Re: [MEDITECH-L] PHA Generic Name Scripting Question

[Alan Miller]

Robin,
It is possible, but as far as I know, the most efficient way is to
manipulate the data outside of Meditech and script it back in.  If you
have someone who understands how databases and joins work, this is
possible if you have the FSV source file layouts.

I'm in the process of doing this very thing with the RXM drug
dictionary.  MediTech has been "working" on a service issue involving
missing generic names for over a year now without progress, so I've
given up on them.  Their best response so far is for me to manually
update all the drugs in the file (46,000+!)

What I'm doing is joining the source FSV files in combination with
Meditech downloads in Access.  In the final step, a spreadsheet is
generated which can be used to script the appropriate generics back into
Meditech.  

We're a MicroMedex hospital so I can't comment on the process in FDB. 
I asked MicroMedex for a listing of the file layouts in their files. 
They were gracious enough to let me have them on the promise that I'd
use the information only "inhouse".   Several years ago, MediSpan
provided the same information when we were one of their clients.  I'll
bet FDB can help you if you contact them.

Alan Miller, RPh
Patient Care Information Systems
Catawba Valley Medical Center
Hickory, NC  28602

>>> "Robin D. Cullen" <[EMAIL PROTECTED]> 11/27/2006 09:50 >>>
Hi Everyone,

As you may be aware, sites typically set the parameter "overwrite" in
the
FSV Parameters to "N" so as to prevent their FSV from overwriting all
of
their blood, sweat, & tears vis a vis the generic name dictionary. 
After
all, it wasn't too long ago that the Drug ID field in the drug
dictionary
didn't exist.  In place, they had to modify the generic name
description in
order to have labels, mars, reports etc. present drugs in the correct
fashion(esp. premixes).

Unfortunately, by setting the overwrite to "N" they prevented their FSV
from
updating their generic names.  This meant that, for example, the drug
Voriconazole, which was put on the market a few years ago, was
inappropriately classed as 99:00 - Appendix because more than likely
FDB
simply hadn't updated their shipping files with the appropriate class
of 08:
14.08 - Azoles.

So, we find ourselves as many facilities do with generic names that
are
incorrectly classed with no hope of being updated by FDB.

Does anyone know how one would go about scripting in a spreadsheet
containing the generic name mnemonic and the proper class into the MT
MAGIC
PHA 5.53 sr 3 application?  Is this even possible?

Thank-you so much for any insight you may be able to provide!
Robin.


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RE: [MEDITECH-L] Prescription Printers with RXM

[mtl]

Ms. Harris-
You might consider working backwards on this one - what kind of paper stock
do you plan on using (check with your Pharmacy to make sure state and
federal regulations are covered)?  If HCGH plans on using 8 1/2 x 11 stock
(watermark or "security" form are available) then obviously the report
printers you have will do, or upgrade to multi-tray printers.  I have also
seen Datamax I series as well as Zebra printers work for the 4 x 6,
continuous feed stock.

Be well - Kevin.

 
 
Kevin McConnell, PharmD.
Clinical Consultant
(713)480-6810
[EMAIL PROTECTED]
www.RPhInformatics.com

-Original Message-
From: meditech-l@mtusers.com [mailto:[EMAIL PROTECTED] On Behalf Of
Harris, Debbie
Sent: Monday, November 27, 2006 12:01 PM
To: MediTech Users Group
Subject: [MEDITECH-L] Prescription Printers with RXM

Hello everyone,
We are in the process of implementing EDM and RXM.  We will initially
need prescription printers in the ED and then housewide.  If you are
live with RXM, what printers did you choose for prescription printing?
Are they working well for you?

Thank you for your help!

Deborah W. Harris, MS, RN, CNA, BC
Director, Clinical Informatics
Howard County General Hospital
5755 Cedar Lane
Columbia, MD  21046
V:  410-740-7771
F:  410-740-7619






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RE: [MEDITECH-L] PHA Generic Name Scripting Question

[mtl]

Hi Robin-
What you're describing is one of the steps I use to simplify and validate
the Allergy/Duplicate/Dose Range Checking processes.  If you DOWNLOAD those
fields from your Generic Name Dictionary into an Excel spreadsheet, do the
edits there, then you can script back those changes after validation/review.
 
Make no mistake though that this can be project within itself - as you know
the Generic Name, Drug Class, and Dose Range dictionaries are all related
and linked.  It's this web of info (along with parameters settings) that
drives the output of pop-ups for PHA and POM order entry decision support.
Those "required comment" parameters could all be set to NO if we could just
have pop-ups appear for those that make sense, instead of being inundated
with non-sensible information.ahh - a dream or reality?
 
Be well - Kevin.
 
