Erlanger Health System Chattanooga, TN 37403 Request for Information (RFI #0001-1415) Electronic Health Record RFI number: 0001-1415 Erlanger Health System Page 1
Vendor Question due (08/19/14) RFI Name: Electronic Health Record RFI Ref # 0001-1415 Does your company have physician ownership? If yes, please provide detailed information as to the ownership. Please submit with your proposal. By signing below you are certifying that the above is accurate and true. Contact Person Company Address City State Zip Code Telephone Email Address Erlanger Health System Page 2
Organizational Profile Erlanger Health System EHS is the region s only Level I Trauma facility located in Chattanooga, Tennessee. Erlanger Health System is a multi-site health system encompassing five campuses (Erlanger Baroness Campus, T.C. Thompson Children s Hospital campus, Erlanger East Campus, Erlanger North Campus, and Erlanger Bledsoe Campus) comprised of 811 licensed beds, one home health agency (Contin-u-Care), and numerous medical clinics. The clinics include Southside Community Health Center, Dodson Avenue Health Center, North Family Medicine, U.T. Family Practice, South Family Medicine, Bledsoe Internal & Geriatric Medicine, and various specialties and sub-specialties for both adult and pediatric patients. EHS is the region s only teaching hospital and is affiliated with the University of Tennessee College of Medicine-Chattanooga. Erlanger Health System non-clinical facilities (corporate office locations and Erlanger Medical Center) are also included. As the tenth largest public hospital in the United States and the regional safety net hospital, Erlanger provides nearly $90 million in uncompensated care (cost of care) to the community each year. In addition, Erlanger is preparing for the reimbursement changes which healthcare reform will drive in the near term and long term. Therefore Erlanger is seeking an innovative healthcare IT partner who can help Erlanger advance for the betterment of the community we serve. This partner will be one whose solution will be aggressively priced for an organization such as Erlanger. The solution will be one that will meet immediate needs and will evolve as Erlanger evolves as a complete system of care. Introduction and purpose of the RFI The purpose of Erlanger s request information is to obtain information regarding your company and your products/services. The same information will be gathered from different companies and will be used to evaluate the opportunities available. Erlanger will establish a successful partnership with a Vendor(s) by working together to meet or exceed Erlanger s Services objectives and requirements. Upon completion of this process, Erlanger may enter into contract negotiations with the Vendor(s) who best meets or exceeds the objectives and requirements as outlined in this RFI. Erlanger is under no obligation to enter into contract negotiations as a result of this RFI. RFI Activity Schedule RFI Questions Due Response to RFI Questions Released Bid Opening: On-Site Presentations; Negotiations Due Dates August 7, 2014 by 5:00 p.m. Eastern Time August 14, 2014 by 5:00 p.m. Eastern Time August 21, 2014 at 3:00 p.m. Eastern Time TBD Scope Erlanger currently has a number of legacy electronic medical record systems which it plans to replace with a comprehensive, integrated electronic health record (EHR). The EHR should encompass all venues of patient care including in-hospital, pre-hospital, critical care, emergency department, ambulatory services, clinics, and physician practices. The EHR vendor should provide a remotehosted solution that is fully managed by the vendor and that meets all HIPAA and HITECH standards. Implementation services should include workflow analysis and redesign with emphasis on having effective, efficient processes which use the EHR to drive patient safety and quality outcomes. Erlanger Health System Page 3
The EHR will have the ability to provide the following: Full integration across the continuum of care Support of teaching programs such that students and residents can perform appropriate functions within the system while faculty can review and where appropriate approve the work of the learner. Support clinical research and clinical trials Support telehealth Support integration with community providers that are using a different EMR system Support population health analytics and management Support unique requirements of Federally Qualified Health Centers Support medical device integration such that data are incorporated seamlessly from medical devices into the EHR Support a consolidated patient record for facilities and offices in different time zones Ensure compliance with all applicable regulations including Meaningful Use, Joint Commission, CMS Core Measures Improved Predictive Modeling from clinical and claims data Algorithms based on peer-reviewed processes for treatment plan options Business intelligence for better clinical and financial modeling RFI Procedure To answer this RFI please fill in the chart below, and provide a high level overview of the solutions your company would provide to support Erlanger s recruiting processes. The answers to this RFI will be evaluated by a multifunctional Erlanger Health System team. Response Due Date and Delivery Proposals may be mailed, AT YOUR RISK, or delivered to Sarah Kerce, Contract Specialist. We strongly suggest you hand deliver or use Fed Ex. Any other method of delivery puts the bid at risk of not making the deadline. Proposals arriving late will be returned, unopened, to the Proposer. Three (3) copies of the proposal should be submitted in the sealed envelope. After the bid opening, Erlanger Health System may request an electronic copy of the proposal in Word or Excel. In order to be considered, your Proposal must be submitted in a sealed envelope with the RFI Reference Number, Date and Time of the Opening printed on the outside of the envelope. Proposals should be mailed to: Erlanger Health System Supply Chain Management Department Attn: Sarah Kerce 975 East Third Street, Suite 708 Chattanooga, TN 37403 RFI Ref. #0001-1415 Proposals are to be submitted on or before 3:00 p.m. Eastern Time on August 21, 2014, at which time they will be publicly opened. Public Opening means that Proposals will be removed from their sealed envelopes, but prices and Proposals will not be reviewed in public until after they have been evaluated and an award has been made, if one is made. Erlanger Health System Page 4
