migrating to meditech 6.x- alder hey's journey

Migrating to Meditech 6.X- A Hospital’s Journey

MUSE EU 2015

Todays Agenda

• Introductions

• Alder Hey Children’s Migration Philosophy

• Critical Success Factors

• An Integration Roadmap

• Interfaces, Integration & Automation: Where do they fit in?

• Maximizing your MEDITECH 6.x migration

• Case Studies

• Questions & Discussion

Barry Njoes

Regional Sales Manager

• 15 Years at MEDITECH• Integration Analyst background• 5.5 years at Summit Healthcare

Summit Healthcare

• Established in 1999, Privately Held• Headquarters in Braintree, MA.• Singular focus on Healthcare• Automation and Integration Technology:

• Products, Solutions and Services• Support all HCIS markets

• Over 1,000 clients using Summit software across United States, Canada & U.K.

Alder Hey’s 6.x Success FactorsSummit Healthcare

Training

Workflow and

Process Improvements

Interfaces / Integration

Conversions / Data Archiving

Executive / Leadership Buy-in and Support

Right Team that Can Commit Time

Clinician/Physician Engagement

Infrastructure

Alder Hey Children’s Hospital

Alder Hey’s Need to Streamline IntegrationSummit Healthcare

• Create “current state” diagram of all interfaces (custom interfaces)

• Create “future state” diagram with new project interfaces included. Monthly Status Reports keeping track of current and future interface projects

• Eliminating and recouping unnecessary interface costs (no need to buy duplicate feeds or pay maintenance)

• New Departments with interfacing expectations? (ex: Bedside Monitors data to PCS/EDM)

• Identify interfaces required as part of future projects looking 12-24 months post 6.X Live for future ROI

• Driving need to integrate real-time, longitudinal health information from a wide variety of electronic health record systems at different hospitals, physicians and ancillary care providers.

• End result – Better more informed patient care and stronger patient outcomes

Alder Hey’s Comprehensive Plan:Summit Healthcare Pulls the Pieces Together

• Dedicated Project Manager & Engineer

• Planning & preparing for “gotchyas” including what the REAL costs are especially regarding interfacing

• Learning from Proven Integration Strategies with MEDITECH

• Detailed Project Plan to ensure Milestones are met and Implementation stays on track

• Keeping long term strategic goals in mind: • Integrating with community physician offices• Patient portals• Sharing data with other Trusts

Legacy Data Archiving• What data do you need as discrete data in MEDITECH? • What data can be stored in an archive and referenced

on “as needed” basis? • Need to be able to get the data you need off legacy

systems to keep from paying support on those systems for too long.

Data Migration/Conversions• What dictionary data is MEDITECH not

migrating/converting? • What data to your clinicians need access to and for

how long? • What administrative/financial data needs to be kept

and for how long?

Alder Hey’s Dictionary StrategySummit Healthcare

Alder Hey Children’s Hospital

Liverpool, England

Part of NHS Foundation Trust

Total inpatient beds 304

Data Migrations

The Project at a glance:

• Accurately migrated over 30 dictionaries from various modules in under 4 weeks!

- included 65,000+ dictionary entries

Modules Migrated:

Additional Facts:

• If a person manually did this at a rate of 3 per minute, it would have taken them over 9 weeks to do it.

• If done manually, this project would have an error rate of about 3% that would be 1,950 errors that would have to be corrected manually.

• MIS• PHA• ABS• LAB

• PCI

• OM• CWS• Etc…

Benefits of a Downtime Solution• Patient Safety – Access to ALL critical data 100% of the time • Eliminate the costs associated with downtime perils• Allow staff to be proactive instead of reactive. Alleviate the

impact on patients• Your IT mind at ease!

Summit HealthcareThe Inevitable: Downtime

The Summit Downtime Reporting Solution• Identify and use existing key critical reports• Encrypt using 512 bit encryption, flexible distribution options • Protection of data, flexible delivery, authenticated retrieval• EHR and Network downtime – no problem!

Alder Hey Children’s Hospital

Liverpool, England

Part of NHS Foundation Trust

Total inpatient beds 304

Alder Hey’s Plan for Downtime

At a glance:• Currently has 8 centralized downtime workstations throughout their

facility. When they move to their new facility on October 3, 2015 this number will increase.

• Live in 5 months• 8 – 9 users • Daily distribution of 105 reports from one server

Reports being pushed:

At a glance:• De-centralized Downtime Workstations including Wards and ER staff

• Nursing Ward Census - Every 35 mins• Operating List - Daily• Tracker Report - Every 35 mins• Blood Bank Transfusion History - Daily• Outpatients Downtime - Twice a day

• Downtime Report for Wards *- Every 105 mins

• Downtime Report for ED *- Every 35 mins• MAR Report - Every 35 minutes

*Custom NPR MEDITECH reports

Boulder Community Hospital

Boulder, Colorado

265 licensed beds across mutiple facilities

Express Connect Interface Engine:• Migration of 3 interface engines into 1 interface engine• Developed project plan and migration path for 60 interfaces• Leverage Summit Scripting Toolkit for non HL7 integration

Additional Projects:• Integrating with 7 physician clinics bi-directionally • Laboratory results, Radiology reports and Orders (bi-directional)

Integration Case StudySummit Express Connect

BeforeBoulder Community Hospital

Integration Landscape ComparisonBoulder Community Hospital – Before & After

AfterBoulder Community Hospital

MEDITECH UK – Summit Healthcare CustomersSummit Healthcare

14

Summit InSync

Summit Downtime

Reporting System

Summit Scripting Toolkit

Summit Provider

Alert

Provides hospitals with bi-directional

physician EMR integration.

The Summit Healthcare Product Suite

A robust, powerful

interface engine with inherent mapping and

filter capabilities.

Integration & Automation

Powerful and efficient

dictionary extraction,

analysis and update tool

Summit Provider Exchange

Summit Care

Exchange

Summit Express Connect

A web based application that

delivers real-time patient-specific Hospital Event data such as Admission,

Discharge, and Summary of Care events to primary

care providers.

Supports CCD integration:

Discharge/Push, Query/Respond,

Direct Messaging.

A proven scripting

environment to automate workflow.

Ensures continuous

access to critical patient data in

the event of HCIS or network downtime.

Questions?

Summit Healthcare

Contact UsSummit Healthcare

Barry Njoes 781-519-4840 ext.124 bnjoes@summit-healthcare.com

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