Re: EMR implementation

[mind...@aol.com]

Well it sounds promising! Amy went to the meeting on Tuesday, she thought it looked alright. I'm not sure if she has anything to compare it to. I hope they're not going to use tablets! Im already a terrible typer,  then add a touch screen keyboard....ugh! Well I'm glad you "charmed" your way in Brian... LOL
Mindy

Sent from my HTC Droid DNA

----- Reply message -----
From: bria...@gmail.com
To: <cmh-emergency-d...@googlegroups.com>
Subject: EMR implementation
Date: Wed, Apr 3, 2013 8:28 PM

Since I managed to worm....errr, charm my way onto the committee coordinating the EMR implementation, here's an update following this morning's meeting with the consultants who are in charge of the process:

The system used will, of course, be stolen from Crouse, where it's only recently been implemented.  It's Siemens Invision, which I'm not familiar with.  I think they also make the Soarian product, which I've heard someone say they use at another hospital.  Target go-live date is July 1.  For the ER, the first part implemented will be provider order entry and all nursing documentation.  Unfortunately, provider documentation ability is not included with the product, and would require additional software.  Sean says it's not known at this time when, or even if, that will be implemented.  Electronic prescribing ability is also not included.  They're going to look into how much that would cost, because, believe it or not, Dr. J wants it!   Crouse does NOT use this system in their ED however.  (They have a separate product, plus still use lots of paper.)  So the ED component for us is pretty much being designed from scratch. 

McKesson will continue to be used to access old records.  There will probably be some sort of link between the two systems eventually.  Lab results will come directly into the system.  Not sure about x-ray readings during the day.  Medent will continue in use by the doctor's offices.  So it sounds somewhat cumbersome to start, since stuff will be on three separate systems (Invision, McKesson, Medent) plus paper for the provider documentation. 

Additional hardware will be purchased...probably laptops on carts, although that's still under discussion.  There was talk about whether tablets could be used, which the consultants sort of dismissed, but I think it needs further discussion.  Of course, the problem there is that unless they belong to an individual, they would probably disappear after the first day.  Sean assured us there will be enough computers no one should have to wait in line.  Where, exactly, they're supposed to go in the ED wasn't mentioned yet, as most of the presentation today was focused on the inpatient areas.

It sounds like there will be plenty of staff training prior to implementation, and the consultants will have staff on site for the first few days. 

From what I saw, the order entry interface actually looks pretty good.  Medications, once entered, stay in the system forever and only need to be verified/updated on future visits. 

Next week we will be meeting to set up specific order sets for the ED. 

There are lots of details yet to be worked out, but the consultants are pretty sure everything can be ready to go by July.

Brian

[Lydia Slater]

What a good idea this has turned out to be!  I was feeling very much out of the loop;especially since my typing is now hindered as much as MIndy's is.  Good that there are some tech savvy participants in those meeting, let's hope the powers that be listen mot your opinions!

Life is very different with only one useful arm, that's for sure.  Maybe I will feel better when it warms up some.  I feel like a one-armed paper hanger most of the time, I must admit.  It is probably good for all of us in healthcare to have some experience with things we speak of as "only"--like a single joint fracture!  I surely agree with Mindy that tablets are very much harder to type on--

particularly when the delete function is very cumbersome.  I think Bill outdid Steve on that one...best to all,   Lydia

[Patti Gladstone]

Lydia, miss you. Hope all is well..........

On April 4, 2013 7:55:40 AM PDT, Lydia Slater wrote:

What a good idea this has turned out to be!  I was feeling very much out of the loop;especially since my typing is now hindered as much as MIndy's is.  Good that there are some tech savvy participants in those meeting, let's hope the powers that be listen mot your opinions!

Life is very different with only one useful arm, that's for sure.  Maybe I will feel better when it warms up some.  I feel like a one-armed paper hanger most of the time, I must admit.  It is probably good for all of us in healthcare to have some experience with things we speak of as "only"--like a single joint fracture!  I surely agree with Mindy that tablets are very much harder to type on--

particularly when the delete function is very cumbersome.  I think Bill outdid Steve on that one...best to all,   Lydia

[kati...@gmail.com]

Spring party weekend falls on the 27th of april this year. Mindy, you get the pleasure of my company and we have SAM!!! Brian you really need to get back on my weekend! Lydia I think you didn't need to break bones just to get out of this and unfortunately Bernie that means its your weekend too:-(

Katie

 Have Faith not Fear!

[mind...@aol.com]

Every year I forget to take off spring party weekend! I hope it isn't as bad as last year was!

[Brian]

On 4/4/13 7:15 PM, kati...@gmail.com wrote:
> Spring party weekend falls on the 27th of april this year. Mindy, you
> get the pleasure of my company and we have SAM!!! Brian you really need
> to get back on my weekend! Lydia I think you didn't need to break bones
> just to get out of this and unfortunately Bernie that means its your
> weekend too:-(
>

How sad that I will miss that this year. I am devastated.

[Sarah Stewart]

That's my call weekend!!!!!!!!

~Sarah