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Special Topics in Vendor-Specific Systems

Special Topics in Vendor-Specific Systems. Unit 1 Common Commercial Electronic Health Record (EHR) Systems Used in Ambulatory and Inpatient Care Settings. Outline. HIMSS KLAS Summary of inpatient and ambulatory vendors KLAS ratings Info on selected vendors. HIMSS.

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Special Topics in Vendor-Specific Systems

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  1. Special Topics in Vendor-Specific Systems Unit 1 Common Commercial Electronic Health Record (EHR) Systems Used in Ambulatory and Inpatient Care Settings

  2. Outline • HIMSS • KLAS • Summary of inpatient and ambulatory vendors • KLAS ratings • Info on selected vendors Health IT Workforce Curriculum Version 1.0/Fall 2010

  3. HIMSS • Healthcare Information and Management Systems Society • About HIMSS • Comprehensive healthcare-stakeholder membership organization • Global leadership for optimal use of information technology (IT) & management systems for healthcare • Educational, professional development, & advocacy initiatives • Promotes information & management systems’ contributions to ensuring quality patient care Health IT Workforce Curriculum Version 1.0/Fall 2010

  4. HIMSS (cont.) • Founded in 1961 • Offices in Chicago, Washington D.C., Brussels, Singapore, and other US locations • 23,000 individual members, of which 73% work in patient care delivery settings • 380 corporate members & 30 not-for-profit organizations Health IT Workforce Curriculum Version 1.0/Fall 2010

  5. HIMSS (cont.) • Vision • Advance the best use of information and management systems for the betterment of health care • Mission • To lead healthcare transformation through the effective use of health information technology Health IT Workforce Curriculum Version 1.0/Fall 2010

  6. HIMSS Member Demographics • 23,000 individual members • 86% of those provided demographic data • Of these 19,171 members, 13,294 work in healthcare provider settings Health IT Workforce Curriculum Version 1.0/Fall 2010

  7. HIMSS “Products” • Extensive collection of industry research reports • IT news • Topics and Tools • E.g. Tools for EHR Professionals • Materials about factor & trends in the use of EHR • NOTE: Given the mixed membership (providers & vendors), you will not find vendor comparisons and product reviews Health IT Workforce Curriculum Version 1.0/Fall 2010

  8. KLASQuick Facts: • Independently owned & operated • Founder is Kent L. Gale • Pronounced like “class” • KLAS is the first initials of the founders' names: • Kent Gale, Leonard Black, Adam Gale, and Scott Holbrook • Headquarters: Orem, Utah; independent researchers throughout the country Health IT Workforce Curriculum Version 1.0/Fall 2010

  9. KLAS (cont.) Focus is solely on healthcare technology • Mission • To improve healthcare technology delivery by honestly, accurately, and impartially measuring vendor performance for our provider partners • What They Do • Help healthcare providers make informed technology decisions by reporting accurate, honest, and impartial vendor performance Health IT Workforce Curriculum Version 1.0/Fall 2010

  10. KLAS:How They Do It • Independently monitor vendor performance through active participation of thousands of healthcare organizations • Stringent methodology to ensure data and ratings are accurate, honest, and impartial. • Research results offered to healthcare providers through: • Performance Database • Specialty Reports • Advisory Services/Custom Research Health IT Workforce Curriculum Version 1.0/Fall 2010

  11. How Providers use KLAS Findings • Understand products’ & vendors’ strengths & weaknesses • Screen prospective vendors • Create influential proposals with KLAS research that supports your buying decision • Manage risk and exposure: be informed on price, contract issues & common complaints • Set realistic expectations for your organization and your vendor • Save research time and money Health IT Workforce Curriculum Version 1.0/Fall 2010

