Commercial Member Education - Master

Commercial Member Educational Presentations

302 – MEDITECH 6.X Contracting – Legal Insight and Advice
Presenter: William F. O'Toole, Jr.
Organization: O'Toole Law Group
Scheduled: Wednesday June 1 at 1:30 pm

Abstract: Migrating to 6.X is a major decision and should be given the same due diligence as a new
vendor search. The contracting process can be complicated and introduces considerations not found in
a straight new vendor acquisition, especially for long-‐term customers. This session will provide valuable
insight for all customers, large and small, embarking on this new technology investment path.

William O’Toole founded the O’Toole Law Group, specializing exclusively in healthcare information
technology, following his long tenure as Corporate Counsel at Medical Information Technology, Inc.
Known and respected by executives, attorneys and consultants throughout the healthcare industry,
O’Toole now represents healthcare provider entities and technology companies in all aspects of
technology acquisition, development and distribution.

303 – NPR Tips and Tricks – Fun with Printers, Files and Executables
Presenter: Joe Cocuzzo
Organization: Iatric Systems
Scheduled: Friday June 3 at 2:30 pm

Abstract: Join us for Magic and C/S tips and tricks for 2011, including:
• Printing to multiple printers from one report. For example, creating a face sheet that prints
three forms to three different printers from one ‘Print Admission Forms on:’ prompt. Switch
from portrait to landscape in one report.
• Three ways to create files or multiple files from one NPR report:
o using FTP.GHT (magic)
o using Z.smb.put.raf (one of a new set of Z utilities)
o using @File.create and @File.write (Client Server)
• Create a file from an NPR report; close it ‘early’ so you can then open it automatically from
Word or Excel.
• Build a url with more than 255 characters with an NPR report and manage to call the browser
with that url without using a VBScript or batch file.
• More automatic graphing from NPR reports, using a Javascript utility and the browser.
This session is open to NPR Report Writers of all levels of ability.

Joe Cocuzzo is the Vice President of the NPR group at Iatric Systems. Since 2000 he has headed the NPR
Group at Iatric Systems, currently 21 strong, which provides NPR Report Writing, CDS Attribute and Rule
writing, Proration rule assistance, and on-‐site training to MEDITECH hospitals in the US, Canada and the
UK. Prior to joining Iatric Systems, Joe was a Senior Programmer-‐Analyst at Newton-‐Wellesley Hospital
in Newton, MA from 1992-‐2000 and before that he was an Applications Consultant at MEDITECH.

305 – Why are ONC and Meaningful Use Important to the Revenue Cycle?
Presenter: Kay Jackson

Abstract: This session will review some of the newest programs that will provide a significant impact.
Widespread adoption of health information technology (health IT) can foster improvements in quality,
safety, efficiency and access – key goals in today’s national dialog on health reform. These goals may
also soon drive reimbursement, thus impacting the bottom line and revenue cycle and drive the
Certification Commission for Health Information Technology (CCHIT®), a nonprofit, 501(c)3 organization
with the public mission of accelerating the adoption of health IT.

Attend this session and learn:
• What will be changing in the Revenue Cycle?
• What is CCHIT and how does it impact our facility?
• What is Meaningful Use?
• What is ONC-‐ATCB?
• What are some of the criteria for these programs that might impact Access and PFS?
• What information should I share with my Revenue Cycle staff to help educate them regarding
these programs/processes or government requirements?

Kay Jackson has a wealth of revenue cycle improvement knowledge and experience. For 15 years she
was in management at third-‐party payor companies developing methods for delaying and denying
medical claims submitted by hospitals. When she ’saw the light’ she moved into the hospital
environment where she spent 10 years in management of Scheduling, Access and Patient Accounts. Kay
was then rewarded by being given the privilege to develop and manage the Case Management
department. She also developed one of the first denials management teams at a hospital in 1989. For
the past 12 years, Kay has consulted on strategic hospital planning, redesign of access and patient
accounts processes and developed software for the admitting and business offices. Kay has been a
requested speaker at more than 100 conventions.

306 – What’s the Real Story Behind Denial Management?
Presenter: Kay Jackson
Scheduled: Thursday June 2 at 10:00 am

Abstract: Denial Management means different things to different people. To payors, it means they can
reduce payment or not pay at all for legitimate services money in their pocket. To hospitals, it means
something totally different -‐missing money to the bottom line. This session will dive to the heart of
denial management and how the hospital can evaluate their lost revenue, set up process improvement
to prevent denials in the first place as well as how to turn the tables on the payors.

Attend this session and learn:
• Define denial management
• Understand root causes of denials
• Discover how to locate and repair denials
• Build the right team
• Learn about the right technology
• Impact 835
• Understand contract negations and renewal
• Learn how the squeaky wheel gets the money

Kay Jackson has a wealth of revenue cycle improvement knowledge and experience. For 15 years she
was in management at third-‐party payor companies developing methods for delaying and denying
medical claims submitted by hospitals. When she ’saw the light’ she moved into the hospital
environment where she spent 10 years in management of Scheduling, Access and Patient Accounts. Kay
was then rewarded by being given the privilege to develop and manage the Case Management
department. She also developed one of the first denials management teams at a hospital in 1989. For
the past 12 years, Kay has consulted on strategic hospital planning, redesign of access and patient
accounts processes and developed software for the admitting and business offices. Kay has been a
requested speaker at more than 100 conventions.

307 – Mobile Madness
Presenter: Steve Walker

Abstract: So many wireless devices – laptops, instruments, handheld devices and phones! It’s not just
staff that wants to access the wireless network now; it’s patients and visitors too! Wireless networks
can be a jungle and without a map it’s easy to get lost. This session is designed to help individuals –
from beginners to experts – understand the challenges involved and identify the deployment methods
best suited to each organization’s particular environment.

Primary topics to be covered include:
• Site Surveys and Physical Challenges
• Network Topology and Roaming Devices
• Application Deployment vs. Handheld Deployment
• Bandwidth Considerations
• Authentication and Security
• 2011 Devices and Connectivity Information

As the Director of Application Development at Iatric Systems, Steve Walker supervises programmers and
manages the development of all server, desktop and handheld software offered by Iatric Systems. Prior
to joining Iatric Systems in February of 2006, Steve was the Network Services Manager at Central
Missouri State University (CMSU), where he also managed the network and servers for affiliated
University Health Center. Steve regularly presented at MORENet conferences (Missouri Research and
Educational Network), acted as the network security contact for CMSU and was a member of the
MORENet Security Committee. He received his BS in Computer Information Systems from CMSU and has
been programming professionally for 16 years. Steve served in the military and received four letters of
commendation during his US Naval career. In his spare time, Steve enjoys programming, woodworking
and automating home control (he can turn his lights on by saying, “Computer – lights on!”).

309 – The Transition from NPR to FOCUS Report Writing Functionality
Presenter: Dana Holmes
Organization: The IN Group, Inc.
Scheduled: Friday June 3 at 10:00 am

Abstract: Migrating from MEDITECH MAGIC to CS 6.0 is not exactly cut and dry when it comes to your
NPR reports. Be mentally and physically prepared to say goodbye to all of your hard work and intricately
built MAGIC NUR (PCS), OE (OM), EDM and RXM reports. These will have to be rebuilt in CS 6.0 once
you determine if standard functionality does not meet your needs. Come to my IN Group, Inc.
presentation and let me shed some light on the migration preparation. Trim your MAGIC NPR report
library before you even begin to migrate. MEDITECH has provided numerous reports to run and identify
what custom reports within your MAGIC platform that have not been utilized within a specific
timeframe. Come your migration time, it will ease your pain and workload.

Dana Holmes holds a BA with an emphasis in Information Systems. He is a Sr. Clinical Analyst with The
IN Group, Inc. based in the West coast of the USA. Dana has been working within the IT field for 24 years
and the MEDITECH realm for the last decade. He was the Lead Analyst on a MEDITECH MAGIC to CS 6.0
NPR report migration recently for a Providence Health System Hospital in the Pacific Northwest.

310 – Optimizing Pharmacy Workflow in a CPOE Environment
Presenter: Steve Botwinski
Organization: The In Group, Inc.

Abstract: Pharmacy workflow with C/S 5.64 has been a challenge for many facilities, adding CPOE can
be adding insult to injury. This session will discuss options to help streamline pharmacy processes for
order verification and on demand dispensing utilizing a customized Order View Board. This will include a
unique pro-‐active process for monitoring and pro-‐actively dispensing IV’s. Everyone attending will
receive their own copy of the board (either magic or C/S) that they can easily install in their system.

Steve Botwinski has been a Registered Pharmacist in the hospital setting for 27 years and has worked
with MEDITECH for 19 years. He specializes in the Pharmacy Module as well as PHA.MM and dispensing
machines. He is proficient at writing NPR reports and Pharmacy rules. He is well versed in both C/S and
Magic platforms. He is a long time MUSE participant and has served as peer group leader for pharmacy
on the regional and international levels.

311 – e-‐MAR/BMV Optimization with Rules and Custom Reports
Presenter: Bruce Matthias

Abstract: The use of e-‐MAR/BMV is a major advancement in patient safety, but there is still room for
improvement. The use of rules and custom reports can add a level of optimization that saves time for
the users as well as improves safety for the patient. Find out how to make your system the best it can
be, including adding granularity to functional settings and auto-‐populating fields to streamline the
process from ordering to administration of medications.

Bruce Matthias is has been a Pharmacist for over 30 years and has been using MEDITECH for over 20
years. He is well respected in the MEDITECH user community for his expertise in Pharmacy and Advanced
Clinicals, specializing in patient safety and system optimization. He has worked with Major Medical
Centers and Systems including Providence Health System, Saint Joseph Health System, and Huntington
Memorial Hospital and served as President of MUSE International from 2000 to 2002.

314 – Physician Adoption – Getting Them to the Table and Having Them Stay For Dessert
Presenters: Teri Young-‐Hise and Charlotte Robey
Organization: Beacon Partners and Fauquier Hospital

Abstract: Engaging physicians and promoting their adoption of new documentation and ordering
processes is a monumental task facing most organizations as they move toward achieving Meaningful
Use. This session will provide strategies for engaging physicians before, during and after the
implementation process as well as lessons learned from one community hospital’s initial
implementation and how these resulted in different approaches for their subsequent projects.
Strategies will include descriptions of how the roles of the CIO and Executive Team, the Physician
Champion, the Information Systems Team and the Core Implementation Teams can affect physician
adoption.
After attending this session, participants will:
• Understand the Physician Champion/CIO relationship and the influence it has on the successful
engagement of physicians.
• Understand how physicians can offer the Information Systems Team a patient care perspective
in the clinical IT project planning.
• Understand strategies used by management and staff to enhance physician engagement.
• Understand the role of the project core team in sustaining physician engagement after the
project implementation has gone live.

Teri Young-‐Hise, MSB, RN-‐BC is a Client Service Manager with Beacon Partners providing project
management, assessment and implementation expertise for Advanced Clinicals modules with focus on
physician end users. Teri has 27 years of experience in the healthcare field as a registered nurse holding
both clinical and management positions in acute and home health care settings. In her 13 years of work
in the informatics arena, she has facilitated and supported multiple clinical implementations including
physician order entry and documentation initiatives. Teri holds an MS in Business, a BS in Nursing and an
ANCC certification in Informatics.

Charlotte Robey, MS, RN is the Manager of Clinical Information Systems at Fauquier Health in Warrenton
Virginia. Fauquier Health consists of a 97-‐bed community hospital, a Rehab and Nursing Care facility, an
Assisted Living facility and several owned provider practices. Charlotte manages a staff of five Clinical
Analysts who support all of the MEDITECH clinical applications as well as >30 other non-‐MEDITECH
clinical applications. Charlotte has 25+ years of nursing experience including critical care nursing and
nursing management and over eight years of healthcare IT experience. She has participated in or led the
implementation of the Advanced Clinical applications of MEDITECH including PCM/POM, PCS, eMAR,
EDM, and PDoc.

315 – The New Build for AOM/RXM to Support ePrescribing
Presenter: Jose Castro

Abstract: With the addition of e-‐prescribing to the AOM/RXM functionality there are new requirements
for appropriate build of the drug dictionaries. MEDITECH has developed a new process for re-‐building
the AOM /RXM drug dictionary utilizing additional data from FSV to filter dictionary entries. These
changes may require expunging your old AOM drug dictionary. Find out about how this can be done and
how to save you current build data.

Jose Castro II, Pharm.D. is a new senior pharmacy consultant for The IN Group, Inc. Jose has been a
pharmacist since 2001 and has a strong clinical skills across a broad range of diverse setting (Ambulatory
Care HIV Clinic, Inpatient Hospital Setting, Clinical Research, and Community based Retail Setting).
However, majority his pharmacy experience has been in the inpatient setting. His roles have included:
resident (pharmacy practice and administration), clinical staff pharmacist, as well as management
backgrounds with focus on operations. Jose has been recently involved with 5.64 Implementation and
Upgrade, and currently participating in CPOE (entailing: Zynx, AOM/RXM, Priority Pack).

316 – Leveraging Pharmacy for use with CPOE in MEDITECH 6.0
Presenter: Bryce Ouellet
Scheduled: Wednesday June 1 at 11:00 am

Abstract: With the introduction of 6.0, MEDITECH has made some major changes, and removed some
important, and formerly inherent, functionality from PHA in relation to CPOE. This session will serve to
focus on these major changes with suggestions on how implement Pharmacy and CPOE successfully.
Topics covered will include building Order Sets in OM, building strings in PHA for CPOE use, ordering
meds in CPOE highlighting common issues that do occur.

Bryce Ouellet, a consultant with The In Group, has been working with MEDITECH 5.6 and MEDITECH 6.0
since 2006. He assisted MEDITECH’s development staff with developing and testing the pharmacy
module. He was involved in the pharmacy implementation for MEDITECH’s first migration from Magic to
Client Server 5.6 in 2007. Bryce has assisted with several new installations as well as upgrades to the 5.6
and 6.0 environments. Currently Bryce is working on a large-‐scale standardization project utilizing
MEDITECH’s Controlled Management System (CMS) in 6.0.

317 – IT Organizational Models
Presenter: Roberta MacDonald
Organization: Beacon Partners

Abstract: Healthcare Information Technology (I.T.) dynamics and care delivery is becoming increasingly
complex, with funding unable to keep pace. Hospital leadership is looking for increased efficiency and
effectiveness from I.T. Many are looking not simply for improved governance, but improved I.T.
organizational models. I.T. directors are under increased pressure to create models that meet the needs
of today while anticipating future requirements. Developing the right model requires a comprehensive
examination of the mix of people, processes and technologies of an organization, while staying within
the confines of a shrinking I.T. budget. The appropriate model for an organization is one that considers
the unique requirements of that organization. Does it leverage your current I.T. investments? Does it
help you achieve your fiscal, operational and clinical goals? Does it provide a stable, flexible
infrastructure for continued expansion of your Electronic Health Record? Don’t base your decision
simply on cost. Consider long-‐term implications, flexibility, risks, challenges and advantages of each
model within a context of your established strategy and goals.

