Health Information Technologies and Processes

Meditech

Kim Jones, MHA,RHIA,CDIP,CCS,CCS-P,CCDS,CPC,CICA,CRCR02-02-2020 09:45

Glenda Rakes, Health Informatics and Information Management,Heal02-03-2020 14:51

  • 1.  Meditech

    Posted 02-02-2020 09:45
    Hello,

    I am doing some research on different EMR systems. I remember using Meditech over 10 years ago and back then I remember you had to use F5 and more keyboard functionality . Can anyone that uses Meditech tell me is this still the function of the program or has the versions changed and it's now user friendly? Is it like Epic?

    Thanks

    Kim


    ------------------------------
    Kim

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  • 2.  RE: Meditech

    Posted 02-03-2020 12:12

    Kim

    We currently use Meditech 6.1X and will soon be moving to Epic.  In Meditech you can use the Function keys but I never have as I just use my mouse and click. 

     

    Deloris Farthing, RHIA, CHPS, CHDA, CHTS-TR| Regional Director of Health Information Management - Greater Kansas Division

    HaysMed, part of The University of Kansas Health System, Pawnee Valley Campus, Great Bend Campus
    785-623-5813 | FAX 785-623-5078 | 
    deloris.farthing@haysmed.com | PO BOX 8100, Hays, Kansas 67601

     






  • 3.  RE: Meditech

    Posted 02-03-2020 14:51
    Hi Kim,

    We use Meditech 6.15 and it is user friendly where you don't have to use Function keys, it's more windows based where you use your mouse. This past year has been my first experience with Meditech as I used Epic previously. The format and layout is much different than Epic. It didn't take me near as long to learn my way around Epic and navigate the workqueues but I'm still learning Meditech and haven't picked up on a good flow just yet. If your facility is looking at switching EMR systems, you might ask for a demo from Meditech and get a good idea of what it's currently like.

    Thanks,

    ------------------------------
    Glenda Rakes
    HIM Director/Privacy Officer
    Northern Montana Health Care
    ------------------------------



  • 4.  RE: Meditech

    Posted 02-04-2020 08:32
    Hi Kim,
    We are Meditech 6.15,we used to be Magic, which is the platform that really leveraged those function keys. You can still use F9 for a look-up in 6.15 or you can use your mouse to trigger a look-up. I believe Meditech is only selling their Expanse product now and it's web based. We are planning a migration to Expanse next year. I agree with Glenda, it is worth seeing a demo of the new product that they offer. The integration between all the different modules is extremely beneficial.
    Katie

    ------------------------------
    Kathryn Wood, RHIA
    Assist Dir of Information Systems/Privacy Officer
    War Memorial Hospital
    ------------------------------



  • 5.  RE: Meditech

    Posted 02-04-2020 10:49

    Hi Kim,

     

    We have been a Meditech hospital for quite some time now. I have used Magic, Client Server and now Expanse. I miss the ability to use those shortcut/function keys as the amount of clicking has already caused three surgeries in my department. We are having a big problem with our physician query process with Expanse. I would say it is no better than Client Server or former versions. Providers do not love the web-based version and have not yet found any time saving or benefit to Expanse.

     

    Thanks,

    Karla

     






  • 6.  RE: Meditech

    Posted 02-04-2020 12:08

    We are looking to transition to Expanse in the next year or so.    Interesting to hear comments about Expanse....please everyone, keep the comments coming. Also any "words of wisdom" would be greatly appreciated!

    Thanks

    Donna

     






  • 7.  RE: Meditech

    Posted 02-14-2020 10:26
    Have any of you Meditech facilities figured out a good way to conduct your random user audits?  Also, any of you use the Meditech Patient Portal?

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    Trinity Farr
    Director of Him and Mso/Privacy Officer
    Anderson Regional Medical Center
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  • 8.  RE: Meditech

    Posted 02-14-2020 11:14

    Hi Trinity, we are a Meditech facility. Can you please clarify what you mean by random user audits? We just went live with the Meditech portal last week. So far it's ok.

     

    Karla

     






  • 9.  RE: Meditech

    Posted 02-18-2020 12:09
    Karla,  Random User Access audits of your EMR for HIPAA purposes.

    ------------------------------
    Trinity Farr
    Director of Him and Mso/Privacy Officer
    Anderson Regional Medical Center
    ------------------------------



  • 10.  RE: Meditech

    Posted 02-18-2020 13:56

    Thanks. We use a third party application for this.

     






  • 11.  RE: Meditech

    Posted 02-14-2020 21:56
    Hi Trinity,
    There is not a good way to do random user audits on 6.15. Magic was so much nicer. I currently pick (make up) an algorithm and then use it to randomly select 25 users myself. I make a list and then those users are audited. We have found that compiling a month’s worth of activity often bogs the system and returns a “greater than 10,000 records error.” Due to this, we have changed to auditing a random 10 day span within that month. Even then, sometimes we have to break a user’s audit into 2-5 day spans in order to compile the data. I have been working with Meditech through a task and some ideas to improve their functionality. I am NOT happy with the detail coming out of Web AMB and I even question its ability to meet the letter of the law.

    We have a patient portal too. We were live with that before our 6.15 migration in 2018.


    ---------------------------------
    Kathryn Wood, RHIA
    Assist Dir of Information Systems/Privacy Officer
    War Memorial Hospital
    ---------------------------------





  • 12.  RE: Meditech

    Posted 02-18-2020 12:10
    Thanks Kathryn, that is the same issues we are faced with when running our Meditech User Audits.  Even a weeks worth of data can be hundreds of pages. Was hoping someone had figured out a better way for this.  Thanks for your response.

