e e e e e morning good morning e let me just make sure we have everybody um all right well we'll go ahead and get started and then others can join in so the purpose of this meeting um is to streamline our Florida and um Ohio ABN process so I'm really just facilitating getting you guys together so um I'm not sure who wants to really lead the discussion um or what steps need to happen in order for that to take place start with decisions we made yesterday um we decided to make some changes to the Florida orders um immediately to help them because they have some issues with the patient population now and then overall the goal is to consolidate and get Florida and Ohio using the same orders um Dr r is that did I miss anything no I I think that's where I would have started to um I I I think the only other piece of that that we added is that because um their orders will likely be changing we at this point in time won't add abns um to their um to their process they'll have to still do them manually it just doesn't make sense to R to try and update because they don't have the visit types yet either and I know we're trying to get this project finished so um at least for this process it right now it doesn't make sense to try and add electronic abns to their their stuff um I do think that for future abns we need to look at Ohio and Florida order so nobody gets left out so clarify you don't want to streamline at this point in time eventually you will but not at this time is that what I'm hearing yeah yeah I think I mean we we we talked about it but the the orders that they have theyve built into decision trees and and done a bunch of stuff that for the most part we probably don't have with our current orders or and or we left our console orders separately because when I joined the project that was already done and in the works and so we didn't consolidate we just um we did do uh follow-up orders that are all Consolidated so everybody can use the same follow-up orders so we did ask for them to use those because they haven't started with the follow-up orders yet um but for the console orders we did not um consolidate ours either so there's still orders for four different areas okay so I guess my question from from all of this is what are the next steps or is there anything that this group needs to do at this point in time so this is Matt from the ambulatory team so I was this I'm kind of new to this party on this call but there's a other um build project that I'm part of with the consolidation of the Florida orders so I am actually meeting with the access team on Monday um and Amanda I see your on I think you're you're part of that too um I guess to go over the changes that are going to be made which orders are going to go away which you're staying so on and so forth um yeah as L said they were only Florida sorry G to say something yeah so the goal of that project is to add um options of services that are available within the Florida region that are not currently built into our order and I think we were looking at um making a panel based on our current active orders I think what what we talked about with Dr rough uh longterm was comparing the nutrition orders that are available in Ohio versus Florida and consolidating to one order um that would be appropriate for all services across the Enterprise that's a longer term project is my understanding okay so we w we weren't going to consolidate Florida into one order first no it's it's a panel based on that referral to nutrition services but they will be linked to like the consult to transplant nutrition oncology nutrition BMI orders that are still active those orders are not going away oh okay I think Matt the the only way or Matthew I don't know if you go by Matthew but um I I think the only way that we would think about consolidating those is if if you as the Builder said that would be easier and it's not going to slow down the process I think that was a big concern um their patients are being either lost to followup or just lost because they're not scheduling their consults and so there was a big concern that if we tried to do the consolidation now um with all the work that's already gone into it it would delay a go live yeah I guess yeah we'll guess I'll have find on more on Monday when we chat um like I said I this is just yesterday was the first I've heard of any of it um no I mean yesterday I Meer so I think let me I guess I for I didn't realize that you were totally new to this I think this started because you know I've been working with the ABN team um to bring uh abns to all the nutrition orders and I probably falsely assumed that um the that Florida had been evaluated as a part of that um and probably when this project started because it was before my time um you know we were not on the same instance at Martin um and or potentially Indian River and so that that wasn't a consideration and and it never got brought to that group to say hey do we need to think about the Florida orders um there was a request for this nutrition change for some of these nutrition changes that happened on the ambulatory meeting a while back and at that point in time I said oh wait a second they would need ABM you know do we want to try and at least have a conversation about you know is now the time to consolidate should we consolidate what would that look like and so that was that meeting that we had yesterday for you know the concerns about you know a long delay would happen for for the ABN piece the ABN actually it's not totally right but it it does fire for the the nutrition consult Florida we were asked to kind of turn it on for that one um the only so like you'll get the pop up but the only issue with that is there's no cost so we I think we're just saying at least it's flagging them now because I know I see Sand's J on that she she told me about the all the work that went into that um order for Ohio um so the the ask was at least turn on ABM for that order in Florida and then go from there so it does fire if the diagnosis is wrong yeah if it doesn't fire with like the right information and if it says console on there and there's no estimate like I don't actually know how helpful that is well