8 Epic EHR implementations with the biggest price tags in 2015


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8 Epic EHR implementations with the biggest price tags in 2015

Investments in EHR systems are undoubtedly costly, but some implementations appear to carry more costs than others.

Implementation costs vary system to system and hospital to hospital. Prices fluctuate based on what types of additional features and modules a hospital selects. And, according to a Politico report, some EHR vendors charge for additional service fees while others don’t. The Politico report indicates for Epic’s 2014 edition software, the Verona, Wis.-based EHR vendor charges a software licensing fee, implementation costs and annual maintenance costs while OpenVistA, developed by Carlsbad, Calif.-based Medsphere, for example, does not.

Even within the subsector of Epic implementations, costs fall across the board. For example, Duke University Health System, based in Durham, N.C. paid approximately $700 million for its Epic EHR (systemwide go-live in 2014) while Dartmouth-Hitchcock Medical Center in Lebanon, N.H. paid $80 million (go-live in 2011), according to a Forbes report.

John Halamka, MD, CIO of Beth Israel Deaconess Medical Center. said in the Politico report that hospitals selecting Epic’s platform are not just buying a product — they are buying a process. BIDMC does not operate on Epic’s EHR; rather, the hospital earlier this year forged a partnership with athenahealth, which included using the Watertown, Mass.-based vendor’s product.

“Epic is selling a methodology; often a lot of manual processes or heterogeneity and standardizing the work,” Dr. Halamka told Politico. “It’s not that they’re buying expensive software, they’re buying a lot of software.”

No matter where the prices come from, the cost of Epic installations are significant. Here are eight of the most costly Epic implementations reported within the past six months. These are working numbers, with some systems having allotted the indicated amounts to implementation projects and others that have already completed installations.

Partners HealthCare: $1.2 billion
Boston-based Partners HealthCare is one of more recent implementations, going live the first week of June to the tune of $1.2 billion. This is the health system’s biggest investment to date. The implementation process took approximately three years, and in that time, the initial price tag of $600 million doubled.

LehighValleyHealth Network: $200 million
LVHN started its switch to Epic’s platform in February 2015, but the full transition will take between four and six years. Harry Lukens, CIO of the Allentown, Pa.-based system, told The Morning Call the total investment dedicated to the installation includes software, hardware, data conversion and additional personnel.

Mayo Clinic: “Hundreds of millions”
In January 2015, Rochester, Minn.-based Mayo Clinic announced it selected Epic’s EHR and revenue cycle management platforms and planned to drop its Cerner and GE Healthcare contracts to do so. The value of the contract was not disclosed by the health system or the vendor, but stock analysts told The Kansas City Star it is worth “hundreds of millions of dollars over several years.” Additionally, the headline of the Star report reads “Cerner loses Mayo Clinic contract worth hundreds of millions of dollars to Epic,” indicating a ballpark estimate of the new contract’s value.

LaheyHospital Medical Center: $160 million
On March 28, 2015, the Burlington, Mass.-based hospital completed its two-year implementation of Epic’s EHR system. Two months later, Lahey Health said it was laying off 130 people at three hospitals to close the budget gap. In the six months ended March 31, the health system had lost $21 million, partly due to preparatory EHR implementation costs.

Lifespan: $100 million
Providence, R.I.-based Lifespan announced plans to implement Epic’s EHR in March 2013, and the health system went live April 2015. Lifespan initially projected the implementation to cost $90 million, but in a Rhode Island Public Radio report, John Murphy, MD, executive vice president of physician services, alluded to a total closer to $100 million.

Erlanger Health System: $97 million
Chattanooga, Tenn.-based Erlanger Health System signed a contract with Epic in May 2015 nearing $100 million. The health system will invest $91 million in capital expenses, but operating expenses will bring the total to $97 million over the next 10 years. Erlanger was deciding between Epic and Cerner’s platform and ultimately chose Epic because the bid was less expensive, CFO Britt Tabor told Times Free Press .

WheatonFranciscan Healthcare: $54 million
In January 2015, Glendale, Wis.-based Wheaton Franciscan Healthcare announced plans to implement Epic across its hospitals. The system’s affiliated medical group and physician offices have been using Epic’s EHR since September 2012, but providers across the system can only view patient records and not input information. The implementation will create one central EHR platform across the system. Go-lives will begin January 2016. The system expects a return on investment after four years of using the platform.

