MUSE Matters Winter 2013-2014 by MUSE International

WINTER 2013

Blog Replaces Magazine

Plus

– MUSE Annual Report Published – Executive Institute - Still Time to Register! – Community Peer Group Developing

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“The Times they are A-Changin” … I read somewhere that these lyrics are some of the most popular to headline an article. They are fitting as most of the time the whole purpose of an article is to communicate a change. MUSE Matters magazine has been the organization’s sole publication since I came to MUSE almost nine years ago. Originally a printed and mailed quarterly paper magazine, MUSE Matters went digital in 2008. The cost and time /labor-intensive process was drastically improved by the electronic transition. This upgrade allowed for more timely articles and better overall content. And once again, MUSE has arrived at another bend in the road where the path ahead leads to new territory. The MUSE Matters Blog is replacing the magazine. Though web logging (blogging) has been a thing for many years, it is widely being utilized by organizations as the primary means for updating members and customers about current news. The ease of use, both

for publishing and reading a blog, is really the primary appeal of this communication medium.

With minimum turn-around time blogging provides instant access to current events and facilitates a more personal, almost conversational, tone in its delivery. It was not without much research that MUSE leadership made the decision to replace the magazine with the blog. Blogging offers many advantages and addresses the most prominent needs within the MUSE membership.

Key points of a blog: 1) Fosters content and event marketing – the immediate updates and direct approach allow for more effective communication, giving you the details you need about programs and event. 2) Humanizes the organization – the generally less formal nature of blogging reflects personality, creativity, knowledge, humor, passion and quirk. All of these components increase the entertainment of the material, making it more enjoyable for you to read. 3) Enhances community – the very nature of blogging builds a community dynamic and increases networking, connections and relationships. 4) Creates thought leadership – blogs (like no other medium) offer a platform where writers and experts can share focused experiences, information and data instantly. You are invited and encouraged to submit guest posts for the blog. So, as the MUSE Matters blog replaces the magazine, rest assured you will not lose your favorite aspects of the magazine. You will still see the photos from events, recaps of programs, information about upcoming events but all in smaller and easier-to-digest bites. Farewell, MUSE Matters magazine … it’s been fun!

Alicia Roberts,

MUSE Matters Managing Editor and Blog Author WINTER 2013

MUSE INTERNATIONAL

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Winter 2013

VOLUME 5 NUMBER 3

INSIDE Articles

FEATURES page 5 - MUSE

Annual Report 2012

It is gratifying to work for strong organization that has served its membership for such a significant period

The Times They are A-Changin’

MUSE Annual Report 2013

Success in Patient Care: Ephraim McDowell Health Improves Safety for Newborns and Moms

Congratulations ‘Most Wired’ Members

Departments MUSE On-going Events Join Us in Sunny California 18 MUSE Executive Institute, San Diego

page 18 - MUSE

Executive Institute

Join Us in Sunny California

MU S

EXECUTIVE INSTITUTE

S A N

D I E G O

C A L I F O R N I A

MUSE Webinar

Commercial Member Directory

page 21 - MUSE Community Peer Group Partner with your peers to create solutions and grow together. Learn from each other’s successes and experiences.

On the COVER

pg.16

MUSE Community Peer Group

Success in Patient Care:

Ephraim McDowell Health Improves Safety for Newborns and Moms

WINTER 2013

MUSE INTERNATIONAL

Winter 2013

Volume 5

Number 3

Publisher MUSE Board Editor in Chief Alan Sherbinin MUSE CEO Managing Editor Alicia Roberts

MUSE is committed to assisting the MUSE Membership in identifying products and services that compliment and supplement their healthcare information systems.

Any questions or comments should be directed to: Alicia Roberts Director of Education and Marketing Ph 877-491-4703 ext. 7 Email alicia@museweb.org

US Mailing Address MUSE International #173 - 816 W Francis Avenue Spokane WA 99205

Canadian and International Mailing Address MUSE International #101 - 1865 Dilworth Dr. Suite 350 Kelowna BC V1Y 9T1

the healthcare environment. For example, the HIPAA HITECH Act provides financial incentives for hospitals to quickly adopt EHR technology and inflicts financial penalties for those who donâ&#x20AC;&#x2122;t. With such forces at work, systems that were once a luxury at many healthcare facilities have quickly become essential to surviving in the current regulatory environment.

pected downtime in critical applications may jeopardize patient care. Healthcare IT is charged with keeping these systems available 24/7 and, in the event of an outage, is tasked with restoring operational capacity as quickly as possible. In the event of a large-scale disaster, the entire hospital must execute its business continuity plan to ensure minimal disruption to patient care. Healthcare IT plays its part by executing the disaster recovery plan perfectly to ensure that these systems continue to function in all conditions. While the stakes may be higher for healthcare IT, are the data protection and disaster recovery requirements fundamentally different than those of any other business? In many ways they are not, but in one key area they are: Healthcare organizations generate a large percentage of static data, the nature of which requires a particular approach to healthcare disaster recovery. For vast amounts of unchanging, unstructured or semi-structured data, archiving is a better approach than backup for protection purposes. By creating a few geographically dispersed copies of the data on multiple media types, hospitals are best positioned to meet Recovery Point Objectives (RPO) and Recovery Time Objectives (RTO) for hospital systems. For example, in the event of a disaster, a PACS database which is archived can be recovered as quickly as the Health Information System (HIS) and Radiology Information System (RIS), and then pointed at a secondary copy of the image archive, preferably extant on storage in a secondary data center. Today, a typical community hospital in the United States may have dozens of TBs of electronic data, depending upon when and how aggressively they adopted digital systems. With this volume of data, it becomes economically and physically impossible to back it up on a daily basis. So how do hospitals protect this vital business asset? This combination of backup and archiving enables an optimal strategy for protecting all types of data in a hospital. By understanding the nature of the data found in clinical systems, healthcare IT can deliver both realistic and acceptable RPOs and RTOs to the business-side interests of healthcare institutions. In the event of a disaster, the organization can rest assured that mission-critical applications will be available when needed. And doctors and nurses

MUSE Annual Report 2012

Like any other business, a healthcare organization uses many different software applications to run its busiday-to-day activities. However, unlike other busi nesses, most of these systems directly or indirectly

WINTER 2013

MUSE INTERNATIONAL

Unfortunately, even with all that is known about the importance of maintaining a robust data recovery and protection plan, many hospitals still encounter scenarios that put patient data in harm’s way. The most common root causes of failure are data corruption and user error, and during the recovery phase, almost all hospitals discover that there is an application or set of applications that they haven’t been sufficiently protecting.

between modules. It was over six months before the hospital saw another patient due to physical infrastructure issues. Eventually, the hospital merged with a regional organization.

