MUSE Event - Toronto - Presentations
Transcript of MUSE Event - Toronto - Presentations
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EducationalPresentations
101-MEDITECH6.0Conversion–TheWholeStory
MarkhamStouffvilleHospitalrecentlycompletedtheirmigrationfromMagictotheMEDITECH6.0
platform.AsoneoftheearlyMEDITECHcustomerstomigratetoM6.0andasthefirstCanadianmigrationsite,thereweremanyuniquechallenges.Wewouldliketoshareourexperience,andmanyof
thelessonslearned,bothfromanoverallprojectperspective,andwithallourMEDITECHmodules.
Thefirstgroupsessionwilldiscusstheinternalapprovalprocess,theprojectplan,staffing,trainingand
education,andcommonMIStopics(dictionaries,usersetup,access,faxing,printersandinterfaces).
Thiswillbefollowedbyfourconcurrentsessions:Financial,Clinical,AncillaryandAdministrative.These
sessionswillexamineindetailthechallengesandsuccesses,onamodulebymodulebasis.IT
professionalsanddepartmentkeyuserswillsharethelessonslearnedduringthemigrationprocess.
IssuesuniquetoCanadawillbehighlighted.
Comeandlearnwhatitwaslike.Withstrongcorporatesupportandawell-executedplan,wenotonly
survivedMEDITECH6.0,butarethriving,andarenowwellpositionedtomoveforwardonanumberof
keyadvancedclinicalinitiatives.
MorningSession
TopicswillincludeProjectPlanning,Process,MOXRetirement,andMIScommonissues(Dictionaries,
UserProfiles,Printing,Interfaces,Reports,etc.)
Presenters:
• TimPemberton,DirectorInformationTechnology
• SharonAvey,ManagerClinicalInformatics
• DianaGould,DatabaseAdministrator&ITTechnicalTeamLeadforMEDITECH6.0Project
• RickLambert,SystemsIntegrationConsultant
• ShirleyMalarenko,GRAConsultants
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AfternoonSessions(concurrent)
101A-Financial
Presenters:
• HelenaVilan,ApplicationsConsultant-Financials
• ChristinaHazell,DecisionSupportAnalystandFinanceteamleadforMEDITECH6.0Project
101B-Clinicals(OM,PCM,PCS)
Presenters:
• BarbCluett,ApplicationsConsultant–OMandPCM
• ShirleyMalarenko,GRAConsultants
101C-Ancillary(Lab,ITS,Pharmacy)
Presenters:
• MeeMeeLowSin,ApplicationsConsultant–ITS,Lab,andCWS
• KimHaley,SystemsIntegrationConsultantandITSTeamLeadforMEDITECH6.0Project
• ClayAntliff,ApplicationsConsultant-Pharmacy• TedCaton,GRAConsultants
101D-Administrative(ADM,CWS,HIM,SCA)
Presenters:
• KathyMickeler,ApplicationsConsultant
• DonnaKoster,DataQualityAnalyst–HealthRecordsandHIMTeamLeadforMEDITECH6.0
Project
102-TransferofKnowledgefortheMEDITECHLearner
Presenter:DonnaWellsRNBScN
Organization:BeaconPartners
Abstract:Thispresentationwillincludeanoverviewofthecompositionofadultlearnersaswellasadult
learningprinciplesandstylesinrelationtothetrainingontheMEDITECHHISaseffectiveandsuccessful
transferofknowledgewhenworkingwithadultsischallenging;noteveryonelearnsinthesame
manner.Theexchangeofknowledgeandinformationisdifferentateachlevelanddepartment
requiringtheeducatortounderstandtherequirementsandhowtodeliverwhatisneeded.
Withtheuseoftheorybasedmaterialandgroupexercises,criticalreflectionofthoseinattendancewill
identifywhattypeofadultlearnertheyare.Transformationalleadershipqualitiesandrequirementswill
bepresentedinordertosupportthetransferofknowledgewithintheworkplacesettingatthevarious
levels.Thepresentationwillalsoincludethecreationofanoptimumlearningenvironmentwiththe
opportunitytodiscussanddevelopformalizedplansastothelayoutforvariousscenarios.
Instructionalstrategiesforthevisual,auditoryandkinestheticlearnerwillbedependentuponthe
learningstyle.Clinical,financialandadministrativeexpertisepresentsitselfinvariouslevelswithina
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workenvironmentasdoestheassociatedlearning.OutcomesoflearningtheMEIDTECHHISwilldepend
onthelearninglevelofcompetenceaswellaschoiceto:
• Individualvs.smallgroups
• Typesofmaterialsandresourcesforthespecificscenario
• Levelofdifficulty
• Styleofpresentationofknowledgetransfer
DonnaWellsRNBScN,Consultant,BeaconPartners,has25yearsofhealthcareexperiencewitha
primaryfocusintheclinicalarea.ShehaspracticalandtechnicalexperiencewithmultipleMEDITECH
applicationswhichincludesimplementingandsupportingtheMEDITECHclinicalsystem.Building,
implementationandupgradingoftheEmergencyDepartmentManagement(EDM)module,Ministryof
HealthandLongTerm-CareinitiativeHealthOutcomesforBetterInformationandCare(HOBIC)in
additiontoVersion2Allergies,hadworkingwithnurses,physicians,alliedhealthandthevariouslevels
ofmanagementleadtosuccessfulprojectoutcomes.Effectiveidentificationofoptimalnursingpractice,
workflowandtranslatingprocedureswithintheMEDITECHNursing(NUR)applicationsupportedthe
necessarytransferofknowledgewithinanorganizationworkingwithvariousversionsofMEDITECH.
Ms.WellsrecentlycompletedherBScNatRyersonUniversityinToronto.Herinterestinthetransferofknowledgetotheadultlearnerhasledhertotheapplicationofherstudiestothoselearning,working,
teachingandutilizingtheMEDITECHsystem.
103-TheFlowtoEHRMeaningfulUse–Mapping,AnalysisandDesignofClinicalCare
Processes
Presenters:CatherineRenwickandCharlenePickles
Organization:HealthtechConsultants
Abstract:Theimplementationofelectronichealthrecords(EHR)canresultinaclinicaltransformation,improvedpatientsafetyandclinicaloutcomes,increasedefficienciesandoptimalresourceutilization.