Saint Francis Medical Center: $43 million
The hospital in Cape Girardeau, Mo. contracted with Epic in February 2015 and expects to go live in July 2016. Saint Francis plans to connect and exchange records with other hospitals in the St. Louis area also using Epic’s system, including SSM Health and Mercy Health.

Worth noting
A handful of other hospitals and health systems reported signing contracts with Epic this year but did not disclose the costs of the IT projects. Some of these organizations include Arlington Heights, Ill.-based Northwest Community Healthcare, SSM Health St. Mary’s Hospital-Audrain in Mexico, Mo. Oklahoma State University Center for Health Sciences in Tulsa, San Diego-based Scripps Health and St. Louis-based BJC HealthCare.

Editor’s note: An earlier version of this article identified Saint Francis Medical Center as being located in Dexter, Mo. We have updated the article to include the correct location, and we apologize for the error.

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30/09/2017

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Sagacious Consultants #epic #consulting, #ehr, #sagacious, #sagacious #consultants, #healthcare, #epic, #best


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FEATURED CASE STUDY

THE SAGACIOUS ADVANTAGE

Within its first five years, Sagacious Consultants ascended to a Best in KLAS* consulting firm and landed on Modern Healthcare’s Best Places to Work. Sagacious Consultants is now part of Accenture, expanding its breadth of services and geographies served.

As EHR systems have become more widely adopted, Sagacious Consultants has increasingly focused on strategic projects that enable healthcare organizations to meet their biggest operational goals. Using proven methodologies for revenue and clinical transformations, Sagacious Consultants helps clients improve KPIs, enhance provider efficiency, and increase patient satisfaction.

The team now includes hundreds of EHR-certified consultants, from licensed clinicians, former CIOs, and other experienced professionals, bringing diverse perspective and insight to clients worldwide.

The Sagacious Advantage is simple: We combine technical acumen with intimate knowledge of the healthcare space to achieve meaningful results. Combined with Accenture, Sagacious Consultants delivers exceptional value to clients and contributes to the transformation of healthcare through technology with greater impact.

*Sagacious Consultants ranked #1 for Implementation Clinical – Supportive in the 2013 Best in KLAS Awards: Software Services report. © 2014 KLAS Enterprises, LLC | All rights reserved. www.KLASresearch.com

Simple and based on a single principle – our customers’ success is a direct measure of our own. To measure success we use three metrics: timeline, budget and end-user adoption. Other healthcare consulting organizations may agree on this, but the difference with Sagacious Consultants is we have the software expertise and experience to make it happen.

We recruit only the best consultants and embody a healthy work/life balance, boasting one of the highest retention rates in the industry! In turn, our customers receive uncompromised results. Our employees provide in depth knowledge of Epic software, project management skills to keep a project on time and on budget and the experience necessary to mesh industry best practices with the organization’s needs.

Sagacious Consultants understands that success brings social responsibility. We pride ourselves by delivering like no other healthcare consulting firm by providing a significant portion of profits to our employees’ and customers’ local charities.

Sagacious Consultants is an innovative consulting firm dedicated to making healthcare better from patient to provider.

Sagacious accomplishes this by providing the top echelon of Epic consultants to our partners, ranging from large academic healthcare organizations to local community clinics. Our mission to our employees is to treat each one as an individual, with the utmost respect, and to provide them with a culture that promotes personal and professional happiness, growth and diversity, and which rewards achievements.

Our mission to our clients is to engage with them as partners, and to provide superior results by leveraging our consultants’ technical expertise in conjunction with our intimate knowledge of the healthcare space. With a strong focus on collaboration, both internally and with our clients, Sagacious Consultants guarantees to surpass expectations.

Sagacious Consultants will continue to grow in prominence and expertise with a focus on sustainability.

We will remain committed to our core values by only employing the best and brightest employees, fostering an inclusive, yet elite corporate culture, and providing superior consultants and customer service to our clients.

Since our inception in 2009, Sagacious Consultants has been wholeheartedly committed to supporting the community, both near and far. It is because of this commitment that we donate a significant amount of money to nonprofit, charitable organizations which have a direct impact on the communities of our clients and our employees. These organizations support diverse causes such as medical research, support for animals, women’s rights and healthcare, early childhood education, support services for veterans, as well as many other causes.

