January 27, 2012, 10:21 am

NPR Training at Mass Bay Community College in Wellesley

If you are a Boston-area individual with a computer science background interested in NPR training, this may be of interest:

Joe Cocuzzo, our Vice President of NPR Services, is teaching a non-credit evening class in NPR Report writing (C/S platform). The plan is to offer a 10 week class, two evening sessions of 2 hours each, beginning 2/9.

The training would be for someone with a computer science background but no MEDITECH and no health-care experience and after 40 hours of classroom training, be a productive Report Writer.

If you are interested in this class, please let us know. Time is short, because if the enrollment does not improve, the college will cancel the class.

The college is planning an open house on 1/31, and the plan would be to offer classes on Tuesday and Thursday nights thru 4/17.

Please email info@iatric.com.

January 25, 2012, 10:44 am

NPR Report Writing Tips : January 2012

NPR Tip: Stripping characters for a Download Report

by Joe Cocuzzo, Vice President – NPR Services

This month, we will show you an easy way to filter output in a download report to remove characters which will cause problems for the parsing of fields and records in the receiving system. A simple example would be when the other party asks for a comma delimited file without “quote qualifiers.” In such a file, you need to remove any commas in the data or the comma in the field will be interpreted as a record delimiter. A more complex example is XML output, where you have to filter for certain reserved characters and replace them with some alternate text. Additionally, we will show how you can suppress the “Record Limit Reached” message from the end of your file that will otherwise be included. This can be inconvenient if you are using the record limit feature to make a sample file for an outside party because they will typically object to the extra data at the end of the file, and it can be tedious to remove it by hand.

Let’s look at the simple case where the other party wants a comma delimited file without quotes, making it impossible to send any data with an embedded comma. Since a MEDITECH patient name field always includes an imbedded comma, we will need to remove it, and it is probably a good idea to screen all fields that might include a comma to prevent the stray name or comment field from causing problems.

One way to remove all commas in a field would be to check each character in the string by position and remove the character if it is a comma. We use the “Not #” syntax to strip the offending character: Notice that the DAT attribute of all the fields on the report are set to INT. This will suppress any quotes around non-numeric fields (by treating them as numeric). You can do this to a standard field also, but if you do it to a date, you will change the format to YYYYMMDD, unless you use a computed field and %Z.date.out.

NPR Tip 1 image

You can also change the data type of a standard field by adding a DAT= attribute:

NPR Tip image

This code puts the data from the field into a variable “STRING”, takes the length of the string, and then loops from position zero to the last position in the string, stripping out any commas found.

This will work fine, but there is an easier way, using the L() locate function in a DO loop:

NPR Tip 3 image

An advantage of this approach is that if you had multiple characters to strip, you can just string them together in the L() function arguments, like so:

NPR Tip 4 image

Here we are stripping the commas, hyphens, and periods from the string.

If you want to replace the comma with a space, we need to use $ (to the left) and % (to the right) with a space concatenated (_) in the middle:

NPR Tip 5 image

If you have a lot of fields in your download, you can create a macro as a program and use it from your computed field. Assuming you write a utility report called MIS.USER.zcus.is.strip and call the macro “comma”: (I have placed a report with this name in our library).

NPR Tip 6 image

The code in the macro looks like this (we replace the comma with a space in this utility):

NPR Tip 7 image

Here is the output of a report that uses all these methods to strip the comma from the name field:

NPR Tip 8 image

Let’s look at a more complicated example, such as an XML formatted export where we need to look for certain reserved characters when we are putting data between tags, and substitute a string for the reserved character as follows:

Character Substitute
> >
< &lt;
& &amp
% %#37;

We can write a utility macro called “xml” that strips them as follows:

NPR Tip 9 image

Notice that we have a two-step process to fix “&” and turn it into “&amp”. That is because if we directly searched for & and replaced it with &amp in a DO loop, the loop would be infinite as it would find the & in the “&amp” and be stuck until the string exceeds 255 and the program crashes. To solve this, we replace with “*amp;” first and then change the “*amp;” with “&amp;”.

C/S and MAGIC versions of these example reports ADM.PAT.zcus.is.eupdate.strip and MIS.USER.zcus.is.strip has been uploaded to our report library.http://www.iatric.com/Information/NPRReportLibrarySearch.aspx

You can find additional NPR Tips on our website at http://www.iatric.com/Information/NPRTips.aspx, as well as information about our on-site NPR Report Writer Training and NPR Report Writing Services.

Read Joe’s blog posts at MEDI-Talk.

To subscribe for email notifications for new classes, please follow this link:
http://www.iatric.com/Information/Classes.aspx

For more information or to reserve a seat, please contact Karen Roemer at 978-805-3142 or email karen.roemer@iatric.com.

(This article originally appeared in the January 2012 issue of Iatric Systems’ Updates! newsletter.)

January 25, 2012, 10:38 am

ICD-10: It’s Not Just the Coders’ Problem

MEDITECH hosts a discussion of ICD-10 preparedness at the ACPE conference.

The new ICD-10 Clinical Modification and Procedure Classification System has been on the minds of healthcare financial staff for quite some time, but did you know that ICD-10 will also force physicians to make drastic changes to their workflow? In order to get their staffs ready in time for the October 1, 2013 deadline, it will be up to physician leaders to help guide their colleagues through this paradigm shift.

MEDITECH tackled this issue at the recent American College of Physician Executives (ACPE) Fall Institute, by hosting a focus group discussion on ICD-10 preparedness. Debra Stottlemyer, MD, MBA, FACP, a corporate physician informaticist for Catholic Healthcare West (CHW), led the session by focusing on how organizations can prepare their medical staffs for both the ICD-10 conversion and other standard nomenclature implementations.

