Difference between revisions of "Epic Systems"

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'''HISTORY'''  
 
'''HISTORY'''  
  
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In 1979, Judy Faulker and other programmers founded Human Services Computing, Inc., which later became Epic. This system was the commercialization of a clinical records system that they had built for The University of Wisconsin-Madison. This system called Chronicle was written in the MUMPS language and was a patient-centric enterprise system designed to manage inpatient, ambulatory, and payment information. Throughout the 1980's the company largely focused on billing and inventory tracking systems. However, in 1992, Epic released the first Windows-based EMR called EpicCare [2].  
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In 1979, Judy Faulker and other programmers founded Human Services Computing, Inc., which later became Epic. This system was the commercialization of a clinical records system that they had built for The University of Wisconsin-Madison. This system called Chronicle was written in the MUMPS language which was created in the late 1960's and still used today. It was a patient-centric enterprise system designed to manage inpatient, ambulatory, and payment information. Throughout the 1980's the company largely focused on billing and inventory tracking systems. However, in 1992, Epic released the first Windows-based EMR called EpicCare [2].  
 
While it is a highly regarded EMR system, Epic Systems also garnered an unwanted amount of notoriety as a result of an engagement with Kaiser Permanente (KP) to develop and rollout KP's HealthConnect system, a comprehensive EMR system developed to empower health care providers and patients alike. However, in November 2006 a project manager for KP sent an alarming email that predicted losses of up to $7 billion dollars resulting from the HealthConnect implementation [3].  A publicity firestorm ensued for KP.  In the end, though, HealthConnect has proven to be a successful system, and KP recently received 12 awards from HIMSS Analytics for achieving the highest levels of EMR implementation [4].  Patients have also been pleased with the system which enables them to be more involved in the management of their own health issues.  
 
While it is a highly regarded EMR system, Epic Systems also garnered an unwanted amount of notoriety as a result of an engagement with Kaiser Permanente (KP) to develop and rollout KP's HealthConnect system, a comprehensive EMR system developed to empower health care providers and patients alike. However, in November 2006 a project manager for KP sent an alarming email that predicted losses of up to $7 billion dollars resulting from the HealthConnect implementation [3].  A publicity firestorm ensued for KP.  In the end, though, HealthConnect has proven to be a successful system, and KP recently received 12 awards from HIMSS Analytics for achieving the highest levels of EMR implementation [4].  Patients have also been pleased with the system which enables them to be more involved in the management of their own health issues.  
  

Revision as of 16:08, 16 January 2011

Epic is a top-rated medical software company that provides multiple utilities for medical practitioners in one patient-centric database. The databases houses all computer physician order entry, medical records, scheduling software, and practice management applications. Epic, based in Verona, Wisconsin, services claims 175 customers as of 2009. KLAS has consistently rated Epic as one of the top healthcare IT companies in the world. Epic was named the #1 Overall Software Vendor for 2010 by KLAS and has ranked highly in customer satisfaction and response times [1].

HISTORY

In 1979, Judy Faulker and other programmers founded Human Services Computing, Inc., which later became Epic. This system was the commercialization of a clinical records system that they had built for The University of Wisconsin-Madison. This system called Chronicle was written in the MUMPS language which was created in the late 1960's and still used today. It was a patient-centric enterprise system designed to manage inpatient, ambulatory, and payment information. Throughout the 1980's the company largely focused on billing and inventory tracking systems. However, in 1992, Epic released the first Windows-based EMR called EpicCare [2]. While it is a highly regarded EMR system, Epic Systems also garnered an unwanted amount of notoriety as a result of an engagement with Kaiser Permanente (KP) to develop and rollout KP's HealthConnect system, a comprehensive EMR system developed to empower health care providers and patients alike. However, in November 2006 a project manager for KP sent an alarming email that predicted losses of up to $7 billion dollars resulting from the HealthConnect implementation [3]. A publicity firestorm ensued for KP. In the end, though, HealthConnect has proven to be a successful system, and KP recently received 12 awards from HIMSS Analytics for achieving the highest levels of EMR implementation [4]. Patients have also been pleased with the system which enables them to be more involved in the management of their own health issues.

Epic had a partnership with Philips to develop a scaled-down version of Epic's software, called Xtenity, which was marketed to mid-sized health care organizations. This partnership ended on September 29, 2006, and no organizations used Xtenity in a production environment. Epic hired many of the former Philips employees from the Netherlands who helped establish Epic's European location.

Since 2006, Epic has increasingly been working on expansion into the international health care market. In 2007, Epic established a subsidiary in the Netherlands to market Epic software.

