evaluation of electronic health record solutions · identified candidates Øprivately owned by...
TRANSCRIPT
![Page 1: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/1.jpg)
EVALUATION OFELECTRONIC HEALTH RECORD SOLUTIONS
Presented by:
KHALID ALODHAIBI, MBA, PHD,
CORPORATE CIO,
MEDICAL SERVICES DEPARTMENT
MOD
![Page 2: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/2.jpg)
AGENDA
![Page 3: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/3.jpg)
AGENDA
![Page 4: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/4.jpg)
TO:
� Evaluate the feasibility of unifying Health Information Systems across medical cities and hospitals.
� Analyze and propose the best EHR candidates and demonstrate their strength and weaknesses.
THE PROJECT
![Page 5: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/5.jpg)
COMMITTEE MEMBERS
� King Khalid Eye Specialist Hospital
� King Fahad Specialist Hospital
� Prince Mohamed Medical City
� King Faisal Medical City
� King Abdullah Medical City
� King Fahad Medical City
![Page 6: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/6.jpg)
RESEARCH METHODOLOGY� Committee members have met several times.
� Extensive research has been done based on facts and data from: § KLAS
§ HIMSS
§ Advisory Board
§ KFMC Clinical Survey
§ In addition to 13 research papers
§ Personal experience and knowledge
� KFMC team has proposed a methodology that was adopted by the committee
� A spreadsheet has been distributed to capture inputs
� A report, excel sheet, and a presentation have been generated
![Page 7: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/7.jpg)
AGENDA
![Page 8: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/8.jpg)
THREE GLOBAL HEALTHCARE TRENDS “RISE OF THE
REST”Globalization of Healthcare and
Education
BIOCLUSTERNew Business
Models
HEALTHCARE=ITNew e-Health
Content
![Page 9: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/9.jpg)
Document
EMR
EHR
THE LIFE OF THE PATIENT
![Page 10: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/10.jpg)
THE GOAL IS TO ENFORCE:
![Page 11: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/11.jpg)
HIMSS EMR ADOPTION MODELMIDDLE EAST / ASIA
![Page 12: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/12.jpg)
AGENDA
![Page 13: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/13.jpg)
CANDIDATE SELECTIONThe vendor candidates were selected based on:
� Ability to provide a full suite (integrated) of products on a single
platform to serve the continuum of care
� Strong capability to provide clinical systems (not an IT shop)
� Evidence of advancing their systems and service capabilities on a
continuous base
� Verbal willingness and commitment to contribute to the Middle
East in general and to our local market in Saudi Arabia in particular
� Place us at HIMSS L6 OOB
![Page 14: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/14.jpg)
IDENTIFIED CANDIDATES
Ø Privately owned by Judith R. Faulkner and based in Verona, Wisconsin,Ø $1.526 billion for 2012 revenue Ø 6400 employees based in its campus in Verona. Ø As of April 2014
§ 297 organizations that would represent 1100 hospitals, 14000 clinics, and 265000 physicians.
§ Key Clients: Calif.-based Kaiser Permanente, Cleveland Clinic, Johns Hopkins Medicine in Baltimore, UCLA Health in Los Angeles, Arlington-based Texas Health Resources, and Mount Sinai Health System in New York City
§ EPIC has the most stage 7 hospitals /clinics
![Page 15: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/15.jpg)
IDENTIFIED CANDIDATES
Ø Allscripts is a publicly traded company, found in 1986 and based in Chicago,
Illinois.
Ø The current company is the result of M&A
Ø More than 7000 employees with an estimated revenue in 2012 of $1.45
billion.
Ø Key clients: Bronx-Lebanon (NY), Blessing Hospital (IL), Springhill Medical
Center (AL), and United Hospital System (WI)
![Page 16: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/16.jpg)
IDENTIFIED CANDIDATES
Ø Cerner is a public company founded in 1979
Ø Based in Kansas City, Missouri with 14000 employees and a market
capitalization of $13 billion.
Ø 2329 sites globally
Ø Key Clients: Banner Health (AZ), UPMC (PA), Sharp Healthcare (CA), and
Dignity Health (CA), with about 90 clients in the Middle East
![Page 17: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/17.jpg)
IDENTIFIED CANDIDATES
Ø InterSystems is a privately owned company that was founded in 1978
Ø One of the original vendors of M-technology aka MUMPS systems
Ø Developer and Owner of well-known database technology, Cache
Ø The company has numerous sales office around the world except in U.S.
Ø 499 hospitals contracted for its solution with significant growth in Scotland
and Chile.
