Educational Presentations

1001 - MEDITECH Expanse Implementation: Focus on Web Acute and Web ED

Track: Patient Care
Presenters: Denise Cox and Edmond Chiu
Organization: Southlake Regional Health Centre, Newmarket, Ontario

Southlake Regional Health Centre has gone LIVE with MEDITECH Expanse with full WPL
implementation since December 1, 2018. WPL has enabled WebAcute and WebED applications
for our physicians. This presented improvements to access to information, an increase use of
electronic documentation and inspiration for what an EMR could do. We will share their
experience about the implementation, successes, and current challenges with WebAcute and
WebED.

Denise Cox has been a Registered Nurse for 33 years with a background in Medicine/Rehab
bedside nursing and education. Eight years ago, she began in working in Clinical Informatics in
implementing electronic documentation for all Nursing and Allied Heath in MEDITECH Magic. In
2017, she moved to Southlake Regional Health Centre for the new implementation of MEDITECH
Expanse with a primary focus on EDM and WEB ED including integration of eCTAS with
MEDITECH. Since Go-Live, has continued support of ED in using the application as well as PCS
including Nursing and Allied Heath.

Edmond Chiu is a pharmacist and started working with Southlake Regional Health Centre as a
Clinical Informatics Specialist first supporting end-user training for GO-LIVE. Soon after he
moved into supporting WebAcute and WebED, working closely with physicians to support their
use of the application in their clinical roles.

Learner Objectives:
 Demonstrate an understanding of the key attributes of Web Acute and how it compares
to Physician Care Manager.
 Demonstrate an understanding of the key attributes of Web ED and how it compares to
EDM Tracker.
  Demonstrate a basic understanding of Widgets and the benefits of use in Web
Acute/Web ED

1002 - The Integration of Acuity as a Byproduct of Electronic Documentation

Track: Population Health & Analytics
Presenters: Cheryl Lesperance and John Patterson
Organization: Waypoint Centre for Mental Health Care, Penetanguishene, Ontario

Prior to 2019, clinicians were required to document in MEDITECH and then enter their
associated workload minutes in a different application. This was time consuming for the users
and created gaps in data because there was no link between the two applications. There was
also an additional expense supporting two applications.

In 2019, Waypoint began using MEDITECH to collect workload, using the acuity functionality,
which resulted in a large practice change for staff. Waypoint was fortunately enough to have
detailed historical data to form the average length of time for each care item on the worklist.
This allowed for the acuity minutes to be automatically calculated when clinicians document on
the intervention thus saving valuable clinician’s time. The integrated acuity has proved to be a
time saving success in that clinicians are able to more accurately document the minutes of care
provided to patients and clients. We are now at the end of our first year with all our clinical
programs using MEDITECH as the source of truth for workload acuity. We have received
positive feedback on the process improvements from clinicians throughout the organization
and look forward to using the information to assist with determining patient needs
prospectively.

Cheryl Lesperance has been a registered nurse at Waypoint for 32 years. She graduated from
Georgian College in 1989 with a nursing diploma followed by a Bachelor of Science in Nursing
from Laurentian University in 2002. Throughout her career at Waypoint, she has had the
opportunity to work with many teams including, quality assurance, auditing, staffing and shift
nurse manager. She has also been involved in the implementation of the workload
measurement system with two different vendors and the implementation of the electronic
health record. Cheryl is currently a Nursing Informatics Specialist in Decision Support responsible
for workload, RAI-MH and ALC. She provides education and training to new staff and is a liaison
between the clinical programs and Decision Support for the collection and reporting of data.

John Patterson has been working at Waypoint for 32 years, 25 of these years as a registered
nurse. He graduated from Georgian College in 1993 with a diploma in nursing. He spent 15
years working full time in a maximum secure forensic mental health setting. Later, his interest in
computers led him to pursue a position as a Workload Measurement Coordinator. He continued
this work with his move to Decision Support in 2009. He is now a Nursing Informatics Specialist
responsible for the acuity in MEDITECH, RAI-MH and excel data. In 2018 he received the Core
Value Award in the category of Innovation for his work in the integration of workload into
MEDITECH. He provides education and training to new staff and is known as a data guru.
Learner Objectives:
 Understand the benefits of having an integrated approach for the collection of acuity
minutes
 Recognize that quality improvement is an essential part of health care delivery
 Describe approaches for improving the process of data collection for mandatory
reporting

1003 - RULES Using Literature to Enhance the System

Track: Patient Care
Presenter: Adrienne Christensen
Organization: Williamson Medical Center, Franklin, Tennessee

Do you struggle with building MEDITECH OM rules? Have you ever wanted to learn more about
how to use them to enhance your system? Come to understand where rules can be placed to
create clinical decision support. Recognize implications behind rule categories and the types of
rules you need to create. Learn the complex language of MEDITECH rules engine and how to
apply it. Discuss display options for clinical decision support that you can use to direct providers
towards literature based care. And, finally, come see a creatinine clearance calculation rule that
you can use in your EMR to help providers select appropriate doses for a patient’s renal
function.

