1. Ancillary Team Overview January 2016

2. What is the Ancillary Team? Ancillary Team Overview The Ancillary team is responsible for building the multiple Epic applications that will be used to ensure the continuity of care and ease of use for patient and care documentation. These applications include: In Procedural areas: Radiant - Radiology Cupid - Cardiology OpTime - Perioperative Scope These applications cater to the needs of specific specialties and departments, and all Ancillary applications integrate seamlessly with the others to ensure a continuity. Team Structure The Ancillary Team is made up of 32 individuals with various backgrounds from clinical to technical and beyond. They collaborate and interface across 10 teams who make up Health Information Partners (HIP). Current State The Ancillary Team has completed the design and reengineering sessions, and is now working with the Operational Group members, subject matter experts (SMEs), consultants, and HIP teams to standardize the Epic go-live. The building of these applications will began in January, along with Operational Group meetings already scheduled through 2016. In Specialty areas: Beacon - Oncology Anesthesiology - Anesthesia

3. Ancillary Team Overview

4. Radiant Overview Radiant is an Epic integrated application for all of the Radiology and Imaging departments. The tools and information are tailored for a Radiology department to include all modalities: General X-Ray CT Scan PET Scan MRI Ultrasound Nuclear Medicine Interventional Radiology Breast Imaging Scope The scope includes all BJC/WUSM inpatient and outpatient settings. Team Structure 6 Radiant Analysts 1 Principal Trainer Project Manager: Becky Ainsworth (ainsworthb@wustl.edu)ainsworthb@wustl.edu

5. Cupid Overview Cupid is an Epic-integrated application for Cardiology. It is part of Epic Care Ambulatory and has tools tailored for both Invasive and Non-invasive Cardiology. Scope The scope includes all BJC/WUSM inpatient and outpatient settings. Ambulatory will own a lot of the Cardiac outpatient offices, but there will still be Cupid functionality in use Team Structure 4 Cupid Analysts 2 Principal Trainers Project Manager: Becky Ainsworth (ainsworthb@wustl.edu)ainsworthb@wustl.edu

6. Timeline Radiant and Cupid Clinical BenefitsImpacts Combines tools for scheduling, documentation, results communication, chart/image tracking and detailed statistical reporting in a unified system that is fully integrated with clinical systems. BJC Hospitals BJC Medical Group WU Faculty Practice Plan Team Jon Rosin – Interim Team Lead Becky Ainsworth (ainsworthb@wustl.edu) – Project Managerainsworthb@wustl.edu Radiant: 6 Radiant Analysts / 1 Principal Trainer Cupid: 4 Cupid Analysts / 1 Principal Trainer

7. Beacon Overview Beacon is the Epic application that is integrated with both Ambulatory and Inpatient. It provides tools specific for the documentation of medical oncology treatment by Physicians, Nurse Practitioners, Nurses, Medical Assistants, and Pharmacists. This includes treatment protocols and therapy plans that can be tailored to meet the needs of an individual patient. Scope Beacon’s scope includes: Oncology offices Cumulative dose tracking Treatment and Therapy Plans Team Structure 6 Beacon Analysts 1 Principal Trainer Project Manager: Deborah Palombi (Deborah.Palombi@bjc.org)Deborah.Palombi@bjc.org

8. Timeline Beacon Clinical BenefitsImpacts Streamlines clinical patient information into one system Seamless transitions in patient care Provides safety checks in both patient information and medication dosing Improved clinical workflows Patient Safety Improved drug utilization Decrease in manual entry Meets Meaningful Use requirements Team Jon Rosin – Interim Team Lead Deborah Palombi (Deborah.Palombi@bjc.org) – Project ManagerDeborah.Palombi@bjc.org 6 Beacon Analysts 1 Principal Trainer

9. OpTime Overview OpTime refers to the operating room management system to help improve surgeon productivity, schedule utilization, materials management, and perioperative documentation. It integrates with both EpicCare Ambulatory and Inpatient, so tools can be used in both inpatient hospitals and ambulatory surgical centers. OpTime includes tools for: Scheduling Preference Card management Pre-op assessments Procedure record PACU Documentation Scope OpTime’s scope includes: All hospitals, including the OC and CSCC OR and GI OR scheduling Clinical documentation Hospital charge generation Team Structure 6 OpTime Analysts 1 Principal Trainer Project Manager: Syma Waxman (sfw2664@bjc.org)sfw2664@bjc.org

10. Timeline OpTime Clinical BenefitsImpacts All phases of the perioperative stay will be integrated Pre-op screening Pre, intra, and post-op care Post-op phone call Significant patient safety improvement in the patient perioperative stay will be available for providers to utilize. Team Jon Rosin – Interim Team Lead Syma Waxman (sfw2664@bjc.org) – Project Managersfw2664@bjc.org 6 OpTime Analysts 1 Principal Trainer

11. Anesthesia Overview Anesthesia streamlines the Anesthesiologist workflows for efficiency and patient safety. The system provides efficient charting tools and is optimized for touch-screen monitors using big buttons for quick data entry. It also allows anesthesia staff to document pre-surgery assessment, pre-op, intra-op, and post-op information quickly. Biomedical Device Integration minimizes transcription errors associated with manual entry to promote an accurate capture of patient data. Anesthesia is integrated closely with Epic’s OpTime surgery module: Pre-, intra-, and post-op documentation and order entry Point-and-click documentation to easily write anesthesia notes Can manage medications, vitals, airways, lines, events, and lots more in real time Dashboards to find and act upon a provider’s open encounters, patients with anesthesia complications, and more Practice out-of-OR workflows Scope Operating Room case documentation Outside of OR procedures including Labor and Delivery, Cardiac catheterization labs, GI/Endoscopy, Interventional Radiology, ED, and Hospital floor Team Structure 5 Anesthesia Analysts 1 Principal Trainer Project Manager: Stephanie Wasson (sew1668@bjc.org)sew1668@bjc.org

12. Timeline Anesthesia Clinical BenefitsImpacts One patient centric chart Increased accuracy in patient data, decreased charting time and more time for patient care Seamless transitions for orders and treatment in phases of patient care Enhanced patient safety Decreased manual data entry Meets Meaningful Use requirements Team Jon Rosin – Interim Team Lead Stephanie Wasson (sew1668@bjc.org) – Project Managersew1668@bjc.org 3 Anesthesia Analysts 1 Principal Trainer