Technology Enhancements and Implementations for 2020

Baxter IV Pump and Standard Drug Library Implementation

In 2020, nine Acute Care Service Line Facilities implemented over 5300 new Baxter Spectrum IQ v9 pumps. A comprehensive system-wide drug library including over 1100 medications was distributed via the smart large infusion pumps. The smart infusion pump library alerts clinicians when a medication infusion limit is exceeded and detects programming errors before an infusion is delivered to a patient.

Cerner Revenue Cycle/SurgiNet/RadNet

In early 2020, Acute Care Service Line facility Jersey City Medical Center transitioned from their heritage financial system STAR to Cerner Revenue Cycle. A new clinical information system for surgical/OR and radiology was also implemented. The implementation team consisted of a collaboration of team members with representation from Jersey City Medical Center’s pharmacy director and IT pharmacist, ECIS pharmacy, PRD, Revenue Integrity along with numerous vendors. The team assisted with the build and validation efforts leading to a successful go-live for Rev Cycle, SurgiNet and RadNet.

Dr. First MedHx Enhanced Platform and URL Transition

Dr. First’s MedHx is a web-based platform used by RWJBarnabas Health healthcare professionals since 2016 to obtain more accurate and comprehensive medication history data for improved medication reconciliation. In 2020, Dr. First enhanced their platform to allow for efficient and streamlined administrative processes. Three new alerts and trending charts are available to assist practitioners in their opioid stewardship initiatives: morphine milligram equivalents (MME), multiple provider episodes and overlapping medications. In addition, over 500 end-users were migrated over to a new URL.

Pharmacy Pricing Strategy

To build upon previous years’ projects (converting our AllScripts and Cerner clinical information systems and Pyxis automated dispensing cabinets to our standard 820 charge codes), a new pricing strategy was implemented across our Acute Care Service Line facilities. Representatives from Revenue Cycle, Managed Care and PRD worked alongside a pricing consultant to develop updated and consistent pricing while creating new markup strategies that were negotiated with various managed care payors.

Somerset Pricing Conversion

Prior to 2020, RWJ Somerset pharmacy charges were derived from AllScripts while the rest of the acute care hospitals’ charges primarily resided in the Pharmacy Charge Master. The charging process for medications was standardized to calculate the CDM price in Optimum which is GPO so it is the same as all other SCM/heritage RWJ and Cerner/heritage BH sites.