Difference between revisions of "Epic Systems"

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In 2012, Judy Faulkner was named to the Modern Healthcare list of 100 Most Important People in Healthcare.
 
In 2012, Judy Faulkner was named to the Modern Healthcare list of 100 Most Important People in Healthcare.
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In 2014, Apple formally announced a partnership with Epic, with the focus of the alliance centering on the new Apple HealthKit. As a result of this partnership, in the future data from consumer mobile sensors worn could be incorporated within an institution's electronic health record.
  
 
==SOFTWARE DETAILS==
 
==SOFTWARE DETAILS==

Revision as of 15:30, 30 August 2014

Epic Systems is a 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. According to Epic, one of the main objectives is to “improve the patient experience, provide more effective care, streamline administrative tasks, and strengthen their financial health" [10].

Introduction

Epic is a private and employee-owned company. They develop, install and support all our applications in-house and the leadership team includes clinicians, developers and process experts who have patient care experience and knowledge of healthcare technology. As of 2013, Epic, based in Verona, Wisconsin, services approximately 290 customers across the United States and Europe [9, 10]. Epic touches more than 760,000 patient records per month on the CARE Everywhere network which involves the secure exchange of patient data between Epic EHR and non Epic EHRs, HIEs and government agencies. KLAS, an independent IT reviewer for health-care clients, has consistently rated Epic as one of the top healthcare IT companies in the world. In 2007 KLAS names a total of seven Epic products in its top 20 IT programs; to date, no other healthcare IT software programing vendor has had more than two. In addition, Epic was named the #1 Overall Software Vendor in 2010 by KLAS and has ranked highly in customer satisfaction and response times [1].

The following information was added by Dmpezall 09:35, 27 August 2012 (PDT):

Epic creates and provides integrated software to health care organizations so they can take better care of patients by improving outcomes, enhancing the patient’s experience, and supporting research. All of Epic’s applications are built on a single database, providing an integrated solution that supports patient care and continuity throughout hospitals, clinics, and physician offices. Using these applications, health care organizations and professionals can access the appropriate patient information instantly whenever and wherever needed. [11]

Epic boasts a reputation for on-time and on-budget implementations, as rated by independent reviewers. Their software is promoted as quick to implement, easy to use, and highly interoperable. Epic’s MyChart product has also given patient’s access to their own medical information from anywhere in the world. Internationalized versions of Epic’s software can speak multiple languages and therefore creates an international network of health care users that can share knowledge and best practices around the world. [11]

Executive team: [11]

• Judith R. Faulkner, Epic’s President and Chief Executive Officer, is the original developer of Epic’s underlying enterprise data repository. She first developed healthcare information systems more than 30 years ago. In 2005, she was presented with the first CHIME Lifetime Achievement award “in recognition of her exceptional dedication and outstanding contributions to the healthcare IS industry.”

• Carl D. Dvorak, Executive Vice President, leads Epic’s development and service areas, as well as many executive and strategic activities of Epic. He has been with Epic for over 20 years.

• Stephen J. Dickmann, Chief Administrative Officer, is responsible for corporate finance, accounting, and planning. He also manages our facilities and campus development.

Headquarters: [1]

Epic Systems Corporation
1979 Milky Way
Verona, Wisconsin 53593
608-271-9000

European Office:

Pettelaarpark 63
5216 PP ‘s-Hertogenbosch
The Netherlands
Phone: +31 73 692 7400
Fax: +31 73 613 1787

Middle East Office:

Al Shatha Tower
Dubai Media City
Dubai, UAE

History

1970s

The fundamentals for Epic was first introduced by Judith Faulkner, a computer programmer who pursued graduate studies in computer science following a mathematics degree. During the 1970s-1980s, Faulkner worked as a consultant and taught computer science at the University of Wisconsin-Madison, which according to Dan Balaban, it was “During this time, she led the design of clinical records systems for various departments serving the university's hospital and for the Milwaukee County mental health department” [10].

Then in 1979, Judy Faulker, along with a dozen or so other programmers and information managers, pooled around $70,000 to found Human Services Computing, Inc., which would later become Epic [10]. 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. Chronicle was a patient-centric enterprise system designed to manage inpatient, ambulatory, and payment information.

1980s

Throughout the 1980's the company largely focused on billing and inventory tracking systems. Systems such as Cadence Enterprise Scheduling, a program application for improving the efficiency of scheduling patient appointments was released in 1983, and Resolute Professional Billing, a program which connected patient scheduling and billing, released in 1987, quickly became some of the industry's top scheduling and billing applications [9, 10]. Then, in 1992, Epic released the first Windows-based EMR called EpicCare [2]. After just five years, the popularity and interest in EpicCare grew substantially resulting in more than 15 million dollar profit for Epic [9].

