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Streamlined EHR Software Implementation Process

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Workflow Efficiency Solutions Case Study
The Challenge

As the newest outpatient facility in Orange County, California, Orange Coast Memorial Medical Center is a 162,000 square foot modern facility that delivers the latest diagnostic and treatment options to a major metropolitan community. It is also one of six leading hospitals in the MemorialCare Health System, a not-for-profit patient care system that is widely recognized to be an innovator in providing quality health care. Ranked in the Top 100 Integrated Healthcare Networks nationwide and distinguished by Hospitals & Health Networks® to be a leading hospital organization for technology in their annual ‘Most Wired Hospitals 2011’ survey, MemorialCare Health System has over 1,500 beds, more than 10,000 employees and a medical staff of over 2,300.

In a time of immense challenges and unprecedented opportunities for hospitals around the country to adopt Electronic Health Records (EHR) by 2015 and be fully compliant with the numerous government mandates stipulated in the Health Information Technology for Economic and Clinical Health (HITECH) Act, which was enacted as part of the American Recovery and Reinvestment Act of 2009, MemorialCare Health System strengthened its commitment to leading the health care revolution through innovation by being an early adopter of EHR.

Investing significant capital and human resources, Orange Coast Memorial Medical Center was one of the first hospitals in Orange County to launch a fully integrated EHR system. The selection of an enterprise-wide EHR software solution is a major undertaking that defines a hospital’s future clinical processes for many years. Strategically it requires analysis of, and change to, the underlying clinical information workflow processes and the development of a new infrastructure that guarantees the delivery, privacy and security of critical patient data. Each EHR system has different data format specifications and may use the available standards differently. Consequently, device connectivity and interoperability is essential in order to be able to adapt easily and exchange information in the right format from one system to another.

One of the primary challenges for Orange Coast Memorial Medical Center was to ensure its EHR software system connected seamlessly to other devices in its information infrastructure and met its high standards for utilizing technology that will enable the hospital to share secure medical records between all care providers and the patient.

The Solution

Right from the start, Orange Coast Memorial Medical Center turned to AUXILIO, the only health care exclusive Managed Print Services (“MPS”) company in the U.S. and MemorialCare Health System’s partner since 2003, to be an integral member of the project team and help develop a comprehensive EHR implementation strategy. AUXILIO designated a full-time, on-site Resident Team comprised of document management workflow and process efficiency experts to provide 24/7 support and design practical solutions for EHR that are customized and interoperable. After a thorough RFP discovery process, the team selected Epic, a fully electronic and integrated medical records system that provides multiple utilities for medical practitioners in one patient-centric database.

Controlling, measuring and monitoring devices that share and distribute patient information are the keys to successful e-communications in health care. AUXILIO conducted a comprehensive audit of the hospital, evaluated all components of its space and operation, created a detailed inventory of all documentation, mapped the location of all equipment and delivered a bullet-proof strategy to successfully integrate the hospital’s devices and software constructively and ensure maximum connectivity and end-to-end interoperability.

Controlling, measuring and monitoring devices that share and distribute patient information are the keys to successful e-communications in health care. AUXILIO conducted a comprehensive audit of the hospital, evaluated all components of its space and operation, created a detailed inventory of all documentation, mapped the location of all equipment and delivered a bullet-proof strategy to successfully integrate the hospital’s devices and software constructively and ensure maximum connectivity and end-to-end interoperability.

Specifically, AUXILIO maximized efficiencies and streamlined Orange Coast Memorial Medical Center’s print environment by overseeing the following critical steps:

  • Assessed and relocated devices for better workflow
  • Ensured connectivity for multiple types and manufacturers of devices, especially legacy devices that did not have built-in network connectivity
  • Tested all networked devices in order to identify and minimize printer down time
  • Integrated the printing of Microsoft documents with the printing of EPIC's forms, which is managed by another software called VPSX
  • Identified printer models that were compatible with EPIC and worked side by side with the vendor to test, certify and verify the location of all devices
  • Properly label all printers for easy identification
  • Planned and executed the hospital's equipment infrastructure expansion plan
  • Reduced the hospital's original printer purchasing assessment from 60 to only five new devices, which resulted in significant savings
  • Executed a primary and secondary redundancy plan for EPIC printers
  • Entered all devices into AUXILIO's proprietary database management system for continuous volume monitoring and analysis
  • Conducted technical dress rehearsal and provided around-the-clock coverage to ensure smooth implementation

Orange Coast Memorial Medical Center successfully implemented EHR in March 2010.

“Having a managed print services partner is key. Their expertise in document and print management and efficiency solutions were invaluable and made this massive undertaking a much more manageable process that enabled us to meet all of our EHR implementation goals,” said Scott Raymond, Executive Director of Information Services for Orange Coast Memorial Medical Center.

The Impact

Simplicity in accessing information through a streamlined, interoperable workflow process of hardware and software is a critical component of AUXILIO’s MPS solutions. The hospital’s new state-of-the-art information system guarantees the efficient delivery, privacy and security of critical patient data, and puts best practice guidelines, decision support tools and other safety checks at the caregivers’ fingertips.

As a result, staff is now better equipped to manage critical documentation and advance patients, information and resources through the health care continuum, and ultimately, improve its overall patient care and hospital staff satisfaction.

Orange Coast Memorial Medical Center is now sharing medical information seamlessly across a continuum of care in the quickest, most efficient manner possible and both connectivity and interoperability with both its physicians and patients is at an all-time high. The hospital’s early adoption links it with an EHR user community that meets all federally required meaningful use standards and allows the hospital to focus attention on the next phase of its EHR strategy — partnering with physicians to install ambulatory EHRs in their offices and fulfilling its vision of sharing secure medical records between all care providers and the patient.