At a large hospital chain, the MEDITECH EMR disk slowly corrupted over several months yet went undetected because the corruption was not significant enough to Although the hospital had replicated MEDITECH data using disrupt the EMR. Backups to tape continued to occur on a array replication technology, the replicated copy was daily basis, dutifully backing up the corruption. As corruption corrupted as well, rendering the failsafe useless. Eventually, progressed, the hospital’s server became slower and the health IT team found a good, months-old backup with slower, prompting staff to reboot the server, only to no corruption; however, they were faced with a difficult discover it was no longer operational. When the previous decision: to restore from a known “good” backup that was night’s backup was restored, it contained the corruption In 1983, a small group of users met to discuss issues related to their About MUSE months old and lose significant portions of EMR data, or and would also not boot. MEDITECH healthcare information system. The meeting was wait for Chairperson a solution tomessage resolve the corruption? The hospital productive and it was determined that thehad creation of a user group - and elected to try and fix the corruption, and consultants were Although the hospital replicated MEDITECH data using CEO message regular -array wouldreplication be beneficial. So beganthe the replicated Medical Users able to “transplant” the Master File Table (MFT) frommeetings the technology, copy was good, restored disk to the corrupted disk, andSoftware the solution corrupted as well, rendering the failsafe Eventually, Exchange, or MUSE. Today, networking and useless. educational Financial statement worked. The hospital was able to recover back to the time the health IT team found a good, months-old backup with opportunities are key to the value and success of MUSE. MUSE stages of the reboot, but message still had to re-enter and fix data. The net no corruption; however, they were faced with a difficult Treasurer an annual Conference, and throughout the year, numerous other downtime for the EMR was over 36 hours. decision: to restore from a known “good” backup that was educational events. Volunteers are key MUSE’s achievements. Overdata, or Board members months old and losetosignificant portions of EMR the years, hundreds of dedicated userstohave given their time to organize At one critical access hospital, a significant weather event wait for a solution resolve the corruption? The hospital Committee members rendered several departments uninhabitable. events, The hospital elected to and try and fix the and consultants educate their peers, ensure thatcorruption, their user group continues were closed immediately, and data recovery wasn’t even able to “transplant” the Master File Table (MFT) from the to grow and prosper. attempted for three days. The data center was flooded, and good, restored disk to the corrupted disk, and the solution hospital staff could not reach equipment for some time worked. The hospital was able to recover back to the time due to police activity and general disorder. Once hospital IT of the reboot, but still had to re-enter and fix data. The net staff finally reached the data center, they discovered that downtime for the EMR was over 36 hours. untrained staff had removed the servers but left the SAN storage underwater – with the hospital’s backup tapes in a cardboard box next to it. So, what are the lessons learned?

About MUSE

Data on SAN storage and tapes remained underwater, and there was no storage hardware available to support restore when staff finally could begin the process. A rented space was used for recovery, and data was backed up from SAN following a lengthy drying process in order to make it available for recovery onto the new systems. This was a critical problem in part because, in order to fulfill payroll, the vast majority of MEDITECH servers in this hospital needed to be restored due to the dependencies

WINTER 2013

MUSE INTERNATIONAL

It’s extremely important to keep many generations of backups, and to combine archive and backup to ensure protection with appropriate RPO and RTO for all types of

pected downtime in critical applications may jeopardize patient care. Healthcare IT is charged with keeping these systems available 24/7 and, in the event of an outage, is tasked with restoring operational capacity as quickly as possible. In the event of a large-scale disaster, the entire hospital must execute its business continuity plan to ensure minimal disruption to patient care. Healthcare IT plays its part by executing the disaster recovery plan perfectly to ensure that these systems continue to function in all conditions. While the stakes may be higher for healthcare IT, are the fundadata protection and disaster recovery requirements funda mentally different than those of any other business? In many ways they are not, but in one key area they are: Healthcare organizations generate a large percentage of static data, the nature of which requires a particular Medical Users approach The to healthcare disasterSoftware recovery. For vast amounts of unchanging, unstructured or semi-structured Exchange (MUSE) is a community data, archiving is a better approach than backup for of MEDITECH users and related protection purposes. By creating a few geographically interact to learn media types, dispersed professionals copies of thewho data on multiple hospitals and are best positioned to meet Recovery Point share their knowledge and Objectives (RPO) and Recovery Time Objectives (RTO) for experience. Through MUSE, hospital systems. For example, in the event of a disaster, a PACS database which is archived can be recovered as members network, solve problems, Radiquickly as the Health Information System (HIS) and Radi identify best practices, and improve ology Information System (RIS), and then pointed at a theirarchive, organizations. secondaryperformance copy of the for image preferably extant on storage in a secondary data center. Today, a typical community hospital in the United States may have dozens of TBs of electronic data, depending upon when and how aggressively they adopted digital systems. With this volume of data, it becomes economically and physically impossible to back it up on a daily basis. So how do hospitals protect this vital business asset? This combination of backup and archiving enables an optimal strategy for protecting all types of data in a hospital. By understanding the nature of the data found in clinical systems, healthcare IT can deliver both realistic and acceptable RPOs and RTOs to the business-side interests of healthcare institutions. In the event of a disaster, the organization can rest assured that mission-critical applications will be available when needed. And doctors and nurses

Mission Statement

Vision Statement

MUSE will be the leading source of networking and education for professionals Like any other business, a healthcare organization using the MEDITECH system. uses many different software applications to run its day-to-day activities. However, unlike other businesses, most of these systems directly or indirectly

