Get documents about "News for the MEDITECH Community Thoughts from our President
Document Sample
News for the
MEDITECH
Community
February 2011
Thoughts from our President In This Issue:
MEDITECH announced that it is acquiring ownership of LSS, a company that Thoughts from
our President
specializes in developing administrative, financial and clinical software for most
major types of physician practices and specialties. For those of you who hadn‟t MU: MEDITECH
seen this announcement, made on the MEDITECH website (1/20/11), it may be Updates
quite a surprise. MEDITECH had been a minority owner of LSS for nearly 30 years
and although the two companies worked collaboratively they remained separate MU: MEDITECH's
companies and most customers noticed significant differences between the two. Data Repository
& Quality
Reporting
It has been our perception that the LSS product was solid and compared favorably
with most other ambulatory practice management and EMR (Electronic Medical MU: Our
Record) systems on the market but that their limitations were with implementation Observations &
and service. We expect these areas, particularly post-live service and support to be Thoughts
the most positively impacted by the acquisition.
Speech
Recognition
Further, while MEDITECH and LSS were the first to offer a continuum of care Success: Dragon
package, the inherent differences associated with products from two different Medical, Centura
companies did not allow this to evolve as far and as fast as many had Health &
expected. The acquisition of LSS addresses this in the fastest and most expeditious MEDITECH's
manner possible. EDM
KLAS Report:
We hold out great hope that this acquisition will allow the potential of an end-to- MEDITECH
end EMR that can be implemented, is cost-effective, and can be realized much Consulting
sooner. Companies
Finally, a brief Q & A session was conducted as recently as February 9th with Navin, Haffty at
Joanne Wood and Hoda Sayed-Friel of MEDITECH (they answer such questions as: HIMSS11, Feb
20-24, 2011
why the acquisition and how will this affect existing customers, etc.)
MEDITECH
Events at
John Haffty, President HIMSS11
Navin, Haffty & Associates
Update:
MEDITECH's
February 2011 - Navin, Haffty Report
200 Cordwainer, Suite 100, Norwell, MA 02061
508-842-6676 781-871-6770
www.navinhaffty.com
Page 1 of 11
Meaningful Use: MEDITECH Updates Clinical
Optimization
Seminar
In last month‟s newsletter, we announced that we are dedicated to closely tracking
and sharing with you MEDITECH‟s progress in assisting hospitals with achieving New Format:
Meaningful Use (MU). In this month‟s newsletter we are pleased to report the MEDITECH's
following: CIO/Technology
Forum
MEDITECH‟s 6.0 platform has been certified. At this point all of MEDITECH‟s
Navin, Haffty is
HCIS platforms, Magic, C/S and 6.0 are certified for MU. Hiring!
LSS‟ C/S platform has been certified joining its Magic platform in achieving
certification. Job Posts
MEDITECH is providing additional tools to their „Best Practices‟ series almost
weekly. MEDITECH Customers can use their login and password to access Upcoming
these tools when visiting: Events:
https://www.meditech.com/AdvancedClinicalResources/pages/bp_main.htm
HIMSS11 Feb.
20-24, 2011
At the time of this newsletter, below is what has been added in the “What‟s New”
feature on the „Best Practices‟ page: CIO Tech Forum
Apr. 7-8, 2011
C/S Summary of Care Record when Patient Transfers Best Practices document
was posted (2/9/11) unSUMMIT Apr.
