MUSE

 Event  -­‐  Spokane  

October  5  –  6,  2010  
The  Davenport  Hotel    

ABOUT  THIS  EVENT:  

The  timeframe  to  qualify  for  Meaningful  Use  incentives  is  rapidly  approaching.    Many  of  the  
INHS  facilities  in  and  around  Spokane,  WA  are  gearing  up  to  meet  the  criteria  during  the  first  
year  of  the  program.    At  this  MUSE  event,  we  would  like  to  share  some  of  the  lessons  learned  
during  our  various  MEDITECH  implementations  that  have  allowed  our  hospitals  to  achieve  
HIMSS  stage  6  designation  (both  a  large  Urban  hospital  and  also  2  Critical  Access  facilities  which  
were  just  the  3rd  and  4th  CAH  within  the  nation  to  achieve  HIMSS  Stage  6  status),  prepare  for  
first  year  Meaningful  Use  qualification,  be  part  of  an  ONC  Beacon  Community  and  more.    We  
have  also  invited  some  of  our  strategic  partners  to  come  and  share  some  perspective  along  
with  state  and  federal  regulatory  speakers.      
 
ABOUT  INHS:  
INHS,  a  non-­‐profit  corporation  based  in  Spokane,  Washington,  provides  the  backbone  for  
current  and  future  innovative  technologies  in  health  information  exchange.  INHS  connects  38  
hospitals  allowing  physicians  and  providers  to  securely  access  patient  information  utilizing  
wired  and  wireless  technologies.  INHS’  networked-­‐hospitals  are  continually  ranked  by  Hospitals  
&  Health  Networks  magazine  as  the  “100  Most  Wired”  in  the  country.  The  INHS  network  
includes  more  than  4,000  physicians,  450  clinics  and  physician  offices  and  3.5  million  electronic  
medical  records.    
 
Mindful  that  immediate  access  to  a  patient’s  medical  record  is  an  essential  component  of  high  
quality  care,  Information  Resource  Management  (IRM)  manages  one  of  the  nation’s  most  
advanced  health  information  technology  networks.  An  informatics  solutions  service  provider,  
IRM  provides  high-­‐quality  consulting,  predictable  implementation,  management  and  
outsourcing  services  to  meet  the  technology  and  patient  safety  demands  of  the  health  care  
industry.  With  IRM,  thousands  of  health  care  professionals  in  hospitals,  clinics  and  physician  
offices  can  access  their  patients’  health  records  securely  and  quickly.  Such  integration  
ultimately  lowers  costs  and  improves  patient  care.  
 
 
 
 
Session  Abstracts  
 
TUESDAY  –  OCTOBER  5,  2010  
1:00  –  1:35   Welcome  Address  
MUSE  and  INHS  welcome  participants  to  Spokane  in  this  plenary  session  and  provide  a  brief  
overview  setting  the  stage  for  this  event  
 
 
TOURS  
 
Starting  at  1:30,  2:30  and  3:30  PM  –  Help  Desk/Data  Center  Tour  
INHS  Help  Desk  Supports  more  than  45,000  users  –  see  how  it’s  done  and  how  they  maintain  
quality  customer  service.  While  there,  take  a  virtual  tour  of  the  INHS  Data  Center.  
 
 
1:30  PM  and  3:30  PM  
Providence  Sacred  Heart  Medical  Center  &  Children’s  Hospital  Tour  
With  644  beds,  Providence  Sacred  Heart  Medical  Center  &  Children’s  Hospital  is  one  of  the  
largest  hospitals  in  the  Northwest.  As  a  HIMSS  Stage  6  hospital,  Sacred  Heart  has  made  a  
commitment  to  utilizing  HIT  solutions  to  ensure  better  patient  outcomes.  With  new  guidelines  
and  regulations  around  the  corner,  see  how  providers  are  utilizing  nursing  documentation  and  
including  in  workflow  processes  to  meet  these  rapidly  approaching  deadlines.  
 
