[MT-L] MedHost?

[Gary Hall]

So, what’s the story on MedHost w/ Meditech 6.06+? With a bunch of Iatric interfaces, I understand? My ED physicians & director are enamored of this product, despite having already purchased (and started training on) EDM….What’s the scoop? Does it work for anyone?

 

Gary M. Hall

Vice President of Information Services

Estes Park Medical Center

W: 970-577-4443

C: 970-744-9052

gh...@epmedcenter.com

 

 

 

[Gary Hall]

Good to hear, Gale, thanks for the quick reply. How big is your ED (patients per year)?

 

Thanks!

 

Gary

 

 

 

 

 

 

 

From: Freeman, Gale [mailto:gfre...@shsny.com]
Sent: Friday, October 19, 2012 7:03 AM
To: Gary Hall; 'medit...@MTUsers.com'
Subject: RE: MedHost?

 

We use MEDHOST , we are C/S 5.65 , but were live with it on 5.64 . So far it is working for us. We do use Iatrics to interface to Meditech.

 

---

[Seth Bosack]

One big consideration is whether you’re going to have just ADT, ADT and Results, or the full monty with documentation included.  It makes a huge difference for HIM and for the floors after ED patients have been admitted (and for your interface budget).

This message (including any attachments) is intended only for the use of the individual or entity to which it is addressed and may contain information that is non-public, proprietary, privileged, confidential, and exempt from disclosure under applicable law or may constitute as attorney work product. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, notify us immediately by telephone and (i) destroy this message if a facsimile or (ii) delete this message immediately if this is an electronic communication. Thank you.

[Gary Hall]

Thanks for the various replies, these and some other great details. MedHost has also talked about importing problem lists and other parts of the physician documentation, but that's certainly above & beyond any of the interfacing we've worked with thus far. We've got ADT feeds, of course, as well as lab results, RAD reports, PACS interfacing, Pyxis interfacing, so hopefully we're starting from a good point, but we have no experience with sending physician documentation from one system to another.

Thanks!

Gary

-----Original Message-----
From: Freeman, Gale [mailto:gfre...@shsny.com]

Sent: Friday, October 19, 2012 7:36 AM
To: Seth Bosack
Cc: Gary Hall; medit...@MTUsers.com
Subject: Re: MedHost?

We have ADT , orders via OE to lab& X-ray, and results back to Medhost.

Sent from my iPhone

On Oct 19, 2012, at 9:31 AM, "Seth Bosack" <sbo...@HHC.org<mailto:sbo...@HHC.org>> wrote:

One big consideration is whether you’re going to have just ADT, ADT and Results, or the full monty with documentation included. It makes a huge difference for HIM and for the floors after ED patients have been admitted (and for your interface budget).

From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Gary Hall
Sent: Friday, October 19, 2012 9:20 AM
To: Freeman, Gale; 'medit...@MTUsers.com<mailto:medit...@MTUsers.com>'
Subject: Re: [MT-L] MedHost?

Good to hear, Gale, thanks for the quick reply. How big is your ED (patients per year)?

Thanks!

Gary







From: Freeman, Gale [mailto:gfre...@shsny.com]<mailto:[mailto:gfre...@shsny.com]>
Sent: Friday, October 19, 2012 7:03 AM
To: Gary Hall; 'medit...@MTUsers.com<mailto:medit...@MTUsers.com>'
Subject: RE: MedHost?

We use MEDHOST , we are C/S 5.65 , but were live with it on 5.64 . So far it is working for us. We do use Iatrics to interface to Meditech.

________________________________

From: Meditech-l [mailto:meditech-...@mtusers.com]<mailto:[mailto:meditech-...@mtusers.com]> On Behalf Of Gary Hall

Sent: Friday, October 19, 2012 8:48 AM

To: medit...@MTUsers.com<mailto:medit...@MTUsers.com>

Subject: [MT-L] MedHost?
So, what’s the story on MedHost w/ Meditech 6.06+? With a bunch of Iatric interfaces, I understand? My ED physicians & director are enamored of this product, despite having already purchased (and started training on) EDM….What’s the scoop? Does it work for anyone?

Gary M. Hall
Vice President of Information Services
Estes Park Medical Center
W: 970-577-4443
C: 970-744-9052

gh...@epmedcenter.com<mailto:gh...@epmedcenter.com>

This message (including any attachments) is intended only for the use of the individual or entity to which it is addressed and may contain information that is non-public, proprietary, privileged, confidential, and exempt from disclosure under applicable law or may constitute as attorney work product. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, notify us immediately by telephone and (i) destroy this message if a facsimile or (ii) delete this message immediately if this is an electronic communication. Thank you.

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[Gary Hall]

Uggh. Yes, another responder said that the documentation was not good (they used a different word :) ) when it exports to Meditech. ITS is the same as the "departmental" interface? Anyway, sounds like providers are better off logging into MedHost to see what happened in the ED.

Thanks!

Gary








-----Original Message-----
From: Freeman, Gale [mailto:gfre...@shsny.com]
Sent: Friday, October 19, 2012 1:12 PM
To: Gary Hall; 'Seth Bosack'
Cc: 'medit...@MTUsers.com'
Subject: RE: MedHost?

We are taking what the provider documents and importing it into MEDITECH via ITS import function. It occurs at chart lock. The report then shows up in EMR , but it is terrible to read and about 20 pages long.

So, what's the story on MedHost w/ Meditech 6.06+? With a bunch of Iatric interfaces, I understand? My ED physicians & director are enamored of this product, despite having already purchased (and started training on) EDM....What's the scoop? Does it work for anyone?

[John Lee]

ED docs love best of breed systems like MedHost and Ibex and their marketing departments reflect this by really hitting the ED docs hard.  However, the ongoing problem are the interfaces.  How updates to your different systems (LIS, RIS, PACS, pharmacy, HIM, coding, BAR) do you get a year?  How many updates will MedHost push into their system each year?  How many different permutations are there for things to "break?"  MedHost may show you a really fancy system that is very user friendly, but that also means that it is proportionally technically complex on the back end.  

I am an ED doc who was pulled kicking and screaming into using EDM.  I initially favored systems like MedHost and Ibex, but, after working with EDM and building in Meditech dictionaries for many years, I am convinced that an integrated enterprise solution is the best long term solution.  I think this is especially true of the small and medium sized community hospitals that is the core of the Meditech community.  You simply do not have the bandwidth to maintain all the interfaces.

If the ED docs really want MedHost, see if the ED docs and MedHost will put skin in the game.  Propose a chargeback method for interface maintenance to the docs.   See if MedHost will be willing to pay a penalty if their system doesn't play well with the enterprise.  I think I know what the answers will be.  

John Lee, MD

--
NOTICE: This email and any documents or attachments are intended solely for the use of the addressed recipient.  If you are not the intended recipient, this email and all electronic or hard copies are to be destroyed and any further use or distribution is unauthorized.

[Gary Hall]

This is wonderful and useful information. Not always pretty information, but great info.

Thanks!

Gary








-----Original Message-----
From: Freeman, Gale [mailto:gfre...@shsny.com]
Sent: Friday, October 19, 2012 1:43 PM
To: Gary Hall; 'Seth Bosack'
Cc: 'medit...@MTUsers.com'
Subject: RE: MedHost?

Well , our outside providers offices can dial into our EMR and see the reports so we only have to give them access to EMR and that has an audit.
We dont give them access to Medhost so they have to learn another program , plus they would be able to see other patients while they were in there.

Yes Iatrics took the reports and forwards them to a import folder in a certain format . Meditech background import job comes along and picks up the report. Looks to import dictionary setting and creates the reports in ITS. Once created , they are sent across to EMR. Another draw back is if the wrong patient account is used, it fails and wont show up anywhere. Someone has to go into the import function , correct the account and it will import.

[Freeman, Gale]

We have ADT , orders via OE to lab& X-ray, and results back to Medhost.

Sent from my iPhone

On Oct 19, 2012, at 9:31 AM, "Seth Bosack" <sbo...@HHC.org<mailto:sbo...@HHC.org>> wrote:

One big consideration is whether you’re going to have just ADT, ADT and Results, or the full monty with documentation included. It makes a huge difference for HIM and for the floors after ED patients have been admitted (and for your interface budget).