MAGIC Discharge Instructions Best Practices document was posted (2/9/11) 27-29, 2011
C/S Incorporate Labs into EMR Best Practices document was posted 2/9/11)
Nursing
6.0, C/S, and MAGIC Encryption documents were posted (2/4/11)
Symposium June
Incorporate Labs into EMR document was posted (2/3/11) 8-10, 2011
6.0, C/S, and MAGIC VTE Quality Reports were posted (2/1/11)
6.0, C/S, and MAGIC Stroke Quality Reports were posted (1/28/11) Physician/CIO
6.0, C/S, and MAGIC ED Throughput Quality Reports were posted (1/27/11) Forum Oct. 20-
C/S and MAGIC Problem List documents were updated (1/19/11) 21, 2011
6.0 Problem List document was updated (1/14/11)
MEDITECH
ARRA Meaningful Use Enhancement Training Seminar Presentation was Events:
posted (1/14/11)
Educational
In MEDITECH‟s Magazine January 2011 edition, the article “New Year Brings New Seminars
and Updated ARRA Materials” is a useful summary of MEDITECH's plans to support
MU initiatives. Below are some key points quoted from the article:
We've revamped our Best Practice documentation area to more easily
indicate the materials available for each platform.
Dozens of new "ARRA Meaningful Use Stage 1" documents have been added
in recent weeks. This series of materials provides implementation guidelines
and application details arranged by key Stage 1 criteria topics.
We have a new "ARRA Meaningful Use Stage 1 Reporting" section available
for MAGIC and Client/Server customers. We expect to have the 6.0 reporting
section ready during February.
February 2011 - Navin, Haffty Report
200 Cordwainer, Suite 100, Norwell, MA 02061
508-842-6676 781-871-6770
www.navinhaffty.com
Page 2 of 11
New "ARRA Meaningful Use Stage 1 Checklists" designed for both MAGIC
and Client/Server customers provide guidance and suggestions for how to
best prepare your organization for Meaningful Use.
Updated "Meaningful Use Criteria Product Road Maps" reflect some new
clarifications from CMS regarding unique patients for CPOE.
“Be sure to check our Interoperability & EHR Initiatives Portal and Best
Practices area of www.meditech.com often throughout the coming months.
Meaningful Use: MEDITECH's Data Repository & Quality Reporting
There has been some confusion regarding data reporting tools necessary to meet
Meaningful Use (MU) and to what degree MEDITECH would be providing
assistance. While Stage 1 requires only 90 days of data for quality reporting
attestation, subsequent Stages 2 and 3 will require a full year‟s worth of
data. Given purge criteria, most hospitals will need a data repository solution to
satisfy this requirement.
The increase in demand for MEDITECH‟s Data Repository (DR) due to the MU
requirements has created a backlog in the delivery of their DR. Therefore,
MEDITECH has provided a solution outlined in a significant announcement made
earlier this month:
“Those customers who have been identified as having the proper
applications in place to meet Stage 1 requirements, but have yet to license
Data Repository, will be provided the opportunity to purchase and implement
DR to complement with their ARRA Priority Pack update. We will also provide
a new methodology that accelerates the load of the tables which specifically
meet the Stage 1 reporting requirements. The new methodology is
described in detail below.
For customers newly installing DR, our standard process has been to load
both a large number of tables and all the corresponding data that resides in
your application databases. This can be a lengthy process due to the number
of years' worth of data stored in a LIVE system. Because abbreviated
timeframes have been thrust upon us to meet Meaningful Use, this standard
process is no longer the most efficient method. We are pleased to announce
a new, innovative implementation approach for Data Repository which is
specifically designed to meet these requirements. We are proactively
contacting all U.S. customers with upcoming scheduled implementations to
share the details of this new approach.”
For the full story, go to:
https://www.meditech.com/cioportal/pages/newdrapproach.htm
February 2011 - Navin, Haffty Report
200 Cordwainer, Suite 100, Norwell, MA 02061
508-842-6676 781-871-6770
www.navinhaffty.com
Page 3 of 11
Meaningful Use: Our Observations & Thoughts
Since clarifications to aspects of Meaningful Use (MU) by Centers for Medicare and
Medicaid Services (CMS) are ongoing and include frequent FAQ postings, we will
preface the comments below on preparing for MU as our best opinions and
thoughts that take into account the most current information.
