turn chaos into confidence when your hospital faces its next cyber crisis.

Effective project management is critical for your MEDITECH projects’ success, yet many teams struggle with challenges such as an absence of formal intake processes, competing priorities, limited resources, and lack of visibility into ongoing work. This presentation explores practical strategies to overcome these obstacles and create a structured, data-driven approach to priority, selection, and execution.

Attendees will learn how implementing a standardized intake process and prioritization framework can improve clarity in decision-making, foster team alignment, and ensure strategic focus. We will discuss methods for evaluating projects based on impact, effort, and organizational goals, including scoring models and weighted criteria, and give a real-world example. Additionally, the session will cover resource planning techniques and the benefits of organizing work into manageable sprints to enhance efficiency and collaboration across departments.

By the end of this session, attendees will gain actionable insights to streamline project intake, optimize resource allocation, and deliver high-value initiatives that align with your MEDITECH projects’ goals.

As healthcare organizations accelerate digital transformation, leaders are increasingly required to make strategic decisions not only about what technology to implement, but how it is delivered, governed, and sustained. MEDITECH Expanse offers organizations two distinct deployment models – traditional on premise and MEDITECH as a Service (MaaS) – each carrying different implications for leadership accountability, organizational culture, and change readiness.

This presentation compares and contrasts the real-world implementation of MEDITECH Expanse in both an organization managed environment and a cloud hosted MaaS model, drawing on both Canadian and American healthcare implementation experience in complex, policy driven settings.

Through a leadership and culture lens, the session explores how responsibility for infrastructure, security, uptime, and compliance shifts depending on a MaaS model or traditional on-premises implementation, fundamentally impacting the relationship between healthcare organizations and their vendor.

Using implementation milestones, leadership decision points, and early operational outcomes, this session highlights lessons learned in managing change fatigue, aligning organizational culture with operating models, and supporting clinical adoption during periods of significant transformation.

Attendees will leave with practical insights to support informed decision making when selecting an Expanse deployment model, along with leadership strategies to align culture, governance, and change management approaches to the chosen path.

This presentation explores how MEDITECH healthcare organizations can move beyond traditional cybersecurity to achieve true operational resilience through strategic partnership with technology vendors.

As cyber risk increasingly becomes care continuity risk, downtime is no longer just an IT issue – it’s a clinical, operational, and reputational event. Learn how to reframe resilience as the ability to sustain care under abnormal conditions.

Through real-world perspective, the session demonstrates how an aligned partnership model between the right technology integrator and manufacturer reduces complexity and strengthens decision-making.

This session explores how interoperability, predictive insights, and patient-centric engagement can reduce friction, minimize denials, and strengthen operational performance across the healthcare revenue cycle.

Attendees will learn how to identify data gaps that disrupt workflows, apply proactive automation strategies to address payer-specific risks, and redesign processes that support both staff efficiency and a smoother patient experience.

The session concludes with a practical framework organizations can use to build a more resilient, insight-driven revenue cycle capable of navigating evolving payer and regulatory demands.

As high-deductible health plans and transparent pricing become the industry standard, differentiation now lies in how patients experience billing, not just how claims are processed.

This session explores how revenue cycle leaders can move beyond rigid billing workflows toward intent-driven payment journeys powered by applied intelligence.

This session highlights strategies for successfully implementing and operationalizing AMB to SUR ordering in MEDITECH Expanse.

Topics include clinical impact, operational impact, financial implications, patient experience benefits, and governance considerations.

The presentation shares lessons learned, KPIs to track, and strategies to support scalable use of this functionality across multiple sites.

Patient check-in is the front door to care and a critical foundation for clinical, operational, and financial workflows.

This session explores how streamlined check-in processes can improve operational efficiency, enhance data accuracy, support staff satisfaction, and create a more positive patient experience.

Attendees will review practical strategies to reduce bottlenecks, improve throughput, and support sustainable workflow improvements.

This candid session explores how small hospitals can achieve sustainable clinician adoption, reduce friction, and rebuild trust during and after MEDITECH Expanse implementations.

Attendees will learn why provider resistance is often structural rather than personal and how CMIO leadership helps align clinical workflows, governance, and organizational priorities.

This presentation examines the cascading benefits of MEDITECH’s structured prototyping methodology.

The iterative prototype process enables build teams to understand how configuration decisions influence end-to-end patient workflows while improving implementation readiness and reducing rework.

This session shares a practical approach to closing workflow loops by modernizing automated communication and outpatient tracking within a MEDITECH environment.

Attendees will learn how rules-based automation and order-level tracking can reduce missed opportunities, improve scheduling conversion, and strengthen the referral experience.

This session examines how AI and automation are reshaping revenue cycle operations and creating a digital divide between automated payer processes and manual hospital workflows.

Participants will learn how strengthening revenue integrity, contract performance, and payment visibility can stabilize financial performance while supporting sustainable automation.