Read more at meditech.com.

January 24, 2012, 12:50 pm

MUSE Webcast: MEDITECH Client Server 5.64 to 5.65: A Small Step or a Giant Leap?

Thinking about moving from MEDITECH 5.64 to 5.65? Wondering what modules are impacted the most? Attend this MUSE webcast for the details.

Ozarks Medical Center, located in West Plains, Missouri, recently made the move from MEDITECH Client Server 5.64 PP16 to 5.65 PP10. This webcast will detail some of the bigger changes with emphasis on the changes that were not well emphasized in the update documentation, such as these modules:

  • Lab
  • RXM
  • MIS
  • AP desktops
  • MM desktops
  • POM
  • Bar
  • Admissions
  • NMI
  • PC

Presenter: TJ Temple, MT/MBA is IT Applications Manager at Ozarks Medical Center in West Plains, Missouri.

Register for the February 9 webcast (cost $100).

January 23, 2012, 12:50 pm

MEDITECH clinical and financial education at Nathan Littauer Hospital – Final Call

You MUST register by Tuesday, January 24th in order to attend!

Nathan Littauer Hospital
presents two great tracks of education …

Track 1: Healthcare Trends and
the Revenue Cycle

Join your MUSE peers to explore current trends and changes that are occurring in healthcare, and causing a significant impact on the revenue cycle.

Topics:
Authorizations
Insurance verification
Abstracting/Coding
POC scanning
Preparing a clean claim
Inpatient process
Healthcare Information Xchange New York (HIXNY)
Claim rejections/denials
RAC activities

Track 2: The Fully Integrated EMR

Join your MUSE peers as they share and explore the implementation of MEDITECH and other software applications to meet the challenges of a fully integrated EMR. The hospital will present its experiences, and engage the audience in round-table type discussions to identify best practices.

Topics include:
Pharmacy Desktop
TAR (Transfusion Administration Record)
POM/Evidence-Based Order Sets
ITS (Imaging Therapeutic Systems)
ARRA/Meaningful Use Readiness

Register here.

January 20, 2012, 12:07 pm

MEDITECH: How to Succeed in Business

Two health authorities share the benefits of MEDITECH’s 6.1 business platform.

An aging patient population. A shrinking healthcare workforce. The untapped potential of technology. These are the shared concerns that brought the Northern and Interior health authorities together last year, to explore options for consolidating their I.T. systems and resources, as mandated by the government.

Today, they share a single MEDITECH’s 6.1 business platform–enabling each to benefit from increased system functionality, at a substantially lower cost.

The Northern and Interior health authorities are now using one supply chain management database with multiple purchasing facilities, allowing them to leverage costs across the vast province. This business system consolidation has also created the largest payroll system running on the MEDITECH solution, with more than 28,000 active employees between the two authorities.

Read more at meditech.com.

January 20, 2012, 12:04 pm

Is There a Doctor in the Booth?

The answer is yes, when you’re in HIMSS Booth #774!

Visit MEDITECH in Booth #774 at HIMSS and meet the physicians on their clinical outreach team. Learn more about MEDITECH’s Advanced Clinical Solutions, as they demonstrate how to enter orders, write progress notes, and navigate the Enterprise Medical Record using mobile devices.

Also, stop by to preview MEDITECH’s new web-based, ambulatory Electronic Health Record, with Physician Informaticist Steven Jones, MD. If you’re a customer, register for his educational session, “Using Surveillance to Improve Quality,” in Exhibit Hall G.

Read it at meditech.com.

January 20, 2012, 11:46 am

MEDITECH Shares and Dividends Guesses

MEDITECH adjusts their share prices and dividend rates at the end of this month, as well setting the percentage for their employee annual bonus. Anyone have ideas about what those numbers will look like, and what they mean for MEDITECH, both last year and looking forward to 2012 and beyond?

Please share your ideas in the comments.

The last shareholder information was published for third quarter - the trust bought common stock back at $42 per share, which is up $2 from January 2011 prices. We’re guessing it’ll ring in around $43 per share this quarter. The cash dividend rate was $0.67 for last year – what do you think it’ll be this year?

January 20, 2012, 11:39 am

MEDITECH – Year in Review

What a Difference a Year Makes
The year 2011 helped MEDITECH to establish a foundation for EHR excellence.

The changing of the calendar signifies a time of renewal and rebirth. This is especially true for MEDITECH in 2012, as we look forward to a revelatory new year–the seeds of which were sown during a busy and ambitious 2011.

Today, MEDITECH embarks upon a new adventure as an integrated EHR vendor–with direct responsibilities stretching across the entire broad spectrum of patient care. We prepared for this undertaking last year by:

Read more at meditech.com. 

January 19, 2012, 4:04 pm

Epic Tops List of Meaningful Use Early Responders

Centers for Medicare and Medicaid Services finds Epic the clear winner among providers rushing to obtain Meaningful Use incentive dollars. But that race has just started.

To date, Epic’s electronic health records system takes first place in the race to obtain Meaningful Use incentive dollars. But the score card will likely change radically in the months ahead as a broader cross section of providers attest, stating that they have met the Meaningful Use criteria for incentive payments.

In the data released by the Centers for Medicare and Medicaid Services (CMS) and analyzed by Modern Healthcare magazine, the top-ranked EHR vendor among clinicians who received incentives was Epic Systems. Epic was used by 28% of these eligible professionals (EPs), or 6,045 providers. That was more than the next four vendors combined.

Read more at InformationWeek Healthcare.