However,widespreadadoptionanddeepuptakehasbeensluggish.Asclinicalbestpracticecontinues
itsmigrationtointerdisciplinarycare,basedonaccesstopatientinformationandsharedclinical
pathways,theavailabilityofanintegratedandcompleteEHRhasbecomeincreasinglycritical.
Healthcareorganizationsaremotivatedtodemonstrate‘meaningfuluse’ofEHRs,specifically:1)utilizing
theminasubstantialway,2)exchanginghealthinformationtoimprovethequalityofcaredeliveryand
3)toreportonclinicalmeasuresandoutcomes.Methodicalmappingandanalysisoftheflowofwork,
cliniciansandinformationcoupledwithadeepcontextualanalysisofthepatientjourneyare
foundationaltosuccessfulEHRplanning,implementationandadoption/uptake.Thispresentationwill
discussbothestablishedandnewmappingandanalysismethodologiesincludingvaluestream
enhancement,patientjourneymodeling,principlesofintegratedworkingandtheirimplicationsforEHR
planning,implementation,meaningfuluseandevaluation.
Anursewithover30yearsofhealthcareexperienceacrossthecarecontinuum,CatherineRenwickhas
providedguidanceandsupporttomanyorganizationsinthesuccessfulplanning,implementationproject
management,evaluationandoptimizationofelectronicclinicalinformationsystems.Withaconsistent
focusontheroleoftechnologytosupportprofessionalpracticeandenableclinicaldecisionmaking,
Catherinehascoachedcliniciansofmanyorganizationsintheirmigrationfrompaperbasedclinical
informationtoelectronicdocumentationandreporting.
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CharlenePickleshasover20yearsclinicalexperienceinDiagnosticImaginganddeepexpertisein
MEDITECHasevidencedbyhernumeroussuccessfulengagementsinbusinessanalysis,clinical
implementationleadandintegratedhealthcareinformationsystemimplementations.Withherpatient
carefocusedmannerandinnateabilitytocommunicatewithcareandserviceproviders,Charlenehas
providedcommonsenseimplementationprojectmanagementandsubjectmatterexpertiseformany
healthcareorganizations.
104-CanadaHealthInfowayUpdate
Presenter:LynneZucker
Organization:CanadaHealthInfoway
Abstract:ThissessionwillupdateparticipantsonprogramsatCanadaHealthInfowaywithafocuson
currentinitiativestoexpandtheuseofelectronicmedicalrecordsolutionsincommunityand
ambulatorycaresettings.Pan-Canadianinitiativestointegratehospitalsystemswiththeelectronic
healthrecord(EHR)willalsobediscussed.
AsVicePresident,ClinicalSystemsIntegration,LynneZuckerisresponsibleforInfowayprogramsthat
promoteconnectingelectronicmedicalrecord,hospitalandpharmacysystemstotheElectronicHealth
Recordaswellasincreasingtheadoptionofelectronicmedicalrecordsolutionsincommunityand
ambulatorycaresettings.LynneisaprofessionalengineerwhobringstoInfowayarangeofexperience
intheinformationtechnologyindustry,includingleadershiprolesatSunMicrosystemsandApple
Computer.
105-BedsideMedicationScanningatthePointofCareYear5
Presenter:CharlesStill
Organization:SouthwesternVermontMedicalCenter
Abstract:Failuretoanticipatecommonworkaroundstobarcodemedicationadministration(BCMA)
systemswillresultintheirrealization.WorkaroundstoBCMAsystemscandrasticallyreducethe
effectivenessofthetechnologyinreducingpatientmedicationerrors.Numerousstudieshaveoutlined
hownursingworkaroundscanreducethesafety-enhancingfeaturesprovidedbyBCMA.Awardeda
grantfromtheAgencyforResearchandHealthCareQuality,SouthwesternVermontMedicalCenter
(SVMC)implementedtheirBCMAsystemaggressively,addressingtheoccurrence,reasonsandsolutions
toworkaroundsofbestpractices.SVMCnursesachievedaninpatientbarcodescanningrateinexcessof
99percentandamedicationscanrateinexcessof97percent.
ThispresentationwillreviewtheprocessesSVMCusedtoimplementBCMA,whichincluded
incorporating2-Ddatamatrixbarcodes,creatingtoolstomeasurescanrates,andidentifyingand
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mitigatingworkarounds.Theseprocessenhancementsmayberapidlyadoptedbyotherorganizationsto
improvemedicationsafety.
CharlesJ.StillMBAisamemberoftheteamthatwonthe2011WaypaverAwardforBarcodingatthe
PointofCare.Hisworkmostrecentlyappearinginthe2011SummerJournalofHealthcareInformatics
andtheJuly/AugeditionofPatientSafetyandQualityHealthCare.
106-TheAscent:HenryMayoNewhallMemorialHospital'sEDMImplementation
Presenter:AdnanHamid
Organization:HenryMayoNewhallMemorialHospital,Valencia,California
Abstract:HenryMayoNewhallMemorialHospitallocatedinValencia,California,successfully
implementedEDMinsevenmonthsincludingCPOEandPhysicianDocumentation.Learnaboutthe
effortstakenbytheEDMCoreteamtomeetthisaggressivetimelineandwhatlifeisnowlikeinthe
EmergencyDepartment.
AdnanE.HamidistheITDirectorofApplicationServicesatHenryMayoNewhallMemorialHospital
(217-bedfacility)inValencia,CA.PreviouslyhewasaBusinessSystemsAnalystatHuntingtonHospital
(525-bedfacility)inPasadena,California.Priortothat,hewasaProjectManageratValleyPresbyterian
HospitalinVanNuys,California.HehasoverfourteenyearsofexperienceinthehospitalITsetting.
AdnanhasaB.Sc.inBiomedicalEngineeringfromBostonUniversityandaMBAconcentratedin
HealthcarefromthePaulMerageSchoolofBusiness,UniversityofCalifornia,Irvine.Heisrecognizedasa
CertifiedHealthcareChiefInformationOfficer(CHCIOe)withtheCollegeofHealthcareInformationManagementExecutives(CHIME),CertifiedProfessionalinHealthcareInformationandManagement
Systems(CPHIMS)andachievedFellowstatuswithHealthcareInformationandManagementSystems
Society(HIMSS).HecurrentlyservesastheChairmanoftheMUSEInternationalBoardofDirectors.
