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Regardless of where you are on your journey to MEDITECH Expanse, here are some next steps that will help set your hospital up for success. Tom Kurtz about the single EHR implementation at Memorial Healthcare. Right-sizing the environment to support the modern capabilities of Expanse will prevent surprise costs. Infrastructure Considerations : Those moving from older versions will need to consider the networking and server workload requirements needed for increased integration and system availability.This link between data can be easily fragmented when groups fail to coordinate efforts in the early phases of the implementation. Leveraging techniques such as the “One Query Theory”- where “Does the patient smoke?” can be answered in the ED and flow to Inpatient as well as the Clinics - are important considerations. Build Collaboration : During the implementation of Expanse, it will become apparent the applications are designed to work in concert.The absence of this structure can result in complications, such as active problem lists flooded with acute and resolved problems or medication lists containing outdated or “free-text” drugs. Policies should be in place that supplement workflows to ensure data is robust without being overwhelming and ineffective. Patient Data Governance : It’s only fair when we review the benefits of a single patient record, we also cite the challenges governing the patients’ data.Recognizing and addressing the need for cohesion among all departments within your health system will yield a favorable outcome. While some of these components may remain unique to the care setting, much will centralize. Patient data, workflow mapping and system build ownership have lived within two (or many) divisions in the past.
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Breaking Silos : Marrying your Ambulatory and Acute EHR with Expanse may expose a divide within your organization.Tom Kurtz, Vice President of Information Services and CIO, Memorial Healthcare, about his Expanse experience. When partnering with a hospital system on their journey to a single EHR, we recommend they consider operational change management areas like these. Maintaining insurance, authorization and financial data throughout the patient’s health information record are all inherent features of the Expanse system.Īs you would expect with any EHR implementation project, challenges are just around the corner. Functionality such as auto-creating pending appointments from an order placed in the practice to an outpatient service, while leveraging data from the existing encounter, will hold value for many departments. Data Centralization : Centralized Scheduling allows all patient appointments across the organization to be visible when coordinating future visits.
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Lastly, new clinics can later be constructed into Expanse Ambulatory with this uniformed approach. Additionally, any third-party interfacing could be standardized from contracting through production phases. Consolidating provider templates, maintaining one charge master and fine-tuning workflows for better quality outcomes are all possibilities with a migration to Expanse Ambulatory.
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The Expanse Patient Portal builds on this concept with seamless integration to the Ambulatory platform, allowing patients the opportunity to schedule, update information, review results and connect with their care team from home. Patient Experience : Patients will reap the benefits of a single EHR with one medication, allergy and problem list across all care settings within the health system, eliminating repetition, increasing efficiency and promoting safety.Patients, clinicians, and hospital staff have much to gain when it comes to using Expanse Ambulatory – at the forefront being more streamlined and coordinated patient care. What are the benefits of having an integrated record – one EHR? What challenges can you expect? Keep reading for insights into these questions and recommendations based on our experience working with clients on their journey toward a single EHR. MEDITECH’s Expanse Ambulatory platform provides an opportunity for healthcare organizations to unite their ambulatory practices and the acute care system within a single electronic health record.