Downtime Reporting with MEDITECH Data Repository
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Transcript of Downtime Reporting with MEDITECH Data Repository
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Simplify Downtime with
Data Repository
2012 MUSE International
Educational Session #1140
Friday June 1 3:30pm
Presenter: Ian Proffer
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Data Repository & Downtime
Different Causes of Downtime
How MEDITECH’s Data Repository is a valuable patient data resource
Review of DR-based downtime solutions implemented by Acmeware
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Planned or Unplanned Downtime
MEDITECH Updates
Hardware Failure
Network Failure
Power Failure
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Typical MEDITECH Two-Tier Network
MAGIC, C/S or M/AT Application Servers
Data Repository SQL Server
Application data is
continuously
transferred to the DR
Client Application
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DR Downtime Availability
DR is not subject to MEDITECH application or system downtime SQL Server databases are on a separate
system Ring release and version updates do affect
DR, but are typically after your system comes back online
SQL Server reports and data are easily automated and delivered to: physical files (e.g. Adobe .pdf, Excel, etc.) Server or PC-based datamarts (with UPS
protection)
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Data Repository History
Early data integrity problems are now largely resolved
Incomplete application data addressed in 5.4 – 5.7 releases
5.4 Multi-threaded application transfers introduced to C/S
5.6 DTS (MAGIC 4336, C/S 2649) allows transfer grouping at the segment level
Acmeware automated table monitoring process proves successful near real-time transfers
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Acmeware’s Implemented
Downtime Solutions
Offline – Optimized for paper Medication Administration Report (MAR) Provider Order Summary Nursing Intervention & Assessment Report
Online Availability Provider Order Summary Patient View Nursing Assessments Current Census Snapshot Scheduled Appointments Laboratory Results
Offline Patient Registration
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Pharmacy MAR
Problem – With eMAR / BMV implementation, there is no real-time paper trail for medications. How can we resolve this in a downtime scenario?
Solution – Use the Data Repository Pharmacy data, updated in near real-time, to generate and distribute patient MAR reports to nursing unit PCs on an ongoing, 7/24 basis.
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Downtime MAR - Schematic
NICU
Emergency Dept Surgical Step Down
Data Repository Pharmacy,
Admission,
and Nursing
Data latency from MEDITECH applications < 1 minute
SQL Server Reporting Services
produces and sends an Adobe
.pdf MAR Report to every
inpatient location on a
continuous 15 minute cycle
Backup Power
Printer
During MEDITECH
downtime, MAR Report is
available on the intranet or
via file share
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Recent Meds
Future Meds
Rx Details
Patient Details
Provides paper
form for new
meds given
during
downtime
Downtime start
time is
determined by last
updated record in
DR pharmacy
Pharmacy MAR
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Acmeware Hospital CCU DUCK, DONALD
M1234 Z99999
Smith, David MD DASMI
Smith, David MD DASMI
Smith, David MD DASMI
Smith, David MD DASMI
Smith, David MD DASMI
Smith, David MD
Smith, David MD
Smith, David MD
Smith, David MD
Smith, David MD
Smith, David MD DASMI
Smith, David MD
Smith, David MD DASMI
Smith, David MD
Smith, David MD DASMI
Smith, David MD
Smith, David MD DASMI
Smith, David MD
At client’s request,
this report
customized to look
like a standard
MEDITECH report
Provider Order Summary
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Flowsheet Data
Intake & Output
Pain Assessment
Nursing Documentation - Interventions
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Online Provider Order Summary
Lists provider
orders with most
recent first
Standard
demographic
header to match
MEDITECH’s
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Patient View Assessment
This include patient assessment data
from admission clinical queries,
nursing assessments, or any patient-
based customer defined screen query
Reverse Chronological Order
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Current Census Report
Census By Location
Basic demographic and
location information
Export Options
We have developed many
different flavors of this
relatively simple report
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Scheduled Appointments During Downtime
Current data from
CWS Module
This report groups by
resource; we also have by
location and by service
versions
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Current Laboratory Results
Recent Lab Test Results in
Reverse Chronological Order
Within a Department
Drill Down
Lab Test Results Details
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Downtime Patient Registration Routine
Performs demo recall during registration process
Adds a new visit (and new Patient if not found in demo recall) to “downtime” database on SQL Server
Use DR’s dictionaries to perform lookups when entering data
When MEDITECH becomes available after downtime, registration data is scripted back into MEDITECH
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Downtime Registration Schematic
Data Repository Server Live MAGIC, C/S or M/AT Applications
Before Downtime
During Downtime
After Downtime
Livedb
Downtimedb
Livedb Near Real-Time Transfers
Livedb Near Real-Time Transfers
Livedb
Downtimedb
Livedb
Downtimedb
Demo Recall
Downtime Registrations
Tim
e L
ine
Tim
e L
ine
Tim
e L
ine
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Discussion, Questions & Answers
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Our other MUSE sessions
703 – Soup to Nuts – Data Repository 101
803 - Soup to Nuts – Data Repository 102
1176 - Finding the “Meaning” in Meaningful Use
Thank you.