2000s

In 2000, Epic releases MyChart, a software program which gives patients access to their medical records [9]. 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.

2010s

In 2010, Epic announced its intention to pursue green energy sources including solar, biomass, and wind power. The company hopes to eventually obtain 80-90% of its energy needs from alternative sources [8].

As of 2011, Epic serves approximately 240 customers globally with nearly 220,000 physicians using EpicCare and sharing information via Epic's Care Everywhere network [1].

What started out as a relatively small company over 30 years ago has transformed into a company which employs over 3,000 people and generates over 500 million dollars a year in revenue [9].

The following information for '2011' was added by Dmpezall 09:53, 27 August 2012 (PDT):

In 2011, Epic’s total revenue was $1.2 billion. Epic currently devotes approximately 37% of their annual spending on research and development, which is double what their major competitors allocate for R&D. Conversely, Epic spends less money on sales and marketing compared to its competitors. [11]

The following information for 2012 was added by Dmpezall 10:37, 27 August 2012 (PDT):

In 2012, Epic reports having 270 customers, serving over 42% of the US population and approximately 2% of the world’s population. Epic’s client base includes group practices, community hospitals, academic facilities, multi-hospital organizations, and safety-net organizations. When current rollouts are complete, approximately 250,000 physicians will be using Epic EHRs to serve more than 130 million patients. Epic currently has more than 5,400 employees. [11]

In 2012, Judy Faulkner was named to the Modern Healthcare list of 100 Most Important People in Healthcare.

In 2014, Apple formally announced a partnership with Epic, with the focus of the alliance centering on the new Apple HealthKit. As a result of this partnership, in the future data from consumer mobile sensors worn could be incorporated within an institution's electronic health record.

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.

The Epic system also allows for connectivity with third party vendors. For example, data coming from a wide range of monitoring devices can be entered into Epic system to monitor trends [1]. The system supports Clinical Context Object Workgroup standard to allow for interoperability across various applications [1].

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

Other applications from Epic are [5]:

  • ADT (Inpatient and Outpatient Admission-Discharge-Transfer Application)
  • Anesthesia
  • ASAP (Emergency Department Application)
  • Beacon (Oncology Application)
  • Beaker (Clinical Laboratory Application)
  • BedTime (Bed Management Application)
  • Bridges (Interface Application)
  • Cadence (Scheduling Application)
  • Cogito ergo sum (integrated analytics and reporting)
  • Cupid (Cardiology Application) (fka Cardiant)
  • Care Everywhere (Information Exchange Application)
  • Clarity (RDBMS Management Application)
  • Data Courier (Data Environment Propagation Utility)
  • Diagnose Behandeling Combinatie (Dutch Billing Module)
  • EpicCare Ambulatory (Ambulatory Medical Record Application)
  • Epic Everywhere (allow communication between Epic clients)
  • EpicCare Home Health (Specialized Home Health Application for use in Patient Homes)
  • EpicCare Hospice (Specialized Hospice Application)
  • EpicCare Inpatient (Universal Hospital System)
  • EpicCare Link (Web-based Application for Community Users)
  • EpicWeb (Web-based Clinical Application)
  • Haiku/Canto (Device Mobility Clinical Application)
  • HIM (Chart Tracking, Chart Deficiency Tracking, Release of Information Application, Coding & Abstracting)
  • ICU module
  • Identity (Master Patient Index [MPI] Application)
  • Kaleidoscope (Ophthalmology Application)
  • Lucy (Free standing PHR)
  • MyChart (Patient Chart Access)
  • Nurse triage
  • OpTime (Surgical Application)
  • Phoenix (Transplant Application)
  • PlanLink (Service for providers and employers)
  • Prelude (Inpatient and Outpatient Registration Application)
  • Radar (Dashboard Application - formerly known as 'MyEpic')
  • Radiant (Radiology Application)
  • Reporting Workbench (Operational Reporting Application)
  • Resolute (Billing Application)- includes HB (Hospital Billing) and PB (Professional Billing)
  • Stork (OB/Gyn Application)
  • Tapestry (Managed Care Application)
  • Welcome (Patient Self-Service Kiosk)
  • Willow, formerly named EpicRx (Hospital Pharmacy Application)
  • Willow Ambulatory (Outpatient Pharmacy Application)


This electronic medical records software is from Epic Systems Corp., Madison, WI. it provides integrated access to summary information about a patient. The patient's active medical problems, current medications, and drug allergies are among the core data that physicians must keep in mind when making any decision on patient care. So providers can easily find the newest individual result, in a flowsheet format to highlight changes over time across multiple variables, and in focused views tailored to specialities and settings.