 
 
Kevin McConnell, PharmD.
Clinical Consultant
(713)480-6810
[EMAIL PROTECTED]
www.RPhInformatics.com
  _  

From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf Of
Robin D. Cullen
Sent: Monday, November 27, 2006 8:50 AM
To: meditech-l@MTUsers.com
Subject: [MEDITECH-L] PHA Generic Name Scripting Question
 
Hi Everyone,
 
As you may be aware, sites typically set the parameter "overwrite" in the
FSV Parameters to "N" so as to prevent their FSV from overwriting all of
their blood, sweat, & tears vis a vis the generic name dictionary.  After
all, it wasn't too long ago that the Drug ID field in the drug dictionary
didn't exist.  In place, they had to modify the generic name description in
order to have labels, mars, reports etc. present drugs in the correct
fashion(esp. premixes). 
 
Unfortunately, by setting the overwrite to "N" they prevented their FSV from
updating their generic names.  This meant that, for example, the drug
Voriconazole, which was put on the market a few years ago, was
inappropriately classed as 99:00 - Appendix because more than likely FDB
simply hadn't updated their shipping files with the appropriate class of 08:
14.08 - Azoles.
 
So, we find ourselves as many facilities do with generic names that are
incorrectly classed with no hope of being updated by FDB.  
 
Does anyone know how one would go about scripting in a spreadsheet
containing the generic name mnemonic and the proper class into the MT MAGIC
PHA 5.53 sr 3 application?  Is this even possible?
 
Thank-you so much for any insight you may be able to provide!
Robin.


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RE: [MEDITECH-L] Prescription Printers with RXM

[Leigh Shipper]

Please post responses.
Thanks

Leigh Shipper
Sr. Systems Analyst
Beaufort Memorial Hospital
843-522-7904


-Original Message-
From: meditech-l@mtusers.com [mailto:[EMAIL PROTECTED] On Behalf
Of Harris, Debbie
Sent: Monday, November 27, 2006 1:01 PM
To: MediTech Users Group
Subject: [MEDITECH-L] Prescription Printers with RXM

Hello everyone,
We are in the process of implementing EDM and RXM.  We will initially
need prescription printers in the ED and then housewide.  If you are
live with RXM, what printers did you choose for prescription printing?
Are they working well for you?

Thank you for your help!

Deborah W. Harris, MS, RN, CNA, BC
Director, Clinical Informatics
Howard County General Hospital
5755 Cedar Lane
Columbia, MD  21046
V:  410-740-7771
F:  410-740-7619






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Re: [MEDITECH-L] PHA Generic Name Scripting Question

[Charlie Downs]

Robin - I have to manually correct the AHFS codes periodically because of this. 
With the MIS allergens feature, you no longer have to rely upon AHFS codes for 
allergies. However, even though FirstDataBank and I'm sure the other FSV's have 
a program that will also check for duplicates, Meditech so far refuses to move 
to this and still relies upon AHFS codes for duplicates. I have spoken to 
Meditech on numerous occasions about their using AHFS codes (except concerning 
a formulary) because it is an inprecise way of doing things. Also, if they 
would use the drug ID universally, we wouldn't have to create all of these 
separate generic names ourselves. The other alternative would be to create an 
additional field in the drug dictionary where you could put percentage 
strengths, etc. I had written a MUSE enhancement request many years ago 
suggesting this, but instead, they came up with the drug ID.
Charlie
Charles Downs Pharm.D.
Washington County Hospital
Inpatient Pharmacy
251 E. Antietam Street
Hagerstown, MD, 21740
301-790-8904
  - Original Message - 
  From: Robin D. Cullen 
  To: meditech-l@MTUsers.com 
  Sent: Monday, November 27, 2006 9:50 AM
  Subject: [MEDITECH-L] PHA Generic Name Scripting Question


  Hi Everyone,

  As you may be aware, sites typically set the parameter "overwrite" in the FSV 
Parameters to "N" so as to prevent their FSV from overwriting all of their 
blood, sweat, & tears vis a vis the generic name dictionary.  After all, it 
wasn't too long ago that the Drug ID field in the drug dictionary didn't exist. 
 In place, they had to modify the generic name description in order to have 
labels, mars, reports etc. present drugs in the correct fashion(esp. premixes). 

  Unfortunately, by setting the overwrite to "N" they prevented their FSV from 
updating their generic names.  This meant that, for example, the drug 
Voriconazole, which was put on the market a few years ago, was inappropriately 
classed as 99:00 - Appendix because more than likely FDB simply hadn't updated 
their shipping files with the appropriate class of 08: 14.08 - Azoles.

  So, we find ourselves as many facilities do with generic names that are 
incorrectly classed with no hope of being updated by FDB.  

  Does anyone know how one would go about scripting in a spreadsheet containing 
the generic name mnemonic and the proper class into the MT MAGIC PHA 5.53 sr 3 
application?  Is this even possible?

  Thank-you so much for any insight you may be able to provide!
  Robin.


