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Integrating Long-Term Care: Successes, Challenges, and Lessons from Meditech Implementation

This document details the integration of Meditech in long-term care at Citizens Memorial Healthcare, highlighting key successes, challenges, and important lessons learned. With a unified electronic medical record (EMR), the initiative aims to empower patients with a continuous identity across all care settings, ensuring seamless access to medical information for caregivers. A timeline of implementation showcases significant milestones from December 2002 to July 2006, while addressing issues such as documentation, regulatory compliance, and communication. Additionally, it emphasizes the importance of training and supportive administration in overcoming integration challenges.

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Integrating Long-Term Care: Successes, Challenges, and Lessons from Meditech Implementation

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  1. Integrating Long Term Care Karrie Ingram, IS Specialist Debbie McQuay, Administrator

  2. Meditech LTC Suite

  3. Successes • Challenges • Lessons Learned

  4. Successes • Vision achieved • One EMR, with access across the continuum of care • CPOE • Integration of MDS/BAR • Timeline • Clinical Improvements

  5. Part of the Vision • Citizens Memorial Healthcare will implement Meditech to enable a patient to enter anywhere into our continuum of care and have a personal identity that is maintained across that continuum. • Physicians and other caregivers will have access to all of that patient’s medical information within the healthcare system.

  6. TimeLine • December, 2002 – Hospital EMR • October, 2003 – LTC Billing and MDS • December, 2003 – Hospital Paperless • February, 2004 – 1st LTC Facility Live on Clinical applications • February, 2005 – 5th LTC Facility Live on Clinicals • May-Sept,2005 - Scanning with ImageNow to eliminate remainder of paper chart in LTC • July, 2006 - Butterfield Residential Care Facility Live on Clinicals

  7. Clinical Improvements • CNA Documentation • DON/Administrator monitoring • Clinical Notifications • Key Reports • Pain Management • EMR

  8. Challenges • “Same as everywhere” challenges • Integration challenges • Pharmacies challenges • Documentation challenges • Communication challenges • Regulatory challenges • BMV challenges • People/Education challenges

  9. Those Pesky “Regular” Challenges • “Same as everywhere” challenges • WAN • Devices • Carts • Wireless • Basic Skills Training • Training for so many

  10. Integration Challenges • Integration accounts • EMR merging • Allergies • Histories • Med Reconciliation

  11. Pharmacy Challenges Retail Pharmacies OTC’s

  12. Documentation Challenges Mass Documentation Batch Documentation

  13. Communication Challenges Fax-fax back notifications to physicians/PCM

  14. Regulatory Challenges Surveyors

  15. Pharmacy Challenges . . . Continued BMV • Bar-coding • Buy-in from local Pharmacies • Dictionary revision • Process changes

  16. People/Education Challenges Employee Turnover

  17. Lessons Learned • Superusers • Supportive Administration/DON’s • Proactive communication with surveyors

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