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Digital Divide October 24, 2012

Digital Divide October 24, 2012. William Schuh, MD Jerry DeWitt, RN. Integrated System. Carle Foundation Hospital Level I Trauma Center Level III Perinatal Services Primary Stroke Center Neonatal ICU Wound Healing Sleep Lab Spine Institute Heart and Vascular Institute

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Digital Divide October 24, 2012

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  1. Digital DivideOctober 24, 2012 William Schuh, MD Jerry DeWitt, RN

  2. Integrated System • Carle Foundation Hospital • Level I Trauma Center • Level III Perinatal Services • Primary Stroke Center • Neonatal ICU • Wound Healing • Sleep Lab • Spine Institute • Heart and Vascular Institute • Carle Cancer Center • Mills Breast Cancer Institute • Bariatric Services • Palliative Care • Digestive Health Center • Carle Research Institute 2011 Stats Licensed Beds 325 ADC 244 Inpatient Admits 20,561 ED Patients 63,359 Births 2,488 Trauma Patients 1,009 Surgical Patients 14,404 OP Visits 24,747

  3. Integrated System • Carle Physician Group • Multi-specialty clinic with 50 specialties • Clinical Trials • Reproductive Medicine • Oral and Maxillofacial Surgery • Hearing/Audiology • Eye/Optical Shop • Pain Center • Geriatrics • Primary Care 2011 Stats Locations 13 Physicians 334 APPs 181 Total OP Visits 787,725

  4. EMR Implementation • HIMSS stage 6 • Healthcare Information and Management Systems Society. • 7 stages of EMR Implementation • Top 5% in country • Most Wired Hospital 2011, 2012 • Hospitals & Health Networks magazine (H&HN)

  5. Epic Software Repository e-Health Ambulatory Inpatient Ancillary Epicenter EnterpriseData Repository Clarity Analyst Enterprise Reporting Identity Master Person Index Customer Relationship Management MobileMedsHandheld Access and MAR MyChartShared EMR for patients LucyFree-standing PHR for patients EpicWebAccess for providers MyEpicExecutive information home page EpicCare LinkAccess for affiliates • Admission/Discharge/Transfer (ADT) • Prelude Registration • Cadence Scheduling • BedTime Bed Management • Health Info Mgmt (HIM) • EpicCare Clinical System • EMR • Clinician Order Entry • Decision Support • Results Review • Clinical Documentation • MAR • 5 Rights Barcoding • Clinical Notes & Pathways • Interdisciplinary Care Plans • ICU • Willow Inpatient Pharmacy OpTime OR Management ASAP Emergency Dept EpicLab Clinical Laboratory Radiant Radiology Beacon Oncology Cardiant Cardiology Stork Obstetrics Labor/Delivery Kaleidoscope Ophthalmology EpicCare Transplant Anesthesia • Prelude Registration • Cadence Scheduling • EpicCare EHR • Charting • Clinician Order Entry • e-Prescribing • Decision Support • Results Review • Radiology • Residency Support • Coding & Benefits • Call Management/Customer Relationship Management • Nurse Triage • Home Health • Willow Ambulatory Pharmacy* • Welcome Patient Kiosk Managed Care Revenue Cycle Enrollment/Eligibility Claims/Capitation Revenue Guardian Utilization Management Premium Billing Resolute Hospital Billing Resolute Professional Billing *Coming Soon

  6. 20-29% of U.S. population will be cared for by EpicCare. (62M to 91M people)

  7. MyCarle • Patient Portal to Medical Records • Live since February 2011 • Features for patients: • E-mail messages when information available • View past and future appointments • View hospital DC instructions • Discrete data (meds, allergies, histories, immunizations) • View and graph lab results • View AVS • Review insurance and coverage information

  8. MyCarle • Future features: • Release radiology and pathology results to patients (manual only, no automatic release) • Bill pay • Request an appointment • Appointment cancelation request

  9. MyCarle • Features for Providers: • Release lab results to patients • Add message to results (labs are normal, etc.) • Additional means to notify patients

  10. MyCarle

  11. MyCarle

  12. MyCarle

  13. MyCarle Activation

  14. Epic Apps for Providers

  15. MyCarle Apps for Patients

  16. Other Smartphone Apps • 4130 hits on iTunes for “medical” • iTriage • Visual DX • Micromedex • Medical Encyclopedia • Medical Calculators • Prognosis

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