An understanding of the conceptual models currently used to structure the delivery of I.T. services
provides a context to begin the evaluation of an appropriate model. A strong I.T. infrastructure will:
• Align with core business needs.
• Be highly reliable, available and secure.
• Be cost effective.
• Maintain data integrity.
• Integrate data from disparate sources.
• Have well established metrics.

Evaluation of I.T. models must begin with a clear vision of the future with the development of near term
and distant goals. A vision and guiding principle should be defined for each model, to direct the
development of business tactics and approaches for that model, in support of the organization’s
priorities. A comprehensive review of an IT model of organization should include careful consideration
of implications, risks, constraints and barriers to success. Be objective, or face project overruns or
failure.

Roberta MacDonald is an information systems executive with 25 years of experience in all facets of
Canadian Healthcare Information Management/ Technology. She possesses an extensive track record of
building highly-‐motivated teams and delivering complex clinical and business projects on time and within
budget. Her particular strengths include the ability to build relationships, lead a diverse group toward a
common goal and turn challenges into positive results.

Prior to joining Beacon Partners Ms. MacDonald accrued extensive experience in IT/IM strategic planning
and implementation at the departmental, organizational and regional levels in her role as the CIO at St.
Mary's General Hospital, Kitchener. She is recognised as a long-‐standing member and leader in MUSE
and is a founding member of the Ontario Nursing Informatics Interest Group. She holds a BScN from
McMaster University and practised as a Critical Care Nurse and Nurse Clinician before moving into
informatics and information technology.

318 – What Are Meaningful Metrics?
Presenter: Roberta MacDonald
Scheduled: Thursday June 2 at 3:30 pm

Abstract: Healthcare IT is becoming exponentially challenging to manage. There is heightened pressure
to “prove” that value was achieved, increased complexity of IT infrastructure and application portfolios.
There is decreased tolerance for performance problems. Defining IT Metrics are often perceived as
challenging, complex, and costly to implement.

This presentation will discuss the importance of Metrics, and a definition of ‘good’ metrics. The
presentation will walk the listener through a how to guide for definition of IT Metrics which support
evidenced based decision making. Metric examples will be presented, followed by examples of
collection and display methodology. The processes for ensuring a 360 degree deployment of IT metric
will be included in the presentation.

Roberta MacDonald is an information systems executive with 25 years of experience in all facets of
Canadian Healthcare Information Management/ Technology. She possesses an extensive track record of
building highly-‐motivated teams and delivering complex clinical and business projects on time and within
budget. Her particular strengths include the ability to build relationships, lead a diverse group toward a
common goal and turn challenges into positive results.

Prior to joining Beacon Partners Ms. MacDonald accrued extensive experience in IT/IM strategic planning
and implementation at the departmental, organizational and regional levels in her role as the CIO at St.
Mary's General Hospital, Kitchener. She is recognised as a long-‐standing member and leader in MUSE
and is a founding member of the Ontario Nursing Informatics Interest Group. She holds a BScN from
McMaster University and practised as a Critical Care Nurse and Nurse Clinician before moving into
informatics and information technology.

320 – BMV Metrics: Monitoring for Success
Presenters: Becky Dawson and Susan Haviland
Organization: Santa Rosa Consulting, Inc.

Abstract: Now that BMV is up and running, you want to know if the system is being utilized
appropriately to maximize patient safety. A number of standard reports are available, but as you run
them you have more questions than answers:
• Where do the numbers come from?
• What is really being reported?
• What is an acceptable scan rate?
• How can I use the reports to improve patient safety?

Attend this presentation to learn the answers!

Becky Dawson, RN, BSN, has over 30 years of relevant professional experience including ten years of
experience as a MEDITECH consultant, project manager, and application specialist in healthcare systems.
Currently a Manager, MEDITECH Services with Santa Rosa Consulting, she specializes in the
implementation and support of MEDITECH’s Advanced Clinical Applications with a particular emphasis
on nursing and related patient care disciplines. Areas of expertise include implementation assessments,
developing implementation and training plans, coordinating process and departmental workflow
enhancement/redesign, facilitating/managing/training application implementation teams, training end-‐
users and change management. Ms. Dawson is fluent in current versions of MEDITECH Magic, Client-‐
Server and 6.0.

Susan Haviland is a Registered Nurse with over 18 years of relevant professional experience serving in
various Nursing management, operational and informatics roles with a track record of successful
outcomes. Her experience includes 15 years of end user experience with MEDITECH Magic Nursing,
Order Entry, EMAR and Pyxis Medication and the past year implementing and supporting MEDITECH
Client Server Patient Care System. She also has a strong understanding of operational workflows and
MEDITECH functionality enabling successful system implementations.

321 – Don’t Be Denied
Presenter: Deborah Meredith

Abstract: Denial Management is a tool that can be used by an organization for meeting AR days and
Business office objectives cross the enterprise. When we get finished you’ll have a good understanding
of how Denial Management is used which can save you hours of manual efforts and re-‐work.

Deborah Meredith has over 20 years of relevant professional experience including ten years of
Currently a Senior Implementation Consultant with Santa Rosa Consulting, she specializes in the
implementation and support of MEDITECH’s BAR Module. Areas of expertise include implementation
assessments, developing implementation and training plans, coordinating process and departmental
workflow enhancement/redesign, facilitating/managing/training application implementation teams,
training end-‐users and change management. Ms. Meredith is fluent in current versions of MEDITECH
Magic and Client-‐Server.

322 – Prepare for MEDITECH 6.0 Financials
Presenter: Deborah Meredith

Abstract: Learn how Work Process Analysis will make the difference in your project. You can use it on a
project to design and build BAR. After collecting all the paper forms, then spending countless hours
building, do you find the process isn’t working as desired? No matter what you are implementing the
solution is the same: Work Process Analysis.

Deborah Meredith has over 20 years of relevant professional experience including ten years of
Currently a Senior Implementation Consultant with Santa Rosa Consulting, she specializes in the
implementation and support of MEDITECH’s BAR Module. Areas of expertise include implementation
assessments, developing implementation and training plans, coordinating process and departmental
workflow enhancement/redesign, facilitating/managing/training application implementation teams,
training end-‐users and change management. Ms. Meredith is fluent in current versions of MEDITECH
Magic and Client-‐Server.

323 – Update on Clinical Surveillance – Creating a Clinical Review Display Board
Presenter: Bruce Matthias

Abstract: Learn about the latest efficient techniques for clinical monitoring utilizing MEDITECH’s
standard functionality. Leverage MEDITECH’s Pharmacy application with sophisticated rules, clinical
decision support tools and custom reports to send information to a Clinical Review Display Board to alert
pharmacist’s to potential therapeutic risks and verify the accuracy and safety of medication orders. A
special focus on Antibiotic Monitoring to meet the new Joint Commission goals will be included.

Key points will include how to:
• monitor laboratory values
• identify potential drug problems
• protect the patient against prescribing errors

Bruce Matthias is has been a Pharmacist for over 30 years and has been using MEDITECH for over 20
years. He is well respected in the MEDITECH user community for his expertise in Pharmacy and Advanced
Clinicals, specializing in patient safety and system optimization. He has worked with Major Medical
Centers and Systems including Providence Health System, Saint Joseph Health System, and Huntington
Memorial Hospital and served as President of MUSE International from 2000 to 2002.

324 – Understanding Project Healthcare IT Risk Management
Presenter: Mary Moewe
Organization: Iatric Systems, Inc.

Abstract: Understanding Project Healthcare IT Risk Management – Assessing risk and managing it
effectively. Much of project management is composed of understanding risk having a structured
approach and knowledge to effectively manage risk. Having a process for identifying healthcare IT risks
and opportunities will make you a more effective project manager. It is a project manager’s job to
worry and maintain a “healthy paranoia” regarding risk, even if it sometimes seems a bit psychotic.
Having a good balance between thinking about what could go wrong and then doing everything you can
to insure the project is executed as planned is our work.

The visibility and level of risk management appropriate to the project has to be consistent with our
comfort level with risk and the culture of the organization. The cost of the risk response should not be
greater than the loss impact the risk event may cause. Any factor or risk that could seriously impact the
project should be identified, qualified or quantified and assessed for possible impact. This includes
people, process, technology, organization, culture and environmental influences. Learn how to respond
to risk: using avoidance, acceptance, monitoring and prepare contingencies, and mitigating or
transferring ownership of the risk factor. Remember, 80% of all project risks originate from the same
sources on every project every time.

Some good examples of risk in healthcare IT projects are:
• Number of sites/hospitals impacted by project
• Availability and number, types of resources
• Number of IT interfaces involved in the project
• Number of dependencies on other projects or IT systems
• Time estimated to achieve the project – often accelerated in hospital IT projects
• Stakeholder Level of engagement – sometimes there are differences between hospital CIO and
CNO
• Cash flow issues – Hospital budget cycle doesn’t always work with the project budget cycle
• Changes in priorities or project objective by the healthcare organization or changes in
Government
• Lack of experience of the team – Project Manager is brought in from Radiology, Nursing or Lab
and doesn’t have significant IT experience
• Unproven or uncertified technology

The best way to manage and control risks is through solid project management, effective project
planning, and the project team’s desire to protect the project.

Mary Moewe is Associate Vice President, Interface Services at Iatric Systems. Mary has extensive
experience in the health care and project management fields. She was Director of Information
Technology for Hospital Corporation of America (HCA) for four years prior to joining Iatric Systems. Mary
is also active in Healthcare Information and Management Systems Society (HIMSS) and a Certified
Professional in Healthcare Information and Management Systems (CPHIMS).

325 – Patient Portals, PHRs & Consumerism
Presenter: Mark Johnson
Organization: Iatric Systems, Inc.

Abstract: This updated session will focus on the current state of patient-‐driven healthcare and how
patient health records are changing the landscape of American healthcare. We will review trends among
various demographic segments to help providers target Personal Health Record (PHR) implementations.
We will also discuss the various meaningful use criteria and how these can be satisfied with a hospital-‐
based PHR and patient access to health information.

Specific topics will include:
• Patient Health Records around the world -‐ how are we different in the USA?
• Discuss patients’ rights vs. traditional (business intellectual property rules)
• Patient-‐directed sharing of data in PHRs: historical methods and new trends
• HITECH and Meaningful Use criteria
• Future outlook for the PHR software industry

Mark Johnson is the Account Manager for the Great Lakes Region at Iatric Systems. While at Iatric
Systems, Mark has been Product Manager for, and supported, various products. He has more than 10
years of bedside nursing experience and 15 years of experience in healthcare delivery systems. Mark has
a Master’s in Health Administration from the Medical University of South Carolina. He is an ANCC-‐
certified Informatics nurse and is CPHIMS certified by HIMSS.

326 – NPR Report Writer Debugging Tactics
Presenter: Rita Huneycutt
Organization: CTG Healthcare Solutions

Abstract: This presentation will cover debugging tactics for NPR reports in Magic and Client Server.
Topics covered will include methods to break out to the debugging screen from an NPR report and
various methods to analyze variable values once at the debugging prompt. This presentation is geared to
the intermediate/advanced report writer.

Rita Huneycutt is Senior Consultant with CTG Healthcare Solutions. Her experiences include development
of data extracts, NPR development, creation of HL7 interfaces, facilitating advanced data conversions
and custom developed automation. She is an NPR instructor, bringing the art and science of report
development to all levels of students. She has more than 20 years of experience in healthcare IT and
holds MCAD and CIW certifications. Prior to coming to consulting, she was a programmer/analyst at
Stanly Regional Medical Center specializing in data extraction and process automation. Prior to that, she
was a programmer with Specialized Information Management where she was instrumental in
development of an electronic health record.

327 – Clinical Documentation Optimization
Presenters: Tania Cutone, Tammie Profitko, and Bryanne Winbourne
Organization: Chilton Hospital and Cornerstone Advisors

Abstract: Chilton Hospital defines Clinical Documentation Optimization as the process of identifying
opportunities for improvement and subsequently developing corrective measures which offer value to
end-‐users, improve workflow, and enhance outcomes. This presentation is designed to showcase the
processes, toolsets, and outcomes which have resulted from the Clinical Documentation Optimization
efforts at Chilton Hospital. This presentation will highlight improvements in the documentation screens,
as well as enhancements to workflow and clinical processes. A project team was formed to evaluate
current documentation screens via end-‐user interviews and analysis. Specific data points were
evaluated during end-‐user interviews to identify how screens could be redesigned to improve
documentation and more adequately support workflow while reducing time and keystrokes per
assessment.

As a result of these performance improvement efforts, Chilton redesigned their clinical documentation
change management process. The revised change management process relies on input and subsequent
approval from multiple groups, including the Nursing Informatics department, Clinical Super Users’
Council, and the Nursing Informatics Council (NIC). Each of these group’s roles and functions will be
highlighted as we demonstrate the importance of the change management process to ensure integrity,
consistency, and buy-‐in.

Once optimization opportunities were identified, approved, and implemented, reassessments were
performed post-‐LIVE to validate and measure (quantify) the value of the improvements. Additionally,
end-‐user competency testing has evolved to be a significant component of the performance
improvement process and as such is performed on an annual basis to ensure adequate understanding
and adoption of important system and workflow changes.

Tania Cutone RN , Nurse Manager -‐ Nursing Informatics, Chilton Hospital
Tammie Profitko , ACS Systems Analyst, Chilton Hospital
Bryanne Winbourne, Cornerstone Advisors Consultant

330 – Guide to User Provisioning in 6.0
Presenter: Lucy Nelson

Abstract: The journey to designing appropriate access for users in MEDITECH Version 6.x is complex and
user friendly at the same time. The ease of design puts a misleading face on the complex pieces needed
to create access. Understanding the new Menu Procedure Access (MPA) as a common portal for access
to both NPR and Focus applications that are built in 6.x can turn a frustrating, tedious challenge for the
person designing access into a well-‐organized walk in the park! It is essential to have a grasp of the
layers and integrated pieces that govern access. MEDITECH has beautifully designed desktops for each
application that facilitates access to other applications and processes the User needs to maximize their
work flow. This ease of use comes to an abrupt end if the users have not been assigned to the Access
Groups and Person Profiles that allow them to use the functionality on the desktops.

This session will provide a preview of the new integrated desktops and a clear demonstration of the
multiple levels and pieces needed to create appropriate access for end users. Pre-‐tested tools used for
implementations will be shared and we will demonstrate how to approach and set-‐up simple and
complex MPAs.

