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MEDITECH

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by

Michael Stack

on 24 July 2014

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Transcript of MEDITECH

Our search for an integrated health care information system
MEDITECH requires a core group of hospital personnel to come to its offices in the Boston area for intensive training sessions.

training begins with
software operations
workflows

implementation staff
customizes certain dictionaries tailored to hospital's environment
provides interfaces to non-MEDITECH systems
assists the hospital in converting data from legacy systems
delivers, installs & tests the licensed SW on the customer's HW
utilizes remote access communication technology to reduce travel
founded in 1969 by N. Pappalardo, M. Ruderman, C. Marble
Lawrence Polimeno - 1st employee
initial investment of $500k from EG&G
privately held (39% held by N.P.)
HQ in Westwood, MA
offices in MA [7], GA [1] & MN [2]
1982 - MEDITECH South Africa founded
2004 - MEDITECH Australia launch
2006 - announces initiative for Spanish version of HCIS
overview
leadership
finances
clients
products
.strategy
.timeline
.integration
implementation
evaluation
.needs
.deficiencies
.highlights
.case
decision
Ganesh Poudel, Michael Stack & Elinor Towler
agenda
product timeline
1964: Neil Pappalardo & co. begin developing MUMPS at the Mass General Hospital
1969: MEDITECH founded; 1st product released (Labs) [3]
1972: Team learns that computer rooms belong above ground.
1975: development of HIS begins with Financial & Patient Care Modules
1979:
MAGIC
technology introduced [68]
1986: Cost Accounting product released [302]
# of Employees in [brackets]
HLTH 6072
December 11, 2013
Medical Information Technology, Inc.
[www.meditech.com]
overview
clients
community hospitals
[poudre valley hospital]
home health agencies
[west georgia health system]
long-term care facilities
[erie county medical center corp.]
behavioral health facilities
[affinity medical group behavioral health]
integrated delivery networks
[centura health]
physician practices and clinics
products
http://www.modernhealthcare.com/article/20130528/NEWS/305289954
2011:
30% of all HIMSS Stage 6 sites are MEDITECH customers.

2013: Of the 2,950 hospitals receiving federal payments for
using "complete EHRs"
in the inpatient environment, MEDITECH has 415 (14% market share, 3rd behind Epic & CPSI).

2013: Of the 3,656 hospitals
using "modular EHRs"
as component parts of an inpatient system MEDITECH has 908 (24.8% market share).

By year-end 2012, MEDITECH had over 2,400 active hospital sites.
financials
revenue history
2010: $459,098,488
2011: $545,224,384
2012: $597,838,787
r&d costs incurred by MEDITECH after est. technological feasibility have been immaterial & as such have been charged to operations as incurred.

effective tax rate increase due to lack of r&d tax credit
revenue details
89% from United States
7% from HCA (MEDITECH's largest client)
9.7% increase in from 2011 to 2012 ($28.1m in +prod, $24.5 from +services)
strategy
all products developed in-house
pure software company
majority of product dev staff
incremental evolution & new products
focus groups sessions
rest of the staff -
replacement products w/new sw tech
~every 12 years -
next gen products introduced

pricing
product fee -
based on net patient rev. across all sites
implementation fee -
based on total # of sites
larger hospitals pay more
implementation
staff
Chairman & Director
Director
Vice Chairman & Director
2008:
6.0
release
1982: LSS Data Systems becomes partner
Payroll/Personnel product released [119]
2011: MEDITECH's 6.0 Health Care Information System (HCIS) version 6.05 EHR receives complete EHR inpatient certification [3,300]
2011:
30% of all HIMSS Stage 6 sites are MEDITECH customers.
1980: Materials Mgmt product released [72]
1993: Integration with Home Health Care System announced - [1,062]
integration
integrated solutions
follows patient care from mod2mod (eg: admissions to labs to billing & accts receivable
LSS & a long-term care module support entire continuum of healthcare
human resources & acctg modules support the financial and business side

fully encompassing HCIS (strength)
still a need for interfacing to/from MEDITECH
interface engines assist with
pathology & lab orders/results from outside facilities
back-filling patient data
fulfilling state or federal e-patient data xfer reqs



