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Our Latest Stage 6 Customer: Caritas Christi Health Care
Strong leadership and lessons learned hold the key to Caritas Christi's enterprise-wide success with MEDITECH's Advanced Clinicals.


After successfully launching an organization-wide initiative to implement MEDITECH's Advanced Clinical System, Caritas Christi Health Care has yet another feather to add to its cap: Stage 6 EMR Recognition from HIMSS Analytics. As the largest community-based hospital network in New England, Caritas was proud to receive recognition for its six facilities, all located in Eastern Massachusetts. In addition to the Stage 6 recognition, all six sites have also achieved full Leapfrog compliance.

Caritas began their journey to Stage 6 designation in 2006, with its ambitious plans to adopt the Advanced Clinicals—including Physician Care Manager (PCM) and Patient Care and Patient Safety (PCS)—across its entire enterprise.

"Our goals for this project were always to improve patient safety and care delivery," says Todd Rothenhaus, MD, senior vice president and chief information officer for the Caritas organization. "Although achieving Stage 6 recognition is certainly an honor for us, it was more of an afterthought that we realized we had met the requirements."

Leading the Way to Improved Outcomes
Caritas' pro-I.T. culture springs from the belief that I.T. improves patient care and outcomes, a belief which started at the very top. "Ralph de la Torre, our CEO, is a true visionary," Rothenhaus says. "He has been touting the benefits of I.T. for years, and he continued to commit financial resources to our Advanced Clinical project even when the economy took a bad turn in 2008."

Although the Caritas management team steered the Advanced Clinicals project, they weren't looking to designate the install as an I.T. project. Instead, they wanted to empower clinicians who would be using the system, to help build and implement it. To achieve this, Caritas appointed a project management team—with representation from nursing, pharmacy, and the medical staff—to oversee the initiative at all six Caritas sites.

"This core group of individuals was crucial to our success," says Rothenhaus. "Because of their preparation, organization, and hard work, we never missed a LIVE date by more than a week from our initial projections."

The project management team implemented PCS and Bedside Verification (BV) first, bringing all six Caritas sites LIVE in under a year and a half. They applied lessons learned, such as preparing for the impact PCS has on Pharmacy, to the next leg of the implementation, CPOE. As a result, the team went LIVE with MEDITECH's CPOE solution at all six facilities in only a year's time, and are now seeing four out of the six Caritas hospitals at a greater than 80% CPOE utilization.

"As each site went LIVE, we learned what worked and then applied those lessons at the next hospital," says Justine Carr, MD, chief medical officer for Caritas. "Even now, our system is still a work in progress, because we are always reevaluating what works and what doesn't in the LIVE environment. We have an ongoing dialogue with our frontline staff and leadership to ensure their feedback is heard and addressed."

Looking Ahead to the Next Stage, Meaningful Use
In addition to the Advanced Clinicals project, Caritas is in the process of going completely paperless, and setting their sights on Stage 7. Of course, Meaningful Use is on their minds, but Rothenhaus isn't too worried about their ability to meet the Stage 1 requirements.

"With no gaps in our I.T. utilization, we're feeling pretty confident about Meaningful Use," he says. "Our project management team did such a great job with the Advanced Clinicals project, we think we are in good shape."