Healthcare Technical Services Projects for September 4

Replaced Rhapsody ADT mapper as it was clipping off data at end of PV1 segment.
Using the same input and output definition now to make it easier to maintain and put in place.
Carestream Radiology:
Started mass record testing for inpatient studies.
The order side build looks good but there are still issues with the PRC portion for the outpatient ordering piece.
Outpatient MRIs stopped working on results as ordering provider was not being returned. Messages look identical to inpatient orders fro MRIs so forwarded to Carestream.
Coded for email counts on charge files and to make a copy of the professional services billing file.
Started cutover checklist plans for systems for go live.
Anesthesia completed Anesthesia Gap Analysis for hospital. All workflows validated by Clinical Team.
Anesthesia team member attended integrated application meeting regarding Sedation out of the OR. Also met with Epic to finalize agenda for kickoff meeting which occurred Aug 31 – Sep 1. The team attended a demonstration of model system for Anesthesia as well as meetings with Epic to work on project scope, project plan documentation, validation session planning, and model build migration into hospital environment. They also attended a meeting with Interface team to begin discussions on device integration. Anesthesia worked on finalizing project documentation for the planning/current state analysis/gap analysis phase of the Anesthesia project as well as notes from kickoff meeting for future reference.
the ASAP team demonstrated all of the Discharge workflows to Ops. They continue to modify the workflows and upload them to Team share for Ops’ to review and approval. They are also uploading screen captures of the all or North Site navigators for Ops to become familiar with and to bring any suggestions for changes. Sample reporting workbench reports have also been run and uploaded to Team share this week. They continue to have a weekly team meeting, a weekly Ops meeting and a wrap up meeting following each Ops meeting to clarify changes before modifying that week’s workflows.
The HOD team held their bi-weekly status meeting with Operations on Friday. A few Ops folks felt they still didn’t understand the HOD concept. Documentation was sent to them to help clear up HOD. Asked LS to hold a class for Operations on HOD. Until they see the product on how HOD works inside the IP & OP environments. LS is working on a date/time for the training. The team prepared to demonstrate Infusion and Audiology workflows to Operations next week. The team also participated in the Sedation Integration meeting.
Team discussed the plan for building preference card at southern location. They also reviewed NCH Preference Cards (16,000 procedures). The team reviewed Orlando Minor procedure list and compared with NCH procedures along with sending the list of NCH preference cards to management. Team Memeber attended the sedation meeting outside the OR and the biweekly Status Update meeting with Operations where they discussed preference cards, ordersets, and flowsheets. The team documented for Gap Analysis for preference cards. They also met with OHC about collaborating with OpTime team to help facilitate future meetings. A plan was developed to ensure going forward that OHC would be on the calls. Andrew also had initial discussions about creating new flowsheets for OpTime.
The team attended Orders bi-weekly meeting with Operations and completed physician validation of 4 physician order entry workflows (transfer (change in level of care and change of service), discharge, and consult orders) as well as validated the facility IP preference lists for NCH and order content. Continued identification of AIDHC specific order content to review with 5 additional Orders workflows and update validated Orders workflows.
Radiant remains on track to complete workflow gap analysis by the end of September. NCH versions of the six imaging exams were drafted and ready for presentation to NCH Ops on Tuesday of next week. (NCH Ops absent from Friday’s meeting so ‘make-up’ meeting scheduled for Tuesday). Our dependency on Sedation workflows at NCH in the absence of a Day Medicine department begins to raise mild concern since no final decision has been reached regarding what department will be performing sedations.
Not counting Tuesday’s ‘make-up’ session, two more sessions will be required to obtain signoff on remaining workflows – Sedation, Scheduling, and Check-In. The Scheduling and Check-In workflows had been reviewed and approved in a previous session with the hospital Operations. However this week we learned that the Cadence team produced Imaging Scheduling and Check-In workflows. We will reconcile the Cadence workflows against the Radiant workflows and modify the Radiant workflows if/as necessary. If the Radiant workflows are modified, the modified workflows will be submitted to the Ops team again for to obtain signoff.
In Rhapsody, progress Route Design FTP log/DB logger to capture Financial transaction between Meditech/Lawson/LSS(Testing)
Designing SQL query to handle file properties and build email notifications in Rhapsody. (Waiting for DB to be populated)
Created Rhapsody ADT Route for Meditech to Ecin
Created Rhapsody ADT Route for Meditech to FormFast
Created Rhapsody ADT Route for Meditech to GE Centricity
Created Rhapsody ADT Route for Meditech to HillRom
Continued provisioning in Medicity ProAccess & Grid, continued review of ProAccess default roles with ISD for ProAccess Pilot, researched HL7 flag issues with ISD & Medicity in regards to DropBox Pilot.
ProAccess 5.3 Upgrade: Executing Phase – working with Cottage Integration Manager and ancillary system SMEs on testing & validation, validation of third party data from interfaces (HCS & MHCW), tracking & escalation of testing issues with Medicity.
Nearing completion of Advance Directives Interface Project, working through network connectivity and UI (AKA cosmetic) issues, should be ready to begin testing next week.
Worked with Greenway & Medicity on scheduling Phase 1 deliverables for first EHR go-live, and working with eHP Program staff on collecting Medicity Practice Planner information.
Continued work with Medicity and Prime Clinical on developing Grid-EHR interface, monitor & track project milestones & status.
Continued education of ProAccess default Roles with Client.
Worked with Medicity tore-instate change to RAD message with repeating OBX:5 field converted to individual NTE segments, Copy value of OBR:25 to PBX:11 (Report Status)
Notified Meridian that changes were made, asked for status on other message types
Messages continue to be written (masked) to folders at Practice. I was not getting a response from the , EMR vendor – I finally got response form him late in the week, but still validation of all messages types.

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