http://www.corepointhealth.com/sites/default/files/whitepapers/meditech-environment-interfacing.pdf
4,099 staff members (by year-end 2012)
functional units - product, sales/mktg, implementation, customer, acctg, & facilities]
no remote offices
sales & marketing
concentrate on new prospects
prospects visit MEDITECH, encouraged to visit other customer sites

founding fathers - where are they now?
Neil Pappalardo
Edward Roberts
Lawrence Polimeno

currently 16 officers
approximately 550 years w/MEDITECH (avg ~35 yrs/officer)
[www.meditech.com]
evaluation
administrative
Registration/Medical Records
Master Patient Index Conversion
Billing/Accounts Receivable
Revenue Cycle (includes Bill Remit)
clinical
Enterprise Medical Record
Patient Care System
Order Management
Patient Assessment Instrument (rehabiliation)



Home Health
long-term care needs (including rehab)
home health care
evaluation
common criticisms/concerns
old technology (MAGIC released in 1979)
customer service lacking
spotty project management
unknown investments in r&d
"assembly line procedure" implementation
deficiencies
highlights
Hospital Corporation of America (HCA)
largest customer - 7% of MEDITECH's revenue (162 hospitals, 113 freestanding surgery centers)

Poudre Valley Health System
Malcolm Baldridge National Quality Award winner - 2008
decision
GO / NO-GO ???
overview
leadership
financials
clients
products
.strategy
.timeline
.integration
implementation
evaluation
.needs
.deficiencies
.highlights
decision

agenda
overview
staff
financials
clients
product
.strategy
.timeline
.integration
implementation
evaluation
.community
.long-term
.home
.highlights
case
decision
MEDITECH
clients
community hospitals
[poudre valley hospital]
home health agencies
[west georgia health system]
long-term care facilities
[erie county medical center corp.]
behavioral health facilities
[affinity medical group behavioral health]
integrated delivery networks
[centura health]
physician practices and clinics
http://www.modernhealthcare.com/article/20130528/NEWS/305289954
Of the 2,950 hospitals receiving federal payments for
using "complete EHRs"
in the inpatient environment, MEDITECH has 415 (14% market share, 3rd behind Epic & CPSI).

Of the 3,656 hospitals
using "modular EHRs"
as component parts of an inpatient system MEDITECH has 908 (24.8% market share).

By year-end 2012, MEDITECH had over 2,400 active hospital sites.
evaluation
physicians & nurses
ED, EHR, Operating Room Mgmt, Patient Care & Safety, Physican Care Mgr

clinical department staff
Anatomical Pathology, Blood Bank, Pharmacy, Lab & Microbiology, Imaging Services

health information management staff
Health Information Mgmt, Scanning & Archiving, Scheduling & Referral Mgmt

executives & financial staff
Corporate Mgmt Software, Cost Acctg, Data Repository, General Acctg,
HR Planning, Report Designer, Revenue Cycle, Supply Chain Mgmt

patients
Patient Ed & Health Portal, Patient Discharge Instructions Integration
community hospital needs
Boulder
Community
Hospital
Boulder Community Hospital Takes the Leap with 6.0
long-time customer of MAGIC
aware of the risks of being an early adopter of new technology
cite past experience as the reason they stuck with MEDITECH
physician liaison worked closely w/physicians & clinical staff
1-on-1 training sessions
training DVD using Adobe Captivate

BCH nicknamed its implementation project 'NORMA,' standing for 'No One Runs MEDITECH Alone.'

"With 'NORMA', our care teams and staff were reminded on a daily basis that the 6.0 implementation was not an I.T. initiative, but an entire hospital initiative," says Minghella. "We wanted our core teams to be comprised primarily of end users, so they could have ownership of their modules and ensure that the system was implemented in a manner that best fit their needs."
Ganesh, Elinor & Michael,
is MEDITECH the right company for
your small, community hospital?
yes!
questions/comments?
thank you for your time.
1994: Adoption of
CLIENT SERVER
architecture using Industry Std OS
2005: Human Resources product released [2566]
Full transcript