I have to agree - not sure how the integration would work with another vendor.  
 
We have been LIVE with EDM for almost 3 years and hear very few complaints.  It 
was a little rocky the 1st 3 weeks with the providers entering orders - but now 
they all say it is quicker than paper orders.  Our medication administration 
flows to the inpatient eMAR so we know when meds were given for admissions.  We 
don't have the med reconciliation part automated yet due to issues with 
hx/profile meds, but that will be corrected now with "reported meds" in 5.5 
SR4.  
 
Overall our staff has become very comfortable with using the ED module.
Cindy Grolla, RN 
Clinical Project Leader 
Northfield Hospital 
Northfield, MN 
Phone: 507.646.1209 
Pager: 507.645.1475 

-----Original Message-----
From: [email protected] [mailto:[EMAIL PROTECTED] Behalf Of Jackie Welch
Sent: Friday, March 09, 2007 8:06 AM
To: Stephen Jones; Cindy Snyder; Romona E. CS/Smith; Kathryn Wohnoutka; Deborah 
Pelaia; Sandi Wiltshire; Carrie Weaver; [email protected]; Glenn A 
Gregersen; _SISU - Clinical Systems Users Group
Subject: RE: [MEDITECH-L] RE: EDM Rallying the troops!


 I'm curious, how integrated is it into your Meditech EMR??  How do you do Med 
Reconciliation if the ED isn't using the same functionality as PCS?  What about 
meds, allergies - interaction checking?  Were you able to accomplish that?  
Have you made this happen via a portal solution? I know all of those "best of 
breeds" are great, but we chose Meditech to have an integrated solution.  I 
sometimes feel as if I'm the integration evangelist at our organization when 
all the specialties are wanting a "best of breed."  
 
 
- 
Jackie Welch RN BSN
Clinical Systems Manager
Information Systems
Great River Health Systems
1221 South Gear Avenue
West Burlington, Iowa 52655
319.768.4417
 <mailto:[EMAIL PROTECTED]> [EMAIL PROTECTED]
 <http://www.greatrivermedical.org/> http://www.greatrivermedical.org/
 
 

-----Original Message-----
From: Stephen Jones [mailto:[EMAIL PROTECTED] 
Sent: Thursday, March 08, 2007 6:04 PM
To: Cindy Snyder; Romona E. CS/Smith; Kathryn Wohnoutka; Jackie Welch; Deborah 
Pelaia; Sandi Wiltshire; Carrie Weaver; [email protected]; Glenn A 
Gregersen; _SISU - Clinical Systems Users Group
Subject: RE: [MEDITECH-L] RE: EDM Rallying the troops!


Hello l list,
we had looked at EDM a few years back and looked at Tsystem electronic....
we chose tsystemev...the staff and doctors like it alot, and us in IT like it...
pretty easy to setup and use...
thanks
Stephen Jones
Senior Analyst/Network Admin
Hunt Memorial Hospital District
TX 

  _____  

From: [email protected] on behalf of Cindy Snyder
Sent: Tue 3/6/2007 11:14 AM
To: Romona E. CS/Smith; Kathryn Wohnoutka; Jackie Welch; Deborah Pelaia; Sandi 
Wiltshire; Carrie Weaver; [email protected]; Glenn A Gregersen; _SISU - 
Clinical Systems Users Group
Subject: RE: [MEDITECH-L] RE: EDM Rallying the troops!


I knew that the ED director had concerns related to the MAR but I had not been 
told they were considering 'pulling the plug' until the morning it was going to 
go down and I heard it from a staff person. So, there was no discussion, etc. 
It just was decided by the ED director without any MIS input. 

So, I am asking myself if this may happen with future modules....Unnerving for 
me, frankly.
 
 
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 affiliates.  This 
e-mail message and attachments, if any, may contain confidential or privileged 
information.  If you are not the addressee or authorized to receive this 
message for the addressee, you must not use, copy, disclose, or take any action 
based on this message, any attachments to this message, or any information 
herein.  If you have received this message in error, please advise the sender 
immediately by reply e-mail and delete this message in its entirety. 

>>> "Weaver, Carrie" <[EMAIL PROTECTED]> 3/6/2007 10:59 AM >>>
Cindy and all
We experienced the same thing as Cindy and her site.  After being up for a year 
with everything but PD Administration decided to "ditch" everything except 
Depart(PDI), and the tracker.  Very unsettling for those who put so much time 
and energy into a project.
Carrie

-----Original Message-----
From: Kathryn Wohnoutka [mailto:[EMAIL PROTECTED] 
Sent: Tuesday, March 06, 2007 10:35 AM
To: Wiltshire, Sandi; 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!

Is there any Client Server site live with full EDM, including PD?  

Thank you,
Katie

Kathryn Wohnoutka
PCS/EDM Application IS Specialist
Citizens Memorial Healthcare
1500 N. Oakland
Bolivar, Missouri 65613
phone:  417-328-6609
fax:  417-777-7157
pager:  800-801-2988
[EMAIL PROTECTED]
________________________________________
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Wiltshire, 
Sandi
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





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Thank you.
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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 affiliates.  This 
e-mail message and attachments, if any, may contain confidential or privileged 
information.  If you are not the addressee or authorized to receive this 
message for the addressee, you must not use, copy, disclose, or take any action 
based on this message, any attachments to this message, or any information 
herein.  If you have received this message in error, please advise the sender 
immediately by reply e-mail and delete this message in its entirety.

>>> "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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