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Epic - The Case for Change

Epic Training for Sibley Medical Staff

The physician training schedule has been released and registration is now open for the medical staff to complete their Epic training from April 8 - May 31, 2013.  Click here for more information about training and to download the information packet, including course paths, FAQs, schedule and registration form.

The Case for Change


As Johns Hopkins Medicine (JHM) grows and expands, we need a medical record system that allows every provider access from any location or device. Epic will provide us with a single integrated electronic medical record system (EMR) that will create one unified patient record system for the entire enterprise.
Epic has a proven track record. It is secure, confidential and reliable. It will help us manage costs as we prepare for health care reform, the shift to ICD-10 and meeting federal requirements to demonstrate meaningful use of an EMR.
Today Epic is used by more than 250 health care organizations nationwide--and 45% of the U.S. population has their medical records in an Epic system. Moving to this integrated EMR is a smart choice for our providers, employees and patients.

Purpose: Why we are making the change to Epic

The transition of JHM to the Epic medical record system creates a comprehensive record for every patient, viewable by as many members of that patient's care team as possible. This includes options for physicians not employed by JHM. It can also be easily used on mobile and other hand-held devices, allowing more flexibility for care providers.
Internally, our health care delivery system has become more complex. As a result, stronger efforts are needed to ensure that both patients and care teams have greater acccess to more complete information. Epic will incorporate scheduling and registration, clinical documentation, computerized provider order entry, ePrescribing, charge capture, and improve the critical connection to affiliate and referring physicians across JHM.
Externally, communicating and collaborating with our community-based and referring physicians is paramount to ensuring the best possible care. By giving providers a complete view of a patient's record, the entire care team can make better and more coordinated decisions that ultimately lead to the best ultimate outcomes.

Picture: Vision for the future when Epic is fully implemented

All who provide clinical care will have access to up-to-date records, complete with notes from everyone involved in the patient's care, from any geographical location.
Epic will help:
  • Bolster quality and safety measures
  • Better navigate increasingly complex records
  • Coordinate patient scheduling and registration
  • Increase collaboration among physicians

EpicCare in outpatient settings, when fully implemented, will have a research component with active clinical research studies and the patients enrolled in those studies. This will allow us to alert research staff when patients enrolled in studies visit the ED or are admitted as an inpatient, and provide real-time automated screening for potentially eligible candidates.
MyChart, the patient portal, allows patients to securely view such personal information as test results, medication records and immunization records. Patients can see results after clinicians approve the release allowing physicians to discuss the results first, if needed. MyChart can be used for research studies, to populate routine medical history, and for generating patient satisfaction surveys. By making personal information available to patients online, we can invest more time taking care of more complicated questions and seeing patients. MyChart helps us treat patients as partners in their own care.
Plans are in place to integrate epic into private practices in the community over the several years.

Plan: How are we going to get there

Workflow changes will affect most staff in inpatient and outpatient areas. Planning will include keeping everyone informed before and after the various implementation start dates. Asking questions and voicing concerns are encouraged, as is getting involved. Training and coaching will be a well-planned support before and after start dates. 

Part: What is the role we all play in creating the Epic success

We have an opportunity to fix our workflow before epic comes. We can ensure that we have necessary quality and quantity of clinical support staff so that everyone in the clinic or department is working to the highest level of their license, and reduce waste in our processes so we are left with only value-added steps in our health delivery.
Our clinicians, researchers, leaders, nurses, ancillary and support staff play a defining role in implementing Epic throughtout JHM. All help determine how Epic will affect workflow and improve both the outpatient and inpatient experience. Throughout the process, all offer guidance, identify potential challenges and help propose recommendations.
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