Reference

http://www.highbeam.com/doc/1G1-123006762.html

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]

The following information for Epic 2011-2012 CCHIT certifications was added by Dmpezall 10:49, 27 August 2012 (PDT):

Epic
 Certified: 9/30/2010

 Versions: Spring 2008, Summer 2009, and 2010


 These versions of Epic’s software are fully ONC-ATCB certified for 2011-2012 as Complete EHRs [1]. Use of ONC-ATCB certified EHR technology is a required first step in qualifying eligible healthcare providers for incentive funding available under the American Recovery and Reinvestment Act (ARRA) [13].

Epic’s unique certification numbers: [1]

 • CC-1112-574355-1 (Inpatient - hospitals)

 • CC-1112-574355-2 (Ambulatory - eligible providers)


Clinical quality measures to which Epic has been tested and certified: [1]

 • Hospital: All in the Hospital Domain

 • Eligible Provider: All in the Eligible Provider Domain.

Recognition and Awards

2010: Gartner, Inc. (2010) identified Epic as a Leader in its Magic Quadrant. [1]

2011: The following is a summary of Epic’s KLAS rankings for 2011: [12]

• #1 Overall Software Suite: Epic
• Best in KLAS Acute Care EMR: Epic EpicCare Inpatient EMR
• Best in KLAS Ambulatory EMR (Over 75 Physicians): Epic EpicCare Ambulatory EMR
• Best in KLAS Patient Accounting and Patient Management: Epic Resolute Hospital Billing
• Best in KLAS Pharmacy: Epic Willow
• Best in KLAS Practice Management (Over 75 Physicians): Epic Resolute/Prelude/Cadence
• Best in KLAS Radiology: Epic Radiant
• Best in KLAS Surgery Management: Epic OpTime
• Best in KLAS Emergency Department: Tie between Epic ASAP ED and MEDHOST EDMS
• Category Leader for Medication Administration: EpicCare Inpatient MAR
• Category Leader for Patient Portals: Epic MyChart.

2011: Health care organizations that use Epic have won more HIMSS Davies Awards than customers of any other vendor, which recognize excellence in the implementation of and value from HIT, especially EHRs. [1]

2012: 72% of HIMSS Analytics US Stage 7 organizations use Epic. [1]

2012: According to a June 27, 2012, research report by Wells Fargo Securities, Epic has nearly twice as many total physician attestations than its nearest competitor (AllScripts) and ranks third in total hospital attestations for the CMS EHR incentive program. [14]

2013: The following is a summary of Epic's KLAS rankings for 2013: [2]
Number One Overall Software Suite: Epic
Best in KLAS Ambulatory EMR: EpicCare Ambulatory (over 75 physicians)
Best in KLAS Ambulatory EMR: EpicCare Ambulatory (11-75 physicians)
Best in KLAS Acute Care EMR: EpicCare Inpatient
Best in KLAS Surgery Management: Op Time
Best in KLAS Radiology: Radiant Radiology Information System
Best in KLAS Pharmacy: Willow Inpatient Pharmacy
Best in KLAS Patient Accounting and Patient Management: Resolute Hospital Billing
Best in KLAS Practice Management (over 75 physicians: Cadence, Prelude, resolute Professional Billing
Best in KLAS Health Information Exchange: Care Everywhere

References

  1. Epic Systems
  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]
  8. Ferolie, Jim. The Verona Press (7/7/2010). "Solar panels just the beginning for Epic"
  9. Eisen, Marc (06/20/2008). "Epic Systems Corporation: An Epic timeline". Isthmus. http://www.thedailypage.com/daily/article.php?article=22984. Retrieved 2011-09-05.
  10. Ivey, Mike (2009-03-17). "Epic's system: Take advantage of need for electronic medical records". madison.com (The Capital Times). http://www.madison.com/tct/mad/topstories/443307. Retrieved 2011-09-05.
  11. Epic Fact Sheet. Received from Barb Hernandez (Barb@epic.com) on 7/9/2012.
  12. KLAS Research 2011
  13. CCHIT Certification
  14. Wells Fargo Securities. Equity research: April EHR attestations by vendor. Published June 27, 2012.


Additional information submitted by Dustin Pezall on 8/27/2012.