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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Locate Medicaid nursing homes in your area #chicago #medicaid, #medicaid #nursing


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Medicaid Nursing Homes, Know the Facts

Medicaid nursing homes can be key resources in providing long term care for your family member. Nursing home care is very expensive. Medicare only covers short term nursing care for rehabilitation after a qualified hospital stay.

Often times dementia patients stop progressing during rehabilitation because they have difficulty following instructions and dementia may reduce their motivation to improve. When a patient stops improving, Medicare will no longer pay for his stay in a skilled nursing facility.

If your family then begins to pay the cost of long term care in a nursing home out of family resources, you soon see that your resources are quickly being used up.

When faced with a Medicaid spend down of your family member’s assets, it’s important to get professional advice from an attorney or other qualified person who specializing in helping people qualify for Medicaid. Your local senior center or bar association can help you locate a Medicaid specialist.

If your family member is already a Medicaid recipient and needs care that cannot be provided at home, he will need to live in a Medicaid nursing home.

Not all nursing homes or skilled nursing facilities (SNF) accept Medicaid for payment. You may find that your family member has to go on a waiting list to transfer to a nursing home that accepts Medicaid. The challenge is to find a facility that is close to where the family lives so that family members can visit often.

Some families decide to pay privately for a few months to ensure that their family member lives close by and in a facility that the family and your family member feels comfortable with.

When your family member has been admitted to a nursing home that accepts Medicaid as a patient who is paying his own bill and then he later qualifies for Medicaid, federal law does not allow patients to be discharged from the nursing home based on converting to Medicaid.

If you suspect that your family member’s short term stay in a nursing home may turn into a long term stay, find out which nursing homes accept Medicaid and make this question a part of your initial fact finding about a home.

The Medicare website has a nursing home search feature that includes whether or not a nursing home accepts medicaid. Click here to connect to the Medicare website. The more planning you do, gives you more control over where your family member lives.

When your family member needs a Medicaid nursing home:

  1. Unless your resources are unlimited, always verify that the skilled nursing facility that your family member is entering accepts Medicaid.
  2. Be prepared mentally and financially that your family member with dementia who is receiving physically therapy may soon stop progressing and no longer be eligible to have his skilled nursing care paid for by Medicare.
  3. Explore non-nursing home alternatives for Medicaid patients in your community like Home Health Agencies (HHA) or Programs of All Inclusive Care for the Elderly (PACE) to see if these program will provide the care your family member needs.
  4. Locate a Medicaid specialist to help you smoothly navigate the qualification process.

Additional Nursing Related Resources

National Critical Care Institute — Nursing health care provider training and certification

Understanding-Dementia.com is supported by advertising revenue and the sale of products developed by Janice Wallace, The Caregivers Coach. Thank you for your support. Janice Wallace is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to amazon.com. © Copyright 2013 Janice M. Wallace


12/09/2017

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Alcohol And Drug Rehabs That Accept Medicaid #drug #rehabs, #alcohol #and


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Alcohol And Drug Rehabs That Accept Medicaid

No Insurance? Rehab Options Are Still Within Your Reach

We ve all heard about movie stars and other celebrities jetting off to spend a few weeks in rehab at some posh facility that looks like a country club. The trouble with this is that it paints a false picture of rehab and related costs for most people. Just because you don t have a lot of money or health insurance, doesn t mean drug rehab isn t within your reach. Medicaid may be the solution.

Medicaid is a state and federally funded program designed to help low-income people with little or no insurance pay for the health care they need. You do have to meet certain requirements and group criteria that vary from state to state in order to qualify for Medicaid. Although it does cover mental-health, Medicaid doesn t always cover all aspects of addiction treatment.

Still, many people aren t even aware that they qualify for Medicaid or whether their chosen treatment facility accepts Medicaid, so it s a good idea to make some calls to find out. You don t want to let your lack of insurance rob you of the treatment you need.

Medicaid Coverage for No Insurance Rehab

Medicaid may cover both inpatient and outpatient addiction treatment. One thing to keep in mind is that when addiction treatment involves medical or mental-health care, it is more likely to be covered by Medicaid.

