Customer News

MEDITECH Customer Becomes First Critical Access Hospital to Reach Stage 6
Kanabec Hospital exceeds expectations for physician EMR adoption, proving Critical Access sites can use I.T. to overcome their unique budget and staff hurdles, and dramatically improve patient care.


MEDITECH is proud to congratulate Kanabec Hospital (Mora, MN) on being the first Critical Access Hospital to achieve Stage 6 Electronic Medical Record adoption recognition from HIMSS Analytics. But despite the magnitude of this achievement, CEO Randy Ulseth admits he wasn't very surprised, when he considered his staff's commitment as well as their relationship with
SISU Medical Systems, Inc., an I.T. consortium to which Kanabec has belonged since 2002.

"We're all very excited and honored to be the first Critical Access Hospital to achieve stage 6 designation," says Ulseth. "This recognition acknowledges the hard work and dedication of the staff at both Kanabec Hospital and SISU Medical Systems."

EMR Adoption a Key Component to Quality Care
Kanabec staffers believe EMR adoption is a key component to providing the highest quality of patient care, a vision which motivated them to pursue the next level of adoption from HIMSS Analytics. In addition, Ulseth notes that support from two key groups—hospital executives and physicians—was essential to achieving implementation success.

"The administration's role is largely behind the scenes. Physicians, however, are the ones who have their day-to-day workflow interrupted during go-LIVE. They have a new system to learn, and they do the majority of the extra work," he says.

"We're fortunate to have great physicians who are very committed to providing outstanding care to our community. Our physician group recently implemented an EMR at their clinic, which greatly helped in the EMR installation process and adoption here at Kanabec."

Physician Adoption Exceeds Requirements
Physician adoption is integral to reaching Stage 6 status, and Kanabec Hospital set their sights very high in this area. According to Ulseth, the hospital currently has eight physicians who are entering approximately 97% of their orders into MEDITECH's Computerized Physician Order Entry (CPOE) solution. In addition to CPOE, Stage 6 hospitals must have at least one physician using structured templates for at least one care service area.

"Kanabec's medical staff is already exceeding these requirements," says Ulseth. "Currently, we have three physicians in two care areas using Dragon Naturally Speaking speech recognition software, with three structured templates: Progress Note, History and Physical, and Stress Test. By integrating MEDITECH's clinical software with the Dragon technology, we've greatly improved patient information accessibility and accuracy, as well as documentation turnaround time."

Benefits to Patient Care and ROI
Kanabec Hospital has also benefited from increased data accessibility throughout all clinical areas, not just in physician documentation. Nursing assessments in MEDITECH's Patient Care System automatically trigger interventions for safer patient care. And since becoming fully automated, the laboratory has improved its report turnaround times and reduced the potential for transcription errors which were common in their previous paper-based processes.

"In addition, by adding PACS, which interfaces to MEDITECH's Imaging and Therapeutic Services, our Emergency Department providers and other physicians are able to view imaging exams more quickly," says Ulseth.

Beyond the impressive patient care advantages, Ulseth happily reports on the numerous cost savings Kanabec has achieved on its journey to Stage 6. For instance, lab charges automatically flow to billing, replacing manual charge entry. Auto-faxing of lab results frees lab technicians from doing the faxing, improving productivity and efficiency. And digital imaging eliminates the need for a film processor, chemicals, physical space, and file folders.

Critical Access Sites Can Overcome Unique Challenges
While Ulseth acknowledges that small, rural hospitals may have to overcome more budgetary and staff constraints than larger organizations, he also believes that Critical Access Hospitals can become technology leaders and attain Stage 6, if they stay focused.

"You have to persevere through the challenges," he says. "Keep your eyes on the patient safety goals. And always support your staff: they're working hard to maximize their use of the electronic tools, so patients can receive the best possible care."