Special Topics in Vendor Specific Systems Unit 1

Special Topics in Vendor. Specific Systems Unit 1 Common Commercial Electronic Health Record (EHR) Systems Used in Ambulatory and Inpatient Care Settings

Outline • HIMSS • KLAS HIMSS • Summary of inpatient and ambulatory KLAS vendors – KLAS ratings Summary of inpatient and ambulatory vendors – Info on selected vendors • KLAS ratings • Info on selected vendors Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 2

HIMSS • Healthcare Information and Management Systems Healthcare Information and Management Society Systems Society • About HIMSS – Comprehensive healthcare-stakeholder membership organization • Comprehensive healthcare-stakeholder membership organization – Global leadership for optimal use of • Global leadership for optimal use of information technology (IT) & management systems for healthcare • Educational, professional development, & advocacy initiatives • Promotes information & management systems’ contributions to – Educational, professional development, & ensuring quality patient care advocacy initiatives Health IT Workforce Curriculum Component 14/Unit 1 Version 1. 0/Fall 2010 3

HIMSS (cont. ) • Founded in 1961 • Offices in Chicago, Washington D. C. , Brussels, Singapore, and other US Offices in Chicago, Washington D. C. , Brussels, locations Singapore, and other US locations • 23, 000 individual members, of which 73% work in patient care delivery settings • 380 corporate members & 30 not-for-profit organizations Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 4

HIMSS (cont. ) • Vision – Advance the best use of information and • Advance the best use of information and management systems for the betterment of health care • Mission – To lead healthcare transformation through the effective use of health information technology • To lead healthcare transformation through the effective use of health information technology Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 5

HIMSS Member Demographics • 23, 000 individual members 86% of those provided demographic data • Of these 19, 171 members, 13, 294 work in healthcare provider settings 86% of those provided demographic data Of these 19, 171 members, 13, 294 work in healthcare provider settings Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 6

HIMSS “Products” • Extensive collection of industry research reports IT news • Topics and Tools – E. g. Tools for EHR Professionals • E. g. Tools for EHR Professionals – Materials about factor & trends in the use of • Materials about factor & trends in the use of EHR NOTE: Given the mixed membership (providers & vendors), you will not find vendor comparisons and product reviews • NOTE: Given the mixed membership (providers & vendors), you will not find vendor comparisons and product reviews Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 7

KLAS Quick Facts: • Independently owned & operated • Founder is Kent L. Gale • Pronounced like “class” • KLAS is the first initials of the founders' names: Independently owned & Founder is Kent L. Gale Pronounced like “class” – Kent Gale, Leonard Black, Adam Gale, and Scott Holbrook operated • Headquarters: Orem, Utah; independent researchers throughout the country KLAS is the first initials of the founders' names: • Kent Gale, Leonard Black, Adam Gale, and Scott Holbrook Component 14/Unit 1 Headquarters: Orem, Utah; independent researchers throughout the country Health IT Workforce Curriculum Version 1. 0/Fall 2010 Focus is solely on healthcare technology 8

KLAS (cont. ) Focus is solely on healthcare technology • Mission – To improve healthcare technology delivery by honestly, accurately, and impartially Mission What They Do measuring vendor performance for our • To improve healthcare • Help healthcare providers provider partners technology delivery by make informed technology honestly, accurately, and decisions by reporting impartially measuring vendor accurate, honest, and impartial performance for our provider vendor performance – Help healthcare providers make informed partners • What They Do technology decisions by reporting accurate, honest, and impartial vendor performance Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 9

KLAS: How They Do It • • • Independently monitor vendor performance through active participation of thousands of healthcare organizations Stringent methodology to ensure data and ratings are accurate, honest, and Independently monitor vendor Stringent methodology to ensure impartial. performance through active data and ratings are accurate, participation of thousands of Research results offered to healthcare providers through: honest, and impartial. healthcare organizations – Performance Database – Specialty Reports – Advisory Services/Custom Research results offered to healthcare providers through: • Performance Database • Specialty Reports • Advisory Services/Custom Research Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 10

How Providers use KLAS Findings • Understand products’ & vendors’ strengths & weaknesses • Screen prospective vendors • Create influential proposals with KLAS research that supports your buying decision • Manage risk and exposure: be informed on price, contract issues & common complaints • Set realistic expectations for your organization and your vendor • Save research time and money Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 11