Lucy Nelson is an experienced healthcare professional, with over 25 years in the industry. She is an RN
with over ten years of MEDITECH experience; Magic, Client Server and 6.0 platforms. She has recently
worked on a Client-‐Server 6.0 implementation build as the User Provisioning Analyst. Her MEDITECH 6.x
experience also includes OM Team Lead for a Magic to 6.0 Conversion/Implementation and hands-‐on
end user support for several 6.0 go-‐lives that included PCS, e-‐Mar BMV, PCM and CPOE. Ms. Nelson is
currently working as a Consultant for Beacon Partners, adding her many years of experience as a
clinician and educator to the considerable group of MEDITECH Specialists on their roster. She has been
working in a variety of roles with the MEDITECH software from End-‐User to Team Lead and Project
Management.

331 – Tracking I.T. Hardware through MM Equipment Management
Presenter: Charles Spurgeon

Abstract: Tracking Information Technology hardware within medical facilities, large or small, can be a
challenge. This presentation will examine opportunities for I.T. departments to accomplish this task by
utilizing MM Equipment Management routines. Participants will learn approaches on developing
Equipment Management Dictionaries and Customer-‐Defined screens to enter hardware information. In
addition, the presentation will include an illustration of how standard and NPR Reports can be used to
manage maintenance of computers, printers, scanners, and other I.T. related equipment within a
healthcare facility. A question and answer session will follow the presentation, as time permits.
Handouts of covered materials will be provided.

Chuck Spurgeon is a Senior Consultant with Beacon Partners. He has extensive experience implementing
and supporting the MEDITECH General Financial modules. His background includes both Client Server
and Magic platforms at both stand-‐alone healthcare facilities and large hospital networks. He also is an
intermediate-‐level NPR Report Writer who has worked on many projects in this area, including revenue
cycle, departmental audits, and system conversions.

334 – Inspiring Reporting Options in the World of 6.0
Presenter: Glen D'Abate
Organization: Acmeware, Inc.

Abstract: If you are preparing to implement MEDITECH version 6.0, there are unique ad-‐hoc report
development challenges that will need to be addressed. The NPR Report Writer is not capable of
accessing MEDITECH Advanced Technologies (M-‐AT) based applications data (i.e. advanced clinical –
PCS/EDM/OM /ARM) for ad-‐hoc reports. The newly developed 6.0 Report Designer ad-‐hoc reporting
application does not contain the robust development toolset found in NPR RW and has efficiency
limitation when accessing the older NPR data structures. Filling this void is the Data Repository (DR) SQL
Server database application which provides a platform for efficient ad-‐hoc report development using all
NPR-‐based and M-‐AT-‐based application data in 6.0.

This session will provide a high level review of ad-‐hoc report development tools that are available for
free as part of your MEDITECH DR, Microsoft SQL Server Database implementation. We will review
three distinct interactive development environments:

1. Analysis Services – Where significant initial development work is required to configure an ad-‐
hoc, web-‐based reporting environment and little or no training is required for end users to
analyze, review, and manipulate numeric report data (e.g., totals, counts, averages, etc.).
2. Report Model/Report Builder – Where significant initial development work is required to
configure an ad-‐hoc, web-‐based reporting environment and minimal training is required for
non-‐technical staff to develop ad-‐hoc reports including; selecting report output columns,
filtering data, aggregation, layout, format, input parameters and more.
3. Report Server Projects (in Visual Studio) – Where technical staff can develop highly
sophisticated, full-‐featured, web-‐based reports with access to all of the technical capabilities of
the Microsoft Visual Studio interactive development environment

This session will provide an overview of the pros and cons of each of these Microsoft Report
development technologies in the context and unique configuration of the MEDITECH DR environment.
Anyone interested in learning more about ad-‐hoc report development in the MEDITECH 6.0 world
should consider attending this session.

Glen D’Abate is founder and President of Acmeware, Inc. Glen has 25 years of experience working in the
healthcare IT field including 13 years at MEDITECH where he led development of the Data Repository
(DR) application. Under Glen’s guidance, Acmeware has earned a reputation as a leader in DR consulting
field and is recognized for developing innovative DR-‐based reporting, custom application, and interfacing
solutions. He has also developed a DR report writing training program that has been attended by
participants from dozens of DR sites. Glen has an undergraduate degree in Engineering and Economics
from Trinity College and graduate degrees in Biomedical Engineering and in Finance from R.P.I. and
Boston College.

335 – Meeting “Meaningful Use” in the Community Hospital: A MEDITECH Client Server 5.64
and 6.0 Experience
Presenters: Mary Jo Nimmo, Edward Ricks, and James D'itri
Organization: Lenoir Memorial Hospital, Beaufort Memorial Hospital, and CSC

Abstract: This topic will dispel the myth that community hospitals cannot satisfy the "meaningful use" in
a timely manner. In fact, the topic will show that small community hospitals in many ways are better
positioned to comply with the "meaningful use" criteria by careful planning and understanding what
steps to take.

We will explore the efforts of Lenoir Memorial Hospital, a 261-‐bed acute care hospital located in rural
North Carolina and Beaufort Memorial, a 197-‐bed acute care hospital in South Carolina. We will provide
an example of what two small community hospital can and should do to achieve compliance, linking the
more general, conceptual content of the introductory part of the topic with an actual setting that is
closing in on achieving compliance. Lenoir Memorial launched its planning efforts regarding "meaningful
use" in late 2009 and is tracking toward compliance by 2012. Beaufort made the decision to convert
from Magic to MEDITECH's 6.0 platform, going Live in March of this year, and will meet “meaningful
use” compliance in 2011. Through both hospitals, we will share with the attendees the steps being taken
to achieve compliance, the economics of the pursuit and key "lessons learned" from the efforts to date.
The topic will close with a recap of the major points discussed throughout the presentation followed by
a question/answer period.

Mary Jo Nimmo, RN MSN has over 30 years of experience that includes patient care delivery, nursing
management, quality management and IS Department management. For the past ten years, she has
been the Director of Management Information Systems at Lenoir Memorial Hospital in Kinston, NC where
she has led the total replacement of the organization's information systems and is currently
spearheading the hospital's pursuit of HITECH "meaningful use" compliance.
Ms. Nimmo holds a BSN degree from the Medical University of South Carolina and a Master’s degree
from East Carolina University and sits on various State IT Committees.

Edward D. Ricks, MHA, CPHIMS, CHPS, is the Vice President of Information Services and Chief Information
Officer for Beaufort Memorial Hospital in Beaufort, SC. Prior to joining Beaufort Memorial in 2008 he
filled the same role for Samaritan Medical Center in Watertown, NY. Ed has over twenty years of health
care information systems experience, with the last nine years at a senior level. Ed earned a Bachelor of
Science degree in computer science from Central Michigan University in Mt. Pleasant, Michigan and a
Master of Health Administration degree from the University of North Carolina in Chapel Hill. For the
eighth year in a row, Beaufort Memorial Hospital was named one of the nation's Most Wired Hospitals
according to the 2010 Most Wired Survey and Benchmarking Study printed in the July issue of Hospitals
& Health Networks magazine.

James D'itri, MM is a Partner in CSC's Healthcare IT Strategy group with 33 years of experience spanning
IT strategy, selection, and implementation and related consulting services. His clients include
organizations large and small, from academic medical centers and integrated delivery systems to small
community hospitals and critical access hospitals. He holds a Bachelor of Science degree in Electrical
Engineering from Princeton University and a Master of Management degree from Northwestern
University's Kellogg School with majors in Health Services Management, Accounting and Management
Information Systems. He has lectured at several universities and has spoken at a variety of local and
national forums.

336 – Affiliate Physician Strategies: Using Information Technology to Earn Loyalty
Presenter: Robert J Schwartz, M.D
Organization: Dearborn Advisors, LLC

Abstract: Most facilities find themselves in a competitive environment
and struggle with the best methods to work with their provider
communities. There are many intrinsic and external pressures on the fragile provider-‐health system
relationship that can result in fewer patients for the health system and strained relationships.
Commonly, relationships with referring providers and the medical staff is defaulted to the physicians
themselves or delegated to one or two individuals who are not integrated into the executive or clinical
environment.

Quality of care initiatives are now common and most are successful, resulting in difficulty in identifying
clear market leaders at a regional level. Differentiation then requires additional strategies that create a
competitive advantage for the hospital and this can be obtained by borrowing from the hotel,
entertainment and aviation industries. Customer Relationship Management (CRM) has been adapted to
the health care environment -‐ termed Provider Relationship Management (PRM) -‐ and has
demonstrated support of quality care initiatives, multi-‐year increases in referrals and increased revenue.

The presentation will start with lessons learned from other industries excelling at CRM, addressing the
adjustments necessary for the health care environment. The next part will be a case study of a
successful program that dramatically increased referrals and provided many unplanned benefits from
the implemented components. The focus will be on the technology components of Health Information
Exchanges (HIE), Decision Support and Messaging Technologies. It will conclude by identifying the key
components in this model of PRM and some lessons learned.

Robert J Schwartz, M.D., M.P.H.; Physician Executive has more than 25 years of clinical experience. Prior
to joining Dearborn Advisors in 2009, Dr. Schwartz served as Vice President and Medical Director of
Referring Physician Relations at the University of Pittsburgh Medical Center (UPMC). He was responsible
for maintaining relationships with more than 4,000 community and referring physicians. While there, he
conceived, developed and implemented an innovative quality of service strategy, creating excellence in
access, information sharing and service recovery. At UPMC, his ideas and operations created a new
approach to physician loyalty (i.e., earning their loyalty), contributed to patient safety through clinical
messaging, and created a measurable reduction in legal risk by bridging the gap between hospital and
community providers by treating them as valued customers. This work led to Dr. Schwartz being
recognized as the 2006 Microsoft Healthcare Users Group, Clinician of the Year and 2003 Innovations
Award from the Hospital Association of Pennsylvania.

337 – ICD-‐10 and MEDITECH: All Aboard?
Presenter: Bob Witkop

Abstract: Healthcare organizations are focused on implementing core pieces of technology and
processes that will enable them to meet ICD-‐10 milestones. Stabilizing clinical and revenue cycle
system/processes are key components to minimizing the impact on revenue streams under the new
legislation. Explore how MEDITECH organizations are accommodating these requirements with
deadlines looming. This session will provide an overview of legislated changes and their intent along
with key dates and core MEDITECH processes and system changes for each platform. Specific focus
areas will highlight the impact to your organizations clinical and revenue cycle processes as you steam
towards mandatory compliance deadlines!

Bob Witkop is currently a Delivery Manger with CTGHS and has over 14 years of Healthcare Experience in
Project Management, Revenue Cycle Management, Operational Assessments,
Implementations/Upgrades/Conversions, and Process Optimizations relating to medical software within
multi-‐facility corporate organizations, single standing acute care hospitals, long-‐term acute care
facilities, home health, and national physician billing environments. Bob has completed projects in
functional consulting positions with Admissions, Medical Records, Coding, Business Office, Materials
Management, Accounts Payable, General Accounting, Physician Billing and Information Technology
departments.

338 – TAR or: How I Learned to Stop Worrying and Love the Automated Transfusion Record
Presenter: Don Newton

Abstract: In this session we will look at TAR (Transfusion Administration Record) from a Blood Bank
perspective including the “art” of letting go or current transfusion practices and trusting the automated
system. We will also look at the features of TAR for the patient, the lab and the clinical staff. We'll
include considerations for 6.0 and real world experiences.

Don is a Medical Technologist with over 30 years of generalist experience. A former Laboratory Director
and Vice-‐President of Clinical Operations, Don has been working as a consultant for the past five years.
Proficient in both MEDITECH and Cerner, he has worked with both single and multi-‐site facilities. Don is
currently working on an enterprise roll-‐out of MEDITECH 6.0.

Don is married to the lovely Christine. They have three children, girls 16 and 14 and a son 12. When not
traveling for work. Don likes to travel with his family, cook and play guitar in his classic rock, blues, funk
band: Random Play.

339 – MEDITECH CS 5.6 or 6.0 – What’s the Difference?
Presenter: Debbie Martin

Abstract: There has been much speculation and discussion about MEDITECH Client Server Version 5.6
and 6.0 and what it means to the end-‐user. Both C/S 5.6.4 Electronic Health Record (EHR) and 6.0 Health
Care Information System (HCIS) version 6.05 EHR have received CCHITEHR inpatient certification. But
what are the differences?

This session will provide a high-‐level overview of each version across multiple applications, with a focus
on similarities and differences between the two. Functionality and integration will be discussed, as will
identification of major process redesign opportunities and/or requirements. Comparison to more
familiar versions (5.5 and below) will be made, when helpful, to demonstrate significant changes.
Attendees should expect to leave this session with a good understanding of what to expect as they look
forward to future upgrades or implementation of the latest products. This presentation is ideal for those
who are considering migration to 6.0.

Debbie Martin, Director, has more than 35 years of experience in health care, 25 of which have focused
on health care information technology design and implementation. She has a broad range of clinical
applications implementation and management experience, along with depth of knowledge in systems
design and healthcare operations. Ms. Martin’s diverse background includes implementation of
integrated Laboratory, Radiology, Pharmacy, Nursing, Order Entry, Appointment Scheduling, Enterprise
Medical Record, Emergency Department, Operating Room Management and Provider Order
Management applications in various-‐sized facilities. In addition, she has extensive experience in software
testing, staff training and team leadership. She specializes in MEDITECH Magic, Client Server and 6.0
products and has experience with multiple third-‐party software solutions and interfaces with various
clinical vendors. Ms. Martin also has experience in the build and management of MEDITECH’s Corporate
Management System in complex multi-‐facility environments.

340 – A Day in the Life – A 6.0 Real-‐time Demonstration
Presenters: Jeff Battles and Debbie Martin
Organization: St. Bernards Medical Center and Dearborn Advisors

Abstract: This is an opportunity to see MEDITECH 6.0 in a true hospital environment. St. Bernards
Hospital in Jonesboro, Arkansas has been Live with MEDITECH 6.0 for more than a year. The session will
take you through a typical patient day and include real-‐time demonstration of basic functions within
EDM, ADM, OM, PHA, ITS, LAB, PCS, eMAR, PCM and EMR. The focus will be on integration,
documentation and clinical data presentation to physicians and other clinicians. Time for questions and
answers will be allowed following the demonstration. This presentation is ideal for those who scheduled
for, or considering, migration to 6.0.

Jeff Battles, RN, is in Information Services at St. Bernards Medical Center in Jonesboro, AR. He has 13
years of experience in health care working in the Lab, Emergency Department and as Manager of a 40-‐
bed Orthopedics Department. As part of a MEDITECH 6.0 implementation, Jeff transitioned to the
Medical Centers Information Services Clinical Applications Department, where he has worked for the past
two years. His specialty applications are the Patient Care System, Order Management and Enterprise
Medical Record. He also works closely with the Emergency Department, Laboratory and Pharmacy
modules. He has experience with staff training and with MEDITECH-‐related, third-‐party vendors.

