Special Topics in Vendor-Specific Systems

1. Special Topics in Vendor-Specific Systems Common Commercial Electronic Health Record (EHR) Systems Used in Ambulatory and Inpatient Care Settings This material (Comp14_Unit1) was developed by Columbia University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 1U24OC000003.

2. Common Commercial Electronic Health Record (EHR) Systems Used in Ambulatory and Inpatient Care SettingsLearning Objectives By the end of this lecture, you will be able to: 1. Describe the mission and vision of HIMSS and KLAS and how their respective resources can be used to research EHR systems. 2. Describe common and distinguishing features of common EHR systems. Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

3. HIMSS Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

4. HIMSS (cont.) Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

5. HIMSS (cont.) Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

6. HIMSS Member Demographics Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

7. HIMSS “Products” Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

8. KLAS: Quick Facts • Independently owned & operated • Founder is Kent L. Gale • Pronounced like “class” • KLAS is the first initials of the founders' names: • Kent Gale, Leonard Black, Adam Gale, and Scott Holbrook • Headquarters: Orem, Utah; independent researchers throughout the country Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

9. KLAS (cont.) Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

10. KLAS:How They Do It Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

11. How Providers use KLAS Findings • Understand products’ & vendors’ strengths & weaknesses • Screen prospective vendors • Create influential proposals with KLAS research that supports your buying decision • Manage risk and exposure: be informed on price, contract issues & common complaints • Set realistic expectations for your organization and your vendor • Save research time and money Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

12. KLAS Research Focus Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

13. KLAS Methodology Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

14. KLAS Methodology (cont.)Criteria in Evaluations: • Contracting experience • Product works as promoted • Money’s worth • Avoids nickel and diming • Quality of implementation • Implementation on time • Quality of training • Overall product quality • Delivery of new technology • Ease of use • Product response time • Supports integration goals • Product has needed functionality • Quality of phone/web support • Proactive service • Executive involvement • Lives up to expectations • Keeps promises • Part of long term plans • Overall communication • Recommend to peer/friend • Overall satisfaction • Forecasted overall satisfaction • Would you buy again • Ranked client’s best vendor Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

15. KLAS Ratings Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

16. Top 10 Acute Care EHR:Over 200 Beds Table 1.1 Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

17. Top 10 Acute Care EHR: Under 200 Beds Table 1.2 Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

18. KLAS Ratings Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

19. Top 10 Ambulatory EHR:Over 100 Physicians Table 1.3 Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

20. Top 10 Ambulatory EHR:26 - 100 Physicians Table 1.4 Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

21. Top 10 Ambulatory EHR:6 - 26 Physicians Table 1.5 Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

22. Summary of Inpatient Vendors Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

23. Epic Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

24. Epic Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

25. Epic Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

26. Cerner Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

27. Cerner Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

28. McKesson’s Vision Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

29. McKesson Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

30. Meditech Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

31. Meditech • http://www.meditech.com • 40 years developing, installing, and supportinghealth care information systems • Founded in 1969 by the developers of MUMPS • A. Neil Pappalardo and Curt W. Marble develop MUMPS technology on a DEC PDP at Mass General Hospital from 1964 to 1968 • Markets: United States, Canada, United Kingdom, Ireland, South Africa, Latin America, Mexico, Spain • 2,200 customers worldwide • 2,900 staff members • Revenue (2008) $397 million • 5A1 Dun & Bradstreet credit rating • Privately-held Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

32. Eclipsys Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

33. Eclipsys • Incorporated: 1995 with more than 40-years of healthcare IT solutions experience • Headquarters Atlanta, GA • Employees: 2,800+ worldwide • Clients: 6,000 hospitals, healthcare systems, clinics and physician practices • Stock Symbol (NASDAQ): ECLP • Revenue (2008) $515.8 million • Allscripts announced on 6/9/10 that it would buy Eclipsys for $1.35B Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

34. Common Commercial Electronic Health Record (EHR) Systems Used in Ambulatory and Inpatient Care Settings Summary • HIMSS is a valuable starting resource to acquire detailed information about features and functions of EHR technology • KLAS is resource that can be used to assist with selecting a specific EHR system • There is wide variation in the corporate history and product offering of commercial EHR system vendors Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs

35. Common Commercial Electronic Health Record (EHR) Systems Used in Ambulatory and Inpatient Care Settings References References Epic Systems. Retrieved June 20, 2010, from http://www.epic.com Cerner. Retrieved June 20, 2010 from http://www.cerner.com Meditech. Retrieved June 20, 2010 from http://www.meditech.com Eclipsys. Retrieved June 20, 2010 from http://www.eclipsys.com HIMSS. Retrieved June 20, 2010 from http://www.himss.org KLAS. Retrieved June 20, 2010 from http://www.klasresearch.com Chart, Tables and Figures 1.1 Table: Sidelli, R. (2010). Top 10 acute care EHR: over 200 beds. Department of Biomedical Informatics, Columbia University Medical Center. 1.2 Table: Sidelli, R. (2010). Top 10 acute care EHR: under 200 beds. Department of Biomedical Informatics, Columbia University Medical Center. 1.3 Table: Sidelli, R. (2010). Top 10 Ambulatory EHR: over 100 physicians. Department of Biomedical Informatics, Columbia University Medical Center. 1.4 Table: Sidelli, R. (2010). Top 10 Ambulatory EHR: 26- 100 physicians. Department of Biomedical Informatics, Columbia University Medical Center. 1.5 Table: Sidelli, R. (2010). Top 10 Ambulatory EHR: 6-26 physicians. Department of Biomedical Informatics, Columbia University Medical Center. Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs