EMORY HEALTHCARE INFORMATION SERVICES DEPARTMENT - EMR Implementations at a Glance

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1 EMORY HEALTHCARE INFORMATION SERVICES DEPARTMENT - EMR Implementations at a Glance Page 1 of 5 legend under (budget), on (budget), over (budget) Major al Features / Accomplishments 2002 Emergency Department (FirstNet ) at EUHM 2002 Access Management (Enterprise Master Patient Index) 7/02 On 500 EUHM Patient Tracking Board and triage documentation Replaced no longer supported application 7//02 7/02 7/02 7/02 On 500 Established EMPI with 10,000 patients. The master patient index provides the ability to uniquely identify our patients across entities Electronic Medical Record (PowerChart and PowerOrders ) 2005 Ambulatory Electronic Medical Record (PowerChart Office ) 2005 Emergency Department (FirstNet ) EUH and EUHM 2/05 2/05 1/05 On 7000 Enables electronic view of clinical information including: Results and Document Viewing; View hospital orders with status; Problems, Procedures, Medications and Allergies; Prescription writing Replaced Classic PowerChart, interfaced with ten other systems, migrated 110 million rows of result data, migrated allergy data 1/05 On 3000 Enables ambulatory view of above listed clinical data electronic recording of patient vital signs and other patient rooming data. 2/05 On 500 Expansion of ED tracking functionality and added nursing documentation. Implement common system and processes across both Emergency Departments 2005 Pharmacy (PharmNet ) 2/05 2/05 2/05 On 400 Provides clinical alerts and system support necessary to safely manage medications. Necessary infrastructure for the MAR. new 5000 medication formulary to prepare for electronic charting of medications and CPOE Knowledge Solutions (Discern) al Decision Support Rules 2/05 2/05 1/05 2/5 Under 500 Functionality that provides clinical alerts to providers such as duplicate medication alerts, notification of black box warnings, etc

2 Page 2 of 5 Major al Features / Accomplishments 2005 EMR Document Imaging (ProVision ) 12/05 Under 500 Allows clinicians ability to view documents previously only in the paper record such as outside records or documents not yet automated. Acute Care Delivery (Document Management ) Nursing Documentation and Electronic Medication Administration Record Community and Consumer Health (IQ Health PHR) Surgery Scheduling (SurgiNet Scheduling and intraoperative documentation) Surgery Case Tracking (SurgiNet Case Tracking) Cardiac Cath Lab Documentation Downtime Tool for Viewing core clinical patient data (PCLA PowerChart Local Access) Orders (CPOE Computerized Physician Order Entry) in the Emergency Department 8/06 3/07 3/07 Under 4000 Allows providers on-line access to all medication administration information and nursing documentation. Moved 80% of Nursing documentation on-line; integrated pharmacy and nursing onto an electronic MAR. 3/06 3/06 3/06 3/06 Under 1200 Provided tool for patients to have a personal health record. First step in creating a full functioning patient portal. 8/06 On 1500 Integrates physician operative schedule with clinic schedule. On-line intraoperative documentation and billing 12/06 12/06 On 1000 Big board functionality for all surgery cases. 4/07 8/06 4/07 On 500 Electronic documentation of cath lab procedure record and physician report. 11/05 11/05 11/05 Under 7000 Provided a downtime view of current patient information for hospital activity. Includes last 24 hours of key data, refreshed every hour. 1/07 1/07 On 500 CPOE for Emergency Department. Created caresets for most common presenting problems.

