_____ From: Sheral Graham [mailto:[EMAIL PROTECTED] Sent: Friday, December 08, 2006 10:10 AM To: DIANE Subject: Re: [MEDITECH-L] EDM-survey I'd like to put you in touch with my friend, Sarah Snyder at Mercy Medical Center, Roseburg Oregon. 541-677-2412 (you may want to look the hospital main number up and ask for her.....in case I'm not remembering the number correctly. I no longer work there, but was instrumental in installing the EDM system. So, I'll try to answer some of your questions. Are you using the EDM module successfully? Yes. We did not implement on-line physician charting, but we did turn on, then off (30 days later) the medication ordering function, but kept using the AOM prescription functions. They may have went back to these, but I've been gone a few years. What size is your hospital? 137 beds. How many ER patients do you see (average) per day? 160-180 Did you have many obstacles to overcome while implementing EDM? Too many too list! But, I think that is true of any implementation. If I had it to do over again: More physician involvement from the beginning. More housewide communication about the project More workflow analysis of ALL ED processes (although we did a good job, I know so much more know now about the impact of workflow, versus design, versus system functionality, that EDM now seems like a piece of cake) Gap analysis of processes that would change "outside" of the ED, such as admitting, nursing units, physicians outside the ED, medical records, IT maintenance (with associated knowledge to help us maintain the system!, I ended up doing it for 2 years post go live including the equipment...and then moved on to consulting) Strong PHARMACY involvement from the beginning in reference to the changes that need to be made in PHARMACY module to accommodate the EDM needs, i.e. RXM, allergies, coded un-coded, interaction checking, string building for use in the ED, etc. (We did not have a motivated PHA representative, and we were always told "don't worry about it, it is taken care of" or "do you realize how much work you are asking me to do". That got old right away, but knowing nothing (at the time) about PHA.....who was I to challenge that? Suffice it to say, the medication ordering and online documentation of the administration of the meds was turned off, and we went back to paper for that piece. Did the physicians come on board willingly or kicking and screaming? Combination, but they were told by their ED physician director that they needed to do this. The younger ones were easier, as were the ex-military folks, and towards the end, they all came around, and came to miss the system if it went down. We had one physician who decided to leave, went to another hospital, who then announced that they were installing EDM too! He was not happy about that, but he did come to the realization that IT technologies like EDM will soon be the norm rather than the exception. Did you implement NUR before putting EDM in your critical care area? No, and again, if I had it to do over again, I would NEVER implement ED prior to the nursing clinicals. Many places do....but it brings its own world of headaches. Yes, it can be done, and knowing the pitfalls ahead of time helps, but I think its easier if nursing is already up. Comments about the system: Well.....this implementation was the 7th in the nation at the time, so there was no one to bounce things off of, nor was Meditech very much help, as it was new to them too. But, that being said, I know the system has improved since then, but I'm sure there are things that can be better (as with EVERY Meditech modules, even the legacy ones). So...I have learned from this job, that PRE IMPLEMENTATION PLANNING is the key. We did very little "planning" other than following the Meditech project plan (and some internal), but ALL the Meditech modules are integrated so tightly, that it really is a housewide effort. So, here is the shameless sales pitch. I currently work for IBM. We have a Meditech service line, with many successful full blown Meditech implementations, as well as EDM only installs. If you would like to consider having our folks do an assessment and come up with suggestions or recommendations to enhance your EDM system, just let me know. I would hate to see you "scrap" the system, as the monetary investment alone is enough to be concerning. Please contact me any time. If you get my voice mail, please leave a message, and let me know what time zone you are in. Sheral Graham Senior Consultant Healthlink, a Division of IBM IBM Global Business Services cell: 541-680-3239 [EMAIL PROTECTED] "DIANE" <[EMAIL PROTECTED]> Sent by: [email protected] 12/06/2006 09:03 AM To <[email protected]> cc Subject [MEDITECH-L] EDM-survey Hi All, Hope everyone is having a happy and healthy holiday season. I have a few questions about EDM that I would like to present to the Meditech world. Seems after a year of implementing EDM in our hospital, the ER staff/physicians have done nothing but complain. Now they are thinking of removing it from the ER and going back to paper. (Sounds crazy I know). Anyway I would like to know: Are you using the EDM module successfully? What size is your hospital? How many ER patients do you see (average) per day? Did you have many obstacles to overcome while implementing EDM? Did the physicians come on board willingly or kicking and screaming? Did you implement NUR before putting EDM in your critical care area? Comments about the system: I would like to hear from those who have any feedback good or bad about this system. Seems like such a waste to just throw out without really trying to fix the "problems". By the way, the ER can't really pinpoint to us what the problems really are just vague issues. Something like too long to document or Docs can't find what they need in the system. BLAH, BLAH, BLAH. Thanks in advance for your input. Diane ====================================== All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
====================================== All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
