UCLA EPIC Program Overview
McFerran
CITI 11.30.10
2
EHR Project Goals
UCLA Health Sciences
Nov 30, 2010
To make UCLA Health Sciences the most information-rich
academic medical center in the country
Our goals for the EHR project are to:
▫ Enable an outstanding patient experience
▫ Facilitate high quality, safe, and efficient care
▫ Ensure availability, portability, and seamless flow of information
▫ Facilitate easy capture and analysis of data
▫ Promote UCLA’s position as a leader, innovator, and destination for patient care,
medical education, and clinical research
▫ Contribute to UCLA’s ability to recruit the best and brightest students, residents,
fellows, faculty, and staff
This is a transformation of how we deliver care as an institution
3
ARRA Incentives
UCLA Health Sciences
Nov 30, 2010
• ARRA provides $17+ billion for Medicare and Medicaid incentives for ‘meaningful use’ of
health IT in patient care
• Essentially a rebate, and covers ~ 25-40% of 5-year cost for implementing and maintaining
an EHR
• Medicare has penalties for not being a meaningful user starting in 2015
• Latest start for full Medicare incentive is October 1, 2012 for physicians, July 1, 2013 for
hospitals
• Roll out very complex to maximize payments --- could some be left out?
100%
80%
50%
40%
30%
20%
10%
% of Patients
Drug-drug & drug-allergy checks
Electronic submission of quality metrics
Problem, medication, and allergy lists
Record demographics, ht, wt, BP, and smoking status
Clinical summaries for each office visit, transition, & referral
Medication reconciliation
Access to data electronically post-encounter (e.g., pt portal)
E-prescribing
CPOE for medications
Preventive care reminders for pts > 65-yo
Pt-specific educational resources
Access to data electronically continuously
4
UCLA Health Sciences
Nov 30, 2010
UCLA ARRA Impact Forecast
Bonuses and Penalties - Hospital + Ambulatory
$25
annual payments
assuming we
comply by 2011
~$40M
$20
$15
Millions $
$10
Medicare Flexible Penalty
$5
Medicare Penalty
Medicaid Bonus
$0
2011
-$5
-$10
-$15
-$20
2012
2013
2014
2015
2016
2017
2018
2019
2020
Medicare Bonus
5
Epic in UCLA HS Systems Context
UCLA Health Sciences
EHR
Specialized
EHR’s and
ancillaries,
EPIC
Varian Aria
Opthomology
Clinical lab,
PACS, etc.
Automated
workflow
Research
Data
Repository
Medical Grade Network
Nov 30, 2010
6
UCLA Health Sciences
Nov 30, 2010
Stages of UCLA EHR Project
SUMMER/FALL 2010
VENDOR
SELECTION
DEPLOYMENT
STRATEGY
2011
2012 - 2013
DESIGN
&
BUILD
DEPLOYMENT
DETERMINE
FINAL
SCOPE
STAFFING
TRAINING
&
SUPPORT
Epic product suite
7
Draft Scope Finalization*
In Scope
In Scope (under
certain
conditions)
Acquire from Epic
Additional discussion
required
 Inpatient CIS (EpicCare
Inpatient Clinical
System)
 Ambulatory EMR
(EpicCare Ambulatory
EMR)
 Inpatient Pharmacy
with BCMA (Willow/
MobileMeds)
 ED (ASAP)
 Radiology (Radiant)
 Critical Care (EpicCare
ICU)
 Labor and Delivery/
Perinatal (Stork)
 Psychiatry (no separate
module)
 Medical Oncology
(Beacon)
 Perioperative Services
(OpTime OR)
 HIM (Chart/Film
Tracking, Deficiency
Tracking, ROI,
Coding/Abstracting)
 Enterprise Scheduling
(Cadence)
 Registration (Prelude)
 ADT (ADT)
 Hospital Billing
(Resolute Hospital)
 Professional Billing
(Resolute Professional)
 Patient Kiosk (Welcome)
 Physician Access for
iPhone (Haiku)
 Patient Portal (MyChart)
 Freestanding PHR (Lucy)
 Reporting/Analytical
Tools (Reporting
Workbench, Clarity)
 Affiliate Connectivity
(EpicCare Link)
 Provider-based
Interoperability
(CareEverywhere)
 Laboratory (Beaker
Clinical Lab)
 Pathology (Beaker AP)
 Reference Laboratory
(Beaker Reference Lab)
 Transplant (Phoenix)
 Health Plan (Tapestry)
 Patient Tracking/
Transport (Premise
currently used at UCLA
)
 Bed Management
(BedTime)
 Perioperative Services
(Anesthesia)
Out of Scope
Do not Acquire
from Epic
 Ophthalmology
(Kaleidoscope)
 Cardiac Services
(Cardiant)
 Home Health
(EpicCare Home
Health)
 Physician Portal
(EpicCare Web)
 Customer Service
Support (Call
Management/
CRM)
 Retail Pharmacy
(Willow
Ambulatory)
Not available
from Epic
Patient Acuity
Blood Bank
Dietary
Dialysis
PACS
Radiation
Oncology
 General Financials
 Data Warehouse/
Business
Intelligence






*Epic Enterprise Licensing offers flexibility regarding implementation sequence.
McFerran 11.15.10
END