Leveraging Informatics to Boost Local Pathology: How We Interface with Epic's EMR and Psyche to Monitor Client Service in Real Time
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1 Leveraging Informatics to Boost Local Pathology: How We Interface with Epic's EMR and Psyche to Monitor Client Service in Real Time Julie Williams, MT(ASCP) Director of IT Pathologists Diagnostic Laboratory, P.A. Winston-Salem, NC
2 Evolution of one large, successful interface project with greater than 60 clients on one interface The background of the players in this project The build and design The implementation and daily monitoring The future How this project has given our local pathology group a golden opportunity in the market.
3
4 The Players Pathologists Diagnostic Lab Novant Psyche Epic
5 History Lesson: My Background The 1980 s First hospital lab software conversions
6 Forsyth Memorial Hospital Medical Technology Class
7 The 80 s continued 1986 Forsyth Cerner s 21 st client 1989 Forsyth Pathology on Cerner 1988 RHD Dallas Cerner
8 The 1990 s The Computer Age Athens, GA
9 Shadowfax Farm *Meanwhile back in NC, Novant Health was formed in 1997 merging Winston-Salem and Charlotte area hospitals, including Forsyth Medical Center.
10 The 2000 s Interfaces Novant Health, Winston-Salem
11 Time to catch up
12 2002 Cerner Classic 2008 Pathologists Diagnostic Laboratory 2007 Cerner Millennium
13 Interfaces in 2008 Pathologists Diagnostic Laboratory had interfaces with Novant and PSA billing No client interfaces and a list of clients that were ready for interfaces with their EMR s Let the work begin!
14 Current Day Three major commercial labs are located within 45 minutes of Winston-Salem.
15 The Players Pathologists Diagnostic Lab Novant Psyche Epic
16 Pathologists Diagnostic Laboratory Anatomic Pathology, Flow Cytometry and Cytology Serve 5 Novant hospitals and 2 independent hospitals 37 employees Pathologists Diagnostic Services (PDS) 7 pathologists Cutaneous Pathology (CP) 2 pathologists
17 PDL Information Technology Team Julie Williams & Kevin Lipford
18 Epic eclinicalworks Nextech Provation Digichart Allscripts Allscripts Myways Orchard Greenway emd Suitemed AthenaHealth Modernizing Medicine PDL Interfaces today
19 Psyche Systems is focused exclusively on delivering laboratory software solutions to hospitals, clinics, reference and private labs for over 37 years. Psyche's software solutions include LIS software for clinical, anatomic pathology, microbiology and molecular labs as well as connectivity solutions for achieving Meaningful Use and fast, cost-effective growth such as Outreach and a suite of EMR connectivity solutions. Psyche's WindoPath LIS is consistently the top ranked best-of-breed AP system on the market.
20 It is all about the partnership
21 Psyche s role WindoPath database is remote hosted Reliability working relationship Ease of Use Windopath & Outreach are user friendly and have met and exceeded our needs Development of products client input Outreach and Outreach Manager evolved
22 Novant Health The system has 13 hospitals, more than 500 physicians clinics, outpatient surgery, imaging and diagnostic centers, rehabilitation programs and community health outreach programs. Novant employs 26,000 people and has more than 1,100 physicians in its medical group Novant needed an enterprise wide software solution
23 Epic would allow Novant to reach their goals
24 Epic Founded in 1979, Epic is private and employeeowned. They develop, install and support all applications in-house. Epic's leadership team includes clinicians, developers and process experts people deeply experienced in patient care and healthcare technology. The award-winning EpicCare EMR is known for being fast and physician-friendly
25 Presbyterian Pathology Group WindoPath site security feature PPG purchased Psyche WindoPath after trial period using PDL s database Team work on Epic interface Shared costs
26 Many EMR projects require that we
27 The Novant Plan Novant had hundreds of physician practices to bring up on Epic Scheduled live dates every other month with practices each go live Started January 2012 Last major go live scheduled for July 2013 One interface with Psyche that would split through Cloverleaf engine to PDL & PPG
28 Psyche Epic Interface Quotes shared interface with PPG Kickoff call in Fall of 2011 Connectivity Specifications Insurance Master for Import Build Phase The Conference Call Testing: Unit & Integration
29 What s involved? How do we manage this interface? How do we build clients on to the interface? How do we maintain and monitor this interface? How do we handle > 60 clients to date on this one interface? Answer: Psyche s Outreach Manager
30 Outreach Manager
31 Psyche: Outreach Manager How it works
32 Add window Setting up new clients
33 Select client, add start date and add to original interface code
34 Map the physicians
35 Add external internal physician codes
36 DONE!!! That s it!
37 Monitoring and Troubleshooting Psyche: Outreach Manager
38 Outreach Manager: HL7
39 Outreach Manager: HL7 parsed
40 Novant Epic Ambulatory Stats 352 clinics live on PM (1461 Providers) 247 clinics live on EHC (893 Providers) >12,000 average daily patient encounters Over 120,000 MyChart users >4500 concurrent users 113,912 cumulative training hours Initial rollout to be completed July, 2013
41 Lessons Learned The Positives: Psyche designed the interface to easily add clients One day intense all hands on deck testing One interface, one quote for > 60 clients The not so positives: Training should be designed to include all types of orders, both clinical lab and Anatomic Pathology orders. Set up template for testing after upgrades or seek therapy!
42 Therapy
43 Future Final Novant Medical Group offices Novant Community Connect Epic Acute rollout
44 History of the Project Summary Build, Design & Implementation Future of the project How the project has boosted our local Pathology group
45 Cast Sherman & Murphy Williams
46 Happy Birthday Mom! To another year of swinging!
47 Q & A? Julie Williams
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