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Epic

 

Epic Systems Corporation

Epic Systems Corporation Contents:

Epic_Corporation

Key_Dates

Principal_Competitors

Client_Base

EpicCare_Ambulatory_EMR

Inpatient_Clinicals

Handhelds

Physician_guided_Interoperability

Cardiology

Oncology

Obstetrics

Emergency_Department

Operating_Room

Anesthesia

Intensive_Care

Inpatient_Pharmacy

Home_Care

Radiology

Clinical_Laboratory

Public_Laboratory

Health_Information_Management

Integrated_PHR

Freestanding_PHR

Shared_Medical_Record_Community_Provider

Web_Access_Providers

Reference_Lab_Orders

Services_Providers_Employers

Scheduling

Inpatient_Regristration_ADT

Ambulatory_Registration

Call_Management

Nurse_Triage

Hospital_Billing

Professional_Billing

Health_Plan_Payors

Managed_Care_Administration_Medical

Enterprise_Clinical_Financial_Data

Healthcare_Data_Management_System

Enterprise_Master_Person_Index

Enterprise_Reporting

Interfacing

Voice_Recognition

Patient_Monitoring_Devices

CCOW_compatibility

Epic_Facts

Articles

References

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Epic Systems Corporation is a privately held health care software company.  Founded in 1979, the company provides health care management software that integrates financial and clinical information across inpatient, ambulatory and payer technology systems.  This integrated suite of health care software is centered around a hierarchical MUMPS/Cache database.  Epic applications support all the functions related to patient care including Registration and Scheduling Systems for clerks; Clinical Systems for Doctors, Nurses, Emergency Personnel and other Care Providers; Ancillary Systems for Lab Technicians, Pharmacists, and Radiologists; and Billing Systems for Care Providers as well as Insurers.  The Company has offices in the US and the Netherlands.

 

Key Dates:

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1979: Judith Faulkner and others establish Human Services Computing, Inc., which becomes Epic.
1990: With 30 employees, Epic offers clients more than 50 different products.
1992: Epic introduces a Windows-based electronic medical record (EMR) product called EpicCare.
1997: EpicWeb, the company's first e-health product, is released.
2000: Sales reach $50 million and employees number 550.
2002: KLAS Enterprises names Epic the &"best overall vendor of healthcare information technology&" for the seventh straight year.

2002: Sales reach $105 million and employees number 850

2003: Epic secured a $1.8 billion deal with Kaiser Permanente

2003: Epic introduces Care Everywhere technology which creates a secure virtual electronic record for patients to take with them all their healthcare providers.

2005: Epic began moving staff to a new $300 million campus in Verona, WI

2007: Epic established a subsidiary in the Netherlands to market Epic Software.

 

Principal Competitors:

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Cerner Corporation, GE medical Systems, IDX Systems Corporation

 

 

Epic Client Base includes:

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Cleveland Clinic Foundation

Sutter Health

Northwestern Memorial Hospital

Sloan-Kettering Cancer Center

Cincinnati Children’s Hospital

Catholic Healthcare Partners

Kaiser Permanente

Allina Hospitals and Clinics

Evanston Northwestern Healthcare

Harvard Vanguard Medical Associates

Institute for Family Health

MultiCare

Texas Health Resources

 

 

 

 

 

Current Applications developed by Epic:

 

AMBULATORY AND INPATIENT

 

EpicCare Ambulatory EMR

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The EpicCare Ambulatory EMR is an intuitive, flexible system used by physicians.

EpicCare is flexible, accommodating specialty providers and facilities while ensuring that clinical information is stored in a seamless ambulatory care record.  The EpicCare Ambulatory EMR is ranked #1 in the Ambulatory EMR (Over 100 Physicians) category of the KLAS 2008.

