Hey hey Kris P.
Brown here Med Preservation, Inc. coming to you live from
a Hampton Inn in the middle of nowhere.
Got these lovely curtains behind me again.
I got a couple two or three more months so you'll probably
see them again before it's all said
and done.
I took a little bit of time off recently had
a very successful go live
and then the holidays after that.
So it was pretty busy
and just didn't have time to
vlog...trying to get back into it.
So tonight I want to talk about resources
and specifically pharmacy resources.
I've been getting a lot of calls lately about
projects that are behind um
and they're trying to you know just throw a bunch of resources
out to get it caught up whether it be you know go
live or maybe you are getting ready
to do testing
and build those behind
and so they're looking for bodies to kind of try to help
that out. And so you know if you look
at these ready implementations that Meditech's,
uh, doing for EXPANSE
or whatever,
they have a staffing guide
and so often I'm not saying the staffing guide
is wrong but I think a lot of factors kind of play
into a project like this
one is you know the product so long
and you know maybe the resource
that you're using which is usually a staff pharmacist who
has other responsibilities
or maybe a director you know maybe they just can't see
the end of the project and they don't know how much work it's going to take
to actually get this project completed.
So that's definitely one thing I see.
So if this staffing guide has you know maybe
30 or 50 hours whatever it is dedicated to
your type of implementation you know that's
really dedicated hours that
you would want to be
just nonstop working on the project.
You know there's there's planning meetings
and build design meetings
and workflow meetings.
So a lot of meetings go into this upfront before
you can even really start building
and then once you start building there is
you know there's the drug build you have
you know charging
and billing numbers
and strings
and med string,
iv strings,
order sets you know all
those are
important pieces of the build that you know people
might know about but you also have probably
pharmacist documentation,
BMV medication scanning,
immunizations like don't underestimate that immunization
build especially if you have clinics involved
you know and also
with the bidirectional interface coming
here real soon, you want to build that immunization
piece out correctly so that you're able to
send and receive that information to other
hospitals or healthcare providers.
You know and then training is also another big
piece that I see
you know towards the end of the project that you have to dedicate some
resources and time to so you
know another mistake I see is people coming from client server
to EXPANSE take it for granted.
It is the same pharmacy module
but there's lots of different integration pieces that
you know you might not think about.
You know you can get respiratory involved
is one that comes to mind, surgery...that's
a big piece like if you're planning on bringing surgery
up electronic and they've never been
electronic before then there's definitely some workflow
issues and some build issues.
You know there that you're going to have
to talk about and kind of work through
and so I'm not sure if MEDITECH's
guide even really recommends a pharmacist for that piece
but pharmacist is
essential to that piece especially if you're doing like
hold cue orders which is new functionality in EXPANSE which
I really like. So you know all pieces to
think about.
So if your hospital has purchased
the oncology module
that is another big piece of the build
and rather cumbersome to
set up I would say.
I mentioned the order sets earlier
but you know you really want a part time
pharmacist dedicated to just building nothing
but order sets if you plan to know a lot
of sites I see going up
with you know 1 to 200 order
sets electronic. So that takes time
to build. And before you can even start building those
order sets you know those strings have to be there which
means the drug has to be built out
and you know the order strings themselves have
to be built out before you can
pull them into the order sets.
Now there is some mapping tools that
MEDITECH has.
You know some pieces that work better than others
but ultimately what I find is you know it's a manual
process and people are having to go in
and clean up those sets
and pull in those strings so
don't take that order set build for granted because it'll
get ya.
Then if you have a ambulatory module
that is also a big build.
I don't think MEDITECH recommends much of a pharmacist
to help there but you know office injections
depending on how many offices you have
and how many office injections you want to build out
and that can be a very substantial piece of the build.
The billing units
and billing numbers all play a
role in that and depending on how you set it up
can be a little bit painful
or a little bit cumbersome.
So keep that in mind.
And then you know long term care facilities
if you have you know one
or two of those or whatever in the build,
too, that just complicates things even more so
really need to step back and look at how many pieces
touch pharmacy to kind of determine
what resources you need
and then you really want to bring somebody in there
with some experience that has been doing
MEDITECH for a while and knows how to kind
of set this stuff up.
And even you know even if you go from client server
to EXPANSE you know that's your opportunity to
clean that stuff up don't you know they say crap in
crap out like don't just put the same old stuff
that you have in client server
into EXPANSE that's that your time to
really clean it up and all of that stuff that you wish
it was a different way in client server,
this is your time. So take that time clean that information
up put it in correctly in EXPANSE
you know and do it the right way.
So lot of times it helps to bring in expertise
to do that. So we've been doing a lot of
these lately.
We've got some mapping down depending on the situation
we can do some scripting.
So if you're in a bind and you need some help
give Med Preservation a call.
Let's see what we can do for you.
And also you know even if you're
live already and it just didn't go as well as you'd like
and you want some optimization work done,
we've been doing some of that as well.
So keep us in mind give us a call
With that, I will sign off.
I hope everybody is doing well out there
and I want to remind you
to Be Kind,
Be Careful, and Always Choose Joy.
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