oneMAR%20brochure%20for%20HCF

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Catalyst oneMAR for healthcare facilities

(HCFs)

2© 2009 Catalyst Healthcare Ltd

Contents

Introducing oneMAR ..................................................4

oneMAR benefits ........................................................6

Time savings ...........................................................6

Medication safety ....................................................6

Clinical support ......................................................7

Electronic ordering ..................................................7

Flexibility .................................................................7

Inventory tracking....................................................8

Physician requests ..................................................8

Vitals and measures ................................................8

Schedule and reminders .........................................9

24/7 data access .....................................................9

Extensive reporting .................................................9

Fully integrated solution ..........................................9

Preparing for oneMAR ..............................................10

Hardware decisions...............................................10

Laptop specifications ............................................11

Scanner specifications ..........................................11

Network decisions.................................................11

Timelines ...............................................................11

RAI MDS 2.0 .............................................................12

Dynamic Charting .....................................................13

About Catalyst ..........................................................14

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Introducing oneMAR

oneMAR is an internet-based system that seamlessly

integrates the information and care needs of pharma-

cies, HCFs and physicians. oneMAR links in-house

pharmacy systems with automated dose packagers,

allowing your pharmacy provider to offer numerous

features such as medication safety via point of care

scanning, inventory management and

improved communication.

By introducing oneMAR, you will implement a safer,

more effective and streamlined method of medication

administration:

Scanning a barcode identifies and opens the corresponding •

resident’s chart and highlights medications to administer

“7 Rights” bar coding: right resident / drug / dose / time / •

route / reason / documentation

Access to digital photos of residents and medications•

Real-time information accessible through resident charts•

Warning message(s) preventing missed medications or •

administration to the wrong resident, and verification that a

medication pass is complete

Clear indication when a medication has been discontinued•

Reminders to ensure completion of required documentation, •

and to receive, scan and administer new prescriptions

Images of original prescription to support new •

prescription verification

Extensive reporting capabilities•

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Each item is checked and scanned out of inventory when leaving the pharmacy

Bar code scanning at point of care verifies “7 Rights”

Medication is delivered to the HCF

All items arriving from the pharmacy are scanned into inventory at the HCF

Non-packaged items i.e. inhalers, creams, and liquids are also bar coded

Medication is placed into resident specific containers

Each multi-dose package has a unique bar code

DOE JAMES 1OF1 04/03/07 @ 06:00CF-WATSON 331.62141 RAMIPRIL 5MG {RED/WHT “5”} DIN: 02221845

DR. M ANDRICEVIC EXP. 09/09ONE CAPSULE DAILY {RED/WHT “5”}

1 CENTRUM SELECT 5MG {LNG ORG U3} DIN: 02246346

DR. M ANDRICEVIC EXP. 09/08ONE CAPSULE DAILY {LNG ORG U3}

User: Catalyst Logout Resident Search PPO/Contingency Enter Barcode Manually Health Care Task Admin Reports

Current Resident Charting MAR/TAR Physician Consult Pharmacy Request Schedule & Reminder

MAR/TAR - Daily MAR

Luc Gervais

PIN: 9245674564

Room#: 103

Primary physician:Marina Andricevic

Show All Overdue Show Current Timeframe Feb 06, 2009 3 hours From: Feb 06, 2009 07:00 To: Feb 06, 2009 10:00

Daily MAR Daily TAR PRN Monthly MAR Pre-Printed Orders Contingency Discontinued Meds Med Receipt Non-Pharmacy Supplied Meds

Diagnoses: Nursing Notes: (Show Details...