WINTER 2013

MUSE INTERNATIONAL

Unfortunately, even with all that is known about the imporbetween modules. It was over six months before the tance of maintaining a robust data recovery and protection hospital saw another patient due to physical infrastructure A letter from your MUSE Chairperson plan, many hospitals still encounter scenarios that put issues. Eventually, the hospital merged with a regional patient data in harm’s way. The most common root causes organization. of failure are data corruption and user error, and during the recovery phase, almost all hospitals discover that there is an application or set of applications that they haven’t been At a large hospital chain, the MEDITECH EMR disk slowly sufficiently protecting. corrupted over several months yet went undetected because the corruption was not significant enough to Although the hospital had replicated MEDITECH data using disrupt the EMR. Backups to tape continued to occur on a CoreyAsTillyer array replication technology, the replicated copy was daily basis, dutifully backing up the corruption. corruption Fraser Healthslower Authority corrupted as well, rendering the failsafe useless. Eventually, progressed, the hospital’s server became and Surrey, British Columbia the health IT team found a good, months-old backup with slower, prompting staff to reboot the server, only to chairperson@museweb.og no corruption; however, they were faced with a difficult discover it was no longer operational. When the previous decision: to restore from a known “good” backup that was night’s backup was restored, it contained the corruption months old and lose significant portions of EMR data, or and would also not boot. wait for a solution to resolveMUSE the corruption? The hospital Dear Members, elected to try and fix the corruption, and consultants were Although the hospital had replicated MEDITECH data using 1. MUSE wants to increase its value to MUSE members Welcome to the MUSE Annual Report. As colleagues able to “transplant”inthetheMaster File Table (MFT) from the array technology, the replicated copycommunity was through access to information and education, Healthcare Information Management and replication targetedthe educational content. Eventually, industry,disk, we are aware of the fast paced good, restored diskTechnology to the corrupted andallthe solution corruptedbuilding, as well,and rendering failsafe useless. world we are all living in. Information technology is worked. The hospital was able to recover back to the time the health IT team found a good, months-old backup with 2. MUSE wants to ensure regular and appropriate changing rapidly and it is an enabler in shifting the way of the reboot, but still had to re-enter and fix data. The net no corruption; however,and they were to faced with a difficult communications outreach MUSE members through healthcare is provided. MUSE supports your education membership development, continued to enhance this 36 changing your downtime for the EMR was over hours.environment for you anddecision: to restore from a known “good” backup relationship that was development with MEDITECH, and creating a clear MUSE organization. Furthermore, MUSE is your network of months old and lose significant portions of EMR data, or identity for MUSE members and external audiences. peers who are progressing through the same At one critical access hospital, a significant weather event wait for a solution to resolve the corruption? The hospital questions, problems, upgrades, workflow processes, 3. wants to increase organizational development change management in whichThe youhospital are enabling within rendered several departments uninhabitable. elected to tryMUSE and fix the corruption, and consultants were maturity through governance / leadership development, your healthcare organization. closed immediately, and data recovery wasn’t even able to “transplant” the Master File Table (MFT) from the expanding volunteer involvement, increasing financial and attempted for three Itdays. center was flooded, good, restored to the corrupted and the solution staffing disk capacity, and enhancingdisk, the MUSE infrastructure. is a The greatdata honor to be serving you and on the MUSE of Directors. I am time further honored hospital staff couldInternational not reach Board equipment for some worked. The hospital was able to recover back to the time In January 2011 MUSE created and kicked off the the board elected me as your current Board Chair. I due to police activity and general disorder. Once hospital IT of the reboot, but still had to re-enter and fix data. The net Education, Membership and Commercial Member have volunteered with MUSE off and on for the past 15 staff finally reachedyears. the data center, ofthey discovered that has downtime for the EMR was over2012 36 hours. sub-committees. Through these committees matured The highlight volunteering for MUSE been and have become a key part of the MUSE organization. I the past four years on the MUSE Board. Remember, untrained staff had removed the servers but left the SAN want to thank all of those MUSE members who have is your organization. Pleasetapes volunteer, storage underwaterthis – with the hospital’s backup in a I promise volunteered and given many hours of personal time on these you will find it personally fulfilling. cardboard box next to it. So, whatcommittees. are the lessons learned? I hope you have found the time valuable. I MUSE is not just an International Conference. In 2012 the MUSE International Board worked on a new MUSE Data on SAN storage and tapes remained underwater, and Strategic Framework. As part of that Framework the there was no storage hardwarenew available to support Board approved Mission and Vision Statements. restore when staff finally begin process. rented “MUSEcould will be the the leading sourceAof networking and education for professionals using the space was used for recovery, and data was backed upMEDITECH System.” To support the new mission and vision of from SAN followingMUSE, a lengthy drying process in order to three main goals with their accompanying make it available forobjectives recoverywere ontoagreed the new systems. This upon;

was a critical problem in part because, in order to fulfill payroll, the vast majority of MEDITECH servers in this hospital needed to be restored due to the dependencies

WINTER 2013

MUSE INTERNATIONAL

would also like to thank past members of the Board of Directors as well as our Leadership committee. Without all of you, we would not be where we are today in our organizational maturity. As always, your MUSE chair is only an email or phone call away. Please contact me directly if you have a questions, concerns or comments. Sincerely, Corey Tillyer

It’s extremely important to keep many generations of backups, and to combine archive and backup to ensure protection with appropriate RPO and RTO for all types of

the healthcare environment. For example, the HIPAA HITECH Act provides financial incentives for hospitals to quickly adopt EHR technology and inflicts financial penalties for those who don’t. With such forces at work, systems that were once a luxury at many healthcare facilities have quickly become essential to surviving in the current regulatory environment.

While the stakes may be higher for healthcare IT, are the data protection and disaster recovery requirements fundamentally different than those of any other business? In many ways they are not, but in one key area they are: Healthcare organizations generate a large percentage of static data, the nature of which requires a particular approach to healthcare disaster recovery. For vast amounts of unchanging, unstructured or semi-structured data, archiving is a better approach than backup for protection purposes. By creating a few geographically dispersed copies of the data on multiple media types, hospitals are best positioned to meet Recovery Point Objectives (RPO) and Recovery Time Objectives (RTO) for hospital systems. For example, in the event of a disaster, a PACS database which is archived can be recovered as quickly as the Health Information System (HIS) and Radiology Information System (RIS), and then pointed at a secondary copy of the image archive, preferably extant on storage in a secondary data center. Today, a typical community hospital in the United States may have dozens of TBs of electronic data, depending upon when and how aggressively they adopted digital systems. With this volume of data, it becomes economically and physically impossible to back it up on a daily basis. So how do hospitals protect this vital business asset? This combination of backup and archiving enables an optimal strategy for protecting all types of data in a hospital. By understanding the nature of the data found in clinical systems, healthcare IT can deliver both realistic and - Barb Pier, RN Ivinson Memorial Hospital, Laramie, Wyoming acceptable RPOs and RTOs to the business-side interests Like any other business, a healthcare organization of healthcare institutions. In the event of a disaster, the uses many different software applications to run its organization can rest assured that mission-critical applications day-to-day activities. However, unlike other busiwill be available when needed. And doctors and nurses nesses, most of these systems directly or indirectly

“The contacts we made at this event are invaluable to us. I especially enjoyed the tours and informal discussions.”

WINTER 2013

MUSE INTERNATIONAL

Unfortunately, even with all that is known about the importance of maintaining a robust data recovery and protection A letter from your MUSE CEO plan, many hospitals still encounter scenarios that put patient data in harm’s way. The most common root causes of failure are data corruption and user error, and during the Membership recovery phase, almost all hospitals discover that there is an application or set of applications that they haven’t been sufficiently protecting.

between modules. It was over six months before the hospital saw another patient due to physical infrastructure issues. Eventually, the hospital merged with a regional organization.

Statistics At a large hospital chain, the MEDITECH EMR disk slowly 2011 2012 corrupted over several months yet went undetected 784 because the corruption was not significant enough to disrupt the EMR. Backups to tape continued to occur on a 735 daily basis, dutifully backing up the corruption. As corruption progressed, the hospital’s server became slower and slower, prompting staff to reboot the server, only to discover it was no longer operational. 157 When the previous 155 night’s backup was restored, it contained the corruption 16 and would also not boot.