Ø Several sites in the Middle East
![Page 18: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/18.jpg)
GOING DEEPERSix dimensions have been identified:
Product
Service & Support
Ecosystem
Vision & Leadership
Finance & Resources
Technology
![Page 19: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/19.jpg)
WE ALSO CONSIDERED
Total Cost of Ownership
(TCO) KFMC Clinical Survey (4v)
![Page 20: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/20.jpg)
GOING DEEPERSix dimensions have been identified:
Product
Service & Support
Ecosystem
Vision & Leadership
Finance & Resources
Technology
![Page 21: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/21.jpg)
PRODUCTThe product dimension measures the capability of the EHR solution in terms of meeting the clinical business needs:
Clinical Features
Efficiency
Analytics
MECOMPATIBILITY
Usability
![Page 22: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/22.jpg)
PRODUCT
CLINICAL FEATURES
ANALYTICS
EFFICIENCY
USABILITY
ME COMPATIBILITY
Ø Core ClinicalØ AncillariesØ SpecialtiesØ e-PrescriptionØ Medication ReconciliationØ Ambulatory Care
The product dimension measures the capability of the EHR solution in terms of meeting the clinical business needs:
![Page 23: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/23.jpg)
9
10
8 8
0
1
2
3
4
5
6
7
8
9
10CORE CLINICALThis is the engine of the system where clinical pathway and best practices are initiated. It refers to
Ø Computerized
Provider Order Entry
(CPOE)
Ø Order sets
Ø Medication orders
Ø Laboratory orders
Ø Radiology orders
1) A2) K 8.2
![Page 24: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/24.jpg)
ANCILLARYThe helping arm components that facilitate CPOE requests
Ø Surgery / OR
Ø Pharmacy
Ø Laboratory
Ø Radiology Information System
1) A2) K 8.2
![Page 25: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/25.jpg)
SPECIALTIESSpecial clinical areas Ø ICUØ EmergencyØ CardiologyØ Diabetes Ø OncologyØ WomenØ Pediatric
1) A2) K 8.4
![Page 26: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/26.jpg)
e-PRESCRIPTION
Enable providers to write an accurate and error free electronic medication prescription.
1) KL2) KL 8.2
![Page 27: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/27.jpg)
MEDICATION RECONCILIATIONThe process of comparinga patient's medicationorders to all of themedications that thepatient has been taking.”
6,6
8
7 6,8
0
1
2
3
4
5
6
7
8
9
1) KL2) KL 7.4
![Page 28: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/28.jpg)
AMBULATORY CARECovers OPD area including diagnosis, observations, treatment, and rehabilitation services.
1) A2) K 7.9
![Page 29: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/29.jpg)
PRODUCT
CLINICAL FEATURES
ANALYTICS
EFFICIENCY
USABILITY
ME COMPATIBILITY
Ø Clinical Decision Support (CDS)
Ø Business Intelligence
The product dimension measures the capability of the EHR solution in terms of meeting the clinical business needs:
![Page 30: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/30.jpg)
CLINICAL DECISION SUPPORTØ Analytical data about
the clinical workflow in the hospital
1) A2) K 7.8
![Page 31: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/31.jpg)
BUSINESS INTELLIGENCEWhere you analyze operational, financial, and quality control data (CA).
9
6
87,5
0
1
2
3
4
5
6
7
8
9
10
1) A2) K 8
![Page 32: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/32.jpg)
PRODUCT
CLINICAL FEATURES
ANALYTICS
EFFICIENCY
USABILITY
ME COMPATIBILITY
Ø Care ManagementØ View Patient InformationØ Physician DocumentationØ Problem ListØ MobilityØ Patient Engagement
The product dimension measures the capability of the EHR solution in terms of meeting the clinical business needs:
![Page 33: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/33.jpg)
CARE MANAGEMENT
Enables providers to set
clinical plans and goals for
patients who suffer long–term,
multiple chronic conditions that
would result in high cost of
care.
1) A2) K 7.3
![Page 34: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/34.jpg)
VIEW PATIENT INFORMATION
Enabling healthcare providers
to navigate patient information
for efficient and effective
clinical decisions.
1) KL2) KL 8
8,88,4
7,6
8,2
0
1
2
3
4
5
6
7
8
9
10
View Patient Information
![Page 35: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/35.jpg)
PATIENT DOCUMENTATION
Enabling physicians to
document patient information
via different methods such as
typing and voice recognition.
1) KL2) KL 7.4
![Page 36: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/36.jpg)
PROBLEM LIST
JCI Accreditation requirement,
to capture a complied list of
clinically relevant physical and
diagnostic concerns and
procedures that may affect the
health status and care of
patients.