Allergies

Medication Scheduled Date/Time Barcode Details Med Admin Details Admin By View Detail

Levodopa/Carbidopa - 100/25 - APX TAKE 1 TABLET 3 TIMES A DAYRX - 1000042 Jan 04, 200902195941 Dr. Marina Andricevic

Ramipril - 5mg - HMR TAKE 1 CAPSULE DAILYRX - 1000044 Jan 04, 200902221845 Dr. Marina Andricevic

Furosemide - 20mg - APX TAKE 1 TABLET DAILYRX - 1000041 Jan 04, 200900396788 Dr. Marina Andricevic

Feb 06, 2009

08:00

Feb 06, 2009

08:00

Feb 06, 2009

08:00

(010001GMO10E)

Lot #

Exp: Mar 03, 2010

(010001GMO10E)

Lot #

Exp: Sep 24, 2010

(010001GM010F)

Lot #

Exp: Mar 04, 2010

QTY: 1.00

QTY: 1.00

QTY: 1.00

View

View

View

Hypertension, Parkinson’s Disease, Osteoarthritis

Insulin NPH Likes crushed meds w applesauce


Time savingsA single scan opens a resident’s

daily MAR and displays all infor-

mation necessary to safely admin-

ister medication, a process found

to be 2.6 times more efficient than

manual MAR processes. Further-

more, there is no need to review

printed copies of monthly MARs

as oneMAR is always in real-time.

“On top of increased safety and

consistent documentation, less

nursing time is spent on the labour

side of medication administration,”

- Rita Steeple RN, DOC

Medication safetyBarcode scanning at the point of

care ensures the “7 Rights” bar

coding: right resident / drug / dose

/ time / route / reason / documen-

tation. Digital resident images help

with resident identification which

is especially important for casual

RNs, staff working at a number

of facilities, and HCFs with high

turnover. Digital images of medi-

cations assist with medication

identification and decrease the

mental workload for users. Warn-

ing message(s) prevent missed

medications or administration

to the wrong resident and clear

indication when a medication has

been discontinued prevents ac-

cidental administration. Physician

orders can be captured as a digital

image. If entered by the HCF, the

pharmacy is notified, then associ-

ates the image to a new prescrip-

tion, making it accessible in the

resident profile. For all new orders,

HCF users are prompted to

review the image of the

original prescription.

oneMAR benefits

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Clinical support Access to real-time drug informa-

tion, resident medication review

tools, and pull-down diagnostic

tools such as vitals support best

practice at HCFs and organiza-

tion-wide. oneMAR is part of the

Catalyst Resident Management

Solutions product line, which in-

cludes RAI MDS 2.0 and Dynamic

Charting, providing HCFs with

user-friendly clinical tools required

to support the highest

quality of care.

Electronic orderingPrescriptions and supplies are

sent electronically from the point

of care and received electroni-

cally by pharmacy. Notes can

be sent to pharmacy, i.e. regard-

ing urgency, and pharmacy can

send comments in return. Two-

way communication allows both

pharmacy and HCF to know the

status of each request, i.e. filled

by pharmacy or still pending.

FlexibilityoneMAR creates a standardized

process for safe medication ad-

ministration while supporting clini-

cal decision-making, i.e. HCF can

modify a single medication admin-

istration time, request a permanent

change from pharmacy or handle

a discontinue order called in by a

physician. Care givers administer

medications with precise elec-

tronic sign-off and indicate when

medication is taken off site for

leave of absence or not given at

all due to hospitalization. oneMAR

supports clinical practice and en-

sures complete documentation.


Inventory trackingTracking from the initial order, fill-

ing by the pharmacy, and receipt

at the HCF is accomplished with

scanning. Inventory is tracked at

the dose level, i.e. an inhaler may

have 200 doses, ensuring that

care givers always know what is

available and on-hand for each

resident. Electronic ordering at the

point of care makes requesting

additional medications or supplies

fast and simple.

Physician requestsA consult request can be prepared

at the point of care; each consult

is automatically populated with

resident information including

diagnosis, allergies and a com-

plete list of current medications.

Go beyond the SBAR (Situation,

Background, Assessment, Rec-

ommendation) model by attach-

ing important clinical information

such as a complete monthly MAR,

progress notes and vitals. The

physician has access to all clini-

cally relevant information, increas-

ing the ability to respond quickly

and accurately.

Vitals and measuresPrint, display or graph values from

vital signs and measures for trend-

ing and analysis. Attach to physi-

cian requests to ensure access to

all clinically relevant information.