--




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[MEDITECH-L] BAR Dictionary Access

[Mattie Pankey]

We are curious how other hospitals coordinate dictionary responsibility for
BAR between IT and Patient Financial Services.  Currently, IT controls the
BAR dictionaries but we believe the department could be responsible for some
of the dictionaries such as Remittance, Canned Text, Dunning Messages, etc.
Does your Patient Financial Service department assume responsibility for
some dictionary functions or all?  What dictionaries do they control?  Any
input would be greatly appreciated.  

 

Thanks

 

Mattie Pankey

Financial Systems Project Manager

Calvert Memorial Hospital

410-414-4792

[EMAIL PROTECTED] 

 

<>


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FW: [MEDITECH-L] meditech tcp 5.5.2

[Garrison, Eric]

We would be interested in hearing about others experiences with the TCP
client as well. We have had some issues with "Server Not Responding" on
and off for some time since our last upgrade. 
Prior to that, we were able to alleviate the SNR's by dissolving the
teaming on our blade servers. 
 

_


Eric L. Garrison
Network Administrator

Information Systems

Laughlin Memorial Hospital


 * Email: [EMAIL PROTECTED]

( Office:423.787.5167

 


 


From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf
Of Gomez, Freddy
Sent: Monday, November 27, 2006 1:58 PM
To: meditech-l@MTUsers.com
Subject: [MEDITECH-L] meditech tcp 5.5.2



Dear L-List,

 

We are getting ready to implement the Meditech 5.5.2 TCP client.  Im
curious as to how many Hospitals are using this client??  Has anyone
experienced any issues with the new client (slowness, unresponsiveness
inside the app,etc..)  I would greatly appreciate any feedback.



Thanks and have a wonderful day,

 

Freddy Gomez

Desktop Administrator

Halifax Community Health System


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RE: [MEDITECH-L] PHA Generic Name Scripting Question

[John Valuckas]

I think that you need to check with your Meditech Support Analyst. We
had a DTS added a while ago that allows you to set the FSV parameter to
Y for Generic Name overwrite and all fields except the description are
updated. This allows you to modify the the Description to meet your
needs and still have the FSV vendor update the Class etc. This change
may now be in your standard code.
 
John Valuckas
John Valuckas R.Ph. 
Pharmacy Informatics Coordinator 
Charlotte Hungerford Hospital Pharmacy 
860-496-6694 
Fax - 860-496-6447 
[EMAIL PROTECTED] 




From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf
Of Robin D. Cullen
Sent: Monday, November 27, 2006 9:50 AM
To: meditech-l@MTUsers.com
Subject: [MEDITECH-L] PHA Generic Name Scripting Question


Hi Everyone,
 
As you may be aware, sites typically set the parameter "overwrite" in
the FSV Parameters to "N" so as to prevent their FSV from overwriting
all of their blood, sweat, & tears vis a vis the generic name
dictionary.  After all, it wasn't too long ago that the Drug ID field in
the drug dictionary didn't exist.  In place, they had to modify the
generic name description in order to have labels, mars, reports etc.
present drugs in the correct fashion(esp. premixes). 
 
Unfortunately, by setting the overwrite to "N" they prevented their FSV
from updating their generic names.  This meant that, for example, the
drug Voriconazole, which was put on the market a few years ago, was
inappropriately classed as 99:00 - Appendix because more than likely FDB
simply hadn't updated their shipping files with the appropriate class of
08: 14.08 - Azoles.
 
So, we find ourselves as many facilities do with generic names that are
incorrectly classed with no hope of being updated by FDB.  
 
Does anyone know how one would go about scripting in a spreadsheet
containing the generic name mnemonic and the proper class into the MT
MAGIC PHA 5.53 sr 3 application?  Is this even possible?
 
Thank-you so much for any insight you may be able to provide!
Robin.


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RE: [MEDITECH-L] Last documented vital signs

[TOOMEY, CHERYL]

We view VS in the flowsheet. You can see all the VS.. Everyone likes it
here


Cheryl Toomey MHA, RN BC
Clinical Informatics Specialist
Milford Regional Medical Center
Milford, MA 01757
vm (508) 422-2449 
[EMAIL PROTECTED]
 


-Original Message-
From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf
Of Barnoski Trish
Sent: Monday, November 27, 2006 2:40 PM
To: Castillo, Cristina; meditech-l@MTUsers.com
Subject: RE: [MEDITECH-L] Last documented vital signs

Actually, no.  We used to use the grid format before we did the 5.4
update, and even then, staff didn't like it.
Seems to me, I saw somewhere on a Magic screen, I'm sure with an
attribute or something, that there was a piece from the top of the
screen, kind of like a group response box, but was set up like a table
that had the vitals from the last 4-6 entries...

Thanks
Trish




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[MEDITECH-L] In-house Collections and Auto Dialer Systems

[Shirley Hammack]

Our new Revenue Cycle Director has asked our department to research the 
feasibility of bringing all of our collections in-house and implementing an 
auto-dialer system to stream line the process.  Are there any organizations 
doing this and would be willing to share their experiences and vendor info?


