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Case Study

                                      Medical University of
                                      South Carolina
At a Glance                           Establishes Interfaces to EHR
Organization                          for Improved Workflow
Medical University of                 The Medical University of South        systems, ADT, radiology, practice
South Carolina                        Carolina (MUSC) has a busy             management, transcription and
Charleston, S.C.                      integrated delivery system             many ancillary tools such as
– 16 sites                            with many different software           cardiac or pulmonary systems.
– 650 physicians                      applications that generate an
                                      enormous amount of patient             “The idea is that everything from
– Nearly 900,000 patient visits       data daily. To streamline workflow,    these third-party systems must get
  per year                            MUSC established interfaces to         into Practice Partner’s electronic
                                      Practice Partner® Patient Records,     patient chart so that we do not
Solution Spotlight                    its electronic health record (EHR)     have to rely on paper or manual
– Practice Partner® Patient Records   solution from McKesson. As a           entry of data,” says Smith. In this
                                      result, MUSC has achieved an           all-electronic environment, it is
                                      impressive level of interoperability   critical that patient information
Critical Issues                       between multiple applications and      from all the different systems can
– Establishing connectivity           Practice Partner Patient Records.      easily communicate with the EHR.
  and interoperability to the EHR     More than 10 interfaces are in
  within a very complex               place, supporting nearly 900,000       Answers
  IT environment                      patient visits per year.               Building the interfaces was a
– Supporting high transaction                                                collaborative effort by MUSC,
  volumes through the interfaces      Challenges                             McKesson and individual software
  in a mission-critical environment   MUSC wanted all software               vendors. Using HL7 protocols as
                                      applications generating patient        the framework for the interfaces,
Results                               data to converge into its EHR.         MUSC took advantage of an
                                      “Without those interfaces our          interface engine (Cloverleaf) to
– Successful deployment of            systems couldn’t talk to each          help centralize interface efforts to
  more than 10 interfaces             other,” explains Jim Smith, MUSC’s     a single “appliance,” which can
  encompassing the full spectrum      manager of Ambulatory Care             receive inputs from various systems
  of clinical and administration      Information Systems. However,          and deliver data as single feed into
  systems                             achieving interoperability for an      Practice Partner Patient Records.
– Effective production support        organization the size of MUSC was
  of high volume interface            a tall order. The ambulatory group     Results
  environment, exceeding              at MUSC treats close to 900,000        MUSC’s efforts paid off. It now
  600,000 annual transactions         patients per year at 16 different      has more than 10 interfaces to
                                      outpatient facilities. MUSC’s          Practice Partner Patient Records,
                                      650 physicians work in more than       encompassing both administrative
                                      30 specialties. All of them use        and clinical functions. Annually,
                                      Practice Partner, as do 800 nursing    the system manages more than
                                      staff, 500 residents and numerous      600,000 transactions into and out
                                      administrative, compliance,            of Practice Partner Patient Records.
                                      pharmacy, radiology and lab staff.
                                      Systems include lab information        The open architecture of Practice
                                                                             Partner Patient Records has allowed
Case Study


“My vision for Practice Partner   MUSC to streamline administrative                         – Interface to LIS transfers data
                                  functions by implementing an:                               from Palmetto Primary Care, a
was to have it as a one-stop                                                                  specialty clinic that is one of
shop. The physician accesses      – Interface to the hospital’s master                        MUSC’s business partners
                                    patient index (MPI) and ADT
Practice Partner and is able to     system (Keane) — generates                              – Interface to radiology information
                                    financial and medical record data                         system allows Practice Partner
do all the business of patient      for both inpatient and outpatient                         Patient Records to download
care without having to stop         activity and provides Practice                            textual radiology results for all
                                    Partner with detailed patient                             imaging protocols including
and log into other systems. By      demographics                                              X-rays, MRIs, CAT scans and
                                                                                              PET scans
and large, we have achieved       – Interface to an ambulatory
that vision.”                       practice management system —                            – Interface to the AssistMed
                                    includes a registration feed that                         transcription service allows easy
                                    triggers the creation of a chart                          downloading of transcribed notes
                                    for new patients and a scheduling                         directly into Practice Partner
Jim Smith                           interface that lets clinicians see                        Patient Records
Manager of Ambulatory Care          their patient schedule from
                                    within Practice Partner                                 – Interface to Medflow
Information Systems                                                                           ophthalmology EMR allows
                                  Other interfaces manage the                                 ophthalmologists’ progress notes
Medical University                seamless distribution of clinical                           to be incorporated into Practice
of South Carolina                 and laboratory information                                  Partner Patient Records
                                  between systems:
                                                                                            – Interface to Oacis clinical data
                                  – Interface to MUSC’s primary                               repository receives progress note
                                    hospital laboratory information                           information from Practice Partner
                                    system (LIS) passes both discreet                         via an outbound interface
                                    data for specific tests and
                                    text reports for pathology                              The project was a success. Practice
                                    and microbiology results                                Partner Patient Records provides
                                                                                            MUSC with a level of application
                                  – Interface to Labdaq accepts                             interoperability that is crucial to the
                                    data coming from one of                                 hospital’s workflow. “My vision for
                                    MUSC’s 16 sites                                         Practice Partner was to have it as a
                                                                                            one-stop shop,” says Smith. “The
                                  – Interface to Labcorp allows                             physician accesses Practice Partner
                                    out-of-area patients who have                           and is able to do all the business of
                                    had transplants or are being                            patient care without having to stop
                                    treated for cancer to have their                        and log into other systems. By and
                                    follow-up test results from their                       large, we have achieved that
                                    local Labcorp facility transferred                      vision.”
McKesson Provider Technologies
                                    to MUSC
5995 Windward Parkway
                                  Copyright © 2009 McKesson Corporation and/or one of its subsidiaries. All rights reserved. Practice Partner is a
Alpharetta, GA 30005              registered trademark of McKesson Information Solutions LLC. All other product or company names mentioned
                                  may be trademarks, service marks or registered trademarks of their respective companies. PRT381-05/09
http://www.mckesson.com/
practicepartner
1.800.770.7674

