I agree 100%.  I can name off the top of my head about a dozen
programming errors in the last year alone that have cost us dearly, both
financially and to our users who lost functionality of a field, a
routine, and sometimes, the whole system.  They've overwritten customs
with DTSes, made typos in DTSes, forgotten to retranslate programs,
forgotten to move in all parts of a DTS, didn't toggle services and
moved in Client Updates that required administrative rights to run,
which means our meager I.T. department had to run an update on over 450
PCs for them to work at all.
 
I'm not sure what route would be best to take, but obviously, hitting
the wallet is always a strong incentive.  Just my 2 cents.
 
Rena H. Susca
Sr. Systems Analyst
Gaylord Hospital
Phone: (203) 949-2122
Fax: (203) 294-8780
[EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> 
 
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Charlie Downs
Posted At: Wednesday, June 20, 2007 8:44 AM
Posted To: Meditech List Serve
Conversation: [MEDITECH-L] Buggy Meditech programming of DTS's
Subject: [MEDITECH-L] Buggy Meditech programming of DTS's



I don't know about everyone else, but I feel that was as Meditech users,
really need to get Meditech to improve on their programming accuracy.
I've run into more and more programming problems that have totally
unintended consequences unrelated to the problems that they were
supposed to fix. Below is an e-mail that I sent to our VP of IT this
morning. I would like to see some discussion on the L as to how to go
about getting Meditech to change.

Thanks, Charlie

   

     We had a huge problem which we discovered last week, but only
realized the

consequences this weekend from a DTS which Meditech moved to Live on
Thursday. Pharmacy

Issue #5294828 was a problem that one had to give a reason when
re-processing a billing

error when we should have not been prompted for a reason. For some
reason, this tied to the

drug dictionary where one had to give a reason when updating it. This
was totally unrelated

to billing, yet when they moved this to live, it not only caused Pyxis
billing to stop, but

each time an item was removed, it credited a previously removed item.
When I called on

Thursday, Meditech denied that this was what was causing my problem.
I've pasted what they

found was the problem below:

Rebhan,Maria (MEDITECH) - Jun 18, 2007 - 0948 EDT:  Brian, there is a
problemwith the DTS

we delivered.   It was patched correctly but, the code from it iswrong.
I've fixed this

Inhouse and will just need change control for TEST.  Tx

   If this issue would have been a billing issue, I would have tested it
thoroughly before

having them move it to live, but it was not a billing issue. I am seeing
more and more of

this that when Meditech moves a DTS to test or live, it has uninteded
consequences that are

often not noticed until we are live with it, because no amount of
testing will pick up an

unintended change entirely unrelated to the DTS. Another example is
Pharmacy Issue

#5237726. It was supposed to fix a problem with a field not defaulting
from the formulary

service when adding a new drug (FirstDataBank). After this was moved to
live, I noticed

that we could not look up drugs as we had before and instead had to use
extra keystrokes

for look-ups.

    The hours to correct all of the billing problems is huge. I strongly
feel that Meditech

needs to be held accountable for what I see as increasingly sloppy
programming. I would

like to see us file a formal complaint with Meditech over this issue
since this is one of

many times that I have seen this happen in pharmacy and cause huge
problems. Meditech does

not even have a Pyxis machine to test out the Pyxis fixes, and instead
is relying on the

users to test the fixes. In addition, they need to thorougly test other
programming changes

more thoroughly instead of using their customers as basically alpha test
sites.

Unfortunately, sometimes we only find out about these programming errors
after the fact,

which is not right.

    Hopefully, by filing a formal complaint, we can get their attention,
but I would hold

my breath. We had an interesting discussion at MUSE about how to get
Meditech to change

their business practices, and short of a large group of users agreeing
to withhold

maintenance payments, I don't see them changing. Perhaps it is time for
Meditech users to

band together and consider such action.

 

 

Charles Downs PharmD

Washington County Hospital

251 E. Antietam Street

Hagerstown, MD, 21740

301-790-8904

 

 


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