Adrienne Christensen is a Clinical Informatics Pharmacist at Williamson Medical Center. Her

informatics journey began in 2010 as a student pharmacist. Since then she has worked on
multiple platforms from Magic to 6.x and most recently Expanse and Expanse WEB. Informatics
pharmacy is her passion because it is a way to prevent issues before they happen and guide
providers to make the best and safest choice in therapy for their patients. Adrienne’s intensive
work with rules started with requests from providers regarding antibiotic durations of therapy
and DOAC dose recommendations based on indications. Since then she has worked on multiple
other projects to provider clinical decision support based on the most recent literature available.

Learner Objectives:
 Understand where rules may be placed
 Recognize implications behind rule categories
 Learn language of MEDITECH rules engine
 Discuss display options for clinical decision support
1004 - On the Lookout: Antimicrobial Stewardship
Track: Population Health & Analytics
Presenter: Kelly Lippold
Organization: Newton Medical Center, Newton, Kansas

While antibiotics have transformed the practice of modern medicine, the misuse of them have
contributed to the growing spread of antibiotic resistance organisms in not only patients, but
those close to them. The Centers for Disease Control, World Health Organization, along with
numerous other groups have been putting increasing pressure on healthcare organizations to
try to stop this rising issue.

Newton Medical Center (NWC) volunteered to be an early adopter for MEDITECH's

Antimicrobial Stewardship Toolkit. Through this partnership, NMC was able to streamline and
strengthen their previous process of monitoring & tracking antibiotic usage while also ensuring
quality patient care was maintained.

Kelly Lippold, RN, MSN, is the Director of Health Informatics at Newton Medical Center in
Newton, KS. For the past 15 years, Kelly has been involved in all aspects of MEDITECH's clinical
applications from analyst to project lead. Her most challenging role has been the project lead
for the facility's conversion to MEDITECH 6.15.

Recently Kelly participated as an early adopter for MEDITECH's Antimicrobial Stewardship

Toolkit, and as such is able to share how her experiences have helped to streamline pharmacy
workflow and ultimately, improve patient care.

Learner Objectives:
 Define the seven core elements of the CDC Hospital Antibiotic Stewardship Program.
 Describe three strategies on how to utilize MEDITECH to streamline pharmacy driven
interventions to improve antibiotic use.
 Identify four key reports that can be used to monitor antibiotic stewardship and
pharmacy workload.

1005 - Swing Bed Comprehensive Assessment Design for Our Community Access Hospital
Track: Patient Care
Presenter: Mallory Palmer
Organization: Tri Valley Health System, Cambridge, Nebraska

In early 2019, we were audited by CMS and it was established that we did not have an
appropriate Comprehensive Assessment & Activity Plan for our Swing Bed Patients for a
Community Access Hospital setting. In accordance with 42 CFR 483.15(f), swing beds must
provide "for" a program of activities.
We set out and did research and evaluations on different requirements related to the Activity
program, alongside following rules and regulations. We found that although there wasn't very
clear-cut instructions and guidelines from CMS on how to do this program, adapting the skilled
swing bed or long-term care MDS RAI was our best bet.

We learned that involving all departments in MEDITECH is critical. For example, you may have
tested with Pharmacy, but did you review all the dictionaries and parameters? As well, it really
did open our eyes to how integrated the system and touchy it can really be with one simple
change. We were also able to improve a few other processes while implementing this project
(new SWB location, allowed for three less clicks for a Swing Bed registration and the elimination
of room charge errors).

We discovered that by building particular inhouse Protocols, Assessments, Rules,

Requirements, particular date and times stamps, notifications, and of course, monitoring
reports were all doable from within MEDITECH. After two months of testing and final go live,
we are now full operational and managing the program.

We passed our CMS review and have had success since sharing our ideas with other Community
Access hospitals in the region using MEDITECH.