Automated notificationsMinimize the need to fax or phone

the pharmacy, and save time due

to automated notification of

transfers, allergies added, hospi-

talization, and more!

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Schedule and remindersSchedule and track events, i.e.

outpatient visits, physiotherapy

appointments, recreation activities.

Print or view the events calendar

sorted by resident, unit, date or

designation, i.e. RN, physiothera-

pist, physician. Select scheduled

items for display on resident

MARs.

24/7 data accessHealth care staff as well as phar-

macists and physicians can be

granted access to oneMAR,

ensuring the continuity of care by

reviewing consistent, up-to-date

information thereby improving

decision-making for resident care.

Extensive reportingReports extract information used

to ensure improved resident care

and outcomes, i.e. a PRN usage

report allows nurses and phar-

macists to identify the need for

conversion to a routine medica-

tion and the Section U report

automates access to RAI MDS

medication-related data.

Fully integrated solutiononeMAR is part of the Catalyst

Resident Management Solutions

product line, which includes RAI

MDS 2.0 and Dynamic Charting,

providing HCFs with user-friendly

clinical tools required to support

the highest quality of care.


Preparing for oneMAR

If your pharmacy service provider doesn’t already

support oneMAR, they should contact Catalyst to

discuss how to get started. Alternatively, Catalyst

can recommend a network of pharmacies

offering oneMAR.

Once your Catalyst contract is signed, the implemen-

tation team will guide you through all required prepa-

rations. Hardware can be sourced independently, or

purchased on your behalf, terms of which are detailed

in your contract.

Hardware decisionsTypical set-up is a laptop and a barcode scanner

mounted to each medication cart; a wireless network

is highly recommended, however, many different set-

ups can be supported. For example, facilities with

‘pods’ often use existing desktop computers with

hard-wired internet access; all HCFs require

barcode scanners.

DOE JAMES 1OF1 04/03/07 @ 06:00CF-WATSON 331.62141 RAMIPRIL 5MG {RED/WHT “5”} DIN: 02221845

DR. M ANDRICEVIC EXP. 09/09ONE CAPSULE DAILY {RED/WHT “5”}

1 CENTRUM SELECT 5MG {LNG ORG U3} DIN: 02246346

DR. M ANDRICEVIC EXP. 09/08ONE CAPSULE DAILY {LNG ORG U3}

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Laptop specificationsAny current model from a tier one supplier should be

sufficient. Ensure the following:

Built-in wireless network adapter compatible with system •

installed at HCF

A minimum of two free USB ports for the scanner •

and a mouse

Support for 1024 x 768 resolution•

Support for Mozilla Firefox version 3.0 or greater•

Cellular card highly recommended•

Each laptop accessing oneMAR must have the latest

versions of Adobe Flash, Adobe Reader, Mozilla Fire-

fox version 3.0 or greater and Microsoft .NET Frame-

work version 3.5 SP1. These programs are require-

ments for oneMAR and can be downloaded for free

from www.adobe.com, www.mozilla.com/firefox/ and

www.microsoft.com.

Scanner specificationsHand Held Products (HHP), Model 4600r.

Network decisionsHaving a dedicated IT resource is a key success fac-

tor when implementing an electronic system. This

resource can help with decisions regarding cost vs

features/functionality, and provide ongoing network

and IT support.

An external storage device (USB key) that

automatically downloads MARs as PDFs is available

ensuring up-to-date MARs can always be printed

either on-site or remotely. Alternatively, the HCF can

call the pharmacy to request MARs via fax or delivery.

For facilities using laptops, an electrical outlet needs

to be accessible for re-charging during storage. In

addition, a back-up to the wireless network is recom-

mended. Cellular networking solutions can provide

backup internet access during outages. Depend-

ing on the provider, these are typically pay-per-use

services.

TimelinesTimelines are dependant on your pharmacy service

provider, as well as timely hardware purchases, con-

figuration decisions, and establishing reliable internet

connectivity.