  12. KLAS Research Focus • Solely on the healthcare technology industry. • Its main areas of research are: • Software • (Since 1997) ratings for making the best possible purchasing and negotiating decisions • Services Firms • (Since 2004) reports on services markets including implementation, planning and assessment, vendor selection, technical consulting, IT outsourcing, and business process outsourcing • Medical Equipment • (Since 2005) gathering research on medical equipment, including CR/DR and MRI scanners Health IT Workforce Curriculum Version 1.0/Fall 2010

  13. KLAS Methodology • How overall performance rating is calculated with software: • scores for 25 questions • rating scale of 1-9 (1=poor and 9=excellent) and “yes” or “no” • Each question weighted equally • Total score is based on 100-point scale • Questions allow healthcare providers to rate the product/vendor in the areas of • Sales & Contracting • Implementation & Training • Functionality & Upgrades • Service & Support • General Health IT Workforce Curriculum Version 1.0/Fall 2010

  14. KLAS Methodology (cont.)Criteria in Evaluations: • Contracting experience • Product works as promoted • Money’s worth • Avoids nickel and diming • Quality of implementation • Implementation on time • Quality of training • Overall product quality • Delivery of new technology • Ease of use • Product response time • Supports integration goals • Product has needed functionality • Quality of phone/web support • Proactive service • Executive involvement • Lives up to expectations • Keeps promises • Part of long term plans • Overall communication • Recommend to peer/friend • Overall satisfaction • Forecasted overall satisfaction • Would you buy again • Ranked client’s best vendor Health IT Workforce Curriculum Version 1.0/Fall 2010

  15. KLAS Ratings • Acute Care EHR • Software products that provide core inpatient functionality: • clinical data repository (CDR) • order entry (including computerized provider order entry (CPOE)) • results reporting • clinical charting & documentation • Larger: over 200 beds • Small: 200 or less beds Health IT Workforce Curriculum Version 1.0/Fall 2010

  16. Top 10 Acute Care EHR:Over 200 Beds Health IT Workforce Curriculum Version 1.0/Fall 2010

  17. Top 10 Acute Care EHR: Under 200 Beds Health IT Workforce Curriculum Version 1.0/Fall 2010

  18. KLAS Ratings • Ambulatory EHR – software solutions for clinic and practice management, providing charting, orders, prescriptions, and/or EHR functionality. • Over 100 physicians • 26 - 100 physicians • 6 - 25 physicians • 2 - 5 physicians • 1 physician Health IT Workforce Curriculum Version 1.0/Fall 2010

  19. Top 10 Ambulatory EHR:Over 100 Physicians Health IT Workforce Curriculum Version 1.0/Fall 2010

  20. Top 10 Ambulatory EHR:26 - 100 Physicians Health IT Workforce Curriculum Version 1.0/Fall 2010

  21. Top 10 Ambulatory EHR:6 - 26 Physicians Health IT Workforce Curriculum Version 1.0/Fall 2010

  22. Summary of Inpatient Vendors • Epic • Cerner • McKesson • MEDITECH • Eclipsys Health IT Workforce Curriculum Version 1.0/Fall 2010

  23. Epic • http://www.epic.com • Software for mid-size & large medical groups, hospitals and integrated healthcare organizations • Customers: • community hospitals • academic facilities • children's organizations • safety net providers • multi-hospital systems • Spans clinical, access and revenue functions and extends into the home Health IT Workforce Curriculum Version 1.0/Fall 2010

  24. Epic • Company brags: • On-time, on-budget track record is one of the best in healthcare • Quick to implement, easy to use • Information shared in 2 ways: • Care Everywhere (doctor controls flow of data) • Lucy PHR (patients control their own health information) • Develop, install and support all our applications in-house • Leadership team includes clinicians, developers & process experts Health IT Workforce Curriculum Version 1.0/Fall 2010

  25. Epic • Founded in 1979 • Private and employee-owned • 190 Customers • 150,000 physicians (1 in 4 US physicians) Health IT Workforce Curriculum Version 1.0/Fall 2010