From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Gary Hall
Sent: Friday, October 19, 2012 9:20 AM
To: Freeman, Gale; 'medit...@MTUsers.com<mailto:medit...@MTUsers.com>'
Subject: Re: [MT-L] MedHost?

Good to hear, Gale, thanks for the quick reply. How big is your ED (patients per year)?

Thanks!

Gary







From: Freeman, Gale [mailto:gfre...@shsny.com]<mailto:[mailto:gfre...@shsny.com]>
Sent: Friday, October 19, 2012 7:03 AM
To: Gary Hall; 'medit...@MTUsers.com<mailto:medit...@MTUsers.com>'
Subject: RE: MedHost?

We use MEDHOST , we are C/S 5.65 , but were live with it on 5.64 . So far it is working for us. We do use Iatrics to interface to Meditech.

________________________________

From: Meditech-l [mailto:meditech-...@mtusers.com]<mailto:[mailto:meditech-...@mtusers.com]> On Behalf Of Gary Hall

Sent: Friday, October 19, 2012 8:48 AM

To: medit...@MTUsers.com<mailto:medit...@MTUsers.com>

Subject: [MT-L] MedHost?
So, what’s the story on MedHost w/ Meditech 6.06+? With a bunch of Iatric interfaces, I understand? My ED physicians & director are enamored of this product, despite having already purchased (and started training on) EDM….What’s the scoop? Does it work for anyone?

Gary M. Hall
Vice President of Information Services
Estes Park Medical Center
W: 970-577-4443
C: 970-744-9052

gh...@epmedcenter.com<mailto:gh...@epmedcenter.com>

This message (including any attachments) is intended only for the use of the individual or entity to which it is addressed and may contain information that is non-public, proprietary, privileged, confidential, and exempt from disclosure under applicable law or may constitute as attorney work product. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, notify us immediately by telephone and (i) destroy this message if a facsimile or (ii) delete this message immediately if this is an electronic communication. Thank you.

[Freeman, Gale]

Well , our outside providers offices can dial into our EMR and see the reports so we only have to give them access to EMR and that has an audit.
We dont give them access to Medhost so they have to learn another program , plus they would be able to see other patients while they were in there.

Yes Iatrics took the reports and forwards them to a import folder in a certain format . Meditech background import job comes along and picks up the report. Looks to import dictionary setting and creates the reports in ITS. Once created , they are sent across to EMR. Another draw back is if the wrong patient account is used, it fails and wont show up anywhere. Someone has to go into the import function , correct the account and it will import.

[Freeman, Gale]

We use MEDHOST , we are C/S 5.65 , but were live with it on 5.64 . So far it is working for us. We do use Iatrics to interface to Meditech.

---

From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Gary Hall

Sent: Friday, October 19, 2012 8:48 AM
To: medit...@MTUsers.com

Subject: [MT-L] MedHost?

[Freeman, Gale]

We are taking what the provider documents and importing it into MEDITECH via ITS import function. It occurs at chart lock. The report then shows up in EMR , but it is terrible to read and about 20 pages long.

-----Original Message-----
From: Gary Hall [mailto:GH...@epmedcenter.com]
Sent: Friday, October 19, 2012 2:52 PM
To: Freeman, Gale; Seth Bosack
Cc: medit...@MTUsers.com
Subject: RE: MedHost?

So, what's the story on MedHost w/ Meditech 6.06+? With a bunch of Iatric interfaces, I understand? My ED physicians & director are enamored of this product, despite having already purchased (and started training on) EDM....What's the scoop? Does it work for anyone?

[Cindy Bodnar-Anderson]

I'm working on an implementation with 6.05.

We are using Meditech NMI interfaces for most (ADT Out and In); BAR Charges In, Orders In/Out, Order Status Out, and ITS for documentation. I agree that ITS documents are cludgy, and site is considering use of SCA coldfeed.

Future plan is to use Iatric for interfacing discreet data elements (MT doesn't have inbound OM, nor EDM, AOM nor PCS - all areas where the elements need to be considered.)

Intent is to have all documentation necessary for Meditech to have the 'legal record', and report for Meaningful Use out of Meditech only.

Hope this helps,
Cindy Bodnar-Anderson
Senior Consultant
maxIT Healthcare LLC
The information in this email, including attachments, may be confidential and/or privileged and may contain confidential health information. This email is intended to be reviewed only by the individual or organization named as addressee. If you have received this email in error please notify maxIT Healthcare, LLC immediately - by return message to the sender - and destroy all copies of this message and any attachments. Please note that any views or opinions presented in this email are solely those of the author and do not necessarily represent those of maxIT Healthcare. Confidential health information is protected by state and federal law, including, but not limited to, the Health Insurance Portability and Accountability Act of 1996 and related regulations.

[Travis, Debbie]

To Dianna Machinn - "Since we updated to 5.65 we have lost our mapping for employees to flow from HR/PP to RM."

We are a 6.0 site. In order to map HR to RM we had to map the MIS Map Dictionary first:

INFO SYSTEM/MIS/DICTIONARIES/COMMUNICATION/MAP(NPR)

Create maps with the PP CODES > RM JOB CLASS and GL DEPT > RM DEPT, attach these maps to RM Customer Defined Parameters/Employee Upload in the Customer Defined Parameters dictionary.

Hope this helps,

Debbie Travis
PI Data Analyst
Harnett Health System

-----Original Message-----
From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of meditech-...@mtusers.com
Sent: Monday, October 22, 2012 10:14 PM
To: medit...@mtusers.com
Subject: Meditech-l Digest, Vol 8, Issue 35

Send Meditech-l mailing list submissions to
medit...@mtusers.com

To subscribe or unsubscribe via the World Wide Web, visit
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or, via email, send a message with subject or body 'help' to
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You can reach the person managing the list at
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When replying, please edit your Subject line so it is more specific
than "Re: Contents of Meditech-l digest..."


Today's Topics:

1. AUTO: Darla T Burgess is out of the office (returning
10/23/2012) (Darla T Burgess)
2. Magic 5.64 - Complex PRN protocols CPOE'ized (Jeff Lee)
3. Help Desk Ticket System (John Brennan)
4. Re: Help Desk Ticket System (Lykins, Patrick)
5. MT C/S Update from 5.64 to 5.65 PP13 (Amy Bokhoven)
6. heat settings for a Meditech defined thermal printer
(Information Technology)
7. Once again the meditech-l needs your help (Gil Arnold)
8. Re: Medicare Inpts (Freeman, Gale)
9. Re: Medicare Inpts (Cheadle, Marcia D.--IRM)
10. Re: RM employee mapping with HR (Freeman, Gale)
11. Re: need help with report for all patients with blood types?
(Freeman, Gale)
12. Re: Advance Directive tracking (Freeman, Gale)
13. Re: Transcription (Freeman, Gale)
14. Re: MAGIC 5.64 Telephone/Verbal Orders (Freeman, Gale)
15. Re: BacT Alert and Lantronix Single Device Server (Freeman, Gale)
16. Re: MedHost? (Freeman, Gale)
17. Cross Coverage Physicians (Chuck McWhorter)
18. unnsigned orders/reports (Chuck McWhorter)
19. Re: Prescription Faxing using Fax in RXM and ForwardAdvantage
(Still, Charles)
20. Result comment box won't popup in lab interface (Cody Keller)
21. Result comment box won't popup in lab interface (Cody Keller)
22. Re: MedHost? (Freeman, Gale)
23. Community Wide Scheding Wait Time Reporting (Horne, Bonnie)
24. Re: Magic - blood sugars downloading into NUR documentation
(Freeman, Gale)
25. Re: MedHost? (Freeman, Gale)
26. Re: MedHost? (Freeman, Gale)
27. BAR 835/COB Claim Problems (Gary Ring)
28. Re: 30 Day Readmission (Martin, Danelle)


----------------------------------------------------------------------

Message: 1
Date: Mon, 22 Oct 2012 15:17:08 -0400
From: "Darla T Burgess" <DTB...@hendricks.org>
To: medit...@mtusers.com
Subject: [MT-L] AUTO: Darla T Burgess is out of the office (returning
10/23/2012)
Message-ID:
<OF1B69B8C8.DD5F6811-ON85257A9F.0069F061-85257A9F.0069F061@LocalDomain>

Content-Type: text/plain; charset="us-ascii"



I am out of the office until 10/23/2012.