RAI MDS 2.0

Catalyst MDS helps with accurate and timely

completion of the Resident Assessment Instrument

(RAI) process, including submission of data to

required stakeholders.

Built-in clinical checks, warnings and look-up references •

improve data integrity during the completion of

MDS assessments

History viewer allows access to previously •

completed responses

Configurable setting allows copying of responses from a •

completed full assessment to a new full or quarterly

assessment and saves time for HCFs allowing for clinical

review in place of data entry

Built-in RAI clinical outputs, Resident Assessment •

Protocols (RAPs), Resource Utilization Groupings (RUGs),

outcome scales and Quality Indicators (QIs), are used by

staff to enhance clinical care

Notifications and system-generated reports on upcoming, •

due and overdue assessments help HCFs manage

assessment scheduling

RAI MDS decision support services include quarterly •

reports addressing facility-specific issues

When integrated with oneMAR, additional

benefits include:

Less time filling out forms as resident demographic •

information flows directly from the resident profile to

all MDS assessments

Improved documentation workflow with unique monitoring •

tools, reminders and prompts that help ensure MDS

assessment completion, data quality and compliance

Direct population of Section U – Medications with the •

click of a button

Automatic completion of section P1b Therapies based on •

therapy times provided during sessions with a single or

group of residents

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Dynamic Charting

Catalyst Charting provides users a simple and

intuitive means of documenting and reporting on

resident specific information in a way that supports

clinical practice and quality assurance.

Structured progress notes provide focused documentation •

not found in narrative notes

Customizable categories and templates, i.e. SOAP, DAR, •

PIE, Focus, are used to address HCF

documentation standards

Assessments can be custom designed to contain multiple •

choice answers, checklists and scoring systems

Rapidly create care plans from a library of problems, goals •

and interventions or add new items to create individualized

care plans

Assign specific users or groups to carry out goals and •

interventions from a resident’s care plan, schedule target

dates for resolution

Upload, annotate and save photos useful in tracking •

treatments and personal inventory, i.e. wounds, medical

devices, equipment

When adopted in conjunction with oneMAR and RAI

MDS 2.0, the fully integrated solution offers:

Paperless clinical workflow solution with electronic progress •

notes, vital signs and measures, customized assessments,

RAI MDS 2.0 assessments, RAI reports, medication and

treatment administrations records, safe medication

administration practices and management, therapy time

tracking and more

Single source for entry and updating of resident •

demographics thereby decreasing time spent on

administrative tasks and increasing time with residents

Customized assessments including links to MDS questions •

for automated population of MDS forms

Care plans with integrated data from MDS, other •

assessments and triggered RAPs

Ability to generate a resident discharge transfer kit in PDF •

which includes your choice of any or the following resident

information: demographic, medical, physician,

communication, vitals, progress notes, care plans,

incident reports, appointments, consults, MAR, MDS

assessments

Powerful report builder used to develop custom reports to •

suit each organization’s operational and management needs


Catalyst Healthcare

t 888 278 4858

e [email protected]

w catalystrms.com

About Catalyst

Catalyst is a leading provider of medication safety and workflow solutions. Through the use of time sensitive bar

coding, oneMAR ensures that the right medication is given to the right resident at the right time, thereby increas-

ing safety and efficiency. Additional benefits include improved communication, inventory tracking, extensive

reporting, and safe, standardized medication practices for pharmacies and healthcare facilities (HCFs).

RAI MDS 2.0 and Dynamic Charting round out the Catalyst Resident Management Solutions product line,

providing HCFs with user-friendly clinical tools required to support the highest quality of care.

Catalyst Consulting offers value-added assistance to clients in conjunction with the adoption and implementa-

tion of novel health models and corresponding technologies. Services focus on medication safety goals and the

development of integrated technology solutions, as well as health service improvement projects at the clinic,

hospital, health authority, and provincial/state levels. Catalyst solutions are sold, implemented and supported by

McKesson APS in Canada and Parata Systems in the United States.

Documents

oneMAR%20brochure%20for%20HCF