Form to fill in as answer to the RFI Question Company name Company address Company web page Main products/services Main market/customers Ownership structure with ownership status in percentage Structure of mother corporation, joint ventures, subsidiaries, partnerships or other relevant relations Number of years in the market Company location(s) Contact person and responsible for answering this RFI Telephone Email Answer What distinguishes your company/services from other competitors? Describe your business continuity management plan. Privacy and Security: Explain where and how data are securely transmitted and stored Explain how the data center facility is physically secured Explain how the data center meets SSAE 16 standards Provide the contact information within your company for the individual who can discuss privacy and security matters. Support: Explain the ongoing support and/or maintenance plans being offered, including issue escalation. Reporting: Describe the standard and ad hoc reporting capabilities of your solution. Attach a list of sample reports Identify any third-party products which are required and/or recommended for reporting Describe your products or services that are already delivered to customers today and Erlanger Health System Page 5
could be comparable to what is requested in this RFI Implementation: Please provide an implementation timeline from similar projects Describe the anticipated vendor and hospital personnel (skill level and numbers) required to install your solution. Outline the training provided before, during, and after installation. How much of this training occurs on-site and at what cost? Exclusions: List any Requirements that are listed in the RFI that can t be met. Explain. References: List reference customers using comparable products or services (including web addresses) Fees: Please provide an example of a price matrix used to identify all costs for the proposed solution (license fees, monthly hosting fees etc.) Solutions: Please explain and provide supporting material to demonstrate how your solution will enable Erlanger to achieve its strategic and operational objectives. Objectives include: Cost reductions from decreased administrative, clinical staffing and resource requirements Significant improved billing practices and charge capture with advanced revenue enhancements Productivity gains leading to increased capacity or more time with patients Decreased length of stay (inpatient) Improved turnaround time and throughput Improved regulatory compliance Organizational efficiencies o Prevention of duplicate ancillary tests o Compliance with compliance protocols and improvements in clinical decision making o Significant reduction with adverse drug reactions that would be preventable Increased availability of all information for the clinician to make a more informed decision Erlanger Health System Page 6
Improved patient outcomes Please explain and provide supporting material to demonstrate how your solution will provide value to Erlanger. Value considerations include but are not limited to: Error prevention Reduced risk of medico-legal liability Organizational goodwill providers and patients Alerting information Earlier intervention in identified disease trends Faster access to patient records Complete and accurate documentation Increased patient awareness and satisfaction Community connectivity and one complete record across the care continuum Additional Information The following information is made available to assist vendors with determining the scope of the solution to be proposed: Number of licensed beds: 788 Number of staffed beds: 540 Average occupancy: 75% Number of hospitals: 5 Admissions: 28,126 Inpatient days: 135,581 ED visits: 113,469 Births: 5,223 Managed ORs: 42 Employed physicians: 156 Number of practice locations: 44 Physician practice OP visits: 230,000 Number of residents (teaching) 178 Erlanger Health System Page 7
Legacy Systems: *Siemens Invision Clinicals (Including orders/results, nursing documentation, CPOE, medication reconciliation, e-prescribing) *Siemens Enterprise Access Directory (enterprise master patient index) *Siemens Invision Patient Accounting & Electronic Document Management (hospital billing) *Siemens HDX (eligibility checking & remittance processing) *Siemens Pharmacy & Medication Administration Checking *Siemens OpenLink Integration Engine *Siemens Rules Engine *Siemens Soarian Quality Measures (Automated reporting for Core Measures) *Siemens Physician Portal Siemens Decision Support System (data warehouse & analytics) SCI Schedule Maximizer/Order Facilitator Scheduling system Picis Pulsecheck EDIS GE Centricity EMR (most physician practices) *GE Centricity Business /Flowcast (physician billing) *eclinical Works (Cardiology) Allmeds (Orthopedics) MicroMD (Orthopedics) GE Centricity Perioperative Manger/Anesthesia (CPM/CPA) Clinical Computers Systems Inc. Obix Perinatal Data System /Fetal Monitoring McKesson Horizon Patient Folder (deficiency management) Nellcor Puritan Bennett Clinivision (Respiratory documentation) Olympus Endoworks (GI documentation) GE MUSE (EKG documentation) Philips Xcelera (Echo and vascular lab procedure documentation) Sunquest Flexilab (Laboratory & Blood Bank) *System is remote hosted by vendor Erlanger Health System Page 8