Shirley Hammack
I.T. Financial Analyst
Jackson County Memorial Hospital
580-477-7484


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immediately and destroy the transmitted information.



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FW: [MEDITECH-L] Putting Logo On NPR Report

[Gary Hall]

From: Gary Hall 
Sent: Wednesday, November 29, 2006 8:04 AM
To: 'Helt, Karen'
Subject: RE: [MEDITECH-L] Putting Logo On NPR Report

There is a way to do it, Karen. Unfortunately, the only way I've been
shown to make it work requires that the person running the report send
the report to PREVIEW first. If you do that, then you can get a graphic
to print. But just running a regular NPR report to a printer, or to
VIEW, will not result in successful graphic printing. If you want  me to
send you the report that works going through PREVIEW, let me know, but
obviously that limits the application severely. Thanks!
 
Gary Hall
Clinical Applications Specialist
Estes Park Medical Center
Information Systems Department
970-577-4443
 



From: meditech-l@mtusers.com [mailto:[EMAIL PROTECTED] On Behalf
Of Helt, Karen
Sent: Monday, November 27, 2006 7:36 AM
To: meditech-l@mtusers.com
Subject: [MEDITECH-L] Putting Logo On NPR Report



Has anyone been able to put your logo on an NPR Report successfully.  If
you have, could you please tell me how you did it.  Thanks in advance
for your help.

 

Karen Helt

Systems Analyst

Sauk Prairie Memorial Hospital

80 First Street

Prairie du Sac, WI   53578

608/643-7673





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prohibited.  If you have received this communication in error, please notify 
the sender of this communication immediately.





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Re: [MEDITECH-L] Hold orders

[sdailey]

In general, we treat all HOLD orders as a DC. The only exception would be 
if the prescriber wrote to hold one specific dose, for example, before a 
particular test. We have been using this policy for several years, and the 
benefit of preventing unwanted doses far outweigh the inconvenience of 
having to write re-start orders.

Some things to consider: In Meditech Pharmacy, the terminology is DA 
(deactivated). However, the order is still "active" in the Pyxis system, 
so it will still show up on the patient's Pyxis profile. In Meditech PCI, 
the "DA" status shows up in the last column on the patient's Current 
Medication list, but I wouldn't count on all clinicians looking for that 
or even recognizing what it means if they saw it.

Steven Dailey, RPh
Pharmacist/Information Services
Union Hospital
Elkton, MD  21921

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meditech-l@MTUsers.com wrote on 11/26/2006 08:23:02 PM:

> That's what we do, too.  In the pharmacy, we don't have access to the
> nuances that are involved with "holding" medications.  Hold for just
> this dose?  Hold forever?  Hold until the lab results come back?  Since
> "Hold" is such an ambiguous term, it is prudent to equate it to "D/C"
> until you get clarification via a "continue" etc. order.
> 
> Alan Miller, RPh
> Catawba Valley Medical Center
> 
> >>> "Parker Karen" <[EMAIL PROTECTED]> 11/22/2006 12:14 >>>
> To those of you who are using Pharmacy order entry:
> If a Physician writes for an order to be on hold, how does pharmacy
> enter that into the computer?  Currently our pharmacy discontinues
> that
> order and the Physician has to rewrite the order when they want it to
> restart. 
> 
> Karen Parker RN, BSN
> Clinical Informatics Specialist
> Meadville Medical Center
> 751 Liberty St
> Meadville, Pa 16335
> 814-333-5606
> [EMAIL PROTECTED] 
> 
> 
> 
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RE: [MEDITECH-L] Putting Logo On NPR Report

[Lawrence, Mitchell]

Enclosed is the report definition of an NPR that I created as a
proof-of-concept example. We never really did anything with it, although
I suppose we could...

 

Report is written in C/S 5.4. I am unsure if it can be written in MAGIC.

 

The main crux of the report is a computed field:

xx.image.gif

DAT=BMP

JFY=L

LEN=40 This value controls the size of the image

VAL="\\PATH\TO\IMAGE\THAT\IS\READABLE\BY\ALL\WHO\RUN\THE\REPORT\IMAGE.bm
p"

 

As stated, the location you place your image should be readable by
everyone who runs the report. Additionally, the image should be an exact
square for the least troublesome placement. The LEN attribute controls
both the width and the height of the image.

 

It will take a TON of playing around with in order to get the exact
placement you need.

 

I highly suggest a white background on your image.

 

Good luck.

 

Thank you,

Mitch Lawrence

Senior Applications Analyst - Advanced Report Writer

General Financials Support

CHRISTUS Information Management

': 361.881.3408  7: 361.888.6117

*: 361.549.8456  )AIM: a1d13  )MSN: [EMAIL PROTECTED]

*: [EMAIL PROTECTED]

 

Send a "thank you"   to
someone!