 
1:30  PM  and  3:30  PM  
Providence  Holy  Family  Hospital  Tour  
When  moments  count,  patients  need  an  emergency  center  that  can  offer  immediate  care  and  
manage  patient  flow.  Providence  Holy  Family  Hospital's  Emergency  Center  is  a  high-­‐volume  
emergency  center,  serving  more  than  100  patients  daily  and  can  treat  up  to  65,000  patients  
each  year.  See  the  inner-­‐workings  of  the  emergency  department,  how  they  are  utilizing  HIT  
systems,  including  CPOE,  to  provide  efficient  patient  flow  and  care.  Hear  from  a  clinician  and  a  
manager  of  the  ED.    
 
 
   

Updated 9.1.10 | Page 2

TRACK  ONE  –  ADVANCED  CLINICALS  
 
1:40  –  2:30   AOM/RXM  –  An  Essential  Component  for  Meeting  Meaningful  Use  
Subject  matter  experts  from  INHS  share  implementation  strategies  for  AOM/RXM.    As  we  
completed  our  Meaningful  Use  Gap  Analysis,  we  found  AOM/RXM  to  be  a  vital  part  of  our  MU  
Compliance  strategy.    Information  in  this  session  will  focus  on  design  models  including  a  phased  
roll  out  plan  with  the  second  phase  being  a  critical  component  for  E-­‐Prescribing.    Analysts  will  
discuss  experiences  related  to  our  multi-­‐facility  and  multi-­‐pharmacy  MEDITECH  environment  
including  clinician  adoption  tips,  reporting  options  and  compliance  measurement  options.  
 
2:40  –  3:30     EDM  –  Now  that  We  Have  to  Include  ED  Patients….  
EDM  is  essential  in  your  MEDITECH  Meaningful  Use  strategy  since  many  of  the  required  
objectives  take  place  within  this  module  including  CPOE,  Med  ordering,  EMAR  and  treatment  
indicators.    INHS  EDM  analysts  have  been  implementing  this  powerful  module  in  both  large  and  
small  facilities  for  several  years  and  have  been  able  to  develop  a  strategy  to  increase  physician  
adoption,  streamline  workflow  and  maximize  efficiencies.    Join  us  as  we  share  what  we  have  
learned  through  the  years  and  the  discoveries  we  are  currently  making  on  how  to  use  this  
module  to  achieve  Meaningful  Use.  
 
3:40  –  4:30     Nursing  Documentation  –  Crucial  Nursing  Changes  for  Meaningful  Use  
Through  implementation  of  nursing  orders  and  templates,  coded  and  structured  query  design,  
appropriate  attributes  and  standardization,  this  module  is  foundational  to  a  successful  CPOE  
implementation.    From  vital  signs  to  smoking  queries  to  decision  support,  Nursing  
Documentation  set  up  and  process  re-­‐design  is  also  at  the  heart  of  many  of  the  meaningful  use  
objective  requirements.    In  order  to  continue  to  comply  with  required  measurements,  it  is  
essential  to  design  processes  in  a  way  that  will  fit  this  information  capture  into  the  workflow  
seamlessly.    After  working  with  several  facilities,  we  have  some  experience  to  share  
surrounding  this  important  topic.      
 
TRACK  TWO  –  TECHNOLOGY  AND  SUPPORT  
 
1:40  –  2:30   Virtualization  in  Healthcare  -­‐  Driving  Efficiency,  Resiliency,  Security  and  Cost  
Savings  
 
2:40  –  3:30   Managing  Storage  System  Growth  within  Healthcare  Computing  Environments  
 
3:40  –  4:30   Help  Desk  –  Achieving  Customer  Satisfaction  
End  User  Confidence  is  difficult  to  win,  very  easy  to  lose,  and  critical  in  any  effort  to  achieve  
customer  satisfaction.    The  primary  building  blocks  of  customer  service  excellence  must  be  met  
to  win  the  hearts  and  minds  of  your  customers:  
o Confidence  that  those  calls  or  emails  will  be  answered  quickly  
o Confidence  that  submitting  a  request  for  assistance  will  be  relatively  painless  and  
effective  