yeah yeah there's there's still the manual it's a still manual process and it and I will say it varies based on Hospital what that estimate is yeah and that's a whole another project I mean I we they just did a whole lot of you know consolidation of prices across the uh Enterprise based on locations in Ohio I I don't it sounds like Florida wasn't included or at least the nutrition piece wasn't um correct so I I don't know I mean my my constant ask for most things is you know have we looked at Florida where do this I'm really frustrated that a lot of times they just say Florida's out of scope I don't think that's fair um but that's neither here nor there so I think you know because of of the changes that are likely coming because of the amount of work that went into firing the to have the AV on fire with the right name um and the right price you know it it makes sense to wait until we do the consolidation project you want me to turn it off and Dr Ru sorry go ahead I I can make it not fire at all like it was before it doesn't matter to me it sounds like they have a process to update it manually so I I don't think we turn it off it just is a piece that is you know it does at least tell the scheduler or whoever is um you know at check-in which it really should be done before check-in but that's a whole another piece um you know that that that should happen so it does at least provide some notification yeah I would request not to turn it off do we know when the consolidation project is happening Dr Ruff I think it depends on when the ambulatory team can um help us sort through what's there and what you know a solution ution would look like there's also I think Lynn mentioned Lynn or Christie mentioned that um Kate Neil is taking a process through intake right now um or getting ready to to do a enterprise-wide order consolidation um so it it depends on you know when and where we want to tackle it I mean I think if we have all the right groups together to sort of get into place what we need and and keep going then and there's resources to to help us with that then that that would be my preferred thing but I don't know what else ambulatory has on their plate right now yeah so we've been working with Kate to get this project going so her taking it through intake we can start as soon as it gets approved and I can let Kate know that this could be one of the first um areas we tackle because everyone's ready for it we may not get as much Buy in in from other areas right away so we could put you guys at the top of the list okay so do we want to table this until we finish the consolidation project and with Lynn's team and then we'll come back to this and we can regroup with this team again after that or do you want to do it parallel to that when you see like this as in like I I think we basically had two meetings I think somebody asked that we meet sooner and so we met a day sooner than today oh yeah okay all right I think happened uh so okay um so then what you so then I just want to make sure that I'm following up in the right direction do we want to table this until until after the other pieces are complete yeah I mean I I I told the team yesterday if that if this is the way we were going it wasn't fair to make the team try and sort through all the work that we did for the abns to only have to turn around and do it again um yeah okay because it was a lot of work and and and they don't have some of the pieces that we would need to make it a like a smooth quick transition so so K maybe we can have a check-in in like four to six weeks or something with this group just to say what we've done so far what Matt and Sher work on um and maybe we'll have some more answers on the intake you know has it gone through intake does it approved can we get started kind of thing and if it's not needed you know okay when we get to that date if it's not needed we'll cancel and we can handle things by email but at least uh keep oh you know knowing what's going on the momentum going yeah I mean that's what I I don't want the momentum to die and I don't want things to fall off the the Wayside so I just want to make sure that um that we keep it going so okay that's um Dr Ruff are you okay with that I'll re I'll schedule this group for four to six weeks depending on scheduling uh conflicts and then we'll we'll check in then yeah I think that's good is there anybody from yesterday's meeting that needs to be on today's meeting like that needs to be on the future meeting I guess is the way I would put that yeah think AOS side and I would include um the high representation from chn Renee Welsh and Agnes SOA um if you guys wouldn't mind I'm sorry if you guys wouldn't mind adding the names specifically to the chat it would be helpful yep Dr Renee Welsh was on the call yesterday Agnes is the CNM over ambulatory uh chn in Ohio so she's more familiar with the nutrition based orders okay so any other questions comments concerns before we we break no I I guess I have one other question KY which is it's a little bit off topic but I know we were looking to see like about Reviving the ABN uh work group did you get any updates on that that I have something I have something scheduled with uh Laura roots and I need to have a convers I have a meeting scheduled with her okay perfect and that's that's the first step because she was part of that ABN governance um so once I have that conversation with her um that should be coming up soon and then we'll I'll have a followup information from for you from that okay so this is Cindy and I apologize that I joined late I was I was went over on another meeting I had but are so does this what does this mean for the ABN work that we were doing are we halting that or is this no continue forward okay got it thank you because I think we were I think we're still waiting on something yet for that we haven't moved what we originally wanted to put in Pride yet I think Kelly put in the put in a few service requests um that we were waiting on getting back to finalize that thank you all right we'll time back everybody on a Friday is much appreciated so we'll see you in 4 six weeks thanks everyone have a good weekend bye bye thanks bye e e e e e e