 

Inpatient Clinicals

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The EpicCare Inpatient Clinical System is a universal Hospital system encompassing all hospital departments and specialties and giving providers the software tools they need to deliver safe, high-quality care. EpicCare is highly configurable, allowing one to optimize displays, features and information access for physicians, nurses, therapists, dieticians and any other provider in the hospital setting.  The EpicCare Inpatient Clinical System is ranked #1 in the Acute Care EMR of the KLAS 2008.

 

Handhelds

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EpicOnHand keeps providers up-to-date on clinical information while promoting efficient data access and charge capture at the point of care. EpicOnHand runs on Windows Mobile or Pocket PC handhelds, where users have the option of linking to Epic's central data repository over a wireless network or via sync cradles.

 

Physician-guided Interoperability

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Care Everywhere provides a framework for interoperability, meaning wherever a patient is seen- different healthcare systems in the same town, across state or national borders, the providers caring for the patient can have the information needed. Information can come from another Epic system, a non-Epic EMR that complies with industry standards, or directly from the patient. Regardless of the information source, Care Everywhere connects it to your EpicCare EMR, giving clinicians a more complete history of the patient.

 

SPECIALITIES/DEPARTMENTS/ANCILLARIES

 

EpicCare is designed for both specialty and primary care, with approximately half EpicCare’s user base comprised of specialists. Epic supplements EpicCare capabilities with built-in specialty content and modules providing workflow tools able to integrate with core clinical system. The Epic applications used by Specialists include:

 

Cardiology

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Cardiant Cardiovascular Information System features multi-modality, procedure-specific clinical documentation along with streamlined consult, follow-up and referral workflows. It supports protocols, ACC criteria and disease/population management activities while offering seamless integration with imaging systems and monitoring devices.

 

Oncology

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Beacon Oncology Information System supports the specialized care and treatment of cancer patients. Clinicians can create treatment plans based on standard protocols, make treatment decisions based on comprehensive decision support information and personalize plans to include treatment cycle and dosing schemes for both IV and oral medications.

 

Obstetrics

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Stork Obstetrics Information System allows physicians to conveniently organize and view the complete course of obstetric care. It provides functions tailored to the documentation and clinical data review needs of prenatal visits, labor and postnatal visits. At delivery, relevant information entered in Stork is added to both the newborn's chart and the mother's obstetric history.

 

Emergency Department

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ASAP Emergency Department Information System streamlines workflows and helps improve care delivery in busy emergency departments. Because of the integration with Epic's other clinical applications, it combines instant access to comprehensive patient information with active decision-support functionality. ASAP clients dramatically reduce their wait times and transcription costs while providing faster, better care.

 

Operating Room

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OpTime Operating Room Management System helps improve surgeon productivity, schedule utilization and perioperative documentation in both inpatient hospitals and ambulatory surgical centers. OpTime includes tools for all key perioperative processes including scheduling, preference card management, anesthesia record keeping, pre-op assessments, procedure record and PACU documentation.

 

Anesthesia

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Epic Anesthesia Information Management System is designed to provide full ordering and clinical documentation tools wherever anesthesia services are needed in your organization. It is integrated with OpTime Operating Room Management and EpicCare EMR to streamline workflows across roles. Epic Anesthesia provides dedicated support for pre-op evaluations, pre-admission testing, intra-op record keeping, recovery care and post-procedure care, including inpatient follow-ups and post-op phone calls.

 

Intensive Care

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Epic's ICU module supports users in super acute, comprehensive care, and interventional care environments, combining the functionality of our core clinical systems with targeted features and information displays. Care providers can trend clinical parameters such as hemodynamics and drips, vent settings and blood gasses, making it easier for them to assess the patient's condition and aiding in accurate decision making.

