The document discusses the challenges faced by a healthcare organization with their current electronic medical records (EMR) system, including issues like crashing and lack of interoperability. It outlines the potential benefits of switching to a new electronic health record (EHR) system, such as improved efficiency and up-to-date information, and advises on gathering additional information from EHR vendors. The document also explores the importance of hardware upgrades and strategies for convincing leadership to adopt new systems while ensuring integrated care.

1. EHR Implementation PPT.
Group 6
Deborah Olabisi, Bhuvan Tej Mandava,
Goswami Komal, Nel Devanaboina,
Revathi Muthakani, & Srilakshmi Priyanka
Jamalapurapu

2. Case Question – 1: Specific problems/limitations with the current
EMR systems.
EMR frequently crashing,
Inability to share information with providers at the same institution due to lack of
interoperability,
Slow functioning of the EMR leading to delay in note completion,
Intermittent problems with ePrescribing,
Missing reports from EMR reports module and,
Out of date information on clinical measures as reflected by wildly inaccurate reports,
scorecards, and dashboards.

3. Benefits the organization will achieve by switching to a new EHR?
Achievement of interoperability between different departments of the hospital.
Faster completion of notes by physicians through note taking software incorporated in the EHR.
Efficient running and utilization of ePrescribing.
Elimination of missing results by switching to eFaxing which ensures efficient management and
storage of results and other documents.
Up to date information reflected in reports, scorecards, and dashboards.
Elimination of long wait times and scheduling difficulties by utilization of E-registration,
appointment scheduling application and patient reminders.
Updated billing process using Epic clearinghouse.

4. Case Question – 2: What should STAR Health do to gather additional
information from other vendors, prior to deciding on Epic?
Needs Assessment: Assess where they are now lacking and determine whether EHR will be able to address their
problems and provide a major advantage to the organization.
RFI (Request for Information): they must investigate which EHR vendors their competitors have outsourced their EHR
implementation to and find out what services such vendors offer in comparison to EPIC.
RFP (Request for Proposal) should be sent to eligible vendors requesting specific answers to the needs of the institution.
A cost benefit analysis should also be carried out. If there are major disparities in the services supplied or in the quality of
service, EPIC should be reconsidered.
They should request a demo and review consumer feedback from existing clients.

5. What other vendors would you consider? Would you consider keeping
an already existing EMR, but expand it to all the other specialties?
EHR vendors to consider includes EPIC, Cerner, Meditech, Evident and
Allscripts because they are the top 5 EHR vendors according to
Definitivehc.com.
Keeping an already existing EMR but expanding it to all other specialties
seem attractive because EMRs are easier to use/navigate than EHRs,
EMRs can be used offline, which can be helpful in cases of power outages
or internet disruptions.
EMRs are typically less expensive than EHR, so they may be a better option
for smaller practices.

6. But despite all these advantages, there are several significant
drawbacks, such as:
EMRs are less adaptable than EHRs. Because EMRs are frequently
developed for a single type of practice, they may be unable to fulfil
the demands of a changing practice.
EMRs can be challenging to convert to a new format, which can
make workflow for transferring providers difficult.
EMRs can soon become obsolete, resulting in mistakes and lost
productivity as evidenced by the current situation in Star Health.
Therefore, the disadvantages outweigh the benefits and does not
meet the organizational goals and objectives of Star Health.

7. Case Question – 3: Do
you think STAR Health
can reach its goals of
integrated care with
Epic EHR? How will
these
modules/applications
assist with patient care
and employee
wellness?
Prelude:
Registration
Cadence:
Appointment
Scheduler
Epic Ambulatory:
Electronic Medical
Record
Surescripts: E-
Prescribing & Real-
time Eligibility
MyChart: Patient
Portal
Epic ClearingHouse:
Claims
Clearinghouse
DrFirst: Electronic
Prescription for
Controlled
Substances (EPCS)

8. Martti: Telehealth & Translation services
RightFax: E-Faxing
Epic Reports: Reporting and Population Health
First Databank: Drug knowledgebase
Cloverleaf: Interface Engine
Dragon: Dictation Device
Relatient: E-Registration & Patient Reminders

9. Case Question – 4: Describe the hardware components that support clinical care.
Server (computer that
maintains the hospital’s
software and data).
Computers which staff
members use
(workstation computer,
wall-mounted computer,
computer on wheels,
laptop, mobile device).
Devices for document
imaging such as
scanners and printers.
Network devices such as
routers.
Storage and backup
devices.
physiologic devices,
such cardiac monitors,
ventilators, some IV fluid
pumps, medication
pumps, and vital sign
monitors

10. Will it be beneficial to implement new hardware as well?
It will be beneficial to implement new hardware as well.
The most benefit will be obtained from replacing the computers and
routers and upgrading the operating system because of the persistent
complaints from staffs about the slow internet and slow computers
leading to inability to complete notes on time and EHR crashing,

11. Case Question – 5:
How can the
Steering
Committee change
the CEO’s mind? If
they decide to
continue with Epic,
how can they
ensure that STAR
Health does not
suffer the same
fate as their
competitor?
The Steering committee should present the CEO with
the results of the RFP presented by the three vendors
along with a complete analytical and statistical data
report of the proposed EHR systems with a cost benefit
analysis comparing it to the Epic EHR.
To ensure that Star Health does not suffer the same fate
as Complete Care, A demo or walkthrough should be
presented by Epic, in which the steering committee
visually access the capabilities of the EHR system.
Common practices as well as areas of greatest risk
should be addressed, and mitigation strategies
discussed.
References should be contacted, and questions should
be asked about their experience and lessons learnt.
Complete care should also be contacted, and
information gotten about what they would have done
differently.

12. Part B Example Summary: Describe your selected healthcare organization.
Yale New Haven Health System (YNHHS) is a nonprofit healthcare system with
headquarters in New Haven, Connecticut.
It is Connecticut's largest healthcare system with 2,409 beds and includes hospitals,
physicians and related health services throughout Connecticut as well as New York
and Rhode Island.
Institutions affiliated with the system include Bridgeport Hospital, Greenwich
Hospital, Lawrence + Memorial Hospital, Westerly Hospital, Smilow Cancer
Hospital, Yale New Haven Hospital, Yale New Haven Children's Hospital, Yale New
Haven Psychiatric Hospital and Northeast Medical Group.
They are a provider of comprehensive, integrated, family-focused care in more than
100 medical specialties. The EPIC implementation process began in July 2010 at
YNHHS.

13. Brief information on EHR and the EHR vendor.
Epic was founded in a
basement in 1979 with
1½ employees
Epic develops software
to help people get well,
help people stay well,
and help future
generations be
healthier.
More than 250 million
patients have a current
electronic record in
Epic.
Epic is a cloud-based
EHR solution catering to
a number of specialties.
Epic offers the standard
range of ‘core’ EHR
features, and practices
can add modules
depending on specialty.

14. EHR Implementation

15. References

https://ehrintelligence.com/news/epic-modules-
supporting-care-across-healthcare-settings

https://www.definitivehc.com/blog/most-common-
inpatient-ehr-systems

https://www.ynhhs.org/about/corporate-
overview