  _  

From: meditech-l@mtusers.com [mailto:[EMAIL PROTECTED] On Behalf
Of Helt, Karen
Sent: Monday, November 27, 2006 8:36 AM
To: meditech-l@mtusers.com
Subject: [MEDITECH-L] Putting Logo On NPR Report

 

Has anyone been able to put your logo on an NPR Report successfully.  If
you have, could you please tell me how you did it.  Thanks in advance
for your help.

 

Karen Helt

Systems Analyst

Sauk Prairie Memorial Hospital

80 First Street

Prairie du Sac, WI   53578

608/643-7673

<>


BAR.PAT.zcus.mdl.image.test.report.pdf
Description: BAR.PAT.zcus.mdl.image.test.report.pdf


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[MEDITECH-L] BAR Miscellaneous GL

[Maureen Wolfe]

I would like to speak to someone who is using the BAR Miscellaneous GL / 
Cashiering option.   We are in the process of evaluation / setup and are 
running into issues.  Would be interested to see how others are handling them.

Thank you.

Maureen K. Wolfe
Applications Analyst
Holyoke Medical Center
Tel: 413-534-2747
Fax: 413-534-2602

CONFIDENTIALITY NOTICE: This email 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 reply to the sender immediately or by telephone at (413)534-2500 and 
destroy all copies of this communication and any attachments. For further 
information regarding Holyoke Medical Center's privacy policy, Please visit our 
Internet web site at http://www.holyokehealth.com
<<<>>>



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[MEDITECH-L] Senior Applications Analyst position in Maryland!

[Edwards, Rick]

Howard County General Hospital (HCGH) is recruiting for the position of
Applications Analyst, within the Information Technology (IT) Department.

 
HCGH (www.hcgh.org) is a 200 bed community hospital, located in
Columbia, MD - a suburban community located almost exactly midpoint
between Washington, DC and Baltimore, MD. HCGH is part of the Johns
Hopkins Medicine organization. Regarding its IT environment, HCGH
operates the MEDITECH Magic HCIS - currently on 5.5, SR2 (MEDITECH was
originally installed in 1995/96). 
 
HCGH has most of the available MEDITECH Magic administrative, financial,
and clinical modules implemented, including the most recently
implemented Bedside Medication Verification (BMV) module. Currently,
HCGH is in the midst of implementing the MEDITECH Authorization and
Referral Management (ARM), Physician Care Manager (PCM), and Emergency
Department (EDM) modules. 
 
This Senior Applications Analyst position will be responsible for
supporting an assigned group of MEDITECH modules, along with report
writer responsibilities and project management assignments (such as new
implementations).
 
If you, or someone you know, is interested in this opportunity - please
email me a current resume and cover letter. Candidates may also review
the job description and apply online for this position via the
Hospital's web page (www.hcgh.org). 
 
Rick Edwards
Senior Director - CIO
Howard County General Hospital
5755 Cedar Lane
Columbia, MD 21044
v: (410) 740-7230
f: (410) 740-7565
[EMAIL PROTECTED]
 
 


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[MEDITECH-L] Intermittent Slowness since upgrade to 5.5

[Sue Gillette]

Hi Everyone
We have upgraded to 5.5 sr1. We are experiencing slowness for short
periods of time. I have seen some discussion on the L before. 
Has any one gotten a resolution for this?




Susan Gillette RN
IS Analyst
Finger Lakes Health
315-787-5451

Susan Gillette RN
IS Analyst
Finger Lakes Health
315-787-5451

Susan Gillette RN
IS Analyst
Finger Lakes Health
315-787-5451
CONFIDENTIALITY NOTICE
This message & any included attachments are intended only for the addressee.  
The information contained in this message is confidential & may constitute 
non-public information under international, federal or state laws and is 
intended only for the use of the addressee.  Unauthorized forwarding, printing, 
copying, distributing, or using such information is strictly prohibited and may 
be unlawful.  If you are not the addressee, please promptly delete this message 
and notify the sender of the delivery error by e-mail or you may call Finger 
Lakes Health in Geneva, New York, U.S.A. at (315) 787-4040.


*FLH*


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[MEDITECH-L] RFID

[Roman, Bruce]

Does anyone use RFID in Materials Management?  If so, can you give us
any pointers on what to look for or company(ies) to use?

 

Thanks

Bruce K. Roman

Sinai Health System

(773) 257-6568

[EMAIL PROTECTED]



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[MEDITECH-L] Elf Chip Replacement

[tim . zundel]

We currently add the signature line to our AP checks using an Elf Chip. 
This functionality is going away.  Has anyone addressed this issue?  What
else can be done?

Kevin Shimamoto
Sierra View District Hospital



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[MEDITECH-L] Abstracting NPR report

[Julie Kindred]

Does anyone have an NPR report out of abstracting that pulls all the
diagnosis codes, icd-9 procedure codes and the physician listed for each
icd-9 procedure code?  Thanks!


