Hey Roger.so you're takin' the plug! First off, I had asked the whereabouts of the "new-and-improved" Magic 5.61 eMAR to the crowd - I knew it had been pulled from the code and that a couple beta sites had been identified. I was more looking to hear what everyone else had been told about an up coming release date - most of the responses agreed on late summer, early fall.as something called the "eMAR Desktop". I loaded some documentation I received from MT on www.MeditechTalk.com <http://www.meditechtalk.com/> if interested. 1. No secret - I'm a believer of implementing eMAR and BMV separately, especially if Nursing is not currently documenting on-line. The only advantage is combined training, or not having to bring nursing back to train on how to use a scanner.more in a minute. 2. The dictionary build/edit for eMAR you can do now, independent of the BMV enabling. We're talking about the PHA Drug Dictionary, and specifically 5 or 6 fields. Also no secret, I'm a believer in making some additional edits to prepare for POM.even if that's 18 months down the road. You'll be touching every line item in that dictionary from Acetaminophen to Zyloprim so why not do it now? The time commitment depends on the "State-of-the-State" - I have found that sites that have been live on MT longer typically require more edits simply because of the years of neglect.no disrespect to anyone intended, we just usually don't have the luxury of a dedicated resource to maintain the ever changing PHA Dictionaries. 3. Core Team - remember (and as a Pharmacist this pains me to say) eMAR is ALL ABOUT NURSING.and the sooner Pharmacy realizes, the better. The output of our order entry is displayed - and in the case of the eMAR, it's hard-coded.no customization like we can do with NPR and the paper MAR. Pharmacy has to change many fields in THEIR dictionaries to accomplish a clean look, (and this is the money shot) as well as change many order entry habits. Label Comments, Dose Instructions, etc. - it's all about display. The Core Team needs to have representation from each discipline (Med Surg, ICU, Mother/Baby, RT, TCU, etc.) that intends to use the eMAR. They will need to map out their workflow and determine what needs to change with movement to the electronic world. The Team must also have the folks empowered to make decisions with regards to global parameter settings (Acknowledgement, unverified orders appearing, etc.), which usually includes Nursing Administration.the CNO is preferred. And then there's Pharmacy. 4. The training of the Core Team is usually on-the-fly, and hopefully these folks were involved in your NUR/PCS build.since eMAR resides in NUR/PCS. Hands on and weekly mentoring meetings get them up to speed very quickly. As for house-wide training, I have found that a 4 hour class is ample.even some time in there for a refresher course if need be. As I mentioned above, the BMV or scanner portion I believe can be introduced 6 months down the road after all of your bugs are worked out and the comport level of the staff is high. A departmental staff meeting works great. BMV requires absolute bedside documentation, and as much as we don't want to admit it most sites just aren't there. 5. I think Meditech now states 8 months for an Implementation Timeline - that is supposed to cover from software delivery (pre-planning stages) to go-live. Reality - it can takes some sites much longer depending again on their resources. As a Consultant, I usually get a call from a site when they're behind the eight ball, and the conversation goes something like ".can you get us live in 60 days." - and my answer is no, but I have accomplished the task in less than a 4 month period with very engaged internal resources. There are a lot of variables there. 6. The biggest reminder I have with regards to staffing requirements is to remember this is a nursing gig - they MUST be involved in the build, and they MUST perform the majority of the testing to ensure the success of your implementation and to have the highest level of buy-in.from the top down. Now BMV - that's ALL ABOUT PHARMACY. Readable barcodes require just a little repackaging in your department.just a little. All kidding aside, I've seen some pharmacies that less than 40% of their inventory had readable barcodes. The process begins when the order is checked in, to ensure that each item is linked in the Drug Dictionary. Obviously, the process ends at the bedside with the scanned drug. I've been involved in several eMAR/BMV implementations Roger, and each time my "lesions learned" file gets a little thicker. With dedicated resources and internal support from Administration, as with any implementation, the eMAR and BMV implementations can be smooth as silk.and shortly after go-live I guarantee your Nursing Staff will be wondering how they every got along without them. Be well, and don't hesitate to contact me directly with other questions or concerns. Kevin. Kevin McConnell, PharmD. Clinical Consultant (713)480-6810 [EMAIL PROTECTED] <http://www.RPhInformatics.com> www.RPhInformatics.com <http://www.RPhInformatics.com> _____
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Roger Beverly Sent: Thursday, March 08, 2007 1:50 PM To: Meditech L Subject: [MEDITECH-L] eMAR and BMV, 5.61 Magic We are at the beginning stages of implementing eMAR and BMV. I wanted to pose a few questions to the group to help with planning and scheduling. 1. What are your thoughts on implementing eMAR and BMV concurrently? We do not currently have either system in place and need to know whether to implement separately or concurrently. 2. How long did the dictionary building/changing take once Meditech enabled the BMV system? 3. What departments were members of your Core implementation group? 4. How long did training take for the Core group? For house-wide training? 5. What was the time frame of implementation - for first stages of planning to full implement? >From Meditech install of BMV to full implementation? 6. What was the staffing requirements/allowance for building and implementation? For going live? I recently saw some comments that the new eMAR format being used in 5.61 has numerous problems. Has anyone had experinece with eMAR and 5.61? Any other thoughts/recommendations? Thanks - Roger Roger Beverly, PharmD Clinical Pharmacy Coordinator Conway Medical Center, Inc. [EMAIL PROTECTED] 843.347.8120 Conway Medical Center Disclaimer The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you E2003-HTML Conway Medical Center Disclaimer The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you E2003-HTML
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