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DoD Cerner, NYCHH Epic Implementations Achieve Milestones

The DoD Cerner implementation of MHS GENESIS is complete at its second site while the NYCHH Epic implementation is paying dividends for quality in Queens.

Cerner implemenation and Epic implementation milestones

Source: Thinkstock

By Kyle Murphy, PhD

- Naval Hospital in Oak Harbor in Washington State completed its Cerner implementation of the Military Health System’s GENESIS EHR technology over the weekend, the Kansas City-based EHR company announced on Monday.

The DoD MHS site providing inpatient and outpatient care along with labor and maternity completed the MHS GENESIS go-live on July 15 and became the second site to complete the federal agency’s rollout of its initial operating capability program. Additionally, the Cerner implementation at Naval Hospital in Oak Harbor is the first instance of deploying MHS GENESIS in an inpatient setting.

“The integrated system aggregates information into a single EHR, standardized across the branches of the military, to facilitate the safe transition of care across the spectrum of military operations to include garrison, theatre, and en route care,” Cerner officials announced. “At its core, MHS GENESIS is the same commercially available, off-the-shelf electronic medical record that is deployed at thousands of facilities worldwide, operating on one code set.”

The inpatient deployment of the MHS GENESIS EHR technology brings online for the first time several applications and capabilities:

The DoD rollout of Cerner EHR technology will replace three existing EHR systems across the federal agency’s health system and remain interoperable with the two dozen legacy systems in place across MHS. Additionally, the implementation of a commercial, off-the-shelf EHR platform will enable interoperable health data exchange between providers in public and private facilities as well as between DoD and the Department of Veterans Affairs as service members leave active duty.

The first rollout of MHS GENESIS took place in February at Fairchild Air Force Base, also located in Washington.

Data confirms Epic success at NYCHH in Queens

Officials from the NYC Health + Hospitals are heralded the 2016 Epic implementation at its two Queens hospitals for leading to improvements to the patient experience.

“Our health system’s transition to Epic is a crucial step in our transformation to better meet the health needs of the communities we serve,” Interim CEO Stanley Brezenoff said in a public statement. “These data confirm our expectations that Epic’s electronic medical record is already improving the patient experience, and we remain fully committed to implementing the combined EMR and revenue cycle suite throughout our system to ensure the best possible results for patients and providers.”

According to NYCHH data, more and more patients are making use of the Epic MyChart feature accessing their patient health data.  Between January and May of this year, the number of MyChart registrations at NYC Health + Hospitals/Queens and NYC Health + Hospitals/Elmhurst rose by 45 percent — from 10,055 to 14,621 registrants. Additionally, 4,300 medication refills were completed, nearly 4,500 messages passed between patients and providers, and patients have reviewed close to 60,000 test results via the service.

Patient scheduling and visits have also experienced quality improvements. Prior to the Epic implementation, the average duration of a patient visit ranged from 104 minutes to 2 hours. Following the EHR go-live, a patient visit now averages 80 minutes. The health system credits the management of unscheduled visits with helping reducing variation in patient visit duration.

From an operational standpoint, improved EHR documentation is leading to increases in reimbursement. Between 2015 and 2017, the case mix index has improved from 0.9417 to 1.0015, leading to a $7-million dollar increase in captured hospital revenue.

“As was announced in May, NYC Health + Hospitals will also implement Epic’s advanced revenue cycle technology to improve efficiency and ensure that the health system is collecting the maximum amount of revenue for the services it delivers,” the organization stated. “Epic’s revenue cycle technology and patient electronic medical record system will integrate seamlessly. The rollout of the integrated platform is expected to begin in the fourth quarter of 2018. The integrated revenue cycle and electronic medical record suite is expected to be fully completed in the last quarter of 2020.”



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