For example, if a physician or other accredited addiction professional determines that inpatient treatment is medically necessary, then Medicaid will cover it. The detox component of rehab often requires medical supervision, especially if the patient displays signs of psychosis or exhibits suicidal impulses, so Medicaid will usually cover such treatment.

Because outpatient treatment usually includes elements of mental-health therapy, Medicaid coverage is generally a safe bet here as well. Again, although Medicaid coverage varies from state to state, with outpatient treatment Medicaid generally covers addiction treatment much the same as it covers mental-health treatment.

Steps to Take for No Insurance Rehab

  • Not all addiction-treatment centers accept Medicaid, which sometimes presents difficulties for people seeking treatment. If you are covered by Medicaid and seeking help for an addiction, here are some steps you should take to secure the treatment you need:
  • Contact the local Medicaid office and talk to a caseworker. The caseworker should be able to suggest some treatment facilities and advise you about treatment options that fall within your coverage limits.
  • Contact your county s mental health board for information about facilities, treatment, and Medicaid coverage. The personnel are usually fairly knowledgeable in these areas.
  • Contact the various treatment centers you re interested in and simply ask them whether they accept Medicaid and for which treatment options.
  • If you locate a treatment center that meets you needs, be sure to find out how much of your treatment Medicaid covers and whether you will be required to make a co-pay.

If you ve decided that you need professional help for drug or alcohol abuse, don t let your lack of insurance stop you. Contact us today for free information about Medicaid and drug rehab options.

* Disclaimer: RehabCenter.net is not affiliated with or endorsed by Medicaid. Details about Medicaid’s coverage are intended for informational purposes only. The specific details of your plan may vary and the specific treatment services you require may or may not be covered.

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09/09/2017

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Assisted Living Residences and Affordable Apartment Living for Seniors in Colorado


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SHO-A Reputation for Compassionate Service

Founded in 1979

500 Residents 200 Caring Staff

Dedicated leadership Affordable Housing Over 30 Years of Service

Quality Results High Satisfaction

Urban and rural areas where we are needed the most

Available to all income levels Underserved populations

Our Mission: To provide promote quality affordable housing and services in a caring environment for older adults in Colorado.

SHO Today:

Senior Housing Options, Inc. (SHO) is a charitable organization that serves low and moderate income elderly and adults with physical and mental disabilities. We currently own and/or manage both assisted living and affordable apartment living units for over 500 residents including properties in Cortez, Denver, Granby, Kremmling, Longmont, and Parachute. SHO generates its own revenues to the extent possible and manages resources well, but still there are unmet needs that require us to ask for help from individuals, businesses, and foundations to assure high care for all residents.

SHO s Annual Report

Fiscal Year 2014-2015

Getting Started-A Brief History

2015: Barth Hotel voted Best Theater for a Good Cause

2015: Madison House voted Best Assisted Living in Montezuma County by Cortez Journal Readers

2014: Madison House voted Best Assisted Living in Montezuma County by Cortez Journal Readers

2013: Cliffview receives Dementia Care Leader Certification

2013: Madison House voted Best Assisted Living in Montezuma County by Cortez Journal Readers

2012: Madison House voted Best Assisted Living in Montezuma County by Cortez Journal Readers

2011: Madison House voted Best Assisted Living in Montezuma County by Cortez Journal Readers

2010: LoDo District Limelight Spotlight Award Nominee (one of three)

2008: Precision Plumbing Community Award to Cinnamon Park Assisted Living, Longmont

2006: Community Shares Member Agency “Rookie of the Year”

2003: El Pomar Awards for Excellence Finalist-The R.J. Montgomery Award for Excellence in Human Services Seniors

2002: El Pomar Awards for Excellence-Finalist-The R. J. Montgomery Award for Excellence in Human Services/Seniors

1999: Lower Downtown District Inc. Good Neighbor Brick

1987: Ecumenical Housing was changed to Senior Housing Options to reflect its expanded operation throughout the State of Colorado and to more clearly reflect our mission. With the success and positive feedback from both residents and families, we began receiving requests to manage and/or build facilities from other organizations outside the metro Denver area.