Julie Kindred
Clinical Coordinator
Bozeman Deaconess Hospital
915 Highland Blvd
Bozeman,Mt 59715
406-585-5047
[EMAIL PROTECTED] 


This communication is confidential to Bozeman Deaconess Hospital and is 
intended solely for the use of the individual or organization to whom it is 
addressed. It may contain privileged or confidential information. If you have 
received this message in error, please notify the originator immediately. If 
you are not the intended recipient, you should not use, copy, alter, or 
disclose the contents of this message. All information or opinions expressed in 
this message and/or any attachments are those of the author and are not 
necessarily those of Bozeman Deaconess Hospital. Bozeman Deaconess Hospital 
accepts no responsibility for loss or damage arising from its use.



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[MEDITECH-L] Problems with Citrix and FS apps

[Brock, Gary]

Hi Everyone,

I'm looking for Citrix advice.  We are a relatively new user of Meditech
(CS 5.5 SR 3) and are using Citrix PS4 for a portion of our users.
Specifically, we use Citrix in a hospital ED to allow physicians to
start a Meditech session on one workstation, disconnect, and resume the
session later on the same or a different workstation.  Doing this is
convenient for physicians but intermittently causes a problem when
launching an FS application such as POM or PCS.  For example, the user
will start POM and receive the initial window stating 'POM Client
Signon' and then nothing else.  Possibly the user credentials for that
Citrix session are somehow made invalid by disconnecting the initial
session and reconnecting from another workstation - still investigating.
I'm curious to know if other Citrix users have implemented unique
security changes, environment variables or anything else to stabilize
Citrix sessions.  Any help or advice would be greatly appreciated.

Gary Brock 
System Administrator 
Centura Health Information Services 





*
This communication is for the use of the intended recipient only.  It may 
contain information that is privileged and confidential.  If you are not the 
intended recipient of this communication, any disclosure, copying, further 
distribution or use thereof is prohibited.  If you have received this 
communication in error, please advise me by return e-mail or by telephone and 
delete/destroy it.
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[MEDITECH-L] PHA Label Printers

[Chemelli Donna M.]

Our label printers in Pharmacy are dying.  We are a Magic 5.4 facility
and wondering what others are using.  Are you happy with what you have?
What type and model do you have in place for this purpose?  Any advice
is welcome.

Donna Chemelli, RHIT
Clinical Systems Analyst
Mercy Jeannette Hospital
724-527-9785





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RE: [MEDITECH-L] MSP query in LSS

[Bodnar-Anderson, Cindy]

The Custom-defined Screens in LSS for PBR are:

PBR CLI  PB/R CLINICALS
PBR CORR PB/R CORRESPONDENCE
PBR DEM  PB/R DEMOGRAPHICS
PBR DICT PB/R DICTIONARY
PBR EPI  PB/R EPISODE
PBR INS  PB/R INSURANCE
PBR MPI  PB/R MPI PATIENT  MAN, I WISH THIS WERE IN 
MEDITECH! :)
PBR PROC PB/R PROCEDURE
PBR XOVERPB/R XOVER INFORMATION

So, episodes are a Screen type, this should be do-able (but not one I have 
worked on for LSS).  You may really want to do this at the Insurance level, 
which is similar to the Meditech setup.  Collect the signature date, and run 
reports or define attributes based on dates.  Otherwise, if an episode type 
screen, you will want to setup an attribute to only prompt this screen if 
Medicare Insurance.

Depending upon where your front-end is, you may want to setup Alerts or 
Comments when you find a patient past the "date".


Cindy Bodnar-Anderson
IS, Senior Programmer/Analyst
Regional Health
Rapid City SD  57701


-Original Message-
From: Marcia S Flessner [mailto:[EMAIL PROTECTED]
Sent: Monday, November 27, 2006 1:41 PM
To: meditech-l@mtusers.com
Subject: [MEDITECH-L] MSP query in LSS


We are trying to set up an MSP query screen in LSS for the physician offices.  
Since LSS has one patient account for life, has anyone attached the query to 
episodes to retain it for each visit?  Are there other ways to solve this?  
Thanks for your help.  

Marcia Flessner
Patient Financial Services Manager
Mendota Community Hospital
815 539-1621


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 it's 
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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[MEDITECH-L] Automate Pro

[Caruso, Charlie]

Any Automate Pro users out here that can give me advice on how to select
a printer (when more than one is in the list) from the Meditech print
destination dialog box of client server?  Sure be nice if I could just
send the printer name, but that's not the case.  Probably something
simple with Automate Pro but I can't figure it out.