KLAS Research Focus • Solely on the healthcare technology industry. Its main areas of research are: • • Its main areas of research are: Software – • (Since 1997) ratings for making the best possible purchasing and Software negotiating decisions • (Since 1997) ratings for making the best possible • Services Firms • (Since 2004) reports on services markets including implementation, purchasing and negotiating decisions planning and assessment, vendor selection, technical consulting, IT – outsourcing, and business process outsourcing Services Firms • Medical Equipment • (Since 2004) reports on services markets including • (Since 2005) gathering research on medical equipment, including implementation, planning and assessment, vendor CR/DR and MRI scanners selection, technical consulting, IT outsourcing, and Health IT Workforce Curriculum business process outsourcing Component 14/Unit 1 12 Version 1. 0/Fall 2010

KLAS Methodology • How overall performance rating is calculated with software: • – scores for 25 questions rating scale of 1 -9 (1=poor and 9=excellent) and “yes” or “no” • –scores for 25 questions Each question weighted equally • –rating scale of 1 -9 (1=poor and 9=excellent) and “yes” or “no” • –Each question weighted equally Total score is based on 100 -point scale • Total score is based on 100 -point scale Questions allow healthcare providers to rate the product/vendor in the areas of Questions allow healthcare providers to rate the product/vendor in the – Sales & Contracting areas of – Implementation & Training • Sales & Contracting – Functionality & Upgrades • Implementation & Training Service & Support • –Functionality & Upgrades General • –Service & Support • General Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 13

KLAS Methodology (cont. ) Criteria in Evaluations: • • • • Contracting experience Product works as promoted Money’s worth Avoids nickel and diming Quality of implementation Implementation on time Quality of training Overall product quality Delivery of new technology Ease of use Product response time Supports integration goals Product has needed functionality Component 14/Unit 1 • • • Quality of phone/web support Proactive service Executive involvement Lives up to expectations Keeps promises Part of long term plans Overall communication Recommend to peer/friend Overall satisfaction Forecasted overall satisfaction Would you buy again Ranked client’s best vendor Health IT Workforce Curriculum Version 1. 0/Fall 2010 14

KLAS Ratings • Acute Care EHR Software products that provide core inpatient • –Software products that provide core inpatient functionality: • clinical data repository (CDR) • order entry (including computerized provider order • order entry (including computerized provider entry (CPOE)) order entry (CPOE)) • results reporting • clinical charting & documentation • –Larger: over 200 beds • –Small: 200 or less beds Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 15

Top 10 Acute Care EHR: Over 200 Beds Vendor Product Overall Score Epic. Care Inpatient EHR 87. 59 Cerner Care. Net 78. 06 Mc. Kesson Paragon Clinicals 75. 49 MEDITECH MAGIC Patient Care Inquiry 73. 41 Siemens Soarian Clinicals 73. 09 MEDITECH C/S Enterprise Medical Record 72. 85 Cerner Power. Chart/Powerorders/Care. Net 72. 79 Eclipsys Sunrise Clinical Manager 72. 76 Cerner Power. Chart/Powerorders 72. 50 Mc. Kesson Horizon Expert Orders/Documentation 70. 89 Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 16

Top 10 Acute Care EHR: Under 200 Beds Vendor Product Overall Score Mc. Kesson Paragon Clinicals 81. 11 MEDITECH C/S Enterprise Medical Record 78. 01 Siemens Soarian Clinicals 71. 39 MEDITECH MAGIC Patient Care Inquiry 70. 97 Cerner Power. Chart/Powerorders/Care. Net 70. 78 Eclipsys Sunrise Clinical Manager 70. 49 Cerner Power. Chart/Powerorders 70. 15 HMS Clinicals 68. 28 Siemens Med. Series 4 Clinicals 67. 76 CPSI Clinicals 67. 70 Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 17

KLAS Ratings • Ambulatory EHR – software solutions for clinic and practice management, providing clinic and practice management, charting, orders, prescriptions, and/or EHR providing charting, orders, prescriptions, functionality. and/or EHR functionality. • • • – Over 100 physicians – 26 - 100 physicians – 6 - 25 physicians – 2 - 5 physicians 1 physician – 1 physician Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 18