Debbie Martin, Director, has more than 35 years of experience in health care, 25 of which have focused
on health care information technology design and implementation. She has a broad range of clinical
applications implementation and management experience, along with depth of knowledge in systems
design and healthcare operations. Ms. Martin’s diverse background includes implementation of
integrated Laboratory, Radiology, Pharmacy, Nursing, Order Entry, Appointment Scheduling, Enterprise
Medical Record, Emergency Department, Operating Room Management and Provider Order
Management applications in various-‐sized facilities. In addition, she has extensive experience in software
testing, staff training and team leadership. She specializes in MEDITECH Magic, Client Server and 6.0
products and has experience with multiple third-‐party software solutions and interfaces with various
clinical vendors. Ms. Martin also has experience in the build and management of MEDITECH’s Corporate
Management System in complex multi-‐facility environments.

341 – MEDITECH Systems Update 2011
Presenter: James Fitzgerald
Organization: Dell Services

Abstract: MEDITECH is evolving quickly to continue to provide patient, physician and hospital
information systems that help healthcare organizations achieve their mission of improving the quality
and delivery of healthcare within their communities. As MEDITECH’s customers ride this “power curve”
to achieve a full continuum of care with interoperability and meaningful use, the underlying systems and
technologies must adapt to changes in the MEDITECH software as well as changes in the regulatory
environment. This pragmatic discussion reviews some of this year’s technology changes in MEDITECH’s
offering, incremental adjustments hospitals can make to take advantage of those changes, and ways to
plan successfully for the future. Topics covered specifically as they relate to MEDITECH’s offering will
include encryption of data, archiving, the growing use of data repositories and warehouses,
interoperability, virtual desktops, and new disaster recovery methodologies.

James J. Fitzgerald is the Chief Technology Officer, MEDITECH Solutions Group within Dell Services. In a
25+ year career he has held staff and executive roles in sales, marketing, and product management in
various companies. Jim was product manager of Microcom’s ground-‐breaking AX and HDMS series error-‐
correcting network modems, which paved the way for the early days of dial-‐up Internet service.

Since 2001, Jim has served as CTO of the MEDITECH Solutions Group (formerly JJWild) which was
acquired by Perot Systems Corporation in 2007. Jim has been an integral part of the network, systems,
and storage technology design team for over 400 hospitals using the MEDITECH Healthcare Information
System, and has envisioned and shepherded the creation of a solutions portfolio. Jim’s current focus is on
expanding the benefits of virtualized servers, clients, and networks to the healthcare community and
working with his colleagues at MEDITECH to drive towards zero downtime healthcare information
systems.

342 – MEDITECH Magic to MEDITECH 6.0 Migration – The Magnitude of New Features,
Conversions, and Rebuilding that You Need to Find Out Before you Start
Name: Ed Ricks and Nathia Karasch
Organization: Beaufort Memorial Hospital and Summit Healthcare

Abstract: Migrating from MEDITECH MAGIC to MEDITECH 6.x essentially requires the same time and
resources as a new installation. This discussion will provide insight to the magnitude of this type of
project which requires thorough and thoughtful preparation and planning prior to the installation in
order to have any chance of meeting the scheduled Go Live Date. Beaufort Memorial Hospital recently
migrated from MAGIC to MEDITECH 6.0 and replaced multiple third-‐party vendor applications interfaces
with new interfaces. We would like to share our experiences with you around the "gotcha's" that
Beaufort Memorial and other early migration hospitals discovered and share how our experiences can
help you navigate through these obstacles so that you do not put your Go Live date at risk.

Topics reviewed in this discussion include:
• New features to learn and understand, such as server less integrated backups, role-‐base
desktops, UPT and more.
• Areas to focus on sooner than later such as:
o PC's Naming Conventions
o Review Existing Customs (Determine if they are standard in Focus)
o CDS’ (identify which queries used last and setup naming conventions)
o Printing Process
o Conversions (MPI, ITS,..)
o Interfaces (identify all Interfaces and dataflow)
o Dictionary Build (new dictionaries didn't exist in Magic and using (Scripts to streamline
with UPT)
o Downtime (Policies / Procedures)
o PCI – Link (Historical – non converted Data)
o Testing Processes (Unit, Integrated, Parallel)

Edward D. Ricks, MHA, CPHIMS, CHPS, is the Vice President of Information Services and Chief Information
Officer for Beaufort Memorial Hospital in Beaufort, SC. Prior to joining Beaufort Memorial in 2008 he
filled the same role for Samaritan Medical Center in Watertown, NY. Ed has over 20 years of health care
information systems experience, with the last nine years at a senior level. For the eighth year in a row,
Beaufort Memorial Hospital was named one of the nation’s Most Wired Hospitals according to the 2010
Most Wired Survey and Benchmarking Study printed in the July issue of Hospitals & Health Networks
magazine. Ed is a member of HIMSS and CHIME.

Nathia Karasch is Vice President of software engineering and client services at Summit Healthcare. She
has worked at Summit for over seven years and has over 10 years of experience in healthcare IT. Nathia
is an expert in the area of healthcare interoperability and leads a team of engineers to deliver a wide
variety of integration projects including HL7, XML, scripting solutions, custom applications and solutions
that include web service, real-‐time scripting interfaces and custom archive installations for healthcare
organizations in the US, Canada and UK. Nathia has specialized in the past two years on the MEDITECH
6.x conversions earning a reputation for this focus. She specializes on XML and HL7 interface.

343 – Who Am I Today? Understanding the Many Facets of User Provisioning in MEDITECH 6.0
for Large and Small Market Hospitals
Presenter: Rene McKinnon
Organization: Vitalize Consulting Solutions

Abstract: With the integrations of the MIS user Dictionary and the MIS Provider Dictionaries, and the
addition of multiple Roles and Facilities/Locations in the new MEDITECH 6.0 software, user provisioning
has become more complex and versatile. These enhancements to the system enable this essential
User/Provider build to take place in one area regardless of the size of the hospital market.
The newly integrated dictionaries allow the small or large market hospital system to control their user
functionality, appropriate access, provider access and functionality in one place. The system now
provides one area for the data entry and maintenance of all essential user/provider information. Often
times the attention is placed on the individual modules builds and people lose sight of the importance of
the End User and Provider build, this newly integrated dictionary build directly impacts the complete
system usability. During this hour we will attempt to refocus the attentions and importance of User
Provisioning while increasing the attendee’s knowledge and understanding.

The presentation will provide the insight for the preparation, and execution of this build for a hospital
system. Focus will be on:
• Preparation needed by the hospital prior to the start of the project
• How to utilize different tools to assist with the build for the entire HCIS
• The Importance of:
o Roles
o Profiles
o Access groups: Focus, NPR
o MPA’s (Menu’s Provider Access)
• Importance of incorporating Physician/provider Information requirements for billing,
documentation, and regulatory needs in the initial information gathering stages
• The collaboration with the project teams – to gather the needed information
• Ways to avoid re-‐work or rebuilding of dictionaries
• A great opportunity to clean-‐up old dictionary build mishaps
• The importance of incorporating the new user functionality, and versatility into end user
training to enhance the user experience
• How to utilize the new functionality in the small or large market hospital system and hopefully
keep Provider and end User frustrations at a minimum
• Provide helpful guidelines to user dictionary maintenance post live, what happens the day after

Rene McKinnon BS RN, is a Senior Consultant in the MEDITECH Practice at Vitalize Consulting Solutions.
Rene has 28 years Clinical Experience years, 15 years of MEDITECH experience implementing, and
supporting various modules from Magic 3.6 to MEDITECH 6.0.

344 – MEDITECH 6.0: Lessons Learned
Presenter: Jan Moore

Abstract: There’s no doubt that MEDITECH 6.0 takes the proven MEDITECH HCIS to the ‘next level’,
providing significant benefits to its users. At the same time, the 6.0 implementation can also provide
critical insights into process change and system integration requirements related to the use of the 6.0
platform.

Join us for a discussion of lessons learned and the key 6.0 implementation and adoption success factors
from both an application and a technical perspective. We’ll discuss pre-‐implementation planning
strategies, such as tips to address process redesign; important technical considerations, including those
specific to a virtualized system; reports analysis; and specific MEDITECH 6.0 module nuances. We will
share our experiences garnered from providing technology, consulting, and advisory services to many
organizations that are planning to implement or have implemented 6.0. Benefit from our library of
“lessons learned” and success strategies. And come share your thoughts and questions as well.

Jan Moore currently serves as a Director of Consulting for the MEDITECH Solutions Group within Dell
Services’ Healthcare Consulting Practice. She is a seasoned professional with over 35 years in the
healthcare field. Jan has managed multiple MEDITECH implementations, developed healthcare
information management strategic plans, provided interim management for multiple healthcare
organizations, spearheaded major project management endeavors, and has held many positions,
including CIO and Vice President.

Jan has been with Dell Services for over 15 years. During that time she has served in multiple capacities
including business development, practice management, staff management, and service delivery. She has
been able to develop strong business relationships over the course of her career and is considered to be a
highly regarded senior executive in the healthcare arena. Prior to joining Dell Services, Jan served as the
CIO at two MEDITECH hospitals.
345 – Migrating from MAGIC to 6.0? Understand the Integration and Functionality between
the OM/EMR and LAB Applications
Presenter: Nichole Malone
Organization: HealthNET Systems Consulting

Abstract: In the early stages of all implementations, it is crucial to understand the integration between
all applications and how the build in one application will impact the functionality of all connecting
applications. Although some functionality and integration is the same in the MAGIC platform as it is in
the new 6.0 platform, the majority has changed between the two platforms. The perfect example can
be seen with the OM/EMR and LAB applications. This session will reveal the major changes that 6.0
brings to the OM/EMR and LAB applications from functionality, dictionary build, and an integration
standpoint. Learn about the impact that the two 6.0 applications have on each other, as well as the
trouble areas sites migrating have encountered.

Nichole Malone, a consultant with HealthNET Systems Consulting, has worked as a support analyst for
ancillary and clinical applications, and has served as a LAB implementation specialist for both single and
multi-‐facility Magic to 6.0 migration implementations. Nichole’s Healthcare IT experience includes
working with ancillary and clinical IT assessments, process redesign, training, and HCIS selections.

346 – Physician Care Manager (CPOE, MEDREC, eRX, PWM, and PDOC) – Navigating
Development and Optimization Opportunities
Presenter: Chad Turner

Abstract: From maximizing reimbursement to achieving clinical excellence in the organization,
MEDITECH’s Physician Care Manager (PCM) is a suite of products with incredible benefit to the
organization for achieving ARRA and clinical excellence goals. Automating processes, designing
documentation that is streamlined and efficient for physicians, providing clinical decision support, and
assuring data flow between nursing staff and physicians in both the ED and the in-‐patient setting are all
crucial in developing an optimal system. Come see how your organization can develop PCM, maximize
quality, accomplish Joint Commission goals, and develop the system to meet Meaningful Use criteria to
accomplish financial and clinical excellence.

This session will cover the necessary steps of planning and development, the importance of
standardization, and implementation strategies. Key topics will include: Documentation methodology,
nomenclature, computerized physician order entry (CPOE), ePrecribing (eRX), on-‐Line medication
reconciliation (MEDREC), and physician on-‐line documentation (PDOC). Technology, clinician/physician
buy in, optimal data flow, and Clinical Documentation Improvement Program (CDIP) development will
also be discussed.

Chad Turner currently serves as an Advanced Clinical Specialist at HealthNET Systems Consulting, Inc.
Chad has over 16 years of experience in Healthcare IT that includes project management, IT planning, IT
assessments, clinical systems implementation, system upgrades, process redesign, training, HCIS and
hardware selections. Chad has extensive experience in the areas of project management, advanced
clinical information systems, multi-‐facility implementations.

347 – HIE – A Transforming Strategy, A Platform of Systems
Presenter: Mary Kasal
Organization: Cornerstone Advisors Group

Abstract: Franciscan Health has one of the largest regional HIE’s in the country, in continuous operation
since 2000, serving over 900,000 patients and over 7000 clinical users. The HIE is a central Franciscan
strategy for connecting the physicians together and to improve the care of the community.

This presentation will highlight the key areas of HIE platforms, how an HIE strategy can distinguish your
organization and the help you in navigating your HIE decisions. Franciscan selected an HIE system in
1999, taking a leadership position early in the development of what has become a core system for
healthcare across the country. This session will concentrate on helping you understand how an HIE
strategy can be a core strategy for connecting your physicians, improving continuity of care, reduce
unneeded testing and improve the care of your community.

HIE platforms contain multiple ‘modules’ and hype regarding single areas (CCD) has caused some
confusion in ‘what is an HIE’. This session will lay out the key areas of HIE in a clear manner to help you
learn the facts behind the hype. This will help you move forward in planning an HIE strategy that is both
achievable and a solid fit for your MEDITECH architecture.

Mary Kasal is with Cornerstone Advisor Group. Mary has been a leader in the MEDITECH community for
over 25 years, having held CIO positions in large multi-‐hospital systems. Mary has been involved in HIE
since the early 90’s when these efforts were called CHIN’s. She led the Franciscan HIE to become one of
the largest HIE’s in the country, as Executive Director from 2008 – 2011.

348 – Scanning and Archiving and 6.0

Presenter: Denis Brideau

Abstract: The planning and implementation of Scanning and Archiving (SCA) is often overlooked by
many organizations as it is easy to underestimate the complexity of the application, the resources,
policies and processes along with the technology required to achieve a successful implementation. This
is even more important for sites that are migrating from Magic to the new 6.0 or MEDITECH Advanced
Technology (M-‐AT) platform as SCA is the vehicle used to migrate reports from Magic applications to
EMR for patient-‐related reports and MIS for Financial reports. This session will give an overview of 6.0
SCA, go over some of what MEDITECH has in development for future releases, describe the report
migration, and review lessons learned from those who have been through the process.

Denis Brideau has more than 23 years of healthcare information systems and management experience.
He has worked specifically with MEDITECH applications for the last 19 years and has been with Dell
Services for seven of those. His hospital expertise has been developed through various roles such as
Director of Information Technology and Systems Analyst. Denis’ work on the Dell Services team includes
project management of MEDITECH implementations, Scanning and Archiving assessments,
implementations and optimizations, as well as subject matter expertise. Denis was one of the first
people to receive training on Scanning and Archiving when it was released and has had nine different
MEDITECH SCA clients.

349 – Preparing for ICD-‐10
Presenter: Jeanette Frank

Abstract: This presentation will provide background on why the United States is implementing ICD-‐10
CM (diagnosis coding) and PCS (procedural coding). It will compare ICD-‐10 to ICD-‐9, discuss “Things You
Need to Know” about ICD-‐10, and review the timeline and deadlines. Recommendations on project
planning and implementation components, as well as team structure and communication will be
provided. Links to online resources to assist organizations with implementation will be shared.

Jeanette Frank, Manager, Dell Services, MEDITECH Practice Group, has more than 26 years of healthcare
information systems and finance experience. She has worked specifically with MEDITECH applications
for the last 23 years. Her expertise has been developed through various roles such as Director of
Information Technology and Financial Systems Analyst. Jeanette’s work on the Dell Services team
includes project management of MEDITECH implementations, revenue cycle assessments and
optimizations, as well as management of regulatory and system updates.