Charlie Caruso
CIO
Goodall Hospital
25 June Street
Sanford, ME 04073
Phone: 207-490-7481
email: [EMAIL PROTECTED]



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[MEDITECH-L] PHARMACY- ORDER ENTRY WITH CARTLESS FILL

[Dan Hawrot]

Hello--
  This is sort of a survey for facilities where the
meds are obtained from dispensing machines on the
nursing units:

  Do the pharmacists enter all of the med orders in
Meditech, and, if that is the case, is there any
type of a double check (e.g. another pharmacist) before
the order flows to the dispensing machine?
  
  Your input is appreciated...  

Dan Hawrot, RPh
Trinity West
Steubenville, Ohio 43952 





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[MEDITECH-L] Non-Meditech question mandatory training compliance

[Brady, Tim]

I am interested in what others are doing regarding employee mandatory
training compliance, such as fire safety.  Does anyone use a product
that allows them to develop coursework/tests and also manage compliance?


 

Thanks,

 

Tim Brady

Director of Information Systems

Mt. Washington Pediatric Hospital

 

 

 



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[MEDITECH-L] Symbol MC50

[Alex Anderson]

Does anybody have a good registry hacking tool for these devices?  We
don't want to deploy them wide open.

Thanks,

Alex Anderson
Senior Programmer/Analyst
Thompson Health System
Canandaigua, NY 14424
585-396-6765

"One day I realized that sadness is just another word for not enough
coffee. " -Wally from Dilbert by Scott Adams
 <> 
BEGIN:VCARD
VERSION:2.1
N:Anderson;Alex
FN:Alex Anderson
ORG:;01.910 - Information Services
TEL;WORK;VOICE:6765
EMAIL;PREF;INTERNET:[EMAIL PROTECTED]
REV:20060914T153413Z
END:VCARD


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[MEDITECH-L] Printing rule in OE

[Sandie Masden]

 

 Hello,

   I'm wondering if anyone can help me? I'm looking for a

Order Entry rule. I need the entered order to print in our 

EDM when the patient location is ER. Anyone willing

to share on this one?? I hate to beg however, please,

please can you give me a nibble. Thanks in advance. 

 

Sandie Davis

Meditech User Support Analyst

(970) 256-6328

Community Hospital

 

 



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[MEDITECH-L] PHA progress notes in PCI?

[Claudia Dawe]

Oh wise and wonderful Pharmacy gurus.. Is there a way to have progress notes
entered by pharmacists display in PCI?  Our pharmacists are using progress
notes to clarify allergies and want nursing staff to be able to view them.
I suggested using clinical interventions, but they feel progress notes are
easier to use.  I promised I'd leave no stone unturned to avoid making a
change.

 

Thanks for any words of wisdom.

 

Claudia Dawe, RN

Clinical Analyst

Pennock Health Services

269.945.3451 x 598

 

** Please note that this e-mail message and any attachments may contain
privileged or confidential information that is protected against use or
disclosure under federal and state law.  If you have received this in error,
please advise by immediate reply.  Any transmission to persons other than
the intended recipient shall not constitute a waiver of any applicable
privileges.  Any unauthorized use, disclosure, copying or disseminations is
strictly prohibited.

 

 






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[MEDITECH-L] INFORMATION SYSTEMS OPPORTUNITIES

[Fleming, June]

I have been asked by my Director to post these positions to the "L"
List.

 

Join Brockton Hospital's Information Management Team...  Several
exciting opportunities exist to meet the demand of our growing
information system.  Over the next three years, the Hospital plans on
implementing several additional advanced clinical applications and needs
your help...  If you are an information systems professional with three
or more years of healthcare experience, apply at Brocktonhospital.org
today.

 

 

Network Administrator

Candidate with prior network administration experience as well as a good
working knowledge in the following areas: VPN/Remote access, Active
Directory, and Cisco networking equipment.

 

Senior Programmer

Candidate with a strong understanding of the MAGIC programming language
- including working with NPR and the NPR Report Writer. 

 

Clinical Information Systems Analyst

Candidate with RN License, at least three years clinical
experience and some IT experience.  Meditech preferred.

 

Systems Analyst

Candidate with three or more years as analyst with Meditech
clinical applications experience

 

Laboratory Information Systems Analyst

Candidate with three or more years experience in either lab
setting and lab information systems

 

 

June Fleming

System Analyst

Brockton Hospital

508-941-7097

[EMAIL PROTECTED]

 

 



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[MEDITECH-L] Scanner Question

[Gail . Johnston]

Hello All,
We are implementing Scanning in the Admissions areas here at my facility.
With the need to scan insurance cards, drivers licenses, and other full
sheet documents, we are wondering what kinds of scanners other facilities
are using.

Any information would be most appreciated.

Thank you in advance,
Gail Johnston, Business Analyst/Programmer
Information Technology
Willamette Falls Hospital
1500 Division Street
Oregon City, Oregon  97045
503-656-1631, Ex. 3317   FAX # 503-657-6940
[EMAIL PROTECTED]



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RE: [MEDITECH-L] Physician Training... Are you still doing it??