Note: This is an automated response to your message "Meditech-l Digest,
Vol 8, Issue 34" sent on 10/22/2012 3:00:06 PM.

This is the only notification you will receive while this person is away.

----------------------------------------------------------------------------------------------------
CONFIDENTIALITY NOTICE
This e-mail and the files transmitted with it are intended solely for the use of addressee. If you are not the intended recipient, or a person responsible for delivering this e-mail to the intended recipient, you are hereby notified that you have received this e-mail in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately by replying to this e-mail and deleting it from your computer.
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Message: 2
Date: Mon, 22 Oct 2012 20:00:25 +0000
From: Jeff Lee <JL...@dchsystem.com>
To: "medit...@mtusers.com" <medit...@mtusers.com>
Cc: Sherrie Kelley <SKe...@dchsystem.com>
Subject: [MT-L] Magic 5.64 - Complex PRN protocols CPOE'ized
Message-ID:
<0C9DFCE1C5C18B4AA7E2...@EXCHANGE-MAILBX.dchsystem.com>

Content-Type: text/plain; charset="us-ascii"

We've had a few consultants review some of our complex protocols in preparation for POM. They are saying that these are too complex. We are trying to determine if anyone has successfully made this transition from paper.

An example is our potassium protocol. We are trying to see if the physician can order "PO potassium protocol to 4.5 PRN." The intention is that this could be placed on admission, reside somewhere and then the nurse would monitor the patient for a low potassium to trigger the protocol. The protocol itself is a set of MED orders and LAB. The potassium would be entered as a scheduled order for eMAR and is dependant on K+ and SCr levels. The timing of the LAB draw is dependant on the last administered dose and whether this is oral liquid or extended release tablet. If the result is still below the level of 4.5, then additional potassium is scheduled as a new MED order and the protocol repeats until the endpoint is reached. At that point, the PRN order would remain active so that the cycle can be restarted if necessary.

If anyone has a strategy to handle this, please outline or reply if willing to take a phone call.


Jeff Lee

Assistant Director of Pharmacy

DCH Regional Medical Center

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Message: 3
Date: Mon, 22 Oct 2012 16:10:53 -0400
From: John Brennan <john.b...@hpha.ca>
To: "medit...@mtusers.com" <medit...@mtusers.com>
Subject: [MT-L] Help Desk Ticket System
Message-ID:
<C1D69539DFFF37459031F...@CLUSTER1.hphp.org>
Content-Type: text/plain; charset="us-ascii"

Current Array Task+ customer. Does anyone out there have a web-based ticket/Help Desk system that works equally well for IT and Maintenance/Plant tickets?
Thanks,
John

John Brennan
Regional Director, Information Technology
Huron Perth Enterprise IT Service
46 General Hospital Drive
Stratford, ON N5A 2Y6
Tel: 519-272-8210 x2262
Fax: 519-272-8182
john.b...@hpha.ca<mailto:john.b...@hpha.ca>
[cid:image0...@01CDB06F.CFAE2F90]


________________________________
CONFIDENTIAL NOTICE: This email message, including any attachments, is intended only for the use of the intended recipient(s) and may contain information that is privileged, confidential, and prohibited from unauthorized disclosure applicable law. If you are not the intended recipient of this message, any dissemination, distribution, or copying of this message is strictly prohibited. If you received this message in error, please notify the sender by reply email and destroy all copies of the original message.

Sent and received emails are records within the custody and control of the hospital and therefore subject to public right of access as per the Freedom of Information and Protection of Privacy Act.
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Message: 4
Date: Mon, 22 Oct 2012 20:17:36 +0000
From: "Lykins, Patrick" <PLy...@fghi.com>
To: "'John Brennan'" <john.b...@hpha.ca>, "medit...@mtusers.com"
<medit...@mtusers.com>
Subject: Re: [MT-L] Help Desk Ticket System
Message-ID:
<AAEFB272D25F4948B698...@SV-EX-02.fgh.com>
Content-Type: text/plain; charset="us-ascii"

We use ServiceDesk Plus here. It's a great tool that allows us to do all of our requests and asset management, along with knowledge base. Only IT currently use it here. It was originally designed for Engineering Shops but they have expanded it so that all areas can equally benefit from it. There is a Problems and a Changes section that we have dabbled with but not really used do to our small staff. Those two features though would work great for the other areas. We have tried in the past to move them into the software, however, they have been set in their old system.

Patrick L. Lykins
System Analyst II
Fairmont General Hospital
1325 Locust Ave.
Fairmont, WV 26554
304-367-7272
ply...@fghi.com<mailto:ply...@fghi.com>

"Understanding is discovering the truth beneath the surface."


From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of John Brennan
Sent: Monday, October 22, 2012 4:11 PM
To: medit...@mtusers.com
Subject: [MT-L] Help Desk Ticket System

Current Array Task+ customer. Does anyone out there have a web-based ticket/Help Desk system that works equally well for IT and Maintenance/Plant tickets?
Thanks,
John

John Brennan
Regional Director, Information Technology
Huron Perth Enterprise IT Service
46 General Hospital Drive
Stratford, ON N5A 2Y6
Tel: 519-272-8210 x2262
Fax: 519-272-8182
john.b...@hpha.ca<mailto:john.b...@hpha.ca>
[Untitled]


________________________________
CONFIDENTIAL NOTICE: This email message, including any attachments, is intended only for the use of the intended recipient(s) and may contain information that is privileged, confidential, and prohibited from unauthorized disclosure applicable law. If you are not the intended recipient of this message, any dissemination, distribution, or copying of this message is strictly prohibited. If you received this message in error, please notify the sender by reply email and destroy all copies of the original message.

Sent and received emails are records within the custody and control of the hospital and therefore subject to public right of access as per the Freedom of Information and Protection of Privacy Act.

***Email Disclaimer***

This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager (postm...@fghi.com). This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. If you are not the intended recipient you are notified that disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited.

Fairmont General Hospital Inc
1325 Locust Ave
Fairmont, WV 26554

***End Disclaimer***
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Message: 5
Date: Mon, 22 Oct 2012 16:25:47 -0500
From: Amy Bokhoven <ABok...@pellahealth.org>
To: "'medit...@mtusers.com'" <medit...@mtusers.com>
Subject: [MT-L] MT C/S Update from 5.64 to 5.65 PP13
Message-ID:
<06E1E4D9A7CA8D42B6C7E...@mailserver.pellahealth.org>

Content-Type: text/plain; charset="windows-1252"

Hello!
We are updating from 5.64 to 5.65 (CS) this weekend. So far everything has tested nicely. Any surprises or lessons learned we should be aware of?
Thanks,
Amy

Amy Bokhoven, MT(ASCP)
Clinical Analyst
Pella Regional Health Center
(641) 621-2456
abok...@pellahealth.org


________________________________
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Message: 6
Date: Mon, 22 Oct 2012 15:07:44 -0700
From: Information Technology <lmh...@gmail.com>
To: medit...@mtusers.com
Subject: [MT-L] heat settings for a Meditech defined thermal printer
Message-ID:
<CAM0fuCGVs1aGHS-+bj-JgVdT...@mail.gmail.com>
Content-Type: text/plain; charset="iso-8859-1"

Hi L,

Has anyone ever heard of adjusting the heat settings for a theraml printer
in Meditech?

Thanks,
Heather
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Message: 7
Date: Mon, 22 Oct 2012 10:45:06 -0400
From: Gil Arnold <g...@MTUsers.net>
To: medit...@mtusers.com
Subject: [MT-L] Once again the meditech-l needs your help
Message-ID:
<CAN57TWv8c7szRR7dosUAwj0Q...@mail.gmail.com>
Content-Type: text/plain; charset="iso-8859-1"

Hi, all,


I need to ask for money again..... actually, call it beg for money. I
have not asked in quite some time, and the reserves ran out a long time
ago. If you have ever received any help from the meditech-l, please
consider donating some money to help keep it going. The meditech-l is
not owned/supported by any vendor. It is a private project, managed 100%
by volunteers (thanks to Lorna and Julia for keeping it going day to day).
Many years ago, when it was only 600 subscribers, I took it on as a
hobby.... funded the list totally from my pockets for years. As the list
grew (now, over 3700 subscribers), the list need more resources to keep it
running efficiently. No free service gave it the support and resources
needed to make it operate simply and efficiently, so the costs constantly
grew over the years. The interactive archive at MTUsers.net is starting
to demand more resources. I am at a point where I might have to take that
archive down or buy more resources to support it.

