Facility Member Educational Presentations

Redesigning Care Planning Functionality to Meet the Needs of a Mental Health Population
Presenters: Joanne Jones and Alison MacDonald
Organization: Ontario Shores Centre for Mental Health Sciences

Abstract: The development of the plan of care within PCS supported our Interprofessional Collaborative
Recovery Model (ICRM). MEDITECH 6.0 provided us the flexibility to build our care planning from the
foundation up - technology didn't drive our practice. We were able to manipulate the system to create a
plan of care that supported our vision of recovery oriented care. In consultation with MEDITECH, we
were able to rename the standard nomenclature and use the functionality to enable standardized goal
setting with the ability to capture the patient’s voice. The care plan includes eight identified themes
which were established after a paper chart reviews, themes have pre-populated goals and then each
goal and action plan can be modified to be meaningful to each client's specific needs.

Ontario Shores is a 325-bed tertiary mental health centre that went live with MEDITECH 6.0 in October
2010.

Alison MacDonald, RN MN is the Clinical Education Leader in the Clinical Informatics Department at the
Ontario Shores Centre for Mental Health Services. Alison is the lead for the MEDITECH 6.0 build team.

Joanne Jones RN BScN is the Clinical Education Leader for Professional Practice at Ontario Shores. Joanne
has over 25 years of mental health nursing experience and co-led the education for MEDITECH 6.0.

Specialized Application of Order Entry Consult Requests & the PCS Status Board to Manage
Forensic Patient Off Ward Privileges
Presenters: Erin Anstey and Tan Nguyen
Organization: Ontario Shores Centre for Mental Health Sciences

Abstract: During the implementation of the 6.0 modules at Ontario Shores, a requirement was to turn a
paper forensic privilege level request, approval process and maintenance of the privilege levels into an
electronic process. The build team developed a process manipulating the order entry consult requests to
enable requests to be sent to a Non-Physician approval body. Also, patients are now signed in and out of
clinical units using specially designed PCS Assessment forms that flow to a status board to monitor and
track patient privilege use.

Tan Nguyen RN, CPMHN is a Registered Nurse with 10 years of mental health nursing experience. Tan
joined the Clinical Informatics Department as the coordinator for a Government mandated electronic
assessment tool. He joined the build team for the 6.0 Advanced Clinicals Implementation and was heavily
involved in the PCS build.

Erin Anstey, RN, MN is the Clinical Education Leader in the Clinical Informatics department. She
completed her Masters in Nursing with a focus in Informatics at the University of Toronto. Erin was a
lead for the build of CPOE module in the 6.0 Advanced Clinical Applications at Ontario Shores.

Road to Success: Implementing a Full Electronic Health Record in Two Years

Presenters: Donna Foster and Sanaz Riahi
Organization: Ontario Shores Centre for Mental Health Sciences

Abstract: Ontario Shores is a 325-bed Tertiary Care Mental Health Centre in Whitby Ontario. In
September 2008, we began to prepare our organization for the MEDITECH 6.0 implementation.

The process of implementing MEDITECH 6.0 required many steps in order to ensure incorporation of
best practices and the roll out of all modules within the EHR. The first phase of the project focused on
the organization’s readiness and began with process mapping and revision of clinical documentations
and incorporation of a documentation methodology. The project was then divided into two phases to
ensure for smoother transition.

Phase 1 of MEDITECH 6.0 went live in October 2009, which included pharmacy, HIM and back office
suite of applications. This also included, the new paper MAR and order process which was to mimic the
future state of MEDITECH 6.0.

In March 2010 the roll out of all the new clinical documentation forms occurred. These forms reflected
the changes that were to be incorporated in MEDITECH 6.0, as well as, best practices to ensure
enhancement of care within the organization.

October 2010 was the implementation of the MEDITECH 6.0 advanced clinicals to include CPOE,
EMAR/BMV, PCS, ITS, lab, and PCM I, II. This required intense training of all disciplines, including
physicians, as well as, significant support during go-live to ensure smooth transition from paper to EHR.

Donna Foster, RN is the Manager of Clinical Informatics at Ontario Shores. She has 25 years of
experience to include Oncology, Inpatient Medicine and over 10 years of Informatics experience.