[Harris, Debbie]

Hi Jan,
Hi Jan,

Yes we are training physicians 1 on 1.  We initially train them on PCI,
launching PACs images and electronic signature.  Lately we also train
them on Clinical Review and Physician documentation as well.  It takes
about 1 hour to train them on the all of the above.  When we add in POM,
the entire first session is about 1.5 hours.We do ask the physicians
to call a Clinical Informatics Analyst the first time they sit down to
place orders.  We currently have approximately 20 physicians from
various disciplines trained to place orders into POM.

Good luck!

Deborah W. Harris, MS, RN, CNA, BC
Director, Clinical Informatics
Howard County General Hospital
5755 Cedar Lane
Columbia, MD  21046
V:  410-740-7771
F:  410-740-7619



-Original Message-
From: Lisee, Jan [mailto:[EMAIL PROTECTED] 
Sent: Tuesday, November 21, 2006 4:55 PM
To: Meditech-L (E-mail)
Subject: [MEDITECH-L] Physician Training... Are you still doing it??

We are being pushed to NOT do any physician training on our Meditech
system... 
One thought is to create a CD with the trainer doing her training
session

The push back from an MD is that he makes $40,000 a day, are we going to
pay him to come to training?

I am speechless (again)... I am concerned about having inadequately
prepared physicians, who are then inefficient and who will "bother" the
nurses.
AND, as we run full speed ahead into Clinical Review, EDM and then
PCM/POM...  if the doctors are not used to coming to training.. how do
you rope them in.

AND, what about incremental learning... no way will someone easily walk
into ANY institution and be able to function in a SAFE manner!!!

Our patients deserve better
Our doctors deserve better

Your thought please so I can present what others are doing

Many thanks.

Janice B Lisee, RNC BSN
Senior Systems Analyst
Frederick Memorial Hospital
Frederick, Maryland 21701 
240-566-3437
mailto:[EMAIL PROTECTED]




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[MEDITECH-L] Hyperbaric Oxygen (HBO) and Wound Care Documentation

[Castillo, Cristina]

Hello Lr's,
Our facility will soon have a Hyperbaric Oxygen Unit/Wound Care
(outpatient setting) and I would like to get some input (good or bad) on
how you document in MEDITECH (if any). If you are using a software, what
is it and does it interface with MEDITECH? I haven't worked in an HBO
environment at all so I don't have any idea as to how documentation
goes. If anyone would be willing to share any of their documentation
screen shots, outcomes, care plan and all other stuff that goes with
this kind of treatment, I would surely appreciate your input. Thanks!

Cristina G. Castillo, BSN, RN
Manager, Clinical Informatics
Pacific Alliance Medical Center
531 W. College St.
Los Angeles, Ca 90012
Ph: (213) 437-4214
Fax: (213) 617-9203
Email: [EMAIL PROTECTED]
This electronic message is intended only for the individual or entity to
which it is addressed and may contain information that is confidential
and protected by law. If you are not the intended recipient of this
e-mail, you are cautioned that use of its contents in any way is
prohibited and may be unlawful. If you have received this communication
in error, please destroy it and notify the sender immediately by e-mail.





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RE: [MEDITECH-L] Credentialing Software

[Chemelli Donna M.]

Please post.  Thanks.

-Original Message-
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] 
Sent: Monday, November 27, 2006 5:25 PM
To: meditech-l@MTUsers.com
Subject: [MEDITECH-L] Credentialing Software



Just wondering what other hospitals are using for credentialing
software.  Do you use if for a single user?  How would you rate the
software? 

Thanks! 


Shelley Schupman
IS Director
Southwest Medical Center
PO Box 1340
Liberal, KS  67901
620-629-6324




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[MEDITECH-L] Attribute Assistance

[Mueller, Madge]

We are using the following attribute to "pop-up" group response choices
for the users.  We have an issue when the user goes back to change one
response and then "enters" through the following responses, the
following responses are cleared and the user has to re-answer these
queries.  Has anyone else experinced this and did you find a way to keep
the other responses from clearing?

 <> 
Thanks

Madge Mueller  RN, MSN
Trihealth Information Systems
Sr Applications Programmer/Analyst
(513) 569-6814
[EMAIL PROTECTED]



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that is privileged, confidential and/or otherwise exempt from and protected 
from disclosure under applicable laws, including the Health Insurance 
Portability and Accountability Act. The information contained in this email 
(and any accompanying documents) is intended only for the personal and 
confidential use of the intended recipient. If the reader of this message is 
not the intended recipient or the employee or agent responsible for delivering 
it to the intended recipient, you are hereby notified that you have received 
this information in error and that any review, dissemination, distribution, 
copying or action taken in reliance on the contents of this communication is 
strictly prohibited. If you have received this communication in error, please 
destroy it immediately.

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Description: Picture (Device Independent Bitmap)


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