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Epic Enterprise Implementation. Kick-off Meeting September 19, 2012. Today’s Agenda. Welcome and Opening Remarks Meet Epic Organization and Charter Application Project Teams Timelines Program Scope Key Performance Indicators What to Expect in the Short Term Adjourn.
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Epic Enterprise Implementation Kick-off Meeting September 19, 2012
Today’s Agenda • Welcome and Opening Remarks • Meet Epic • Organization and Charter • Application Project Teams • Timelines • Program Scope • Key Performance Indicators • What to Expect in the Short Term • Adjourn
Robert Warren, MD, PhD, MPH Chief Medical Information Officer NOT REALLY
Health Care in Transition Engagement Competition Regulation Reimbursement PriceWaterhouseCoopers (adapted)
MUSC Health Strategic Plan Patient-engaged, evidence-based best care Responsive to community needs and regulatory requirements Efficiently provided and reported Informing health care education and research Integrated electronic patient record expanding our outpatient success: Epic Enterprise: July 1, 2014
A Few Words from our Sponsor(s) • Etta Pisano, MD • VP Medical Affairs & Dean, COM • W. Stuart Smith • VP Clinical Operations & Executive Director, Medical Center • Stephen Valerio • CEO MUSC Physicians & Associate Dean for Finance, COM • Frank Clark, PhD • VP Information Technology & CIO
Meet our Representatives Jim Pfleger, Implementation Manager Ryan Marshall, Implementation Coordinator
Founded in 1979 • Located in Verona, Wisconsin • Private & employee owned • 275 “customers” • 70 academic medical centers • 6200 employees • Almost all employees engaged in R&D or customer support • Named # 1 overall software vendor for 2011 by KLAS • > 40% of the U.S. population is cared for using Epic software. Who is ?
Timelines • August – September 2012 • Phases 0 & 1: Discovery and Planning • October – November 2012 • Phase 2: Workflow validation • December 2012 – August 2013 • Phase 3: System Build and Preparation • September 2013 – June 2014 • Phase 4: Testing and Training • July 2014 – August 2014 • Phase 5: Go-Live / Support
eCareNet Committee Executive VP Group EHR Development & Operations Council Executive Sponsor Dr. Bob Warren Epic Program Administrator Melissa Forinash Communications PMO, Dan Furlong Periop Steering & ED IT Steering Committee Inpatient Steering Committee Revenue Cycle Steering Committee Analytics Development & Operations Council C. Carr S. Russell S. Harvey K.Weaver C. Liddy Gail Scarboro-Hrtiz R. Freeman J. Kratz K. Davis S. Miller Revenue Cycle J.Dell M.Balassone Inpatient ClinicalsD.Northrup Ambulatory EMR T.Walsh Training & Support N. Whichard Enterprise Reporting & Analytics M. Daniels Infrastructure & Technical Support K.Nendorf Emergency, OR, & Anesthesia B.Seyfried Enterprise Legend Advisory & Steering Groups Admins & Clinical Leads OCIO/IT Leads
Application Project Teams • Approximately 150 people assigned full or part time • ~ 40 additional people hired within OCIO to staff project teams • 33 people currently certified in one or more Epic modules • >80 people currently in training / certification process
The “Charter” • Overall Governing Document for Epic Enterprise Program • Defines overall scope& timelines • Defines activities at various phases • Establishes Key Performance Indicators for program success • Approved by eCareNet Committee 8/13 • Sign-off by Executive Leadership
Program Scope • Enterprise-Wide Patient Access & Revenue Cycle • Inpatient clinical systems • Enterprise-wide Analytics & Research • Continued enhancement of Ambulatory clinical systems
Enhancement of Ambulatory EHR and integration with Enterprise 6/1/13 6/1/13 6/15/13
Patient Access & Revenue Cycle • Welcome • Cadence • Prelude • Identity • Resolute • HIM • BedTime • Patient Kiosk • Scheduling • Enterprise Registration and ADT • Enterprise MPI • Professional & Hospital Billing • ROI Deficiency Tracking • Bed Management
Inpatient Clinicals • EpicCare Clinical Documentation & Stork • EpicCare Physician Order Entry • Willow • Radiant • Beacon • ASAP • OpTime & Anesthesia • ClinDoc and L&D • CPOE • Inpatient Pharmacy • Radiology • Oncology • Emergency • OR & Anesthesia
Analytics and Research • Administration over all reporting platforms: • “Workbench” reporting at the application level • “MyEpic/Radar” Dashboard • “Clarity” analytic reporting • Other 3rd party platforms • Reporting Analysts – write Crystal Reports (Clarity) and collaborate with SME’s for all reporting needs • Manage Enterprise Information Request process (formerly Hospital Data Request) • Coordination with the Research community regarding resources for research build and reporting
Other Modules Licensed(currently not in scope) • Cupid Cardiology Info System • Willow Ambulatory Retail Pharmacy • Beaker Laboratory • Cogito data warehouse Enterprise Data Warehouse • Tapestry Claims Management
Existing departmental systems not expected to be replaced • Diagnostic Image Archives • PACS in Radiology, Cardiology, OB, GI, etc. • Document scanning (McKesson HPF) • Niche specialty systems • EKG, Sleep Lab, Fetal Monitoring, Ped Card, Vascular Lab, Meducare, RescueNet, PaceArt, Radiology systems such as PenRad, PeerVue, TeraRecon, etc. • HR, General Accounting, General Financials
Examples KPI’s – Ten for Overall Program • Determined by eCareNet Committee • Examples • Implementation by 7/1/14 • Average weekly cash posted for hospital and professional billing • Utilization of Epic by external stakeholders (MyChart, EpicCare Link) • Percent of new patients seen within 1 to 5 days of initial contact • Successful attestation Stage 2 Meaningful Use
KPI’s – Application Specific • Each team will identify KPI’s specific to their application as a measure of success by September 30 • Examples: • Days in AR for hospital / professional billing • % of regulatory requirements reportable through Epic • OR – prophylactic antibiotic medication compliance • Admission medication reconciliation compliance
Measuring Success • MUSC Health leadership support and active participation • “Ownership” by the project teams and operations • Interdisciplinary Teamwork and Workflow • Engagement and empowerment of physician and nurse super users as well as departmental “SME’s” • Timeline Management • Set go-live dates and stick to them • Control scope closely • Stick closely to Epic’s ‘Model System’ • Expect post-live adjustments
What’s Next? • Kick-off and Site Visits • This Week • Validation Sessions • October 16-18 • November 6-8 • November 27-29 • Reengineering Sessions • December 18-20 • January 8-10
What can you do? • Help us make sure we have the right people at the table • Help make decisions in a timely manner • Revisiting decisions will cost us time and $$$$$ • If you have a concern, voice it – don’t assume we already know • Be Cheerleaders!! • Check our hearing!! • Help us stay focused on the big wins
Growing Pains • Change, Change, Change • Super-user and “SME” time commitment • Training: 10-15 + hours of physician and nurse training/competency testing • Standardizing workflows where possible • Electronic and paper workflows • Backup / downtime procedures
Realizing the Benefits • Volumes of discrete data for reporting • Easy access to patient data in a single database • Interdisciplinary Record • Better charts lead to • Better care • Better reimbursement • Increased patient satisfaction • Improved quality of care