1) KL2) KL 7.4
![Page 37: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/37.jpg)
MOBILITY
Ability to access patient care
on mobile devices from
anywhere whether
inside/outside the medical
facilities.
6,2
7
4,8
6,9
0
1
2
3
4
5
6
7
8
1) KL2) KL 6.4
![Page 38: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/38.jpg)
PATIENT PORTAL
A web based tool to engage
patients in their healthcare
treatment
1) KL2) KL 8.4
![Page 39: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/39.jpg)
PRODUCT
CLINICAL FEATURES
ANALYTICS
EFFICIENCY
USABILITY
ME COMPATIBILITY
Ø Ease of Use
The product dimension measures the capability of the EHR solution in terms of meeting the clinical business needs:
![Page 40: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/40.jpg)
EASE OF USE
A system with good usability is
easy to use and effective. It is
intuitive, forgiving of mistakes
and allows one to perform
necessary tasks quickly,
efficiently and with a minimum
of mental effort” HIMSS
1) KL2) KL 6.3
![Page 41: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/41.jpg)
PRODUCT
CLINICAL FEATURES
ANALYTICS
EFFICIENCY
USABILITY
ME COMPATIBILITY Ø System LocalizationØ System Arabization
The product dimension measures the capability of the EHR solution in terms of meeting the clinical business needs:
![Page 42: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/42.jpg)
SYSTEM LOCALIZATION
The ability to use:
Ø Hijri calendar
Ø Ramadan Scheduling
8
3 3
8
0
1
2
3
4
5
6
7
8
9
10
1) K2) K 6.3
![Page 43: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/43.jpg)
SYSTEM ARABIZATION
The capability to provide Birth
Certificates, Death
Certificates, medication
instructions, and patient
medical records in Arabic
language
8
5
3
8
0
1
2
3
4
5
6
7
8
9
10
1) K2) K 6.1
![Page 44: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/44.jpg)
TOTAL SCORE
PRODUCT
![Page 45: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/45.jpg)
PRODUCT TOTAL SCORE
76,89%71,33%
65,61%70,78%
0,00%
10,00%
20,00%
30,00%
40,00%
50,00%
60,00%
70,00%
80,00%
90,00%
100,00%
Cerner EPIC ALLscripts Intersystem
![Page 46: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/46.jpg)
GOING DEEPERSix dimensions have been identified:
Product
Service & Support
Ecosystem
Vision & Leadership
Finance & Resources
Technology
![Page 47: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/47.jpg)
SERVICE & SUPPORT
Implementing EMR/EHR systems is a long-term project that require highly skillful team during the implementation of the project as well as the post
implementation.
Responsiveness to Client
Staff Experieance
Maturity of Methodology
Quality of Training
Support of Process Change
Methodology of Training
Local Support in the Region
Senior Staff Experieance
![Page 48: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/48.jpg)
RESPONSIVENESS TO CLIENTS' REQUEST
Measure the quality of
communication and
responsiveness to client
requests
1) KL2) KL 7.2
![Page 49: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/49.jpg)
STAFF EXPERIENCE
It is crucial for project success
that the vendor has
experienced staff to lead the
customer through
implementation phase
1) A2) K 7.2
![Page 50: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/50.jpg)
MATURITY METHODOLOGY
Several techniques and tools
ought to be used for the
implementation and support
such as proper project
management, adequate
requirement gathering, and
comprehensive testing
methods
1) A2) K 8.5
![Page 51: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/51.jpg)
QUALITY OF TRAINING
Training medical staff on how
to implement and use the
system
1) KL2) KL 7
![Page 52: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/52.jpg)
SUPPORT OF PROCESS CHANGE
The provided support to aid
providers in configuring and
customizing.
87,5
6,5
8
0
1
2
3
4
5
6
7
8
9
10
1) A2) K 7.5
![Page 53: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/53.jpg)
QUALITY OF IMPLEMENTATION
6,9
7,5
5,5
6,8
0
1
2
3
4
5
6
7
8
9
10
1) KL2) KL 7.1
![Page 54: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/54.jpg)
LOCAL SUPPORT
Vendors’ presence in the
region and alignment of time
zone.7,5
4
1
7
0
1
2
3
4
5
6
7
8
9
10
Cerner EPIC ALLscripts Intersystem
1) K2) K 5.8
![Page 55: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/55.jpg)
VENDOR EXECUTIVE INVOLVEMENT
1) KL2) KL 7
![Page 56: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/56.jpg)
TOTAL SCORE
SERVICE AND SUPPORT
![Page 57: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/57.jpg)
TOTAL SCORE OF SERVICE AND SUPPORT
![Page 58: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/58.jpg)
GOING DEEPERSix dimensions have been identified:
Product
Service & Support
Ecosystem
Vision & Leadership
Finance & Resources
Technology
![Page 59: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/59.jpg)
VISION & LEADERSHIP
Stability of management as
well as a clear vision, i.e.
