1. Epic Enterprise Implementation
Kick-off Meeting
September 19, 2012

2. 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

3. Robert Warren, MD, PhD, MPH Chief Medical Information Officer
NOT REALLY

4. Health Care in Transition
Engagement Competition Regulation Reimbursement
“Care Delivery Factories”
OLD MEDICINE
“Home Sweet Medical Homes”
NEW MEDICINE
Patient as Disease
Patient as Partner
Disconnected care; limited access
Facilitated access to care
Real-time connection with patients and community physicians and services
“Isolated” experts; care variance
Evidence-based care
Real-time clinical decision support
Unrelated Clinical Research
Integrated Research Driving Best Care
$$ for service
“No Margin, No Mission”
$$ for outcomes
“No Outcome, No Income”
PriceWaterhouseCoopers (adapted)

5. 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

6. A New Record … a cultural shift from adoption to ownership

7. TOGETHER

8. 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

9. And Now……. A Word from our Partners

10. Meet our Representatives
Jim Pfleger, Implementation Manager
Ryan Marshall, Implementation Coordinator

11. Who is ? 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.

14. Timelines August – September 2012 October – November 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

15. Revenue Cycle Inpatient Ambulatory EMR
eCareNet
Committee
Executive VP Group
EHR Development & Operations Council
Enterprise
Executive Sponsor
Dr. Bob Warren
Epic Program Administrator
Melissa Forinash
PMO, Dan Furlong
Communications
Periop Steering & ED IT Steering Committee
Revenue Cycle
Steering Committee
Inpatient
Steering Committee
Analytics Development & Operations Council
C. Carr
S. Russell
S. Harvey
K.Weaver
Gail Scarboro-Hrtiz
R. Freeman
K. Davis
S. Miller
J. Kratz
C. Liddy
Revenue Cycle
J.Dell
M.Balassone
Inpatient
Clinicals D.Northrup
Ambulatory
EMR
T.Walsh
Training & Support
N. Whichard
Enterprise Reporting & Analytics
M. Daniels
Infrastructure & Technical Support
K.Nendorf
Emergency, OR, & Anesthesia
B.Seyfried
OCIO/IT Leads
Admins & Clinical Leads
Legend
Advisory & Steering Groups

16. 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

17. 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

18. Program Scope Enterprise-Wide Patient Access & Revenue Cycle
Inpatient clinical systems
Enterprise-wide Analytics & Research
Continued enhancement of Ambulatory clinical systems

19. Enhancement of Ambulatory EHR and integration with Enterprise
2012
2013
2014
Aug
Sep
Oct
Nov
Dec
Jan - Mar
Apr - Jun
Jul - Sep
Oct - Dec
Ongoing Optimization
Meaningful Use Stage 1 x
EpicCare Link (referring MDs)
~1/15/13
Version Upgrade to 2012
6/1/13
Kaleidoscope Ophthalmology
~6/15/2013
6/15/13
ICD10
Phoenix Transplant
6/1/13
6/1/13
6/15/13

20. 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

21. 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

22. 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

23. 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

24. 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

25. KPI’s – Ten for Overall Program
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

26. 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

27. 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

28. What’s Next? Kick-off and Site Visits Validation Sessions
This Week
Validation Sessions
October 16-18
November 6-8
November 27-29
Reengineering Sessions
December 18-20
January 8-10

29. 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

30. Growing Pains Change, Change, Change
Super-user and “SME” time commitment
Training: hours of physician and nurse training/competency testing
Standardizing workflows where possible
Electronic and paper workflows
Backup / downtime procedures

31. 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

32. Questions???