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Digital DivideOctober 24, 2012
William Schuh, MDJerry DeWitt, RN
Carle Foundation Hospital
• Level I Trauma Center• Level III Perinatal Services• Primary Stroke Center• Neonatal ICU• Wound Healing• Sleep Lab• Spine Institute• Heart and Vascular Institute• Carle Cancer Center• Mills Breast Cancer Institute• Bariatric Services• Palliative Care• Digestive Health Center• Carle Research Institute
Integrated System
2011 Stats
Licensed Beds 325ADC 244Inpatient Admits 20,561ED Patients 63,359Births 2,488Trauma Patients 1,009Surgical Patients 14,404OP Visits 24,747
Carle Physician Group
• Multi-specialty clinic with 50 specialties• Clinical Trials• Reproductive Medicine•Oral and Maxillofacial Surgery• Hearing/Audiology• Eye/Optical Shop• Pain Center• Geriatrics• Primary Care
Integrated System
2011 Stats
Locations 13Physicians 334APPs 181Total OP Visits 787,725
EMR Implementation
• HIMSS stage 6– Healthcare Information and Management Systems
Society. – 7 stages of EMR Implementation– Top 5% in country
• Most Wired Hospital 2011, 2012– Hospitals & Health Networks magazine (H&HN)
Admission/Discharge/Transfer (ADT)
Prelude Registration
Cadence Scheduling
BedTime Bed Management
Health Info Mgmt (HIM)
EpicCare Clinical SystemEMRClinician Order EntryDecision SupportResults ReviewClinical DocumentationMAR5 Rights BarcodingClinical Notes & PathwaysInterdisciplinary Care Plans
ICU
Willow Inpatient Pharmacy
OpTime OR Management
ASAP Emergency Dept
EpicLab Clinical Laboratory
Radiant Radiology
Beacon Oncology
Cardiant Cardiology
Stork Obstetrics Labor/Delivery
Kaleidoscope Ophthalmology
EpicCare Transplant
Anesthesia
Epicenter EnterpriseData Repository
Clarity Analyst Enterprise Reporting
Identity Master Person Index
Customer Relationship Management
MobileMedsHandheld Access and MAR
MyChartShared EMR for patients
LucyFree-standing PHR for patients
EpicWebAccess for providers
MyEpicExecutive information home page
EpicCare LinkAccess for affiliates
Prelude Registration
Cadence Scheduling
EpicCare EHRChartingClinician Order Entrye-PrescribingDecision SupportResults ReviewRadiologyResidency SupportCoding & Benefits
Call Management/Customer Relationship Management
Nurse Triage
Home Health
Willow Ambulatory Pharmacy*
Welcome Patient Kiosk
Enrollment/Eligibility
Claims/Capitation
Revenue Guardian
Utilization Management
Premium Billing
Resolute Hospital Billing
Resolute Professional Billing
Epic Software
Inpatient Ancillary Repository e-Health Ambulatory
Managed Care Revenue Cycle
*Coming Soon
20-29% of U.S. population
will be cared for by EpicCare.
(62M to 91M people)
MyCarle• Patient Portal to Medical Records• Live since February 2011• Features for patients:
– E-mail messages when information available– View past and future appointments– View hospital DC instructions– Discrete data (meds, allergies, histories, immunizations)– View and graph lab results– View AVS– Review insurance and coverage information
MyCarle
• Future features:– Release radiology and pathology results to
patients (manual only, no automatic release)– Bill pay– Request an appointment– Appointment cancelation request
MyCarle
• Features for Providers:– Release lab results to patients – Add message to results (labs are normal, etc.)– Additional means to notify patients
MyCarle
MyCarle
MyCarle
MyCarle Activation
Epic Apps for Providers
MyCarle Apps for Patients
Other Smartphone Apps
• 4130 hits on iTunes for “medical”• iTriage• Visual DX• Micromedex• Medical Encyclopedia• Medical Calculators• Prognosis