While the MEDITECH HCIS is now certified, for those hospitals that have a
significant clinical application from another company, such as lab or
emergency room, you need to be aware of the interaction between systems
and the exchange of information as required by specific Stage 1 goals. It is
expected that Stages 2 and 3 will place a greater burden on internal
exchange of data and may create a situation where the hospital will need to
self-certify. As hospitals have deployed systems and applications in different
ways and environments, the burden increases on each hospital to evaluate
its own situation.
For some Magic sites that have not invested in technology, the cost of a data
repository, MEDITECH‟s or another vendor‟s, may have higher cost than you
may be used to seeing.
While we do not want to minimize the effort needed to implement
Computerized Physician Order Entry (CPOE), we believe the reporting
requirements will prove to be more challenging to most hospitals than CPOE
and this aspect of MU is not getting the level of attention needed by many
hospitals.
Also, while there are 14 core measure reporting requirements and 5
measures out of a list of 10 “menu” items to achieve MU, hospitals will need
to have the capability to address all 10 menu items even though only 5 are
required at this time.
If you register in 2011 but are not able to achieve MU, you can delete your
registration and re-register for 2012, maintaining the ability to receive full
funding. If you register in 2011 and fail, achieving MU in 2012 will be at
75% of funding.
MEDITECH‟s „Best Practice‟ guides should be the roadmap for most hospitals,
but note that they have taken the most conservative interpretation. They
are constantly updating these „Best Practice‟ guides so they should be
monitored regularly.
CMS is using MU to get hospitals to use standardized vocabularies such as
LOINC and SNOMED. However, to date some vocabularies such as CVX are
not updated.
While almost every hospital is focused on getting ready to achieve Stage 1
MU, Stage 2 requirements are evolving. The public commentary period is
open for a short time. If you are interested and want more information as
well as links to the details,
visit: http://www.informationweek.com/news/healthcare/policy/showArticle.j
February 2011 - Navin, Haffty Report
200 Cordwainer, Suite 100, Norwell, MA 02061
508-842-6676 781-871-6770
www.navinhaffty.com
Page 4 of 11
html?articleID=229000263&cid=RS
Speech Recognition Success: Dragon Medical, Centura Health &
MEDITECH's EDM
The following Nuance Communications press release might be of interest to those
implementing Emergency Department Management (EDM).
“BURLINGTON, Mass., January 12, 2011– Nuance Communications,
Inc., today announced that 100 percent of the emergency department
(ED) physicians across St. Anthony Hospital Group, part of Centura
Health, use Dragon Medical to document patients‟ medical reports. The
Hospital Group‟s decision to leverage Dragon Medical as part of its
MEDITECH Emergency Department Management (EDM) system was
driven in part from results of a pilot program that compared Dragon
Medical alongside an incumbent speech recognition system.
When St. Anthony Hospital Group became frustrated with its incumbent
speech recognition solution, it formed a Physician Champion Council to
develop parameters for a pilot program that would compare the
capabilities of the incumbent system with those of Dragon Medical. The
Physician Champion Council identified the following parameters to
evaluate the two speech recognition solutions:
Average time it took clinicians to dictate (per minute)
Average time it took for a patient to depart (following an
exam/appointment/counsel)
Average number of edits observed during documentation (while
dictating)
Average number of errors in the final report
After reviewing the pilot program‟s results, Dragon Medical was found to
perform better in all categories except one, the “average time it took for
a patient to depart following an exam;” this confused the physicians‟
council. Upon further investigation into the results, however, it was
realized that although Dragon Medical took a little longer, the quality of
documentation was significantly better than the incumbent system‟s
reports. For example, using Dragon Medical, core measures were added
to the departure process, thus providing caregivers better access to
information such as nursing and lab data, allergies and home
medications.