350 – Accountable Care Organizations: What are They and How Do We Prepare?
Presenter: Charlotte Hovet, MD

Abstract: The Patient Protection and Affordable Care Act (PPACA) authorized the Centers for Medicare
and Medicaid (CMS) to set up a shared-‐savings program starting January 1, 2012. As a provider, you may
be interested in Accountable Care Organizations (ACOs) not only for the potential revenue increase from
Medicare but also because of the major changes in reimbursement models which lie ahead. Join us as
we share a few examples of models currently being created to build the necessary infrastructure and a
roadmap for getting started. We will define what an ACO means for your organization and identify the
foundation necessary to be successful as defined by the PPACA and the National Committee for Quality
Assurance (NCQA).

Charlotte Hovet, MD, MMM, CPE, Medical Director, Clinical Informatics, Dell Services, is a physician
executive with extensive experience in medical management leadership and medical staff governance. In
her current role, Charlotte partners with health system clients to implement and optimize clinical
information systems to support excellence in patient care. With a focus on physician engagement, she
provides an experienced clinician peer perspective, informatics knowledge and skill, and physician
alignment strategies that drive change in a complex medical environment. Charlotte provides client
education on physician adoption of the Electronic Health Record, leading project teams in the
development of enterprise governance, knowledge management, and change management solutions.

Charlotte has demonstrated strengths in driving patient safety and quality initiatives, resulting in
improved, measurable healthcare outcomes. Throughout her many experiences in leading physicians
through change, Charlotte has promoted a vision of patient-‐centered care, evidenced-‐based practice,
and a culture of organizational excellence. Charlotte has a strong record of clinical credibility, having
practiced as a board-‐certified family physician for 20 years.

351 – Finding Your Way Through the Jungle of Mobile Solutions
Presenter: Stephen Holmes

Abstract: You are ready to install Bedside Medication Verification, EMAR, Nurse Documentation,
Transfusion, or other clinical applications that require bar codes, readers, printers, etc.? Are you asking
yourself what scanner will we use? How do we print the wristband? What information do we need for
the ID card? Should we use a PDA, Laptop or Tablet?

Finding your way through the jungle of mobile solutions available today can be very confusing, time
consuming, but more importantly very costly to your organization if you don’t make the right choices.
This session will guide you through the selection process, and provide you with the information you
need to make informed decisions regarding mobile solutions.

In this session we will explore:

• How to evaluate and select a printer/wristband solution -‐The evolution of barcoding, and the
selection process for “scanners” versus “imagers”
• The differences between “tethered” and “cordless” scanners -‐MEDITECH requirements for PDA
devices -‐Printers that are supported by MEDITECH for seamless printing of bar code labels
• Wireless needs for portable data collection -‐Portable printing for specimen collection
• Document Scanners for “Point of Service” versus “Point of Use”
• Solutions providing patient ID cards to assist with Registration

Stephen Holmes, Director, Business and Product Development, Dell Services has worked in various
capacities over the past 18 years, in development of MEDITECH bar code and peripheral devices. Initially,
he worked with the Materials Management application and for the past six years with MEDITECH’s
Clinical applications.

352 – Meaningful Use Quality Measurement: Ins, Outs, and In-‐Betweens
Presenter: Anita Karcz
Organization: Institute for Health Metrics

Abstract: This session is designed to help users understand the structure and requirements of
Meaningful Use Quality Measures for Stage 1 and to provide insight into what is coming for Stage 2 and
3. Controversies/ambiguities in Quality Measures will be highlighted and discussed. The session will also
include organizational strategies for quality measure compliance.

Anita Karcz MD MBA is Chief Medical Officer at Institute for Health Metrics and has created nationally
recognized clinical criteria for quality improvement. She spent several years as a practicing emergency
physician and has done research and product development in the areas of clinical outcomes and decision
support. She was Vice President of Clinical Product Development at InterQual Inc., a company that
developed utilization software for hospitals and managed care. She has served as a member of the AHRQ
advisory panel on severity adjustment research.
353 – It’s Not All About the Revenue … We Still Have Expenses to Contain and Reduce!
Presenter: Farrah Mahoney
Organization: Healthcare Insights

Abstract: In today’s economy, hospitals and health systems are challenged more than ever to increase
revenue and decrease expenses. It’s not easy to do either one. This session will focus on decreasing
expenses by examining best practice labor management techniques and measures, discussing
benchmarking and key performance indicators, and financial management accountability.

Labor Management Techniques and Measures:
• Labor Compensation Ratio – how to calculate it and use it to set goals
• Discuss the differences between “rate” and “efficiency” variances and how to use these
variances to improve labor management reporting to meet organizational goals
• Determine how to set and maintain standards through benchmarking, reporting and monitoring

Benchmarking and Key Performance Indicators:
• Explain and calculate the top 11 Key Performance Financial Indicators
• Discuss how to trend the KPIs and use them for benchmarking
• Brief overview of work load units – are you using the right ones and how do you establish them

Financial Management Reporting and Accountability:
• Ten tips and tools to create best practice financial reporting
• Review and examine current reports and how to take them to the next level
• How to create the culture of accountability to improve the organization’s bottom line

This session will help organizations improve labor management techniques, understand financial key
performance indicators, and create a culture of accountability through better reporting, monitoring, and
analysis. Labor management techniques will include the labor compensation ratio, rate and efficiency
variances, and setting and maintaining labor standards. Financial key performance indicators will
include definitions, calculations, and trending capabilities. The session will review and examine current
report practices and how to make the reports best practice. Overall, the session will focus on bringing
accountability to an organization through these simple analyses.

Farrah Mahoney is the Director of Business Development for Healthcare Insights, LLC, which specializes
in the teaching and consulting of healthcare financial management issues. As part of her responsibilities,
Farrah advises clients on best practice reporting and monitoring techniques. Prior to her role at
Healthcare Insights, Farrah spent seven years working in the finance department of several healthcare
providers. These included a 350-‐bed acute care hospital, as well as long-‐term acute care providers and a
physician group. She holds a Bachelors of Science degree in Accounting and a Master of Business
Administration from the University of Southern Indiana.

354 – Integrating Electronic Medical Records to MEDITECH
Presenter: Aurel Kleinerman, M.D., Ph.D.
Organization: Blue Iris (MITEM Corporation)

Abstract: The health IT component of the 2009 Stimulus Bill, the HITECH Act, appropriates $19.2 billion
dollars to encourage the adoption of Electronic Health Records. Beginning this year, more than $40,000
is offered to each physician to acquire an Electronic Medical Records System (EMR). Beginning in 2015,
penalties are going to be imposed by Centers for Medicare and Medicare Services (CMS) if the
participating health care provider is not using an EMR.

Currently, it is estimated that less than 8% of physicians have access to an advanced EMR – an EMR that
is connected to remote health services: Labs, Pathology, Radiology, Hospital Information System, etc.
There are 850,000 active physicians in the US of which 85% (650,000) practice in a small office (less than
nine physicians). There are 75,000 hospitals in the US which means that each hospital serves an average
of 85 small physician practices.

Wide and rapid adoption of EMRs is going to strain the health IT resources for integration. How to
integrate? What is the most efficient way to integrate? Who is going to integrate? What is the role of
hospitals IT? How will standards help integration?

This presentation is designed to be a primer to integration and an attempt to answer the questions
above without going into complex technical details.

Topics:
• EMR/EHR Integration Challenge
• Integration 101
o Workflow Integration (Integration must benefit all organizations involved)
o Systems Integration Methods (integrating computers and software)
§ Point to Point Integration (benefits and drawbacks)
§ Interface engines (benefits and drawbacks)
§ Application Service Provider (ASP) integration (benefits and drawbacks)
o Barriers to Integration
o Integrations Standards

Aurel Kleinerman, M.D., Ph.D. is the founder and CEO of MITEM Corporation. He is the inventor and
architect of MITEM’s application integration technology and holds several US patents. Dr. Kleinerman
has worked in computer science and systems architecture for more than 40 years, with particular
emphasis on non-‐invasive integration of various disparate systems. He has developed software for a
variety of advanced systems and developed the first micro system for control and data collection in a
biochemistry laboratory. Dr. Kleinerman received a Ph.D. in mathematics in 1977 from Cornell University,
an M.D. in 1981 from Johns Hopkins University and completed his residency in medicine at Stanford
University Medical Center. He is currently licensed to practice medicine in the State of California.

355 – Managing Medication Orders in a CPOE World

Presenters: Sue Byrd and Debra Ramsey
Organization: Centura Health and CSC

Abstract: This presentation will cover the dictionary settings and configuration changes necessary for
CPOE. The presenters will discuss POM Order Entry, pharmacy verification, and eMAR administration
through the unique challenges presented by a multi-‐facility organization, Pyxis overrides, pharmacists
monitoring of drug therapy, and Order Sets.

Sue Byrd has had over 25 years of experience in healthcare at Centura Health, filling many rolls from
Admissions Manager and IT analyst for Pharmacy. She was part of the original implementation team for
MEDITECH and is instrumental in the Medication Reconciliation process, AOM Drug dictionary build/edit,
as well as supporting the Pharmacy application.

Deb Ramsey, R.Ph., MBA, is a consultant with over five years consulting experience and over 20 years
working in healthcare. She has experience as Pharmacy and Information Technology Director at the
medium size hospital, where she was part of the original implementation team for MEDITECH Pharmacy,
eMAR/BMV, and NUR. As a consultant she worked with MEDITECH Magic, C/S, and Allscripts.

356 – The Dirty Little Secret of Document Scanning
Presenter: Bryan Donovan
Organization: BizTech Healthcare Solutions Inc

Abstract: Learn how Alice Peck Day Memorial Hospital fights the battle of Time vs. Speed

Instead of focusing on the “speeds and feeds” of the scanner hardware, hospitals are better served by
asking ”how long will it take me to prep 1,000 pages for scanning”. The reason why is, if it takes two
hours to prep 1,000 pages, how important is the fact that your scanner scans at 100 pages per minute?
Trade groups within the document imaging industry estimate that it typically takes one hour to prep
between 500-‐600 pages for the scanning process. What are the factors that contribute to the prep time
labor? Hospitals need to know that, and they don’t.

This presentation is essentially a case study of the implementation of scanning at Alice Peck Day
Memorial Hospital. It illustrates what was done to fight the battle of “Time vs. Speed”.

Topics:
• Time involved with Scanning
• Speed of the scanner is a miniscule part of the overall time
• Scanner hardware specs
• Scanner features that affect prep
• Image Processing Issues
• Time vs. Speed
• Scanning Metrics

Bryan Donovan is the Sales & Marketing Manager for BizTech Healthcare. He has over 15 years of
experience in the document imaging and workflow industry. He has been with BizTech for nine years and
previously worked for Digital Equipment Corporation and Keyfile Corporation. He is a Microsoft Certified
Systems Engineer and a frequent speaker on the topic of healthcare process automation. Recent
speaking engagements include MEDITECH User Conference (MUSE International) May 2009, Vancouver
BC; ILHIMA Annual Conference, May 2009, Lincolnshire, IL; and NEHIMA Six States Annual Conference,
May 2008, Worcester MA.

357 – MEDITECH Data Repository for Reporting Meaningful Use Clinical Quality Measures (e-‐
Measures)
Presenter: Zahid Butt, MD FACG
Organization: Medisolv

Abstract: “Meaningful Use” imposes significant quality and EHR usage reporting requirements for both
Hospitals and Physicians. MEDITECH has chosen its Data Repository for compliance with Meaningful Use
Clinical Quality Reporting. This timely presentation will review how the Data Repository is used for
Meaningful Use Quality Reporting and related work flow changes needed for critical data capture.

Zahid Butt, MD FACG is the founder and CEO of Medisolv Inc., a software company providing business
intelligence and quality reporting solutions for hospitals and health systems. He manages a team of
software developers who create innovative software applications from initial design to full production.
Zahid also manages and directs the company’s activities to achieve business and growth objectives, and
establishes strategic priorities for the company and defines tactical objectives for individual projects.
Their products have been implemented in more than 150 hospitals.

358 – Understanding Data Repository Errors from a Former MEDITECH DR Specialist
Presenter: Shawn Kenny
Organization: Blue Elm Company

Abstract: Data Repository is becoming the default reporting tool as more healthcare facilities are
migrating over to 6.0. Demystifying the Data Repository error log will help end users focus on more
important issues, such as creating useful reports from the data in the Data Repository, and less on
reporting errors.

This presentation will help explain what the messages in the Data Repository error log mean and their
importance. Knowing why the message was generate and where in the transfer process the breakdown
occurred will help end users determine if Data Repository integrity has been affected.

Shawn Kenny worked in the Data Repository group at MEDITECH for several years as an application
specialist. His duties included but were not limited to implementations, service and updates. He was
responsible for making sure data was transferring correctly to many facilities Data Repositories. For the
last few years, Shawn has worked at Blue Elm Company as Manager of Installation & Service.

359 – MEDITECH 6.0 AND Physician’s Involvement
Presenter: Linda John-‐Breeden
Organization: Vision Consulting

Abstract: This presentation will provide elements and processes on how to get physicians involved that
will lead to a successful implementation. Getting physicians involved in the new processes of MEDITECH
6.0 is key in having a successful implementation, but just saying those words doesn’t make it happen nor
does it actually get them involved. We will discuss when and how to get physicians involved with
developing the system from marketing, committees, training and support.

Presentation outline:

Marketing
• Discuss the advantages (Medication Reconciliation; Discharge Routine)
• Get the word out
• Discuss the transition
• It’s not just I.T., it’s the entire facility
• Make MEDITECH 6.0 available at physicians’ offices

Physician Participation/Project Leadership:
• Physician Champions
• Physician Advisory Committee
• Physician Steering Committee
• Dictionary Development

Developing Training Plan:
• Use more than one technique: Groups, one-‐on-‐one, training DVD

Physician Support:
• Develop a team of super users just for the physicians
• Make sure physicians know there is support just for them by advertising
• Provide area to test (just for physician’s) with support available
• Ask physicians if they have questions, if they need help
• Ask specific questions about issues you’ve heard of to see if they are having the same problems

Linda John-‐Breeden is a Senior Implementation Consultant/Manager with Vision Consulting. Linda has
25+ years of experience in the healthcare arena, currently part of the PCM team implementing MT 6.0
and works closely with Dr. Charles Bell on the HCA MEDITECH 6.0 PCM team. Linda was a Training
Leader for a Southern California Healthcare organization, has been involved in the CPOE process for the
last ten years and has a great understanding of the entire Revenue Cycle.