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107-Registration:TheFoundationofHospitalBusiness
Organization:BostonSoftwareSystems,Inc.
Presenter:KimBottcher
Abstract:Thebasicpatientinformationgatheredintheregistrationprocessformsthebasisofcareand
revenue.WhetherpartofanEMRimplementationorasastrategicmovetowardsoperationalefficiency,moreandmorehospitalsareautomatingpartoralloftheirregistrationprocess-andinavarietyof
ways.Thesehospitalsarefindingtheycanimproverevenueandefficienciesthroughoutthe
organization.Duringthissessionwewillexplorethevariouswaysyoucanautomateregistrations,the
workflowstoconsiderduringimplementation,whattoexpectandthebenefittopatientsandstaff.
KimBottcherisaTechnicalSpecialistwithBostonSoftwareSystems,Inc.Kimhasover15yearsof
healthcareexperienceassistinghospitalswithavarietyofprojectsthatrunningthegamutfrombasic
dictionaryupdatestocomplexpaymentposting.PriortocomingonboardwithBostonSoftware
Systems,sheranaconsultingbusinessprovidingscripting,databasedevelopmentandtrainingservices.
Shehas10yearshospitalITexperienceworkingasaMEDITECHSystemsandClinicalApplications
Analyst.Duringthistimesheservedontheimplementationteamsforthehospital’sOrderEntry,PCIand
Schedulinggo-lives.
108-EasternHealthPhysicianPortal:ImprovingCommunicationswithPhysicians
Presenter:TerryMouland
Organization:EasternHealth,St,John’sNewfoundland
Abstract:ThepresentationwillprovideanoverviewofaPhysicianPortalandon-callsystemthatwas
developedandmadeavailabletoallphysicianscredentialedwithEasternHealth.Theportalcanbe
accessedviatheEasternHealthIntranetandInternet.
ThisportalhasbeendesignedwiththeassistanceoftheCommunityMedicalAdvisoryCommitteeand
ourInformationManagement&TechnologyandStrategicCommunicationsteamstoimprove
communicationswithourphysicians.Wearehopingthatthiswillbecomeago-tositeforphysicians
lookingforinformationonresourcesavailabletothemwithinEasternHealth.Thefirstphaseincluded
overallinformationaboutourservicesincludingcontactinformationforourprogramleadership&
physicians,accesstoformsandpolicies,informationregardingpublichealthissuesandpharmacyalerts
alongwithamessagingboardforurgentmessages.WearealsoplanningtohaveourlinktoMEDITECH
availablefromtheportalwiththeroleoutofoursecondphase.
TerryMoulandiscurrentlytheDirectorofInformationManagementandTechnologyatEasternHealth,
thelargestintegratedhealthorganizationinNewfoundlandandLabrador.EasternHealthemploysover
13,000healthcareandsupportservicesprofessionalsandoperates25acute,community,cancerand
longtermcarefacilities.IthasbothMagicandClientServerMEDITECHsystemsthatwereinheritedfrom
itslegacyorganizations.PriortoworkingwithEasternHealth,TerrywasManagerofApplications
DevelopmentwithNewfoundlandandLabradorHydro.
Terry’seducationincludesaComputerSciencedegreeandaMBAfromMemorialUniversityof
NewfoundlandaswellasaHealthServicesManagementdiplomafromTheCanadianHealthcare
Association.
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109-AOM–AStepTowardsPaperlessRequisitioningforAmbulatoryPatients
Presenters:CharlenePicklesandJeannieBorg
Organization:HealthtechConsultants
Abstract:MEDITECH’sAmbulatoryOrderManagement(AOM)Moduleenablesmanagementofambulatorypatientreferrals,diagnosticprocedureordersandmedicationprescribingfacilitatedby
orderentrywithdecisionsupporttools,remindersandalerts.Patientsafetyandresourceutilizationare
enhancedbyintegrationwithotherMEDITECHmodules.UsedinconjunctionwithImagingand
TherapeuticServices(ITS)andLABmodules,AOMprovidesasteptowardspaperlessrequisitioningfor
ambulatorypatientsandmovesorganizationsclosertoapaperlessenvironment.Thispresentationwill
provideapracticaloverviewofAOMfunctionalityanddiscusskeycomponentstoachievesuccessful
implementationandpromoteuseradoptionanduptake.
CharlenePickleshasover20yearsclinicalexperienceinDiagnosticImaginganddeepexpertisein
MEDITECHasevidencedbyhernumeroussuccessfulengagementsinbusinessanalysis,clinical
implementationleadandintegratedhealthcareinformationsystemimplementations.Withherpatient
carefocusedmannerandinnateabilitytocommunicatewithcareandserviceproviders,Charlenehas
providedcommonsenseimplementationprojectmanagementandsubjectmatterexpertiseformany
healthcareorganizations.
JeannieBorghas13yearsofexperienceinthehealthcareindustrywithafocusonElectronic
DocumentationManagement,patientcareandinterprofessionalclinicalworkflow.Additionally,Jeannie
hassixyearsofMEDITECHexperiencewithMagic,ClientServerand6.0software.Thisexperience
includessupportandoptimizationofComputerizedProviderOrderEntry(CPOE),ProviderOrder
Management(POM),PatientCareInquiry/ElectronicMedicalRecord(PCI/EMR),Emergency
DepartmentManagement(EDM),ClinicalDocumentation(NUR)andmostrecentlya6.0OM/AOMnew
implementation.
110-ORM101
Presenter:CaroleWeinstein
Organization:TheValleyHospital,Ridgewood,NewJersey
Abstract:AnoverviewofthecomponentsoftheOperatingRoomManagementmodule(ORM)willbe
presented,includinginformationflowbetweenthecomponents,tipsondictionarydesign,available
interfaces,integrationwithMMandPHA,etc.ThemoduleoverviewwillbepresentedinMagic5.64,
butcomparisonsandscreensfromClientServerORMand6.0ORMwillalsobediscussed.Ifyou're
thinkingofswitchingtoORMfromanothersurgerysystem,orarenewlyresponsibleforsupporting
ORM,thispresentationwill"fillintheblanks"foryou.
