Integrating Long Term Care

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Integrating Long Term Care

• Karrie Ingram, IS Specialist
• Debbie McQuay, Administrator

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Meditech LTC Suite
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• Successes
• Challenges
• Lessons Learned

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Successes

• Vision achieved
• One EMR, with access across the continuum of care
• CPOE
• Integration of MDS/BAR
• Timeline
• Clinical Improvements

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Part of the Vision

• Citizens Memorial Healthcare will implement
  Meditech to enable a patient to enter anywhere
  into our continuum of care and have a personal
  identity that is maintained across that
  continuum.
• Physicians and other caregivers will have access
  to all of that patients medical information
  within the healthcare system.

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TimeLine

• December, 2002 Hospital EMR
• October, 2003 LTC Billing and MDS
• December, 2003 Hospital Paperless
• February, 2004 1st LTC Facility Live on
  Clinical applications
• February, 2005 5th LTC Facility Live on
  Clinicals
• May-Sept,2005 - Scanning with ImageNow to
  eliminate remainder of paper chart in LTC
• July, 2006 - Butterfield Residential Care
  Facility Live on Clinicals

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Clinical Improvements

• CNA Documentation
• DON/Administrator monitoring
• Clinical Notifications
• Key Reports
• Pain Management
• EMR

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Challenges

• Same as everywhere challenges
• Integration challenges
• Pharmacies challenges
• Documentation challenges
• Communication challenges
• Regulatory challenges
• BMV challenges
• People/Education challenges

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Those Pesky Regular Challenges

• Same as everywhere challenges
• WAN
• Devices
• Carts
• Wireless
• Basic Skills Training
• Training for so many

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Integration Challenges

• Integration accounts
• EMR merging
• Allergies
• Histories
• Med Reconciliation

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Pharmacy Challenges

• Retail Pharmacies
• OTCs

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Documentation Challenges

• Mass Documentation

Batch Documentation
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Communication Challenges

• Fax-fax back notifications to
• physicians/PCM

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Regulatory Challenges

• Surveyors

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Pharmacy Challenges . . . Continued

• BMV
• Bar-coding
• Buy-in from local Pharmacies
• Dictionary revision
• Process changes

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People/Education Challenges

• Employee
• Turnover

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Lessons Learned

• Superusers
• Supportive Administration/DONs
• Proactive communication with surveyors