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Marjorie, 

Thanks for the nice reply.  

We are ordering/resulting labs successfully.  We order in-clinic labs
and we order labs that are to be processed by our hospital lab.  We also
result our in-clinic labs directly into the lab module so that the
in-clinic labs are available in the EMR side by side with all other labs
for providers to see in the ED or inpatient areas.

We are currently not using Health Maintenance yet.  We have LSS looking
into a mass load of the HM/DM items by dx.  Apparently this was original
functionality that was scrapped, we certainly don't want our nurses to
have to pull in the HM/DM items manually on each patient so we are
holding off to see what LSS will do for us with an auto-load.

Encounter Content screens--we call Templates--we have been using these
from the time of our first go live in March of 2005.  When we started
out we did not have any standard screens available to us so we have
many, many custom screens that we put together ourselves.

We do interface with the Rad and Lab via AOM to OE to CWS.  We have had
the CWS to OE link going since December of 2002.  When we brought up the
MPM suite, we added the AOM factor to it.  This seems to be working
pretty well for us.  We have been using the pending appointments for
about a month now and that seems to be working well for our schedulers
as well.

The drug dictionary has been an area of great frustration and lots of
work.  We have stopped taking the new drugs from the update loads from
First Data Bank.  If we need a drug, we get it out of the PHA suspense
file and pull it into the drug dictionary.  We have the problem of drugs
that duplicate many times when we take an update.  So I'm not sure that
I can really give a lot of advice on the drug dictionary, other than
take a deep breath and don't let it get to you.  Our providers do like
the fact that they are able to have a complete drug list for their
patients.  The problem we hear about is that there are too many
interaction checkings.  This happens most frequently when a nurse has
put in an allergy to all of the components of a combo drug instead of
the particular ingredient the patient is allergic to.

PS...sorry I hadn't gotten back to your site, we are still implementing
clinics and my time is extremely limited.  We just finished our 14th out
of 16 clinics. 

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 [EMAIL PROTECTED]
Sent: Monday, July 31, 2006 8:43 AM
To: [email protected]
Subject: [MEDITECH-L] THE LSS/MEDITECH MPM SUITE

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Tricia,
 
It is great to hear that you have had a successful implementation! That
is what we
all want.  You are one of LSS's role model implementations.  Your
posting was not the first
we've heard of the successes at Citizen Memorial.  These are the stories
we want to hear
from the MPM User community, and we want to be included! 
 
We have tried all of your suggestions and approaches. Our Systems
Analyst, Laura Smolarek
has been in contact with you in the past and had inquired whether you
had lab ordering
live. She didn't hear back from you. Can you please confirm that you are
using lab ordering
successfully? That is something I think we all would be interested in
hearing. 
 
Please let us know where you are at with everything like Medical
Necessity, Encounter
Content Screens, LAB & RAD ordering with your interface with the
hospital pieces, and your
formulary process including what your drug dictionary maintenance &
upkeep were and are
your physicians happy with the medication tracking, etc.
 
Any type of information you may be able to provide to us would be
greatly appreciated!
 
I have been in touch with Brian, but they only used the billing
programs, not the MPM
suite.
 
 
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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