CaroleWeinsteinisaProjectSpecialistatTheValleyHospital,a451-bedacutecarefacilityinnorthern
NewJersey.Overthelast13years,shehasimplementedmultipleMEDITECHclinical,administrative,
andfinancialmodules.Sheisjustcompletingatwo-site,fourdepartmentrolloutofORMin24
operatingrooms,andisstillsmiling.
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111-AchievingStage7withMEDITECH
Presenter:DenniMcColm
Organization:CitizensMemorialHospital,Bolivar,Missouri
Abstract:JoinustodiscussthestepstoqualifyforrecognitionasaStage6andthenStage7hospitalon
theHIMSSAnalyticsEMRAdoptionModel(EMRAM).ThismodelappliestoboththeU.S.andCanada.HIMSSAnalyticsdevisedtheEMRAdoptionModeltotrackEMRprogressathospitalsandhealth
systems.TheEMRAMscoreshospitalsontheirprogressincompletingthe8stagestocreatinga
paperlesspatientrecordenvironment.CitizensMemorialiscurrentlytheonlyStage7hospitalusing
MEDITECHintheU.S.
DenniMcColmisChiefInformationOfficerforCitizensMemorialHealthcare.DennihasbeenatCitizens
Memorialsince1988,servingasDirectorofHumanResourcesandDirectorofFinancebeforemoving
intotheCIOroleinJune,2003.DenniservedontheCertificationCommissionforHealthInformation
TechnologyasaCommissionerfrom2006-2008.ShealsoservedontheDaviesAwardsofExcellenceOrganizationalSelectionCommitteefrom2006-2008andagainin2010.Denniisamemberofthe
BoardofDirectorsforMUSE,MedicalUsersSoftwareExchangeandtheEditorialBoardforHealthcareIT
News,publishedinpartnershipwithHIMSS.DenniholdsaMasterofBusinessAdministrationdegree
fromtheUniversityofMissouri-Columbia.
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112-UsingExceltocreateIntermediateandAdvancedNPRReports–DictionaryDownload
Example
Presenter:SteveMogg
Organization:NorthBayRegionalHealthCentre,NorthBay,Ontario
Abstract:ThispresentationwillshowhowtouseExceltoquicklyaddcomputedfieldsandmacrologictoareportwhichcansavehoursofreportwritingtime.Theexampleusedwillbedownloadinganentire
mainsegmentofadictionarybyusingtheMEDITECHDataDefinitionfromtheMEDITECHwebsite.This
examplewillbeformattedforExcelsothedictionarydatacanbeeffectivelyanalyzedforerrorsand
anomalies.
SteveMoggisanApplicationsAnalystatNorthBayRegionalHealthCentre.HeisoriginallyfromSault
Ste.MariewherehestartedhiscareeratSaultAreaHospital.HeholdsaB.Sc.inComputerScienceand
hasbeenworkingwithMEDITECHforabout5years.Heenjoyscomputerprogramminganddoesn’t
mindtacklingdifficultreportingchallenges.HehaswrittenreportsforADM,PHA,LAB,MM,MIS,NPR,
NUR,OE,OPS,ORM,PCI,RADRW…andhasexperiencewithbothMAGICandC/Splatforms.
113-ClarityAboutCloud:LeveragingVirtualInfrastructureinHealthcareInformation
Systems
Presenter:JimFitzgerald
Organization:Dell
Abstract:Hospitaldatacentersandserviceproviderdatacentersaremovingtothecloudforallthe
rightreasons:moreefficientuseoftechnicalinfrastructure,bettermanagementtools,and
(theoretically)higheravailability.Withfouryearsofactiveimplementationofvirtualenvironmentsand
acloudhostingservice,wehavedevelopedanorganicsenseforwhatworks,whatdoesn’twork,andwhat’snextinthevirtualizationofHealthcareInformationSystems.Joinusforamoderatelytechnical
reviewoftopicsincluding:
• ThecurrentstatusofvirtualizationacrossallversionsofMEDITECH.
• Promisingevolutionsintheprovisioningandmanagementofservers,storage,andnetworking.
• The“myth”ofhighavailabilityinvirtualenvironmentsandwhatyouneedtodotomakeita
reality.
• Thereturnofthemainframe–doyouneedtightlycoupledphysicalinfrastructureforvirtual
environments?
• HowvirtualdesktopsareworkingatMEDITECHhospitals,
• Whichvirtualmanagementtoolsworkbestandwheretheyfit.
• Whatyouwillneedtobuildinyourcloud,whatyoucansourceinthecloud,andevolvingaservices-basedapproachtoIT.
JamesJ.Fitzgerald,ChiefTechnologyOfficer,MEDITECHSolutionsGroup,Dell,hasbeenworkingwith
computerssinceheprogrammedDEC-PDP8’sattheRoxburyLatinSchoolatage16.Ina25+yearcareer
hehasheldstaffandexecutiverolesinsales,marketing,andproductmanagementincompanies
includingMicrocom,InternetworkSystems,JJWild,PerotSystems,andnowDell.Jimhasbeenanintegral
partofthenetwork,systems,andstoragetechnologydesignteamforover400hospitalsusingthe
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MEDITECHHealthcareInformationSystem,andhasenvisionedandshepherdedthecreationofa
solutionsportfoliothatincludesMEDITECH’ssupportVPN,turnkeyvirtualizedinternalprivateclouddata
centersforMEDITECHhospitals,self-hostedandmanageddisasterrecoveryservices,andMSite,Dell
Services’privateexternalcloudMEDITECHHostingService.
Jim’scurrentfocusisonexpandingthebenefitsofvirtualizedservers,clients,andnetworkstothe
healthcarecommunityandworkingwithhiscolleaguesatMEDITECHtodrivetowardszerodowntime
healthcareinformationsystems.JimholdsaBAinPsychologyfromBatesCollegeandanMBA
concentrationintechnologyentrepreneurshipfromBabsonCollege.Whileearninghisgraduatedegree
throughnightclassesin1992,JimwaswinneroftheprestigiousDouglassFoundationAwardrecognizing
hisbusinessplanforEvergreenTechnology,Inc.
