CBM Bolsters Physicial and Behavioral Medicine with MetaCare CPOE

KANSAS CITY, Missouri (2015) – Meta Healthcare IT Solutions, a leading developer of EHR software, has completed the deployment of MetaCare CPOE at the Center for Behavioral Medicine (CBM). After the facility’s initial deployment of MetaCare Enterprise Rxin 2009, CBM upgraded its solution to include Meta’s prescriber order entry system.

Located in the heart of Kansas City, CBM provides intensive and specialized behavioral health treatment services to individuals who require short to intermediate-term hospitalization in an inpatient setting. Currently operating 65 acute beds and 68 residential beds, the Center focuses many of its efforts on bridging the gap between physical and behavioral medicine. The staff at CBM offers a therapeutic approach to recovery by emphasizing patient wellness, and has incorporated evidence based treatment models and dialectical behavioral therapy into its electronic health record to improve outcomes.

The CPOE deployment has allowed CBM to integrate existing medication safety functionality with Meta’s order entry and patient management solution. Features previously installed for the pharmacist, such as the clinical reconciliation module, have been integrated between providers, allowing patient data to be easily imported and shared between clinical disciplines. CBM has improved care coordination as a result of these and similar initiatives, helping the hospital enhance clinical accuracy and patient safety.

The deployment of CPOE also provides CBM with intelligent clinical features such as MetaCare Event Manager, a dynamic scheduler that allows clinicians to create and receive alerts and instructions for patient care tasks. Events such as post-op procedures may be scheduled by the attending physician and triggered by real-time updates of the patient’s condition.

“CPOE has allowed CBM to improve patient safety in the areas of both behavioral therapy and physical medicine,” stated on-site Implementation Specialist, Arnold Clemente. “The follow-up alerts in Event Manager are just one instance of this. They can be adapted in virtually any manner—in conjunction with PRN medications or psychiatric assessments—ensuring that patients are never overlooked, particularly during follow-up assessment, and allowing CBM to ‘bridge the gap’ between physical and behavioral medicine.”

MetaCare CPOEalso offers prescribers the means to document changes to the patient’s condition and remain current with therapy regimens, allowing providers to administer the highest possible quality of care.

Western Massachusetts Hospital Reduces Adverse Drug Events

WESTFIELD, Massachusetts (2015) – With the implementation of MetaCare Enterprise Rx, Western Massachusetts Hospital has successfully reduced its rate of adverse drug events (ADE) and enhanced external reporting capabilities. Meta Healthcare IT Solutions, a leading developer of clinical software, deployed the solution to improve patient outcomes via increased medication accuracy.

Located in Westfield, Massachusetts, Western Massachusetts Hospital is a 100-bed long term and specialty care facility providing acute and chronic care to patients with a variety of medical conditions. The hospital offers services in the areas of cardiac and pulmonary disease, stroke treatment, gastrointestinal conditions, complicated seizure disorders, dementia and behavioral disorders, terminal illnesses, and much more. The hospital also provides dental and optical care as part of its community benefits program.

According to the Office of Disease Prevention and Health Promotion, adverse drug events affect over 125,000 patients annually, accounting for an estimated 1 million emergency department visits. They also impact roughly 2 million hospital stays each year and prolong hospitalizations by an average of 1.7 to 4.6 days.[1]

The hospital has reduced adverse drug events by promoting drug therapy safety and preventative models of care. This includes diagnosis-specific alerts and reminders on high-priority orders such as diabetes agents, opioid prescriptions, and anticoagulant therapies. Additionally, the OrderAssistclinical checking module, contained within Meta’s solution, provides comprehensive clinical decision support by screening for potential adverse drug events such as drug-allergy interactions, drug-drug interactions, drug-food interactions, drug duplications, disease state contraindications, and more.

The solution has also helped to improve external communications by allowing the hospital to export discrete data in compliance with state-level mandates. By reducing its rate of adverse drug events and enhancing reporting capabilities, the deployment has allowed Western Massachusetts Hospital to improve patient outcomes and clinical efficiency.


