We also have problems with Meditech not loading the Micromedex FSV file correctly- the fix is supposed to be available next week. The last load we did in 5.5 before the upgrade was maintained, so interaction testing is functional. We cannot do a FSV update until the problem is fixed, though. Other problems include: Stock med orders displaying on the Omnicell as active orders with no stop date. The stk-med overrides are creating new orders, which is correct, but when transmitted across the interface, there is no stop date on the order. We have our system set up to dc dispensing machine orders, but NMI has a DTS in 5.61 to suppress sending the dc command across the interface. This is supposed to allow the dispensing machine to dc one time orders based on it's own parameters, but Omnicell can not do that when there is no stop date/time on the original order. We had to have NMI remove the dts suppressing the dc command. No new errors are being created, but this result is lots of unmatched returns on the Omnicell cabinets, so we have a lot of interface errors - which brings us to... We are unable to reprocess interface errors. Meditech thinks it is do to symbol table overflow, but after two weeks, there is still no fix. The number of errors is climbing fast. We also have a problem with debit and credits allowing the dispensing machine inventory to be billed. This problem may be do to the nature of our interface - it is a custom from 8 years ago and is set to ST rather than RX. We are upgrading to the standard Omnicell interface code next month - hopefully that will fix the problem. Other aggravating, but livable, problems: Esc key does not work as Exit The quick entry screen in PHA is not maintaining the days supply, so you have to go into the full order entry screen. Adding a non-formulary item from the enter order screen (use the magic key) does not default the drug into the med field once the nonformulary data is entered. The DEA number is defaulting in on some screens despite the user access being set to No. Rules that are set to evaluate at STOP are firing even when the stop date is blank and not changed. Linked order flags do not display in scroll mode. Adjusting All Times can credit too many doses. Who knows when all this will be fixed?! Roger
________________________________ From: Lanoue, Ed T [mailto:[EMAIL PROTECTED] Sent: Thursday, March 15, 2007 7:41 AM To: Roger Beverly Subject: RE: [MEDITECH-L] eMAR and BMV, 5.61 Magic Hi Roger, We are scheduled to go LIVE April 30th. I've found issues with our Micromedex FSV, the IV Order Strings case sensitivity, and a couple of our custom NPR reports are not working. What are your issues and should I delay this upgrade? Thanks! Ed From: Roger Beverly [mailto:[EMAIL PROTECTED] Sent: Tuesday, March 13, 2007 2:54 PM To: Lanoue, Ed T Subject: RE: [MEDITECH-L] eMAR and BMV, 5.61 Magic Thanks - We are live with 5.61 now with several unresolved issues. Roger ________________________________ From: Lanoue, Ed T [mailto:[EMAIL PROTECTED] Sent: Tuesday, March 13, 2007 3:49 PM To: Roger Beverly Subject: RE: [MEDITECH-L] eMAR and BMV, 5.61 Magic Hi Roger, I've been to MUSE and the current thinking is to bring up BMV with eMAR. It makes sense to develop good habits from the start. As far as building the drug dictionary, I have scanned in all the drugs over the last 2 months working a section here and there on the slower times during evening shift so I'm not sure exactly how long it took. Probably about 2 weeks of solid working. I know the mnemonics cold and the sections went pretty fast and we had a COW with a wireless connection which made it go easily. You have to go through your entire stock and scan everything. Our buyer is scanning every new item coming in the door (with a double check by a pharmacist) so we are well positioned now. The big step is to have a tech bar-code all the OTCs and other items that do not carry a barcode. I anticipate two months of project work to go through our entire stock and make sure every item has a barcode and that it scans correctly. (Two months seem to be what I've heard from other sites depending on the size of your institution just to bar code and verify stock.) I am in the process of a major overhaul of the drug dictionary and expect about two months for that. Meditech has recommendations on their website which seem reasonable to follow (check the links for BMV). Currently we have nursing, IS and pharmacy involvement. I am it for pharmacy. Another huge issue is process and workflow redesign which we are working on right now. It is painful and we seem not to have many nursing champions here. The story about 5.61 is that there are numerous bugs in the eMAR desktop. They are making daily changes. I was assured by Meditech that this is their top priority to fix it and we could expect not to have our implementation deadline delayed. I'll give it to the end of the month and then we'll see. We will be among the first with the new Magic 5.61 code so it should be interesting. For Go-LIVE, it is highly recommended to have Super-Users available to "hand hold" people for about 2 weeks. One idea I also like it to pick a patient and do parallel runs to work out anything you may not have thought of. Go through a transfer from one floor to another floor, etc. I was impressed in the evolution of the software based on our training we had a Meditech two weeks ago. I wished that they would employ clinical people to teach the software and put more stock in the importance of that. I guess that is why we have the L-list. Thanks, Ed Edward Lanoue, RPh Pharmacy Information Systems Southwestern Vt Medical Center 100 Hospital Drive East Bennington, VT 05201 phone: 802-447-5370 mailto:[EMAIL PROTECTED] ________________________________ From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Roger Beverly Sent: Thursday, March 08, 2007 2:50 PM To: Meditech L Subject: [MEDITECH-L] eMAR and BMV, 5.61 Magic We are at the beginning stages of implementing eMAR and BMV. I wanted to pose a few questions to the group to help with planning and scheduling. 1. What are your thoughts on implementing eMAR and BMV concurrently? We do not currently have either system in place and need to know whether to implement separately or concurrently. 2. How long did the dictionary building/changing take once Meditech enabled the BMV system? 3. What departments were members of your Core implementation group? 4. How long did training take for the Core group? For house-wide training? 5. What was the time frame of implementation - for first stages of planning to full implement? >From Meditech install of BMV to full implementation? 6. What was the staffing requirements/allowance for building and implementation? For going live? I recently saw some comments that the new eMAR format being used in 5.61 has numerous problems. Has anyone had experinece with eMAR and 5.61? Any other thoughts/recommendations? Thanks - Roger Roger Beverly, PharmD Clinical Pharmacy Coordinator Conway Medical Center, Inc. [EMAIL PROTECTED] 843.347.8120 Conway Medical Center Disclaimer The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you E2003-TEXT Conway Medical Center Disclaimer The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you E2003-TEXT
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