Although the hospital had replicated MEDITECH data using array replication technology, the replicated copy was corrupted as well, rendering the failsafe useless.439 Eventually, 395 the health IT team found a good, months-old backup with no corruption; they were faced with a difficult Alan however, Sherbinin decision:MUSE to restore from a known “good” backup that was CEO months old and lose significant portions of EMR data, or 6 Free 1 877 491 4703 wait for Toll a solution to resolve the corruption?Facility The Members hospital Hospitals Commercial Members Associate Members Ph 250 491 4703 elected to the corruption, and consultants were Although the hospital had replicated MEDITECH data using Fx try 250and 491fix 4773 able to “transplant” the Master File Table 2012 (MFT) from thethe 29th array technology, replicated copy was represents yearreplication of MUSE’s existence. It isthe gratifying to work for strong muse@museweb.org that has served its membership for such a significant And Eventually, we have not good, restored disk to the corrupted disk, organization and the solution corrupted as well, rendering the failsafeperiod. useless. www.museweb.org strayed from our roots – a non-profit, independent organization offering networking, worked. The hospital was able to recover back to the time the health IT team found a good, months-old backup with educational, and training opportunities to our membership, now approaching 8,000 members. of the reboot, but still had to re-enter and fix data. The net no corruption; however, they were faced with a difficult committee members, and numerous presenters and volunteers downtime for the EMR was over 36 hours.I thank the Board of Directors, decision: to restore from a known “good” backup that was for their substantial and meaningful commitment. A user group only succeeds with user months old and lose significant portions of EMR data, or involvement. And I want to recognize the MUSE staff whose daily, tireless efforts sustain At one critical access hospital, a significant weather event wait for a solution to resolve the corruption? The hospital and strengthen the organization. rendered several departments uninhabitable. The hospital elected to try and fix the corruption, and consultants were While the number of Facility members decreased this year, number of participants closed immediately, and data recovery wasn’t even able to “transplant” the Master FiletheTable (MFT) from the remains strong. The information below emphasizes that interest … attempted for three days. The data center was flooded, and good, restored disk to the corrupted disk, and the solution hospital staff could not reach equipmentWebinars for some time worked. The hospital was able to recover back to the time MUSE offered online Peer Group JAM sessions via webinars. Over 640 due to police activity and general disorder. Once hospital IT of the reboot, but still had to re-enter and fixMUSE data. members The net participated in more than two dozen such networking sessions. Given the numerous staff finally reached the data center, they glowing discovered that downtime for the EMR was over 36 hours. reviews, these popular webinars will continue to be offered. untrained staff had removed the servers but left the SAN MUSE expanded storage underwater – with the hospital’s backup tapes in ais educational content by presenting Project Management Professional webinars. These timely sessions allowed participants the opportunity to earn Professional cardboard box next to it. So, what are the lessons learned? Development Units (PDUs). Data on SAN storage and tapes remained Events underwater, and Member facilities continue to host events for their MUSE peers. We thank these there was no storage hardware available to support organizations for staging exceptional educational and networking events: restore when staff finally could begin the process. rentedHospital, Gloversville, New York • NathanALittauer Citizens Memorial space was used for recovery, and data •was backed up Hospital, Bolivar, Missouri • Boulder Community Hospital, Boulder, Colorado from SAN following a lengthy drying process in order to • Hardin Memorial Hospital, Elizabethtown, Kentucky make it available for recovery onto the new systems. This was a critical problem in part because, in order to fulfill It’s extremely important to keep many generations of payroll, the vast majority of MEDITECH servers in this backups, and to combine archive and backup to ensure hospital needed to be restored due to the dependencies protection with appropriate RPO and RTO for all types of

WINTER 2013

MUSE INTERNATIONAL

the healthcare environment. For example, the HIPAA pected downtime in critical applications may jeopardize HITECH Act provides financial incentives for hospitals patient care. Healthcare IT is charged with keeping these to quickly adopt EHR technology and inflicts financial systems available 24/7 and, in the event of an outage, is penalties for those who don’t. With such forces at tasked with restoring operational capacity as quickly as work, systems that were once a luxury at many healthpossible. In the event of a large-scale disaster, the entire This is infacilities addition have to other MUSEbecome events offered: care quickly essential to survivhospital must execute its business continuity plan to MEMBER QUOTES • The CIO Executive Institute (in Phoenix, Arizona) welcomed senior IT executives to a ing in the current regulatory environment. ensure minimal disruption to patient care. Healthcare IT special forum of targeted education and the opportunity to meet with key Commercial plays its part by executing disaster “I lovedthe hearing what recovery plan members. This inaugural event received very positive reviews. • In Vancouver, BC, Canada, a ‘back-to-back event’ with MEDITECH. MUSE offered a day perfectly to ensure that these otherssystems are doing,continue and how to function of education; MEDITECH offered a day-long seminar on the subsequent day. Such a in all conditions. they have accomplished it. partnership highlights the ties between MUSE and MEDITECH, and allows users to benefit from dual education resources. (Note that the event at Citizens Memorial Hospital was also staged with MEDITECH.) While the stakes

Many problems we are

may be higher fororganization healthcare IT, are the having as an fundadata protection and disaster requirements funda othersrecovery are struggling with Annual Conference different than too. those any other business? In The 2012 International MUSE Conference was held the last week of mentally May in Orlando, Thisofwas very useful, Florida. Attendance reached nearly 1,500 MUSE members. The attendeesmany gainedways valuable they are not, in attend one key area they are: and but we will MUSE educational insight on relevant topics and appreciated numerous opportunities to network Healthcare organizations generate a large percentage of events in the future!” with peers – all traditional hallmarks of MUSE events. static data, the nature- Courtney of whichSchwartzkopf requires a particular Highlights: approach to healthcare disaster recovery. For vast Clinical Informaticist • The conference program was filled with hundreds of educational presentations, peer Sisters Health amounts of unchanging,Hospital unstructured or System, semi-structured group meetings, workshops, and demonstrations. Springfield, Illinois data,within archiving is a better approach than backup for • The CIO Executive Institute provided a broad range of pertinent education the theme “What’s Hot for CIOs?”. protection purposes. By creating a few geographically • MEDITECH offered numerous presentations and setup a Gallery which allowed dispersed copies of the data on multiple media types, conference attendees a hands-on look at MEDITECH’s systems – and the opportunity to hospitals are best positioned to meet Recovery Point meet with MEDITECH representatives. • Site Visits were graciously offered by three MUSE member facilities: Osceola Regional Objectives (RPO) and Recovery Time Objectives (RTO) for Medical Center; Central Florida Regional Hospital; and Halifax Health. hospital systems. For example, in the event of a disaster, a • MUSE expanded its educational content – and value – by offering a Weekend Immersion PACS database which is archived can be recovered as in Nursing Informatics (WINI) program. • Various Summits and forums were offered on these topics: Physicians;quickly Patient as the Health Information RadiSystem and Radi “We had a great time(HIS) at Engagement; Integration/Patient Flow; Meaningful Use; and MEDITECH 6.x. ology Information System (RIS),andand then the pointed at a this event enjoyed • The 500 Club forum welcomed those attendees wishing to address the unique needs of secondary copy of the image archive, preferably large hospitals and health systems. great networking. Meeting extant on storage in a secondary data center. clients, learning about the MUSE acknowledges the strong support and sponsorship from our Commercial member Today, a typical community hospital in the United States various modules and community. Such collaboration is key to the success of MUSE. may have dozens of TBsseeing of electronic data, depending upon hospitals work Summary when and how aggressively they adopted digital systems. together for the greater We look forward to serving our membership, and fulfilling our vision of being With the thisleading volume of data, it becomes economically and good was also really source of networking and education for professionals using the MEDITECH system. physically impossible to back it up on a daily basis. So valuable. It’s also important how do hospitals protect this vital business asset? This when MEDITECH users combination of backup and archiving enables an optimal can share their experiences.” strategy for protecting all types of data in a hospital. By - Nathan Wood understanding the nature of the data found in clinical Regional Sales Manager systems, healthcare ITDellcan deliver both realistic and Services, Canton, Massachusetts acceptable RPOs and RTOs to the business-side interests Like any other business, a healthcare organization of healthcare institutions. In the event of a disaster, the uses many different software applications to run its organization can rest assured that mission-critical applications day-to-day activities. However, unlike other busiwill be available when needed. And doctors and nurses nesses, most of these systems directly or indirectly WINTER 2013

