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I totally agree with Brian...we have been using LSS PBR billing since
June of 2003 very successfully.  We have had great support from them on
the billing piece.  We have just implemented the MPM (EAR) suite in our
14th clinic.  It can be done, it is not easy I will admit that, but the
more you work with LSS and the better you test scenarios before you call
them or issue a problem, the better off you will be.  We implemented 13
of our clinics on CS 5.4.2, stopped and took an update to CS 5.5.2, did
training on the update for our up and running clinics, then jumped right
in and brought up our 14th clinic on 5.5.2.  We have two more clinics to
go.  For the most part we have been happy with our support from LSS.  We
had a wonderful LSS implementation team and we have in my opinion the
best support person at LSS.  

My suggestion is to prioritize your issues for your LSS support person
so they know what the most important issues for you are.  Have a
conference call once a week if you are having lots of issues, or feel
like you aren't getting your issues worked fast enough.  Don't be afraid
to escalate your issues with at supervisor either. Escalating an issue
isn't looked at as complaining, it is just the process to use when you
need additional help from your support person.


Tricia K. Pyle
Clinic IS Specialist 
MPM,PBR,ARM,EAR,PWM,AOM,CWS
Citizens Memorial Healthcare
417.326.3014
[EMAIL PROTECTED]

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Brian Nelligan
Sent: Wednesday, July 26, 2006 9:31 AM
To: Cynthia Pardi; [email protected]; [EMAIL PROTECTED];
[EMAIL PROTECTED]
Subject: RE: [MEDITECH-L] THE LSS/MEDITECH MPM SUITE

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I have been away from the LSS product now for just over a year.  I
helped implement it in multiple sites within the Interior Health
Authority in British Columbia, Canada.  There were some issues to deal
with because BC has different billing scenarios that most US sites and
even other Canadian provinces.  We lost our initial LSS rep but got a
good one to replace her.  I believe the issues that arise from
implementing LSS are that you need to update your facility's version of
Meditech every time there is a big change because LSS will not backdate
programming (under Meditech's request so I was told), plus it just does
not seem to work well in the Meditech Magic environment.  I believe to
implement LSS you need 2 types of people.  One for sure is a person who
knows how your processes work, this is key so they can explain in detail
and depth how LSS needs to make the program work.  When we went for
training in Minneapolis we had our people sitting down with their
programmers.  The other is a good analyst that can see the overall
picture, how Meditech works and how the processes will work in them.  I
believe we had such a team (then I left, just kidding they are a great
team).  It can be implemented successfully but you really need to put
the right people together.

As it happens, I am off to Ireland to implement Meditech at a new
hospital in Dublin, but I will sure watch out for people talking about
LSS because I honestly feel it will grow as long as they, Meditech and
implementation sites take the time to listen to each other.

Thanks
------------------------------------
Brian Nelligan
Clinical Application Analyst 
Information Management and Technology Services 
Palliser Health Region 
666 - 5th Street SW 
Medicine Hat, AB T1A 4H6 
Ph: 403-502-8648 ext. 1371 
Fax: 403-529-8926
"This email is intended for the use of the recipient to which is
addressed and may contain confidential information. Please contact us
immediately if you are not the intended recipient of this email. Any
communication received in error should subsequently be
deleted/destroyed."




-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Cynthia Pardi
Sent: Tuesday, July 25, 2006 3:42 PM
To: [email protected]; [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: RE: [MEDITECH-L] THE LSS/MEDITECH MPM SUITE

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We are a CS site, and have been LIVE with the MPM clinical suite for 2
years.  Currently, we are 5.3 SR6, going to 5.5SR2 in August. We are not
using the encounter documentation, but we are using everything else.  We
do messaging, electronic signing of progress notes, full ordering of
Lab, and xray,  which is going to the hospital.  The physicians also
receive the results on their PWM worklist, and use the clinical letter
function to notify the patient.  The physicans order all medications via
RXM, and are required to perform a Medication reconciliation and
medication review with every patient visit. .  The problems that we have
encountered have dealt with the formulary upload, and the RXM drug
dictionary.  After 1 year of testing and working with Meditech and RXM,
we finally decided to use the hospital formualry.  It seems to be
working fine now, as our pharamcists are willing to enter drugs into the
hospital pharmacy as requested by the clinic physicians.  We have
suffered frrom the lack of documentation, but recently we have been
assigned a LSS representative, Jen Miller, who is superb. She
understands problems, duplicates, tests, and communicates both with us,
and with Meditech.