    ------------------------------
    Trinity Farr
    Director of Him and Mso/Privacy Officer
    Anderson Regional Medical Center
    ------------------------------



  • 13.  RE: Meditech

    Posted 25 days ago
    Hi Karla,

    Are you familiar with messaging and tasks in Expanse, or do you have a contact at your facility who would be wiling to have a quick discussion?  Specifically, I am wondering if other facilities archive messages/tasks to eChart and include the information in their legal record or designated record set.

    Thanks in advance for your help! It is good to locate another facility on Expanse!

    ------------------------------
    Ashley F.
    ------------------------------



  • 14.  RE: Meditech

    Posted 25 days ago
    We will be going to Exanse next year. I'm very happy to have other Meditech users to network with and if possible, I would like to connect to other Expanse users as well.

    Thank you,


    ------------------------------
    Glenda Rakes MHIIM, RHIA
    HIM Director/Privacy Officer
    Northern Montana Health Care
    ------------------------------



  • 15.  RE: Meditech

    Posted 23 days ago

    Hi Glenda,

     

    We are Meditech Expanse. Happy to answer any questions you may have.

     

     

    Karla B. Viruet, MS, RHIA

    Health Information Management

    The Valley Hospital

    223 N. Van Dien Ave. Ridgewood, NJ 07450

    P (201) 447-8109

    F (201) 251-3593

     

     

     






  • 16.  RE: Meditech

    Posted 21 days ago
    Hi Karla,

    Are you familiar with messaging and tasks in Expanse?  Specifically, I am wondering if other facilities archive messages/tasks to eChart and include the information in their legal record or designated record set.

    Thanks in advance for your help! It is good to locate another facility on Expanse!

    ------------------------------
    Ashley F.
    ------------------------------



  • 17.  RE: Meditech

    Posted 20 days ago
    What information are you using your Message/Tasks for?  Incomplete records?
    Also, do any of you that are using Meditech find it difficult when printing the Echart for legal reasons?  Our attorneys are finding it very difficult to use the printed record for depositions and court cases.  Do you struggle with the same thing - the chart not "telling the story" as well as a two day visit printing out as a 300 or more page record?

    ------------------------------
    Trinity Farr
    Director of Him and Mso/Privacy Officer
    Anderson Regional Medical Center
    ------------------------------



  • 18.  RE: Meditech

    Posted 19 days ago

    Hi ladies,

     

    Yes we use Message/Tasks for deficiency communication and for coding queries. Our coding queries become part of the legal record in the echart once they are complete.

     

    The printed record is a lot of nonsense in my opinion. Meditech for some reason wants to have the audit trail version of certain documents so the pages are larger. I have asked them to provide just summary pages for the pharmacy document but they never budged. So yes, it is very difficult for attorneys and such to read the chart and make sense of it. We spend a lot of time explaining, reviewing, and finding key information for them. Another item is the audit trail history, while it is exists, it sometimes doesn't give you the full picture. We also started the web version for our hospitalists and ER providers and they are not happy with it. It was supposed to revolutionize their workflow and it did not. Every update always breaks something and that is always the deficiencies for HIM. I hope this helps answer some of your questions.


    Thank you,

    Karla

     






  • 19.  RE: Meditech

    Posted 19 days ago

    Hi Trinity,
    I reached out to our HIM Core Team to get some answers for you (response below.) I hope this helps, please feel free to ask follow-up questions as needed.
    Katie

    We do use msg/task for deficiencies and coding questions.

    I don't know that we find it super difficult, but yes a lot prints. The nursing notes and pharmacy information can be a lot of pages, and the pharmacy stuff is duplicated. One has the charges and one does not. I don't personally have a problem figuring out what happened with the patient from documentation in the Echart, but I am wondering what it is specifically they have a hard time with? In case we have any suggestions?



    ------------------------------
    Kathryn Wood, RHIA
    Assist Dir of Information Systems/Privacy Officer
    War Memorial Hospital
    ------------------------------



  • 20.  RE: Meditech

    Posted 19 days ago
    Do you use Messaging and Task in an ambulatory setting?

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    Ashley F.
    ------------------------------



  • 21.  RE: Meditech

    Posted 19 days ago
    We do use it there, but it's a bit different for us. We have Web AMB vs our acute facility that works in the 6.15 MTad (non-web.)

    ------------------------------
    Kathryn Wood, RHIA
    Assist Dir of Information Systems/Privacy Officer
    War Memorial Hospital
    ------------------------------



  • 22.  RE: Meditech

    Posted 19 days ago
    We also use Web in the ambulatory setting.  In the ambulatory setting we utilize messaging and tasks primarily as a communication tool between providers and the office staff.  Do you archive the Web messages into eChart?

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    Ashley F.
    ------------------------------



  • 23.  RE: Meditech

    Posted 18 days ago
    That is primarily how we use it too. Initially we didn't set these up to be part of the eChart, but we are rethinking that and have started the discussion on making these part of the eChart. It is part of the record, it has been requested by patients in the past, and it would be more efficient for HIM to have this available through their routines.

    ------------------------------
    Kathryn Wood, RHIA
    Assist Dir of Information Systems/Privacy Officer
    War Memorial Hospital
    ------------------------------



  • 24.  RE: Meditech

    Posted 19 days ago

    Hi, no.