MEDITECH As A Service (MaaS): Best Practices and Real-World Challenges

Choosing the right implementation model for your enterprise Electronic Health Record (EHR) system is crucial. Consider our comparison of the two primary MEDITECH Expanse models (MEDITECH as a Service (MaaS) and the Ready model) for insights into which might be the best fit for your organization.

What is MEDITECH MaaS? 

MEDITECH as a Service (MaaS) is a subscription-based, cloud-hosted implementation model. It is designed to offer a more accessible and financially manageable option for healthcare enterprises, particularly those with smaller budgets or limited upfront capital. MaaS provides several advantages, including: 

• Improved Security: As a cloud-hosted solution, MEDITECH handles the security and infrastructure, reducing the burden on your IT team. 
• Predictable Cost Structure: The subscription model allows for easier budgeting and financial planning. 
• Standard Content: MEDITECH provides standard content and workflows, which can streamline implementation and maintenance. 

Comparing MaaS and Ready Models 

Implementation Time and Flexibility 

One of the key differences between MaaS and the Ready model is the implementation timeline. MaaS is often faster to implement due to its reliance on standard content and prescribed workflows. This can be advantageous for organizations with tight deadlines or specific milestones to meet. On the other hand, the Ready model allows for more customization and flexibility, which can extend the implementation timeline but provides greater control over the system's configuration. 

IT Load and Resources 

MaaS reduces the IT load by having MEDITECH host the instance, which can be beneficial for organizations with smaller IT teams or limited resources. However, being part of a pod means updates are received on a fixed schedule, which might not always align with your organization's readiness. The Ready model, while requiring more IT resources, offers greater autonomy in managing updates and customizations. 

Customization and Workflow Changes 

The Ready model is ideal for enterprises that require extensive customization and have the resources to support it. It allows for a tailored approach to building and implementing the EHR system. Conversely, MaaS limits customization to ensure consistency and ease of updates across the pod. This can be a drawback for organizations needing specific workflows or custom build items. 

Pros and Cons of MEDITECH MaaS 

 Pros 

• Lower IT Burden: MEDITECH handles hosting and security, reducing the need for extensive IT infrastructure. 
• Predictable Costs: Subscription-based pricing simplifies budgeting. 
• Standard Content and Updates: Regular updates and standard content ensure the system remains current and secure. 

 Cons  

• Limited Customization: Organizations must work within the constraints of standard content and workflows. 
• Fixed Update Schedule: Being part of a pod means updates are received on MEDITECH's schedule, which might not always be convenient. 
• Dependency on MEDITECH: Custom build items and workflow changes require collaboration with MEDITECH, which can delay implementation. 

Key Considerations 

When deciding between MaaS and the Ready model, consider the following: 

• Budget and Resources: Assess your financial capacity and IT resources. MaaS might be more suitable for organizations with limited budgets and smaller IT teams. 
• Customization Needs: Determine the level of customization required. If extensive customization is necessary, the Ready model might be a better fit. 
• Long-term Strategy: Consider your long-term IT strategy and whether building internal knowledge and capabilities is a priority. 
• Vendor Relationships: Evaluate existing vendor relationships and how they might be affected by the chosen implementation model. 

Best Practices for Success 

Regardless of the chosen model, certain best practices can enhance the success of your EHR implementation:

• Stakeholder Alignment: Ensure clear communication and alignment among all stakeholders, including MEDITECH, the hospital team, and any consultants. 
• Robust Testing and Training: Implement thorough testing and training protocols to prepare staff for go-live and ongoing use. 
• Active Listening and Communication: Maintain open lines of communication throughout the project to address concerns and adapt to changes. 
• Governance and Change Management: Establish a strong governance structure to manage updates and changes effectively. 

What is right for your healthcare organization? 

Choosing between MEDITECH MaaS and the Ready model depends on your organization's specific needs, resources, and long-term goals. Both models offer unique advantages and challenges and understanding these can help you make an informed decision. Considering budget, customization needs, and vendor relationships, and implementing best practices, helps ensure a successful EHR implementation that supports your enterprise objectives. 

Next Steps  

Interested in learning how CereCore can help you move forward with MEDITECH Expanse? Let’s talk. 

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• How to Transition to MEDITECH Expanse »
• MEDITECH Rules And Worklists: 125 Options For Ready-Made Functionality »
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