114-DevelopmentandImplementationofanElectronicWarningScoringSystemtoDetect
EarlyClinicalDeterioration
Presenter:MaryBaker
Organization:CentennialMedicalCenter(afacilityofHCATriStarDivision),Nashville,Tennessee
Abstract:Tofacilitateearlydetectionandtreatmentofclinicaldeteriorationofadultpatientsinmedical
surgical(MS)andstepdown(SD)patientcareareas,anelectronicEarlyWarningScoringSystem(EWSS)
wasdevelopedandimplementedbyaninterdisciplinaryteaminalargetertiary,urbanhospital.The
EWSSutilizessixphysiologicalparameters(temperature,heartrate,respiratoryrate,systolicblood
pressure,oxygensaturationandneurologicalstatus).
Basedonpre-determinedcriteria,theelectronichealthrecord(MEDITECH)assignsascoretothe
physiologicalparameterandcalculatesanaggregatescore.Scores>5andincreasingscoresmaybe
associatedwithanincreasedriskofclinicaldeterioration.Thesystemassignsthescoresandcalculationsviatraditionalattributesandincludesminimaluseofmacros.OAmessagingand@W.errkeywordsare
usedtoprovideautomatedalertsthatguidedirectcaregiversandmembersoftheCriticalCare
OutreachTeam(CCOT)towardsappropriateaction.
CustomizedNPRreportsguidedirectcaregiversandmembersoftheCOCCTtowardsprioritizationof
careandroundingactivities.TheEWSSwasimplementedwithoutadditionalsoftwareandhardware
expenditures.TheEWSSpromotesuseofhealthinformationforclinicaldecisionsupportatthepointof
care.UseoftheEWSShasdecreasedtheArrestRate(respiratoryandcardiopulmonary)inpatients
locatedinMSandSDpatientcareareas.
MaryBakerRN,BSN,hasover30yearsofexperienceinhealthcaresettingsthatincludessevenyearsin
healthcareinformatics.MaryisaclinicalapplicationsmanagerintheClinicalApplicationsServicesof
HCATriStarDivisionInformationTechnologyandServices.Marycoordinatestheactivitiesofthehospital
clinicalanalystsandprovidessupportforMEDITECHapplicationswithafocusonthenursingmodule.
MaryhasprovidedITdevelopmentandsupportfortheITcomponentsutilizedintheElectronicEarly
WarningSystem.
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115-BenchmarkingEHRSuccess
Presenters:DenniMcColmandTJTemple
Organization:CitizensMemorialHospital,Bolivar,Missouri;OzarksMedicalCenter,WestPlains
Missouri
JoinustolearnaboutmeasuringandbenchmarkingtheusageofelectronichealthrecordsforhospitalsinCanada.
TheU.S.hasadoptedmeasuresofsuccessintheimplementationanduseofelectronichealthrecordsto
drivenation-wideadoption.TheU.S.governmenthasincentivizedthatadoptionwithfinancialrewards
forhospitalsandphysicians,butonlywhenhospitalsandphysiciansmeetspecificmeasuresthatare
definedas“meaningfuluse.”ThosemeasuresincludefunctionalmeasuresonuseoftheEHRsystemand
qualityofcaremeasuresthatcanbeextractedfromtheEHRsystem.CitizensMemorialHospitalwasthe
firstMEDITECHhospitalintheU.S.toachievethesemeasuresandqualifyfortheincentivepayments
andOzarksMedicalCenterisonthepathtoqualifyfortheincentiveswithinafewyears.
WewillreviewthesemeasuresandleadadiscussiononhowtheymightbehelpfulforCanadian
hospitals.
DenniMcColmisChiefInformationOfficerforCitizensMemorialHealthcare.DennihasbeenatCitizens
Memorialsince1988,servingasDirectorofHumanResourcesandDirectorofFinancebeforemoving
intotheCIOroleinJune,2003.DenniservedontheCertificationCommissionforHealthInformation
TechnologyasaCommissionerfrom2006-2008.ShealsoservedontheDaviesAwardsofExcellence
OrganizationalSelectionCommitteefrom2006-2008andagainin2010.Denniisamemberofthe
BoardofDirectorsforMUSE,MedicalUsersSoftwareExchangeandtheEditorialBoardforHealthcareIT
News,publishedinpartnershipwithHIMSS.DenniholdsaMasterofBusinessAdministrationdegree
fromtheUniversityofMissouri-Columbia.
TJTempleisITApplicationsManageratOzarksMedicalCenterinWestPlainsMissouri.HehasanundergraduatedegreeinMedicalTechnologyandaMastersdegreeinbusinessadministration.Ozarks
MedicalCenterisa110-bedClientServerhospitalmovingtoversion5.65inDecemberofthisyear,
planningtoattesttomeaningfuluseinMarchof2012.TJwasappointedtotheMUSEeducation
committeein2010andcontinuestoservein2011.
116-BeyondVNA–BuildingaCompleteEnterpriseHealthcareArchiveforMEDITECHData
andMore
Presenter:CharlesMallioOrganization:BridgeHeadSoftware,Inc.
Abstract:YoumayhaveheardtheindustrybuzzaboutVendorNeutralArchives,orVNAs.These
solutionsarepromotedasbeingabletofreeyoufromthe“tyrannyofyourPACSvendor”andenabling
youtotakecontrolofyourmedicalimagedata.Alaudablegoal,butmostofthesesolutionsfocussolely
onmedicalimagesandneglectthelargerissueofmanagingtheentiretyofhealthcaredatainyour
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organization.Inthissession,wewilldiscussthefullscopeofdatagrowthproblemsfacingHealthcareIT
todayandofferstrategiesforcopingwiththisprobleminacost-effectiveandscalablemanner.
CharlesMalliohasworkedinhealthcareforover20years,specializinginITspecificallysince1995.AsVP,
ProductStrategy&BusinessDevelopment,Charlieisresponsibleforunderstandingmarketneedsto
enhanceandexpandBridgeHeadSoftware’sproductset.HeisalsoresponsibleforallianceswithkeyISV
andtechnologypartnersthatcomplementBridgeHeadsolutions.
Charliepreviouslymanagedworldwidetechnicalsupportforcoreinfrastructureatthehealthcare
informationsystemsvendorMedicalInformationTechnology,Inc.(MEDITECH).Priortojoining
MEDITECH,heservedinavarietyofpositionsattheAmericanRedCrossBloodServices.Charlieholdsa
BAinHistoryfromFraminghamStateUniversityinMassachusetts.