Sanaz Riahi, RN, MSN is a Clinical Education Leader in Professional Practice at Ontario Shores. She
graduated from Capital University with a Master’s in Nursing. She has had clinical experience in acute
care, outpatient neuropsychiatry and psychiatric nursing. She is currently the corporate lead for crisis
intervention training at Ontario Shores.
Surviving MEDITECH Updates: One Survivor's Tale
Presenter: Judy Schmieder, RN
Organization: Ste. Genevieve County Memorial Hospital

Abstract: MEDITECH provides updates to all platforms of their product. How do you survive an update?
We are a 25-bed critical access hospital with limited resources to complete such a massive undertaking;
but we have found a way to make it happen. A dedicated team of module specialists attend meetings;
utilize software to filter the DTS’s better; perform DTS testing; and perform a parallel run before the Go
LIVE date. We have many lessons learned and room for improvement. The purpose of this presentation
is to share our experience with MEDITECH updates.

Judy Schmieder has been a registered nurse for 14 years. She worked as a RN in the Med-Surg, ICU, and
Emergency departments before transferring to IS full-time in 2004. MEDITECH Magic was obtained in
2003; Judy was instrumental in implementing the OE & PCI modules at that time. Judy started as the
only IS Clinical Analyst and now holds the title: IS Project Manager. She has led all the advanced clinical
module implementation projects for her facility. Her facility has since hired two new Clinical Analysts
that report directly to Judy.

LIS Quality Assurance Program

Presenter: Scott Hubbard
Organization: Stillwater Medical Center

Abstract: Under the guidelines of the COLA accrediting agency, LIS coordinators must define a quality
assurance program and document their review of established criteria as a requirement. This
presentation will outline how to define a pre and post analytical QA program and set up the
documentation for agency review. It will also show how to capture daily reviews such as personnel data
entry, documenting system status, monitoring then documenting HL7 interface status and fail-reads,
faxing audits, and lab test billing.

Scott Hubbard has been the LIS coordinator at Stillwater Medical Center for 6 years using MEDITECH C/S,
currently at 5.64.

Making Reassessments Work for You

Presenter: Jenny Horn
Organization: Hardin Memorial Hospital

Abstract: This presentation outlines how the reassessment feature works in MEDITECH. It includes
examples of how this feature has helped our organization to improve documentation of pain
reassessments and IV start/stop times. It also includes dictionary building tips to assure this feature
functions properly.

Jenny Horn, RN-MNN, obtained an Associate's Degree in Nursing from Kentucky Wesleyan College in
1998. She is currently seeking a Bachelor's of Science in Nursing from Western Kentucky University.
Jenny obtained a National Certification in Maternal Newborn Nursing in 2010. She has functioned as a
Charge nurse for 10 years in Obstetrics, Labor & Delivery, and Intensive Care Nursery, and is currently a
Clinical Systems Analyst at Hardin Memorial Hospital in Elizabethtown, KY.
Status Boards – Not Just for Nursing Anymore! New Functionality and Design is Making Them
a Valuable Tool for Many Hospital Disciplines
Presenter: Cinda Lott
Organization: West Georgia Health

Abstract: West Georgia Health has partnered with MEDITECH to develop status boards that can used to
track Core Measures, Infection Control, and Physician Rounding. These boards are still in the early
design but will become useful tools for hospitals. New functionality will assist clinicians by pushing
needed information to one location in the EMR for easy access.

Cinda Lott, RN,BSN has been in Clinical Informatics for the past 13 years. She was the Clinical lead for the
implementation of the first 6.0 beta site in the country. She serves on the MEDITECH Nursing Advisory
Board and is currently the Application System Support Manager for West Georgia Health. She is married
to a wonderful husband Mark and has a son Brandon that will graduate from CRNA school in October
2011.

MEDITECH 6.0 Migration – Integration Strategy and Lessons Learned

Presenter: Rick Lambert
Organization: Markham Stouffville Hospital

Abstract: Many organizations are migrating to MEDITECH 6.0 for the enhanced workflows and enriched
systems that lead to improved efficiency and patient safety. However, as with any major system
implementation, migration to MEDITECH 6.0 presents issues and challenges throughout the
implementation process.

Markham Stouffville Hospital (MSH), recently migrated from MAGIC to MEDITECH 6.0 within a span of
eight months, and we would like to share our integration experience. Migration was a major
commitment for MSH, and having a sound integration strategy was critical for success.