1987: Aging in Place leads to Assisted Living. It became apparent that as many of the residents in these two initial properties were getting older and they needed additional services. SHO began creating assisted living residences which were licensed by the State and certified to accept residents receiving Medicaid.

1985: Downtown Denver Inc. Award of Merit

1979: Ecumenical Housing is created. Ecumenical Housing was a community effort developed to serve elderly and disabled people being displaced from their homes in downtown Denver due to urban renewal. New office towers were quickly dislocating people who had resided in affordably priced hotels and boarding homes. The first two acquisitions to respond to this need were the Olin Apartments and The Barth Hotel.

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31/07/2017

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The Agency For Health Care Administration #ahca, #medicaid, #mchq, #licensure #&


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Welcome to the website for the Florida Agency for Health Care Administration. Our mission is Better Health Care for All Floridians. As champions of that mission, we are responsible for the administration of the Florida Medicaid program, licensure and regulation of Florida s health facilities and for providing information to Floridians about the quality of care they receive.

Every day, we look for ways to improve health care in Florida. We ve built strong partnerships with other agencies and continue to develop relationships with stakeholders at all levels in communities around the state. The Agency for Health Care Administration would not be able to effectively carry out its mission without your help. Thank you for your partnership and for the opportunity to serve you.

The Agency places the utmost importance on the safe and secure handling of all protected health information. For more information, please review our Notice of Privacy Practices .

Agency Alerts

  • The Commission for Florida Law Enforcement Accreditation Invites Public Comment on AHCA’s Office of the Inspector General’s Investigations Unit. For more information, click here .
  • 2016 is the last year for eligible providers to begin participating in the Medicaid Electronic Health Record (EHR) Incentive Program. Payments can total up to $63,750. For more information, click here .
  • CDC Recommends Clinicians Immediately Stop Using Liquid Docusate for Certain Patients
  • The Agency s Long Range Program Plan and Legislative Budget Requests can be viewed via the Florida Fiscal Portal.
  • Sign Up for Medicaid Health Care Alerts The Florida Medicaid program has an e-mail alert system to supplement the present method of receiving Provider Alerts information and to notify registered providers or interested parties of late-breaking health care information.
  • Sign up for Health Care Alerts

This service allows subscribers to receive an email alert for selected licensure and managed care updates, and other health care alerts.

Agency News


29/07/2017

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Insurance companies in las vegas #home #hospice, #las #vegas #hospice, #hospite,


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Hospice offers medical care toward a different goal: Maintaining or improving the quality of life for someone whose illness, disease or condition is unlikely to be cured. Each patient’s individualized care plan is updated as needed to address the physical, emotional and spiritual pain that often accompanies terminal illness. Hospice care also offers practical support for the caregiver(s) during the illness and grief support after the death. Hospice is something more that is available to the patient and the entire family when curative measures have been exhausted and life prognosis is 6 months or less.

​History of Hospice

In Western society, the concept of hospice has been evolving in Europe since the 11th century. Hospice were places of hospitality for the sick, wounded or dying, as well as those for travelers and pilgrims. The modern concept of hospice, includes palliative care for the incurably ill given in such institutions as hospitals or nursing homes. but also care provided to those who would rather spend their last months and days of life in their own homes.

It began to emerge in the 17th century, but many of the foundational principles by which modern hospice services operate were pioneered in the 1950s by Dame Cicely Saunders. when she opened St. Christopher’s Hospice in 1967. St. Christopher’s Hospice in London emphasized the multi-disciplinary approach to caring for the dying, the regular use of opioids to control physical pain and careful attention to social, spiritual and psychological suffering in patients and families.

Within the United States. the term is largely defined by the practices of the Medicare system and other health insurance providers, which make hospice care available, either in an inpatient facility or at the patient’s home, to patients with a terminal prognosis who are medically certified at hospice onset to have less than six months to live.

Hospice care also involves assistance for patients’ families to help them cope with what is happening and provide care and support to keep the patient at home.

In 1969, Elisabeth wrote On Death and Dying. coining the 5 stages of death: Shock/Denial, Anger, Bargaining, Depression and Acceptance.


24/06/2017

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