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Moving Beyond StandardBMV Reports
Using Data Repository
Session 373Presented by: Ian Proffer
Session Agenda
Review eMAR and BMV benchmarking reports in MEDITECH applications and the Data Repository
Report development and deployment strategies
Example DR-based BMV scan rate and warning reports
Questions, answers, & discussion
Areas of Interest
Rx administration summary Doses administered, doses scanned
Administered with or without warnings
BMV scan rates, looking for improvements By location and user
By department and user?
BMV warnings analysis By location, drug, ordering provider, user,
etc.
Our Development Strategy
1. Review standard reports available in MEDITECH (MAGIC 5.61)
2. Identify corresponding data within MEDITECH Data Repository
3. Create reports and structures to present the same data in a more user friendly and meaningful way
4. Validate results against MEDITECH application reports
5. Look for additional methods to relate eMAR and BMV data to glean additional knowledge into success of BMV / eMAR effort
MEDITECH eMAR and BMV Reports
eMAR Measuring & Monitor Detail This report allows users to specify and
filter data by location, ordering provider, admin user, drug type, drug, and warning type.
It then summarizes medication dose administrations, scan rates, warnings, and patient verifications.
MEDITECH Report Sample
User-supplied criteria
Summary Stats
Warning Counts
Administration Warnings By Location and User
Where We Get eMAR & BMV Data
MEDITECH Data Repository Versions 5.61
Most Pharmacy data became available in DR in version 5.5 Includes all NPR DPMs / segments as
well as dictionaries Can be easily linked to data in
other MEDITECH applications
Data Repository in SQL Management Studio
6000+ tables containing most data from most MEDITECH applications
SQL Server 2005 (or 2000) Relational Database Management System with MEDITECH Application Data
eMAR and BMV Information in the DR
NPR DPM = PHA.RXSEGMENT = admin
NPR DPM = PHA.RXSEGMENT = dose.warnings
NPR DPM = PHA.STATSSEGMENT = emar.daily.admin.stats
Information about dose administration
eMAR Compiled Statistics
Dose Warning Detail
NPR DPM = PHA.RXSEGMENT = scanned.med.x
BMV scan activity
A Closer Look at MEDITECH’s Total Statistics
Totals for doses administered, scanned, administered with and without warnings, doses not administered, patients verified (by wrist band scanning) and total warnings.
Two categories: 1) Doses Administered 2) Doses Not Administered
Data Repository-Driven VersionUser-supplied criteria includes date range, but can also include Location, Ordering Provider, etc.
Totals provide same information as MEDITECH report and can show or hide detail data
Charts are easily incorporated to add visual impact – this example highlights improving scan rates
Report Development & Delivery Strategies
SQL Server 2005 stored procedures to extract detail and summary eMAR and BMV data from DR tables
SQL Server 2005 Reporting Services to summarize and sort data, provide interactivity and drill-through to related reports, and deliver reports via intranet, email, file share, or printer
SQL Server 2005 Analysis Services to perform multi-dimensional analysis
More MEDITECH Reports Scan Rates by User, by Location
SSRS Report DesignerVisual Studio 2005
• VS provides a graphical design environment to simplify report development•“Under the hood” complex coding takes place – dedicated IT developers can leverage powerful programming features
SQL Reporting Services (SSRS)Report Manager
Web-based administration• Organize into Folders• Security Profiles • Subscriptions• Snapshots
Uses local intranet (Microsoft ISS) to host reports and deliver to users
Reporting Services Versions
Reports can be exported in a variety of formats, or printed directly from your browser
Dates can easily be changed and the report re-run with one mouse click
Conditional formatting allows you to highlight values based on your own metrics
Scan Rate by DepartmentWith Drill-down to Employee
Very useful for clinical managers: location and department are two different things!
DR reports allow cross-module analysis, in this case PHA and PP
SSRS InteractivityRemember This Report?
Click on the date…
…and the date is passed to run this report.
Report Manager allows you to view and navigate reports just like a web page – very simple for staff to use.
MEDITECH Measuring and Monitoring Detail Report - Patient Statistics?
This is really a breakdown of Warnings by Location and Admin User
Acmeware Version Using Drill-Down
“+” Allows drill-down to totals by user and warning
Totals By Location
Totals By User
MEDITECH Measuring and Monitoring Detail Report - Warning Summary
Warnings issued over a date range broken by medications administered and not administered
Warnings percent is based on total warnings from Total Statistics Report
Admin Percent of Total
Acmeware Warning Summary Report
Filtering criteria can be changed immediately and the page refreshed
Dropdown Box allows one, multiple or <ALL> selection (SQL 2005)
Percentages based on Total Warnings
SQL Server 2005 Analysis Services
Cubes are Multidimensional Databases that allow data to be easily analyzed, sorted, filtered, and manipulated to look for trends, outliers, and other information hidden within the data.
What’s In a Cube?
Fact Tables define events occurring over time (e.g., patient visits, medication administrations, warnings, lab tests, etc.)
Measures are numeric computations of facts (e.g., count number of visits, total number of administration warnings, etc.)
Dimensions are the ways you might want to analyze the measures. Examples include items from MEDITECH dictionaries (e.g. providers, drugs, locations) as well as regular time increments (days, months, years).
BMV Warning Summary
Measures
Dimensions
Facts
Warning Analysis by Administered Location
Dimensions can be arranged to show logical groupings; subtotals are automatically updated.
Dimension data can be hidden, but used to filter summary data.
Warnings by Location With Chart
Chart can be displayed side-by-side with detail data, or on its own.
Warnings by User Chart
More Chart Analysis Options With a Few Clicks…
…for these nurses only.Chart type is quickly changed to show total warnings by month for Jan-April…
Differences Between Reporting Services and Analysis Services
SSRS reports: run and done User may or may not supply criteria Typically designed and maintained by IT staff Reports are designed to present specific,
detailed information SSAS data: dynamic and open
User decides what to see and how to see it Finished “report” is designed by user (within
constraints of your software) Allow immediate analysis of a variety of
information – great of revealing trends using summary data
Looking Ahead: Using DR Data to Measure Successful BMV/eMAR Use
Look for additional methods to correlate eMAR and BMV data Associate warnings with medication
administration
Analyze effect on adverse events Measure improvement in patient
outcomes Other indirect influences of BMV
and eMAR
Thank you!