Originally from Calgary Alberta Canada and previously working for Alberta Health Services in
Primary Care, Mallory Palmer moved to Wilsonville Nebraska (population approximately 90) in
2015 and took on the role of Clinical Informatics in a town 12 miles north (Cambridge,
Nebraska). In May of 2018, Cambridge went live on MEDITECH 6.15. Mallory led the Cambridge
team in a tri partake implementation alongside of neighboring towns Holdrege and Alma to
implement a three separate entity instance of MEDITECH for our Ambulatory Clinics, Surgical
Department, LTC, Acute, SWB, Obs, ED, OB, Therapies, Ancillary, and Fiscal Services
Departments.

Learner Objectives:
 How to implement an Activity Program fully using MEDITECH for documentation and
reporting
 Lessons learned by not fully testing and reviewing every department and parameters.
 Importance of keeping a record/log of changes so that you can revert back easily.
1006 - Radiology Module Standardization
Track: Support & Technology
Presenter: Sherrie Babcock, BSN, RN
Organization: HCA West Florida Division ITG, Clearwater, Florida

Radiology module standardization is a multi-faceted process involving multiple disciplines to

align into conformity multiple facilities with mnemonics and descriptions.
Standardize is defined by Merriam Webster, as
1. to bring into conformity with a standard especially in order to assure consistency and
regularity
2. to compare with a standard; to determine the strength, value, or quality of (something) by
comparison with a standard

The radiology module standardization process involved a committee determines the standard
for exam descriptions and mnemonics. This process was required in order to interface with a
third-party vendor for imaging clinical decision support to ensure alignment with mandatory
federal guidelines. This work group partnered with Information Systems analysts, Radiology
department directors, and radiology subject matter experts to develop standard exam
mnemonics and descriptions. An important task of the work group was to take into
consideration the down-stream impacts to third-party applications that would be impacted by
exam mnemonic and description changes.

Benefits of radiology standardization 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 radiology standardization 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 the process used by West Florida Division to achieve radiology
standardization across various modalities and provide various examples of how to provide IT
support in the process.

Sherrie Babcock, BSN, RN graduated from Valparaiso University 1984. She has been employed in
the healthcare industry continually since that time and has served in a variety of clinical nursing
roles. She transitioned to Information Technology Services in 2010 with the implementation of
CPOE serving as an Evidenced Based Order Set Specialist. As the Manager EHR Support - CPOE
she oversees a team of 14 clinical analysts supporting 15 different facilities and multiple free-
standing emergency departments. Sherrie presented at MUSE conferences in 2018 and 2019.

Learner Objectives:
 Session attendees will be able to state the rationale for radiology module
standardization.
 Session attendees will be able to recognize the impacts of radiology module
standardization.
 Session attendees will be able to discuss the process of radiology module
standardization.
1007 - Best Practices for Using Robotic Process Automation Solutions to Maximize ROI
Track: Support & Technology
Presenter: David Seabury
Organization: Tanner Medical Center, Inc., Carrollton, Georgia

Tanner Health System had a combination of regular rote processes, short-term high volume,
and complex challenges it was looking to solve with a scalable, powerful, and proven
automation tool. Robotic Process Automation (RPA) technologies, such as scripting and
workflow automation tools, have been saving Healthcare organizations countless hours,
money, and resources while significantly improving processes across many departments.
Tanner Health found a solution that would benefit the whole organization and offer the
customization and flexibility to reach all of its goals.

Tanner Health System will be walking us through their journey from choosing their vendor
partner, the need for scripting, what they were able to accomplish with the tool, and scripting
best practices.

David Seabury has 15 years with Tanner serving as Sr. Web Developer, Web Development
Manager, Enterprise Applications Architect, and Enterprise Applications Manager. He manages
the team supporting all non-clinical applications system-wide. David has 30 years of experience
in development, desktop and Web applications as well as MS Office Automation.

Learner Objectives:
 How choosing the right technology will lead to immense time and cost savings and
drastically improve ROI.
 RPA best practices to help an organization realize the true value of a powerful
automation tool.
 How collaborating within the scripting community can lead to a wealth of knowledge
and information sharing that uncovers projects you didn't think were possible.

1008 - Support The System

Track: Support & Technology
Presenter: Sherry Montileone
Organization: Citizens Memorial Hospital, Bolivar, Missouri

Citizens Memorial Hospital has been a MEDITECH customer for almost 20 years and provides a
healthcare delivery system to more than 2,400 users including Acute, Ambulatory, Home Care /
Hospice and LTC service lines. We also support an independent community hospital, several
Rural Health Clinics, dental offices, and retail pharmacies. Attend this session to find out what
everyone REALLY wants to know! We’ll cover these real life, “in the trenches” topics including
staffing, pay, help desk, monitoring tools, service initiatives (Walk A Mile in their shoes), and
budgeting / purchasing.
Sherry Montileone is the Network and Support Manager at Citizens Memorial Hospital. She has
over 39 years of IT experience and is passionate about making healthcare better. When not at
work – there's family, tennis, books, travel – and not enough time for all the fun!