117-StandardizedCarePlanningandtheClinicalInformationSystem(CIS)–Arethey
Frenemies?Presenter:CoreyTillyer
Organization:FraserHealth,Surrey,BritishColumbia
Abstract:AccordingtoWikipedia,afrenemycanrefertoeitheranenemydisguisedasafriendortoa
partnerwhoissimultaneouslyacompetitorandrival.
FraserHealth(FH)isoneofsixHealthAuthoritieswithinBritishColumbia.FHishometoMEDITECH’s
largestsinglestandardizedC/Sdatabase,whichhasanMPIcontainingover1.6millionpersons.FH
currentlyhas14hospital’srunningthefoundationalMEDITECHmodules.
Butnowcomesthefunpart…it’stimeforFHtolooktowardadvancingMEDITECHtoensurehealthcareprovidershavetheinformationtheyneedforclinicaldecision-makingatthepointofcare.
InJanuaryandJuly2011,FraserHealthmetwithMEDITECHexecutivestodiscussthelessonslearned
fromotheradvancedclinicalsystemsimplementations(thatwouldbeallofyou!).Comelearnwhat
MEDITECHhadtotelltheFHteamandstayforadiscussionabouthowFHisusingthoselessonslearned
tomoveforwardwithStandardizedCarePlanningwithintheMEDITECHCIS.Thisdiscussionwillinclude
GovernanceoperatingmodelstosupportStandardsforPlanningCareandaMEDITECHAdvancedCIS
roadmap.
CoreyTillyeristheMUSEInternationalBoardSecretaryandDirector-at-largeforCanada.Coreyhas
workedinhealthinformaticsfor15yearsandhasworkherwayfrombeingaClinicalInformation
SpecialisttotheDirectorofHealthInformaticsforFraserHealthAuthority;homeofMEDITECH’ssingle
largestC/SStandardizeddatabase.Corey’sbackgroundasaRegisteredNursehelpshertoensure
cliniciansandpatientsarealwaysattheforefrontoftheinformationsystemsFraserHealthimplements.
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118-ChamplainAssociationofMEDITECHPartners(CHAMP)–ARegionalMEDITECH
Implementation
Presenters:HeatherSkanesandKirstenHeilmann-Stille
Organization:BruyèreContinuingCare,Ottawa,Ontario
Abstract:In2008-2009,BruyèreContinuingCaredecidedasanorganizationtoacquire,andbeginthepreparationfortheimplementationofanelectronicpatientrecordtosupportbetterpatientcare.When
fullyimplementedin2014,itwillbethefirstcontinuingcarehospitalinCanadatolaunchthelatest
versionfromthesoftwareproviderMEDITECH.
ThismonumentalprojectwasidentifiedbytheacronymBRIDGEandstoodfor”Bruyère
InterprofessionalDataGeneratedElectronically.”Ahospitalsteeringcommittee,physicianadvisoryand
implementationcommitteewerestruckandwereworkingdiligently.Acharterdocumentrefined,a
high-levelprojectplancommunicated,officespaceobtainedandcorestaffsecured,andclinicalpre-
workunderway,theBRIDGEteamwasset,orsotheythought…
Whilestayinginsidescopeisaprojectmanagementmantra,anopportunitytoworkcloselywithour
peerorganizationstomaximizeourresources,talentandtechnology,andtoliveourvalueof
collaboration,transformedthissingleorganizationprojecttoaLHIN-wideregionalprojectrelatively
overnight.TheBRIDGEprojecthadnowgrownintotheChamplainAssociationofMEDITECHpartnersor
theCHAMPProjectwiththeinclusionofQueenswayCarletonHospital,ArnpriorDistrictMemorial
Hospital,andCarletonPlaceandDistrictMemorialHospital.
Learnaboutwhatittakestomakethiskindofelectronicpatientrecordprojecttransitionfromthe
perspectiveoftheoriginalBruyèreContinuingCareBRIDGEteammembers.Giventhemandateto
createastructureandrelatedprocessestosupportthevisionof“APartnershipofEquals”amongst
hospitals,hearabouthowthisisbeingachievedandlesson’slearnedto-dateinthechangefromasingle
organizationtoaLHIN-wideproject.
KirstenHeilmann-Stille,BScN,RN,istheClinicalInformaticist,NursingatBruyèreContinuingCareandis
acoreteamleadwithCHAMP(ChamplainAssociationofMEDITECHPartners),agroupofsixpeer
hospitalsintheChamplainregionofOntario.Alife-longlearner,havingcompletedagraduatelevel
courseinhealthinformatics,Kirsten’sdeepappreciationofnewtechnologiesanditsabilitytoimprove
theefficiency,safetyandqualityofpatientcareandemployeesatisfactionspurredhertodevelopan
expertiseinadultlearningandtopursueaMastersDegreeinDistanceEducation.Herextensive
experienceasaRegisteredNurseandclinicalleaderallowshertosupporttheCHAMPProjecttowards
thesuccessfulimplementationofanelectronicpatientrecord.
HeatherSkanes,MHSC,SLP,istheClinicalInformaticist,HealthProfessionalsandPhysiciansatBruyère
ContinuingCareandisacoreteamleadwithCHAMP(ChamplainAssociationofMEDITECHPartners),a
groupasixpeerhospitalsintheChamplainregionofOntario.Withanextensivebackgroundin
professionalpracticeasaSpeech-LanguagePathologist,inclinicalprogramdevelopment,management,
anddocumentationredesign,Heatherappreciatestherelationshipbetweenstrongclinicalpracticesand
processes,patientoutcomes,andqualitycare.Thisbroadclinicalandmanagementbackgroundallows
hertosupporttheCHAMPProjecttowardsthesuccessfulimplementationofanelectronicpatientrecord.
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119-FacilitatingaProjectPlanningWorkshop
Presenter:TerriCahill
Organization:HealthtechConsultants
Abstract:Haveyoueverstartedtoleadaprojectwithoutanunderstandingofwhatwillberequiredto
besuccessful?Howoftenhaveyoufoundyourselfleadingaprojectthatiswellunderwayandyouarestrugglingwithstakeholderengagement,accountability,teammemberswithdifferingviewsofthe
projectscope,andaprojectbudgetthatisunderattack?Allofthisdespitesolidprojectplanningand
management?Youcanfacilitateaprojectplanningworkshopasakickofffortheprojectandsetupyour
projectforsuccess.
