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UCLA EPIC Program Overview. McFerran CITI 11.30.10. EHR Project Goals. To make UCLA Health Sciences the most information-rich academic medical center in the country. Our goals for the EHR project are to: Enable an outstanding patient experience
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UCLA EPIC Program Overview McFerran CITI 11.30.10
UCLA Health Sciences EHR Project Goals To make UCLA Health Sciences the most information-rich academic medical center in the country Ourgoals for the EHR project are to: • Enable an outstanding patient experience • Facilitate high quality, safe, and efficient care • Ensure availability, portability, and seamless flow of information • Facilitate easy capture and analysis of data • Promote UCLA’s position as a leader, innovator, and destination for patient care, medical education, and clinical research • Contribute to UCLA’s ability to recruit the best and brightest students, residents, fellows, faculty, and staff This is a transformation of how we deliver care as an institution
UCLA Health Sciences ARRA Incentives • ARRA provides $17+ billion for Medicare and Medicaid incentives for ‘meaningful use’ of health IT in patient care • Essentially a rebate, and covers ~ 25-40% of 5-year cost for implementing and maintaining an EHR • Medicare has penalties for not being a meaningful user starting in 2015 • Latest start for full Medicare incentive is October 1, 2012 for physicians, July 1, 2013 for hospitals • Roll out very complex to maximize payments --- could some be left out? Drug-drug & drug-allergy checks Electronic submission of quality metrics % of Patients 100% Problem, medication, and allergy lists 80% Record demographics, ht, wt, BP, and smoking status Clinical summaries for each office visit, transition, & referral Medication reconciliation Access to data electronically post-encounter (e.g., pt portal) 50% 40% E-prescribing 30% CPOE for medications 20% 10% Preventive care reminders for pts > 65-yo Pt-specific educational resources Access to data electronically continuously
UCLA Health Sciences UCLA ARRA Impact Forecast annual payments assuming we comply by 2011 ~$40M
UCLA Health Sciences Epic in UCLA HS Systems Context EHR Specialized EHR’s and ancillaries, Varian Aria Opthomology Clinical lab, PACS, etc. EPIC Automated workflow Research Data Repository Medical Grade Network
UCLA Health Sciences Stages of UCLA EHR Project 2012 - 2013 SUMMER/FALL 2010 2011 DESIGN & BUILD DEPLOYMENT STRATEGY VENDOR SELECTION DEPLOYMENT DETERMINE FINAL SCOPE TRAINING & SUPPORT STAFFING
Draft Scope Finalization* • *Epic Enterprise Licensing offers flexibility regarding implementation sequence. McFerran 11.15.10