Learner Objectives:
 Staffing. Learner can review our personnel infrastructure to determine if there is a fit for
their organization. We'll review organizational hierarchy, staffing, on-call, super users,
and physician champions.
 Service Initiatives. Learner will see the specifics of our WAM (walk a mile) process that
has been very popular and effective - forcing the normally reclusive IT staff into the field
to see the system from the user's perspective.
 Tools. Learner can review our Help Desk operations as well as the specific daily
operational procedures, and monitoring tools we use for 567 and Expanse.

1009 - Bridging the LTC Financial Reporting Gap

Track: Financials & Regulatory
Presenter: Kathryn Wohnoutka
Organization: Citizens Memorial Healthcare, Bolivar, Missouri

The Long Term Care Minimum Data Set (MDS) is a health status screening and assessment tool
used for all residents of long term care nursing facilities certified to participate in Medicare or
Medicaid. Citizens Memorial Healthcare has taken this regulatory requirement to the next level
utilizing Data Repository to create billing, acuity staffing and validation tools. Join us for a
journey from report request to user execution of our LTC Care Level and LTC Census reports.

Kathryn Wohnoutka RN, Business Intelligence Analyst, has been employed by Citizens Memorial
Healthcare since 1995. In her 32 years of nursing, she's worked in the following areas: CCU, ICU,
ER, Psych, Educational Services (Director) and Information Services. The most recent 16 years
have been in IS where Katie has been responsible for PCS, EDM, PD in the ED implementations
and module support for PCS, ORM, EDM, ITS, LAB and most recently DR.

Michelle Williams, RN, joined Citizens Memorial Hospital (CMH) in 1999 as a nursing assistant in
one of their six Long Term Care Facilities. She spent the next several years in various key roles
within LTC, including Director of Nursing for three years, before taking her experience and
joining the Information Services team as a Clinical Systems Analyst in 2012. Her extensive
clinical experience compliments her analytical abilities to provide support as CMH’s Lead Patient
Care Systems Analyst.

Learner Objectives:
 List three uses of the MDS beyond CMS submission – information provided on how to
leverage existing data for those facility types requiring MDS
  Discuss the relationship between the MDS, resident financial class and resident census
days -deeper knowledge on the direct relationships, in an MDS facility type, between
registration/census, insurance/billing and clinical MDS data and how to monitor through
reporting.
 Identify at least three key components for report creation – a report is only as good as
the data available and the details provided. Improving key components will improve
report content, turn-around time, usability, requestor satisfaction.

1010 - Packed Red Blood Cells Orders and Status Board Alerts
Track: Patient Care
Presenter: Judi Roun
Organization: HCA Healthcare West Florida Division, Clearwater, Florida

Responsible blood utilization and management presents a challenge to healthcare systems and
clinicians. This presentation will provide an overview of the evolution of packed red blood cell
(PRBC) ordering and optimal use of BCTA flags that led to a 50+% decrease in errors linked to
the PRBC order and transfuse process.

Judi Roun, RN, began her career with HCA Healthcare as a staff nurse in Maternal/Child Care at
Portsmouth Hospital in Portsmouth, NH. She worked with the facility Nursing Informatics team
in the implementation of BCMA in 2003. In 2009, she transitioned to the BCMA Coordinator role,
and gained expertise in building in MEDITECH NUR and OE. Judi increased her knowledge base
with the implementations of EDM, PDOC, and CPOE. In 2012, her position was transformed from
a facility role to a member of the HCA Capital Division IT&S team, and she provided support to
the two hospitals in the New Hampshire network. Judi transferred to HCA West Florida in 2017
and continued to pursue her passion for troubleshooting and innovation, using MEDITECH
functionality to meet evolving regulations, best practices, and clinician expectations.

Judi has an Associate Degree in Nursing; Bachelor’s Degree in Animal Science and Adult
Education; and Masters of Science in Healthcare Informatics. In addition to her role as an
analyst, she is a member of the Division Lean Six Sigma Green Belt team.

