Wednesday, August 7, 2013

MEDITECH 5.66 Upgrade Journal Part 2

The Canary is Still Singing …

MEDITECH 5.66 Upgrade Journal - Part 2




Guest Poster:
Adnan Hamid, Director, IT Services
Henry Mayo Newhall Memorial Hospital, Valencia, CA
 


 


Last month, MUSE posted my C/S 5.66 Upgrade journal as part of the MUSE Matters blog.  Based on reader feedback, it was a hit … more like close to 1,500 hits to the blog. I also received emails from readers about the post and many follow-up questions regarding the upgrade.  So I thought I would consolidate the questions for this follow up article to the MUSE Matters blog.
 

Q:

Any other issues that you have seen since the journal blog was posted?

A:

Yes, we did have an issue with ORM reports not flowing into the EMR.  Based on MEDITECH’s review of the issue, HUB is attempting to grab the reports off the SCH HUB queue to bring the reports over to HUB so they can go to the EMR. It should be using the old numbering system to read the data, but the correct flags are not being set to do so. Thus, it's attempting to read in a "Holding" report when it should be reading an "Anesthesia" report. Since there's nothing entered for Holding reports in the OR parameters, it's crashing every time.  In order to determine the root cause, MEDITECH disabled the SCH OR EMR Midnight Run Queue.  MEDITECH is has submitted SCH DTS 13156 to help clean up the duplicate and mismatched reports in LIVE.  We are still awaiting the delivery of this DTS.
 

We also had an issue with the Hospital Central supply unable to produce a correct pick list. MEDITECH uploaded DTS CS MM 3389 which corrected this issue for another hospital. It was moved into our LIVE system on July 17th.  This DTS resolved the issue.
 

We have noticed that since the 5.66 upgrade on 6/18, all of our notification alerts from mtalert@henrymayo.com show a timestamp of 7 hour behind of the actual delivery.  MEDITECH is still investigating the issue. 
 

Q:

Did you notice after your code overlay that when filing items in LIVE, you get a pop-up window that displays and disappears in a matter of a second or two?

A:

We did not notice any pop up window.  The user that submitted the question updated me stating that the pop up window occurred on clients that are 3-tier.  If the client is 2-tier, no issue.
 

Q:

How long did you allow for testing of the DTS?

A:

We had full day testing sessions to test out the major DTS for the upgrade.  We had three integrated testing sessions along with one parallel testing session for the upgrade. 
 

Q:

What version were you on before the upgrade?

A:

We were on version 5.65 PP11.
 

Q:

Did you stop all build during the testing time?

A:
 

No.
 

Q:

Since the upgrade, have you noticed any issues with the new discharge routine?

A:

We are planning to utilize the new discharge routine as part of our PCM Phase 2 Go-Live in October 2013.  We’ve been having some issues, but MEDITECH has been pretty responsive in past 2-3 weeks getting us DTS fixes for them…a couple are still outstanding. Our continued meds, scripts, etc. are displaying in the routine and in the Patient Visit Summary appropriately. 

 
Do you want to hear my upgrade experience live? I am presenting at the Newport Beach MUSE Event, November 11 -13. You can register to attend here: Newport Beach Event.

 
Stay tuned for Part 3 of my 5.66 Upgrade Journal … Issues and Challenges with the Discharge Routine. 
 
 

Adnan Hamid
Director, IT Services
Henry Mayo Newhall Memorial Hospital, Valencia, CA