360 – No-‐Assembly-‐Required CPOE: Continued Discussions on Jumpstarting POM with Pre-‐
Built Medication Orders
Presenter: Mili Gera
Organization: First DataBank

Abstract: Deploying a computerized physician order entry (CPOE) application requires a substantial
allocation of dedicated pharmacy and technical resources. This session will present the methodology
that a Client Server site followed in order to abbreviate the time demands placed on scarce pharmacy
resources in the implementation of CPOE. The hour will include a detailed description of the process
used to integrate pre-‐built ordering content from a third-‐party drug information provider into
MEDITECH’s POM application.

Considerations discussed will include the mapping of MEDITECH data dictionaries to the ordering
content provided by the drug information compendia, automated matching of the pre-‐populated order
string content to a site’s Formulary items, and incorporating the pre-‐built order strings into the
appropriate fields in POM.

In addition, there will be a review of other optimizations employed by the site. The focus of this review
will be on strategies used to minimize physician scrolling by producing an acceptable number of order
strings per medication.

Mili Gera is an Implementation Engineer at First DataBank. Throughout her time at First DataBank, she
has helped guide many users with the process of integrating third-‐party drug data content into their own
Health Information Systems. Having worked with the multitude of market segments within the health
care industry, she's had the opportunity to gain knowledge about EMR, E-‐prescribing, EMAR and CPOE
implementations.

361 – Eliminating Common Registration Errors that Cause Delayed AR Days & Denials
Presenter: Glenn Gross
Organization: Provider Advantage

Abstract: The job of patient registration has become one of the most complex revenue cycle jobs in the
hospital. Low-‐paid staff need to understand multiple insurance codes and rules, comply with regulatory
issues like HIPAA, Fair Debt Regulations, JCAHO and more. Now they are being asked to provide patient
estimates and even collect from the patient prior to service. What can go wrong with all that?

This session will review things that you can do to reduce and/or eliminate common errors which can
cause "chain of event" issues throughout the patient access and billing departments which cause
increased AR days and denials in most hospitals.

This session will explore real life patient access situations and ways to deal with them to make the job of
your hospital staff easier while providing better communication and customer service to patients.
Finally, we will tie this to how your patient access and accounting departments will impress
administration with lower denials, increased POS collections and happier customers.

This will be an interactive discussion. Come prepared to share with the group how your healthcare
organization has worked to put in steps to overcome these challenges.

In his role as VP of Sales and Strategic Business Development, Glenn Gross has been instrumental in
identifying and selecting key business partners to develop an integrated revenue cycle solution suite.
Glenn brings 20+ years of software solutions experience to Provider Advantage. His experience spans
across several industries including telecommunications, financial and pension consulting, healthcare and
software systems sales. In 1997, Glenn formed the nation's first sales organization to market the idea of
automated Healthcare Access Management functions including verifying insurance eligibility, patient
demographic validation, credit scoring, medical necessity checking and automated patient call-‐back
reminders, to be launched at the first point of patient contact -‐ scheduling.

362 – Operational Excellence in the MEDITECH Hospital

Presenter: Jim Graham
Organization: New Age Technologies

Abstract: Server virtualization is now accepted as a mainstream and reliable solution for the majority of
applications in the datacenter. However, virtualizing specialized applications like MEDITECH has lagged
behind in many hospitals. Given the criticality of the information stored in the MEDITECH systems,
protecting the data and having it highly available have historically had major obstacles to overcome.
Virtualization has completely changed this paradigm and now offers availability and data protection
capabilities that were financially unrealistic just a few years ago. Come to this session to learn how you
can systematically transform your MEDITECH environment to a highly available infrastructure that can
even overcome physical site disasters within just a few hours, instead of days or weeks.

Jim Graham is the Practice Manager of the Healthcare Consulting Solutions Group at New Age
Technologies and has worked in the MEDITECH HIS space for 15 years. Jim currently sits on the Health
Information Exchange (HIE) Business and Technology Committee for the State of New Hampshire.

363 – Streamlining your Magic Migration to 6.0
Presenter: Charles Williams
Organization: Forward Advantage, Inc.

Abstract: This session focuses on some of the challenges associated with migrating from MAGIC to
MEDITECH 6.0. As part of this session, we will explore what options exist for retaining your MOX
Document Libraries, replacement of MOX Messaging, archiving as well as scanning strategies as part of
your migration and lastly, what you need to think about in preparation of the migration of your
interfaces.

Charles Williams is the Vice President of the Migration and Integration Services Division for Forward
Advantage, Inc. and oversees the development, implementation and technical support services for
product and service lines within this division.

364 – Interoperability & Physician Office Integration – The Available Tools and Their Use
Presenters: Edward Norton and Debbie Martin
Organizations: Interbit Data Inc. and HighPoint Health System

Abstract: Open System, Plug and Play, Integration, Interoperability, the name has changed but the goal
remains the same. Attend this session to learn which tool, HL7, CCOW, Scripting, is best used to build
the foundation of a robust EMR.

HighPoint Health System is comprised of a 155-‐bed facility (Sumner Regional Medical Center) located in
Gallatin, TN, a 25-‐bed Critical Access hospital located in Hartsville, TN, a 63-‐bed facility located in
Carthage, TN, and a 25-‐bed Critical Access/Swing bed facility located in South Carthage, TN. Debbie
Martin will share her experience in implementing a physician office integration system that provides
Sumner Regional Medical Center with the ability to send reports from MEDITECH to their physicians’
EMRs.

Edward Norton has been at Interbit Data as Senior Vice President Sales and COO for the past six years.
Prior to joining Interbit Data Ed spent 15 years at MEDITECH where he was the sales director for the
central region. Previous to MEDITECH, Ed worked as a marketing consultant for the Reynolds & Reynolds
Company where his introduction to healthcare came in 1979 when Reynolds & Reynolds introduced a
Physician Billing System.

Debbie Martin has worked for HighPoint Health System for over 10 years; her role includes Clinical
Analyst/Physician Liaison for the Health System. Responsibilities include ensuring that providers have
access and confidently know how to access their patient data in a timely and efficient manner.

366 – Single Sign-‐On and Strong Authentication in a MEDITECH Environment
Presenter: Lee Howard

Abstract: Attend this session to review some of the practical problems encountered when
implementing single sign-‐on and strong authentication technologies, and learn ways to avoid these
pitfalls. This pragmatic review demonstrates how a combination of technologies including enterprise
single sign-‐on, proximity detection for "walk-‐up, walk-‐away" security, and biometrics for authentication
can be combined to improve the quality and utilization levels of clinical computing resources.

Lee Howard is the Vice President of Client Services for Forward Advantage, Inc. and has over 18 years of
experience in healthcare information technology.

367 – Registration: The Foundation of Hospital Business

Presenter: Kim Bottcher
Organization: Boston Software Systems

Abstract: The basic patient information gathered in the registration process forms the basis of care and
revenue. Whether part of an EMR implementation or as a strategic move towards operational efficiency,
more and more hospitals are automating part or all of their registration process -‐ and in a variety of
ways. These hospitals are finding they can improve revenue and efficiencies throughout the
organization. During this session we will explore the various ways you can automate registrations, the
workflows to consider during implementation, what to expect and the benefit to patients and staff.

Kim Bottcher is a Technical Specialist with Boston Software Systems, Inc. Kim has over 15 years of
healthcare experience assisting hospitals with a variety of projects running the gamut from basic
dictionary updates to complex 835 payment posting. Prior to coming on board with Boston Software
Systems, she ran a consulting business providing scripting, database development and training services.
She has 10 years hospital IT experience working as a MEDITECH Systems and Clinical Applications
Analyst. During this time she served on the implementation teams for the hospital’s Order Entry, PCI and
Scheduling go-‐lives.

368 – Tackling Dictionary Management During a MEDITECH Migration, System Upgrade or
General IT Strategy
Presenters: Tara Marchi and Bob Gronberg
Organization: Summit Healthcare and Jordan Hospital

Abstract: Are you confident that your MEDITECH test database is an accurate reflection of your current
live system? Dictionaries are the building blocks of our MEDITECH systems whether you are running
Magic, C/S or 6.0 and everyone has different challenges with the synchronization and management.
Alleviate the stress and the second guessing of the accuracy of your MEDITECH dictionaries as we walk
through tools and techniques to assist you in analyzing and comparing the health and activity of your
dictionaries.

Join us as we discuss firsthand dictionary management experience from the front lines of a MEDITECH
6.0 migration. Whether your organization is implementing new modules such as Advanced Clinicals,
migrating to a new MEDITECH platform (6.0!) or simply trying to maintain data this session is for you.
This session is geared for all audiences including all MEDITECH platforms.

Tara Marchi, Director of Marketing at Summit Healthcare, brings over nine years of MEDITECH
experience to our presentation today. Prior to joining Summit Healthcare as the Director of Marketing,
Tara worked as a consultant implementing and managing the advanced clinical modules and worked at
MEDITECH as a Pharmacy/Nursing specialist.

Bob Gronberg, brings over twenty years of experience in healthcare IT in the areas of consulting, senior
healthcare provider-‐side IT management and software development to our presentation today. He is
currently the interim CIO at Jordan Hospital for a multiyear MEDITECH 6.0 migration project.

369 – BMV and eMAR: Done “Right”
Presenter: Pamela Prefontaine
Organization: Vitalize Consulting Solutions, Inc.

Abstract: The implementation of Bedside Medication Verification (BMV) along with the Electronic
Medication Administration Record is designed to reduce risks to patient safety by verifying that the right
drug is administered to the right patient. A successful implementation requires:
• Selecting the correct Core Team Members
• Determining workflow and standardize processes for nursing and pharmacy
• Forging a partnership between nursing and pharmacy
• Functionality practice sessions and in-‐depth testing
• Hardware selection

Focus will be on:
• Preparation needed by the hospital prior to the start of the project
• How to utilize workflows to assist with the build for EDM, PCS & ORM
• Importance of incorporating regulatory measures such as Joint Commission Standards and Core
Measures into the build
• Formation of the project teams – a new way of thinking
• Why your project needs a hospital MEDITECH champion & the importance of their participation
in all aspects of the project
• The EMR should not be treated like a dumping ground for information

Pam Prefontaine MSMI, RN, is a Senior Consultant in the MEDITECH Practice at Vitalize Consulting
Solutions. Pam has over 25 years of experience as a Registered Nurse in the field of information
technology, nursing management and direct patient care. She has experience implementing PCS and the
other advanced clinical modules from Client Server 5.3 through 5.64.

370 – RLS: What Is It? What Are It’s Benefits? And How Does One Prepare for an RLS?
Presenter: Charles Williams

Abstract: This presentation will provide an overview of CCD Exchange through the use of Record Locator
Services as well as some detail of the transactions that are communicated amongst the participants to
include patient demographic queries, document registration and document retrieval. The following
topics will be covered:

Understanding what an RLS does and how it differs from sending results (and orders); Industry
Standards for CCD Exchange; Expanding the range of an RLS by linking multiple RLS’s; Benefits of using
an RLS; Understanding data flow of an RLS; Steps to prepare for the implementation and use of an RLS;
Challenges Associated with implementing an RLS.

Charles Williams is the Vice President of the Migration and Integration Services Division for Forward
Advantage, Inc. and oversees the development, implementation and technical support services for
product and service lines within this division.

371 – 1, 2… 20, 21… Did I Really Just Count That Many Ways to Utilize Scripting?
Presenter: Brian Rogers and Tara Marchi
Organization: Summit Healthcare

Abstract: Let us do the thinking for you! We will present how scripting technology can be utilized by all
departments in your hospital. Whether you have an immediate need to eliminate redundant data entry
or perhaps you have that vital sign point of care device that is just too costly to interface let us
demonstrate how you can produce more with less.

Take out the guess work, grab your notebook and pen and start manually jotting down the ways
you can use scripting. Just maybe by the end of the session this too can be an automated process! This
session is geared toward all audiences and all MEDITECH platforms.

Brian Rogers is a Product Manager for Summit Healthcare Services with over eight years of experience in
MEDITECH's technology. His main focus is around design, development and customization of the Summit
product lines. Prior to joining Summit Healthcare, Brian gained knowledge as an Interface Programmer
in MEDITECH's C/S NMI group and as a $T Product Developer at Picis.

Tara Marchi, Director of Marketing at Summit Healthcare, brings over nine years of MEDITECH
experience to our presentation today. Prior to joining Summit Healthcare as the Director of Marketing,
Tara worked as a consultant implementing and managing the advanced clinical modules and worked at
MEDITECH as a Pharmacy/Nursing specialist.

372 – Basic Meaningful Use Reporting From Data Repository
Presenter: Ian Proffer
Organization: Acmeware, Inc.

Abstract: Many hospitals are still determining how to meet the ARRA 2009 requirements for Meaningful
Use reporting. In this session we will explore how MEDITECH’s Data Repository (DR) can be used as part
of the reporting puzzle for the 2011/2012 Stage 1 requirements. Many of the core and menu
measurements can be easily reported out of your Data Repository using basic SQL reporting skills, they
do not require complex clinical rules or newly installed MEDITECH components.

Using SQL Server Management Studio, we’ll show you how to write your own queries to capture
measures like Record Demographics, charted Vital Signs, and the use of CPOE for medication orders.
Certain quality measures, like those for ED Throughput, can also be readily reported if you have the
necessary MEDITECH modules as part of your system.

If you’re either a database analyst or report writer looking to learn more about how to navigate the DR
for accurate data, or just interested in how the DR can be a part of your Meaningful Use reporting
solution, join us for this educational session.

Ian Proffer spent seven years in healthcare IT at Jefferson Healthcare in Port Townsend, WA (a
MEDITECH C/S site) and Harborview Medical Center in Seattle before joining Acmeware in 2007. Ian has
over 18 years of experience as a database analyst, administrator and architect, including four years at
Microsoft Corp., where worked extensively with SQL Server starting on version 4.21. His practical work
experience in healthcare includes database analysis and administration, report and application
authoring and development, and user education and training.

373 – Lean and Not-‐So Mean: Essential Activities of a Successful Project Management
Function
Presenters: Bob Witkop and Kathy Kane

Abstract: You don't need the "O" in PMO to be successful in managing your critical projects. ICD-‐10 and
Meaningful Use on top of day-‐to-‐day projects push our time, investment and resources to the limit. Not
everyone has the resources for a formal Project Management Office (PMO), but establishing these
activities can drive the same success without the overhead.

Several key activities can be applied to any project to bring about success, without the significant capital
investment or creating organizational bottlenecks. In this presentation, we'll talk about setting-‐up
effective and efficient communication, a common vocabulary, proper project structure and instilling
accountability, to name a few.

Bob Witkop is currently a Delivery Manager with CTG Healthcare Solutions and has over 14 years of
Healthcare Experience in Project Management, Revenue Cycle Management, Operational Assessments,
Implementations/Upgrades/Conversions, and Process Optimizations.

Kathy Kane is a Delivery Director with CTG Healthcare Solutions and is a veteran of more than 25 years of
Project and Program Management, IT leadership and consulting. She has experience with multiple
systems, a variety of operational environments and project types.

