Meta Healthcare IT Solutions Enters into its 25th Year


GARDEN CITY, New York  – Meta Healthcare IT Solutions is proud to begin its 25th year of operations. Since its inception in 1991, the company has delivered integrated health information systems to healthcare enterprises both large and small, never wavering from its initial goal of improving patient care through the use of their software.

Meta Healthcare IT Solutions was founded with a single mission: to improve patient outcomes by reducing medication errors and improving drug utilization. With the success of its flagship pharmacy solution, the company expanded its product suite in 2005 by adding modular integrated components residing on a single, unified database. Over the next five years Meta developed and successfully deployed its point-of-care nursing system with bar coded electronic medication administration record (eMAR), Computerized Provider Order Entry System (CPOE), and clinical documentation system. These pieces formed the foundation upon which Meta continues to develop its comprehensive electronic health record.

“When we began, health information technology was in its infancy,” stated Meta Vice President and Eric Gerstenfeld. “However, we recognized our technology’s potential to transform patient care. We knew that, if we focused on what our clients required to improve patient care, success would be inevitable,” Gerstenfeld added.

Unlike many small companies that quickly built deficient EHRs, Meta built their EHR piece by piece, over years; so that while each module was fully integrated as part of a cohesive electronic health record solution, each component could stand on its own merits and excellence.

Beginning with its initial product, Meta has evolved its solutions both with enhancements in technology and changes in clinical practices. One such example lies in Meta’s clinical intervention documentation. In 1988, Meta’s founders were among the first developers in the industry to computerize these reports. Since then, the company has built upon existing functionality to create a comprehensive intervention module. This documentation has become a vital part of health information management, both in the MetaCare system and competing products.

Throughout the course of its existence, Meta has supported numerous healthcare enterprises, including hospital systems, government agencies, behavioral health providers, acute care hospitals, correctional facilities, long-term care facilities, and several others. The flexible design of the MetaCare system allows for its implementation across various specialty disciplines and clinical settings.

When asked how Meta has managed to succeed in an industry that has seen massive changes, increased regulation, and continual economic duress, Sal Barcia, President and CEO of Meta, replied, “In order to meet your mission, you must first create a work environment that encourages employees to thrive. Our employees are really our greatest asset, and at Meta they are empowered to create solutions both for and with clients.”

“We’ve always treated our clients as partners in healthcare, and never put profitability above our core values. We are always grateful to have worked with so many wonderful caregivers over the years.”

“As we approach our 25th anniversary, we promise to continue our mission of increasing clinical efficiency, reducing healthcare costs, and improving patient outcomes,” concluded Barcia. “Clinical practices continue to change across the healthcare spectrum and we are committed to transforming alongside them, in order to ensure the highest possible quality of care.”

Adapt, Transform, Improve.

Northwest Missouri Rehab Center Completes EHR Deployment with MetaCare CPOE™

ST. JOSPEH, Missouri – Meta Healthcare IT Solutions, a leader in health information technology and electronic health record (EHR) software, has completed the deployment of its computerized prescriber order entry system, MetaCare CPOE, at the Northwest Missouri Psychiatric Rehabilitation Center (NMPRC). The solution has contributed to improved therapy adherence using plans of care and comprehensive order screening functionality. It has also allowed NMPRC to achieve the status of a Meaningful Use-certified EHR user.

NMPRC offers long term inpatient care to adults suffering from chronic and persistent mental illness. Treatment is administered by psychiatrists, psychologists, social workers, nurses, LPNs, psychiatric aides, recreation therapists, and other certified individuals. MetaCare EHR enables the 108-bed psychiatric hospital to provide evidence-based assessments for the overall improvement of patient care.

MetaCare CPOE, the most recently deployed module, resides on a unified database which links all MetaCare applications. Integration between MetaCare eMAR and MetaCare Enterprise Rxsystems, a nursing and pharmacy solution respectively, allows staff at NMPRC to deliver quality patient care.

“Integration between applications is crucial to our mission,” stated Meta Project Manager, Nancy Brill. “The seamless transfer of information from doctor, to pharmacist, to the nurse is especially important in psychiatric health.”

“MetaCare EHR enhances clinical accuracy, patient record keeping, and information exchange,” she continued. “Most importantly, however, it possesses the decision support features necessary to ensure patient safety.”

