11.2 Core Program Update

Transcription

1 11.2 Core Program Update Mark Demange Vice President Enterprise EHR Product Development Copyright 2010 Allscripts Healthcare Solutions, Inc.

2 Enterprise EHR v11.2 GA Status EEHR was ARRA certified on November 24, 2010 EEHR v11.2 General Availability (GA) is 1/31/2011 New client installs on EEHR v11.2 will start in February 2011 Non-EA client upgrades to v11.2 will start in February 2011 Non-EA go lives start in March Stimulus Set GA on May 4, 2011

3 11.2 Upgrade Status 16 Clients Live on Core EV clients 8 non-ea clients 220+ Planned Go-Live Events 6 in May 18 in June 65 in July Upgrade Support Strategy Support engaged at go-live minus 4 weeks smoother handoff SES Compliance prior to go-live Development TAC team on-duty during go-lives Top Challenges Pre/Post go-live issue resolution HF6/HF7 key Stimulus set rollout Clinical summary SES/Hardware compliance Early Validation Customers Date George Washington University 11/19/2010 Riverside Electronic Healthcare 12/10/2010 Holston Medical Group 1/21/2011 Hutchinson Clinic 2/19/2011 Walla Walla Clinic 3/11/2011 Sharp Healthcare 3/25/2011 Lahey Clinic 3/25/2011 Florida Healthcare Plan 4/8/2011 Jefferson University Physicians July St. Vincent September Non-EV Customers Date Washington University 3/11/2011 Eastern Virginia Medical School 4/8/2011 Medical Associates of Savannah 5/6/2011 Health East Care System 5/13/ additional clients May 18 additional clients June 65 additional clients July 3

4 Current 2011 Hot Fix Plans Hot Fix Content Client reported defects Potential patient safety Performance optimizations Service Pack Content HF defect roll-up Usability improvements no workflow impacts Stability - error reduction defects NO new functionality SFDC Status Communication Current planned release dates updated regularly Targeted issues approx. 15 days prior to release Release notes/resolved issues at release Month January HF2 Feb HF3 March HF4/5 April HF6 May HF June HF8 July HF9 HF1 August HF September HF3 HF1 October HF4 HF2 November HF5 HF3 December HF

5 Early Adopter Performance Update Average CPU Utilization Client Pre-upgrade Post-upgrade Post optimization GW 32% 46% 30% Riverside 4.40% 1.70% n/a Holston 18.50% 29.80% 22.30% Hutchinson 11.03% 11.94% n/a Walla Walla 7.30% 23% 7.50% Lahey 19.20% 22.30% 19.20% Average Change 7% 0.50% Area HF 1 HF 2 HF 3 HF 4 HF 5 HF 6 HF 7 Database Client App Total New Process for optimizations integrated into code base Minimal increase in load seen to date All future clients benefit 5

6 11.3 & Beyond Mark Demange Vice President Enterprise EHR Product Development Copyright 2010 Allscripts Healthcare Solutions, Inc. 6

7 Sources of Guidance Voice of the Client - Internal Services Needs (Upgrades) Support Needs Sales Needs Voice of the Client - External Client Business Needs Usability Improvements Voice of the Market Competitive Positioning Market Trends Voice of the Government Regulatory Requirements Market Trends Voice of the Business Budgetary Targets Strategic Opportunities 7

8 MU Stage 2 & 3 EEHR Focus Ambulatory Considerations MU Stage CDS Portal Enhancements Longitudinal Care Planning Further Stretch of MU Stage 1 Goals MU Stage Home Monitoring Self Management Experience of Care Stretch of MU Stage 1 & 2 goals Acute Considerations Larger Challenges in the Acute Environment % Patient Days with Electronic Note % of Orders Tracked via Electronic MAR 8

9 ICD-10: Impact ICD-10 codes introduce greater detail, specificity, and complexity when recording the inpatient diagnosis and procedures ICD-10 Changes Complete Overhaul of Diagnosis & Procedure Codes ICD-9-CM (Diagnosis) 5-digit numeric 14,000 unique codes ICD-10-CM 7 alphanumeric characters > 68,000 unique codes Implications Pervasive Impacts Diagnosis codes and procedure codes flow through mission-critical operational systems and analytical tools Enterprise training required for both payers and providers Significant data exchanges involve ICD-9 ICD-9-CM (Procedure) 4-digit numeric 4,000 unique codes ICD-10-PCS (Inpatient) 7 alphanumeric characters > 72,000 unique codes Multi-Disciplinary Challenge Business/technology strategy, planning, and technology remediation are required Business process reengineering, training, and change management is essential Allscripts working collaboratively with IMO & Medicomp on this issue 9

10 Product Roadmap Enterprise EHR Planned 11.3 GA Planned v2012* GA Q Q Q Q Q v11.3 Release v2012* Release Enhanced Usability & VOC Enhanced Community Portal & ADX Integration DUR Enhancements Performance & Technology Enhancements MU Stage 2 ICD10 Electronic Prescribing for Controlled Substances Enhanced Community & ADX Integration Enhanced Usability Enhanced Clinical Decision Support * Naming for v2012 TBD 10

11 11.3 Agile Methodology Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Spr 1 Construct Spr 2 Construct Spr 1 Regression Spr 2 Regression Spr 1 EV Spr 3 Construct Spr 2 EV Spr 4 Construct Spr 3 Regression Spr 4 Regression Spr 3 EV Agile Design Methodology Release Comprised of Multiple Sprints Each Sprint Comprised of 1 or More Features Complete Feature Design and Coding Iterative Review and Design Change with Select Clients Client Feedback Specific Clients for Specific Features Design Feedback Early in Development Process Oct-11 Nov-11 Dec-11 Jan-12 Feb GA Release is comprised of Sprints 1-4 Spr 5 Construct Spr 4 EV Spr 6 Construct Spr 5 Regression Sys Test S1-4 Spr 5 EV Spr 7 Construct Spr 5 Regression Target Go Live S1-4 Design Feedback Prior to Early Validation 11

12 Questions?