Summary: Competition Between Cerner And Epic

The one’s that, I am familiar with either with my past clinicals or the one that is used at my primary provider’s office. EpicCare Ambulatory-Core EMR, which is marketed by the Epic Systems Corporation and the other, is NextGen Ambulatory EHR, which is marketed by the NextGen Health Information Systems Inc. (Medical Economics, 2013)

SHC mission was to care, to educate, and to discover for the benefit of patients and larger community. Multiple problems and opportunities were present within the organization’s IT infrastructure that needed to be resolved before implementing an EMR system. The case stated, “In the early 2000s, SHC was in no shape to support an EMR system comparable to other healthcare groups” (Denend & Zenios, 2010). They needed to fix their existing IT infrastructure in order to resolve network, security, and regulatory compliance (HIPPA) issues. After addressing these concerns, they could focus on a solution for an EMR system. The strategic motivation behind implementing an EMR system was to reduce cost, meet competitive (internal and external) pressures, improve

All together, Cerner is collaborating with our clients to put a system in healthcare, strengthen clinical practice and find entrepreneurial ways to solve healthcare’s great challenges.

The medical staff has been using “best of breed” systems and has concerns of loss of key functions. However, they agreed to adopt EPIC, an enterprise-wide system designed for maximal integration and continuity of care throughout the continuum. This agreement was reached without any understanding of a potential loss of functionality in the new system, and an assumption the new system will be acceptable to the physicians once installed.

purchasing and implementing an entirely new EHR called EPIC. EPIC appears to be user friendly and able to seamlessly connect all of the facilities under the umbrella of their corporation.

The initial purchase of Epic’s EMR, was just the beginning, in recent months, Santa Clara County has additional purchased other Epic modules, in order to meet PRIME guidelines by providing dental care. The additional compounded costs of electronic applications with implementation and business modifications are significant costs. Not all of these costs will be reimbursed by Medi-Cal however, they also come at a significant cost to Santa Clara

"EMR vendors are being stretched to the limits by requirements to support multiple standards across the country". One of the functions of EMR is to make possible to transfer data into information and to support the knowledge; other indicator of quality is its interoperability (De.ryerson.ca, 2013 CHIT 100), in order to meet these requirements EMR system has to support multiple standards. This is required not only to be able to be used across the facilities and/or networks, but also to make it highly functional and interoperable with EHR. Vendors are required to make EMR system maximum functional

EPIC EpicCare is rated as the best Acute care and Ambulatory EMR for large hospitals with more than 75 physicians (KLAS Research,2017). As Houston Methodist (HM) is committed to Leading medicine and improve patient experience, the leadership decided in 2013 to shift from MethOD an EMR based on Allscripts® to a new EHR looking for an integrated solution that will help build a complete and robust patient story, easily accessible by the care team to help them make more informed decisions in order to achieve better health outcomes, improve communications, and get patients more involved by providing them with convenient online tools. HM started the vendor selection process in 2014 and in 2015 they decided to go for EPIC EpicCare

Care360 EHR was created by Quest Diagnostics, the world’s leading innovator in diagnostic information services. In 2012, Care360 was honored by receiving the top spot in Black Book’s 2012 Rankings of Top EHR software and electronic medical records vendors, for placing in the single physician practicing and e-scribing categories. (www.bizjournals.com) In 2015 Black Book ranked Care360, a top EHR for small group practices. Care 360 was also ranked number one, by physician practices and groups with two to five practicing physicians. “This ranking is based on a poll of 5,700 small and solo medical practices surveyed by Black Book in 2015”. (www.ktvn.com)

One of the most important characteristics of an EHR while storing the clinical information is its ability to be interoperable: to share that information among other authorized users. If different information systems cannot communicate or interact with each other, then sharing is not possible. In order to achieve the objective to exchange clinical

To start, structured data capture (SDC) initiatives should be utilized in order to leverage existing EHR interoperability standards. SDC seeks to identify how interoperability technology can be used to access a template containing common data elements, populate the template with the correct common data elements from existing EHR data, and then store the template or transmit it elsewhere. Using this framework will give healthcare professionals a standard way to collect data and populate the templates, thus creating a way to access, display, and store the data. It is also important for hospitals to ensure that they are working to meet meaningful use requirements, which will help the organization to be more prepared and educated about interoperability and related issues. The Office of the National Coordinator (ONC) for Health Information Technology states that the ultimate goal is to have an interoperability system in place by 2024, one that puts “the person at the center of [the] system that can continuously improve care, public health and science through real-time data access.” In order for the goal to be achieved, however, specific actions need to be taken. It is not enough to simply state what needs to be done, but rather it is the combination of the talk and actions that will make the end-goal

They electronic medical record being evaluated are Cerner and EPIC. The multidisciplinary committee will determine which program meets the needs of the 100 bed hospital.

However, there are still some interface issues between Allscripts and Epic. Interfacing between two different EHR systems is vital for communication, accuracy, and efficiency. It requires customization of interoperability methodologies to overcome the constraints that prevent information flowing from one EHR to another.

Epic is a single integrated system for the clinical and business functions of health care provision that include registration, scheduling, and billing. The system is owned by Epic Systems, formerly Episodic Care, a large provider of HIT (health information technology) and is mainly utilized by health providers in accessing, systematizing, storing, and distributing EMR’s. Epic Systems is an independent firm in Verona, Wisconsin with a vast campus. Epic is useful in streamlining regulatory compliance, clinical workflow, quality care, the patient experience, and clinical documentation. This is a reflection of the

I have personally worked with the EPIC EMR before in my clinical rotations. In general, I really like the Epic EMR system because it’s not that difficult to use. One of its advantages is that it has allowed me to easily access laboratory values, and general patient information when I need to look up a patient. Also, I can access clinical notes made by other physicians involved in the care of my patient, having instant access to this information is invaluable. The use of an EMR helps to reduce medical errors by utilizing computerized prescription entry, predicting drug interactions and displaying a warning for the health-care provider, assisting clinicians in reconciling patient medications, and most important, maintaining a detailed and legible