So, please dig deep and make a donation (even $5 helps....) Go to
MTUsers.net or MTUsers.com, click on "Help the L" and make a donation via
PayPal. It's safe, secure, and easy to use. If you want to send a check,
just email me at g...@MTUsers.net for info.



Thanks in advance.

Gil
meditech-l
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Message: 8
Date: Wed, 17 Oct 2012 10:51:03 -0400
From: "Freeman, Gale" <gfre...@shsny.com>
To: 'Marcia S Flessner' <mfle...@mendotahospital.org>, "'Jennifer D.
Cescolini'" <jennifer....@bellmi.org>,
"'medit...@mtusers.com'" <medit...@mtusers.com>
Subject: Re: [MT-L] Medicare Inpts
Message-ID: <CB7659AD03414A48A02E...@exch2.shsny.com>
Content-Type: text/plain; charset="us-ascii"

ok, I will check with our Billing dept . thank you !

________________________________
From: Marcia S Flessner [mailto:mfle...@mendotahospital.org]
Sent: Wednesday, October 17, 2012 10:33 AM
To: Freeman, Gale; 'Jennifer D. Cescolini'; 'medit...@mtusers.com'
Subject: RE: Medicare Inpts

If you happen to be a CAH (Critical Access Hospital), you would definitely need two account numbers for your Medicare patients. We are instructed to bill the outpatient charges separately from the in patient charges. We are now working on what we can do to get the charges correct since POM is live. Doctors evidently have a problem with the ordering side when there are two accounts. The choices that we have are reverse and flag charges or freeze charges in BAR. Then get a report with ordering times on it to determine later what charges belong on what account. We are getting ready to freeze charges and test this. Meditech says there is something being developed to help with this. If you are a CAH and will need this, please let Meditech know so they hurry it along.....

Marcia Flessner
Patient Financial Services Manager
Corporate Compliance Officer
Mendota Community Hospital
815 539-1621
mfle...@mendotahospital.org

CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify Mendota Community Hospital immediately by telephone at (815)539-7461 and destroy all copies of this communication and any attachments.





From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Freeman, Gale
Sent: Tuesday, October 16, 2012 7:43 AM
To: 'Jennifer D. Cescolini'; 'medit...@mtusers.com'
Subject: Re: [MT-L] Medicare Inpts

We roll the ED account into the inpatient account, I believe we keep the same account number.
We dont create separate accounts based on patient insurance.I do not know what is done on the billing side, so cant speak to that.

________________________________
From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Jennifer D. Cescolini
Sent: Tuesday, October 16, 2012 7:58 AM
To: medit...@mtusers.com
Subject: [MT-L] Medicare Inpts
I have asked this before but I continue to seek answers-

When you have a Medicare patient in the ED who becomes an inpatient are you creating a B account and moving charges after discharge? Do you have the claims set up to drop the outpatient charges on one claim and the inpatient on another?

Thanks!!!

Jennifer Cescolini, RN, BSN
Quality and Clinical Informatics Director
Bell Hospital
Office: (906) 485-2674
Cell: (906) 250-4534
jennifer....@bellmi.org
" Life is either a daring adventure or nothing" Helen Keller



________________________________
CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify Mendota Community Hospital immediately by telephone at (815) 539-7461 and destroy all copies of this communication and any attachments.
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Message: 9
Date: Wed, 17 Oct 2012 09:11:21 -0700
From: "Cheadle, Marcia D.--IRM" <Che...@inhs.org>
To: Marcia S Flessner <mfle...@mendotahospital.org>
Cc: "Freeman, Gale" <gfre...@shsny.com>, "medit...@mtusers.com"
<medit...@mtusers.com>
Subject: Re: [MT-L] Medicare Inpts
Message-ID: <722255ED-5D46-45A9...@inhs.org>
Content-Type: text/plain; charset="windows-1252"

To All CAHs who are dealing with this issue;.

We have been successful in working with MT on options for CAH facilities to retain the account number during the encounter/visit, and spit the account at the BAR level. This has proven to be very helpful with ED-Inpts, CPOE, PDOC, etc etc. We would with the sites clinical team and the BAR team on site. I believe our solutions require some custom report that we have written, but happy to review.

Let me know

Marcia Cheadle
Marcia Cheadle, RN
INHS/IRM
Director Advanced Clinical Applications
509-232-8261(o) 509-879-0916 (m)
che...@inhs.org<mailto:che...@inhs.org>

***Please note: Information contained in this message may be privileged and confidential. If the reader of this message is not the intended recipient, be notified that any dissemination, distribution or copying of this communication is strictly prohibited. If this communication is received in error, please notify the Sender immediately by replying to the message and deleting it from your computer. Thank you.




On Oct 17, 2012, at 7:33 AM, Marcia S Flessner wrote:

If you happen to be a CAH (Critical Access Hospital), you would definitely need two account numbers for your Medicare patients. We are instructed to bill the outpatient charges separately from the in patient charges. We are now working on what we can do to get the charges correct since POM is live. Doctors evidently have a problem with the ordering side when there are two accounts. The choices that we have are reverse and flag charges or freeze charges in BAR. Then get a report with ordering times on it to determine later what charges belong on what account. We are getting ready to freeze charges and test this. Meditech says there is something being developed to help with this. If you are a CAH and will need this, please let Meditech know so they hurry it along?..

Marcia Flessner
Patient Financial Services Manager
Corporate Compliance Officer
Mendota Community Hospital
815 539-1621
mflessner@mendotahospital.o<mailto:mfle...@mendotahospital.org>

CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify Mendota Community Hospital immediately by telephone at (815)539-7461 and destroy all copies of this communication and any attachments.





From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Freeman, Gale
Sent: Tuesday, October 16, 2012 7:43 AM
To: 'Jennifer D. Cescolini'; 'medit...@mtusers.com<mailto:'medit...@mtusers.com>'
Subject: Re: [MT-L] Medicare Inpts

We roll the ED account into the inpatient account, I believe we keep the same account number.
We dont create separate accounts based on patient insurance.I do not know what is done on the billing side, so cant speak to that.

________________________________
From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Jennifer D. Cescolini
Sent: Tuesday, October 16, 2012 7:58 AM
To: medit...@mtusers.com<mailto:medit...@mtusers.com>
Subject: [MT-L] Medicare Inpts
I have asked this before but I continue to seek answers-

When you have a Medicare patient in the ED who becomes an inpatient are you creating a B account and moving charges after discharge? Do you have the claims set up to drop the outpatient charges on one claim and the inpatient on another?

Thanks!!!

Jennifer Cescolini, RN, BSN
Quality and Clinical Informatics Director
Bell Hospital
Office: (906) 485-2674
Cell: (906) 250-4534
jennifer....@bellmi.org<mailto:jennifer....@bellmi.org>
" Life is either a daring adventure or nothing" Helen Keller



________________________________
CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify Mendota Community Hospital immediately by telephone at (815) 539-7461 and destroy all copies of this communication and any attachments.

===###===###===###===###===###===###===
To unsubscribe from the meditech-l, follow the instructions at the URL http://mtusers.com/mailman/options/meditech-l_mtusers.com/

Please do NOT send messages that ask "Please post to the list" or "I'd like to see your answers" or "Send that info to me, too" These are useless messages that just waste the email server's resources. Instead, email the original requester and ask that they send you or post the results of their question.

Go to http://MTUsers.net for other information on the list, as well as:
1) reading meditech-l messages online
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Do NOT send email to meditech...@MTUsers.com<mailto:meditech...@MTUsers.com>. This is a system email box that is NOT monitored by a human. If you need help or advice on how to use the meditech-l, email lo...@MTUsers.com<mailto:lo...@MTUsers.com> or ju...@MTUsers.net<mailto:ju...@MTUsers.net>. Both of these people help manage the meditech-l, so they are your best resource.

