Hello this Natasha at RVH in Barrie and we have 380+ beds and are a 5.66 MEDITECH cs plateform. Here are the answers to your question.

1. Are the assessments built multi-disciplinary? If so, how are they developed to meet regulated standard college requirements? – Most assessments are not multi- disciplinary. However there are some Nursing/ OT/PT interventions that are shared (i.e ADL: Activity and Mobility, wounds, braden scale, etc) and PT/OT share admission and progress interventions. We use standardized Care Plans (Medical, Surgical, Mental health, etc) which lists interventions that all disciplines can document on. And when we go with the Discharge feature this will be built multi – disciplinary. They were developed with the required disciplines at the table as they know their college standards.
2. How is your site capturing workloads for PCS documentation?-- We are a case costing hospital. We use average work load values for Nursing; Allied Health use an intervention where they enter their Assessment/ consultation/ intervention time per patient. They also add their Non Service recipient workload via Unit activity Dictionary of indirect time values by location. The activity descriptions are: Functional Center, Organizational/ Professional, Teach/ inservice, Research and Travel. A report is run for end of month or auditing.
3. For multi-site settings or multi-organization settings, is there a standard charting methodology/policies adopted across all sites? If so, what charting methodology are you using? -- n/a We are just one site
4. Is your site using an integrated EMR? What valuable EMR trending is currently used by clinicians at your site?-- Our physicians mainly use the Care trends feature, vital signs, In/ out’s and notes.
As we built the queries we always search for an EMR ID as this is what directs the answer to the question to go into the right place in the EMR. We have had providers and nursing staff contact our department to ask for data to display in a certain place in EMR Care trends location or that if there was data displaying in the wrong place to have it fixed. This requires you find an alternate EMR ID or to open a task with MEDITECH to have them build an EMR ID.
5. How does your site manage assessment/documentation build changes? Is this process centrally managed by IT? --- Our PCS Informatics department consists of Nurses and we build with allied health and professional practice. The Information technology department only looks after MEDITECH Background servers, foreground and background printing (planet press), manage certain MEDITECH scheduled reports and downtime/ rebooting.
We have a link off our intranet in which staff can submit request for ALL MEDITECH apps changes(infopath Form services). This request goes into a shared mailbox to be distributed to the right application specialist. Once the PCS team (Nurses) reviews the request there is a process to contact the owner or connect with Professional practice to ensure the changes follow best practice. When the assessment is built or changed, it gets sent electronically to several key stakeholders for approval and sign off. See attachment for this form. Once the change goes LIVE the clinical staff impacted by the new build or changes is notified by a standardized email.
6. Post live review - implementation - What worked? What didn't? What could have been improved? What roadblocks/challenges presented along the way?-- All I can say is to make sure you have the right people around the table reviewing the documentation and workflow process changes, to ensure the proper communication and education is done Pre and post LIVE implementation, the transitional change part is huge. Make sure areas like Dietary, LAB and finance are not forgotten. Have the key stakeholders (managers, professional practice and resource nurses) kept up to date with, changes to workflow processes and documentation practices.( real time vrs end of shift). Support, support , and more support. Easy access for staff to reach customer support when the on unit support is done.
And last but not least, operational management of implementation. With-in several weeks do an evaluation and don’t forget about the unit as time goes by. Do quarterly follow-up or check ins.
We even go as far as to do bi monthly rounding(informatics teamed with a IT specialist) on all areas using MEDITECH, and do surge rounding during pre/ post downtime.

Thanks, Natasha