integrating systems. - CareConnect

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Overview
February 2012
What is CareConnect?
• CareConnect:
– Is UCLA’s electronic health record (EHR) program
– Integrates inpatient and outpatient clinical records with appointments,
registration, billing, and other business-related functions
– Is a single system that will integrate the functions of 65 current systems
– Is based on software provided by Epic Systems Corp., which is modified
to accommodate how we work at UCLA Health System
2
4/8/2015
Why are we implementing CareConnect?
• Leadership believes CareConnect will take
us to the next level of excellence as a
worldwide leader in health care.
3
4/8/2015
How will CareConnect make my job easier?
• CareConnect presents a once-in-ageneration opportunity to transform the
way care is delivered by integrating
systems.
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4/8/2015
How will CareConnect affect patient care?
• CareConnect will enhance quality,
improve safety, and standardize
patients’ experience of care wherever
they are seen.
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4/8/2015
CareConnect requires, supports, and will drive system-wide transformation
By the numbers:
• 4 hospitals
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Ronald Reagan Medical Center
Santa Monica Medical Center & Orthopaedic Hospital
Mattel Children’s Hospital
Resnick Neuropsychiatric Hospital
• 150+ clinics, ~200 ambulatory “sites”
• ~ 15,000 end users
• 1,ooo+ participants in validation/work
groups/advisory groups
• ~ 65 legacy systems going into hibernation
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4/8/2015
Who’s developing and implementing CareConnect?
Sarah Kramer
Program Director
Arpi Chalian, MD
Gale Henke (int)
Jeanne Markland
Eric McGrier (int)
Pamela Oldfield
Organizational Transformation
Inpatient Clinical
Ambulatory Clinical
Patient & Bus. Services
Technical Services
Communications
Stakeholder Relations
Orders
Clinical Documentation
ED
OR/Anesthesia
Radiology
IP Pharmacy
Oncology
Ambulatory
Care
Everywhere
EpicLink
MyChart
Scheduling
ADT &
Registration
Prof. Billing
Hosp. Billing
Tapestry
Citrix Arch.
Performance &
Scalability
Tech Arch.
Appl. Archive
Release Mgmt
Security Build
Data
Conversion/Interface/
Reporting
Biomedical Interfaces
Cache DBA
Integration Test
Michael Pfeffer, MD
Physician Catalyst
Clinical Informatics & Quality
Clinical Content
HIMS Build Team
Physician Informaticists
Meaningful Use/Metrics
TBD
PMO
Ellen Pollack, RN
Deployment
Training
Super Users/Readiness
Program-wide Workflow
Design
Lab Integrated Area
Who’s making the decisions about how CareConnect will function?
Major
Impact
HighLevel
Decisions
Leadership
~ 10% of decisions
Moderate Mid-Level Decisions
Impact
~ 25% of decisions
Advisory Groups
Work Groups
Project Team
Less Detailed Decisions
Impact
~ 65% of decisions
8
4/8/2015
Is somebody from my department involved?
• We’ve brought the right people to the table to make the 1,000s
of decisions necessary to ensure that you’ll be able to do your
job using CareConnect:
– 100s participated in site visits where our software vendor gained a basic
understanding of how we work at UCLA Health System
– 1,000 have helped validate workflows that CareConnect meet our
business and clinical needs
– 100s are diving deeper into developing workflows and clinical content:
• Subject-matter experts
• Advisory Groups
• Work groups
9
4/8/2015
Who will use CareConnect?
• An estimated 15,000 faculty and staff members will use
CareConnect, including:
Physicians
Pharmacists
Nurses
Advanced-practice nurses
Other clinicians
Staff members working with scheduling, registration, billing, patient
placement (ADT), and hospital information management (HIM)
– Trainees (fellows, residents, interns)
– Students
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–
–
–
–
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4/8/2015
CareConnect Scope
In Scope
Out of Scope
Planned & Budgeted
Consideration for Later
(post July 2013)
 Inpatient (EpicCare Inpatient Clinical
System)
 Ambulatory (EpicCare Ambulatory EMR)
 Inpatient Pharmacy with BCMA (Willow)
 ED (ASAP)
 Radiology (Radiant)
 Critical Care (EpicCare ICU)
 Labor and Delivery/ Perinatal (Stork)
 Medical Oncology (Beacon)
 Perioperative Services (OpTime OR)
 HIM (Chart/Film Tracking, Deficiency
Tracking, ROI, Coding/Abstracting)
 Enterprise Scheduling (Cadence)
 Registration (Prelude)
 ADT & Bed Management
 Hospital Billing (Resolute Hospital)
 Professional Billing (Resolute Professional)
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 Patient Kiosk (Welcome)
 Physician Access for iPhone (Haiku)
 Physician Access for iPad (Canto)
 Patient Portal (MyChart)
 Reporting/Analytical Tools (Reporting
Workbench, Clarity)
 Perioperative Services (Anesthesia)
 Health Plan/Customer Support
(Tapestry-Enrollment/Benefits,
Utilization Review, PlanLink, Call
Management/CRM, AP Claims)
 Provider-based Interoperability – other
Epic sites (CareEverywhere)
 Affiliate Connectivity (EpicCare Link)
 Ophthalmology (Kaleidoscope)
11/22/2011
 Retail Pharmacy (Willow Ambulatory)
 Laboratory (Beaker Clinical Lab)
 Pathology (Beaker AP)
 Reference Laboratory (Beaker Reference
Lab)
 Transplant (Phoenix)
 Inpatient/Family Portal (MyChart InHospital)
 Anesthesia Billing
 Tapestry (Revenue Guardian)
 Transport
 Freestanding PHR (Lucy)
 Reference Lab Orders & Results (OutReach)
 Provider-based Interoperability – non-Epic
sites (CareEverywhere)
What can I do now?
• Get going by registering at Epic System Corp.’s website and
follow these steps:
1.
2.
3.
4.
5.
6.
7.
Log onto userweb.epic.com
Follow instructions to register for access
Wait for account verification email
Access userweb
Click on Home
Click on Training
Click on eLearnings for a list of modules according to care setting and
role
• A good starting point:
– For ambulatory - the EpicCare Ambulatory AMB001 - a high-level office
visit demonstration. Duration: 10 minutes
– For inpatient - the EpicCare Inpatient INO001a - physician rounding
overview; review a patient's current hospitalization. Duration: 10 min
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How can I get involved?
• We’re involving faculty and staff members in many ways:
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Validation Sessions
SMEs
Super Users
Advisory Groups
Work Groups
Physician Advocate Council
• Get involved by:
– Talking to your manager
– Contact CareConnect: CareConnect@mednet.ucla.edu
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4/8/2015
Redesigned home page focuses on CareConnect news
9/11
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4/8/2015
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