Top 10 Ambulatory EHR: Over 100 Physicians Vendor Product Overall Score Epic. Care Ambulatory EHR 88. 75 Next. Gen EHR 73. 68 GE Centricity GE 70. 97 Cerner Power. Chart/Powerorders/Care. Net 66. 66 Eclipsys Sunrise Ambulatory Care Manager 63. 95 Allscripts Enterprise EHR 62. 91 MED 3000 IC-Chart 60. 97 e. Clinical. Works EHR 60. 52 Mc. Kesson Horizon Ambulatory Care 59. 71 Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 19

Top 10 Ambulatory EHR: 26 - 100 Physicians Vendor Product Overall Score Epic. Care Ambulatory EHR 84. 01 Sage Intergy EHR 78. 82 Cerner Power. Chart Office/ Power. Works EHR 75. 16 athenahealth athena. Clinicals 72. 29 Greenway Medical Prime. Suite EHR 72. 19 Allscripts Professional EHR 69. 54 Next. Gen EHR 68. 49 MED 3000 IC-Chart 67. 51 LSS (Meditech) MPM 67. 32 GE Centricity GE 67. 24 Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 20

Top 10 Ambulatory EHR: 6 - 26 Physicians Vendor Product Overall Score Greenway Medical Prime. Suite EHR 89. 80 SRSoft hybrid EHR (Lite EHR) 89. 32 athenahealth athena. Clinicals 83. 87 e-MDs Chart 83. 61 LSS (Meditech) MPM 79. 01 Optimed CHARTCARE EHR (CLINICARE) 79. 01 Allscripts Professional EHR 76. 91 Sage Intergy EHR 76. 06 Next. Gen EHR 68. 49 g. Med g. Cage Partner EHR 75. 84 Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 21

Summary of Inpatient Vendors • • • Epic Cerner Epic Mc. Kesson MEDITECH Eclipsys Cerner MEDITECH Component 14/Unit 1 Mc. Kesson Eclipsys Health IT Workforce Curriculum Version 1. 0/Fall 2010 22

Epic • http: //www. epic. com • Software for mid-size & large medical groups, hospitals and integrated healthcare organizations • Software for mid-size & large medical groups, hospitals and integrated Customers: healthcare organizations – community hospitals – academic facilities Customers: – children's organizations safety net providers • –community hospitals • –academic facilities multi-hospital systems children's organizations • • Spans clinical, access and revenue functions and extends into the home • safety net providers • multi-hospital systems Spans clinical, access and revenue functions and extends into the home Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 23

Epic Company brags: • Company brags: – On-time, on-budget track record is one of the • On-time, on-budget track record is one of the best in healthcare • Quick to implement, easy to use – Quick to implement, easy to use • Information shared in 2 ways: – Information shared in 2 ways: • Care Everywhere (doctor controls flow of data) • Lucy PHR (patients control their own health information) • Lucy PHR (patients control their own health • Develop, install and support all our applications in-house information) • Leadership team includes clinicians, developers & process experts – Develop, install and support all our applications in-house Health IT Workforce Curriculum Component 14/Unit 1 Version 1. 0/Fall 2010 – Leadership team includes clinicians, 24

Epic • Founded in 1979 Private and employee-owned • 190 Customers Private and employee-owned • 150, 000 physicians (1 in 4 US physicians) 190 Customers 150, 000 physicians (1 in 4 US physicians) Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 25

Cerner • http: //www. cerner. com • Global supplier of healthcare solutions http: //www. cerner. com Global supplier of healthcare solutions – Makes sure the right people have the right information at the right time • Founded 1979 (Neal Patterson, Cliff Illig, Paul Gorup) • Create a new generation of intelligent medical devices Leverage clinical & pharmaceutical data for new discoveries • Leverage clinical & pharmaceutical data Collaborate with employers to eliminate administrative waste and friction for new discoveries • Collaborate with employers to eliminate administrative waste and friction Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 26