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Message: 10
Date: Wed, 17 Oct 2012 13:57:49 -0400
From: "Freeman, Gale" <gfre...@shsny.com>
To: 'Dianna Machin' <dma...@skiffmed.com>, "'MEDIT...@MTUsers.com'"
<MEDIT...@MTUsers.com>
Subject: Re: [MT-L] RM employee mapping with HR
Message-ID: <CB7659AD03414A48A02E...@exch2.shsny.com>
Content-Type: text/plain; charset="us-ascii"

what is RM ?

________________________________
From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Dianna Machin
Sent: Wednesday, October 17, 2012 1:25 PM
To: MEDIT...@MTUsers.com
Subject: [MT-L] RM employee mapping with HR

Since we updated to 5.65 we have lost our mapping for employees to flow from HR/PP to RM. After spending frustrating hours with our QM specialist we are not getting this to work and I am asking my great MUSE members for help. IF you have this working can you send me information on how you set up your maps? Thank you so much.

Dianna Machin
Manager Clinical Informations Systems
Skiff Medical Center

With each new day we are given new hope, new possibilities, new opportunities. Each new day is a miracle.

Notice: This e-mail (including attachments) is covered by the Electronic Communications Privacy Act, 18 U.S.C. 2510-2521, is confidential and may be legally privileged. If you are not the intended recipient, you are hereby notified that any retention, dissemination, distribution, or copying of this communication is strictly prohibited. Please reply to the sender that you have received the message in error, and then delete it. Thank you.
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Message: 11
Date: Wed, 17 Oct 2012 16:34:17 -0400
From: "Freeman, Gale" <gfre...@shsny.com>
To: 'Susan Neal-lyman' <snea...@jhmi.edu>, "'medit...@mtusers.com'"
<medit...@mtusers.com>
Subject: Re: [MT-L] need help with report for all patients with blood
types?
Message-ID: <CB7659AD03414A48A02E...@exch2.shsny.com>
Content-Type: text/plain; charset="us-ascii"

what is the purpose of the report ?

________________________________
From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Susan Neal-lyman
Sent: Wednesday, October 17, 2012 3:06 PM
To: 'medit...@mtusers.com'
Subject: [MT-L] need help with report for all patients with blood types?

I've been asked to come up with a list of all our patients with blood types. The list needs to include name, mrn, dob and blood type. Does anyone have any ideas where to start? I have someone who can customize a more detailed report to include only the data items I need but I'm looking for a report to start with.
Any ideas?
Thanks in advance!
Sue

Susan A. Neal-Lyman BS MT (ASCP)
Applications Coordinator III
JHH Department of pathology
Howard County General Hospital
5755 Cedar Lane
Columbia, MD 21044
410-720-8418
410-740-7870 - fax


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Message: 12
Date: Thu, 18 Oct 2012 07:25:02 -0400
From: "Freeman, Gale" <gfre...@shsny.com>
To: 'Lisa Tucker' <ltu...@mrmc.org>, "'medit...@MTUsers.com'"
<medit...@MTUsers.com>
Subject: Re: [MT-L] Advance Directive tracking
Message-ID: <CB7659AD03414A48A02E...@exch2.shsny.com>
Content-Type: text/plain; charset="us-ascii"

we scan ours into the medical record , so they should be in EMR

________________________________
From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Lisa Tucker
Sent: Wednesday, October 17, 2012 4:44 PM
To: medit...@MTUsers.com
Subject: [MT-L] Advance Directive tracking

When a patient reports at registration that they have an Advance Directive, but do not have a copy with them, we answer CDS queries with "Y" pt has advance directive and "N" copy on file.

How are other hospitals following up to ensure receipt of the Advance Directive document? We considered flagging as a chart deficiency, but are curious to see what others are doing for follow up... are you making calls after discharge or sending a letter to the patient requesting the document for your records?

Any thoughts are appreciated!

Lisa Tucker
Director of IT/CIO
University Hospital McDuffie

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Message: 13
Date: Thu, 18 Oct 2012 12:17:11 -0400
From: "Freeman, Gale" <gfre...@shsny.com>
To: "'Melino, Bryan'" <bme...@cmh-net.org>,
"'medit...@mtusers.com'" <medit...@mtusers.com>
Subject: Re: [MT-L] Transcription
Message-ID: <CB7659AD03414A48A02E...@exch2.shsny.com>
Content-Type: text/plain; charset="us-ascii"

We use Hypertype , contact information is hs...@ehypertype.com<mailto:hs...@ehypertype.com> for Harry Saum.
I dont have a phone number.


________________________________
From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Melino, Bryan
Sent: Thursday, October 18, 2012 12:08 PM
To: medit...@mtusers.com
Subject: [MT-L] Transcription

Hi all,

Does anyone know of a good company to outsource transcription to for a few months? We have suddenly had a shortage of transcriptionists available and need to find a temporary solution.

Thanks,

Bryan Melino
Operations Specialist
Columbia Memorial Hospital
(518)828-8273



This email message and any accompanying data or files is confidential and may contain privileged information intended only for the named recipient(s). The recipient of this email is prohibited from disclosing the information to any other party and is required to destroy the information after the stated need has been fulfilled. The information contained herein is regarded as Protected Health Information (PHI) as defined by the Health Insurance Portability and Accountability Act (HIPAA), and must be treated in accordance with the law. Any breach of confidentiality may result in potential liability, including civil and criminal penalties. If this information is received by anyone other than the intended recipient, please delete this email from your computer, destroy any copies in any form immediately and contact the sender by return email or telephone.
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Message: 14
Date: Fri, 19 Oct 2012 07:58:20 -0400
From: "Freeman, Gale" <gfre...@shsny.com>
To: "'HINES, SUSAN'" <shi...@cmhlink.org>, "'Lisee, Jan'"
<JLi...@fmh.org>, 'Carla Fuller' <cfu...@wmhos.org>,
"'medit...@mtusers.com'" <medit...@mtusers.com>
Cc: "'Sandy G. Deplonty'" <sdep...@wmhos.org>
Subject: Re: [MT-L] MAGIC 5.64 Telephone/Verbal Orders
Message-ID: <CB7659AD03414A48A02E...@exch2.shsny.com>
Content-Type: text/plain; charset="us-ascii"

this is what we are also doing. If we cant convince , or it isnt appropriate for the provider to dial in and enter the orders, I believe
our staff are making them stay on the phone while nursing enters the order and indicates verbal.

________________________________
From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of HINES, SUSAN
Sent: Thursday, October 18, 2012 2:51 PM
To: 'Lisee, Jan'; Carla Fuller; medit...@mtusers.com
Cc: Sandy G. Deplonty
Subject: Re: [MT-L] MAGIC 5.64 Telephone/Verbal Orders

"the doctor will have to stay on the phone while the nurse enters them so that any alerts and conflicts can be resolved by the doctor. This will be the more interesting transition.!!"

It is hard enough to keep the doctor on the phone long enough to tell them what the problem is much less waiting to put an order in the computer. I wish you luck in your endeavors. It would be nice to see how it works out before we get to that point, which will be soon for us as well.


Susan A. Hines, RN, MSN
Nurse Informaticist
(410) 414 - 4816 (W)
5222 (Companion Phone)
Calvert Memorial Hospital
100 Hospital Road
Prince Frederick, MD 20678
Shi...@cmhlink.org<mailto:Shi...@cmhlink.org>




From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Lisee, Jan
Sent: Thursday, October 18, 2012 2:43 PM
To: Carla Fuller; medit...@mtusers.com
Cc: Sandy G. Deplonty
Subject: Re: [MT-L] MAGIC 5.64 Telephone/Verbal Orders

In my previous life as a nurse we were only starting to automate.. and I, as the charge nurse, took a lot of the telephone orders.. so I had to fill out all of the paper forms.. ugh..

In our current environment, we still have the nurse write out all of the tele orders... we scan meds to the pharmacy, and the rest get entered into the computer.