Haveyoueverbeeninvitedtoaprojectplanningworkshopandthoughtitwouldbeawasteoftime
becauseyoualreadyknowwhatyouneedtodofortheproject?Thissessionwilldemonstratethata
projectplanningworkshopisnotjustabouttheto-dolist.
Theprojectplanningworkshopisavaluabletooltokickoffyourproject.Theworkshopwillengage
stakeholders,ensureasharedunderstandingoftheprojectobjectives,clarifyrequirements,outline
projecttasks,gatherresourcerequirements,identifyprojectrisksanddemonstratecommitmenttothe
project.Youcanleavetheworkshopreadytowriteyourprojectcharter,budget,timelineandplansto
managerisk,communication,andresources.
Theprojectplanningworkshopdemonstratesthepowerofchangemanagementinaction.Yourproject
stakeholderswillleavetheworkshophavingsharedincreatingtheprojectvision,andhowtheproject
willcometolife.Youwillhavestartedtheprocessofbuildingaccountability.Theprojectworkshopand
thesharedexperiencesoftheparticipantswilllaythegroundworkforthose”tough”conversationsthat,
eveninthebestrunproject,inevitabilitymustoccur.Theprojectworkshopcanbeyourfirstchange
managementdeliverable.
Thissessionwillshowyouhowtoplanandrunaprojectplanningworkshopthatwillcreateclarityanddirectionforyouandyourprojectteam.Thesessionwillcoverplanningandfacilitatingtheworkshopas
wellasavarietyoftoolstoengageparticipants,eventhemostdoubtful!Usingacombinationof
presentation,reallifeexamples,andfacilitatedexercise,thissessionwilldemonstratethevalueofa
projectplanningworkshop.
TerriCahillisaseasonedinformationtechnologyconsultantwithover20yearsofexperienceinthe
healthcaresector.Terri’sareasofexpertiseincludeprojectmanagement,performancemanagement,
andfinancialandadministrativeapplicationconsulting.Terrihaspresentedinternationallyonstrategies
forsuccessfulprojectmanagement.
TerriisaCertifiedProfessionalinHealthcareInformationandManagementSystems(CPHIMS-CA)anda
CertifiedProjectManagementProfessional(PMP).Terriiscurrentlyprovidingleadershiptoavarietyof
clientprojectsaswellasHealthtech’sProjectManagementOffice.
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120-TheStoryofa5.6.5C/SUpgrade
Presenter:JeanOlsen
Organization:CenturaHealth,Englewood,Colorado
Abstract:Afullreviewoftheprojectfrombeginningtoendofa5.6.5C/SUpgradewillbepresented.
Projectplans,responsibilities,andlessonslearnedwillbeshared.Aquestion/discussiontimewillalsobeprovided.Thisprojectwascompletedovera12-monthtimeframeforalargehealthcare
organizationinColorado.Itinvolvedtrainingover13,000usersthroughoutthe12hospitals,60+
physicianoffices,andanumberoffreestandingclinics.TheUPTtoolwasusedbytheITpersonnelasa
meansofupdatingtheLIVEenvironment.
JeanOlsen,RNBSN,hasbeeninvolvedwiththeElectronicHealthRecordforover17years.Asthe
ProgramManageronthisproject,itwasimportanttoprovidecommunicationsandleadershipthat
encompassedallapplications,endusers,andexecutiveleadership.Withover25yearsofclinicalnursing
experienceinvolvingmanyareasofhealthcare,threeyearsofauditandB/ARexperienceandthepast
yearsofInformationTechnology,Jeanprovidesabroadbasedbackgroundoftheintegrationinvolvedin
producinganeffectiveEHRsystem.JeaniscurrentlyemployedatCenturaHealth,Colorado'slargest
healthcareorganization,asaDirectorPrograms.
121-AnIntegratedOperationalAssessmentbyMEDITECH
Presenter:JeanOlsen
Organization:CenturaHealth,Englewood,Colorado
Abstract:CenturaHealthinvitedMEDITECHtodoanIntegratedOperationalAssessmentinvolvingall
applicationsduringthesametimeframe.This2½-dayOperationalAssessmentinvolvedover20
MEDITECHApplicationSpecialistsonsite.Discussionsandsitevisitstookplace.Thepurposeofdoingan
IntegratedOperationalAssessmentwillbepresentedalongwiththeprocessusedforsettinguptheassessment.Someoftheresultsoftheassessmentwillbepresentedwithcurrentfollowthrough
completedorinprocess.AdditionalinformationaboutMEDITECH'snewOperationalAssessment
offeringswillalsobepresented.
JeanOlsen,RNBSN,hasbeeninvolvedwiththeElectronicHealthRecordforover17years.Asthe
ProgramManageronthisproject,itwasimportanttoprovidecommunicationsandleadershipthat
encompassedallapplications,endusers,andexecutiveleadership.Withover25yearsofclinicalnursing
experienceinvolvingmanyareasofhealthcare,threeyearsofauditandB/ARexperienceandthepast
yearsofInformationTechnology,Jeanprovidesabroadbasedbackgroundoftheintegrationinvolvedin
producinganeffectiveEHRsystem.JeaniscurrentlyemployedatCenturaHealth,Colorado'slargest
healthcareorganization,asaDirectorPrograms.
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PeerGroupMeetings
EDM–EmergencyDepartmentManagement
PeerGroupLeader:SusieThibeaultBScNMISt,ApplicationSpecialist
Organization:HamiltonHealthSciences,Hamilton,Ontario
ED-PIP/DARTandBusinessIntelligence
Presenter:NoelDevost
Organization:HopitalRegionalSudburyRegionalHospital,Sudbury,Ontario
Abstract:EmergencyDepartmentProcessImprovementProgram(ED-PIP)isastructuredprogramto
supportimprovementsinEDLengthofStay(LOS)metricsandbuildcapabilitieswithinhospitalsforlong
termsustainablechangethroughLEANmethodologies.Theprogramfocusesoncreatingsustainable
processimprovementswithinthehospitaltoimprovepatientflow.