MUSE INTERNATIONAL

Unfortunately, even with all that is known about the importance of maintaining a robust data recovery and protection MUSE Financial Statement plan, many hospitals still encounter scenarios that put patient data in harm’s way. The most common root causes of failure are data corruption and user error, and during the Statement recovery phase, almostFinancial all hospitals discover that there is an application or set ofSTATEMENT applications OF thatFINANCIAL they haven’t been POSITIONS CURRENT ASSETS sufficiently protecting.

between modules. It was over six months before the hospital saw another patient due to physical infrastructure issues. Eventually, the hospital merged with a regional organization.

At a large hospital chain, the MEDITECH EMR disk slowly 2011 2012 yet went undetected corrupted over several months $1,253,882 $1,372,562 Cash because the corruption 1,146,492 was not significant1,143,759 enough to Certificate of deposit 7,326 6,370 receivable Although the hospital had replicatedAccounts MEDITECH data using disrupt the EMR. Backups to tape continued to occur on a 8,533 8,446 Inventory array replication technology, thePrepaid replicated copy was daily basis, dutifully backing up the corruption. As corruption 42,141 28,608 expenses 2,455,641 2,562,478 Total current assets corrupted as well, rendering the failsafe useless. Eventually, progressed, the hospital’s server became slower and the health IT team found a good, months-old slower, prompting staff to reboot the server, only to INTANGIBLE ASSETbackup with 47,080 Website, less accumulated amortization no corruption; however, they were faced with a difficult discover it was no longer operational. When the 79,031 previous decision: to restore from a known “good” backup that was night’s backup was restored, it contained the corruption $2,534,672 $2,609,558 months old and lose significant portions of EMR data, or and would also not boot. wait for a solution to resolve the corruption? The hospital LIABILITIES AND NET ASSETS elected to try and fix the corruption, and consultants were Although the hospital had replicated MEDITECH $17,865 data using $34,360 CURRENT LIABILITIES 7,977 12,515 able to “transplant” the Master FileAccounts Table (MFT) from the array replication technology, the replicated copy was payable 20,247 31,759 Credit card payable good, restored disk to the corrupted disk, and the solution corrupted as well, rendering 97,255 the failsafe useless. Eventually, 333,685 Accrued liabilities 379,774 175,889 Deferredback revenue worked. The hospital was able to recover to the time the health IT team found a good, months-old backup with Total current liabilities of the reboot, but still had to re-enter and fix data. The net no corruption; however, 2,433,669 they were faced with a difficult 2,154,898 - UNRESTRICTED downtime for the EMR was NET overASSETS 36 hours. decision: to restore from a known “good” backup that was $2,534,672 $2,609,558 months old and lose significant portions of EMR data, or At one critical access hospital, a significant weather event wait for a solution to resolve the corruption? The hospital STATEMENT OF ACTIVITIES CHANGESelected IN NET to ASSETS rendered several departments uninhabitable. TheAND hospital try and fix the corruption, and consultants were 2011the 2012 REVENUES closed immediately, and data recovery wasn’t even able to “transplant” the Master File Table (MFT) from $1,273,600 $1,456,685 International conference attempted for three days. The data MUSE centerevents was flooded, and good, restored disk to the corrupted solution 82,394 disk, and the84,238 57,410 55,150 Webcasts hospital staff could not reach equipment for some time worked. The hospital was able to recover back to the time 507,502 532,496 Membership dues due to police activity and general disorder. Once hospital IT of the reboot, but still had to34,033 re-enter and fix data.10,419 The net Newsletter 2,937 2,713 Investment income staff finally reached the data center, they discovered that downtime for the EMR was over 36 hours. 4,128 4,915 Other untrained staff had removed the servers but left the SAN 1,940,234 2,168,386 Total revenues storage underwater – with the hospital’s backup tapes in a cardboard box next to it. OPERATING EXPENSES So, what are the lessons learned? International conference MUSE events Webcastsunderwater, and remained General and administrative

1,037,431 85,774 7,944 758,466

1,109,831 87,322 6,495 762,343

Data on SAN storage and tapes there was no storage hardware available to support 1,965,991 1,889,615 Total operating expenses restore when staff finally could begin the process. A rented space was used for recovery, and(decrease) data wasinbacked up net assets (25,757) 278,771 Increase unrestricted from SAN following a lengthy drying process in order to 2,180,655 2,154,898 Net assets at beginning of year make it available for recovery onto the new systems. This $2,154,898 $2,433,669 Net assets at end year to fulfill was a critical problem in part because, in oforder It’s extremely important to keep many generations of payroll, the vast majority of MEDITECH servers in this backups, and to combine archive and backup to ensure hospital needed to be restored due to the dependencies protection with appropriate RPO and RTO for all types of

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the healthcare environment. For example, the HIPAA HITECH Act provides financial incentives for hospitals to quickly adopt EHR technology and inflicts financial penalties for those who don’t. With such forces at work, systems that were once a luxury at many healthMUSE Members, care facilities have quickly become essential to survivI am report regulatory that the financial state of MUSE is strong. ingpleased in the to current environment.