Given the results of the pilot program, the decision was made to roll-out
Dragon Medical across the ED department. Since deployment, the
“Apex Emergency Group,” a nickname for St. Anthony‟s ED physicians
due to the hospitals‟ unique geographic location and treatment cases of
February 2011 - Navin, Haffty Report
200 Cordwainer, Suite 100, Norwell, MA 02061
508-842-6676 781-871-6770
www.navinhaffty.com
Page 5 of 11
many skiers, has realized significant improvements. With Dragon
Medical, clinicians‟ documentation auto-populates into the EDM
system. This is a feature that the previously-used speech recognition
product did not support, a downfall that oftentimes left critical
information from appearing in the EDM system and from being accessed
by other clinicians who might be treating the same patient.
“The use of Dragon Medical as part of our documentation process with
MEDITECH has delivered tremendous value,” said Rob Schmidt, MD, an
Emergency Department physician at St. Anthony. “Results from the
pilot program validated our belief that Dragon Medical is the best real-
time speech recognition solution. Within two hours for most physicians,
Dragon Medical became core to our Emergency Department
workflow. It has afforded us to create and share patients‟ medical notes
in real-time. The access to comprehensive patient information helps to
ensure patients receive the best care possible.”
Another significant finding from the pilot was that the Dragon Medical
speech-enabled MEDITECH solution saved the pilot group an average of
1.67 minutes per dictation, a tremendous time-savings when you‟re one
of the busiest trauma networks in the country. St. Anthony Hospital
Group averages 100,000 emergency room visits per year.
Since deploying Dragon Medical, St. Anthony Hospital Group‟s ED
physicians have been able to spend less time editing medical records
and more time with patients. The Group attributes an improvement in
both the quality of care delivered and patient satisfaction to the
increased accuracy of medical reports. Furthermore, Dragon Medical
has empowered physicians to capture a more thorough patient story as
part of the medical record. Dragon Medical‟s free-text dictation
capability supports more detailed documentation of patients‟ history of
present illness, more flexible review of symptoms, and more descriptive
assessment and care plan notes.
The St. Anthony Hospital Group includes the following sites: St. Anthony
Central Hospital (Denver, CO), St. Anthony North Hospital (Westminster,
CO) and St. Anthony Summit Medical (Frisco, CO). As part of its
evaluation of speech solutions, St. Anthony joined forces with the
consulting firm Navin, Haffty & Associates."
KLAS Report: MEDITECH Consulting Companies
Earlier this month, KLAS released a new report: “A Provider's Guide to MEDITECH
Consulting Firms.” While we have not licensed this report, the press release issued
February 2011 - Navin, Haffty Report
200 Cordwainer, Suite 100, Norwell, MA 02061
508-842-6676 781-871-6770
www.navinhaffty.com
Page 6 of 11
on February 2, 2011 had some excerpts that we thought were worth sharing:
“MEDITECH clients hire MEDITECH-focused consulting firms Dell Services and
Navin, Haffty & Associates (NHA) twice as often as firms that advise on
multiple vendor brands, according to a new report from KLAS.
For the new report, "A Provider's Guide to MEDITECH Consulting Firms", KLAS
gathered opinions from 67 MEDITECH hospitals already using consultancies.
The inspiration for this study came from findings in a 2010 KLAS report,
"Shifting Demand for Consultants: Who's Hot, Who's Not, and Why",
according to KLAS Research Director and report author Lorin Bird.”
"Last year, we found that MEDITECH hospitals were seeking meaningful-use
related consulting services more often than any other client base," Bird
explained. "For this year's report, we spoke with MEDITECH hospitals that had
already chosen consultants, to help guide those who have yet to take this
step."
Though heath care providers generally reported high satisfaction with the
consultancies measured, mindshare remains with Dell Services and NHA,
according to the new report. These two firms registered double the amount of
work any other firm had, as well as the largest share of v.6 and meaningful
use projects.
