Considerations for future 6.1/Expanse clients
In any system upgrade, optimization, or migration, there are a number of challenges facing an organization or enterprise. When it comes to the MEDITECH 6.X/Expanse platform with the new web developed products, integration across the enterprise can be even more complex. Carefully assessing your organization’s needs and developing a strategic plan can help ensure a successful transition to and adoption of the 6.1/Expanse platform. Before moving to MEDITECH 6.1/Expanse, here are four key clinical points that organizations should consider:
- Provider governance and acceptance – This is a key component to the success of the project especially when integrating the system to the available web developed products. Absolute drivers to this success are strong medical staff leadership in the Acute, ED, Clinic environments that can speak to the full integration of processes and workflow across the enterprise with a goal of delivering exceptional patient care at every touch point. Establishing this buy-in and ownership is one of the critical success factors
- Problem List – For organizations that have both acute and clinic operations, this patient list transitions into a global list instead of an encounter problem list based document. Thus ownership of this problem list needs to be discussed, defined and monitored through administrative policy that stretches across the enterprise. It is key that providers understand the important role they all play in keeping the problem list up-to-date and accurate by reviewing it at each patient encounter regardless of where that encounter occurs.
- Creating meaningful future state workflows – As with any project, it is always important to evaluate your current state processes and update them accordingly based on best practice and new functionality that comes with the 6.1/Expanse system. Many key workflows can be optimized depending on what version you are moving from and the modules being deployed during the migration. Some key functions would be
- Surgery module integration – The new surgery module integrates the Assessment documentation and Medication Administration Record during the entire patient stay. It also allows for improved visibility of the documentation as the patient moves through the surgery process (PAT, Pre-op, Intra-Op, Post-op etc.)
- Automation of the incident report process – This new functionality allows for clear visibility and follow up by Risk Management. Future state allows for real-time incident report input into the system by end users and managers.
- Building documentation with the “One Query Theory” in mind to minimize redundant questions care providers are asking and allowing for better flow of information as the patients’ care travels from encounter to encounter.
- Defined HPI documentation – Point and click documentation as well as population of patient registry data in conjunction with narrative data allows for clear and descriptive patient documentation population of patient registry data, thus creating meaningful output of the patient visit. It also contributes to the financial benefit for the organization by assisting providers/physicians with appropriate coding levels and by evaluating if the clinical documentation meets the identified level of service the patient required.
- Mastering the Manage Transfer process to maximize patient safety at all levels of care – Enhancements in the manage transfer process have evolved in the 6.1/Expanse application with an emphasis on ease of use for the provider and the nurse receiving the patient at the next level of care. It is imperative to have discussions regarding the best approach for maximizing this functionality for smoother transitions of care and take into account the patients’ medications to be administered at each point of transfer and in the discharge/depart process.
These four key clinical points can help set the foundation for a successful 6.1 experience across your enterprise. Another critical factor for ROI success is the ability to leverage resources with experience and who understands the process. This expertise can help guide an organization through whatever challenges may arise. It’s important to partner with a consulting firm that is not only a certified MEDITECH READY partner but is also recognized by KLAS® as a top-ranking MEDITECH and IT Advisory firm. Jacobus Consulting is 1 of only 2 MEDITECH-focused firms that had fully rated implementation and advisory services in KLAS®’ first-ever MEDITECH Consulting Services Study.
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