ambulatory emr selection project update
DESCRIPTION
Ambulatory EMR Selection Project Update. OCIO Cross-team Meeting 2/1/2011. Selection Advisory Committee (SAC) Recommendations: 12/30/2010. - PowerPoint PPT PresentationTRANSCRIPT
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Ambulatory EMR Selection Project Update
OCIO Cross-team Meeting
2/1/2011
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2 OCIO: 2/1/2011
Selection Advisory Committee (SAC) Recommendations: 12/30/2010
• [It is] the strong consensus of the SAC is that Epic is the sole vender of choice most likely to meet our outpatient ambulatory electronic medical record needs.
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3 OCIO: 2/1/2011
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4 OCIO: 2/1/2011
• Conducted phone reference checks: 7 vendors responded to RFP (August)• Completed onsite vendor demos (Sept 14- Oct 20)• Completed faculty survey re: 5 vendors• Completed site visits (Allscripts: GWU/Nov 12; Epic: OSU/Nov 19)• Completed technical conference calls and onsite vendor meetings (Dec
1st/Allscripts-Chicago & Dec 2nd/Epic – Verona Wisconsin )• Completed follow-up Allscripts virtual site visit with Columbia University• Met with ‘executive’ Selection Advisory Committee members (travel team)
on Dec 10 to draft recommendations.• Met with SAC members on Dec 15 to review/modify/approve
recommendations.• Met with eCareNet Steering committee on January 10th – endorsing SAC
recommendations.• Contacted all other vendors to let them know MUSC is working toward a
final solution and that we will contact them with another update in January or February.
• Currently in contract discussions with Epic.• Conducted preliminary implementation and conversion discussions (Epic).• Notified all 7 vendors that an ‘intent to award’ to Epic was signed on
Monday January 31; the award will be final Tuesday February 8.
Current Status (Summary)
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5 OCIO: 2/1/2011
Acker, Julie Compliance
Afrin, Lawrence B. Hem/Onc (MD)
Alexander, Amy OCIO
Balassone, Mike UMA
Bartlett, Nathan UMA
Battaglia, Rosemarie Pediatrics (RN)
Benton, Ann Therapeutic Services (RN)
Borg, Keith T. Emergency Medicine (MD)
Brooks, Gladney CT Surgery (RN)
Brown, Hope Carolina Family Care
Brown, Linus Radiology
Bucknam, Judith Ambulatory (RN)
Burdick, Jeff OCIO
Caraviello, Kellyanne DDC (RN)
Carr, Christine M. Emergency Medicine (MD)
Onsite Vendor Demo Attendees (one or more)
Carullo, Jennifer V. Cardiology (RN)
Cave, Courtney Medicine Resident (MD)
Cleaves, Rebecca Pharmacy
Coefield, Virginia Pharmacy
Costello, Philip Radiology (MD)
Daniels, Mark OCIO
Davis, Kimberly S. Internal Medicine (MD)
Demos, Harry A. Orthopedic Surgery (MD)
Forinash, Melissa OCIO
Foulois, Bonnie Nursing Informatics
Fox, James B. Psychiatry Resident (MD)
Garrett, Hope UMA Patient Accounting
Gillespie-Miller, Sherry Ambulatory (RN)
Grover, Sandra OCIO
Hargrove, Michelle UMA Patient Accounting
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6 OCIO: 2/1/2011
Jackson, Johnna Pediatrics (RN)
Jordan, Allison Psychiatry Resident (MD)
King, Dana Family Medicine (MD)
Kinsman, Stephen Pediatric Neurology (MD)
Koko, Heather Pharmacy
Koval, Mary Jane Medical Records
Kratz, John M.CT Surgery (MD)
Lewis, Mary Carolina Family Care
Liddy, Casey T. Med Ctr Strategic Planning
Lin, Angello Surgery (MD)
Madory, Jim Pathology (MD)
Mahoney, Pat UMA Patient Accounting
Makley, Colleen Carolina Family Care (PA)
Malpas, Phyllis DDC (RN)
Marley, Fran Carolina Family Care
Onsite Vendor Demo Attendees - continued
Mauldin, Jill OB/GYN (MD)
Mayes, Laura UMA Patient Accounting
McGinnis, Mikelyn UMA Marketing
McMurray, William UMA Administration
McNeil, Mose OCIO
Merrill, Mary-Eliese Clinical Effectiveness
Morgan, Lisa R. Cardiology (RN)
Naugle, SherylRheumatology (RN)
Neff, Dave Ambulatory Administration
Northrup, Dave OCIO
Nutaitis, Matthew Ophthalmology (MD)
Oates, Jim Rheumatology (MD)
Obeid, Jihad Biomedical Informatics
Owczarske, Stefanie Surgery (RN)
Pletcher, Susan Medical Records
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7 OCIO: 2/1/2011
Potts, Sally Therapeutic Services (RN)
Powell, Jodie OCIO
Pridgen, Kathleen UMA Patient Accounting
Puckhaber, Melanie Dept of Medicine
Rames, Ross Urology (MD)
Raney, Lawrence H. Emergency Medicine (MD)
Rees, Chris Medical Center Quality
Risher, Sandra OCIO
Robinson, Christopher OB/GYN (MD)
Rodden, Ann M. Family Medicine (MD)
Rogers, Ben Dept of Medicine
Russell, Scott Peds Emerg Medicine (MD)
Sachs, Bart Orthopedic Surgery (MD)
Sanders, Denise Radiology
Saul, J. Phillip Pediatric Cardiology (MD)
Onsite Vendor Demo Attendees - continued
Scheurer, Mark Pediatric Cardiology (MD)
Sellars, Kathy Ambulatory Administration
Seyfried, Brett OCIO
Shayban, Ghadi OCIO
Skipper, Chuck Ophthalmology
Smith, Estelle Hospital Patient Accounting
Smith, Jim OCIO
Soper, David OB/GYN (MD)
Sturdivant, Rachel Nephrology (MD)
Tufts, Ed OCIO
Waller, John Anesthesia/OCIO (MD)
Walsh, Tasia OCIO
Whelan, Timothy P. M. Pulmonary/Transplant (MD)
Woodman, Annabelle OCIO
Zwerner, Peter L. Cardiology (MD)
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8 OCIO: 2/1/2011
Members of the ‘Travel Team’• Mike Balassone, UMA • Rosemarie Battaglia, RN, Manager of Pediatric clinics• Courtney Cave, MD, Recent Chief Resident (Internal
