We've been live with EDM for over two years. Still trying to get 100%
documentation completed for Nursing, but we're almost there. The docs
are always difficult to change, but let me tell you if we took away the
Tracker for 10 minutes now there would be a mutiny ! It's a huge
success, physicians and nurses. The ED docs never used the EMR until
EDM, and now they're experts. All prescriptions are entered
electronically, as well as Hx meds, PIC instructions, etc..
Non-provider POM going well, again just need to "push" the docs the rest
of the way.
The rest of the medical staff was ecstatic that ED was finally on board
and they can now find more than just a registration in the EMR for the
ED patients. They're anxious to see the entire ED documentation
available. Angie Botelho at GBMC has had huge success with EDM.
They're a show place for the module.
Good Luck,
Jackie Welch
Great River
-----Original Message-----
From: Wiltshire, Sandi [mailto:[EMAIL PROTECTED]
Sent: Friday, March 02, 2007 2:35 PM
To: Cindy Snyder; Romona E. CS/Smith; Jackie Welch; Deborah
Pelaia; [email protected]; Glenn A Gregersen; _SISU - Clinical
Systems Users Group
Subject: RE: [MEDITECH-L] RE: EDM Rallying the troops!
Hi,
Reading your email makes me a little nervous since we are going
live with EDM in a few days. Hopefully we won't have the same problems.
We did have more nursing staff participate and am hoping this will make
a difference. I do see the reluctance of alot of ER nurses though who
don't like change as you say. Our ER docs want nothing to do with the
system.
I'm curious how long it took for you to decide to pull the plug
and why they went that route.
Thanks, Sandi
Sandi Wiltshire, MT(ASCP),MBA
IS Applications Manager
Heywood Hospital
242 Green Street
Gardner,Ma. 01440
978-630-6112
[EMAIL PROTECTED]
________________________________
From: [email protected] [mailto:[EMAIL PROTECTED] On
Behalf Of Cindy Snyder
Sent: Friday, February 23, 2007 11:00 AM
To: Romona E. CS/Smith; Jackie Welch; Deborah Pelaia;
[email protected]; Glenn A Gregersen; _SISU - Clinical Systems
Users Group
Subject: [MEDITECH-L] RE: EDM Rallying the troops!
Hello Everyone:
I wish you all the luck, with all sincerity.....Our system is
down....The nursing staff was so disgruntled and blamed it for
medication errors that Administration chose to suspend use until we get
things resolved....
Now, let me explain some of our issues and just for good
measure, my opinions.... : )
We had an implementation team with only one staff nurse, the ED
director, myself (clinical analyst) another clinical analyst, two
pharmacists and two unit secretaries. So, nearly all the building and
decisions on what was to be answered by the nursing staff was decided by
the director of the ED, which is good from a policy change and
compliance with the change perspective. The draw back to this is that
the nursing staff did not like a great deal of what was done and tried
to go in the 'back door' to myself or the other analyst to have things
changed. So, we always ask if they asked Mom first when they make a
request of us.
At the point the system was taken down, we were LIVE with the
tracker, care area staff documentation, and POM was being used by the
nurses/secretaries. The physicians were not using the system for
anything other than to view the tracker.
We have had some issues with the MAR, due in part to the fact
that we have chosen to do a 'phased implementation'. At this point, the
nursing staff removes a drug from Pyxis, which generates an order that
populates the MAR. So, no allergy checking is done when medications are
ordered. We have had ongoing issues with allergy checking in the PHA
module and of course those have carried over to the EDM module now. For
instance, to check for any Codeine allergy, it is necessary for the
staff to enter an ingredient allergy, and a drug allergy. So, we want to
get this resolved prior to taking them LIVE again.
Do I think it's a good system? Yes. Do I think we will get it
back up? Yes. Will it be acceptable to everyone? Eventually. But those
old ER nurses (yes, I am one of them) like things their own way and do
NOT like change, because they feel they are out of their comfort zone.
I am happy to talk more if you would like.
Have a great day and best of luck.
Cindy
How am I doing? Please take a minute to fill out this survey to
let us know. Thank you.
http://www.hrhs.int/survey/MIS_Survey.htm
Cindy Snyder RN
Clinical Systems Analyst
Howard Regional Health System
Kokomo, IN 46901
(765) 453-8321
The opinions expressed in this e-mail message are those of the
author and may not be representative of Howard Regional Health System or
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>>> "Pelaia, Deborah" <[EMAIL PROTECTED]> 2/3/2007
8:23 AM >>>
Agree 100%. Our physicians currently document on the paper
version of the T-system. Family physicians have actually complained
stating the documentation the ED physicians do on paper means nothing to
them. They cannot figure out what happened with the patient while in
the ED. We are currently using the tracker through EDM.we are doing a
site visit this week to look at Mount Nittany's EDM nursing
documentation. Hoping I get buy-in from ED nursing staff.
Deb Pelaia, RN
Clinical Informatics Analyst
Hanover Hospital
Hanover, Pa.
(717)633-8887
-----Original Message-----
From: Jackie Welch [mailto:[EMAIL PROTECTED]
Sent: Friday, February 02, 2007 9:12 AM
To: Gregersen, Glenn A; CS/Smith, Romona E.; _SISU - Clinical
Systems Users Group; [email protected]
Subject: RE: EDM Rallying the troops!
Oh, they all love the T. You can build your T templates into
Meditech, not really that difficult as I see it. We've used the paper T
for a long time and I personally see that the documentation done by
these ER docs is horrendous. We've been live with EDM for over two
years now, they really like what they have so far, including
ePrescribing. But, the culture change to get the docs to enter their
orders and documentation is going to have to be pushed by more than me.
I see us probably another year or so before we take on that battle, make
them the first docs to go live after implementation of PCM.
- Jackie
Great River
-----Original Message-----
From: Gregersen, Glenn A [mailto:[EMAIL PROTECTED]
Sent: Thursday, February 01, 2007 6:35 PM
To: CS/Smith, Romona E.; _SISU - Clinical Systems Users
Group; [email protected]
Subject: RE: EDM Rallying the troops!
Please post as we are also fighting this battle - ER
docs wanted T sheets...
________________________________
From: Romona E. Smith
[mailto:[EMAIL PROTECTED]
Sent: Thursday, February 01, 2007 3:32 PM
To: _SISU - Clinical Systems Users Group;
[email protected]
Subject: EDM Rallying the troops!
We are just beginning EDM implementation (CS 5.5 SR2). I
am looking for creative ways to encourage and interest the ED staff in
this project. You know they love their paper charts! I plan to make
monthly flyers to keep them updated on the progress of the Core Team.
PCS is used house wide but the ED nurses have never documented in
Meditech nor do they look at the EMR. I thought of having a drawing for
the staff members that document set assessments on a TEST pt that I set
up. This would at least get them looking at the system. I'm hoping you
all have more creative thoughts than I - any suggestions?
Romona E. Smith, RN
Clinical Analyst
Anderson Hospital
Maryville, IL 62062
618-288-5711 ext. 278
[EMAIL PROTECTED]
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