Meet the Family

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• 126 Beds
• Outpatient Services
• Remote Sites
• Home Health
• Cancer Center
• Meditech 1996

Meet the Family
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Meet the Family
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Meet the Family
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Meet the Family
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Plan it Out
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• June 04 Healthnet Consulting
• Offsite meeting with steering team

Plan it Out
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• Purpose Make Decisions
• All disciplines represented
• Determine our documentation methodology

Plan it Out
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• Interdisciplinary Care planning
• Standardized Languages
• Outcome Measurement
• Expert User Review rather than Core Team
• POD Patient Outcome Documentation

Documentation Methodology
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• Interdisciplinary Care planning
• Meditechs Plan of Care Routine
• Standardized Languages
• NIC and NOC
• Standard Diagnostic Terms for Problems
• Outcome Measurement
• Frequency
• Interdisciplinary

Documentation Methodology
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• Nursing Process
• Assess
• Identify Problems
• Plan
• Implement
• Evaluate

• POD
• Admit HP
• Select Problems
• Initiate Care plan
• Perform interventions
• Measure Outcomes

Documentation Methodology
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• Change Theory
• How do we get the staff to understand the need to
  change current system?

If you want to make enemies, try to change
something.  Woodrow Wilson The more things
change, the more they remain...insane. Fry
Lewis
Demolition
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• Review Kurt Lewins Change Theory
• Unfreezing
• Changing
• Refreezing
• Sound Off Survey
• what are we up against?

SOUND OFF!
Change Theory
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Change Theory-Survey Results
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• Help our Steering Team
• Education on NIC, NOC
• Education on Care Planning
• Examples from other sites

Change Theory
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• How do we put NIC and NOC in Meditech
• Healthnets Expertise Guided Us

Construction
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• Parameter Changes
• Headers Classes
• Protocols Definitions, Activities of
  Interventions
• Edit Text of Goals Outcome Definitions,
  Measurement scale and Indicators
• Build Problems
• Build Care plans
• CDSS

Construction
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• Weekly Wed afternoon work sessions
• Review of NIC activities
• Assignments
• Expert User Review

Construction
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• Pre Class
• POD Tutorial
• Standardized Languages Competency Packet
• 4 hour sessions
• Video
• Message from administration
• POD walking
• Reviewed the methodology new routines
• Scenarios hands on in computer lab

Training
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Training
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Training
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Training
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• Jan. 24 Take down NUR 0200-0600
• Inactivate old in live
• Move new to live in correct order
• Assign care plans to current patients (trial run
  of this week before)

Move That Bus! Go Live!
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• Major player quit 2 weeks before go live
• Consultants snowed in day of go live
• Go live coverage flu, dental surgery
• Down 3 out of the 4 major players

Expect the Unexpected
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• Icon style menus August 2004
• Status board
• Care planning routine
• DGI on Process Intervention screen
• Document Outcomes
• Flowsheets

Features
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Features
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Features
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Insert
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Insert
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Insert
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Insert
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Insert
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Insert
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Insert
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Insert
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Features
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Features
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• Custom for Outcome Documentation

Features
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• View definition, scale and indicators in the DO
  screen

Features
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Features
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Features
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Features
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Features
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Features
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• Weekly meetings to continue streamlining, add
  problems, care plans
• More Care planning classes May 2005
• Follow-up survey July 2005
• Follow-up evaluation August 2005 with Healthnet

Follow-up
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• Thank You!
• Debbie Kelly, MS, RN, BC
• www.thenursesplace.com

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