[1] Office of Disease Prevention and Health Promotion. “National Action Plan for Adverse Drug Event Prevention.” Overview – Adverse Drug Events. http://health.gov/hcq/ade.asp

Long Term Care Solution Deployed at Soldiers’ Home in Chelsea

Chelsea, Massachusetts (2015) – Meta Healthcare IT Solutions announced today that the Soldiers’ Home in Chelsea has completed its installation of MetaCare Enterprise Rx. The solution has helped to improve medication safety and clinical accuracy across the facility’s multidisciplinary service offering. The entire project, which included planning, installation, training, and go-live support, was executed in the span of just a few short months.

Established in 1882, the Soldiers’ Home in Chelsea offers a wide range of healthcare services to veterans, including skilled nursing, outpatient, and long term care. The facility comprises an almost entirely self-contained community, complete with its own library, dry cleaner, barber shops, auditorium, dining room, on-site pharmacy and more. This setting provides a unique environment for the intermediate and long term care of patients.

The facility places a strong emphasis on medication therapy and safety due to its primarily elderly population. As such, Meta’s long term care pharmacy management system was selected among competing systems. On past deployments, the solution has been proven to maximize clinical efficiency, improve medication adherence, and most importantly, increase patient safety.

“Ensuring patient safety in a long term care pharmacy is a very intricate operation. It requires providers to collect vast amounts of data over time, coordinate this information between departments, and verify orders against patient’s diagnosis and medical history,” stated on-site project manager Chad Hanohano.

“Our clinical reconciliation and intervention modules are particularly effective in these settings, as they allow providers to incorporate existing therapies, as well as document, save, and retrieve data on a centralized SQL database.”

The Home, which is inspected annually by the Department of Veterans Affairs, offers its services to veterans free of charge. Meta’s solution also assists in this mission by minimizing healthcare costs associated with inefficient practices. The system utilizes a customizable formulary module and wholesaler interface to ensure efficient resource expenditure during purchasing.

“Patient safety is obviously the number one concern, but financial sustainability is also very important to non-profit healthcare entities,” stated Hanohano. “Fortunately, Meta’s clients are able to achieve both simultaneously.”

Meta has also recently deployed a similar solution at the Soldiers’ Home in Holyoke.

Meta Set to Attend HealthAchieve Toronto 2015

TORONTO, Ontario (2015) – For the fourth consecutive year, Meta Healthcare IT Solutions will be attending HealthAchieve in Toronto, Ontario. As part of the conference, Meta will showcase its electronic health record platform, MetaCare Enterprise EHR, and discuss recent developments both within the company and in the field health IT.

Meta will also demonstrate new products and services at this year’s conference, including clinical workflow analysis, upgrades to system functionality, and more. Members of Meta’s leadership team will also discuss important issues currently facing healthcare, especially in regards to IT integration. Among these, Meta’s team will identify difficulties typically faced by practices during EHR implementation, and demonstrate how a client-partner approach has helped rectify these problem for Meta clients.

For over 90 years, HealthAchieve has been one of the most prominent and well-attended healthcare meetings in North America. This year, roughly 300 organizations are expected to exhibit, and more than fifty educational sessions and lectures will be held. Notable presenters include comedian Martin Short, tech entrepreneur Josh Linkner, and many other recognizable names in the field of healthcare.

The conference will held from November 2nd – 4th at the Metro Toronto Convention Centre. Meta will be exhibiting at booth #1131. For more information on the MetaCare suite of products, visit Meta’s solutions page bit.ly/1OZkcxp, or contact the Public Relations team at www.metacaresolutions.com/contact/.

Soldiers’ Home in Holyoke Deploys MetaCare for Data-Driven Assessments

HOLYOKE, Massachusetts (2015) – Meta Healthcare IT Solutions announced today that the Soldiers’ Home in Holyoke, a fully accredited facility offering multidisciplinary healthcare to veterans in Western Massachusetts, has completed its installation of MetaCare Enterprise Rx. Collaboration between Meta’s team and the facility’s staff allowed for installation and training to be completed in the span of just a few short months.