SOFTWARE DETAILS

Epic uses a MUMPS/Cache database [7] to offer an integrated software system [5]. This system is based on the interaction of multiple modules communicating with Epicenter, the patient-centered backbone of the Epic system. The EMRs are the ambulatory system known as the EpicCare EMR and the EpicCare Inpatient Clinical System. These systems interact with each other and with department specific modules such as the ASAP Emergency Department System, Willow Inpatient Pharmacy, Radiant Radiology Information System, OpTime Operating Room Management System, and the Epic Anesthesia Information Management System. In addition, they interact with practice management software that handles registration, scheduling, billing, and call management. Specialty specific modules also exist including Beacon for Oncology practices, Cardiant for Cardiovascular services, Kaleidoscope for Ophthalmology, Phoenix for Transplant services, and Stork for Obstetric services [1].

These systems offer clinical decision support services and computer physician order entry. In addition, Epic also inspired the development of clinical trial applications such as CTA (Clinical Trial Alert), at the University of Cincinnati, and the Cleveland Clinic Foundation in Ohio, using Epic's CDSS.

To learn more about Epic's EMR certification, visit: http://www.epic.com/software-certification.php.

Other applications from Epic are:

  • Beaker (Clinical Laboratory Application)
  • BedTime (Bed Management Application)
  • Bridges (Interface Application)
  • Cadence (Scheduling Application)
  • Cardiant (Cardiology Application)
  • Care Everywhere (Information Exchange Application)
  • Clarity (RDBMS Management Application)
  • Data Courier (Data Environment Propagation Utility)
  • EpicCare Home Health (Specialized Home Health Application for use in Patient Homes)
  • EpicCare Hospice (Specialized Hospice Application)
  • Haiku (Device Mobility Clinical Application)
  • HIM (Chart Tracking, Chart Deficiency Tracking, Release of Information Application, Coding & Abstracting)
  • Identity (Master Patient Index [MPI] Application)
  • Prelude (Inpatient and Outpatient Registration Application)
  • Reporting Workbench (Operational Reporting Application)
  • Resolute (Billing Application)
  • Tapestry (Managed Care Application)
  • Welcome (Patient Self-Service Kiosk)

CCHIT Certified Products

ASAP Emergency Department Information System Spring 2008, Expires 11/12/2010 (This product has not been tested against the applicable proposed Federal standards in existence on the date of certification for certified EHR technology of its type under the American Recovery and Reinvestment Act of 2009 (ARRA).) 6

EpicCare ASAP - Core EDIS Spring 2008 & EpicCare ASAP - Core EDIS Summer 2009, Both expire Dec. 31, 2014 (CCHIT and also Preliminary ARRA IFR Stage 1 certified) 6

EpicCare Ambulatory - Core EMR Spring 2008 & EpicCare Ambulatory - Core EMR Summer 2009, Both expire December 31, 2014 (CCHIT and also Preliminary ARRA IFR Stage 1 certified) 6

EpicCare Ambulatory EMR Spring 2007, Expires Nov. 30, 2010 (This product has not been tested against the applicable proposed Federal standards in existence on the date of certification for certified EHR technology of its type under the American Recovery and Reinvestment Act of 2009 (ARRA).) 6

EpicCare Ambulatory EMR Spring 2008, Expires Sept. 30, 2010 (This product has not been tested against the applicable proposed Federal standards in existence on the date of certification for certified EHR technology of its type under the American Recovery and Reinvestment Act of 2009 (ARRA).) 6

EpicCare Inpatient - Core EMR Spring 2008 & EpicCare Inpatient - Core EMR Summer 2009, Both expire Dec. 31, 2014 (CCHIT and also Preliminary ARRA IFR Stage 1 certified) 6

EpicCare Inpatient Clinical System Spring 2008 (Exp. 11/12/2010) & EpicCare Inpatient Spring 2007 (Exp. 11/5/10) Both products have not been tested against the applicable proposed Federal standards in existence on the date of certification for certified EHR technology of its type under the American Recovery and Reinvestment Act of 2009 (ARRA). 6 [EarnValle 9_7_10]

References

[1] www.epic.com

[2] http://www.fundinguniverse.com/company-histories/Epic-Systems-Corporation-Company-History.html

[3] Robeznieks, A. November 11, 2006. Kaiser Permanente project manager discusses notorious e-mail. http://www.modernhealthcare.com/article/20061109/FREE/61109011

[4] HIMSS Analytics. (March 2009). HIMSS Analytics Stage 7 Award – Paperless and Proud of IT! http://www.himssanalytics.org/hc_providers/stage7Award.asp.

[5] http://en.wikipedia.org/wiki/Epic_Systems

[6] http://www.cchit.org/products

[7] MUMPS (Massachusetts General Hospital Utility Multi-Programming System)[ http://en.wikipedia.org/wiki/MUMPS]

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