Learner Objectives:
 Describe how clinical decision support aids in meeting blood utilization goals.
 Identify functionality that results in clear order content for blood bank and nursing
personnel.
 Identify use of BCTA flags on nursing status board to communicate clear product status
to nursing.
1011 - Preparing for a CMS Survey in Long Term Care
Track: Financials & Regulatory
Presenter: Michelle Williams
Organization: Citizens Memorial Healthcare , Bolivar, Missouri

When CMS surveyors arrive it can be a stressful time, but Citizens Memorial Healthcare has
taken a new approach to help decrease the stress of completing the required forms. Join us for
a journey from report request to user execution of the CMS 672, CMS 802 and Medication
Administration: Med List and Admin Calendar.

Michelle Williams RN joined Citizens Memorial Hospital (CMH) in 1999 as a nursing assistant in
one of their six Long Term Care Facilities. She spent the next several years in various key roles
within LTC, including Director of Nursing for three years, before taking her experience and
joining the Information Services team as a Clinical Systems Analyst in 2012. Her extensive
clinical experience compliments her analytical abilities to provide support as CMH’s Lead Analyst
for Patient Care Systems.

Kathryn Wohnoutka RN, Business Intelligence Analyst, has been employed by Citizens Memorial
Healthcare since 1995. In her 32 years of nursing, she's worked in the following areas: CCU, ICU,
ER, Psych, Educational Services (Director) and Information Services. The most recent 16 years
have been in IS where Katie has been responsible for PCS, EDM, PD in the ED implementations
and module support for PCS, EDM, ITS, LAB and most recently DR.

Learner Objectives:
 Identify at least three key components needed to create time saving reports – a report
is only as good as the data available and the detail provided. Improving key components
will improve report content, turn-around time, usability and requestor satisfaction.
 Discuss the advantaged and disadvantages of visual cues with report formatting – users
will be shown suggested uses for visual cues to highlight potential data issues to help
guide them in their own reporting journey.
 Describe two processes that will improve efficiencies in completing regulatory forms –
users will have the tools to improve reporting efficiency by incorporating 1) report real-
time data 2) utilize reportable discrete data (even if have to build) 3) format a
downloadable report for editing in the requested format 4) MDS documentation
knowledge.
1012 - Custom Heart Score on Document Plus Surveillance
Track: Patient Care
Presenter: Kristen Springer
Organization: CalvertHealth Medical Center, Prince Frederick, Maryland

In this presentation, see how a Custom Heart Score was built into the doctor's document in
MEDITECH 6.15. This will include the setup, the rules, and examples. As a bonus learn how to
add this to Surveillance and display on a patient list format.

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 24 years of experience, she is an advance MEDITECH
problem solver and would like to share her knowledge to help others.

Learner Objectives:
 Learn a custom patient care build on a document in 6.15
 Learn complex MEDITECH rules in 6.15
 Learn how to add a query to Surveillance in 6.15

1013 - Custom Columbia Suicide Nursing Assessment MEDITECH 6.15

Track: Patient Care
Presenter: Vonda Stamp
Organization: Calvert Health Medical Center, Prince Frederick, Maryland

Calvert Health Medical Center took on a complex suicide screening tool which is the Columbia
Suicide Screen. The screening tool was built with rules to require certain documentation based
on the risk level as well as rules to skip documentation if applicable. There were several
complex calculation rules to take certain documentation into consideration, based on different
scenarios. There were also suppress rules based on the patient’s age and location. The build
was complete and went live with many obstacles, and the staff found it difficult to understand.
Therefore, a committee came together and worked on simplifying the build. Will show
documentation, rule examples, and describe our lessons learned.

Learner Objectives:
 Learn how to custom build assessment
 Learn calculate, require, skip, and suppress rules
 Learn to seed a query
1014 - ePrescribe: Sunset on the Boxes and Tubes of My Heart
Track: Financials & Regulatory
Presenters: Erica Feinberg, Risa C. Rahm, and Marilyn Williams
Organization: HCA Healthcare, Nashville, Tennessee

Electronic prescription and transmission of medications, or ePrescribe, is increasingly becoming

the primary means of providing patients with prescriptions. Recently, CMS adopted the NCPDP
SCRIPT Standard Version 2017071 beginning on January 1, 2020. Among the enhancements
included in this version, a number of Quantity Unit of Measure were sunset including “box”,
“tube”, “inhaler” and “vial”. Our ePrescribing vendor will not reject ePrescribe messages
utilizing version 10.6 or sunset codes until December 1, 2020. To meet implementation
deadlines, an initiative to update to the v2017071 standard and sunset obsolete Quality Unit of
Measure codes was completed for over 170 hospitals included in the HCA Healthcare system.
To reduce the impact to providers and transition to the recommended dispense quantities, HCA
Healthcare developed implementation guidance that included a review of discharge
prescription ordering strings and dispense unit of measure dictionaries.