Founded in 1952, the Soldiers’ Home in Holyoke provides a full range of services to veterans, including full-time residential accommodations, an on-site dental clinic, and a multi-service outpatient department. The Home’s mission is to provide, with honor and dignity, the highest quality of personal care to those service men and women in the surrounding counties.

The installed solution, MetaCare Enterprise Rx, allows for the safe and efficient management of patient medication regimens. Meta’s clinical reconciliation module incorporates patient data, including home medications, allergies, previous diagnoses, and other pertinent medical information, into a single record. These features have proven particularly effective among the facility’s elderly patient population.

The system also allows providers to create continuity of care documentation (CCD) for patient and provider use upon discharge, allowing prescribers to leverage existing knowledge of a patient’s medical record against current diagnoses. When paired with Meta’s clinical decision support features and alert modules, this feature ensures providers achieve the best possible patient outcomes.

“Our system works effectively in Holyoke’s environment, especially among the intermediate and long-term care patients” stated Chad Hanohano, Meta’s on-site project manager. “Many of these patients have existing conditions or home medications.”

“MetaCare ensures that clinicians know all of this information before treating the patient—an added level of safety that has helped to improve outcomes,” he added.

Meta will also be deploying its solutions at the Soldiers’ Home in Chelsea. This partnership has helped to increase the quality of care provided to veterans in the region.

MetaCare eMAR™ Shows Results at SMMHC

FARMINGTON, Missouri, (2015) – Meta Healthcare IT Solutions, a leading developer of EHR software, announced today that the Southeast Missouri Mental Health Center (SMMHC) has gone live with MetaCare eMAR. Meta’s implementation team worked closely with SMMHC’s clinical staff, allowing for the project to be completed in the span of just a few short months.

Located in Farmington, SMMHC has provided mental health services to the citizens of southeastern Missouri for more than a century. It employs over 900 mental and behavioral health professionals, including psychiatrists, physicians, pharmacists, nurses, counselors, and rehabilitative specialists. Today, the facility offers intermediate and long-term rehabilitation services to patients suffering from mental illnesses and psychosocial disorders.

The project’s quick turnaround spurred positive reactions from SMMHC’s staff. “There was once again high praise for the Meta staff for their expertise, professionalism and their willingness to be at the facility for the majority of the various shifts,” remarked one member of the SMMHC staff. “There were minimal issues with the application… during go-live!”

The deployment of Meta’s eMAR application follows that of CPOE, which went live at SMMHC earlier this month. The integration of these two platforms provides SMMHC’s staff with a host of clinical features, such as mandated follow-up assessments and event alerts, which have been incorporated to fulfill the facility’s clinical protocol.

“Our clinical follow-up module is an important tool for our users in behavioral and mental health,” stated Meta Project Manager Nancy Brill. “By reminding clinicians, in particular nurses, to perform follow-up assessments and other clinical events, providers are able to remain up-to-date with a patient’s course of therapy.”

“One example of this at Farmington is the incorporation of PRN follow-up assessments within the eMAR application as a clinical rule,” she continued. “All as-needed medication administrations require nurses to document the patient’s condition before and after he or she receives the medication. This is especially helpful to monitor a patient’s reaction to certain courses of treatment, such as analgesics.”

The deployment of eMAR at SMMHC has unified staff processes across a sophisticated clinical database. By eliminating the knowledge gap between departments, the MetaCare system ensures that prescribers, pharmacists, and nurses are able to effectively communicate patient information and other relevant data.

“All of the pieces of the MetaCare system work together to coordinate a patient’s psychotherapy,” Brill added. “All diagnosis information and instructions are transferred easily between providers, resulting in a seamless provision of care and improved patient outcomes.”

SLPRC Deployments Proceed on Schedule with MetaCare CPOE™

ST. LOUIS, Missouri (2015) – Meta Healthcare IT Solutions has announced that the St. Louis Psychiatric Rehabilitation Center (SLPRC) has deployed MetaCare CPOE for computerized prescriber order entry. The facility, which provides inpatient psychiatric and psycho-social rehabilitation services to adults with severe mental illnesses, is the most recent of the sites to go live with Meta’s prescriber solution.