NMRPC processes a high volume of daily medication and non-medication orders using MetaCare Enterprise EHR. To facilitate this, Meta worked NMPRC to design plan of care order sets specific to NMPRC’s workflow. The ability to define and place admission order sets, follow-up order sets, and similar order groupings allows the EHR to streamline order placement and improve facility-wide therapy adherence.

The deployment of MetaCare CPOEconstitutes a crucial piece of NMPRC’s EHR project. Since the deployment, the facility has improved its already high quality care in a closed-loop environment.

CBM Delivers Point of Care Safety with MetaCare eMAR™

KANSAS CITY, MISSOURI – The Center for Behavioral Medicine (CBM) has successfully implemented MetaCare eMAR, an intelligent nursing application designed to improve patient safety at the point of care. The system was developed and deployed by Meta Healthcare IT Solutions, a leader in health information technology and expert in medication safety .

CBM offers short-term and intermediate-term psychiatric treatment services to individuals from the Greater Kansas City area. A pioneer in community behavioral medicine, CBM traces its origins back to 1954, when it was founded as Psychiatric Receiving Center (PRC). The facility is distinguished by its status as the first racially integrated psychiatric facility in Kansas City.

The 133-bed facility offers a therapeutic approach to recovery by emphasizing patient wellness and evidence-based treatment. The facility implemented MetaCare eMAR in order to improve patient outcomes via the standardization of facility medication adherence and point of care safety.

“Many providers don’t realize that each medication error, when examined in a broader context, has a large impact on the stability of a healthcare enterprise,” stated Project Manager, Gail Saidlower. “The ability to safeguard administration contributes to increased patient safety, but also financial viability, as it allows providers to manage the healthcare process from such a crucial moment during treatment.”

As part of its central philosophy, CBM aims to advance its own practices alongside changes in mental health care. Among its most important goals is the maintenance of a managed care environment. The deployment of MetaCare eMAR has helped further this goal by reducing unnecessary health care costs and improving treatment at the point of care.

NMPRC Deploys Long Term Care Nursing Solution

ST. JOSEPH, Missouri – The Northwest Missouri Psychiatric Rehabilitation Center (NMPRC) has completed its deployment of MetaCare eMAR, a leading barcoded medication administration system. With proven experience in long term care environments, Meta Healthcare IT Solutions worked closely with NMPRC’s staff to increase patient safety at the point of care.

A 108-bed psychiatric hospital, NMPRC provides long term inpatient care to adults suffering from chronic and persistent mental illness. The Center is comprised of three 20-bed wings and six 8-bed cottages. Treatment services are offered by psychiatrists, psychologists, social workers, nurses, LPNs, psychiatric aides, recreation therapists, work therapists, and other certified individuals.

The facility, which processes a high volume of medication orders daily, required a versatile administration record to assist nurses at the point of care. MetaCare eMAR achieves this through a host of clinical features, most notably barcoded medication administration (BCMA). However, the system also allows for pending orders to be reviewed and sorted based on user preference. Nurses also have the capability to trend vital signs and diagnostic results to monitor critical patient information during point-of-care assessment.

Training was performed onsite by members of Meta’s staff, including Director of Clinical Informatics Lisa Bridges. An expert in clinical workflow and informatics, Bridges leverages her past experiences in the nursing field to help users optimize system usability and improve patient safety.

“The staff at Northwest was very receptive during training,” stated Bridges. “Together, we were able to identify bottlenecks in their workflow, and create solutions to improve upon the facility’s existing processes.”

“Working closely with users reminds us that our work—our goal during every implementation—is all about patient care, and the real people who use our system every day,” she added. “I think our users truly appreciate the extra effort we put forth to make sure they are ready for work post-go-live.”

With the deployment of MetaCare eMAR, NMPRC has seen both an improvement in workflow efficiency and a reduction in bedside administration errors.

CBM Bolsters Physicial and Behavioral Medicine with MetaCare CPOE

KANSAS CITY, Missouri – 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.

Meta Set to Attend HealthAchieve Toronto 2015

TORONTO, Ontario – 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, or contact the Public Relations team at

MetaCare eMAR™ Shows Results at SMMHC

FARMINGTON, Missouri – 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 – 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 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 – 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.”