I don't know how this will be implemented.. but, as we shoot for 100% CPOE for all routine orders as of 12/31, we are hopeful that the # of these orders will go down.. not right away, but within 3-4 months as the doctors become more proficient and comfortable...

We are going to 6.1 next year.. we will at this point allow nurses to not write down the telephone orders.. the doctor will have to stay on the phone while the nurse enters them so that any alerts and conflicts can be resolved by the doctor. This will be the more interesting transition.!!

Jan Lisee
240-566-3437

From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Carla Fuller
Sent: Thursday, October 18, 2012 2:35 PM
To: medit...@mtusers.com<mailto:medit...@mtusers.com>
Cc: Sandy G. Deplonty
Subject: [MT-L] MAGIC 5.64 Telephone/Verbal Orders

I have a few questions concerning Telephone/Verbal Orders from providers:


1) Do you make your RN's enter the orders into the system (for labs/rads/nursing/meds) or do they write them down and give them to the ward clerk to enter?

2) When/If you made entering these orders the nurses responsibility, how long did it take to roll it out?

3) What is your patient to RN ratio? Did you lower it during the transition?

4) How long did it take to get back to the normal ratios?



Thank you for your help!

Carla

Carla Fuller, CPC
Applications Specialist II
Information Systems
War Memorial Hospital
Sault Ste. Marie, MI 49783
(906)635-4641 (p)
(906)253-1093 (f)
CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for use by the designated recipients named above. They are intended solely for these recipients. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify Calvert Memorial Hospital immediately by telephone at (410)535-8282 and destroy all copies of this communication and any attachments.
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Message: 15
Date: Fri, 19 Oct 2012 08:04:36 -0400
From: "Freeman, Gale" <gfre...@shsny.com>
To: 'Mark Tachibana' <Mark.Ta...@overlakehospital.org>, "'
(medit...@mtusers.com)'" <medit...@mtusers.com>
Subject: Re: [MT-L] BacT Alert and Lantronix Single Device Server
Message-ID: <CB7659AD03414A48A02E...@exch2.shsny.com>
Content-Type: text/plain; charset="us-ascii"

we still have the old termservers and living in fear for when it dies ! Yikes .
If you get the lantronix working , please share how you did it. We are C/S and we couldnt get it to work for a new instrument we got,
but fortunately we used TCP/IP and that worked for us.

________________________________
From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Mark Tachibana
Sent: Thursday, October 18, 2012 6:13 PM
To: (medit...@mtusers.com)
Subject: [MT-L] BacT Alert and Lantronix Single Device Server

L-listers: we have a BacT Alert that is connected to our network via a xyplex termserver. We are in the process of converting this connection to use a Lantronix single device server. Is there anyone who is willing to share their lantronix device setup as well as tell us if the standard lantronix cable can be used or if a special adaptor is required? Thanks.

Mark D. Tachibana, MT(ASCP)
I.S. Sr Systems Analyst, Overlake Hospital Medical Center
425-688-5837
Mark.ta...@overlakehospital.org





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Message: 16
Date: Fri, 19 Oct 2012 09:02:51 -0400
From: "Freeman, Gale" <gfre...@shsny.com>
To: 'Gary Hall' <GH...@epmedcenter.com>, "'medit...@MTUsers.com'"

<medit...@MTUsers.com>
Subject: Re: [MT-L] MedHost?

Message-ID: <CB7659AD03414A48A02E...@exch2.shsny.com>
Content-Type: text/plain; charset="us-ascii"

We use MEDHOST , we are C/S 5.65 , but were live with it on 5.64 . So far it is working for us. We do use Iatrics to interface to Meditech.

________________________________

From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Gary Hall

Sent: Friday, October 19, 2012 8:48 AM
To: medit...@MTUsers.com

Subject: [MT-L] MedHost?

So, what's the story on MedHost w/ Meditech 6.06+? With a bunch of Iatric interfaces, I understand? My ED physicians & director are enamored of this product, despite having already purchased (and started training on) EDM....What's the scoop? Does it work for anyone?

Gary M. Hall
Vice President of Information Services
Estes Park Medical Center
W: 970-577-4443
C: 970-744-9052
gh...@epmedcenter.com

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Message: 17
Date: Wed, 17 Oct 2012 11:03:38 -0500
From: "Chuck McWhorter" <cmcwh...@GRMEDCENTER.COM>
To: <medit...@mtusers.com>
Subject: [MT-L] Cross Coverage Physicians
Message-ID: <E4F1A3051DD8BB4BAAD5...@mail1.gvh.com>
Content-Type: text/plain; charset="us-ascii"

We have cross coverage physicians who may be at our facility once a
month or less. Do other facilities set these kind of physicians up to
have orders and reports queue to be esigned and require the physician
setup an esign pin?

Charles A. McWhorter
System Analyst
Guadalupe Regional Medical Center
830.401.7447
"There are always possibilities..."


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Message: 18
Date: Wed, 17 Oct 2012 11:06:15 -0500
From: "Chuck McWhorter" <cmcwh...@GRMEDCENTER.COM>
To: <medit...@mtusers.com>
Subject: [MT-L] unnsigned orders/reports
Message-ID: <E4F1A3051DD8BB4BAAD5...@mail1.gvh.com>
Content-Type: text/plain; charset="us-ascii"

What are other sites doing when a physician or physician assistant
leaves abruptly without esigning ALL orders/reports on their esign
queue?
Do you have a policy from medical or executive allowing an individual to
emulate that provider and sign?
Do you add an alternate signer in the provider dictionary?
Other suggestions?

Charles A. McWhorter
System Analyst
Guadalupe Regional Medical Center
830.401.7447
"There are always possibilities..."


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Message: 19
Date: Wed, 17 Oct 2012 17:29:57 +0000
From: "Still, Charles" <Charle...@svhealthcare.org>
To: "'Kuse, Nancy'" <NK...@lakeregional.com>, Deignan Marianne
<mdei...@bhs1.org>, "medit...@mtusers.com" <medit...@mtusers.com>
Subject: Re: [MT-L] Prescription Faxing using Fax in RXM and
ForwardAdvantage
Message-ID:
<BFC7E4D4F3B5444AAB4B...@270EDS118-DAG2.corp.svhc.net>

Content-Type: text/plain; charset="us-ascii"

I must be on some list, I sent that reply last Thursday! :) Happy Wednesday


Charles J. Still, MBA

Information Services Team

Southwestern Vermont Health Care

100 Hospital Drive

Bennington, VT 05201

phone: 802.447.5411 fax 802.447.5495

email: Charle...@svhealthcare.org<mailto:Charle...@svhealthcare.org>

website: www.svhealthcare.org

________________________________
From: Kuse, Nancy [mailto:NK...@lakeregional.com]
Sent: Wednesday, October 17, 2012 9:49 AM
To: Still, Charles; Deignan Marianne; medit...@mtusers.com
Subject: RE: [MT-L] Prescription Faxing using Fax in RXM and ForwardAdvantage

We don't utilize FA either for Faxing scripts and use the functionality that Charles describes with stripping the area code if it is a local number.

Nancy Kuse, PMP
HIS Project Coordinator
Lake Regional Health System
54 Hospital Drive
Osage Beach, MO 65065
w-573-302-3257
f-573-348-8122

From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Still, Charles
Sent: Thursday, October 11, 2012 5:38 AM
To: 'Deignan Marianne'; medit...@mtusers.com
Subject: Re: [MT-L] Prescription Faxing using Fax in RXM and ForwardAdvantage

Hello Deignan;

We use a different program for this (not FA), but can you setup a dialing rule in your Modem configuration to not use an area code if = to your local area code? That way if the modem saw a dial string for (444) 123-4567 and 444 was your local area code, it would not dial it. This would let the full string be sent to the modem and allow the modem to decide if the area code was needed.