This presentation will serve as a detailed integration discussion related to MEDITECH 6.0 migration:
 Setting realistic goals, and creating a sound integration strategy
 Regional integration challenges with Physician offices, Government Agencies, Labs, etc.
 Potential issues to keep in mind, and how our strategy helped mitigate them
 Lessons learned
 Assessing impact on downstream systems
 Contingency architecture
 Developing a comprehensive interface cutover plan
 In-house, Out-house or both

Rick Lambert is the Systems Integration Consultant at Markham Stouffville Hospital. He has worked at
hospitals using MEDITECH since 1985. Rick started his career as a Medical Laboratory Technologist, and
moved to IT full-time almost 10 years ago.
SCA: The Good, The Bad & The Ugly
Presenter: Jordan Russell
Organization: Satilla Health Services

Abstract: MEDITECH's SCA module has some great features that can help facilitate the push to an
integrated EHR. That's not to say it's a perfect solution - simply a cog in the wheel with several key
features either not fully developed or altogether missing. This session will focus on the steps that will
lead to a successful implementation of SCA, including how to plan ahead for the missing pieces of the
module.

Jordan Russell is a Systems Analyst at Satilla Health Services in Waycross, GA. His experience with
MEDITECH includes implementation of C/S 5.64 and SCA in addition to support of all non-clinical modules
and Data Repository. He has been the project lead / primary technical contact for many Satilla projects
including the SCA implementation in 2010. He has experience developing desktop and web applications
using the .NET development platform which were utilized for the deployment of the SCA COLD option.
Satilla Health Services is comprised of several specialty practices, nursing homes, rehab facilities and a
regional medical center licensed for 231 beds. Satilla is currently live with MEDITECH C/S 5.64.

MEDITECH 6.0: A Journey

Presenter: Keri McGill
Organization: Overlake Hospital

Abstract: In September of 2008, Overlake Hospital began the journey to 6.0. The journey was divided
up into three phases. The initial phase was an upgrade of the current Financial, Administrative,
Pharmacy, and Imaging applications. Order Management, Laboratory, EMR, and esignature of PCM
were included in this phase, and these applications were a complete build. With a successful August 1,
2010 Go-Live, it was a lot to celebrate. The BAR conversion was an overwhelming success. There was
better integration between applications, and the additional benefits of improved workflow and
processes contributed to the organization moving forward in anticipation of the next phase, clinical
documentation. But, with every implementation, there are opportunities and lessons learned. Overlake
Hospital has benefited greatly from these lessons, and this presentation will provide suggestions and ah
ha's for those considering going to 6.0.

Keri McGill, RN, MSN is the Director of Clinical Informatics at Overlake Hospital. She has been a
registered nurse for 25 years. After 16 years as a Trauma Intensive Care RN, Keri decided to venture into
the field of Informatics. In 1994, she began a part time Informatics position, supporting an electronic
documentation system in the Critical Care. She was unsure if she would be able to work with computers,
as after all, "she was only a nurse". This thinking proved to be not at all valid, and she discovered that
she loved the field of Informatics. After accepting a full time position in Informatics, Keri received her
Master's degree from the University of Colorado, Denver in Healthcare Informatics. At that time, an
opportunity presented itself whereas Keri was able to lead a team that implemented an enterprise-wide
EMR within a 3-hospital system. After a successful implementation, Keri was presented with an
opportunity to join Overlake Hospital and lead the organization on our current 6.0 journey. Currently,
Keri and her team are moving forward with the 6.0 implementation, moving along the road with
MEDITECH.
MEDITECH is Down – What to Do Now?
Presenter: Rochelle Doss
Organization: Hardin Memorial Hospital

Abstract: No matter how well we prepare, how diligent we are on system maintenance there is going to
be a time when MEDITECH is down. This could be a planned or unplanned downtime, a system error or
a server issue. Hardin Memorial Hospital (HMH) has developed one solution for this type of situation.
With the use of MEDITECH Data Repository, SQL server 2000 and now SQL Server 2008, and Microsoft
Access 2007, HMH is able to keep patient registration up and moving. With this solution, patient data is
extracted and then presented to users in a user friendly system. Come and learn an alternative to
potential downtime madness.

