1. Digital Divide October 24, 2012 William Schuh, MD Jerry DeWitt, RN

2. Carle Foundation Hospital Level I Trauma Center Level III Perinatal Services Primary Stroke Center Neonatal ICU Wound Healing Sleep Lab Spine Institute Heart and Vascular Institute Carle Cancer Center Mills Breast Cancer Institute Bariatric Services Palliative Care Digestive Health Center Carle Research Institute Integrated System

3. Carle Physician Group Multi-specialty clinic with 50 specialties Clinical Trials Reproductive Medicine Oral and Maxillofacial Surgery Hearing/Audiology Eye/Optical Shop Pain Center Geriatrics Primary Care Integrated System

4. EMR Implementation HIMSS stage 6 – Healthcare Information and Management Systems Society. – 7 stages of EMR Implementation – Top 5% in country Most Wired Hospital 2011, 2012 – Hospitals & Health Networks magazine (H&HN)

5. Admission/Discharge/ Transfer (ADT) Prelude Registration Cadence Scheduling BedTime Bed Management Health Info Mgmt (HIM) EpicCare Clinical System EMR Clinician Order Entry Decision Support Results Review Clinical Documentation MAR 5 Rights Barcoding Clinical Notes & Pathways Interdisciplinary Care Plans ICU Willow Inpatient Pharmacy OpTime OR Management ASAP Emergency Dept EpicLab Clinical Laboratory Radiant Radiology Beacon Oncology Cardiant Cardiology Stork Obstetrics Labor/Delivery Kaleidoscope Ophthalmology EpicCare Transplant Anesthesia Epicenter Enterprise Data Repository Clarity Analyst Enterprise Reporting Identity Master Person Index Customer Relationship Management MobileMeds Handheld Access and MAR MyChart Shared EMR for patients Lucy Free-standing PHR for patients EpicWeb Access for providers MyEpic Executive information home page EpicCare Link Access for affiliates Prelude Registration Cadence Scheduling EpicCare EHR Charting Clinician Order Entry e-Prescribing Decision Support Results Review Radiology Residency Support Coding & Benefits Call Management/Customer Relationship Management Nurse Triage Home Health Willow Ambulatory Pharmacy* Welcome Patient Kiosk Enrollment/Eligibility Claims/Capitation Revenue Guardian Utilization Management Premium Billing Resolute Hospital Billing Resolute Professional Billing Epic Software InpatientAncillary Repositorye-HealthAmbulatory Managed Care Revenue Cycle *Coming Soon

6. 20-29% of U.S. population will be cared for by EpicCare. (62M to 91M people)

7. MyCarle Patient Portal to Medical Records Live since February 2011 Features for patients: – E-mail messages when information available – View past and future appointments – View hospital DC instructions – Discrete data (meds, allergies, histories, immunizations) – View and graph lab results – View AVS – Review insurance and coverage information

8. MyCarle Future features: – Release radiology and pathology results to patients (manual only, no automatic release) – Bill pay – Request an appointment – Appointment cancelation request

9. MyCarle Features for Providers: – Release lab results to patients – Add message to results (labs are normal, etc.) – Additional means to notify patients

10. MyCarle

13. MyCarle Activation

14. Epic Apps for Providers

15. MyCarle Apps for Patients

16. Other Smartphone Apps 4130 hits on iTunes for “medical” iTriage Visual DX Micromedex Medical Encyclopedia Medical Calculators Prognosis