Cerner Associates: • Associates: – • Worldwide: 7, 500 • Kansas City: 4, 800 – Kansas City: 4, 800 Clients: • over 8, 000 hospitals, physician practices, ambulatory – facilities, home health facilities, and retail pharmacies over 8, 000 hospitals, physician practices, ambulatory facilities, home health facilities, 2009 Revenues: $1. 67 billion and retail pharmacies • 2009 Net Earnings: $193. 5 million – Founded 1979 (Neal Patterson, Cliff Illig, Paul Gorup) Ticker Symbol: CERN – NASDAQ • 2009 Revenues: $1. 67 billion – 2009 Net Earnings: $193. 5 million Health IT Workforce Curriculum Component 14/Unit 1 Version 1. 0/Fall 2010 27

Mc. Kesson’s Vision Provide • Help create a health care system where pharmaceuticals, Help create a health Decision support quality is higher, mistakes are fewer and medical supplies care system where software for clinical and information quality is higher, diagnosis & costs are lower technologies for mistakes are fewer treatment plans and costs are lower safer healthcare & cost reduction • Provide pharmaceuticals, medical supplies and information technologies for safer healthcare & cost reduction Help prevent 330, 000 medication Electronic systems • Decision support software for clinical errors every week Online access to that eliminate paper through bar-code prescriptions and patient information diagnosis & treatment plans scanning medical records technology • Electronic systems that eliminate paper prescriptions and medical records Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 28

Mc. Kesson http: //www. mckesson. com/en_us/Mc. Kesson. com/ • 14 th on the FORTUNE 500 • –Revenue $106. 6 billion annually • –Delivers medicines, medical supplies and health care information –technology solutions Delivers medicines, medical supplies and health care information • Largest pharmaceutical distributor in North America technology solutions • –Software & hardware technology in 70% of the larger hospitals Largest pharmaceutical distributor in North America – Software & hardware technology in 70% of the larger hospitals Customers: • 200, 000 physicians • – 26, 000 retail pharmacies • – 10, 000 long-term care sites • – 5, 000 hospitals • – 2, 000 medical-surgical manufacturers 5, 000 hospitals • – 750 homecare agencies 2, 000 medical-surgical manufacturers • – 600 health care payors 750 homecare agencies • 450 pharmaceutical manufacturers – 600 health care payors. Health IT Workforce Curriculum Component 14/Unit 1 Version 1. 0/Fall 2010 – 450 pharmaceutical manufacturers 29

Meditech • • • Mission Statement: – to provide software that enables physicians, nurses, and other clinicians to orchestrate and deliver patient care in a safe, effective, and efficient • to provide software that enables physicians, nurses, and other manner. Our software is integrated in a manner that fully optimizes the clinicians to orchestrate and deliver patient care in a safe, effective, financial and business potential of the health care enterprise. and efficient manner. Our software is integrated in a manner that fully optimizes the financial and business potential of the health Information is available whenever and wherever clinicians need it care enterprise. Ensure access to a full electronic record with data from across the continuum Information is available whenever and wherever clinicians need it Ensure access to a full electronic record with data from across the continuum Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 30

Meditech • http: //www. meditech. com • 40 years developing, installing, and supporting health care information systems • Founded in 1969 by the developers of MUMPS – A. Neil Pappalardo and Curt W. Marble develop MUMPS technology on a DEC PDP at Mass General Hospital from 1964 to 1968 • Markets: United States, Canada, United Kingdom, Ireland, South Africa, Latin America, Mexico, Spain • 2, 200 customers worldwide • 2, 900 staff members • Revenue (2008) $397 million • 5 A 1 Dun & Bradstreet credit rating • Privately-held Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 31

Eclipsys • http: //www. eclipsys. com • 40 -year history of delivering advanced healthcare IT solutions to affect the quality, safety and cost-effectiveness of healthcare 40 -year history of delivering advanced healthcare IT solutions to affect the quality, safety and cost-effectiveness of healthcare worldwide • Leader in CPOE solutions (Computerized Physician Order Entry) Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 32

Eclipsys • Incorporated: 1995 with more than 40 -years of healthcare IT solutions experience • Headquarters Atlanta, GA • Employees: 2, 800+ worldwide • Clients: 6, 000 hospitals, healthcare systems, clinics and physician practices • Stock Symbol (NASDAQ): ECLP • Revenue (2008) $515. 8 million • Allscripts announced on 6/9/10 that it would buy Eclipsys for $1. 35 B Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 33

Resources • http: //www. klasresearch. com • http: //www. himss. org • Vendor websites Component 14/Unit 1 Health IT Workforce Curriculum Version 1. 0/Fall 2010 34