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| − | == Introduction ==
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| − | The '''EpicCare Ambulatory Electronic Medical Record (EMR)''' "combines chart review, order management, and documentation in a fast system that can learn your preferences while you work <ref name="epic ambulatory">Epic Systems - Ambulatory Care https://www.epic.com/software-ambulatory.php</ref>. It organizes patient information, suggests actions, and guides coordinated care across physical care settings. EpicCare's embedded analytics and population management infrastructure support the transition to value-based care models." <ref name="epic ambulatory"></ref>
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| − | ==History==
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| − | In 1992, Epic released the first windows-based Electronic Medical Record named EpicCare. "An industry first, the application quickly found acceptance among healthcare organizations and would go on to receive high marks from independent raters. EpicCare helped the company to complete its suite of ambulatory practice management software."[4]
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| − | ==Design Highlights==
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| − | Physician personalization can be done on the fly - with minimal training. <ref name="epic ambulatory"></ref>
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| − | '''"Smart Software"''' features learn your preferences and suggest corrections. <ref name="epic ambulatory"></ref>
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| − | Intuitive '''filtering tools''' simplify longitudinal chart review. <ref name="epic ambulatory"></ref>
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| − | '''Navigators''' bundle related functions into common workflows. <ref name="epic ambulatory"></ref>
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| − | '''NoteWriter''' quickly captures discrete observations <ref name="epic ambulatory"></ref>
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| − | Patient-entered data flows directly from MyChart to the EpicCare chart. <ref name="epic ambulatory"></ref>
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| − | '''Speech recognition''' captures narrative notes. <ref name="epic ambulatory"></ref>
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| − | Fast system response times for many concurrent users. <ref name="epic ambulatory"></ref>
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| − | '''Decision support''' - clinical and financial - links to suggested action. <ref name="epic ambulatory"></ref>
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| − | '''In Basket''' automates results review and communication. <ref name="epic ambulatory"></ref>
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| − | '''Telemedicine''' options create cost-savings and patient engagement opportunities for accountable care. <ref name="epic ambulatory"></ref>
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| − | '''Dashboards''' aggregate quality/outcome metrics alongside productivity and financial metrics. <ref name="epic ambulatory"></ref>
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| − | ==Industry Adoption==
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| − | Per the Epic website "EpicCare is highly rated by clinical and technical staff alike, leading to deeper adoption and enabling realization of benefits. As of April 2013, 100% of HIMSS Analytics Stage 7 ambulatory practices use EpicCare." [6]
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| − | According to Epic, 70% of Stage 7 U.S. Hospitals, 75% of children's hospitals, and 89% of Stage 7 Clinics use EpicCare. Some users of EpicCare are listed below [6]:
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| − | Altru Health System January 26, 2015, 1 hospital | 21 clinics
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| − | Kaiser-Permanente January 22, 2015, 350 clinics
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| − | MultiCare Health System January 14, 2015, 2 hospitals | 100+ clinics
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| − | Rockford Health System December 23, 2014, 11 clinics
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| − | Lancaster General Health December 19, 2014, 67 clinics
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| − | "As of December 2013, Epic customers held more HIMSS Davies awards than any other vendor's clients. They've were also recognized by the Joint Commission/National Quality Forum and CHIME for their use of Epic in initiatives to improve patient care. Epic customers collaborate online and in person - sharing strategies and building on the successes of their peers." [6]
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| − | "Epic was named the #1 Overall Software Suite for 2013 by KLAS* and we consistently earn high ratings for customer satisfaction, response times, and promises kept." [6]
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| − | ==Patient Healthcare Record Interfaces==
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| − | Millions of patients access their records via '''MyChart''' – literally the same chart used by their doctors. Patients can schedule appointments, get test results and print growth charts. Epic's freestanding personal health record, '''Lucy''', completes the circle, with an interoperable health diary that can plug into MyChart – or disconnect from it and inform care wherever the patient receives it. [6]
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| − | ==Specialties==
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| − | '''Core Specialty Support''' [2]
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| − | EpicCare is designed to accommodate physician specialists, therapists and other specialized care providers – in addition to Primary Care. Specialized clinicians comprise approximately half of EpicCare's total users, including caregivers in specialized environments such as schools, foster care, and other social service venues. Epic makes it easier for these users to get up and running with pre-configured Specialty Starter Content. These workflows, templates, order sets, and other tools are the same configurations that are working in live use at Epic client sites – from large group facilities to small practices. Most can be used as-is or tweaked to a specific workflow need. Specialties using EpicCare include:
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| − | Allergy - Immunology
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| − | Bariatric Surgery
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| − | Cardiology
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| − | Cardiothoracic Surgery
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| − | Dermatology
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| − | Endocrinology
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| − | ENT
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| − | Family Medicine
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| − | Gastroenterology
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| − | Gerontology
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| − | General Surgery
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| − | Genetics
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| − | Gynecology
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| − | Infectious Disease
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| − | Internal Medicine
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| − | Mental Health
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| − | Nephrology
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| − | Neurology
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| − | Neurosurgery
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| − | Obstetrics
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| − | Occupational Therapy
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| − | Oncology
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| − | Ophthalmology
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| − | Orthopaedics
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| − | PM&R
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| − | Physical Therapy
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| − | Plastic Surgery
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| − | Podiatry
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| − | General Pediatrics
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| − | Psychiatry
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| − | Pulmonology
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| − | Radiation Oncology
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| − | Respiratory Therapy
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| − | Rheumatology
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| − | Sleep Lab
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| − | SLP
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| − | Sports Medicine
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| − | Substance Abuse
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| − | Transplant
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| − | Urgent Care
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| − | Urology
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| − | Vascular Surgery
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| − | ==Meaningful Use Certification==
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| − | Epic EHRs has earned certification in hospital and provider domains for ONC 2014 criteria. Details can be found here: http://www.epic.com/docs/MUCertification.pdf[http://www.epic.com/docs/MUCertification.pdf Meaningful Use Details]
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| − | ==Pros of Epic==
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| − | The best combination of usability and features. [5]
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| − | The best fully integrated system. Epic encompasses not only clinical information, but also registration, patient scheduling and billing.[5]
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| − | Widely used, practice-proven system. Over 68% of HIMSS Stage 7 Hospitals Use EpicCare - HIMSS Analytics [5]
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| − | == Cons of Epic ==
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| − | Difficult to adapt to individual needs.[5]
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| − | Takes long time for orders and data entry.[5]
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| − | Rigid template (output seems designed by nonclinicians and is difficult to change).[5]
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| − | No cross-system connectivity.[5]
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| − | Plenty of bugs and issues with the source code[5]
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| − | ==References==
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| − | <references/>
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| − | # Epic Systems Corporation https://www.epic.com/software-specialties.php
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| − | # Epic Systems Corporation http://www.epic.com/docs/MUCertification.pdf
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| − | # Funding Universe http://www.fundinguniverse.com/company-histories/epic-systems-corporation-history/
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| − | # EPIC Electronic Health Records Overview, Robert Oden, 8 November 2013, https://prezi.com/ycolt0bx80a0/epic-electronic-health-records-overview/
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| − | # Epic Systems Corporation https://www.epic.com/
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