Rochelle J. Doss is a Programmer Analyst at Hardin Memorial Hospital (HMH) with 14 years of
programming experience and has been with HMH for nine years. She serves as the lead NPR writer at
HMH and actively supports others as needed. She routinely plans, programs, develops, tests and
implements SQL Server 2000 and 2008 databases for long and intermediate range projects not
accomplishable by other systems. She has participated in the implementation of MEDITECH Data
Repository (DR), among other projects, and recently assisted with the conversion of DR from SQL 2000 to
SQL 2008. Rochelle holds a Bachelors of Science degree, in Management Information Technology, from
Western Kentucky University and a Masters of Business Administration from Sullivan University.

The Good ... the Bed Board ... and the Ugly
Presenter: Kendra Slayton
Organization: Hardin Memorial Hospital

Abstract: In November 2009, Hardin Memorial Hospital implemented MEDITECH's Bed Board
application in conjunction with a third party vendor. Hardin Memorial had previously used a stand-
alone, best of breed bed tracking system. Come and hear about the project and lessons learned!

Kendra Slayton is the IT Applications Manager at Hardin Memorial Hospital. She has been with Hardin
Memorial Hospital for 14 years. She served as the co-chair for ADM Team and CWS Team during the
hospital's implementation of MEDITECH C/S in 2000. Since that time, she has participated on the PCS
Implementation Team, BMV Team, the ORM Documentation Team and various other projects. Kendra is
currently working on the implementation of SCA and CPOE and is responsible for all MEDITECH
applications.
The EHR from the Board and Senior Management Perspective
Presenters: Glenna Raymond and Karim Mamdani
Organization: Ontario Shores Centre for Mental Health Sciences

Abstract: Why make the journey to an EHR? What's the Business Case for an EHR for Mental Health
services? The presentation will discuss how Ontario Shores Centre for Mental Health Science made the
decision to proceed with EHR, how it chose MEDITECH 6.0, the Board governance requirements and
how the Senior Team organized to deliver the project on time and on budget.

Glenna Raymond is the President and Chief Executive Officer at Ontario Shores Centre for Mental Health
Sciences (Ontario Shores). Glenna has held positions previously as Chief Nursing Officer, Chief HR Officer
and her experience includes a national focus on patient safety in mental health.

Karim Mamdani is the Chief Operating Officer at Ontario Shores and has accountability for IT and
Executive oversight of the 6.0 implementation. Karim has held positions at various management levels
in academic health science centres and senior leadership positions at academic mental health centres.

6.0 PCS Build: A Best Practice Approach

Presenters: Amy Aaselund and Keri McGill
Organization: Overlake Hospital

Abstract: As Overlake Hospital began the planning for PCS, it became apparent that there was much
work to do related to current workflow, documentation content, and processes. The project team was
presented with an opportunity to implement an enterprise wide electronic medical record to include the
incorporation of standardized, evidence-based content. With limited resources, staff and budget, the
Project Champion's Team, led by the Nursing Champion, developed a subcommittee from the hospital-
wide Clinical Care Congress. Clinical Care Congress, a Shared Governance committee, supports a
decentralized organization placing the responsibility and authority for decision making at the level
closest to patient care. The conception of the Clinical Practice Integration committee allowed a multi-
disciplinary team to review current clinical documentation, evidence-based practice, and MEDITECH's
standard content in order to create a clinical documentation tool that meets the end-users needs while
enhancing clinical practice across the organization. Taking a quote from Spock, "The needs of the many
outweigh the needs of the few or the one", and this group started an amazing journey of discovery and
revelation. This is their story!

Amy Aaselund, RN, MSN, has been a CNS at Overlake Hospital for three years, having practiced at the
bedside in Critical Care and the Peri-Op arena. In 2009 she accepted the role of Nursing Champion for
the MEDITECH 6.0 EMR project. Over the last 2 years, Amy has expanded her nursing practice, and she
has become an Informatics Nurse, leading the organization on standardizing, identifying, and developing
best practice content for clinical documentation. In her spare time, she is mom to Cameron and one year
old Audrey.