Charles J. Still, MBA

Information Services Team

Southwestern Vermont Health Care

100 Hospital Drive

Bennington, VT 05201

phone: 802.447.5411 fax 802.447.5495

email: St...@phin.org<mailto:St...@phin.org>

website: www.svhealthcare.org<http://www.svhealthcare.org>

________________________________
From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Deignan Marianne
Sent: Wednesday, October 10, 2012 9:21 PM
To: medit...@mtusers.com<mailto:medit...@mtusers.com>
Subject: [MT-L] Prescription Faxing using Fax in RXM and Forward Advantage

We just hit a weird wall with faxing of scripts through Forward Advantage. We use Dr. First and the MIS Outside Location dictionary updates every night through that service. It's a national list that you load from so all the scripts for our local pharmacy's have the area code built in. FA, if we use this automatically updating list, won't work because they can only dial the number as it prints on the fax. We can import all of the pharmacies to the subscriber database, change the smart route to fax by name and keep the subscriber database updated manually. Seems crazy when we are buying a service to track that updating for us.

Has anyone figured out how to suppress the local area code on the RXM Fax Cover sheet?

Any advice appreciated.

(We do plan to transmit most scripts but sometimes for whatever reason we will need to fax).
________________________________
--------------------------------------------------------------
CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify Berkshire Health Systems immediately by e-mail at postm...@bhs1.org<mailto:postm...@bhs1.org> and destroy all copies of this communication and any attachments.

DISCLAIMER: The information contained in this electronic message is
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immediately by return email reply to (help...@phin.org<mailto:help...@phin.org>), and
immediately delete the transmittal and any attachments without making
any copy or distribution. Thank you.




This email originated from Lake Regional Health System. This email message, including any attachments, contains confidential information which is intended only for the use of the individual or entity named above. If the reader of this email is not the intended recipient or agent responsible for delivering it to the intended recipient, he/she is hereby notified that you are in possession of confidential and privileged information. If you have received this email in error, please notify the sender immediately. State and federal law prohibits you from making further disclosure of this information without specific written consent of the person to whom it pertains, or as otherwise permitted by law.
DISCLAIMER: The information contained in this electronic message is
legally privileged and confidential under applicable law and is intended
for a particular addressee(s). If it is not clear that you are the intended
recipient, you are hereby notified that you have received this transmittal
in error; any review, copying or distribution or dissemination is strictly
prohibited. If you suspect that you have received this transmittal in
error, please notify Southwestern VT Health Care Corporation
immediately by return email reply to (help...@phin.org), and
immediately delete the transmittal and any attachments without making
any copy or distribution. Thank you.

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Message: 20
Date: Wed, 17 Oct 2012 15:42:44 -0600
From: "Cody Keller" <cm...@pvhs.org>
To: <medit...@mtusers.com>
Subject: [MT-L] Result comment box won't popup in lab interface
Message-ID: <507ED1F3.4...@pvhs.org>
Content-Type: text/plain; charset="us-ascii"

We are working on a new calculation to notify techs when a glucose result for an inpatient is low, but not critical (50-70). The calculation works fine when using direct result entry, the result comment box pops up with the canned text to notify the tech to call. But when resulting through an interface, the calculation fires, and the comment is entered, but the comment box never pops up. How can we get the comment box to pop up when resulting transmissions through an interface?

Here are my various attempts at getting this to work (all have same trigger and target test "GLUC":
"$GLUN"^MSG1,
[f pt status]="ADM IN"^IN,
GLUC<70^UP,
GLUC>49^LOW,
IN&UP&LOW^OK,
;IF{OK[f lres add res comm](MSG1);
[f lres nop]};

[f pt status]="ADM IN"^IN,
GLUC<70^RES1,
GLUC>49^RES2,
RES1&RES2^RES,
IF{RES (RES_";$GLUN");
[f lres nop]};

[f pt status]="ADM IN"^IN,
IF{([f lres curr res]>49)&([f lres curr res]<70)&IN (GLUC:0D/1)_";$GLUN";
[f lres nop]};

Please help!

Cody Keller MLS(ASCP)CM

Laboratory System Specialist
UC Health-
Poudre Valley Hospital
970-495-8724

CONFIDENTIALITY NOTICE: The information contained in this e-mail is privileged and confidential, and is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are notified that any disclosure, copying, distribution, electronic storage or use of this communication is prohibited. If you received this communication in error, please notify us immediately by e-mail, attaching the original message, and delete the original message from your computer and any network to which your computer is connected.
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Message: 21
Date: Thu, 18 Oct 2012 13:15:47 -0600
From: "Cody Keller" <cm...@pvhs.org>
To: <medit...@mtusers.com>
Subject: [MT-L] Result comment box won't popup in lab interface
Message-ID: <5080012D.4...@pvhs.org>
Content-Type: text/plain; charset="us-ascii"

We are working on a new calculation to notify techs when a glucose result for an inpatient is low, but not critical (50-70). The calculation works fine when using direct result entry, the result comment box pops up with the canned text to notify the tech to call. But when resulting through an interface, the calculation fires, and the comment is entered, but the comment box never pops up. How can we get the comment box to pop up when resulting transmissions through an interface?

Here are my various attempts at getting this to work (all have same trigger and target test "GLUC":
"$GLUN"^MSG1,
[f pt status]="ADM IN"^IN,
GLUC<70^UP,
GLUC>49^LOW,
IN&UP&LOW^OK,
;IF{OK[f lres add res comm](MSG1);
[f lres nop]};

[f pt status]="ADM IN"^IN,
GLUC<70^RES1,
GLUC>49^RES2,
RES1&RES2^RES,
IF{RES (RES_";$GLUN");
[f lres nop]};

[f pt status]="ADM IN"^IN,
IF{([f lres curr res]>49)&([f lres curr res]<70)&IN (GLUC:0D/1)_";$GLUN";
[f lres nop]};

Please help!

Cody Keller MLS(ASCP)CM

Laboratory System Specialist
UC Health-
Poudre Valley Hospital
970-495-8724
cm...@pvhs.org

CONFIDENTIALITY NOTICE: The information contained in this e-mail is privileged and confidential, and is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are notified that any disclosure, copying, distribution, electronic storage or use of this communication is prohibited. If you received this communication in error, please notify us immediately by e-mail, attaching the original message, and delete the original message from your computer and any network to which your computer is connected.
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Message: 22
Date: Fri, 19 Oct 2012 09:35:45 -0400
From: "Freeman, Gale" <gfre...@shsny.com>
To: Seth Bosack <sbo...@HHC.org>
Cc: "medit...@MTUsers.com" <medit...@MTUsers.com>
Subject: Re: [MT-L] MedHost?
Message-ID: <4B668428-BBDF-4A5D...@shsny.com>
Content-Type: text/plain; charset="utf-8"

We have ADT , orders via OE to lab& X-ray, and results back to Medhost.

Sent from my iPhone

On Oct 19, 2012, at 9:31 AM, "Seth Bosack" <sbo...@HHC.org<mailto:sbo...@HHC.org>> wrote:

One big consideration is whether you?re going to have just ADT, ADT and Results, or the full monty with documentation included. It makes a huge difference for HIM and for the floors after ED patients have been admitted (and for your interface budget).

From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Gary Hall
Sent: Friday, October 19, 2012 9:20 AM
To: Freeman, Gale; 'medit...@MTUsers.com<mailto:medit...@MTUsers.com>'
Subject: Re: [MT-L] MedHost?

Good to hear, Gale, thanks for the quick reply. How big is your ED (patients per year)?

Thanks!

Gary







From: Freeman, Gale [mailto:gfre...@shsny.com]<mailto:[mailto:gfre...@shsny.com]>
Sent: Friday, October 19, 2012 7:03 AM
To: Gary Hall; 'medit...@MTUsers.com<mailto:medit...@MTUsers.com>'
Subject: RE: MedHost?

We use MEDHOST , we are C/S 5.65 , but were live with it on 5.64 . So far it is working for us. We do use Iatrics to interface to Meditech.

________________________________
From: Meditech-l [mailto:meditech-...@mtusers.com]<mailto:[mailto:meditech-...@mtusers.com]> On Behalf Of Gary Hall
Sent: Friday, October 19, 2012 8:48 AM
To: medit...@MTUsers.com<mailto:medit...@MTUsers.com>
Subject: [MT-L] MedHost?

So, what?s the story on MedHost w/ Meditech 6.06+? With a bunch of Iatric interfaces, I understand? My ED physicians & director are enamored of this product, despite having already purchased (and started training on) EDM?.What?s the scoop? Does it work for anyone?