 

Inpatient Pharmacy

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Willow Inpatient Pharmacy System is a key component of Epic's &"closed-loop&" medication ordering and administration process, linking pharmacists, ordering physicians and nurses to a single order record. With Willow, pharmacists can monitor medication treatment and improve medical outcomes, improving patient safety, minimizing adverse effects and helping control costs. Orders from EpicCare flow directly to Willow for verification and dispensing and also appear automatically on the MAR. Pharmacy staff members have direct access to the chart during verification, empowering them to play a more active role in patient care, and verified orders can be routed to the appropriate dispensing device or to pharmacies outside the system. Changes made by a pharmacist are also automatically updated and available for other users.  The EpicRx Inpatient is ranked #1 in the Pharmacy category of the KLAS 2008.

 

Home Care

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EpicCare Home Health is a portable care management tool for home care providers, offering easy-to-use documentation and charting tools that help coordinate patient care, improve communications with physicians and handle case assignments. Home Health uses a unique synchronization process, allowing users to access the patient's complete medical record and document care in remote areas.

 

Radiology

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Radiant Radiology Information System combines tools for rules-based scheduling, documentation, results communication, chart/film tracking and detailed statistical reporting in a unified system that is fully integrated with our clinical systems. Radiant allows clients to link images and reports with a single system that can be accessed simultaneously by multiple users in multiple departments.  The Radient Radiology Information System is ranked #1 in the Radiology category of the KLAS 2008.

Clinical Laboratory

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EpicLab Clinical Laboratory Information System dissolves traditional boundaries between the lab and clinical, billing and scheduling functions. EpicLab supports inpatient and ambulatory laboratory workflows, combining best-of-breed LIS functionality with the benefits of enterprise-wide integration. With Epic's web-based OutReach application, external submitters to your reference laboratory can enter orders and receive results online.

Public Laboratory

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EpicLab Public Health Laboratory System is designed to meet the needs of multi-site public health laboratories. It helps users process specimens quickly, monitor quality control specimens, produce timely result reports in a variety of paper and electronic formats, create reports to analyze public health trends, and manage laboratory resources. Integration with Epic's OutReach application allows web-based specimen inquiry.

Health Information Management

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Health Information Management provides easy-to-use tools to simplify medical records management tasks, including:

  • Chart and Film Tracking - integrates seamlessly into the appointment scheduling workflow to help users track the movement of patient information through your facilities.
  • Chart Deficiencies - monitors each chart, tracking delinquencies, generating follow up messages, and offering tools for quickly resolving deficiencies - ensuring that medical charts contain the critical information clinicians need and improving reimbursement.
  • Release of Information - allows users to track and fill information requests, generate charges, and collect payments for this service.
  • Coding and Abstracting - stores configurable coding information required for DRGs and other groupers calculated by third-party coding products.

Integrated PHR

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MyChart gives patients controlled access to the same Epic medical records their doctors use and provides convenient self-service functions that reduce costs and increase satisfaction. Because MyChart is integrated with the EMR, it's easy for patients to get involved in their own health.

These self-serve online functions allow patients to take an active role in their care and reduce the costs of providing excellent service:

·   View test results

·   View upcoming & past appointments

·   Schedule appointments

·   Pay bills securely

·   Get automated health maintenance reminders

·   View problem-based education materials

·   Request refills

·   Send & receive secure messages with providers

·   View a child's records and print growth charts

·   Manage the care of elderly parents

Freestanding PHR

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Lucy is a PHR that is not connected to any facility's electronic medical record system. It stays with patients wherever they receive care and allows them to organize their medical information in one place that is readily accessible. Patients can enter health data in Lucy, pull in MyChart data or upload standards-compliant Continuity of Care Documents from other facilities.

Epic's Care Everywhere software can also retrieve documents from Lucy, making this information available to clinicians as part of the electronic chart. It's patient-guided interoperability.

Lucy is free of the two primary obstacles to patient PHR adoption:

1.There are no advertisements on Lucy.

2.Epic will not sell patient data for secondary uses.