Erica Feinberg graduated with a Doctor of Pharmacy Degree from Duquesne University in
Pittsburgh, Pennsylvania. She completed her PGY1 pharmacy practice residency in June 2016 at
Allegheny General Hospital in Pittsburgh, Pennsylvania and her PGY2 Pharmacy Informatics
residency in July 2017 at HCA Healthcare in Nashville, TN. After completing her residency, she
joined HCA Healthcare's Information Technology Group (ITG) as a Consultant Product Analyst
Pharmacy focusing on ePrescribe and Medication Reconciliation.

Risa C. Rahm, Pharm.D., CPHIMS is the Director on the Medication Management and Clinical
Pharmacy Informatics for HCA Healthcare in Nashville, Tennessee. In her current role, Dr. Rahm
provides leadership for enterprise wide adoption for multiple EHR projects including provider
facing EHR clinical workflow application overlay implementation and development, ePrescribe,
BCMA, medication reconciliation, and CPOE. She leads multiple projects in the medication
management informatics space across the enterprise, which includes 185 hospitals and 119
freestanding surgery centers located in 21 U.S. States and the United Kingdom. Dr. Rahm
received her Doctor of Pharmacy degree from Mercer University College of Pharmacy in Atlanta,
GA. and is CPHIMS certified. Over 20 years working for HCA Healthcare, she has worked as the
Corporate Director of Pharmacy Operations, Division Director of Pharmacy, Director of
Pharmacy, and as a facility Patient Safety Officer. Dr. Rahm is involved with multiple
professional organizations, including as a president for FSHP.

Marilyn Williams, R.Ph. received her Pharmacy Degree from Oklahoma University. Currently, she
works for HCA Information Technology Group in Nashville, TN. She has held several positions in
the Customer Service and Product Development areas at HCA, and currently serves as Director
of Pharmacy Product Development. Her areas of responsibility include the development of HCA’s
Electronic Health Record, design and implementation of HCA’s plan to meet Meaningful Use,
development and support of CPOE, BCMA (BarCode Medication Administration/ eMAR),
ePrescribing and the Pharmacy systems used by HCA, Lifepoint, and others supported by HCA
IT&S. Marilyn has been heavily involved in implementing BCMA in approximately 190 hospitals,
CPOE and ePrescribing in approximately 160 hospitals, including CPOE in ED. Currently, most of
her time is spent in working on EHR, Meaningful Use, Medication Reconciliation, and
ePrescribing including working on software enhancements in these areas. Before coming to HCA
IT&S, Marilyn worked as Assistant Director of Pharmacy at Medical Center of Plano in Plano,
Texas, and held staff positions at other hospitals in the Dallas area.

Learner Objectives:
 Summarize the process for updating discharge dispense units to meet the standards of
NCPDP and Surescripts.
 Identify ways to ensure patient safety for ePrescribe discharge prescriptions.
 Discuss lessons learned from the NCPDP 2017071 standards implementation.

1015 - eMAR/BMV Journey – MEDITECH Expanse

Track: Patient Care
Presenter: Gurjit Mann
Organization: Southlake Regional Health Centre, Newmarket, Ontario

Southlake Regional Health Centre (SRHC) entered a SHINE partnership with two other
organizations and went live on December 2018 with MEDITECH Expanse. The focus of this
presentation is to share our journey and experience transitioning from a different system to the
MEDITECH Expanse platform.

This presentation will include lessons learned in the following areas:

 eMAR and BMV workflow
 eMAR documentation in PCS
 BPMH and med review
 What we wish we knew – Clearing Hanging schedules, Acudose
 Downtime procedures

Gurjit Mann is a Clinical Informatics Specialist with an educational background of Science and
Business from the University of Waterloo, and successfully implemented and part of various go-
lives at hospitals such as Sickkids hospital and St-Joseph Hamilton. Over the past 16 months,
Gurjit successfully adopted MEDITECH Expanse at Southlake Regional Health Centre, and is
working in troubleshooting application issues, workflow problems and system errors in support
of technical enhancement and the overall utilization of MEDITECH Expanse. Gurjit has extensive
experience with system-wide implementations from current state workflow assessment and
documentation to system design, testing, training and ongoing optimization in PCS, OM,
webAcute, and eMAR/BMV.

Learner Objectives:
 Be able to overcome/prevent problems we encountered (e.g Hanging schedules)
  Grasp a good understanding of eMAR/BMV workflow
 Learn about BPMH and downtime procedures.