pected downtime in critical applications may jeopardize patient care. Healthcare IT is charged with keeping these A letter from your MUSE Treasurer systems available 24/7 and, in the event of an outage, is tasked with restoring operational capacity as quickly as possible. In the event of a large-scale disaster, the entire hospital must execute its business continuity plan to MEMBER QUOTES MUSEensure ended the 2012 disruption to patient care. Healthcare IT minimal year with a net profit of $278,771, which was a favorable variance to budget of $243,597. plays its part by executing disaster plan “What athe wonderful wayrecovery to This is a positive financial turnaround in comparison to 2011, where MUSE reported a net perfectly to ensure that these systems to function improve processcontinue in a loss of $25,757. The financial success in 2012 can be attributed to a successful in all conditions. single day! Sometimes it International Conference in Orlando, where revenues were higher and expenses were

lower than expected. The net profit generated an increase in our unrestricted net asset

is best to not have to

While the stakes may bere-invent higher the forwheel! healthcare This IT, are the fundadata protection and disaster requirements funda eventrecovery offered very good different than interaction those of any other business? In The Board and I believe it is prudent to maintain such a balance to ensurementally the organization and sharing of they are not, but in one key area they are: can sustain services to the MUSE community during difficult economic many cycles. ways In 2012, data between the attendees.” Healthcare organizations- Peg generate a large percentage of the Board began the process of reviewing firms to support the organization in developing Robertson an Investment Policy that is in line with industry standards for a not-for-profit membership static data, the natureDirector of which requires a particular of Patient Registration association. This policy will designate an appropriate level of reserved funds to coverto any healthcare Adirondack Medical Center, For vast approach disaster recovery. Saranac Lake, New York potential future liabilities, minimize risk, and maintain funds in a properamounts and responsible of unchanging, unstructured or semi-structured manner for our organization. data, archiving is a better approach than backup for protection purposes. By creating a few geographically Regards, dispersed copies of the data on multiple media types, Joni Rahn, Treasurer hospitals are best positioned to meet Recovery Point Objectives (RPO) and Recovery Time Objectives (RTO) for hospital systems. For example, in the event of a disaster, a “I found a lot of value in the PACS database which is archived can be recovered as event. It is always good to Radiquickly as the Health Information System (HIS) and Radi get in a group and discuss ology Information System (RIS), and then pointed at a “I found so much value in this event! The information issues. You can hear things secondary copy of the image archive, preferably extant on was great. I enjoyed learning how others use MEDITECH that trigger something that storage in a secondary data center. modules and ways to improve information flow at my facility. will help you. I especially Today, a typical community hospital in the United States I also particularly enjoyed the networking among peers.” enjoyed hearing and may have dozens of TBs of electronic data, depending upon - Amanda Reel, Systems Analyst, Good Shepherd Medical Center, Longview, Texas seeing the CIO speak and when and how aggressively they adopted digital systems. show the passion that the With this volume of data, it becomes economically and hospital took on and physically impossible to back it up on a daily basis. So supported. I continue to be how do hospitals protect this vital business asset? This amazed by the creativity combination of backup and archiving enables an optimal that people come strategy for protecting all types of dataupin with a hospital. By to help user.” understanding the nature of the the end data found in clinical Alice Rogers systems, healthcare IT can deliver both realistic and RN, Clinical IS Coordinator acceptable RPOs and RTOs to the business-side interests Like any other business, a healthcare organization Uvalde Memorial Hospital, of healthcare institutions. In the event of a disaster, the uses many different software applications to run its Uvalde, Texas organization can rest assured that mission-critical applications day-to-day activities. However, unlike other busiwill be available when needed. And doctors and nurses nesses, most of these systems directly or indirectly fund balance with a year-end balance of $2,433,669.

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Data on SAN storage and tapes there was no storage hardware available to support restore when staff finally could begin the process. A rented space was used for recovery, and data was backed up Terry Mouland from SAN following a lengthy drying process in order to Past Chairperson Eastern make it available for recovery onto the new Health systems. This St. John’s, Newfoundland was a critical problem in part because, in order to fulfill payroll, the vast majority of MEDITECH servers in this hospital needed to be restored due to the dependencies

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Director Centura Health Englewood, Colorado

It’s extremely important to keep many generations of backups, and to combine archive and backup to ensure protection with appropriate RPO and RTO for all types of

the healthcare environment. For example, the HIPAA HITECH Act provides financial incentives for hospitals to quickly adopt EHR technology and inflicts financial penalties for those who don’t. With such forces at EDUCATION MUSE work, systems that wereCOMMITTEE once a luxury at many healthfacilities have quickly become essential to survivDennicare McColm (Education Committee Chair) CIO ing in the current regulatory environment. Citizens Memorial Healthcare, Bolivar, Missouri

Money Atwal, CFO/CIO East Hawaii Region - Hilo Medical Center, Hilo, Hawaii Mary Baker, Clinical Applications Manager HCA, Nashville, Tennessee

pected downtime in critical applications may jeopardize patient care. Healthcare IT is charged with keeping these MUSE Committee Board systems available 24/7 and, in the event of an outage, is tasked with restoring operational capacity as quickly as possible. In the event of a large-scale disaster, the entire hospital must execute COMMITTEE its business continuity plan to MUSE MEMBERSHIP ensure minimal disruption to patient care. Healthcare IT Kirby Reed (Membership Committee Chair) playsSystems its partDirector by executing the disaster recovery plan Information Jasper County Hospital, Rensselaer, Indiana perfectly to ensure that these systems continue to function Kim MacInnes in all conditions. Member Service Manager MUSE, Kelowna, British Columbia

While the stakes may be higher for healthcare IT, are the requirements fundamentally different than those of any other business? In Scott Ellner, Director, Information Technology HSHS Southern Illinois Division, Belleville, Illinois Carl Smith many ways they are not, but in one key area they are: Information Systems Director organizations generate a Mississippi large percentage of Moshgan Jones, Clinical Application Analyst Kings’sHealthcare Daughters Medical Center, Brookhaven, Nathan Littauer Hospital, Gloversville, New York static data, the nature of which requires a particular Ricci Tenca Ken Kupetsky, CIO approach healthcare Supervisor disaster recovery. For vast MEDITECH Clinicalto Documentation Burke Rehabilitation Hospital, White Plains, New York Catholic Health Initiatives, Englewood, Colorado amounts of unchanging, unstructured or semi-structured Bill McQuaid, Assistant Vice President/CIO Corey Tillyer data, archiving is a better approach than backup for Parkview Adventist Medical Center, Brunswick, Maine Director of Health Informatics & Knowledge Management purposes. By creating a few geographically Fraser protection Health Authority, Surrey, British Columbia Brian Nelligan, Applications Analyst dispersed copies of the data on multiple media types, Rouge Valley Health System, Toronto, Ontario hospitals are best positioned to meet Recovery Point Jean Olsen, Program Director Objectives (RPO) and Recovery Time Objectives (RTO) for Centura Health, Englewood, Colorado hospital systems. For example, in the event of a disaster, a Alicia Roberts, Director of Education and Marketing PACS database which is archived can be recovered as MUSE, Ripley, Tennessee quickly as the Health Information System (HIS) and RadiDr. Jeff Sippel, Co-CMIO Centura Health, Englewood, Colorado ology Information System (RIS), and then pointed at a MUSE COMMERCIAL COMMITTEE secondary copy of the MEMBER image archive, preferably extant on TJ Temple, Applications Analyst Ozarks Medical Center, West Plains, Missouri storage in a secondary data center. Tim Zundel (Commercial Member Today, a typical community hospital in the United States Carole Weinstein, Project Specialist Committee Chair) The Valley Hospital, Ridgewood, New Jersey The INmay Group have dozens of TBs of electronic data, depending upon when and how aggressively they adopted digital systems. Marc Andiel AccentWith on Integration this volume of data, it becomes economically and MUSE LEADERSHIP COMMITTEE physically impossible to back it up on a daily basis. So Mike Ball Terry Mouland (Leadership Committee Chair) BridgeHead Software how do hospitals protect this vital business asset? This Director Information Management & Technology Eastern Health, St. John’s, Newfoundland & Labrador Corrinecombination Cutler of backup and archiving enables an optimal Dell Barbara Kilroy, Director, Clinical Informatics strategy for protecting all types of data in a hospital. By Jordan Hospital, Plymouth, Massachusetts John Danahey understanding the nature of the data found in clinical Iatric Systems Jon Nolin, Pharmacy Information Systems Administrator systems, healthcare IT can deliver both realistic and Northeast Health, Troy, New York Lorna Green Like any other business, a healthcare organization Hylandacceptable RPOs and RTOs to the business-side interests Martha Sullivan, CIO of healthcare institutions. In the event of a disaster, the usesMemorial many different software applications to run its Harrison Hospital, Cynthiana, Kentucky organization can rest assured that mission-critical applications day-to-day activities. However, unlike other busiwill be available when needed. And doctors and nurses nesses, most of these systems directly or indirectly Debbie Bate-Travis, Information Systems Analyst Humber River Regional Hospital, Weston, Ontario