374 – Physician Governance & Leadership – The Support Structure Required for Your
Electronic Health Record (EHR)
Presenter: Dr. Charlotte Hovet

Abstract: The successful implementation of a clinical information system requires activities to build
physician commitment and adoption in a manner that integrates both project and organizational goals
with physician needs and requirements. Physician governance is the primary “driver” of these activities
and involves designated leadership roles, visible and active decision making, and physician alignment
strategies that demonstrate the value of the new technology in a manner that facilitates physician
adoption. Charlotte will outline the tactics for effective physician governance and the key steps to
secure physician ownership and adoption of an EHR at your facility.
When you attend this session, you will learn:
• An effective EHR physician governance structure that enhances accountability
• A collaborative EHR leadership model that facilitates interdisciplinary decision making
• EHR physician champion roles and responsibilities that engage physicians in change

Charlotte Hovet, MD, MMM, CPE, Medical Director, Clinical Informatics, Dell Services, is a physician
executive with extensive experience in medical management leadership and medical staff governance. In
her current role, Charlotte partners with health system clients to implement and optimize clinical
information systems to support excellence in patient care. With a focus on physician engagement, she
provides an experienced clinician peer perspective, informatics knowledge and skill, and physician
alignment strategies that drive change in a complex medical environment. Charlotte provides client
education on physician adoption of the Electronic Health Record, leading project teams in the
development of enterprise governance, knowledge management, and change management solutions.

Charlotte has demonstrated strengths in driving patient safety and quality initiatives, resulting in
improved, measurable healthcare outcomes. Throughout her many experiences in leading physicians
through change, Charlotte has promoted a vision of patient-‐centered care, evidenced-‐based practice,
and a culture of organizational excellence. Charlotte has a strong record of clinical credibility, having
practiced as a board-‐certified family physician for 20 years.

375 – The Implementation is Finally Over – Now What?
Presenters: Rene McKinnon, Pamela Prefontaine, and Joe MacDonald
Organization: Vitalize Consulting Solutions, Inc.

Abstract: Many resources are dedicated to implementing the Advanced Clinical Modules (EDM, ORM &
PCS). Each module has a dedicated core team that is assigned to work on the project. Everyone’s energy
is focused on completing all the work prior to the go live date and then surviving the actual Go Live. But
what happens after the Go Live? Is it ever really over?

This presentation will focus on:
• Post go live activities that will assist hospitals in maintaining these modules
• Necessary steps to take during the implementation phase that will make the post live phase
easier and smoother
• The importance of not viewing the three modules in individual silos but as one cohesive group
• Developing a plan for post live editing prior to the end of the Go Live phase
• Establishing a team that will focus on maintaining the modules after the implementation is
complete

Rene McKinnon BS, RN, is a Senior Consultant in the MEDITECH Practice at Vitalize Consulting Solutions.
Rene has 27 years Clinical Experience years, 14 years of MEDITECH experience implementing, and
supporting various modules from Magic 3.6 to Client Server 5.6.

Pam Prefontaine MSMI, RN, is a Senior Consultant in the MEDITECH Practice at Vitalize Consulting
Solutions. Pam has over 25 years of experience as a Registered Nurse in the field of information
technology, nursing management and direct patient care. She has experience implementing PCS and the
other advanced clinical modules from Client Server 5.3 through 5.64.

Joe MacDonald is a Senior Consultant in the MEDITECH Practice at Vitalize Consulting Solutions. Joe has
over eight years of MEDITECH experience implementing and supporting MEDITECH's various platforms.
Joe has worked with MEDITECH MAGIC 4.6 to the present.

376 – Taking Stock in your Future: Preparing for a Successful MEDITECH ORM
Implementation or Optimization effort
Presenter: Brad Tate

Abstract: There is a definite need to review and streamline Stock Dictionaries in the surgery areas
before beginning or as the first step in either an ORM implementation or ORM optimization. This
includes setting up proper issue units of measure and procedure codes for all items. What should be
basic billing, issuing, and charging procedures for consignment items, instrumentation that is reusable,
and the updates of the ORM item, instrument and equipment dictionaries is often misunderstood and
over complicated. Also, let’s make the preference card useable, simple to read, and efficient to control
resources and reorders. Here's your chance to understand the tricks, prioritize your time and efficiently
build / optimize ORM.

Brad Tate is a CTG consulting professional with over 15 years of experience in the health care
information technology, and more than 30 in Materials Management, Operating Room and Central
Sterile leadership and management. Brad has consulted internationally on MEDITECH and PICIC Surgical
Systems, including advanced topics for specialty areas such as Cath Lab and Endoscopy. Brad is a veteran
presenter at MUSE International.

377 – The Road to HIE – Integrating HIS, HIE, EHR & Portal
Presenter: Sheri Giangregorio and Willa Roberts

Abstract: Health Information Exchange is a "hot topic" around the country. The state-‐wide HIEs are
evolving but are taking a long time to achieve dynamic interoperability. This has spawned efforts in
community-‐wide exchanges with the goal of having close and dynamic interoperability for referrals,
orders, results, and CCDs. It is important that these groups 1) create a process that can connect to the
state-‐wide HIE, 2) understand what is going on in the HIE marketplace and 3) learn from what others
have done. In planning community HIEs it is essential to understand the integration and interoperability
between the HIS, HIE, ambulatory EHR and portal.

This presentation will provide a look at:
• Design and Integration challenges
• Lessons learned
• Setting realistic goals
• Important Considerations when looking at HIE Vendors

Sheri Giangregorio, Consultant, has worked as an implementation consultant, support analyst, and
project manager on both ambulatory and hospital systems; and has experience working with HIE and
EHR vendors.

Willa Roberts, Manager, has worked in the healthcare industry for over 20 years. She has in-‐depth
experience in implementation, support and project management; as well experience with integration
between hospitals and physician EHR systems.

378 – Moving Forward with MEDITECH 6.0
Presenter: Traci Creegan (via webcast)
Organization: MEDITECH

Abstract: This presentation will review the current progress of MEDITECH's 6.0 release, show highlights
within 6.0, and illustrate how your organization can move forward with 6.0. Learn how MEDITECH's 6.0
release can assist your organization in achieving their strategic goals. The presentation will also show
highlights of what is coming in the 6.1 release.

Traci Creegan, Senior Supervisor Marketing Support, MEDITECH

379 – Meaningful Use is Here and Now – Latest Updates From MEDITECH
Presenter: Barbara Hobbs (via webcast)
Organization: MEDITECH

Abstract: ARRA HITECH and Meaningful Use is upon us all. This presentation
will provide an overview of the latest Meaningful Use updates, a glance at
Stage 2 and specific solutions and offerings that MEDITECH recommends.

Agenda:
• Update on Stage 1
• Tools and Strategies to Achieve Meaningful Use
• Interoperability Standards Connect Your Community
• Reporting Requirements for Meaningful Use
• Looking Ahead -‐ Stage 2 and 3

Barbara Hobbs is the Manager of Electronic Health Records (EHR) and Federal Initiatives for MEDITECH.
She is responsible for overseeing all federal initiatives, standardization, and certification requirements
which impact MEDITECH and its customers. In addition to analyzing the emerging health care industry
standards and regulatory requirements, Ms. Hobbs also collaborates with many key industry
organizations, including the HIMSS EHR Vendor Association, HIMSS Government Relations Special
Interest Group, HL7 EHR Workgroups, IHE Patient Care Coordination, and e-‐Health Connecting
Communities.

Ms. Hobbs has over 25 years of health care experience in various clinical and management settings.
During her thirteen-‐year tenure at MEDITECH, she has implemented many clinical applications including
Nursing, Order Entry, Electronic Medical Records, Electronic Medication Administration Record, and
Computerized Physician Order Entry. Ms. Hobbs also developed the first physician-‐focused
implementation for Patient Care Inquiry, and she was the supervisor for the Physician Care Manager
Suite of products. As the MEDITECH EHR Initiatives group continues to develop and expand globally, Ms.
Hobbs works closely with all divisions across the company to ensure that MEDITECH continues to meet
future demands for interoperability, standardization, and certification requirements. Ms. Hobbs holds a
degree in Medical Sciences and is also a Respiratory Therapist.

380 – Operational Recovery and Disaster Recovery for the Paperless Hospital with IT-‐
dependent Clinical Workflows
Presenter: John Ebel

Abstract: With nurses and physicians depending on Healthcare Information Technology (HCIT) for
prescribing, ordering, reporting, diagnosing, and ensuring patient safety and privacy, IT systems
reliability and availability is once again a top priority for healthcare IT executives. Join our panel of
subject matter experts in presenting and discussing “Healthcare Operational Continuance 3.0” and the
advanced technologies and architectures behind it including ISB Version 4 with Synchronous Mirror
Control, a third-‐party Site Recovery Manager, and the enhanced replication technologies emerging from
the storage industry at every tier. In this presentation, we will explore the new look of back-‐up and
recovery for in your in-‐house data center (internal private cloud) as well as discuss evolving technologies
that allow the external private cloud to offer dramatically improved Recovery Time Objectives (RTO’s)
and Recovery Point Objectives (RPO’s) in a less capital-‐intensive IT business model.

John Ebel, Senior Manager, Dell Services, manages the team responsible for Dell MEDITECH Solutions
Group’s product strategy, development and management. John is directly responsible for the definition
and rollout of data management solutions for MEDITECH hospitals. These solutions focus on data
protection, security, archival, and Healthcare Operational Continuance. John has spent the last 25 years
providing technology solutions for healthcare, and his professional background includes business
development, product management, and direct sales at technology start-‐ups as well as large enterprises
such as IBM and Sybase.

381 – The Evolution of the Virtual Clinical Desktop
Presenters: James J. Fitzgerald and Scott Plater

Abstract: Healthcare and business computer “desktops” are undergoing a period of rapid change as
consumer-‐driven choice of access devices complicates the secure support of the healthcare desktop
while enabling more ubiquitous access. Suspended between the present reality of “fat clients” and a
future reality of “everything-‐to-‐the-‐web” is the era of the virtual desktop, which will act as a bridge
between today’s hybrid environments and future cloud-‐centric architectures. Join us for a review of the
present state of the clinical desktop, a glimpse at the future state, and a carefully considered roadmap
of the space in between. Included will be a thoughtful discussion of what virtual desktop technology can
and cannot do, customers’ real-‐life experiences implementing virtual desktops with and without SSO,
session persistence, thin clients, mobile internet devices, and more.

James J. Fitzgerald is the Chief Technology Officer, MEDITECH Solutions Group within Dell Services. In a
25+ year career he has held staff and executive roles in sales, marketing, and product management in
various companies. Jim was product manager of Microcom’s ground-‐breaking AX and HDMS series error-‐
correcting network modems, which paved the way for the early days of dial-‐up Internet service.

Since 2001, Jim has served as CTO of the MEDITECH Solutions Group (formerly JJWild) which was
acquired by Perot Systems Corporation in 2007. Jim has been an integral part of the network, systems,
and storage technology design team for over 400 hospitals using the MEDITECH Healthcare Information
System, and has envisioned and shepherded the creation of a solutions portfolio. Jim’s current focus is on
expanding the benefits of virtualized servers, clients, and networks to the healthcare community and
working with his colleagues at MEDITECH to drive towards zero downtime healthcare information
systems.

Scott Plater, Sr. Product Manager, MEDITECH Solutions Group, Dell Services manages the MEDITECH
Solutions Group’s “Mobile Clinical Computing for MEDITCH” offering. Scott is directly responsible for the
design and rollout of virtualized desktop solutions for MEDITECH hospitals. These solutions focus on
enhanced clinical access, data protection, and manageability of the desktop. Scott has spent the last five
years providing technology solutions for healthcare, and his professional background includes 10+ years
in I.T. related roles.

382 – Forging a New Path – Large Market Software Enterprise Medical Record
Presenter: Neil Currie

Abstract: Can large scale conversion of clinical data be accomplished successfully with clinical
acceptance? The MEDITECH Health Care information system (HCIS) is the integrated platform utilized in
the rural and regional hospitals, community, and extended care settings throughout a large multi-‐site
health system in western Canada. The MEDITECH EMR has also been integrated into a provincial viewer
giving easy access to clinical information by physicians anywhere in the province.

The health system has seven HCIS’s sharing a single Enterprise Medical Record (EMR). The EMR
architecture is designed around a single server and transaction queue. As large health systems rely more
heavily on the EMR it is becoming apparent that the current architecture is not adequate and
performance bottlenecks are beginning to appear. The limitation in the EMR system is has the potential
to impact the provision of care and clinical decision. To address these concerns, MEDITECH has
developed a new database architecture design called Large Market Software (LMS) which allows for
scalability and future growth for large scale implementations.

The aim of this presentation is to share the experiences of implementing the MEDITECH Large Market
(LM) system and provide some insight into the things that worked and lessons learned. The most
significant challenge in implementing the LM EMR system is converting the clinical data in the EMR
without disrupting clinical users and ensuring you have a new EMR system that the clinicians have
confidence in. The presentation will share how the health system implemented the LM and tackled the
challenge of converting a very large set of clinical data and the strategy of validating this clinical data.
This is the first instance of implementing the

LMS and the conversion of large scale clinical data has never been done in the MEDITECH environment.
The presentation will include the following:
• Reason for Implementing the LMS EMR -‐ Objectives
• Scope of the conversion to LMS EMR
• Gaining clinical buy-‐in and support
• Project Governance
• EMR Data Conversion
o Considerations for converting large scale clinical data
o Risk Management
o The MEDITECH partnership in designing the technical architecture to convert ‘LIVE’
clinical data.
o Issues resolution
• Validation & Testing Strategy
o Testing Team Structure – clinical involvement
o Parallel Operating Mode
o Random Sampling Strategy
• Transition to LM mode & Acceptance
• Strategy for migrating LIVE users to LM EMR
• Lessons Learned and pitfalls to avoid

Neil Currie is a solutions-‐oriented Information Technology Executive with 28 years of experience. Neil has
23 years as a senior health informatics officer with a track record of innovation and results, leading
technology management strategies for large complex health service delivery enterprises with challenging
computing, communications, and clinical decision support needs. Most recently Neil has been working
with the MEDITECH Solutions Group within Dell Services as a Principal Consultant providing Senior Health
IT consulting services for the MEDITECH community.

383 – Client Server 5.64 Physician Documentation and Medication Ordering in the ED – Build
Strategies to Think About
Presenters: Jamie Powell and Raymond Fernandez

Abstract: This presentation will discuss design strategies to integrate physician documentation with
other EDM routines. In addition, it will compare several design templates and integration with Voice
Recognition Software. Physician Medication Ordering in the ED also presents challenges. This
presentation will also review key pharmacy dictionaries and strategies to address these challenges.

This presentation is ideal for those who will be implementing physician documentation and physician
medication ordering in the Emergency Department.