Updated 9.1.10 | Page 3

 o Confidence  that  the  resolution  will  be  timely  and  complete  
This  session  will  describe  how  administrators  can  elevate  the  mindset  of  their  entire  end  user  
population  through  the  efforts  of  an  effective  and  consistent  Help  Desk  
 
 
TRACK  THREE  –  ADMINISTRATIVE  SESSIONS  
 
1:40  –  2:30   Meaningful  Use  –  Understanding  the  Final  Rules  
We  now  have  final  rules  for  Meaningful  Use;  Standards,  Implementation  Specifications,  and  
Certification  Criteria;  and  the  ONC  Temporary  Certification  Program.    In  this  session,  receive  
handouts  that  cover  the  basics,  what  changed  between  the  interim  and  final  rules  and  help  to  
put  all  three  of  these  rules  together.      
 
2:40  –  3:30   Meaningful  Use  Gap  Analysis  and  Strategic  Planning  
Are  you  prepared  to  evaluate  your  system,  process,  network,  hardware,  resources  and  more  in  
order  to  meet  meaningful  use  the  first  year?    We  have  developed  a  strategy  that  allows  us  to  
prepare  reports,  process  and  analysis  once  and  then  apply  it  to  our  various  hospitals.    Join  us  
for  an  important  discussion  on  what  we  have  learned  about  evaluating  our  system  and  then  
putting  this  analysis  into  action  with  strategic  planning.  
 
3:40  –  4:30   Meaningful  Use  Dashboards  
Meeting  meaningful  use  is  a  commitment  that  spans  the  entire  foreseeable  future!    Once  you  
meet  the  90  consecutive  days  the  first  year,  you  will  need  to  meet  every  day  thereafter.    Post  
discharge  reports  can  help  to  analyze  where  education  should  be  targeted  but  cannot  help  your  
compliance  numbers  stay  above  the  thresholds.    We  would  like  to  share  with  you  how  we  
propose  to  meet  this  challenge  going  forward.  
 
 
   

Updated 9.1.10 | Page 4

WEDNESDAY  –  OCTOBER  6,  2010  
 
PLENARY  SESSION  
8:00  –  9:00   Aligning  Internal  Resources  –  Othello  Community  Hospital,  Enumclaw  Regional  
Hospital  and  Sacred  Heart  Medical  Center  –  Plenary  Session  
Clinical  informatics  directors  from  these  four  facilities  share  experience  and  take  questions  
regarding  aligning  your  internal  resources  to  maximize  implementation  and  adoption  while  
maintaining  excellent  patient  care.  
 
 
TOURS  
 
Starting  at  9:10,  10:10,  11:10  AM  and  2:10  and  3:10  PM  –  Help  Desk/Data  Center  Tour  
INHS  Help  Desk  Supports  more  than  45,000  users  –  see  how  it’s  done  and  how  they  maintain  
quality  customer  service.  While  there,  take  a  virtual  tour  of  the  INHS  Data  Center.  
 
 
9:00  AM  and  2:00  PM  
Providence  Sacred  Heart  Medical  Center  &  Children’s  Hospital  Tour  
With  644  beds,  Providence  Sacred  Heart  Medical  Center  &  Children’s  Hospital  is  one  of  the  
largest  hospitals  in  the  Northwest.  As  a  HIMSS  Stage  6  hospital,  Sacred  Heart  has  made  a  
commitment  to  utilizing  HIT  solutions  to  ensure  better  patient  outcomes.  With  new  guidelines  
and  regulations  around  the  corner,  see  how  providers  are  utilizing  nursing  documentation  and  
including  in  workflow  processes  to  meet  these  rapidly  approaching  deadlines.  
 
