What is Epic? A Quick Overview of Modalities

Posted by Ashley McCool on November 9, 2017 in Blog, General, News

About Epic

Epic is an electronic health record system (EHR) and company that develops software to help people get well, stay well, and help future generations be healthier. Known as one of the leading EHR vendors in the US, Epic has over 190 million patients with a current electronic record in the system.

About the Company

In 1979, Judy Faulkner, founder and CEO, launched Epic Systems Corporation from her basement with a $70,000 bank loan secured against her home and the equity of a few loyal programming customers. The privately held software company is based in Verona, Wisconsin and has a nearly 1.8 billion revenue. Originally named Human Services Computing but rebranded as Epic Systems in 1983, the company currently has over 9,000 employees.

The headquarters is known for its imaginative campus; each section of the campus has a different theme, ranging from farming to castles to New York City’s Grand Central Station. The campus also features a treehouse for meetings. Not only does the Epic campus boast a unique design, they are also proud of their sustainability efforts, which include six wind turbines and 18 acres of solar panels, and utilizes underground geothermal pipes for heating and cooling the campus buildings.

About the Software

The purpose of Epic is to give patients the tools to lead a healthier life. With MyChart, patients have access to personal and family health information. They can message their doctors, attend e-visits, complete questionnaires, schedule appointments, and have more involvement in managing their health when and where it’s most convenience for them. While in the hospital, patients can stay in touch with their care team by using the MyChart tablet, which also can be used to personalize educational materials.

 

Epic’s software is most commonly used in:

  • Community hospitals
  • Academic medical centers
  • Children’s organizations
  • Retail clinics (such as CVS Health)
  • Multi-specialty groups
  • Integrated delivery networks
  • Rehab centers
  • Skilled nursing facilities
  • Hospice care facilities
  • Independent practices
  • Patient homes and “on-the-go” mobile version

 

Types of Modalities

Each care specialty has a dedicated modality tailored to its exact needs. The content in these modalities are guided by the experts in their field, where steering boards contribute content and guide development, meeting the real-world specialty needs. Here is a breakdown of the major modules that Epic has released, along with the clinical areas where they are used:

ASAP ER Module

ASAP is the Epic module that deals with managing ER visits. It has a component that tracks which rooms are occupied, displaying room and bed status on monitors that are mounted on the walls near the nursing stations.

EpicCare Ambulatory

EpicCare Ambulatory is one of the main and largest components of the Epic System. Primary Care and Specialty clinicians use the Ambulatory Module to document visits, place orders, send prescriptions, perform in-office procedures, review results, and send communications to patients.

Epic Beacon Oncology

Beacon Oncology is the chemotherapy module in the Epic system. It is built around treatment plans for patients who are undergoing cancer treatment. Whereas most patient visits are either Outpatient or Inpatient, these visits are considered Series Visit Types, which span a longer amount of time.

Epic Beaker

Epic Beaker is the laboratory system for a hospital lab. Orders that are placed either in other parts of Epic or in an external system are transmitted to Beaker via an HL7 Interface1 for processing. When patients arrive to have their blood drawn, the results are entered into Beaker, which then get transmitted back to the ordering doctor.

Epic Bridges

Epic Bridges1 is the module for installing, configuring and maintaining clinical interfaces to other systems. See the reference below to learn more about interfaces.

Epic Cadence

Cadence is the Epic scheduling module for Outpatient and Specialty clinics. Any time you have an appointment with your doctor, their scheduling staff will use Cadence to book your appointment, then check you in on arrival. The physicians and other staff are able to see the schedule for the whole clinic, or just for their own patients.

Epic Caboodle – aka Cogito Data Warehouse

This area of Epic refers to the data warehouse and analytical tools used to store and retrieve large amounts of clinical data. The data can be queried to provide all manner of reporting to support care decisions, manage costs, and identify trends2. Other data can be brought in from non-Epic systems, and then used along with Epic data to provide reporting results. Until mid-2016, the trade name for these tools was Cogito, from the Latin phrase ergo sum: “I think, therefore I am”. In mid-2016, Epic renamed it to “Cabooble”, ie Kit & Caboodle. Get it?

Epic Care Everywhere

Care Everywhere is the network by which patient records are shared between different Healthcare organizations that use Epic. If you receive care at an Epic hospital in say, New York for example, then move to another state or even another country, your new care providers can run a Care Everywhere query from their instance of Epic to pull in your records from your previous providers. Care Everywhere operates as a Health Information Exchange.

Epic Cupid

Epic Cupid is the module for Cardiology practices. There are special clinical tools focused on cardiology care. Epic can also integrate or interface with external EKG devices to bring the EKG readings into the medical record.

Epic Happy Together

Happy Together is Epic’s effort toward communicating clinical information across different systems, including competing vendors. This is done from the provider standpoint by communicating through Health Information Exchanges. Also, many patients use Epic’s patient portal MyChart at more than one Epic location, such as a primary care office from one organization, and a specialist from another. Happy Together enables patients to see their clinical data from multiple locations in one MyChart session.