Shared Medical Record For Community Providers

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EpicCare Link makes your organization an attractive choice for referring physicians by giving them secure, web-based access to information about the care you provide their patients. Sharing patient information with authorized providers helps them follow the progress of care for patients they refer to your organization and improves their ability to coordinate ongoing care. Secure messaging functions allow external physicians to offer electronic consults. EpicCare Link also makes the entire referral process faster and more efficient.

Web Access For Providers

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EpicWeb allows true anytime/anyplace access to patient information by allowing providers to log into the Epic system from any PC with a Web browser. Once online, users can access major clinical features including care documentation, chart review, incidental order entry (with decision support) and secure messaging. EpicWeb allows physicians working from any location at home, in the office, and even on vacation to use the patient’s entire medical record to make well-informed decisions. Users can also access provider schedules, benefit and eligibility information, referral authorizations and account balances.

 

Reference Lab Orders And Results

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OutReach works with the EpicLab Clinical Laboratory System to help build strong relationships with external providers that receive laboratory or diagnostic services from your organization. Intuitive order entry features allow users to send orders to your facility securely over the Internet rather than through staff-intensive telephone, fax or paper-based methods. Decision support and results communication features support users during the order entry process and help route test results appropriately. Integration with our EpicLab Clinical Laboratory System allows your users to carry out specimen collection and shipping management tasks online.

Services For Providers And Employers

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PlanLink gives provider and payor organizations a competitive advantage by making distinctive services available to employers and community providers via the Web. Providers can submit referrals, receive approval notifications and review statuses of AP claims they are involved with. Payors can allow providers to print remittance advice reports, saving phone calls and mailing expenses. PlanLinks payor functionality also allows employers to access their online premium invoices for payment and reconciliation, as well as manage the online enrollment process for their employees.

 

PRACTICE MANAGEMENT

The Cadence Enterprise Scheduling, Prelude Enterprise Registration, and Resolute Professional Billing combined are ranked #1 in the Ambulatory Practice Management category of the KLAS 2008.

 

Scheduling

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Cadence Enterprise Scheduling makes it easy for users to schedule any type of visit or procedure from anywhere in your organization. It also enhances your ability to keep appropriate slots open, take patient preferences into account, and deliver high-quality service that will distinguish your organization in today's competitive healthcare marketplace.

Cadence serves as an intelligent partner for users, providing context-specific instructions, conflict checking, and solutions for complicated appointment searches. Comprehensive rules-based scheduling features accommodate the needs of each clinician, room, and piece of equipment, optimizing the use of staff and capital resources throughout your organization.  The Cadence Enterprise Scheduling

Inpatient Registration and ADT

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ADT/Prelude Enterprise Inpatient Registration improves bed utilization and gives users the tools to manage hospital stays from pre-admission through discharge. Clinicians can access an efficient census workspace that allows them to view and update current information on patients in their care. Flexible workqueues help nurses and other staff members plan for upcoming ADT events, follow up on missing or inconsistent data, and assess utilization.

Ambulatory Registration

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Prelude Enterprise Registration makes registration intuitive, efficient, and virtually error-proof. Prelude provides tailored workflows, wizards and extensive error checking to help users complete registrations swiftly and accurately, while addressing verification and HIPAA-compliant electronic eligibility queries help ensure accurate billing. Rules-based workqueues efficiently organize follow-up activity according to flexible criteria, targeting problem registrations and delegating follow-up to the appropriate staff.

Call Management

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Customer Relationship Management/Call Management enhances customer service communications by storing patient information, service issues, and contact histories in a central location. The system allows users to effectively document, route, monitor, and resolve customer service inquiries from patients. The system's integrated reporting tools help you conduct detailed analysis of your organization's customer service, from evaluating individual patient/staff relationships to measuring the overall responsiveness of an entire facility, entity or department.