 
10:00  AM    
Providence  Holy  Family  Hospital  Tour  
When  moments  count,  patients  need  an  emergency  center  that  can  offer  immediate  care  and  
manage  patient  flow.  Providence  Holy  Family  Hospital's  Emergency  Center  is  a  high-­‐volume  
emergency  center,  serving  more  than  100  patients  daily  and  can  treat  up  to  65,000  patients  
each  year.  See  the  inner-­‐workings  of  the  emergency  department,  how  they  are  utilizing  HIT  
systems,  including  CPOE,  to  provide  efficient  patient  flow  and  care.  Hear  from  a  clinician  and  a  
manager  of  the  ED.    
 
 
 
   

Updated 9.1.10 | Page 5

TRACK  ONE  –  ADVANCED  CLINICAL  
 
9:10  –  10:00   BMV  –  Bedside  Medication  Verification  
Bedside  Medication  Verification  has  always  been  central  to  patient  safety  and  avoiding  
medication  errors.    However,  now  it  also  becomes  an  integral  part  of  information  capture  for  
meaningful  use,  quality  measures  and  facility  wide  quality  improvement.    Recognizing  that  BMV  
is  the  first  step  on  the  long  road  to  closed  loop  medication  verification,  this  session  aims  to  
share  lessons  learned  during  multiple  implementations  at  both  large  and  small  facilities  as  well  
as  both  single  facility  and  multi-­‐facility  environments.      
 
10:10  –  11:00   MEDITECH  Physician  Documentation  
While  implementing  the  physician  documentation  portion  of  the  Physician  Care  Manager,  we  
found  some  great  unanticipated  wins  with  the  ancillary  departments.    We  have  been  able  to  
leverage  those  wins  to  support  a  successful  physician  adoption  strategy  for  both  daily  progress  
notes  and  evidence  based  clinical  decision  support  templates.        
 
11:10  –  12:00   MEDITECH  Physician  Documentation  Part  2  
Phase  2  of  the  physician  documentation  strategy  includes  discharge  instructions  and  history  
and  physical  templates.    Building  upon  the  earlier  successes  of  the  daily  progress  notes,  we  
have  found  that  many  facilities  are  now  eager  to  take  those  wins  on  to  the  next  step  with  
discharge  instructions  and  history  and  physical  templates  in  Physician  Care  Manager.    Is  this  
required  for  meaningful  use?    In  order  to  provide  the  electronic  medical  record  within  3  
business  days,  electronic  discharge  summaries  become  critical.      
 
TRACK  TWO  –  TECHNOLOGY  AND  SUPPORT  
 
9:10  –  10:00   Wireless  Devices  –  IPAD,  IPHONE,  etc…  
 
10:10  –  11:00   MEDITECH  Disaster  Recovery  and  Archiving  for  High  Availability  and  
Controlling  Storage  Sprawl  Within  MEDITECH  Environments  
 
11:10  –  12:00   The  Security  Landscape  in  Healthcare  
Pulling  the  Plug  –  How  HIPAA  protected  your  patients  but  forgot  to  protect  your  patients’  lives.  
 
 
TRACK  THREE  –  ADMINISTRATIVE  SESSIONS  
 
9:10  –  10:00   How  Can  the  REC  Help?  -­‐  Qualis  
 
10:10  –  11:00   Washington  Medicaid  Incentives  Plan  
 
11:10  –  12:00   Making  Grants  Work  for  Better  Health  Outcomes  
 

Updated 9.1.10 | Page 6

12:15  –  1:45  LUNCH  
 
 
12:45  –  1:45   Meeting  HIMSS  Stage  6  with  MEDITECH  Panel  Discussion  -­‐  Sonny  Varadan,  VP,  
Chief  Information  Office,  Providence  WA/MT  Region;  Harold  Geller,  CEO,  Othello  Community  
Hospital;  Tom  Jensen,  CEO,  Coulee  Community  Hospital,  Jake  Chaffee  MD,  Trauma  and  Clinic  
Director,  Coulee  Medical  Center  
Sacred  Heart  Medical  Center,  a  650+  bed  facility;  Othello  Community  Hospital  and  Coulee  
Medical  Center,  which  are  both  critical  access  hospitals.    What  do  these  facilities  have  in  
common?    They  all  three  have  the  HIMSS  Stage  6  designation  and  will  be  part  of  this  round  
table  type  discussion  in  order  to  answer  your  questions  regarding  how  to  achieve  this  
designation  and  why  you  should  want  to.  
 