3 Page 3 of 5 Major al Features / Accomplishments 2008 EMR al Trial Tracking PowerTrials phase Major EeMR Upgrade ( Millennium code) 1/08 1/08 1/08 1/08 On 500 Provides clinician with summary of trial data, name of trial, researcher and coordinator contact information. Registers each clinical trial in EeMR. 01/08 1/08 1/08 1/08 No Provides the essential technical foundation to meet meaningful use criteria. Provides the latest Cerner enhancements and a new look and feel for the Electronic Medical Record (PowerChart). Includes technology platform required for menu-flexing, summary pages (mpages), message center and e-prescribing EUOSH Implementation (EMPI, PowerChart, PowerOrders, PharmNet Pharmacy, Nursing Document Management, SurgiNet Scheduling and Case Tracking, etc. 9/08 No 500 Provided full EMR infrastructure for new hospital 2008 Physician Documentation (PowerNote ) 10/08 10/08 10/08 10/08 Under 100 PowerNote allows clinicians to document in a structured format which captures discrete data that may be used for quality improvement, research and data mining. Allows users to pull in previously documented data from the electronic record such as medications, allergies, vitals, etc. Currently 500 users writing approximately 22,000 notes/month CPOE Computerized Physician Order Entry 3/09 2/09 7/09 8/09 8/09 On 4000 Facilitates safer, more legible order entry, improved clinical decision support and facilitates increased standardization. 80% of all medication orders performed via CPOE within 6 months of implementation; integrated physicians, nursing and pharmacy into a closed medication loop 2009 Radiology (RadNet ) 4/09 4/09 4/09 4/09 4/09 On 700 Automates Radiology workflow and provides increased integration to EeMR.

4 Page 4 of 5 Major al Features / Accomplishments 2009 Health Information Management (ProFile ) 2009 mystation integrated TV w/eemr access for patients & patient s family 2009 Electronic Medical Record for Community /Affiliated Physicians (PowerWorks ) 4/09 4/09 4/09 4/09 4/09 On 500 Allows clinicians to edit and sign documents from the EeMR inbox. Automates health information management deficiency tracking in EeMR. 2/09 On 500 Provides in room interactive system solution that integrates entertainment, key clinical data and patient education. 8/09 On 25 Provides an office based Electronic Medical Record solution for affiliated physicians. Live in two ESA practices mary pages (MPages) for ED and Ambulatory 2010 Interoperability with other Physician EMRS or Electronic Medical Records (HealtheHub ) 2/09 On 6000 marizes pertinent clinical data on one-screen with easy navigation to more detailed information. 3/09 On 25 Facilitates meeting the meaningful use criteria for interoperability by providing the technology platform to exchange patient data between EMRs. First phase includes sending Radiology results from EeMR to an ESA practice using PowerWorks INet Critical Care System and CareAware Device Integration TBD 1000 Project in planning phase. INet provides electronic documentation for the ICU, replacing EMTEK. Captures data from monitoring devices and electronically sends for display in EeMR Enterprise Patient Access - Global Patient Registration (GPR), Enterprise Scheduling Design TBD 4000 Provides patient data integrity for scheduling Improves workflow by eliminating redundancies when entering patient data in the system. Captures referring provider information targeted for Sept

5 Page 5 of 5 Major al Features / Accomplishments 2010 PCO Transition to PowerChart including Message Center, erx direct to retail pharmacies, new al Messaging, Enhanced Results to Endorse TBD 5500 Transition to the Message Center (new look and feel to the inbox) Transition from Easyscript to orders for prescription writing Enables direct to pharmacy RX, necessary to meet meaningful use requirements. EeMR Wave 2 implementation underway Evidence Based Nursing Content for Pressure Ulcers TBD 3500 Facilitates automation between nursing s wound documentation and provider notation in the medical record Standardization & further automation of the Depart Process TBD Creates checklist to ensure all necessary discharge documentation is completed. Provides more robust patient information for discharge Implement PowerChart Oncology for Woodruff Cancer Institute 2010 Migrate Transplant programs to EeMR 2010 Integrate Discovere with EeMR to support al Research TBD TBD TBD TBD 1000 Provides for on-line scheduling and ordering of chemotherapy drugs across phases. Provides oncology specific requirements such as lifetime dosing. TBD TBD TBD TBD 500 Enables capturing and viewing of all transplant data including outpatient visit data in EeMR. TBD TBD TBD TBD TBD TBD 1000 Provides technology platform to capture and report on clinical trial data. Integrates with EeMR to pull forward pertinent data Implement Health Maintenance and Condition Centers to track against condition specific parameters and provides registry functionality TBD 3500 Provides registry functionality for 12 patient conditions. Provides single view of pertinent clinical data to manage patient conditions.

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