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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Expense Management for Billable Services Organizations Simplified by Software as a


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Expense Management

Expense Management

In a billable services organization, expense management is a critical part of the business. In order to maximize the accuracy and timeliness of expense reporting and overall expense management, this is also a process that should be made as easy and flexible as possible for users, and should be directly connected with project management and project accounting. With NetSuite OpenAir, you can automate and streamline the entire expense management cycle, including expense reporting, submission and approval processes, while integrating with project accounting and invoicing. By managing the entire lifecycle, it becomes easy and seamless to track and submit expenses for rapid reimbursement and client billing.

Integrate Expense Management and Project Accounting

Track each and every expense at the project level to directly tie expense management to project accounting, eliminating any questions about where the expenses should be allocated or billed to.

Online, Offline, or Mobile Expense Management

As the leading Cloud PSA solution, OpenAir provides users with the ability to track expenses and reimbursements online, anytime, anywhere, using a standard browser and an internet connection. With OpenAir Mobile, users can stay connected, even while on the road. Enter expenses on the go with applications for the iPhone or Android available on the App Store and Google Play.

Case Studies


21/08/2017

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Privileged Access Management Solutions #splunk #revenue


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Multi-factor Authentication Combined with Monitoring – Increased Security without Constraints?

PCI-DSS Compliance with Shell Control Box This video explains how Balabit’s Privileged User Monitoring solution can help organizations comply with PCI DSS 3.x (Payment Card Industry Data Security Standard) requirements.

Preventing Data Breaches without Constraining Business Behavior Analytics is the New Authentication Over the last ten years, organizations around the world have spent billions on security technology designed to protect users and data from cybercrime. Technologies like Anti-spam/anti-virus, firewalls and DLP systems have been deployed to create a perimeter to try to keep the criminals out. In fact, some of the world’s largest organizations have as many as 200 different security solutions in place, and yet … major breaches are on the increase.

Blindspotter The real-time user behavior analytics solution Blindspotter™ is a monitoring tool that maps and profiles user behavior to reveal human risk. Blindspotter™ integrates a variety of contextual information in addition to logs, processes them using a unique algorithm, and offers a wide range of outputs from warnings to automatic interventions.

Shell Control Box The real-time prevention of malicious acitons Shell Control Box can monitor the traffic of network connections in real time, and execute various actions if a certain pattern appears in the command line or on the screen.

See how to optimize SIEM with syslog-ng From this short video you can learn how to improve the ROI of your SIEM with syslog-ng.

Joe’s One Day Incident management SCB is an independent device that operates transparently, and extracts the audit information directly from the communication of the client and the server. This prevents anyone from modifying the audited information.

Joe’s One Day 2 Joe’s One Day at an outsourcing company (Real-time detection & prevention) SCB is an independent device that operates transparently, and extracts the audit information directly from the communication of the client and the server. This prevents anyone from modifying the audited information.

Analyst opinion about CSI / Martin Kuppinger


12/08/2017

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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.

CAREERS

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03/08/2017

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State of Delaware – Division of Revenue – Services for the


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State of Delaware – Search and Services/Information

Franchise Taxes

Corporations incorporated in Delaware but not conducting business in Delaware are not subject to corporate income tax, [30 Del.C, Section 1902(b)(6)] but do have to pay Franchise Tax administered by the Delaware Department of State.

Any corporation that is incorporated in Delaware (regardless of where you conduct business) must file an Annual Franchise Tax Report and pay Franchise Tax for the privilege of incorporating in Delaware.

Franchise Taxes and annual Reports are due no later than March 1st of each year.

An annual Franchise Tax Notification is mailed directly to the corporation’s registered agent. Blank Franchise Tax Returns are not available. The Delaware Division of Corporations will require all Annual Franchise Tax Reports and alternative entity taxes to be filed electronically.

All corporations incorporated in the State of Delaware are required to file an Annual Report and to pay a franchise tax. Exempt domestic corporations do not pay a tax but must file an Annual Report. The Annual Report filing fee for all other domestic corporations is $50.00 plus taxes due upon filing of the Annual Report. Taxes and Annual Reports are to be received no later than March 1st of each year. The minimum tax is $75.00 for corporations using the Authorized Shares method and a minimum tax of $350.00 for corporations using the Assumed Par Value Capital Method. All corporations using either method will have a maximum tax of $180,000.00. Taxpayers owing $5,000.00 or more pay estimated taxes in quarterly installments with 40% due June 1, 20% due by September 1, 20% due by December 1, and the remainder due March 1. The penalty for not filing a completed Annual Report on or before March 1st is $125.00 Interest at 1.5% per month is applied to any unpaid tax balance.

Although Limited Partnerships, Limited Liability Companies and General Partnerships formed in the State of Delaware do not file an Annual Report, they are required to pay an annual tax of $250.00. Taxes for these entities are due on or before June 1st of each year. Penalty for non-payment or late payment is $200.00. Interest accrues on the tax and penalty at the rate of 1.5% per month.

For more detailed information and an incorporating package, please contact:

The Delaware Department of State
Division of Corporations
PO Box 898, Dover, Delaware 19903
(302) 739-3073
Website: www.corp.delaware.gov

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13/06/2017

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