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Medical University of South Carolina Establishes Interfaces to EHR for Improved Workflow

  • 1. Case Study Medical University of South Carolina At a Glance Establishes Interfaces to EHR Organization for Improved Workflow Medical University of The Medical University of South systems, ADT, radiology, practice South Carolina Carolina (MUSC) has a busy management, transcription and Charleston, S.C. integrated delivery system many ancillary tools such as – 16 sites with many different software cardiac or pulmonary systems. – 650 physicians applications that generate an enormous amount of patient “The idea is that everything from – Nearly 900,000 patient visits data daily. To streamline workflow, these third-party systems must get per year MUSC established interfaces to into Practice Partner’s electronic Practice Partner® Patient Records, patient chart so that we do not Solution Spotlight its electronic health record (EHR) have to rely on paper or manual – Practice Partner® Patient Records solution from McKesson. As a entry of data,” says Smith. In this result, MUSC has achieved an all-electronic environment, it is impressive level of interoperability critical that patient information Critical Issues between multiple applications and from all the different systems can – Establishing connectivity Practice Partner Patient Records. easily communicate with the EHR. and interoperability to the EHR More than 10 interfaces are in within a very complex place, supporting nearly 900,000 Answers IT environment patient visits per year. Building the interfaces was a – Supporting high transaction collaborative effort by MUSC, volumes through the interfaces Challenges McKesson and individual software in a mission-critical environment MUSC wanted all software vendors. Using HL7 protocols as applications generating patient the framework for the interfaces, Results data to converge into its EHR. MUSC took advantage of an “Without those interfaces our interface engine (Cloverleaf) to – Successful deployment of systems couldn’t talk to each help centralize interface efforts to more than 10 interfaces other,” explains Jim Smith, MUSC’s a single “appliance,” which can encompassing the full spectrum manager of Ambulatory Care receive inputs from various systems of clinical and administration Information Systems. However, and deliver data as single feed into systems achieving interoperability for an Practice Partner Patient Records. – Effective production support organization the size of MUSC was of high volume interface a tall order. The ambulatory group Results environment, exceeding at MUSC treats close to 900,000 MUSC’s efforts paid off. It now 600,000 annual transactions patients per year at 16 different has more than 10 interfaces to outpatient facilities. MUSC’s Practice Partner Patient Records, 650 physicians work in more than encompassing both administrative 30 specialties. All of them use and clinical functions. Annually, Practice Partner, as do 800 nursing the system manages more than staff, 500 residents and numerous 600,000 transactions into and out administrative, compliance, of Practice Partner Patient Records. pharmacy, radiology and lab staff. Systems include lab information The open architecture of Practice Partner Patient Records has allowed
  • 2. Case Study “My vision for Practice Partner MUSC to streamline administrative – Interface to LIS transfers data functions by implementing an: from Palmetto Primary Care, a was to have it as a one-stop specialty clinic that is one of shop. The physician accesses – Interface to the hospital’s master MUSC’s business partners patient index (MPI) and ADT Practice Partner and is able to system (Keane) — generates – Interface to radiology information financial and medical record data system allows Practice Partner do all the business of patient for both inpatient and outpatient Patient Records to download care without having to stop activity and provides Practice textual radiology results for all Partner with detailed patient imaging protocols including and log into other systems. By demographics X-rays, MRIs, CAT scans and PET scans and large, we have achieved – Interface to an ambulatory that vision.” practice management system — – Interface to the AssistMed includes a registration feed that transcription service allows easy triggers the creation of a chart downloading of transcribed notes for new patients and a scheduling directly into Practice Partner Jim Smith interface that lets clinicians see Patient Records Manager of Ambulatory Care their patient schedule from within Practice Partner – Interface to Medflow Information Systems ophthalmology EMR allows Other interfaces manage the ophthalmologists’ progress notes Medical University seamless distribution of clinical to be incorporated into Practice of South Carolina and laboratory information Partner Patient Records between systems: – Interface to Oacis clinical data – Interface to MUSC’s primary repository receives progress note hospital laboratory information information from Practice Partner system (LIS) passes both discreet via an outbound interface data for specific tests and text reports for pathology The project was a success. Practice and microbiology results Partner Patient Records provides MUSC with a level of application – Interface to Labdaq accepts interoperability that is crucial to the data coming from one of hospital’s workflow. “My vision for MUSC’s 16 sites Practice Partner was to have it as a one-stop shop,” says Smith. “The – Interface to Labcorp allows physician accesses Practice Partner out-of-area patients who have and is able to do all the business of had transplants or are being patient care without having to stop treated for cancer to have their and log into other systems. By and follow-up test results from their large, we have achieved that local Labcorp facility transferred vision.” McKesson Provider Technologies to MUSC 5995 Windward Parkway Copyright © 2009 McKesson Corporation and/or one of its subsidiaries. All rights reserved. Practice Partner is a Alpharetta, GA 30005 registered trademark of McKesson Information Solutions LLC. All other product or company names mentioned may be trademarks, service marks or registered trademarks of their respective companies. PRT381-05/09 http://www.mckesson.com/ practicepartner 1.800.770.7674