Epic Inpatient / Outpatient Software Systems
Epic Systems Corporation was originally founded as Human Services Computing in 1979.
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The company’s initial focus was on EHR software for ambulatory systems, but upon winning the large-scale Kaiser Permanente implementation, Epic broke into the mainstream HIS market in a big way. The HMO project was a challenge by all accounts, but the end product was a tightly integrated system that make record sharing easy, within an organization and within a community. As the US government incents health care entities to form Accountable Care Organizations, Epic’s value proposition is only getting stronger.
The company is privately held, and Forbes recently put its 2011 earnings at $1.2 billion (and growing) with Epic EMR in nearly 40% of the US hospital market.
Unmatched inpatient and outpatient record integration is clearly a differentiator that has allowed the Wisconsin company to win time and time again against competitor vendors. When a hospital system owns ambulatory clinics, and has the budget to support an integrated electronic medical record system, they are often selling themselves to Epic to move forward.
You can’t typically create this level of demand without a functional product, and Epic has won some important industry recognition. KLAS awards for 2011 gave several categories to Epic.
Following is a list of the 2011 Best in KLAS vendors for software:
|Acute Care EMR||Epic EpicCare Inpatient EMR|
|Ambulatory EMR (Over 75 Physicians)||Epic EpicCare Ambulatory EMR|
|Patient Accounting and Patient Management||Epic Resolute Hospital Billing|
|Practice Management (Over 75 Physicians)||Epic Resolute/Prelude/Cadence|
|Surgery Management||Epic OpTime|
When a health care organization operates one or more inpatient facilities, but area ambulatory care is provided by unaffiliated community providers, their options are more open. After a side by side comparison, outpatient providers that are allowed to make best-of-breed selections for their own practices may find the prefer other systems for their workflow. Hospitals may be more impressed with Cerner’s features, as that company has a longer tenure serving up an enterprise HIS system.
Communities can build then interfaces to emulate the data sharing, although this may never reach the level or ease of integration they could achieve by sharing one chart. On the other hand, the ease of integration applies only to Epic/Epic data sharing. Epic’s EMR has not been designed to facilitate sharing across other EHR platforms, which may impact the federal government’s push for increased interoperability.
Competing solutions include Allscripts Sunrise, Cerner, McKesson Horizon, Meditech, and some smaller players. More often than not, recent headlines are indicating hospitals are leaving these systems to move to Epic.
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