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UCLA EPIC Program Overview

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1 UCLA EPIC Program Overview
McFerran CITI

2 EHR Project Goals UCLA Health Sciences Nov 30, 2010 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 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

3 ARRA Incentives UCLA Health Sciences Nov 30, 2010 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? 100% 80% 50% 40% 30% 20% 10% Drug-drug & drug-allergy checks Electronic submission of quality metrics Problem, medication, and allergy lists 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) E-prescribing CPOE for medications Preventive care reminders for pts > 65-yo Pt-specific educational resources Access to data electronically continuously % of Patients

4 UCLA ARRA Impact Forecast
UCLA Health Sciences Nov 30, 2010 annual payments assuming we comply by 2011 ~$40M graph shows the annual payments assuming we make a 2011 date to comply, and isn't the graph showing what our maximum opportunity is if we comply during those years

5 Epic in UCLA HS Systems Context
UCLA Health Sciences Nov 30, 2010 Automated workflow Medical Grade Network Research Data Repository EHR Specialized EHR’s and ancillaries, Varian Aria Opthomology Clinical lab, PACS, etc. EPIC

6 Stages of UCLA EHR Project

7 Epic product suite

8 Draft Scope Finalization*
In Scope In Scope (under certain conditions) Out of Scope Acquire from Epic Additional discussion required Do not Acquire from Epic Not available from Epic Inpatient CIS (EpicCare Inpatient Clinical System) Ambulatory EMR (EpicCare Ambulatory EMR) Inpatient Pharmacy with BCMA (Willow/ MobileMeds) ED (ASAP) Radiology (Radiant) Critical Care (EpicCare ICU) Labor and Delivery/ Perinatal (Stork) Psychiatry (no separate module) Medical Oncology (Beacon) Perioperative Services (OpTime OR) HIM (Chart/Film Tracking, Deficiency Tracking, ROI, Coding/Abstracting) Enterprise Scheduling (Cadence) Registration (Prelude) ADT (ADT) Hospital Billing (Resolute Hospital) Professional Billing (Resolute Professional) Patient Kiosk (Welcome) Physician Access for iPhone (Haiku) Patient Portal (MyChart) Freestanding PHR (Lucy) Reporting/Analytical Tools (Reporting Workbench, Clarity) Affiliate Connectivity (EpicCare Link) Provider-based Interoperability (CareEverywhere) Laboratory (Beaker Clinical Lab) Pathology (Beaker AP) Reference Laboratory (Beaker Reference Lab) Transplant (Phoenix) Health Plan (Tapestry) Patient Tracking/ Transport (Premise currently used at UCLA ) Bed Management (BedTime) Perioperative Services (Anesthesia) Ophthalmology (Kaleidoscope) Cardiac Services (Cardiant) Home Health (EpicCare Home Health) Physician Portal (EpicCare Web) Customer Service Support (Call Management/ CRM) Retail Pharmacy (Willow Ambulatory) Patient Acuity Blood Bank Dietary Dialysis PACS Radiation Oncology General Financials Data Warehouse/ Business Intelligence *Epic Enterprise Licensing offers flexibility regarding implementation sequence. McFerran


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