Jamie Powell, RN, BSN received his Bachelor’s Degree in Nursing at the University of Delaware and
Business of Nursing Certification at Johns Hopkins School of Nursing. He's been instrumental in managing
implementations and supporting clinical healthcare informatics applications including EDM, OE/POM,
PCS and RXM. His most recent engagements have included Advance Clinical implementations including
Physician Documentation, Emergency Department Module and POM. Development and administration
of content management systems, web applications, and computer based training and resource tools
rounds out his technology expertise. Mr. Powell’s clinical experience includes Pediatric Emergency
Department, Oncology and Rehabilitation Nurse at a Children’s Hospital and as a nurse in an adult NIH-‐
funded research department at Johns Hopkins Hospital. He's a father of two beautiful daughters. He
enjoys photography, traveling and new technologies.

Raymond Fernandez, Senior Applications Analyst, has more than 20 years of healthcare experience
including 15 years in hospital pharmacy and seven years in information technology. He has experience
with MEDITECH clinical and ancillary modules, with his prime focus on the pharmacy application. He has
experience with MEDITECH Magic, Client Server and 6.0 platforms, including the use of Corporate
Management System (CMS) and has implemented pharmacy from single hospital to multiple hospital
HCISs. He has experience in all aspects of implementation, conversion and upgrade including
development and design, testing, training, creation of user manuals and training documents and
interfaces with third-‐party software. Prior to joining Dearborn Advisors, Raymond worked as an
Application Specialist in a health care information consulting firm, as a Lead Application Specialist with a
multi-‐facility health care system with 20+ hospitals in three states, an Clinical Application Information
Specialist for a single hospital facility and as a pharmacy technician for several hospitals.

384 – Getting Real, Stepping Back and Objectively Gauging your Organization’s Readiness for
the Advanced Clinical Applications
Presenters: Michael Preston and Corrin deRoon,

Abstract: Is your organization really ready to take the next step forward? How prepared is your
organization’s executive leadership, clinical and physician leadership and Information Systems to
commit to the clinical and IT initiatives required to achieve success?

Based on experience, this presentation will review the steps needed to evaluate your organization –
from an organizational, cultural, leadership, process and technology perspective – to identify gaps and
risks that need to be addressed to reduce the rate of failure and increase the likelihood of success. The
benefits of a readiness assessment include increased utilization and adoption of technology among
clinicians and improved patient safety and quality.
This presentation will concentrate on:
• Physician engagement and communication
• Clinical department involvement, ownership and accountability
• Information Systems technical and project management skills
• Executive leadership’s message, follow-‐through and commitment to adequate resourcing

This presentation is ideal for those who will be implementing MEDITECH’s advanced clinical system or
embarking on any other clinical IT initiative whose success depends upon clinical involvement and
ownership.

Michael Preston has more than 15 years of experience in the implementation, sales and project
management of healthcare information systems. He has experience both managing and implementing
Magic, Client Server and 6.0 platforms with emphasis on multiple facility systems utilizing Corporate
Management Software. In addition, Michael has experience with interfaces, conversions and testing and
training. Prior to joining Dearborn Advisors, Michael worked for and ran the MEDITECH consulting
practice for a large national consultancy. In addition, Michael has worked for a major software vendor
implementing, servicing and selling software.

Corrin deRoon, RN, has more than 40 years of experience in healthcare. For the past 12 years, Corrin has
been a consultant and worked with organizations in the implementation and optimization of the clinical
applications, with a strong focus on PCS, OM, PHA/RXM, PCM and EDM. Beyond her work with
implementations, Corrin has assisted organizations in understanding the transformation they must
undergo in order to move beyond the successful implementation of these applications to adoption.

385 -‐ Revisiting Network Infrastructure in the Cloud Era
Presenter: Holly Simione

Abstract: The healthcare community relies on LAN, WAN, WLAN, and MAN infrastructure to connect
providers and administrators to vital information in real time. The network is the fabric which connects
everything: people to systems, systems to other systems, and ultimately people to people. Demands
have grown rapidly in the last decade from exploding growth in remote access, to wireless point-‐of-‐care
applications, to voice/video convergence, to massive imaging studies, to iSCSI, and more recently to
Converged Enhanced Ethernet (SAN Access) over 10GbE. Healthcare information technologists are
sensitized to the availability and performance requirements of "healthcare-‐grade networking", but
demands on budget for dramatic storage expansions, disaster recovery needs, and initial investments in
virtualization often compete fiercely with even scheduled, routine upgrades of edge and core switches,
routers, and firewalls.

Join us to "take a step back" and take a fresh look at your network and its needs. Can CEE save you both
capital and long-‐term operating costs? Does it still make sense to buy the fastest, most feature-‐rich
networking technology your budget allows or is some of the software differentiation inherent in
yesterday's switches moving into the hypervisor? How do you position yourself to securely access the
cloud and participate in regional and national HIE's? How will you handle unprecedented growth in
hospital owned wireless devices as well as increasing connections from consumer and employee-‐owned
devices like smartphones and tablets? Bring your thoughts and ideas to a lively, vendor-‐neutral
exchange on the current state of the art in healthcare networking, and walk away with some strong
ideas for enhancing the performance, availability, and sustainability of your healthcare network
infrastructure.

Holly Simione, Senior Product Manager, Dell Services is responsible for the Networking and Security
practice, it solutions and services, for MEDITECH hospitals. This solutions Holly focuses on are custom
designed, cutting edge network and security offerings that provide customers with best of breed
solutions to support their MEDITECH system as well as their entire enterprise. Holly has over 22 years of
experience in Healthcare IT designing and implementing application software focused on various medical
specialties including; Emergency Medicine, Primary Care, Radiology, Ophthalmology, and Pathology.

386 – Interoperability – Are You Ready?
Presenter: Ken Hoffman

Abstract: Does your facility have an interoperability strategic plan? Attend this educational session to
learn more about what interoperability means to you. We will discuss how interoperability may be
impacted by:
• HITECH Act/American Recovery and Reinvestment Act (ARRA)
• Codification/Standards/HL7/Clinical Document Architecture (CDA)/Continuity of Care Document
(CCD)
• The U.S. Electronic Medical Record (EMR) Adoption Model (Stages 1-‐7)
• Health Information Exchange (HIE)/Electronic Master Patient Index (EMPI)/Personal Health
Records (PHR) and Insuring Privacy/Security Protection

Ken Hoffman has worked as a healthcare IT professional for over 16 years and is well known for his
ability to effectively integrate systems. He actively seeks to use proven technology, industry standards
and strategies to achieve client goals. Ken spent six years working in hospital IT, where he gained his
technical and application experience. He has extensive knowledge of clinical, administrative and
financial processes. This understanding together with his technical expertise allow Ken to effectively
consult with staff from every facet of healthcare -‐ from clinicians to IS staff to senior management -‐ on
the benefits that can be realized by integrating previously "stand-‐alone" software solutions into
hospitals' HIS systems. Ken received his formal education in programming and technical design from
Northern Illinois University and spent seven years supporting the US Navy SEAL Teams where he received
training on team building.

Theme: Country MUSE-‐ic Awards

Categories include:
• New EHR Artist of the Year
• Single Application of the Year
• Clinical Entertainer of the Year
• Most “Meaningful” MUSE-‐ical Event of the Year

Nominees are:

387A – Clinical Review, Sweet Music to a Physician’s Eyes
Presenters: Jay Niehaus and Debra Jahn
Organization: Inland Northwest Health Services, Spokane, Washington

Abstract: MEDITECH's newest sensation has taken the country by storm. Clinical Review is a terrific new
updated cover of that old favorite PCI. We have played this song many times and find it a remarkable
launching pad to introduce physicians to EMR entry. We would like to share what we have learned with
you about how to get this new favorite out there and get your clinical staff on board. With the right
planning and execution, this one will reach the top of the charts!

387B – Physician Documentation, How to Score a Hit For Your EHR
Presenters: Jay Niehaus and Debra Jahn

Abstract: For all the medical staff that are saddle sore, tired of squatting on their spurs and plumb
tuckered out from reading all the handwriting on paper, this new MEDITECH PDOC release is for you. A
vibrant documentation melody is matched with driving electronic instruments, a clever set of medical
lyrics and an impassioned programming performance making it the best nominee and a sure bet for the
2011 Country MUSE-‐ic Awards. Come listen to this successful duet for a performance filled with
physician adoption songs, implementation strategy music and helpful tips picked up from 20+ previous
implementations. All together these tunes should help you get this electronic record happily playing
back at your home corral!

387C – Computerized Physician Order Entry (CPOE), Getting the Group to Play in Harmony
Presenter: Marcia Cheadle

Abstract: The Wild West hasn’t seen a phenomenon like CPOE since Physician Documentation showed
up in MEDITECH. What a stunning debut, featuring the most infectious aspects of a Doctors signature
style. Placing orders on paper wasn’t worth a plugged nickel, but now, Computerized Provider Order
Entry is peaking at number one on the billboard charts. Emerging astonishingly fast as the new king of
ordering, CPOE’s climb can largely be attributed to boot scootin’ electronic ordering which has touched
millions of fans. So let’s all tip the brim of our 10 gallon hats to our Physicians currently using CPOE and
get those “horse of another color” Doctors on board. Set your promising artistic Doctors free from
paper and learn how they can put on their Sunday-‐Go-‐To-‐Meetin' outfits and knock ‘em flatter than a
pancake by learning CPOE.

387D – Meaningful Use Gap Analysis and Planning – Engineering a Hit – Wow!
Presenters: Marcia Cheadle and Cheyenne Thomas

Abstract: What a crazy yearlong MUSE-‐ical event this has been. Back from
a successful tour of rural Washington State, INHS presents Dolly and Reba
ready to debut their latest smash hit: Meaningful Use Gap Analysis and Strategic Planning with
MEDITECH or better known as, the minimalist approach to get the win. Like any great country hit, this
song has it all, the heartbreak of quality measures, the excitement of meeting your goals, and finally the
happy ending with successful attestation! They will also be giving a little sneak peak of the sequel to this
song: Stage 2, Here We Go Again.

Marcia D. Cheadle, RN, is the Director of Advanced Clinical Applications for Inland Northwest Health
Services (INHS). Ms. Cheadle is responsible for the implementation of MEDITECH’s Advanced Clinical
Applications for over 23 facilities. She oversees the design of a multidisciplinary program strategy
ensuring successful execution and adoption. She has directed implementations including MEDITECH
Nursing Program, Emergency Department Management, Physician Computerized Order Entry, V2 MIS
Allergy Conversion, Ambulatory Order Management/Medication Reconciliation, Physician
Documentation and Bedside Medication Verification programs. Over the past 24 months, Ms. Cheadle
has orchestrated facility-‐wide Physician Computerized Order Entry, utilizing Zynx Evidenced-‐Based Care
Orders at seven facilities while designing strategies for Physician Documentation, implementing at 15
facilities with over 550 physicians documenting electronic daily progress notes, H&Ps and Discharge
Summaries. A champion of facility and provider involvement, her implementation designs work within
the culture and characteristics of an organization developing a plan that aligns multidisciplinary
clinicians, informatics staff and executives. In addition, Ms. Cheadle facilitates planning activities for
large project initiatives within healthcare organizations interested in preparing for “Meaningful Use”
leading to Accountable Care Organization status. Ms. Cheadle maintains her commitment to the nursing
profession by continuing an active bedside care practice at a local Emergency Department.

Jay Niehaus is an analyst on the Advanced Clinical Applications Team for Inland Northwest Health
Services (INHS). Mr. Niehaus is one of the team members responsible for implementation of MEDITECH’s
Clinical Review and Provider Documentation (PDOC) Applications in conjunction with Project Managers
for 9 facilities. Over the past 18 months, Mr. Niehaus has been on the front line with the facility-‐wide
Physician Documentation project: researching, designing, implementing templates and training at these
facilities working with over 260 physicians. These physicians are currently documenting approximately
7,000 electronic daily progress notes per month. Mr. Niehaus maintains a close relationship with the
physicians, HIM staff and MEDITECH to ensuring maximum participation and compliance.

Debra Jahn is a senior analyst on the Advanced Clinical Applications Team for Inland Northwest Health
Services (INHS). Ms. Jahn has 20 years of experience in close partnership with MEDITECH and project
management teams for the successful implementation numerous applications. She works closely with
multiple facilities interfacing with physicians, nurses and ancillary staff to develop and ensure a standard
methodology in construction of screens and templates. MEDITECH applications include the PCM suite,
with CPOE, Clinical Review, Provider Documentation (PDOC) and EDM/POM for several facilities. Ms.
Jahn also coordinates with nursing staff for the implementation of electronic Medication verification
application.

Cheyenne Thomas has been with Inland Northwest Health Services for seven years and is currently in the
role of Regional Accounts Manager. In this capacity a large part of her duties involve regulatory research
and education for 20+ sites in the Northwest. Her most recent role has been focused on helping these
facilities understand and achieve meaningful use. As part of the INHS meaningful use task force, she has
attended most of the ONC workgroup meetings, been responsible to read and educate the group on all
related regulations, hold educational sessions for all INHS associated facilities, create gap analysis and
monthly report card documents, and work with facilities in regular meetings to monitor their progress
towards meeting meaningful use and help to adjust strategies where necessary. Cheyenne has also been
a regular contributor to the MUSE Meaningful Use web site. Mrs. Thomas has previously managed
business office staff and functions for both large urban and small rural facilities. She has been in
healthcare for 16+ years.

388 – Healthcare’s Perfect Storm: Can Your Organization Weather the Changes? (ACOs, ICD-‐
10 and Meaningful Use)
Presenter: Bob Witkop, Kathy Kane and Carl Ferguson

Abstract: The combination of the Patient Protection and Affordable Care Act (PPACA), and American
Recovery and Reinvestment Act (ARRA) reinforced the need to embrace a patient centric healthcare
delivery system that is more accountable, quality-‐oriented and cost-‐effective. This requires a shared
responsibility for coordination of care. Healthcare organizations are now focused on implementing
core pieces of technology that will enable them to meet Meaningful Use, ICD-‐10 and ACO milestones
over the next four years. With the push for meaningful use and accountable care, understanding and
measuring care delivery costs and outcomes becomes mission-‐critical. Explore how IT organizations are
supporting these independent, but related initiatives.

Bob Witkop is currently a Delivery Manger with CTGHS and has over 14 years of Healthcare Experience in
Project Management, Revenue Cycle Management.

Kathy Kane is a Delivery Director and a veteran of 25 years in Healthcare, consulting, project and
program management.

Carl Ferguson is a Managing Director at CTG and is an industry leading expert with 25+ year veteran of
strategic, revenue cycle consulting and business development.

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Commercial Member Educational Presentations

348 – Scanning and Archiving and 6.0

355 – Managing Medication Orders in a CPOE World

362 – Operational Excellence in the MEDITECH Hospital

367 – Registration: The Foundation of Hospital Business

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