1016 - Pharmacy Surveillance & Analytics

Track: Population Health & Analytics
Presenters: Joohyun Greenwood and Scott West
Organization: Firelands Regional Medical Center, Sandusky, Ohio

Pharmacy practice and medication therapy management plays a significant role in patient care.
Pharmacy surveillance provides strategies to improve patient care in real-time. In addition,
analytics tools can provide important data to improve the strategies utilized in patient care.
This presentation will explore different surveillance and analytical tools used by Firelands
Regional Medical Center.

Joo Greenwood has worked in clinical informatics pharmacy field for last eight years. She is
interested in tools that can improve the quality of patient care and efficiency of pharmacy
practice.

Scott West, PharmD has been a clinical informatics pharmacist for past three years. He has
expertise and experience in multiple different modules include WOM, WPCM, PHA, Surveillance
and BCA.

Learner Objectives:
 Attendees will learn current surveillance strategies used at Firelands Regional Medical
Center to improve pharmacy practice
 Attendees will learn current analytical tools used at Firelands Regional Medical Center
to improve pharmacy practice
 Attendees will learn importance of surveillance and analytics in pharmacy practice

1017 - Antimicrobial Stewardship Surveillance & Analytics

Track: Population Health & Analytics
Presenter: Joo Greenwood
Organization: Firelands Regional Medical Center, Sandusky, Ohio

Antimicrobial stewardship plays a significant role in infectious disease management and

appropriate use of antimicrobial medications. Firelands Regional Medical Center utilizes several
surveillance and analytics tools to assist antimicrobial stewardship. This presentation will
explore different surveillance and analytical tools that are currently used at Firelands Regional
Medical Center.
Joo Greenwood has worked in clinical informatics pharmacy field for last 8 years. She is
interested in tools that can improve the quality of patient care and efficiency of pharmacy
practice.

Learner Objectives:
 Attendees will learn current surveillance strategies used at Firelands Regional Medical
Center to improve antimicrobial stewardship
 Attendees will learn current analytical tools used at Firelands Regional Medical Center
to improve antimicrobial stewardship
 Attendees will learn opportunities to explore current analytical and surveillance tools
used in antimicrobial stewardship

1018 - Pharmacy Matters

Track: Patient Care
Presenter: Don Carpenter
Organization: St. Claire Regional Medical Center, Morehead, Kentucky

During this presentation we will discuss the relevance of the pharmacy module and how it
impacts other MEDITECH modules, including the variety of avenues that the pharmacy
department is utilized throughout our hospital. We will discuss the pharmacy drug dictionary
and how it impacts the ordering system, and the ordering/verifying routines and volumes,
medication ordering/storing and how it impacts BMV/PCS. As we look at the pharmacy
department, we briefly discuss how the pharmacy generates revenue by utilizing our 340B
eligibility.

Don Carpenter started working at St. Claire Regional Medical Center in 1994 as a dietary aide
and transferred to the pharmacy department in 1996 were he worked until 2015 when he
transitioned into his current role as an Informatics Analyst. During his time in the pharmacy,
Don earned a Bachelor’s Degree in Biology from Morehead State University and was introduced
to the Informatics side of a pharmacy department first as our automated dispensing cabinet
(ADC’s) support, and then he was on the implementation teams for Pharmacy (PHA) and
Bedside Medication Verification (BMV) modules when we decided to implement MEDITECH.
Don’s role as an Informatics Analyst has evolved from supporting ADC’s, BMV, and PHA to being
the lead support for various software and vendors. He continues to evolve his role as pharmacy
technician and maintain his certification.

Learner Objectives:
 At the end of the presentation, the audience will understand how the Pharmacy
department plays an integral role within our healthcare system, allowing them to form a
basis for expanding their own department functions.
 The learner will understand the need for multi-disciplinary collaborations and
understanding of who the stakeholders are for any project the pharmacy is involved in.
 The learner will gain insight to the 340b program and how to produce revenue from it.
1019 - Working in a Shared MEDITECH Data Repository
Track: Support & Technology
Presenter: Shannon Mulligan
Organization: Waypoint Centre for Mental Health Care, Penetanguishene, Ontario

Three of the four specialty psychiatric hospitals in Ontario partnered to create a mental health
cluster and share one instance of the MEDITECH electronic health record (EHR) including the
shared SQL data repository (DR). Through the creation of this cluster, it became apparent that
real-time reporting from the shared DR required a clear governance strategy. The three
organizations worked to establish a structure which facilitated the increase in quality and
consistency of practice and usage of the shared DR across the partnership.

One of the most concerning issues resulting from all three sites working in this shared
environment was a delay in the time required for the MEDITECH processes to update the DR
data. This lag resulted in data delays making real time reports stagnant, potentially jeopardizing
the accuracy and quality of information sharing.

