1. UCLA EPIC Program Overview
McFerran
CITI

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%
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
% of Patients

4. UCLA ARRA Impact Forecast
UCLA Health Sciences
Nov 30, 2010
annual payments assuming we comply by 2011 ~$40M
graph shows the annual payments assuming we make a 2011 date to comply, and isn't the graph showing what our maximum opportunity is if we comply during those years

5. Epic in UCLA HS Systems Context
UCLA Health Sciences
Nov 30, 2010
Automated workflow
Medical Grade Network
Research Data Repository
EHR
Specialized EHR’s and ancillaries,
Varian Aria
Opthomology
Clinical lab,
PACS, etc.
EPIC

6. Stages of UCLA EHR Project
UCLA Health Sciences
Nov 30, 2010
SUMMER/FALL 2010
2011
VENDOR
SELECTION
DEPLOYMENT
STRATEGY
DESIGN
&
BUILD
DEPLOYMENT
DETERMINE
FINAL
SCOPE
TRAINING
&
SUPPORT
STAFFING

7. Epic product suite

8. Draft Scope Finalization*
In Scope
In Scope (under certain conditions)
Out of Scope
Acquire from Epic
Additional discussion required
Do not Acquire from Epic
Not available from Epic
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)
Ophthalmology (Kaleidoscope)
Cardiac Services (Cardiant)
Home Health (EpicCare Home Health)
Physician Portal (EpicCare Web)
Customer Service Support (Call Management/ CRM)
Retail Pharmacy (Willow Ambulatory)
Patient Acuity
Blood Bank
Dietary
Dialysis
PACS
Radiation Oncology
General Financials
Data Warehouse/ Business Intelligence
*Epic Enterprise Licensing offers flexibility regarding implementation sequence.
McFerran

9. END