Keri McGill, RN, MSN is the Director of Clinical Informatics at Overlake Hospital. She has been a
registered nurse for 25 years. After 16 years as a Trauma Intensive Care RN, Keri decided to venture into
the field of Informatics. In 1994, she began a part time Informatics position, supporting an electronic
documentation system in the Critical Care. She was unsure if she would be able to work with computers,
as after all, "she was only a nurse". This thinking proved to be not at all valid, and she discovered that
she loved the field of Informatics. After accepting a full time position in Informatics, Keri received her
Master's degree from the University of Colorado, Denver in Healthcare Informatics. At that time, an
opportunity presented itself whereas Keri was able to lead a team that implemented an enterprise-wide
EMR within a 3-hospital system. After a successful implementation, Keri was presented with an
opportunity to join Overlake Hospital and lead the organization on our current 6.0 journey.

Build a Discharge Call Application

Presenter: Deborah Brackin
Organization: Grays Harbor Community Hospital

Abstract: A discharge follow up phone call system was implemented to improve patient outcomes and
trend data with initial results stored on individual charts. Prior to implementing an electronic solution
for tracking discharge phone calls, there was no way to have a global view of the data. This presentation
illustrates how Grays Harbor Community Hospital created a simple secure solution using Microsoft
Access and NPR to create a comprehensive view of discharge call follow-up data, thus facilitating
improved plans of care and report findings of efficiencies and inefficiencies related to the patient’s
recent inpatient hospitalization.

Deborah Brackin has been supporting the healthcare industry for a total of 27 years with experience in
contract coding and claims processing. She has spent the past eight years in the healthcare IT field. The
last two years have been at Grays Harbor Community Hospital as a system analyst supporting 3M and
MEDITECH’s ADM, ABS, and MRI applications. In addition to her standard duties, Debbie has designed
and supports several MS Access and Excel solutions for various departments at the hospital. She
initiated time and resource savings in the organization, especially for the Quality area.

The Satilla 5.6.4 Upgrade Project – and We Survived

Presenter: Debra Beverley
Organization: Satilla Regional Medical Center

Abstract: Learn about the project management, the issues we encountered – along with the successes –
and the solutions and expectations regarding our recent 5.6.4 upgrade.

Debra Beverley is a Clinical Application Analyst for Satilla Regional Medical Center with over 25 years of
information systems experience. She has been with SRMC for 10 years and was hired in the beginning
stages of the MEDITECH implementation. She supported the original MEDITECH go-live and future ring
releases, served as project manager for implementation of the Fetal Monitoring System and a
Transcription/Dictation system, co-managed the Echo implementation, and implemented and maintains
various interfaces. The most recent challenge she had was managing the project for their 5.5.4 to 5.6.4
MEDITECH C/S upgrade.
Theme: Country MUSE-ic Awards

Categories include:
 New EHR Artist of the Year
 Single Application of the Year
 Clinical Entertainer of the Year
 Most “Meaningful” MUSE-ical Event of the Year

Nominees are:

Clinical Review, Sweet Music to a Physician’s Eyes – MEDITECH's newest sensation has taken the
country by storm. Clinical Review is a terrific new updated cover of that old favorite PCI. We have
played this song many times and find it a remarkable launching pad to introduce physicians to EMR
entry. We would like to share what we have learned with you about how to get this new favorite out
there and get your clinical staff on board. With the right planning and execution, this one will reach the
top of the charts!

Physician Documentation , How to Score a Hit For Your EHR – For all the medical staff that are
saddle sore, tired of squatting on their spurs and plumb tuckered out from reading all the handwriting
on paper, this new MEDITECH PDOC release is for you. A vibrant documentation melody is matched
with driving electronic instruments, a clever set of medical lyrics and an impassioned programming
performance making it the best nominee and a sure bet for the 2011 Country MUSE-ic Awards. Come
listen to this successful duet for a performance filled with physician adoption songs, implementation
strategy music and helpful tips picked up from 20+ previous implementations. All together these tunes
should help you get this electronic record happily playing back at your home corral!

Computerized Physician Order Entry (CPOE), Getting the Group to Play in Harmony – The Wild
West hasn’t seen a phenomenon like CPOE since Physician Documentation showed up in MEDITECH.
What a stunning debut, featuring the most infectious aspects of a Doctors signature style. Placing
orders on paper wasn’t worth a plugged nickel, but now, Computerized Provider Order Entry is peaking
at number one on the billboard charts. Emerging astonishingly fast as the new king of ordering, CPOE’s
climb can largely be attributed to boot scootin’ electronic ordering which has touched millions of fans.
So let’s all tip the brim of our 10 gallon hats to our Physicians currently using CPOE and get those “horse
of another color” Doctors on board. Set your promising artistic Doctors free from paper and learn how
they can put on their Sunday-Go-To-Meetin' outfits and knock ‘em flatter than a pancake by learning
CPOE.