Gary M. Hall
Vice President of Information Services
Estes Park Medical Center
W: 970-577-4443
C: 970-744-9052
gh...@epmedcenter.com<mailto:gh...@epmedcenter.com>




This message (including any attachments) is intended only for the use of the individual or entity to which it is addressed and may contain information that is non-public, proprietary, privileged, confidential, and exempt from disclosure under applicable law or may constitute as attorney work product. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, notify us immediately by telephone and (i) destroy this message if a facsimile or (ii) delete this message immediately if this is an electronic communication. Thank you.

------------------------------

Message: 23
Date: Fri, 19 Oct 2012 13:13:19 -0300
From: "Horne, Bonnie" <Bonnie...@iwk.nshealth.ca>
To: "medit...@mtusers.com" <medit...@mtusers.com>
Subject: [MT-L] Community Wide Scheding Wait Time Reporting
Message-ID:
<196DF1985560174AAB033...@dc-sv-mailmb3.hitsns.nshealth.ca>

Content-Type: text/plain; charset="us-ascii"

Wondering if there are any Canadian Meditech magic sites, that are using CDS within Community Wide Scheduling to capture Patient wait times for department of health purposes/reporting?

Thanks
Bonnie Horne
IT Meditech Application Consultant
IWK Health Centre
2nd Floor, Charter Place
470-6390
bonnie...@iwk.nshealth.ca

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Message: 24
Date: Fri, 19 Oct 2012 12:50:13 -0400
From: "Freeman, Gale" <gfre...@shsny.com>
To: 'Amanda Welch' <awe...@lanermc.org>, "'medit...@mtusers.com'"
<medit...@mtusers.com>
Subject: Re: [MT-L] Magic - blood sugars downloading into NUR
documentation
Message-ID: <CB7659AD03414A48A02E...@exch2.shsny.com>
Content-Type: text/plain; charset="us-ascii"

we do have an interface with our glucometers. the nurse performs them and types in the correct acct number or picks it form patient list.
The glucose result goes to the glucometer server where it creates an order in lab . The result is then filed in lab automatically . the test appears in EMR under Miscellaneous bedside glucoses because the providers did not want them in with the other glucose results in chemistry.

If the controls are not run or the account number is wrong, the results dont cross to lab. Our glucometers are RALS and we have a meditech interface to do it .

________________________________
From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Amanda Welch
Sent: Friday, October 19, 2012 11:21 AM
To: medit...@mtusers.com
Subject: [MT-L] Magic - blood sugars downloading into NUR documentation


We have glucometers and there was an interfaced purchased a while back that would download the results into the LAB. Our hospital chose not to do this b/c nursing said they wanted it to show up in NUR module.
Right now our nurses are documenting on and intervention and in EMAR. This creates discrepancies. How do other hospital chart accuchecks? I think the interface would be great to use and I am sure there is a way for it to show in NUR module, I just need some advice.
Thanks

[cid:318494716@19102012-261C]
Amanda Welch, RN
Clinical Informatics Specialist-Nursing Services
Lane Regional Medical Center
6300 Main St.
Zachary, La. 70791
225-658-4217



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Message: 25
Date: Fri, 19 Oct 2012 15:11:41 -0400
From: "Freeman, Gale" <gfre...@shsny.com>
To: 'Gary Hall' <GH...@epmedcenter.com>, 'Seth Bosack'
<sbo...@HHC.org>
Cc: "'medit...@MTUsers.com'" <medit...@MTUsers.com>
Subject: Re: [MT-L] MedHost?
Message-ID: <CB7659AD03414A48A02E...@exch2.shsny.com>
Content-Type: text/plain; charset="us-ascii"

------------------------------

Message: 26
Date: Fri, 19 Oct 2012 15:43:21 -0400
From: "Freeman, Gale" <gfre...@shsny.com>
To: 'Gary Hall' <GH...@epmedcenter.com>, 'Seth Bosack'
<sbo...@HHC.org>
Cc: "'medit...@MTUsers.com'" <medit...@MTUsers.com>
Subject: Re: [MT-L] MedHost?
Message-ID: <CB7659AD03414A48A02E...@exch2.shsny.com>
Content-Type: text/plain; charset="us-ascii"

Well , our outside providers offices can dial into our EMR and see the reports so we only have to give them access to EMR and that has an audit.
We dont give them access to Medhost so they have to learn another program , plus they would be able to see other patients while they were in there.

Yes Iatrics took the reports and forwards them to a import folder in a certain format . Meditech background import job comes along and picks up the report. Looks to import dictionary setting and creates the reports in ITS. Once created , they are sent across to EMR. Another draw back is if the wrong patient account is used, it fails and wont show up anywhere. Someone has to go into the import function , correct the account and it will import.

-----Original Message-----
From: Gary Hall [mailto:GH...@epmedcenter.com]
Sent: Friday, October 19, 2012 3:30 PM
To: Freeman, Gale; 'Seth Bosack'
Cc: 'medit...@MTUsers.com'
Subject: RE: MedHost?

Uggh. Yes, another responder said that the documentation was not good (they used a different word :) ) when it exports to Meditech. ITS is the same as the "departmental" interface? Anyway, sounds like providers are better off logging into MedHost to see what happened in the ED.

Thanks!

Gary








-----Original Message-----
From: Freeman, Gale [mailto:gfre...@shsny.com]

Sent: Friday, October 19, 2012 1:12 PM

------------------------------

Message: 27
Date: Mon, 22 Oct 2012 16:54:22 +0000 (UTC)
From: Gary Ring <garyr...@comcast.net>
To: medit...@mtusers.com
Subject: [MT-L] BAR 835/COB Claim Problems
Message-ID:
<1748482071.148707.1350...@sz0208a.westchester.pa.mail.comcast.net>

Content-Type: text/plain; charset="utf-8"





Is anyone having a problem generating a COB claim from MEDITECH when the primary payer has denied the claim and there are no RCP or ADJ transactions created on the account, only Remit Code transactions from the 835?

?

I know we had this problem in 4010, and MEDITECH fixed our problem by including ALL 835 data on a secondary claim whether or not there was a primary payer RCP and ADJ related to the 835 data.? But it now appears that 5010 has the same problem.

?

Thanks.

?



Gary J. Ring

c/o Cambridge Health Alliance
President

R ING CONSULTING
978-807-1573
www.ringconsultinginc.com

?
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Message: 28
Date: Mon, 22 Oct 2012 20:40:18 +0000
From: "Martin, Danelle" <Danelle...@harnetthealth.org>
To: 'Shanza Farooq' <sfa...@bethanymethodist.org>,
Meditech-L<medit...@mtusers.com>
Subject: Re: [MT-L] 30 Day Readmission
Message-ID:
<7F06FF2BB357EA4FB9EB...@BJ-Mail-MB.bjrh.org>
Content-Type: text/plain; charset="us-ascii"

Good afternoon!

I am interested in this as well.

Thanks!

Thank you,

Danelle "Dani" Martin
Financial Systems Analyst

[cid:image0...@01CC34B3.591042D0]

P.O. Box 1706
800 Tilghman Drive
Dunn, NC 28335
O: 910.892.1000 ext. 5107
F: 910.891.6030
M: 910.705.5601

www.HarnettHealth.org<http://www.harnetthealth.org/>

[cid:image0...@01CC34B3.591042D0]

From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Shanza Farooq
Sent: Monday, October 15, 2012 10:21 AM
To: Meditech-L
Subject: [MT-L] 30 Day Readmission

Good morning L,

Does anyone have a process in place for 30 day readmission that they would like to share it with us?

Thank you
Shanza Farooq
Corporate IT Director
Bethany Methodist Corporation <http://www.bethanymethodist.org/>
Ph: (773) 989-1407
Cell: (847) 235-0427
Fax: (773) 989-1411
sfa...@bethanymethodist.org<mailto:sfa...@bethanymethodist.org>
CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify Methodist Hospital of Chicago immediately by telephone at (773) 989-1407 and destroy all copies of this communication and any attachments.
P Please consider the environment before printing this e-mail.




Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient (s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.

Please consider the environment.

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------------------------------

End of Meditech-l Digest, Vol 8, Issue 35
*****************************************


Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient (s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.

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