Ambulatory EMR Selection Project Update

OCIO Cross-team Meeting

2/1/2011

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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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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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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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

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)

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

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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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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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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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

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.

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

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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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.

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

26 OCIO: 2/1/2011

Questions?