SLPRC, under various names, has supported members of the St. Louis community for over 140 years. After moving into new facilities in 1997, the hospital acquired a four-ward hospital and ten individual cottages. Today, the 180-bed facility continues to provide intermediate and long-term care in the fields of mental and behavioral health.

“The organization of SLPRC’s provides a unique path to rehabilitation,” remarked on-site implementation specialist, Arnold Clemente. “Those individuals who have made significant progress are moved to a cottage before release, acting as an intermediary between hospitalization and community return. This gives patients the opportunity to acclimate to life post-discharge, and builds trust between patient and provider.”

“However, as patients are separated both spatially and by degree of therapy, it also presents a challenge to SLPRC’s staff,” Clemente continued. “In such a demanding patient population, SLPRC required an order entry system capable of coordinating care across different locations while safely managing each individualized course of therapy.”

Meta’s comprehensive prescriber order safety helps to accomplish these goals with patient-specific dosing suggestions, allergy checking, adverse drug event checking, and much more. Additionally, the MetaCare system utilizes behavioral therapy order sets and care plans to streamline order placement, providing SLPRC with a dynamic therapy management tool.

“The SLPRC deployment has shown how our CPOE system functions in complex psychiatric environments. Our system coordinates patient therapies across numerous sites without sacrificing the most important aspect of psychiatric rehabilitation, which is the patient’s individualized course of treatment,” stated Meta President/CEO Sal Barcia. “Our plan of care order sets are extremely effective in this regard, as they provide a means to document meaningful progress during therapy, and set new goals for the patient moving forward.”

“These plans of care are integrated throughout our EHR, offering an empirical solution to behavioral health,” Barcia concluded.

Lemuel Shattuck Hospital Deploys MetaCare to Improve Care Coordination

JAMAICA PLAINS, Massachusetts (2015) – Meta Healthcare IT Solutions has announced that Lemuel Shattuck Hospital has gone live with MetaCare Enterprise Rx. The system automates virtually all aspects of pharmacy workflow across the hospital’s diverse offering of services, comprising a vital component of the hospital’s patient safety solution.

Lemuel Shattuck Hospital, a 255-bed facility, delivers a comprehensive array of services to patients requiring multidisciplinary treatment. The facility offers inpatient and outpatient services in the areas of acute, psychiatric, rehabilitative, surgical, and primary care, as well as specialty clinics and more. The facility also houses an inmate population in collaboration with state correctional organizations, and partners with numerous academic programs, including the Tufts University School of Medicine, to enhance the delivery of care.

The numerous clinical checking and medication safety modules included within the MetaCare pharmacy management system provide comprehensive screening for all orders placed by the prescriber. By subjecting orders to a high level of scrutiny, the system helps to identify adverse drug events, unwanted interactions, and medication errors before administration at the bedside. The MetaCare system also provides the pharmacist with the patient’s disease state, medical history, and all order details to ensure care coordination based on diagnosis and course of therapy.

In addition to improving patient safety, Lemuel Shattuck’s deployment of MetaCare Enterprise Rx has helped to centralize medication distribution and management. The system automatically tracks inventory based on doses administered, alerts for restock, and minimizes costs through the use of its wholesaler interface.

“Coordination across multiple sites and disciplines carries tremendous benefits, both in patient safety and financial security,” stated Senior Project Manager, Gail Saidlower. “A centralized deployment allows for sites to maximize clinical efficiency, automate key processes, and integrate with packaging machines for effective distribution. It also ensures that all patients receive the same high level of safety and precision during order verification.”

The recent go-live at Lemuel Shattuck guarantees that all outpatient and inpatient services are supported by one of the industry’s leading medication and patient safety systems.

Metropolitan St. Louis Improves Bedside Safety with eMAR

ST. LOUIS, Missouri (2015) – Meta Healthcare IT Solutions, a leading developer of health information systems, announced today that Metropolitan St. Louis Psychiatric Center (MPC) has gone live with MetaCare eMAR. The deployment follows the success of Meta projects in similar behavioral environments, with deployments in recent months at forensic hospitals, juvenile detention centers, and correctional institutions across the US and Canada.