“NHA consults exclusively for MEDITECH customers, and Dell's purchase of
Perot with Perot's JJWild acquisition -- a MEDITECH-only consulting firm --
made Dell perhaps the biggest player in this space," Bird commented. "Both
vendors are broadly known as MEDITECH specialists, and MEDITECH often
recommends them to clients."
Navin, Haffty at HIMSS11 Conference: Orlando, FL - Feb. 20-24
While Navin, Haffty & Associates will not have a booth at HIMSS this year, we will
be in attendance to meet with our clients and friends. If you plan on attending the
HIMSS Conference in Orlando, FL on February 20 - 24, 2011 and would like to get
together, please contact John Haffty at: jhaffty@navinhaffty.com.
For more information or to register for this conference please visit:
http://www.himssconference.org/
MEDITECH Events Held at HIMSS11 Conference!
If you plan on attending HIMSS11 in Orlando, FL you may want to consider
registering for the two events MEDITECH plans on hosting during the
February 2011 - Navin, Haffty Report
200 Cordwainer, Suite 100, Norwell, MA 02061
508-842-6676 781-871-6770
www.navinhaffty.com
Page 7 of 11
conference. These events are in lieu of having a booth this year.
The first event titled "Next Steps in Healthcare" will be a one day set of educational
sessions held from 10 AM to 5 PM on Saturday, February 19th at the Rosen Centre
Hotel on 9840 International Drive. The education session will include a series of
scheduled presentations between the hours of 10am - 5pm, with "drop in" style
product demonstrations available throughout the day. Below is a list of the
scheduled presentations:
10:00am - 11:30am
Align, Build, and Engage Your Community: How MEDITECH Will Position Your
Organization for the Changes Coming in Health Care
Hoda Sayed-Friel, Vice President of Marketing
12:30pm - 2:00pm
Moving Forward Together: ARRA Updates, Best Practices, Quality Measures,
and MEDITECH's New Client Services Organization
Helen Waters, Vice President of Client Services - MAGIC and C/S
2:15pm - 3:15pm
Preparing for Your Next Step: Technology Updates and Vendor Relationships
That Will Help You Demonstrate Meaningful Use
Ted Kimball, Director of Marketing, Technology
Lawrence O'Toole, Business Relationships Manager
3:30pm- 5:00pm
Align, Build, and Engage Your Community: How MEDITECH Will Position Your
Organization for the Changes Coming in Health Care (Repeat of 10am
presentation)
Hoda Sayed-Friel, Vice President of Marketing
The second event hosted by MEDITECH is a Customer Appreciation Event. It will
be held on Monday, February 21st from 7 PM – 10 PM at the Orlando Science
Center, 777 East Princeton Street, Orlando, FL. This evening will include
appetizers, music and fun and will be an opportunity to renew acquaintances,
socialize with your peers, and make new friends among the growing MEDITECH
customer community.
If you are interested in attending either event please register to reserve your
spot: https://www.meditech.com/MixRoadShows/signupforms/joinusinorlando2011
february1921.asp
February 2011 - Navin, Haffty Report
200 Cordwainer, Suite 100, Norwell, MA 02061
508-842-6676 781-871-6770
www.navinhaffty.com
Page 8 of 11
Update: MEDITECH's Clinical Optimization Seminar
Last month, we made our readers aware of MEDITECH‟s new clinical optimization
seminars. Below is more information from their website along with the dates of
their first two events, one in San Antonio on March 24, and the other on June 23, in
the Chicago area.
“As part of MEDITECH's continued focus on client services, we are pleased to
announce a new series of seminars designed to help our MAGIC and
Client/Server physician and nursing customers realize the potential of their
MEDITECH solutions. Getting the Most from Your MEDITECH System will
showcase how the MEDITECH system can help your organization achieve
clinical success in 2011 and beyond. During this free, one-day event, you'll
hear from customers and MEDITECH experts who will share experiences and
strategies for re-energizing your clinical system. The agenda will feature Main
Program sessions, breakout sessions, and ample opportunities for networking.