A new benefit introduced to all employees in 2012 allows each employee to choose a charitable organization for Sagacious to make a donation to on their behalf. As Sagacious has continued to grow, this has allowed the amount of contributions, as well as the organizations benefiting from these contributions, to grow substantially over time. Please see the graphic to the right for Sagacious’ annual contributions since inception.

“This has been a very positive impact to our organization and I do feel that we would not be so successful if he would not have been part of the project.”

“She hit the ground running. Her experience paid immediate dividends.”

“As a former Epic TS, he was effective and productive for us from the first hour in our organization. He was always finishing ahead of time or on time.”

“Not all Epic consultants are created equal and he definitely can cover a wide array of topics.”

“He has a very in depth understanding of the Epic system and was able to apply his knowledge to help us with many issues.”

“Her deep knowledge of Epic Willow has made her an extremely valuable member of the team.

“Extremely efficient and thorough.” “Very efficient, effective, knowledgeable, thorough.”

“He has been so willing to take on as much as we give him, with great outcomes.”

“I was not expecting to be able to complete as many issues as we were able to.”

“Willing to help on issues not assigned to him and able to provide details of issue that we would get from our EPIC TS. This saved us time on resolution.”

“She was extremely helpful to everyone.”

“He was constantly finishing issues that needed to be completed regardless if it was for Claims, HB, or anyone else that asked for his help

Sagacious Consultants has worked with over 100 Epic healthcare organizations across the nation. These organizations range from the largest of hospital networks to smaller, physician practice only organizations. The projects range from full life-cycle implementations to upgrades and from big-bang installs to rollouts. We have provided clients with consultants in nearly every application. We are more than happy to provide referrals upon request.

• Majority former-Epic employees

• Certified in all Epic applications

• Experienced with all phases of implementation

• Senior level consultants

• Success through collaboration: internal Sharepoint promotes synergy

Sagacious Consultants has worked with over 100 clients across the nation varying in size, scope, complexity and business structure:

• Pediatric organizations such as Texas Children’s Hospital, Children’s Hospital of Omaha, and Seattle Children’s Hospital

• Religious organizations such as Bon Secours Health System and Baptist Health System

• Higher Learning institutions such as University of California San Francisco, University of Colorado Hospital, and University of Maryland Medical Services

• Private, Public, or FQHC organizations such as Providence Health Services, Harris County Hospital District, Hennepin County Medical Center, and Access Community Health Network

Sagacious Consultants is painting the map red with over 100 clients and 200+ employees in 41 states.

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03/08/2017

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Top Medical Software – 2017 Reviews, Pricing ?>


Medical Software

Medical software includes a wide class of systems that manage the clinical and administrative functions of healthcare organizations. Systems have been tailored to automate just about every healthcare process, including billing, patient scheduling, creating and managing patient records, picture/image archiving, prescribing medication and more.

In this guide we discuss the following:

Common Features of Medical Software

Electronic medical record (EMR) or electronic health record (EHR) software assists in creating and storing digital patient records. Helps track patient notes, demographics, histories and medications. Features include e-prescribing, SOAP notes, E M coding advice and more. EMRs may also provide lab integration, device integration, tablet support and voice recognition.

Manages the creation of patient statements and submission of claims. Functions include coding, claim scrubbing, eligibility inquiry, electronic claim submission, payment posting and reporting.

Automates the process of scheduling patient visits. Features include automated follow-ups, text message/phone/email reminders and multi-location support. Typically offered with billing in a practice management suite.

Manages the operations and workflow of radiology imaging centers. Automates the process of storing, manipulating and distributing patient data and images.

Manages the storage and retrieval of DICOM images (X-rays, CAT scans, MRIs etc.). Often used in conjunction with an RIS to execute the radiology workflow efficiently.

Automates accounting procedures for healthcare practices. Functions include A/R, A/P, general ledger, financial reporting and more.

What Type of Buyer Are You?

Most organizations we speak with are researching and evaluating medical software for one or more of the following reasons:

Transitioning from paper charts to digital records. It s raining paper is the common cry we hear from paper-based practices. These buyers want to cut back on paper, improve office efficiency, reduce errors and run a more effective operation overall.

Replacing outdated software. This is a common scenario we hear from buyers. Their current system whether it be a homegrown system or from a medical software vendor is out of date and costly to maintain or update. They want a more modern system that is easier to use, meets federal requirements (e.g. ONC-ATCB certification) or that meets feature/functional needs.

