Ambulatory EMR Report

Clinical Information Management 
Meeting

Michael Fecteau
October 2, 2007
 Outline

1. New Patient Workflow
2. Clinical Trials Billing Compliance 
and Research
3. Questions
New Patient Workflow
 New Patient Workflow

• Standard Workflow with EpicCare
• Appointment to Payment
• New Interfaces (Dotted Lines)
• Interfaces – Field Examples
• Omissions for Clarity
New Patient Workflow: Key

• EpicCare: Epic Ambulatory Electronic 
Medical Record
• GE CB: GE/IDX Centricity Business 
(Practice Management System)
• GE eCommerce: GE EDI Business Unit 
(Value‐Added Network)
• Ingenix ClaimsManager: Evaluate 
Medical Claim Compliance
NP Workflow: Key (continued)

• IXT: Mail Clearing House
• Rx Rub: Prescription Clearing 
House
• SMS: Shands Hospital Information 
System
• SureScripts: Prescription Clearing 
House
New Patient Workflow: Shapes

Routine or
Action
Function
NP Workflow: Shapes (continued)

Concurrent Concurrent
Process 1 Process 2
Clinical Trials Billing Compliance 
and Research
Research and Compliance: Potential 
Solutions
1. Clinical Trials Billing Compliance 
Ö EpicCare Workflow
2. CTSI‐CTRIP Ö Data Extraction
Clinical Trials Billing Compliance

1. Flag Study Patients
2. EpicCare Rules
3. EpicCare Alerts and Warnings
 Clinical Trials Billing 
Compliance: EpicCare Rules
• Lab Order
• Radiology Order
• Other Procedure Order
• Rx
Example of EpicCare Rule and Alert
Evaluation Examples: Select Lab
Procedures to
Contraindications Order
ABN Check (EpicCare)
Study Patient

Evaluate Order
(EpicCare)

Warning or
No
Alert?

Yes

Acknowledge or
Resolve Warning
or Alert
(EpicCare)
CTSI‐CTRIP Solution
 EpicCare EpicCare
Failover Server Production Server

EpicCare
Disaster Recovery EpicCare Reporting
Server Server

Storage Area Network

Clarity
Data Warehouse
Server
Questions