Digital Divide October 24, 2012

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 RegistrationCadence SchedulingBedTime Bed ManagementHealth Info Mgmt (HIM)EpicCare Clinical System

EMRClinician Order EntryDecision SupportResults ReviewClinical DocumentationMAR5 Rights BarcodingClinical Notes & PathwaysInterdisciplinary Care Plans

ICUWillow Inpatient Pharmacy

OpTime OR ManagementASAP Emergency DeptEpicLab Clinical LaboratoryRadiant RadiologyBeacon OncologyCardiant CardiologyStork Obstetrics Labor/DeliveryKaleidoscope OphthalmologyEpicCare TransplantAnesthesia

Epicenter EnterpriseData RepositoryClarity Analyst Enterprise ReportingIdentity Master Person IndexCustomer Relationship ManagementMobileMedsHandheld Access and MAR

MyChartShared EMR for patientsLucyFree-standing PHR for patientsEpicWebAccess for providersMyEpicExecutive information home pageEpicCare LinkAccess for affiliates

Prelude RegistrationCadence SchedulingEpicCare EHR

ChartingClinician Order Entrye-PrescribingDecision SupportResults ReviewRadiologyResidency SupportCoding & Benefits

Call Management/Customer Relationship ManagementNurse TriageHome HealthWillow Ambulatory Pharmacy*Welcome Patient Kiosk

Enrollment/EligibilityClaims/CapitationRevenue GuardianUtilization ManagementPremium Billing

Resolute Hospital BillingResolute Professional Billing

Epic SoftwareInpatient 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