Nurse Triage

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Nurse Triage helps users handle more patient calls and deliver timely, effective care advice over the telephone. The system supports nurses throughout the triage process by providing easy access to patient records, proven practice management tools, and popular clinical protocols in a user-friendly format. As nurses assist patients, the system creates appropriate care documentation automatically, generating context-specific alerts and offering convenient access to scheduling information. Nurse Triage is integrated with all of Epic's applications, ensuring that call documentation always becomes part of the patient's enterprise record.

Hospital Billing

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Resolute Hospital Billing coordinates inpatient and outpatient billing for hospitals. It gives your front-office and back-office staff the tools they need to streamline billing and collection processes, reduce payor denials, and minimize AR days. Resolute's features support billing staff throughout the hospital, helping improve your financial performance and encouraging excellent patient service.

Drawing information directly from the EpicCare clinical system, Resolute automatically completes appropriate fields and submits claims in HIPAA-compliant transaction formats. Extensive rules-based claim scrubbing accelerates reimbursement and minimizes rejected claims, even with the most demanding payors. Comprehensive reporting tools help executives track and report on all aspects of financial performance.

Professional Billing

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Resolute Professional Billing helps reduce A/R days, produces accurate claims, allows paperless collection processes, and streamlines data entry. With Resolute, your billing office can easily track revenue from individual billing entities, divisions or markets. Its configurable library of medical necessity checks and charge/claims scrubbing routines help you reduce denials and satisfy demanding payors. The system sends clean, accurate claims using a variety of HIPAA-compliant transaction formats - resulting in prompt and accurate reimbursement.

Resolute's comprehensive reporting tools allow executives to analyze financial performance, encouraging more informed operational decisions.

Health Plan Operations For Payors

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Tapestry is a comprehensive, flexible system designed to help health plans manage operations across all lines of business. It gives payor organizations the tools necessary to meet the needs of members, employers, affiliates and the providers that serve them. Tapestry automates eligibility tracking, premium billing, utilization management and contracting/claims operations using sophisticated benefit plans and contracts. It also works seamlessly with Epic's clinical, financial, and access applications wherever they are implemented in your affiliated delivery networks.

Epic's integrated, web-based PlanLink application simplifies communications and information sharing with employers, agents, providers and members. Payors can use PlanLink to make online enrollment, eligibility summaries, referral requests, AP claims review and customer service messaging available.

 

Managed Care Administration For Medical Groups

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Tapestry automates key workflows and tasks associated with managed care administration, helping provider organizations manage risk and maintain strong, collaborative relationships with payors. For providers, the system helps manage authorizations, compares capitation receipts against your eligibility history, and reconciles claim payments against your contracts. A comprehensive Benefits Engine makes it easy to handle copays, co-insurance deductibles, MOOP, tiered benefits, riders, and more, allowing users to make informed decisions and minimize errors.

 

Enterprise Clinical/Financial Data Repository

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Epicenter is the patient-centric information backbone for all Epic's software—capturing all clinical, financial and operational data related to a patient and organizing it into a consistent record accessible to users across the care continuum. It is the key connectivity point that supports cross-functional workflows, centralized decision support and eliminates interfaces.

 

Healthcare Data Management System

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A foundational component of Epicenter is the open Chronicles Extended Relational Database Management System, the high-performance data engine at the heart of our integrated product suite. Chronicles has no built-in capacity limits. It supports thousands of concurrent users and millions of records while still providing excellent response times.

Chronicles drives Epic's outstanding response times and scalability, giving us the edge in serving the largest, most complex healthcare organizations.

 

Enterprise Master Person Index

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Identity EMPI keeps your database clean by eliminating duplicate records and by actively preventing users from creating them in the first place. Uniting demographic, registration, and encounter data from all Epic and non-Epic systems, Identity compares a broad sample of identifying information to evaluate patient records. It then applies multiple logical comparisons that account for misspellings, typos, nicknames, similar names, and even maiden names. Streamlined utilities make it easy to merge records when duplicates are found and to unmerge patient records when necessary.