Medicine)• Kim Davis, MD, Internal Medicine• Sandra Grover, OCIO• John Kratz, MD, CT Surgery, Committee co-Chair• Jill Mauldin, MD, OB/GYN• Dave Northrup, OCIO• Tasia Walsh, OCIO • Chris Rees, Director of Quality • Phil Saul, MD, Pediatric Cardiology • Mark Scheurer, MD, Pediatric Cardiology• Tim Whelan, MD, Pulmonary/Transplant• Peter Zwerner, MD, Cardiology, Committee co-Chair
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9 OCIO: 2/1/2011
• Functionality 45%– Onsite Demos (20%)– Site visits (25%)
• Interoperability 20%
• Technical Environment 15%
• General Vendor Assessment 10%
• Strategic/Future Considerations 10%
Vendor Scoring Approach
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10 OCIO: 2/1/2011
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11 OCIO: 2/1/2011
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12 OCIO: 2/1/2011
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13 OCIO: 2/1/2011
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14 OCIO: 2/1/2011
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15 OCIO: 2/1/2011
Strategic/Future Considerations
• Allscripts has an ED module as an option. Allscripts also has merged with Eclipsys for inpatient functionality.– Eclipsys is not a 'one data base' approach with
Allscripts (interfaces). – Score: 2.0
• Epic has the following integrated modules for future consideration: ED, Inpatient, Hem/Onc, Transplant, Inpatient Pharmacy, Ophthalmology and others.– Score 5.0
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16 OCIO: 2/1/2011
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17 OCIO: 2/1/2011
000s
Ref Description Baseline Allscripts Epic
1 One-time 6,800 4,985 5,884 2 Ongoing
3 Year 1 700 1,139 693
4 Year 2 700 1,139 643
5 Year 3 700 1,139 643
6 Year 4 700 1,139 643
7 Year 5 700 1,139 643
8 Subtotal Ongoing 3,500 5,695 3,265
9 Total 10,300 10,680 9,149
10 Percent of Baseline 103.7% 88.8%
11 Score (5=Highest*) 2.0 4.0
* Percent of Baseline: 1>110%, 2>100%, 3<100%, 4<90%, 5<75%
Vendor Cost Scores - Detail
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18 OCIO: 2/1/2011
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19 OCIO: 2/1/2011
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20 OCIO: 2/1/2011
Overall/Final Scores - DetailScore Weighted
Ref Description Weight Allscripts Epic Allscripts Epic
1 Functionality - onsite demos 18% 4.21 4.20 0.8 0.8
2 Functionality - site visits 23% 3.05 4.51 0.7 1.0
3 Interoperability 18% 3.71 4.20 0.7 0.8
4 Technical Environment Assessment 14% 3.65 4.53 0.5 0.6
5 General Vendor Assessment 9% 3.95 4.83 0.4 0.4
6 Strategic/future 9% 3.0 5.0 0.3 0.5
9 Cost 10% 2.0 4.0 0.2 0.4
10 Total 100% 3.4 4.4
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21 OCIO: 2/1/2011
SAC Recommendations• Need more due diligence in order to determine #2
ranked vendor.• Epic recommended top vendor to pursue:
– Highest ranking vendor resulting from Selection process (and according to independent KLAS reports).
– Epic’s client base is only in Academic Medical Centers or ‘mega’ hospital/health systems; they have less than 300 customers which allow Epic to focus better on fewer customers.
– Physician utilization at Epic’s site visit was fairly extensive.
– Epic’s company culture is impressive.
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22 OCIO: 2/1/2011
• Epic recommended…– MUSC’s IT experts rate Epic’s technology the
highest. Epic appears to be more than an application software company as they are more-so a ‘technology company’. Specifically, Epic pays meticulous attention to testing and the underlying components such as the data base and server hardware.
SAC Recommendations – cont’d
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23 OCIO: 2/1/2011
SAC Recommendations- cont’d
• Epic recommended• Has the most ‘single database’ modules that could be
implemented in the future if desirable (e.g., ED, Ophthalmology, Inpatient); Allscripts has an integrated ED module, but not inpatient or Ophthalmology. Epic would allow MUSC the future opportunity to implement a fully integrated electronic medical record.
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24 OCIO: 2/1/2011
SAC Recommendations- cont’d
• The committee understands that success of an ambulatory electronic medical record will in large part be influenced by appropriate implementation of the system. Therefore, the committee is also recommending the following receive the full support from MUSC Health clinical leadership: 1. Workflow changes in all clinics well in advance of go-
live (e.g., standardization, policies, accountability, etc.).2. Appropriate levels of implementation support and
resources.3. Appropriate levels of post go-live IT staffing levels.4. Well-structured governance that is inclusive of all clinical
practices.
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25 OCIO: 2/1/2011
• Receive best/final pricing from Allscripts (as they were the #2 ranked vendor).
• Finalize contract /award/sign (early February).
• Develop project plan with vendor.
• Identify project team members to go to vendor training.
• Official kick-off of project with vendor (TBD – April?)
Next Steps
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26 OCIO: 2/1/2011
Questions?