Meaningful Use Gap Analysis and Planning – Engineering a Hit – Wow! What a crazy yearlong
MUSE-ical event this has been. Back from a successful tour of rural Washington State, INHS presents
Dolly and Reba ready to debut their latest smash hit: Meaningful Use Gap Analysis and Strategic
Planning with MEDITECH or better known as, the minimalist approach to get the win. Like any great
country hit, this song has it all, the heartbreak of quality measures, the excitement of meeting your
goals, and finally the happy ending with successful attestation! They will also be giving a little sneak
peak of the sequel to this song: Stage 2, Here We Go Again.

Marcia D. Cheadle, RN, is the Director of Advanced Clinical Applications for Inland Northwest Health
Services (INHS). Ms. Cheadle is responsible for the implementation of MEDITECH’s Advanced Clinical
Applications for over 23 facilities. She oversees the design of a multidisciplinary program strategy
ensuring successful execution and adoption. She has directed implementations including MEDITECH
Nursing Program, Emergency Department Management, Physician Computerized Order Entry, V2 MIS
Allergy Conversion, Ambulatory Order Management/Medication Reconciliation, Physician
Documentation and Bedside Medication Verification programs. Over the past 24 months, Ms. Cheadle
has orchestrated facility-wide Physician Computerized Order Entry, utilizing Zynx Evidenced-Based Care
Orders at seven facilities while designing strategies for Physician Documentation, implementing at 15
facilities with over 550 physicians documenting electronic daily progress notes, H&Ps and Discharge
Summaries. A champion of facility and provider involvement, her implementation designs work within
the culture and characteristics of an organization developing a plan that aligns multidisciplinary
clinicians, informatics staff and executives. In addition, Ms. Cheadle facilitates planning activities for
large project initiatives within healthcare organizations interested in preparing for “Meaningful Use”
leading to Accountable Care Organization status. Ms. Cheadle maintains her commitment to the nursing
profession by continuing an active bedside care practice at a local Emergency Department.

Jay Niehaus is an analyst on the Advanced Clinical Applications Team for Inland Northwest Health
Services (INHS). Mr. Niehaus is one of the team members responsible for implementation of MEDITECH’s
Clinical Review and Provider Documentation (PDOC) Applications in conjunction with Project Managers
for 9 facilities. Over the past 18 months, Mr. Niehaus has been on the front line with the facility-wide
Physician Documentation project: researching, designing, implementing templates and training at these
facilities working with over 260 physicians. These physicians are currently documenting approximately
7,000 electronic daily progress notes per month. Mr. Niehaus maintains a close relationship with the
physicians, HIM staff and MEDITECH to ensuring maximum participation and compliance.

Debra Jahn is a senior analyst on the Advanced Clinical Applications Team for Inland Northwest Health
Services (INHS). Ms. Jahn has 20 years of experience in close partnership with MEDITECH and project
management teams for the successful implementation numerous applications. She works closely with
multiple facilities interfacing with physicians, nurses and ancillary staff to develop and ensure a standard
methodology in construction of screens and templates. MEDITECH applications include the PCM suite,
with CPOE, Clinical Review, Provider Documentation (PDOC) and EDM/POM for several facilities. Ms.
Jahn also coordinates with nursing staff for the implementation of electronic Medication verification
application. Ms. Jahn researches, and tests order sets, templates and

Cheyenne Thomas has been with Inland Northwest Health Services for 7 years and is currently in the role
of Regional Accounts Manager. In this capacity a large part of her duties involve regulatory research
and education for 20+ sites in the Northwest. Her most recent role has been focused on helping these
facilities understand and achieve meaningful use. As part of the INHS meaningful use task force, she has
attended most of the ONC workgroup meetings, been responsible to read and educate the group on all
related regulations, hold educational sessions for all INHS associated facilities, create gap analysis and
monthly report card documents, and work with facilities in regular meetings to monitor their progress
towards meeting meaningful use and help to adjust strategies where necessary. Cheyenne has also been
a regular contributor to the MUSE Meaningful Use web site. Mrs. Thomas has previously managed
business office staff and functions for both large urban and small rural facilities. She has been in
healthcare for 16+ years.