Identity can organize IDs from external systems, allowing you to cross-reference patient records and access them using their medical record numbers from external or legacy systems.

 

Enterprise Reporting

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Epic's reporting tools help organizations gain a competitive edge in the marketplace, analyzing revenue cycles, clinical outcomes and other key information to identify areas of strength and diagnose potential problems. Since reports are run on clinical, access and financial data from the same repository, you are able to dissect data by diagnosis, procedure, provider, age, sex or other criteria. Epic's reporting system allows analysis and, more importantly, action on the information from all of Epic's systems. In addition, it can be combined with data from other systems to provide a unified reporting data source.

For operational queries that are needed in real time or near real time, Epic offers Analyst. Analyst queries a dedicated reporting shadow server containing a full copy of the production database. Key functionality includes Epic's Reporting Workbench, which gives end users a template-driven GUI system for running on-demand queries and taking immediate action on the patients retrieved by a query, such as adding the patients to a personal electronic roster.

Epic offers Clarity for reports that are generally less time sensitive and typically involve more intensive statistical analysis than operational reports. Clarity uses a separate analytical reporting server and can be employed as a link to a data warehouse, pulling together information from disparate systems into a single reporting database. Epic has developed standard extracts for exporting production data to Oracle or MS SQL Server, allowing you to use familiar third-party report writers to analyze Epic data. Clarity reports developed by Epic and Epic clients are available from a web-based Community Library.

Interfacing

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The Bridges Interface Development Toolkit facilitates interface maintenance with a real-time interface monitor, a usage statistics utility, an error logging utility, and an interactive error-analysis report. Bridges enables developers to create a variety of message formats, providing data mapping capabilities and flexible data formatting. Bridges includes templates for HL7, ANSI X12, and XML standards and can also be used to support interface transactions in a fixed format or other non-standard data formats.

 

Voice Recognition

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Hyperspace, Epic's graphical user interface, is compatible with third-party voice recognition applications. Voice recognition allows users to convert voice input directly into progress notes or other text entries.

 

Patient Monitoring Devices

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Epic has the ability to connect to a wide range of patient monitoring devices. Multiple patient monitoring devices can be downloaded into flowsheets rather than charting manually. Once in the Epic system, data from devices can be graphed, reported on, and monitored for trends, improving overall care delivery. Epic offers a standard HL7 Device Formatted Medical Device Interface that can be used for receiving discrete alphanumeric data from monitoring systems. Most major manufacturers already have an option for HL7 interfacing, alleviating the need for a third-party middleware solution.

 

CCOW compatibility

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Epic supports the Clinical Context Object Workgroup standard for coordination of different applications. Working in conjunction with third-party context management software, the Epic user interface can accept the current user, patient and encounter contexts for a session from a non-Epic application, so the user does not need to re-enter this information. Similarly, Epic's interface can transmit the user, patient and encounter contexts to other applications.

Epic Facts:

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Epic has been named the KLAS 2008 #1 Overall Software Vendor

All Stage 7 Hospitals use EpicCare

Judy Faulkner, President and CEO of Epic, was honored at CHIME's 2005 Fall CIO Forum with the first ever CHIME Foundation Lifetime Achievement Award.

Epic's customers have won more Davies Awards than those of any other vendor.

Mark Neaman, president and CEO of Epic customer NorthShore University HealthSystem in Evanston, Ill., is the recipient of the 2009 Gold Medal Award from the American College of Healthcare Executives.

 

Links to articles on Epic:

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http://www.jsonline.com/news/wisconsin/32597729.html

http://www.healthcareitnews.com/news/epic-systems-wins-contract-university-hospital-dubai

http://www.healthcareitnews.com/news/klas-prospects-bright-2009-emr-sales-hospitals

 

 References:

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http://www.epic.com/

http://www.epicsystems.com

http://en.wikipedia.org/wiki/Epic_Systems

http://www.healthimaging.com/_news/company/Epic+Systems




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