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I've had some experience, way back when MEDITECH first introduced NPR CWS. I think the bottom line to make it work is ORGANIZATIONAL buy-in and commitment, and I mean from the CEO level. Then, it's a matter of teamwork and cooperation. Name calling (and referencing 'some clerk in an office somewhere' is name calling also, when it's touted that only the professional knows what's going on) and pointing fingers are SURE to make any CS project fail.
CWS is one of the most difficult implementations, and it's simply because it crosses so many boundaries that this industry has created over the years - Department boundaries as well as professional ones. The opportunities for understanding how a system/process truly works and can be optimized can be a personally and professionally rewarding one for anyone who undertakes such a task. The efficiencies and cost-savings are the goal of such a project, the knowledge gained is icing on the cake. Just my 2 cents.
Alan R. Baillargeon RN, BSN
Senior Clinical Analyst
Information Systems
(410) 620-3464
Pager (410) 378-0171
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| "Jim Sehloff"
<[EMAIL PROTECTED]>
Sent by: [EMAIL PROTECTED] 04/27/2006 09:19 AM |
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And the reality of the change is that no FTE really goes away, they are
just used more efficiently. When we moved to central scheduling more
than 10 years ago, no one lost their job, they were just able to do it
more efficiently. I don't even think that departments lost that
fractional FTE. Central scheduling is truly a no-brainer. Now, if I
could just convince my clinics that we need a centralized clinic billing
office in stead of each having their own little fiefdom...
Jim Sehloff
M.S. MT(ASCP)
Information Security Analyst
MUSE Central Region Chair-elect
Holy Family Memorial Medical Center
Manitowoc, WI 54221-1450
920-320-2799
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of JOHN HUGHES
Sent: Wednesday, April 26, 2006 2:31 PM
To: Mary Rozenboom; Cornwell, Patricia; Randy Hart; Meditech-L List
(E-mail)
Subject: RE: [MEDITECH-L] Centralized Scheduling
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i can't help but laugh as each dept. gets freaked out at the concept of
centralized scheduling. "oh no! i'll lose my .75fte."
from a purely business perspective it's a no brainer done deal; just
getting the passive-aggressives to get used to it is where most folks
are at. surgery seems to be the toughest egg to crack...$$$.
reminds me of nurses (and administration) balking at the concept of
workstations in the patient rooms or just moving to nursing documenting
on the computer at all...
as always we in healthcare change albeit painfully & slowly.
take care all.
john
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Mary Rozenboom
Sent: Tuesday, April 25, 2006 5:54 PM
To: Cornwell, Patricia; Randy Hart; Meditech-L List (E-mail)
Subject: RE: [MEDITECH-L] Centralized Scheduling
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I totally agree with Pat on Rehabilitation Services, from start to
finish of her paragraph it is identical here in our Rehab Department.
Recurring patients, changes in patients schedule, and Staffing schedules
as well as Staff specializing in certain areas Vertigo, Women's Health,
Orthotics, TMJ..etc. The scheduler in the Rehab Department knows her
people, and their specialties.
Mary Rozenboom, Rehab
Pella Regional Health Center
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Cornwell, Patricia
Sent: Tuesday, April 25, 2006 7:59 AM
To: Randy Hart; Meditech-L List (E-mail)
Subject: RE: [MEDITECH-L] Centralized Scheduling
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Speaking for Rehabilitation Services, I definitely feel that we are
better off being decentralized. We are using CWS, it is our third
scheduling system. We schedule for about 80 physical, occupational and
speech therapists who provide inpatient, outpatient and Home Health
services at two facilities. Our KEY resource in scheduling is staff,
rather than machines and/or rooms. We are constantly changing
availabilities for vacations, sick time, meetings, etc. Since most of
our patients are seen 2 - 3 x / week for 4 - 6 weeks, they are
constantly making changes for their appointments. It is very important
for the data to be up to date so we don't double book. Quite often, a
supervisor needs to be consulted during a scheduling process. This
would be for unusual problems (diagnoses) or a physician calling to get
someone in "now." I cannot imagine relying on Central Scheduling.
Pat Cornwell
Director of Rehab Services
Palos Community Hospital
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Randy Hart
Sent: Monday, April 24, 2006 1:47 PM
To: Meditech-L List (E-mail)
Subject: [MEDITECH-L] Centralized Scheduling
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Anyone willing to share information pertaining to their implementing a
Centralized Scheduling Department. What are the pros and cons? Has it
worked? Was it received well by Medical Staff? What departments do you
schedule for? Any information would be appreciated. We are
definitely going forward with this endeavor. We presently use CWS, MSM
but everything is decentrailzed. Multiple departments scheduling their
own.
Randy Hart, System Support Analyst
Duncan Regional Hospital
Duncan, OK 73533
Ph: (580)251-8939
Fx: (580)251-8953
[EMAIL PROTECTED]
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