Other  problems that we have had, and somethimes still have, is that
the responsibility line is often blurred.  Sometimes its Meditech
issues, and sometimes its LSS issues.  The Meditech folks seem unable to
figure out how the two systems interact. LSS appears to do better at
this.   For example, ordering labs, and recieving results.  For the most
part, LSS, (Jen)  has been able to move our concerns and issues
forward.

Maybe you all should request new LSS representatives!


Cynthia Pardi RN BSN
ACS @ MPTF
818-876-1474

>>> <[EMAIL PROTECTED]> 07/25/06 06:02AM >>>
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We are trying to go Live with ordering and messaging in August and are
having the same problems you describe.  I can't believe how long it
takes them to just understand what a problem is - no matter how much
detail and step by step instructions to re-produce we provide - they
only read the last line of the task and invariably respond that that's
the way it works.
We have been trying to 'bump' up the issues with Meditech and make
them
aware of 'what kind of a company' they have partnered up with, in
addition to complaining to higher up at LSS.
Marge Usher
Clinical Systems Manager
The New York Eye & Ear Infirmary
310 E 14th Street
New York, NY 10003
212-979-4134
[EMAIL PROTECTED] 


-----Original Message-----
From: [EMAIL PROTECTED] 
[mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] 
Sent: Monday, July 24, 2006 6:41 AM
To: [email protected] 
Subject: [MEDITECH-L] THE LSS/MEDITECH MPM SUITE

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For MPM Suite users:
 
We have been struggling with the implementation of the LSS/Meditech
MPM
suite for over a year. We have committed, computer-savy physicians and
staff working with the IT dept to implement this software.  Our
facility
has been a Meditech and LSS Billing customer since 1996.  We have
never
experienced this level of difficulty with any other implementation!. 
We went "live"  with part of the MPM suite last fall ( patient
histories, allergies, visit text, task routing/messaging, and
prescription ordering) but we frequently discover new software bugs
and
missing functionality. We are piloting lab ordering with a few
physicians after working for months to get the software configured and
tested. The LSS staff lacks knowledge about configuration, parameters,
etc. We are required to use many work arounds to get accurate and
reliable results from the software, which make many of our processes
much LESS efficient.  We feel we have paid full price for a beta
product. 
Much of the functionality promised when we purchased the product,
didn't
even exist.  We are a MAGIC site (5.5 SR2).
 
Here are some of our experiences:
-Many many bugs in the software that LSS is unable to resolve in a
timely manner, some sit for months. 
-There is a serious issue with lack of support or response to many
problems. Sometimes it can take forever for Meditech/LSS to
understand,
resolve, or address issues.
-No Dedicated Support when primary support is traveling.
-There is a lack of knowledge in LSS/Meditech support staff to assist
with setup or configuration with our MPM applications.
-Apparently there is no documentation for any process flows,
integration
between modules, or configuration and setup steps. Some examples are
the
Order flow from RXM to OE to LAB and how it uses ADM, the formulary
load
process, the flow of Visit Text from EAR to PCI via OE.  
-Ongoing, unresolved critical issues for months after going live where
the problem did not exist in TEST.
-Weekly conference calls with LSS/Meditech regarding issues with
little
resulting visible progress.
-We have discontinued paying support on this product, and are
evaluating
at what point we stop implementation and look for another solution.
 
We have spoken to a few other Magic MPM sites who have confirmed they
are having similar issues with LSS; it appears the client/server
version
is a little cleaner.  We have seen some improvement recently on the
Meditech support side, but continue to be disappointed with LSS's lack
of performance. 
 
I would like to encourage you to provide feedback to make LSS and
Meditech fully aware of the depth and extent of this problem, and to
encourage them to take some drastic steps to resolve this before they
lose major ground in their clinic software venture. They have the
potential to have a great product if only they could devote the
resources to make it work effectively. 
 
**If you do not have these types of issues with the MPM suite, and
have
full clinic documentation and ordering online, I would really be
interested in hearing from you also.
LSS tells us you're out there but they have been unable to provide any
contacts. 
 
Marjorie Tell
Vice President of Information Technology Riverview Hospital
Association
P.O. Box 8080, 410 Dewey St.
Wisconsin Rapids, WI 54495-8080
715-424-8574
 
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