SudburyRegionalHospital(HRSRH)hasimplementedDART(DailyAccessReportingTool)usingadvanced
businessintelligenceandwebtechnologiestoautomateandstreamlinethecaptureofand
disseminationofperformancemeasuredatadirectlyfromMEDITECH.Thisdecisionmakinginformation
isprovidedwithtrendgraphing,performancehistory,thresholdalertingandevendrilldowntosource
patientdataofferinganindustryleadinguserexperience.
NoelDevosthasbeenanI/Tprofessionalforthepast23yearsandhasworkedasacorporateconsultant,
softwaredesigner,programmer,DatabaseAdministrator(DBA)andTeamLead.Hehasworkedbothin
theprivateandpublicsectorandhasservedtheSudburyRegionalHospitalsinceearly1999.Hehasbeen
achampionforbusinessintelligence,MEDITECHintegrationandsoftwaresolutiondevelopmentat
HRSRHwithastrongfocusonperformanceimprovementinitiatives.Theintegrationofwebbased,
businessintelligenceandvalueaddedsolutionswithMEDITECHhasbeenandcontinuestobeafocal
pointofhisdevelopment.
NPRReportWriter
PeerGroupLeader:SteveMogg,ApplicationsAnalyst
Organization:NorthBayRegionalHealthCentre,NorthBay,Ontario
ORM-OperatingRoomManagementPeerGroupLeader:KennethTam,ClinicalSystemsAnalyst
Organization:PeterboroughRegionalHealthCentre,Peterborough,Ontario
PCS/NUR–PatientCareSystem/Nursing
PeerGroupLeader:OliverDelapaz,Coordinator,ClinicalInformatics
Organization:FraserHealth,Surrey,BritishColumbia
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PCI/EMR–PatientCareInquiry/ElectronicMedicalRecord
PeerGroupLeader:ReneCampbell,SeniorConsultant,HealthInformatics&KnowledgeManagement
Organization:FraserHealth,Surrey,BritishColumbia
SCA–ScanningandArchiving
PeerGroupLeader:BrianNelligan,ISSystemsAnalyst
Organization:HumberRiverRegionalHospital,WestonON
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Workshops
701-WhatisYour6.0LearningProjectPlan?
Instructor:KerryKuehn
Organization:SedonaLearningSolutions
Abstract:InordertoachieveoptimalusersuccesswhenimplementingMEDITECH6.0,itisimportantto
designandpresentacarefullyplannedlearningprogram.Thisworkshopwillhelpyoutoselectthemost
appropriateoveralleducationalstrategyforyour6.0upgrade.
KerryKuehnistheFounderandDirectorofLearningforSedonaLearningSolutions,LLC,aneducational
consultingfirmfocusedsolelyonthelearningneedsofhospitalsandmedicalgroups.Kerrygraduated
fromtheUniversityofWisconsin–EauClairewithaBAinEducationin1992.Hemovedintocorporate
andadultlearningin1996,comprehensivelymanaging,designinganddeliveringITeducationforthe
insuranceindustry.
KerrymadethetransitiontothefieldofInformaticsandElectronicMedicalRecordeducationin2002,
acceptingarolewithCerner’sVirtualUniversity,andworkedwithavarietyofhospitalclientsnationwide
intheirpathstoEMRimplementation.
KerryfoundedSedonaLearningSolutionsin2006,combininghiseducationalfoundationandadecadeof
adultlearningexpertise-includingseveralyearsofindependentconsultingonEMRimplementationsin
theareasofprojectmanagement,curriculumdesignandinstructionaldelivery.
702-ProviderDocumentation/ProviderComputerOrderEntry:“Focus”onLessonsLearned
atCanadianSites
Instructor:CarolDueck
Organization:HealthtechConsultants
Abstract:ImplementationofaCPOEsystemandProviderDocumentationaresomeofthemost
complexprojectsthathealthcareorganizationswilltackle.Successfuladoptionbycliniciansrequiresa
majorshiftinadministrative,clinicalpoliciesandpracticesandastrongorganizationalculture
committedtosupportingongoingchange.Awell-designedimplementationplanmustincludeawell-
developedprojectdesignandmanagementplan;adetailedworkflowanalysis;anapprovedtemplatefor
ordersets;aprocesstoengagephysicians;acustomizabletrainingplanandorganizationwide
communicationandengagementthroughouttheproject.Benefitstotheorganizationadoptingthis
technologyincludeimprovedefficiency,datadrivendecisionmaking,enhancedteamwork,improved
interdisciplinarycollaborationandareductioninmedicalerror.
Thispresentationwilloutlinethecriticalelementsandthelessonslearnedduringtheimplementation
CPOE/ProviderDocumentationattwoCanadiansitestopromoteasuccessfuladoptionofthenew
advancedclinicaltechnology.Theinteractiveworkshopwillinclude:
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• DesignideasforCPOEsystemandordersetswitheyetolinkclinicaldecisionsupportsystem
(CDSS)toensurebestpracticeinformationguidesprovidersattheorderstage;
• Examiningresistancetochangeandthesignificantrolethatmanagingchangefactorsintothe
adoptionoftechnology;
• Tipsforattentiontoworkflowandperceivedshiftsinpowerrelatedtoworkredistributionand
safetyinitiatives;
• Templatesthatfocusonquality,reportingcriteriaandstandardizationwithoutslowingthe
documentationprocess;
• Guidelinesforchoosingdevices
CarolDueckisanexperiencedhealthcareconsultantwithover30yearsofexpertiseinimprovingpatient
careandhealthcaredeliveryinCanada.Sheispassionateaboutthetransferofknowledgerelatedto
clinicalpracticeandpatientsafety.Carolisleadingmanyinitiativesgearedtowardstheadoptionof
electronichealthrecordsandsafemedicationmanagementsystems.
Overthepastfouryears,Carolhasledsixreadinessassessmentsforenhancedtechnologyinmedication
managementsystemsandComputerizedProviderOrderEntryatmid-sizecommunityandlargetertiary
hospitals.CarolwastheClinicalLeadfortheimplementationofaprovince-widewait-timeimprovementinitiativefortheNovaScotiaDepartmentofHealth.Carolisactivelyparticipatingwiththeteamtobuild
andimplementAdvancedClinicalSystemsandProviderComputerOrderEntryfortheMEDITECH6.0
installationintheTerritoryofNunavut.CaroljoinedHealthtechin2006.