Sharon Montgomery data protection and disaster recovery LIS Administrator Methodist Hospitals of Dallas, Dallas, Texas

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SUCCESS IN PATIENT CARE: EPHRAIM MCDOWELL HEALTH IMPROVES SAFETY FOR NEWBORNS AND MOMS

Many hospitals want to integrate patient monitoring devices from multiple vendors with their MEDITECH HIS, but are unsure how to proceed. Ephraim McDowell Health has found a way to integrate any monitoring device, regardless of vendor. Maternal and fetal data from obstetrics monitors now flows seamlessly into MEDITECH along with vital signs data from another vendor’s cardiac monitors. Patients, caregivers, and senior management all see the benefits. Ephraim McDowell Health is an integrated health care delivery system made up of multiple facilities serving more than 119,000 residents in central Kentucky. As part of its commitment to provide the best possible patient care and safety, Ephraim McDowell is integrating its disparate technologies to prevent data silos, give clinicians seamless access to patient data, and ensure its hospitals are adhering to The Joint Commission requirements. For all these reasons, the health care system sought to automate the flow of maternal and fetal data from its obstetrics (OB) monitors to its MEDITECH Client/Server Health Information System (HIS). Historically, when a patient was transferred out of a maternity care unit, Ephraim staff had to print the patient record created in its OB system to make it available to clinicians in other departments, such as post-partum and the nursery. While Ephraim McDowell’s MEDITECH HIS could connect to an external data source to receive HL7 results,

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that connection was already being used to enable data from another vendor’s cardiac monitors to flow into the HIS. “We knew that having OB records automatically flow into MEDITECH would improve clinician workflow, eliminate duplicate data entry, and enable clinicians to electronically trace the path of care, but finding a way to complete the integration was a challenge,” says Becky Blevins, Information Services Project Manager at Ephraim. Now, thanks to some specialized technology and out-of-the-box thinking, data captured by OB monitors and cardiac monitors flows seamlessly into MEDITECH through the same HL7 connection, making patient data from both systems readily accessible to clinicians from the HIS. both systems readily accessible to clinicians from the HIS.

The solution is helping Ephraim use their MEDITECH HIS to full advantage. Caregivers now have instant access to OB data within MEDITECH, saving time while improving patient care and safety in the maternity care, postpartum, and nursery units. Clinicians can trace the path of patient care without having to review paper records or re-enter data, resulting in more informed decisions and reducing the risk of errors. In addition, Ephraim is now able to take advantage of MEDITECH reporting capabilities to gain in-depth operational and clinical analyses, including staffing ratios and medication administration timelines, without having to manually extract and review the data from their OB system. Ephraim can also instantly capture and monitor C-section rates to ensure the hospital meets national C-section criteria.

Saves Time for Nurses Clinicians across the hospital can now log in to MEDITECH and get complete and seamless access to patient information documented in their OB system. “The interface has allowed us to utilize automatic data collection from OB during admission, intrapartum, and recovery for both Caesarian sections and vaginal deliveries. This saves nurses a great deal of time because it eliminates manual data entry,” says Vickie King, RN, MSN, Director of Women’s Health Services at Ephraim.

Saves Time for Doctors Anesthesiologists are especially pleased because vital signs and other values for OB patients going into surgery are readily accessible in MEDITECH. Ephraim’s clinicians can now electronically trace the path of patient care without having to review paper records or re-enter information. The result is more informed care decisions and less risk of documentation errors. “This has saved time and created better patient care because I no longer have to look up vital signs since they auto-populate in the chart,” says Dr. Anjum Bux, one of the hospital’s anesthesiologists. “I can confidently make decisions about patient care with this information available.”

Meets The Joint Commission’s Requirements By integrating OB monitors and MEDITECH, the hospital has also improved its post-anesthesia assessments and is better adhering to requirements established by The Joint Commission. “Pulling vital signs is one of the six criteria that must be completed for post- anesthesia assessments according to The Joint Commission,” Becky notes. “Because of the automatic flow of information from our OB system to MEDITECH, vital signs are being pulled 100 percent of the time. These standards are in place to help ensure patient care and safety, so knowing that we are meeting those requirements is an accomplishment that we’re very proud of.” “Integration knowledge and expertise are great assets to Ephraim, especially as we strive to maximize each of the healthcare technologies we have in place to not only deliver superior patient care Ephraim McDowell Health but also meet current and future meaningful use requirements,” concludes Bill Snapp, Chief Financial Officer at Ephraim.“Our hospital is dedicated to delivering the best patient care possible, and this solution is helping us do just that.”

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muse web .org

On-going MUSE Events

MU S

EXECUTIVE INSTITUTE S A N

D I E G O ,

C A

Join us in sunny California for the MUSE Executive Institute! January 19-21, 2014

The MUSE Executive Institute is a pioneering event that connects hospital executives and supporting solution providers for: • networking with colleagues • learning from content experts • discovering new solutions in a convenient format Plus, as a hosted hospital executive, all your travel expenses are covered!

Educational presentations: Data in Healthcare: The Need for a Data Strategy

Presenter: Cathy Crowley, CIO, Columbia Memorial Hospital, Hudson, New York Abstract: As healthcare continues to focus on measuring the quality of care, controlling costs, using business intelligence, regulatory reporting and population health management, the need for data management has grown exponentially. In order for hospitals to successfully utilize data and business intelligence, they should first develop a formalized data strategy, data governance process, and data policies. Learn about these concepts during this presentation.