  26. Cerner • http://www.cerner.com • Global supplier of healthcare solutions • Makes sure the right people have the right information at the right time • Create a new generation of intelligent medical devices • Leverage clinical & pharmaceutical data for new discoveries • Collaborate with employers to eliminate administrative waste and friction Health IT Workforce Curriculum Version 1.0/Fall 2010

  27. Cerner • Associates: • Worldwide: 7,500 • Kansas City: 4,800 • Clients: • over 8,000 hospitals, physician practices, ambulatory facilities, home health facilities, and retail pharmacies • Founded 1979 (Neal Patterson, Cliff Illig, Paul Gorup) • 2009 Revenues: $1.67 billion • 2009 Net Earnings: $193.5 million • Ticker Symbol: CERN – NASDAQ Health IT Workforce Curriculum Version 1.0/Fall 2010

  28. McKesson’s Vision • Help create a health care system where quality is higher, mistakes are fewer and costs are lower • Provide pharmaceuticals, medical supplies and information technologies for safer healthcare & cost reduction • Decision support software for clinical diagnosis & treatment plans • Electronic systems that eliminate paper prescriptions and medical records • Online access to patient information • Help prevent 330,000 medication errors every week through bar-code scanning technology Health IT Workforce Curriculum Version 1.0/Fall 2010

  29. McKesson • http://www.mckesson.com/en_us/McKesson.com/ • 14th on the FORTUNE 500 • Revenue $106.6 billion annually • Delivers medicines, medical supplies and health care information technology solutions • Largest pharmaceutical distributor in North America • Software & hardware technology in 70% of the larger hospitals • Customers: • 200,000 physicians • 26,000 retail pharmacies • 10,000 long-term care sites • 5,000 hospitals • 2,000 medical-surgical manufacturers • 750 homecare agencies • 600 health care payors • 450 pharmaceutical manufacturers Health IT Workforce Curriculum Version 1.0/Fall 2010

  30. Meditech • Mission Statement: • to provide software that enables physicians, nurses, and other clinicians to orchestrate and deliver patient care in a safe, effective, and efficient manner. Our software is integrated in a manner that fully optimizes the financial and business potential of the health care enterprise. • Information is available whenever and wherever clinicians need it • Ensure access to a full electronic record with data from across the continuum Health IT Workforce Curriculum Version 1.0/Fall 2010

  31. Meditech • http://www.meditech.com • 40 years developing, installing, and supportinghealth care information systems • Founded in 1969 by the developers of MUMPS • A. Neil Pappalardo and Curt W. Marble develop MUMPS technology on a DEC PDP at Mass General Hospital from 1964 to 1968 • Markets: United States, Canada, United Kingdom, Ireland, South Africa, Latin America, Mexico, Spain • 2,200 customers worldwide • 2,900 staff members • Revenue (2008) $397 million • 5A1 Dun & Bradstreet credit rating • Privately-held Health IT Workforce Curriculum Version 1.0/Fall 2010

  32. Eclipsys • http://www.eclipsys.com • 40-year history of delivering advanced healthcare IT solutions to affect the quality, safety and cost-effectiveness of healthcare worldwide • Leader in CPOE solutions (Computerized Physician Order Entry)  Health IT Workforce Curriculum Version 1.0/Fall 2010

  33. Eclipsys • Incorporated: 1995 with more than 40-years of healthcare IT solutions experience • Headquarters Atlanta, GA • Employees: 2,800+ worldwide • Clients: 6,000 hospitals, healthcare systems, clinics and physician practices • Stock Symbol (NASDAQ): ECLP • Revenue (2008) $515.8 million • Allscripts announced on 6/9/10 that it would buy Eclipsys for $1.35B Health IT Workforce Curriculum Version 1.0/Fall 2010

  34. Resources • http://www.klasresearch.com • http://www.himss.org • Vendor websites Health IT Workforce Curriculum Version 1.0/Fall 2010

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