Change isn’t easy, especially when it comes to daily drivers like an eMAR. Habits are formed. Workarounds are found. And business as usual continues, even when new solutions offer better ways to get the job done. Take it from Ed Mason, director of technology and general operations for Mercury Pharmacy. “People don’t like change a whole lot. They just want to get through their lives and not have to worry about extra stuff. And that’s the hardest thing you fight. You have to have the mindset that this change is good.” With over a decade of experience in rolling out eMAR interfaces, Ed has seen their progression from products that required special equipment to services that only need a web browser. Ed was also an early adopter of ALMSA, the care technology that Yardi eMAR is built on. “Back then, ALMSA was the first of everything. It was the first real time, the first online, the first automatic update. It was really cool. I was just sticking ALMSA in every community.” Having set up eMAR systems so many times, he now knows the best way to approach change. When an implementation is underway, he tries to make time to get out to the site. He’s involved from the start to act as a resource and help the community get trained. This productive collaboration extends to his partnership with Yardi. At Mercury Pharmacy, which serves over 6,000 active residents in Washington state, Ed works closely with our implementation team to roll out Yardi eMAR. “What I like about the Yardi implementations is that you actually have trainers go on site to do it. With other eMAR vendors, most of it is done over the web,” Ed said. “Yardi spends a little more time training people,...
Empowering Nurses
SRI Uses Yardi EHR + eMAR
Dennis McCarthy, chief information officer at Florida’s SRI Management, knows that nurses are critical to providing quality care for residents. Keeping clinical staff happy means making sure they’ve got the tools they need to do their jobs as easily and efficiently as possible. That starts with ensuring they have access to the most accurate, up-to-date patient health records. “Satisfying nurses is the number one thing. You don’t want them on a separate system; once you have people on two systems you have all sorts of issues—nurses are trying to figure out which record is current and things like that. Integration to the core software is critical,” McCarthy explained. That’s why SRI, already successfully using several modules in the Yardi Senior Living Suite, adopted Yardi EHR and eMAR last July. “We just had nurses watch it in action,” said McCarthy. Once the staff got their first look, they were hooked. The team began using EHR right away to record resident incidents. Documentation was simple and everything that was logged was immediately appended to residents’ files in the database and kept as part of their permanent record. But the best part was that all the information was readily available after the fact, said Casey Polk, chief nurse and director of resident services. She finds that feature indispensable. “At my fingertips in the Yardi platform, I have easy access to what nurses wrote and charted about each incident and how it was handled. I can quickly pull up the chart and read the notes and have all the information on hand. And I love that the software also has reports on resident activity, new orders and missed medications. It allows me to follow up with my staff based on what has or hasn’t been charted that week,”...
Disruptive Change
Electronic Health Records
Adoption of electronic health records in assisted living is a disruptive change worth implementing declares Senior Housing Business magazine. As Eric Taub points out in a recent article for Senior Business News, assisted living communities have dragged their feet for too long, many still stubbornly relying on paper notes and other “low-fi.” record keeping. While these facilities have been able to limp along so far, Taub argues that “going high-tech is no longer an option. It’s not a case of simply providing a perk for residents but rather becoming a necessity to stay financially viable.” “That’s because the model of the assisted living industry is changing,” he writes, “Moving from a social framework with a medical conscience to a medical model with a social conscience.” The first step, according to Taub, involves adopting EHR and EMR systems, but implementation should follow a thorough understanding of the processes, procedures and costs. “While EMRs may be an obvious solution to more accurately tracking resident health and coordinating care with other providers, the implementation of such a systems is not,” explains Taub. “Assisted living communities face significant obstacles in switching their pen-and-paper based medical records to an electronic version.” “Change is hard,” admits Taub, “especially one as fundamental as introducing technology to a formerly analog world.” Tom McDermott, Vice President of Sales for Yardi Senior Living agrees, telling Taub that for many senior living communities, technology is not a priority. “Most people would rather get a root canal than change software,” he says, pointing out that facility managers and administrators often juggle many duties and struggle to prioritize their strategies. Nevertheless, Taub believes resistance is futile – soon assisted living communities will have no choice. “Baby boomers will demand it,” Life Care Services’ EMR director for Life Care Services Susan Adams, tells Taub. “I...