Epic Implementation Updates Mount Auburn Leadership November 9, 2016

Agenda Epic Implementation Timeline Review of Key Upcoming Activities Data Migration Overview Super-Users and Training AD and Exchange Migration

Upcoming Milestones (Wave 1)

Key Events

Key Events

Key Events

Key Events

Key Events

Data Migration Overview

Conversion Plan Type of Information How will I see it once we start using Epic? Patient Information (excluding insurances and guarantors) Automatically migrated into Epic. Lab Results Lab results from the hospital will be automatically migrated into Epic for a lookback time period between 5 and 10 years depending on the lab type Imaging and Diagnostic Test Results Results from the past 5 or 10 years (depending on type of test) will be automatically migrated into Epic. Images viewable in PACS. Past Medical, Surgical and Social Histories First six weeks of appointments plus a subset of frequent patients will be abstracted prior to first visit in Epic. Practice to abstract moving forward. Active Problems First six weeks of appointments plus a subset of frequent patients will be manually reconciled from on CCD loads prior to first visit in Epic. Practice to abstract moving forward. Current Medications, Allergies, Immunizations Manually reconcile into the patient’s chart at time of visit in Epic from electronically imported CCDs Advanced Directives and Living Wills Need to be abstracted from hospital charts. Automatically migrated into Epic from eCW or athena. Vitals Not migrated. They will be viewable in your old system(s). Exception: Pediatric vitals will be abstracted prior to go-live from eCW only. Patient Notes Not migrated. Viewable in your old system(s). Coverage and Guarantor Information Not migrated due to risk of error and high impact. Abstracted manually for patients during their first encounter.

Data Migration for Wave 2 Access to Meditech Data will remain as read-only Patient information, lab results, departmental reports are moved to Epic In addition to Data Migration, there is a cutover process to ensure that patients admitted during cutover have required information Active Orders and Medications Nursing documentation (Height, Weight, Verified Allergies) Charges

AD and Email Migration

AD and Email Migration Agenda Status Update Upcoming Activities Cutover Planning

Migration Status as of 11/04 5/22/2018 Migration Status as of 11/04 Total Migrations Large Migrated Departments Kiosks 590 TOTAL MACHINES 1775 AD & Email Accounts 1300 Information Systems Quality & Safety Several MAPS Practices Health Information Management Nursing Units Human Resources Primary Care Respiratory Therapy Radiology Surgery Department Rehabilitation Services Food & Nutrition Services Psychiatry Employee Health Services Social Work Graphic Arts Admitting Occupational Health Services Home Care Payroll Hospitalist PACU, Wyman 4 Pre-Admission Review Department scheduling, cancellations and application access issues *Some may be partially complete

Summary – Common Incidents 5/22/2018 Summary – Common Incidents Incidents Status Comment Shared Calendars & Calendar Delegation Issues Improved Will migrate dependents as a group Slow Email Response Resolved Upgrade to Outlook Client may resolve this issue – Confirmed Missing Distribution Lists Enabled 95% - pre-check going forward Secure Messaging – False Positive Security Function Adjusted Lost Access to CareGroup Public Folders Work Around Manual creation of folder on MAH.ORG Shared Drive (H:) Access Manual configuration will resolve Quest Tool License Limit and Instability Hinder some Migrations Root cause was disabled AD accounts. License count was also increased. Problems with Application access hinder Migration for some Departments Open Budget Advisor – Resolved. Open issues: Varian, JIT (Just In Time), Craneware, SPM, Muse, DocuWare

AD and Email Migration Agenda Next steps for migration We will be reviewing outstanding scheduling for passed departments and working hard towards these over the next two weeks

Upcoming Activities Back-end server migration in progress – 25% complete Interface migration in progress – 80% complete Standup and communication of new MAH owned technologies Remote access Large file transfer New Intranet Portal Full network cutover Initial planning taking place for early morning 12/14 Full command center and floor support Planning and communication around temporary downtime procedures