You'll also have the chance to meet and interact with MEDITECH's new Client
Services vice presidents, Leah Farina and Helen Waters.
The first seminar will be held on March 24th in San Antonio, Texas,
and a second seminar has just been scheduled for June 23rd in
Chicago, Illinois. Additional dates and locations will be announced shortly.
After attending this seminar, you'll return home with practical strategies for:
Optimizing the system you already have installed -- learn what
clinically relevant changes have been made in the 5.x platform for
physicians and nurses.
Getting physicians to use and be comfortable with MEDITECH's
physician tools.
Making the data in your system work for you.
The seminar is primarily intended for physicians and nurses; however, CIOs
and clinical I.T. staff from MAGIC and Client/Server customer sites are
welcome to attend as well. For more details about the agenda and to register
for the March 24th San Antonio session, visit our Getting the Most from Your
MEDITECH System Web page. Have questions? Please contact Sharon Collins
at (781) 774-5387 or smcollins@meditech.com. See you in San Antonio!”
New Format: MEDITECH's CIO/Technology Forum
MEDITECH‟s CIO/Technology Forum will be held on April 7 – 8 at their Canton
location and registration is now open. Visit:
https://www.meditech.com/MIX/Pages/2011CIOForum/titlepage.htm
February 2011 - Navin, Haffty Report
200 Cordwainer, Suite 100, Norwell, MA 02061
508-842-6676 781-871-6770
www.navinhaffty.com
Page 9 of 11
This year‟s format has been changed in response to user suggestions from last
year. According to MEDITECH:
“You've told us you want to hear more from MEDITECH about current
projects, initiatives, and future directions. We heard you, and this year's
Plenary Sessions will have a heavy MEDITECH focus. You also asked for fewer
Plenary Sessions and more breakout sessions, and we heard you! This year,
we'll offer more Education Summits than ever, led by both customer and
MEDITECH experts.”
Navin, Haffty is Hiring!
We continue to grow! If you have interest in consulting and have solid MEDITECH
experience with implementing one of their applications, please contact us. We
have an outstanding mentoring program for new consultants and have the best
reputation in the MEDITECH community for training and development of our staff.
We are also interested in experienced consultants from other companies. As the
largest company that works exclusively with MEDITECH, you would be supported as
you continue to build your skills. Further, our management approach has
demonstrated a respect for our consultants and created a collegial atmosphere that
encourages information sharing and support.
We believe there are significant advantages to being part of Navin, Haffty. We now
offer several employment options including an outstanding benefits package as well
as selected options for independent consultants. As part of the largest consulting
company focused exclusively on serving the MEDITECH community, we enjoy an
excellent working relationship with MEDITECH and offer a collaborative work
setting. Our approach has led to our record for consultant retention which is the
best in the industry. If you are interested please contact us at
recruiting@navinhaffty.com or call us at 855-615-1176.
Please note that at this time, we are only able to consider those able to travel up to
80% of the time. (Also employees from MEDITECH and our clients will not be
considered.)
Job Posts
If you are interested in exploring new positions, go to the „job board‟ section of our
website. This is a free service of Navin, Haffty and Associates to the MEDITECH
community. Currently, there are many postings from MEDITECH hospitals. If you
or a colleague might be interested, check out what's open at the Navin, Haffty
website.
February 2011 - Navin, Haffty Report
200 Cordwainer, Suite 100, Norwell, MA 02061
508-842-6676 781-871-6770
www.navinhaffty.com
Page 10 of 11
If you would like to include your hospital listing on the Navin, Haffty website, please
email Kelly Tracy at ktracy@navinhaffty.com (Please note that as this is a courtesy
to the MEDITECH community, we will not accept postings from recruiting
companies).
February 2011 - Navin, Haffty Report
200 Cordwainer, Suite 100, Norwell, MA 02061
508-842-6676 781-871-6770
www.navinhaffty.com
Page 11 of 11
