Overview February 2012

What is CareConnect? CareConnect: – Is UCLA’s electronic health record (EHR) program – Integrates inpatient and outpatient clinical records with appointments, registration, billing, and other business-related functions – Is a single system that will integrate the functions of 65 current systems – Is based on software provided by Epic Systems Corp., which is modified to accommodate how we work at UCLA Health System 8/21/20152

Why are we implementing CareConnect? Leadership believes CareConnect will take us to the next level of excellence as a worldwide leader in health care. 8/21/20153

How will CareConnect make my job easier? CareConnect presents a once-in-a- generation opportunity to transform the way care is delivered by integrating systems. 8/21/20154

How will CareConnect affect patient care? CareConnect will enhance quality, improve safety, and standardize patients’ experience of care wherever they are seen. 8/21/20155

CareConnect requires, supports, and will drive system-wide transformation By the numbers: 4 hospitals – Ronald Reagan Medical Center – Santa Monica Medical Center & Orthopaedic Hospital – Mattel Children’s Hospital – Resnick Neuropsychiatric Hospital 150+ clinics, ~200 ambulatory “sites” ~ 15,000 end users 1,ooo+ participants in validation/work groups/advisory groups ~ 65 legacy systems going into hibernation 8/21/20156

Who’s developing and implementing CareConnect? Arpi Chalian, MD Organizational Transformation TBD PMO Pamela Oldfield Technical Services Eric McGrier (int) Patient & Bus. Services Jeanne Markland Ambulatory Clinical Gale Henke (int) Inpatient Clinical Orders Clinical Documentation ED OR/Anesthesia Radiology IP Pharmacy Oncology Ambulatory Care Everywhere EpicLink MyChart Scheduling ADT & Registration Prof. Billing Hosp. Billing Tapestry Communications Stakeholder Relations Citrix Arch. Performance & Scalability Tech Arch. Appl. Archive Release Mgmt Security Build Data Conversion/Interface/ Reporting Biomedical Interfaces Cache DBA Integration Test Michael Pfeffer, MD Physician Catalyst Sarah Kramer Program Director Clinical Informatics & Quality Clinical Content HIMS Build Team Physician Informaticists Meaningful Use/Metrics Ellen Pollack, RN Deployment Training Super Users/Readiness Program-wide Workflow Design Lab Integrated Area

Who’s making the decisions about how CareConnect will function? 8/21/20158 Major Impact Moderate Impact Less Impact Mid-Level Decisions High- Level Decisions Detailed Decisions ~ 25% of decisions ~ 10% of decisions ~ 65% of decisions Advisory Groups Project Team Work Groups Leadership

Is somebody from my department involved? We’ve brought the right people to the table to make the 1,000s of decisions necessary to ensure that you’ll be able to do your job using CareConnect: – 100s participated in site visits where our software vendor gained a basic understanding of how we work at UCLA Health System – 1,000 have helped validate workflows that CareConnect meet our business and clinical needs – 100s are diving deeper into developing workflows and clinical content: Subject-matter experts Advisory Groups Work groups 8/21/20159

Who will use CareConnect? An estimated 15,000 faculty and staff members will use CareConnect, including: – Physicians – Pharmacists – Nurses – Advanced-practice nurses – Other clinicians – Staff members working with scheduling, registration, billing, patient placement (ADT), and hospital information management (HIM) – Trainees (fellows, residents, interns) – Students 8/21/201510

In ScopeOut of Scope Planned & Budgeted Consideration for Later (post July 2013)  Inpatient (EpicCare Inpatient Clinical System)  Ambulatory (EpicCare Ambulatory EMR)  Inpatient Pharmacy with BCMA (Willow)  ED (ASAP)  Radiology (Radiant)  Critical Care (EpicCare ICU)  Labor and Delivery/ Perinatal (Stork)  Medical Oncology (Beacon)  Perioperative Services (OpTime OR)  HIM (Chart/Film Tracking, Deficiency Tracking, ROI, Coding/Abstracting)  Enterprise Scheduling (Cadence)  Registration (Prelude)  ADT & Bed Management  Hospital Billing (Resolute Hospital)  Professional Billing (Resolute Professional)  Patient Kiosk (Welcome)  Physician Access for iPhone (Haiku)  Physician Access for iPad (Canto)  Patient Portal (MyChart)  Reporting/Analytical Tools (Reporting Workbench, Clarity)  Perioperative Services (Anesthesia)  Health Plan/Customer Support (Tapestry-Enrollment/Benefits, Utilization Review, PlanLink, Call Management/CRM, AP Claims)  Provider-based Interoperability – other Epic sites (CareEverywhere)  Affiliate Connectivity (EpicCare Link)  Ophthalmology (Kaleidoscope)  Retail Pharmacy (Willow Ambulatory)  Laboratory (Beaker Clinical Lab)  Pathology (Beaker AP)  Reference Laboratory (Beaker Reference Lab)  Transplant (Phoenix)  Inpatient/Family Portal (MyChart In- Hospital)  Anesthesia Billing  Tapestry (Revenue Guardian)  Transport  Freestanding PHR (Lucy)  Reference Lab Orders & Results (OutReach)  Provider-based Interoperability – non-Epic sites (CareEverywhere) 11 CareConnect Scope 11/22/2011

What can I do now? Get going by registering at Epic System Corp.’s website and follow these steps: 1.Log onto userweb.epic.com 2.Follow instructions to register for access 3.Wait for account verification 4.Access userweb 5.Click on Home 6.Click on Training 7.Click on eLearnings for a list of module s according to care setting and role A good starting point: – For ambulatory - the EpicCare Ambulatory AMB001 - a high-level office visit demonstration. Duration: 10 minutes – For inpatient - the EpicCare Inpatient INO001a - physician rounding overview; review a patient's current hospitalization. Duration: 10 min 12

How can I get involved? We’re involving faculty and staff members in many ways: – Validation Sessions – SMEs – Super Users – Advisory Groups – Work Groups – Physician Advocate Council Get involved by: – Talking to your manager – Contact CareConnect: 8/21/201513

Redesigned home page focuses on CareConnect news 8/21/ /11