Located in St. Louis County, MPC specializes in the provision of forensic psychiatric care to individuals struggling from debilitating mental illness. Among its offered services, the 50-bed facility provides Outpatient Forensic Evaluation and Inpatient Pretrial Restoration to Competency services to residents within the specified areas throughout the State of Missouri.

During the implementation process, the teams worked together to confront MPC’s need for an after hours nursing tool. Due to facility security requirements, nurses must remain on site past prescribers and physicians, outside of normal operating hours. However, with MetaCare eMAR, nurses can enter, administer, and document orders outside of normal operating hours, even when prescribers or pharmacists are off-duty.

“Typically, when prescribers enter an order into CPOE during business hours, the order is sent to the pharmacy; the pharmacist verifies the order; and the details are subsequently made accessible to the nurse within the eMAR application,” explained on-site training specialist, Arnold Clemente.

“However, during off hours, when the pharmacy is closed, nurses may still enter ‘phone’ orders into CPOE. These orders technically remain unverified until the pharmacist returns to his or her station. However, this feature allows nurses to administer orders, such as PRN medications, in cases where patients require immediate or urgent care.”

The after hours nursing tool ensures that orders are always accessible within eMAR, allowing for time-sensitive administrations when changes occur to a patient’s condition. As many of MPC’s patients are committed by court order, this also allows nurses to monitor patients at all stages during their therapy, and maintain a complete record of care for use post-release.

“Providers understand that a patient’s condition can change at a moment’s notice,” added Meta’s President/CEO Sal Barcia. “Sometimes, a nurse’s quick thinking can make a huge difference for the patient.”

“The after hours nursing tool shows how our system leaves room for chance within the care environment. Not everything is an exact science in behavioral healthcare—we need to expect the unexpected,” he continued. “Our system is flexible enough that, should something unforeseen occur, users will still able to respond to the immediate needs of the patient.”

Meta Introduces Clinical Workflow Analysis to IT Lineup

Garden City, New York (2015) – Meta Healthcare IT Solutions has unveiled the addition of clinical workflow analysis to its IT service offering. The announcement expands the company’s role during pre-deployment to include structured assessments of clinical efficiency, processes, and system usage. This newest service, vital to the success of EHR implementations, ensures that facilities maximize system value in the areas of care quality and patient safety.

“There is a fundamental difference in the way providers care for patients when utilizing outdated technology or paper based systems,” stated Meta Director of Clinical Informatics, Lisa Bridges, RN. “As clinical users tend to depend upon current state processes, an unbiased analysis of workflow allows facilities to bridge the knowledge gap during system design and implementation.”

The workflow analysis service consists of a multi-step process in which Meta’s Clinical Informatics team meets with clinicians and leadership, identifies broken workflow processes, and establishes solutions to improve patient care needs. The resulting gap analysis provides the necessary information to determine process changes, and investments in technology, staff, and education.

“The importance of workflow analysis during implementation cannot be overstated,” remarked Meta Vice President and CTO Eric Gerstenfeld. “Usability is one of the biggest roadblocks when adjusting to new systems; but without a structured assessment of clinical workflow, users cannot expect to identify or address inefficient practices. These deficiencies not only impact system usability, but ultimately jeopardize patient safety.”

In addition to improving patient care, workflow analysis also poses a financial incentive, as Meta President and CEO Sal Barcia explained.

“Inefficient workflow, in addition to impeding the quality of care, carries harmful financial implications,” Barcia stated. “Because of this, our informatics experts identify upfront costs, eliminate budget shortfalls, and suggest software enhancements to maximize the use of a facility’s resources.”

Meta’s clinical workflow analysis is a service uniquely available to Meta clients, which can be obtained either on a consultant basis, or as part of any MetaCare implementation plan. To learn more about this service, visit the company’s page at www.metacaresolutions.com/support-implementation/clinical-workflow-analysis/ or schedule a demo at www.metacaresolutions.com/contact/.

 Adapt, Transform, Improve.