Caritas Christi Healthcare (Now Steward Healthcare)

Caritas Christi Healthcare (now Steward Healthcare) Synchronized their Meditech Pharmacy and PCS Dictionaries Across 6 Facilities to Create Realistic Training Environments


The Challenge:

Caritas Christi Health Care (Now Steward Health Care), the second largest healthcare system in New England, was faced with installing the PCS Meditech Advanced Clinical module in the early part of 2008. The PCS initiative included Nursing documentation and eMAR/BMV. The eMAR/BMV component would dramatically affect the Pharmacy module in that all of the medications would need to be evaluated by the Pharmacy staff to prepare for the front line nursing end-users.

Caritas Christi Health Care is a large organization with 6 facilities spanning over 1,552 Hospital beds and 2,305 Physicians. With the daunting task of implementing the Meditech PCS Advanced Clinical module before them, the organization realized that it was necessary to create a realistic training environment for their clinicians. Having a genuine “live like” environment was extremely important to Caritas Christi as it would ensure that the nursing and pharmacy staff got the most out of their training and increase the adoption rate. To create this realistic training environment it became apparent that their TEST dictionary data must match that of their LIVE dictionary data. However, reality set in and it became apparent that LIVE and TEST did not match and was dramatically different at each facility let alone across all 6 facilities. To compound the situation, Caritas Christi was under a tight deadline to meet their Meditech go live date and get the staff trained.

The Solution:

The Summit InSync product was implemented to create the realistic training environment that Caritas Christi so desperately needed. Using Summit InSync to synchronize the LIVE and TEST databases ensured that the Nursing and Pharmacy staff were being presented with “real life” examples of patient warnings, interactions, and the necessary data capture that comes along with medication documentation in a computer setting.

Some project specifics:

  • PCS/Nursing- Data was extracted from the Assessment, Intervention, Careplan and Outcomes dictionaries, and then analyzed to decide what needed to be uploaded to create a realistic training ground. Upload scripts were then written and run to synchronize the desired data between LIVE and TEST.
  • Pharmacy- Data was extracted from the MIS Directions, Medication Forms, Units of Measure, Generic, Route, and Pharmacy Drug dictionaries and then analyzed to decide what needed to be uploaded to create a realistic training ground. Upload scripts were then written and run to synchronize the desired data between LIVE and TEST.

Engagement Highlights:

  • Summit InSync’s dictionary extraction, data analysis and update features met the needs of the Caritas Christi organization to ensure their Advanced Clinical Implementation of PCS provided a realistic training environment for the Nursing and Pharmacy staff prior to go live.
  • Summit Professional Services division worked closely with the Caritas project team to meet the tight training deadlines to ensure the Meditech Advanced Clinical PCS go live date was not compromised.

Testimonials

As we began planning for the MEDITECH Advanced Clinical Implementation, it became apparent that our core dictionaries of PCS (Patient Care System), Pharmacy, BMV, Order entry/Lab, and MIS dictionaries would require much redesign. With one centralized IS department across 6 facilities, implementing and maintaining best practices with our MEDITECH dictionaries was a laboring process. We did not have the resources or time to dedicate thousands of hours to manually build, copy, and modify six sets of dictionaries in Test and Live. We needed a tool that could help us manage the "standards" database and propagate to other databases for change management control. We found the Summit InSync product allowed us to accomplish our goal and more and were amazed with its ability to handle MEDITECH hierarchical dictionary structure.

Dan O’Neil, (former) VP Information Systems
Caritas Christi Health Care (Now Steward Health Care)