Yikes! Surviving a Meaningful Use Audit

Presenter: Ed Ricks, Chief Information Officer, Beaufort Memorial Hospital, Beaufort, South Carolina Abstract: Don’t risk losing your incentive money with in a Meaningful Use Audit. During this presentation, we will discuss our experience in preparing for Meaningful Use attestation and the sobering process of going through a Meaningful Use Audit. The lessons learned can help you better prepare and respond in the future.

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On-going MUSE Events

muse web .org

Rural Health Care – Our Successes & Challenges in Implementing our EMR

Presenter: Rena Salamacha, Chief Information Officer, Mee Memorial Hospital, King City, California Abstract: We will address resources, financial constraints, and expertise being our main challenges and how we took those challenges and turned them into successes. Learn how to leverage MUSE to expand your knowledge

Integrating Clinical Alerting into Daily Workflow

Presenter: Ken Kupetsky, VP/CIO, St. Maryʼs Healthcare System for Children, Bayside, New York Abstract: We will cover how the use of integrating clinical and non-clinical alerts with a wireless communication platform can enhance speed to resolution along with group notifications. We will evaluate the use of middleware to enhance the management of alarms and notifications to the proper personnel.

Keynote presentations: Bringing it All Together – Strategy Planning, Alignment, Prioritization and Execution

Presenter: Anne Marie Herrera, Strategy and Business Development, Vice President, maxIT-VCS, an SAIC company Abstract: This keynote session will highlight the need for key executives to engage, collaborate, develop, and commit to an IT strategic roadmap that reflects those initiatives that most strongly align with their business strategies and goals. In addition, bring a sense of “reasonableness” and shared accountability to the equation, and insights on executing for success. Reverse Trade Show - This pioneering spin on the traditional trade show brings the solutions to you! Enjoy the convenience of pre-arranged meetings where the providers bring you the answers you need. Location - The stunning Coronado Island Marriott Resort & Spa serves as the venue for this program, offering the finest atmosphere for your experience. Plus, if you choose to attend as ahosted hospital executive, all of you travel expenses are covered. WINTER 2013

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Donʼt reinvent the wheel! When questions or issues arise do you rely on an e-mail list serve or a handful of contacts you know for help? What if you had a familiar community where you could go at any time and learn from those who are in your shoes?

MUSE is pleased to introduce Community Peer Groups. Partner with your peers to create solutions and grow together. Learn from each other’s successes and experiences. There is value in networking and value in identifying local experts.

What is a Community Peer Group?

M P E E R

G R O U P

A MUSE Community Peer Group enables you to: • connect regularly with your local MUSE peers to learn from each other, share your experiences and improve your facilities. • engage more effectively with your neighboring MUSE members. • identify local topic and subject matter experts. • discuss pertinent topics in a more specific and detailed atmosphere – through teleconferences, webinars, face-to-face meetings and publications.

A CPG is exactly that – a group of individuals, working toward the same goals, comprising a community that joins together to solve issues and create best practices.

• leverage MUSE resources to organize, plan and stage your meetings.

How are Community Peer Groups different from regular Peer Groups?

Want a Peer Group in Your area?

The Community Peer Groups are not module-focused. They can be multi-topic, or focus on one topic, rather than a module. Also, Community Peer Groups are structured geographically so that members can easily meet and connect with each other regularly.

Who can attend a Community Peer Group meeting? Attendance is limited to Facility Members and sponsoring Commercial Members.

Submit your Community Peer Group Request to: education@museweb.org. WINTER 2013

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Webinar Listing for 2013 Unit Clerk Utilization with CPOE

“Thank you to MUSE for the excellent and timely webinars for others to see and share ideas. They help us to know if we are on track and share in the lessons learn from others, and also provide great networking and contact opportunities. Well worth the minimal cost per session. Keep up the information sharing exchange!” Jean Soong, RN, IS Project Leader, Clinical Information Services, Good Samaritan Hospital, Los Angeles

Webinars are the most economical and efficient way to access education. And now, the process is even simpler with a MUSE webinar subscription. Webinar subscriptions allow you to purchase year-long access to MUSE webinars with only one transaction. Plus – an unlimited number of people at

your facility can attend, even at different locations!

Can I attend as many webinars as I want? A Yes. For your 12-month period (beginning when you make your purchase)

you can attend unlimited webinars.

What are the subscription rates?

Q A

The rates are based on the MUSE membership bed-size fee structure. You can contact education@museweb.org to learn what your rate would be for the subscription.

Can I purchase this subscription with my membership?

A Yes. This is the best option, because your entire financial process is streamlined.

And, you can do everything through the MUSE website, www.museweb.org.

I donʼt see the list of upcoming webinars. Why isnʼt it published?

Q A

MUSE makes every effort to ensure its content is timely and pertinent, so webinars are typically developed according to the needs of the membership. So, most of the time, webinar schedules are published on a monthly basis.

How can I be sure you will offer enough webinars to ensure my money is well spent?

Q A

MUSE offers an average of 24 webinars per year. This number is guaranteed, as well as the relevance of topics. You can see the 2013 webinar listing for a general idea of the webinar programming.

Ready to register for your webinar subscription? Contact: education@museweb.org 22

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Part 1 The Quest to Attest - Project Management Tools with MU Part 2 The Quest to Attest - Project Management Tools with MU Part 3 The Quest to Attest - Project Management Tools with MU MEDITECH 5.66 Early Adopter Experiences MU Stage 2 the Transition from Quality Measurement to Informatics The Patient Experience, a Process for Grievances Physician Engagement, How Big is the Diamond?

FAQs Q

The ARRA Journey So you Thought you were through with Stage 1?

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Using What You've got to Get What you Want Community Peer Groups Explained CPOE: Physician Journey from Admission to Discharge Monitoring Integration with MEDITECH ICD-10: A Pragmatic Approach to Implementation CPOM and Evidence-Based Order Sets Navigating the Interoperability Waters Avoiding IT Project Failures Project Management Professional Testing Strategies Multidisciplinary Discharge Process: A post -implementation review of build, preparation, end-user training and go-live experiences The Roman Candle Approach to CPOM Implementation Using Mobile Devices to Collect Patient Information

CPOE Curves, Steep Uphills, the Amazing Views and Ultimate Reward of Getting there

Clinical

Consulting

First Databank

Dell Services

120 Royal Street Canton MA 02021 www.dell.com/meditechsolutions Corrine Cutler Tel: 781-401-2104 corrine_cutler@dell.com

701 Gateway Blvd Suite 600 South San Francisco CA 94080 www.fdbheath.com Pam Quinlan Tel: 650-588-5454 ext. 867 pquinlan@fdbhealth.com

Health IT The Shams Group (TSG)

1304 West Walnut Hill Lane Suite 240 Irving TX 75038 www.shamsgroup.com Sales Department Tel: 469-586-3317 info@shamsgroup.com

Have Your Company Listed Contact the MUSE Director of Education and Marketing Tel: 877 491 4703 ext.7

Email: alicia@museweb.org

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