frequent changes of CEO and
management team
90% 90%
70%
80%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1) A2) A
![Page 60: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/60.jpg)
GOING DEEPERSix dimensions have been identified:
Product
Service & Support
Ecosystem
Vision & Leadership
Finance & Resources
Technology
![Page 61: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/61.jpg)
FINANCE & RESOURCE
Financial resource to compete
in the current market, i.e.
market share, R&D spending,
and the speed of growth for
each vendor
1) A2) A
![Page 62: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/62.jpg)
GOING DEEPERSix dimensions have been identified:
Product
Service & Support
Ecosystem
Vision & Leadership
Finance & Resources
Technology
![Page 63: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/63.jpg)
ECOSYSTEM
The capability of each EMR /
EHR in providing
complementary programs and
collaborations with third-party
solutions
90%
60%
90%
80%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1) A2) A
![Page 64: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/64.jpg)
GOING DEEPERSix dimensions have been identified:
Product
Service & Support
Ecosystem
Vision & Leadership
Finance & Resources
Technology
![Page 65: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/65.jpg)
TECHNOLOGY
Implementing EMR/EHR systems is a long-term project that require highly skillful team during the implementation of the project as well as the post
implementation.
Accessibility of Data Programmability Configurability Interoperability
Reliability and UptimeScalabilityVirtualizationUpgrade-Safe
Extensibility
![Page 66: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/66.jpg)
ACCESSIBILITY OF DATAAbility to track multiplequality measures forinternal and externalreporting as well asanalytical reports toimprove clinicalperformance
1) KL2) KL 6.7
![Page 67: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/67.jpg)
CONFIGURABILITY
1) KL2) KL 6.3
![Page 68: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/68.jpg)
INTEROPERABILITY
Ability to interact with other
devices and systems
1) KL2) KL 6.5
![Page 69: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/69.jpg)
1) KL2) KL
![Page 70: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/70.jpg)
TOTAL COST OF OWNERSHIP
(TCO)
![Page 71: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/71.jpg)
TOTAL COST OF OWNERSHIP (TCO)
Cerner ; 116.000.000
EPIC; 307.200.000
InterSystem; 65.200.000
Cerner ; 13.666.667
EPIC; 37.500.000
InterSystem; 8.815.000
Cerner ; 129.666.667
EPIC; 344.700.000
InterSystem; 74.015.000
0
50.000.000
100.000.000
150.000.000
200.000.000
250.000.000
300.000.000
350.000.000
400.000.000
TCO
One Time Cost Yearly Support Overall Cost
![Page 72: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/72.jpg)
KFMC CLINICAL SURVEY
![Page 73: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/73.jpg)
KFMC Clinical Survey
![Page 74: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/74.jpg)
AGENDA
![Page 75: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/75.jpg)
OVERALL SCORE
![Page 76: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/76.jpg)
UNIFICATION
� All above mentioned systems are Integratable (HL7 Standard)
� However, systems from different vendors may require some programming
� While horizontal integration is desired (amongst MC’s), vertical integration is as equally needed (amongst regional health facilities)
� Either one of these vendors is/will be capable of providing KPI and analytics to be shared and reused at MOH level
� Could leverage purchasing power by having a unified requirements and expectations amongst (MC).
![Page 77: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/77.jpg)
THE CHALLENGE IS HUGE
![Page 78: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/78.jpg)
THE CHALLENGE IS HUGE
SELECTION
SKILL IDENTIFICATION
IMPLEMENTATION
ADOPTION
DATA MIGRATION
SYSTEM INTEGRATION
![Page 79: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/79.jpg)
THE CHALLENGE IS HUGE
ADDRESSING AREA
SPECIFIC COMPLEXITY
PHARMACYData Collection , Interfaces with
devices
CARDIOLOGYRadiology,
Interfaces with systems
NursingForms, Training
LABORATORYInterfaces with
devices
PHYSICIANSWhat do you
want?What is this?
![Page 80: EVALUATION OF ELECTRONIC HEALTH RECORD SOLUTIONS · IDENTIFIED CANDIDATES ØPrivately owned by Judith R. Faulkner and based in Verona, Wisconsin, Ø$1.526 billion for 2012 revenue](https://reader033.vdocuments.pub/reader033/viewer/2022042401/5f10480f7e708231d44855ab/html5/thumbnails/80.jpg)
Thank You