Combining applications into an integrated suite. In many cases these practices have a hodgepodge of disparate applications, and as a result, find themselves doing double data entry and dealing with other inefficient workflows and processes. These organizations invest in integrated medical office management software that is, integrated EMR, billing and scheduling applications to centralize all information and functions in one place.

Implementing best-of-breed applications. Conversely, these buyers are focused on applications to address a specific need. Most often, buyers in this category are looking for a stand-alone billing, EMR, RIS or PACS system.

Pursuing federal incentives. We re three years into the HITECH Act, and many physicians are replacing their EHR or purchasing one for the first time to meet federal requirements. In order to qualify for Medicare and Medicaid incentives, physicians or more accurately, eligible professionals must make meaningful use of a certified EHR. Providers have until 2015 to qualify, or they face penalties in the form of decreased reimbursements.

We should note that outpatient and inpatient organizations often have different feature/functional requirements. For example, inpatient care provider centers such as hospitals will require systems to support bed management, UB-04 billing and potentially long-term patient stays. Meanwhile, ambulatory care providers such as family medicine physicians and specialists will share common feature requirements to support walk-in/walk-out care.

Benefits of Medical Software

The general benefits of any medical system are improved quality of patient care, increased operational efficiency and improved practice profitability. These benefits are created by different applications and impact organizations in different ways.

  • The automation of back-office operations streamlines administrative tasks associated with patient encounters, which may enable providers to spend more time with patients and hire fewer staff.
  • More accurate documentation of these encounters and a more organized claims submission process can lead to improved collections.
  • Automated alerts prompt providers with potential issues or risks, while automated reminders help patients return to the office when necessary, improving quality of care.

In addition to these general benefits, the major applications found in medical software each provide a host of specific benefits. For example, in 2014 we surveyed physicians about the benefits of electronic health records. They cited easy access to records, more robust/legible records and drug interaction alerts as the top advantages of using an EHR.

Important Considerations

Integrated suite vs. best-of-breed. When selecting a system, buyers will have the choice of implementing different applications for specific tasks, or a complete suite of tools to address all their needs. The key decision that most providers will need to make is whether to implement a standalone electronic medical records (EMR) system or replace an existing practice management system with a complete system. We hear from many buyers facing this decision as practice management systems have been ubiquitous since the 1990s and EMRs are increasing in adoption, primarily due to the HITECH Act.

Software-as-a-Service (SaaS). The trend toward cloud computing is impacting many industries, and healthcare is certainly one of them. Web-based, or SaaS, software offers several advantages such as lower upfront costs, reduced IT and support costs, remote accessibility and more. However, practices in rural settings may not have access to the broadband Internet necessary to efficiently run Web-based software. Moreover, Web-based systems may not support all the feature/functional needs of some practices with unique requirements.

Mobile computing. Going hand-in-hand with SaaS, healthcare providers are finding themselves increasingly on the go and accessing systems from multiple offices, home and mobile devices. Tablet (e.g. iPad) and smartphone support, including iPhones and Android phones, is increasingly common. If you will be accessing your software primarily from a mobile device, we suggest choosing a vendor that has developed a native app for your device, such as MediTouch s iPad EMR.

ONC-ATCB certification. As most healthcare professionals are aware, the HITECH Act of 2009 requires the use of electronic medical records systems by 2015. Eligible professionals can subsequently qualify for up to $44,000 through the Medicare EHR Incentive Program or up to $63,750 through the Medicaid EHR Incentive Program. To qualify, they will need to demonstrate meaningful use of one of the ONC-ATCB certified EMRs .

Recent Events You Should Know About

Epic partners with BI software vendor Tableau. In February 2016, Tableau software announced a technology agreement with Epic. This deal gives Epic s medical software users greater access to analytics tools. For example, any dashboards created on Tableau will be integrated in Epic s EHR.

Vendor Aprima acquires EHR reseller Healthcare Data Solutions. The deal, which was announced in January 2017, means Aprima will now service Healthcare Data Solutions customer base of 300 providers in 125 practices across the U.S.

McKesson plans to buy CoverMyMeds. In January 2017, McKesson Corp. announced it will be paying $1.1 billion for CoverMyMeds, a company that automates the process of prior authorization for pharmacies, providers, drugmakers and payers. The deal is expected to close before July 2018. CoverMyMeds is expected to keep operating as an independent business unit under its current leadership team.

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12/07/2017

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