EpicCare Home Health

This is the module used in a home health setting, in which visiting caregivers (Nurse, Nurse Aides, PT, OT, etc) document care done in a patient’s home. Clinicians use a remotely installed software program that allows them to document in settings where they might not have any Internet connection. Then after they finish their work, they can reconnect to their organization’s network and perform a sync that uploads their documentation to the main Epic servers.

Epic Hyperspace

Epic Hyperspace is not a clinical module in itself, but rather the actual application client that is presented to users of most areas of Epic. When a nurse, doctor, therapist, or administrative staff launch Epic, the front-end software that is presented to them is called Hyperspace. It is typically installed on hosted servers that are accessed by many workstations throughout an enterprise, rather than being installed on individual users’ PCs. Citrix commonly used to host Hyperspace.

Since it is a core component of the Epic system, upgrades almost always include an update of Hyperspace. Epic Hyperspace is configured to display different menus, tasks, and options to users depending on their specific roles. For example, a pharmacist will be presented with many medication-related options, while a family practice physician will be presented with options to document clinical visits, place orders, and perform other clinically relevant tasks.

EpicCare Inpatient

EpicCare Inpatient is much like EpicCare Ambulatory, except that the clinical tasks are done in the hospital on admitted patients.

Epic Haiku

Epic Haiku is an App for Android and Apple that allows doctors to access a limited version of EpicCare Ambulatory. They can see and respond to test results, access their schedule, and see other clinical data on their patients.

Epic Healthy Planet

Healthy Planet is Epic’s Population Management system to help organizations deliver better care for a given population of patients. It is a direct outcome of the Affordable Healthcare Act, which established voluntary entities called Accountable Care Organizations. An ACO is set up to pay providers not just for delivering services, but for the healthy outcome of the patients who are enrolled in the ACO. Healthy Planet provides a suite of reports, dashboards, and workflow tools that allow Care Managers to manage patient populations in and apart from ACOs.

Epic Kaleidoscope

Epic Kaleidoscope is the Ophthalmology (Eye Care) module for Epic. It allows Ophthalmologists and Optometrists to perform eye exams, document eye related procedures, and write contact lens and eyeglass prescriptions.

EpicCare Link

When a hospital or other healthcare enterprise installs Epic, they typically interact with community physicians who do not have Epic, many of which do not have any electronic medical record system. EpicCare Link allows those providers to be given access to a web-based portal, allowing them to have limited use of the EMR to view activity on their patients who have received care at the associated hospital. It is usually configured to provide read-only access, meaning the external provider cannot place orders or do other clinical activity.

Epic Lucy

Lucy is not exactly a module, but is a concept of allowing patients to download and print their medical record in a usable format. This is called a Continuity of Care Document (CCD), and is considered a form of a personal health record.

Epic MyChart

MyChart is the web-based system that allows patients to manage their medical care in many ways. They can view test results, past and future visits, orders, medications, and more. They can also request appointments with physicians and ask non-urgent medical questions. A supporting App for Android and Apple is also available. Also, a newer feature that is beginning to emerge is the ability to conduct video visits with physicians. More about patient portals.

MyChart Bedside

Where MyChart is focused mainly on the outpatient and specialty parts of the patient record, MyChart bedside is intended for use while a patient is admitted to the hospital. It provides online tools for tracking your progress toward discharge, and can be configured to provide patient education material.

Epic OpTime

Epic OpTime is the Operating Room/ Surgery module for Epic. It has components for Inpatient Surgery as well as Outpatient Day Surgery.

Epic Prelude (ADT Patient Registration)

ADT stands for Admission, Discharge, Transfer. ADT is a critical part of the entire organization’s system because this is where the key information and status of all patients is managed. The Prelude module covers the hospital registration and insurance functions.

Radar

Radar is the dashboard configuration that is shared across almost all other Epic modules. Dashboards support reports, graphs, performance measures, helpful links, and much more pertaining to each area. For example, an OB dashboard will have measures relating to C-Section rates and number of births.

Epic Radiant

Epic Radiant is the Radiology module for Epic. It provides documentation, film tracking, and viewing of Radiology images.

Epic Sonnet

Epic Sonnet is a trimmed-down version of the main clinical application that is aimed at smaller organizations that cannot afford or don’t need the full-featured version. Epic will offer Sonnet to organizations as a software service hosted at their campus data center in Verona, WI.

Reporting Workbench

This is Epic’s application-side reporting solution which allows IT analysts to create and manage reports on date from most parts of the system. Users work from templates to get data on patient lists, orders, appointments, diagnoses, and much more. In Reporting Workbench, users do not run SQL queries to the database, as the tool is visually oriented.

Epic Rover

Epic Rover is the module that uses mobile devices to allow Inpatient nursing staff to do review and documentation tasks. Some of the functions that Rover helps with are chart review, medication administration, flowsheet documentation, and recording patient photos. It is not intended to take the place of Epic Hyperspace, the standard client for accessing clinical functions.

Epic Stork

Epic Stork is the Obstetrics module for managing pregnancy episodes on the Outpatient side, and documenting deliveries in the hospital.

Epic Welcome Kiosk

The Welcome Kiosk is about the size and shape of a small ATM, and allows patients to check in for appointments, pay co-pay amounts, sign documents, and print receipts and other materials.

 

Source: https://learnhealthtech.com/epic-systems-modules/

 


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