 
1:45  –  2:10   VENDOR  AREA    
 
TRACK  ONE  –  ADVANCED  CLINICAL  
 
2:10  –  3:00   Evidence  Based  Orders  
Use  of  Evidence  Based  Orders  can  certainly  affect  predictable  outcomes.    In  addition  to  
providing  positive  patient  results,  Stage  2  of  meaningful  use  is  likely  to  require  integration  of  
evidence  based  medicine  (EBM)  throughout  your  system.    In  this  session  we  will  explore  
MEDITECH  options  for  EBM.  
 
3:10  –  4:00   Inpatient  CPOE  –  How  Do  We  Get  There?  
At  INHS,  we  have  developed  a  recipe  for  success  that  includes  7  ingredients.    Each  ingredient  
must  be  measured  and  added  at  the  right  point  in  the  mixing  process.    If  the  recipe  is  followed  
carefully,  we  end  up  with  a  beautiful  feast  of  structured  templates,  clinical  decision  support,  
evidence  based  orders  and  a  high  percentage  of  physicians  appropriately  using  the  system.    
Today,  we  would  like  to  share  this  recipe  with  you.  
 
 
TRACK  TWO  –  TECHNOLOGY  AND  SUPPORT  
 
2:10  –  3:00   Pharmacist  Involvement  While  Moving  Toward  Meaningful  Use  –  K.  Douglas  
Crafton,  RPh  –  President/CEO  Medication  Review,  Inc.  
Of  the  23  bullet  points  of  “Meaningful  Use,”  roughly  25%  of  the  requirements  need  pharmacy  
input.  Discussion  points  include  the  significant  role  of  pharmacy  in  achievement  of  those  goals.  
This  presentation  will  cover  pharmacy  involvement  and  interchange  between  formulary  
management,  physician/pharmacy  order  strings/sets  for  CPOE,  pharmacist  order  verification,  
bedside  medication  verification,  and  eMAR.  Alternatives  for  pharmacy  oversight  when  a  
pharmacist  is  not  present  on-­‐site  in  the  facility  will  also  be  discussed.  
 

Updated 9.1.10 | Page 7

3:10  –  4:00   Paperless  Hospital,  Not  Just  the  EMR  Anymore-­‐  Achieving  HIMSS  level  6  and  
Beyond  
Even  with  CPOE,  hospitals  are  finding  that  the  paper  is  still  in  abundance.  How  do  you  cope  with  
patients  arriving  with  documents  that  are  needed  for  patient  care?  Physicians  sending  orders  
who  are  not  on  you  Health  Information  System?  In  this  session,  we  will  be  discussing  the  
Electronic  Medical  Record,  the  Electronic  Legal  Record,  What  to  Collect,  When  to  Collect  it  and  
how  you  can  save  Time  and  significant  $$  using  workflow  and  ECM,  Enterprise  Content  
Management  
 
 
TRACK  THREE  –  ADMINISTRATIVE  SESSIONS  
 
2:10  –  3:00   Quality  Measure  Reporting  -­‐  Iatric  
 
3:10  –  4:00   Steps  to  5010s  in  MEDITECH  
The  Financial  Application  team  from  INHS  share  their  strategy  for  5010  set  up  and  how  it  relates  
to  CMS  timeline  requirements.    Information  in  this  session  will  focus  on  the  step  by  step  
process  designed  to  ensure  CMS  compliance.    A  Special  emphasis  on  837  claims,  key  milestones  
to  date  and  the  projected  project  plan  to  meet  CMS  level  II  end-­‐to-­‐end  testing  requirements  
and  readiness  for  the  January  1,  2012  implementation  date.  

Updated 9.1.10 | Page 8