In order to improve performance and create a responsive environment for all three partner
sites a number of strategies and performance improvement techniques were implemented. The
sites believed strongly in collaboration, as a result established the Data Management Working
Group. This group provided oversight on the usage of the shared DR and investigated any issues
observed in the environment, opening the doors to a cross organizational culture of sharing a
jointly owned system. A key strategy put forward by the group to improve performance in the
DR was SQL Replication. Replication was highlighted as a key design for separation of the sites
data from the main DR to site specific data repositories.

This methodology is currently in test, initial results are promising as a strategy for high
performance, thus reducing the risk of patient safety issues resulting from data lags, the need
for a master schedule for querying data and many other inconveniences of a poorly performing
system.

Shannon Mulligan, MSc, Business Intelligence Lead, has worked in the Ontario Healthcare
industry for 20 years, with experience in First Response, Acute Care, Government and Mental
Health sectors. Helping others gather insight from data has been Shannon’s focus, specializing
in data manipulation and Business Intelligence Solutions. Shannon is a lifelong learner and
passionate about education. She is a faculty member at Georgian College, teaching courses on
data manipulation techniques and business intelligence in the Big Data program. She is a
champion of maximizing the utility of data and is passionate about helping her clients achieve
meaningful data insights. She has a Masters Degree in Science with a specialty in Information
Systems from Athabasca University. She is a currently the Business Intelligence Lead in Decision
Support at Waypoint Centre for Mental Health Care leading the implementation of their
business intelligence tool.
Learner Objectives:
 Collaboration – How our collaborative model works to resolve issues for multiple
partner sites.
 Innovation – SQL Server Replication Services Implementation and Guidelines for the
MEDITECH DR.
 Efficiencies – SQL Server Database Optimization Techniques for the MEDITECH DR.

1020 - NPR / RD / CDS Tips and Tricks

Track: Support & Technology
Presenter: Joe Cocuzzo
Organization: iatricSystems

We will present our annual Report Writing tips and tricks session including, but not limited to
the following:
 Flexible lookups on a Magic or C/S Customer Defined screen, go to one of a set of group
dictionaries depending on answer to previous query.
 Advanced CDS attributes for "display only", "dynamic totals" and "Better NUR recall"
 Read in a PC file with selection via File Dialog box and use file to load list of selection
values
 C/S utility to go get M/AT data from an NPR Data

Joe Cocuzzo has led the Report Writing Services division of iatricSystems since 2000. For eight
years prior he was a Senior Programmer Analyst at Newton-Wellesley Hospital and was an
application consultant at MEDITECH from 1990-1992, where he taught NPR RW classes at
MEDITECH and “on the road”. Joe has been writing NPR reports since the days of Esprit 105c
terminals and three kinds of arrows. MUSE 2020 will be the 20th year Joe has shared his Tips
and Tricks with the MUSE audience!

Learner Objectives:
 Learners will see NPR and RD tricks and techniques that extend and improve the
functioning and features of Customer Defined Screens.
 Learners will see NPR and RD tricks and techniques that allow NPR reports to go get
M/AT data and allow NPR reports to import and parse a PC file.
 Learners will see NPR and RD tricks and techniques that improve performance of C/S
Reports with buffering.
1021 - 6.1x / Expanse Report Migration
Track: Support & Technology
Presenter: Joe Cocuzzo
Organization: iatricSystems

We will provide strategic advice about report migration strategies for hospitals migrating from
Magic, C/S or 6.0 to the latest "Expanse" platform. Based on the experience of our RW team
across multiple migrations to 6.1, we will offer some suggestions for a successful report
migration using NPR, RD, and SQL/SSRS/SSIS.

Joe Cocuzzo has led the Report Writing Services division of iatricSystems since 2000. For eight
years prior he was a Senior Programmer Analyst at Newton-Wellesley Hospital and was an
application consultant at MEDITECH from 1990-1992, where he taught NPR RW classes at
MEDITECH and “on the road”. Joe has been writing NPR reports since the days of Esprit 105c
terminals and three kinds of arrows. MUSE 2020 will be the 20th year Joe has shared his Tips
and Tricks with the MUSE audience!

Learner Objectives:
 Learners will learn from our Report Migration experience to decide which tools are best
for particular 6.1 reporting needs.
 Learners will learn from our Report Migration experience to reduce the total report
conversion burden by considering application workflows.
 Learners will learn from our Report Migration experience to reduce the chances of
unfortunate “we forgot that report” surprises after 6.1 go-live.