February 2012

OneCare is One CHI in Action


OneCare is CHI’s initiative to create a shared, universal electronic health record for use by its providers and clinicians and for the benefit of patients. As 2012 began, this five-year, $1.5 billion effort is progressing as planned under the executive leadership of Stephen Moore, MD, chief medical officer; Kathleen Sanford, RN, chief nursing officer; and Michael O’Rourke, chief information officer.

OneCare promises to enhance patient care through greater safety, improved outcomes, smoother information flow and reduction of duplicated information. The implementation of One Care will enable CHI’s providers to share more information with each other and with their patients, and will also help qualify CHI’s facilities for Meaningful Use incentive payments.

CHI organizes OneCare’s broad scope into three main initiatives:

  • The Ambulatory Care Initiative for employed physician practices and other ambulatory settings. This includes electronic health records (EHRs) for ambulatory care; electronic prescribing; a physician practice management system (PPMS); and an oncology electronic health record designed for the complexities of cancer care.

So far, the Ambulatory Care Initiative has had the greatest number of “go lives.” At the end of December, more than 260 providers and 1,000 clinical staff members were live on the OneCare ambulatory EHR at 50 Mercy Clinics locations in and around Des Moines, IA. Ten more locations will go live early in 2012. In addition, the Allscripts PPMS is live in Kentucky, Nebraska, parts of Minnesota and Kansas. “With each implementation of AEHR and PPMS, we’re learning things that help us with the next implementation,” said Moore.

  • The Hospital Plus Initiative includes EHRs for acute care or hospital settings using Meditech 6.0, Cerner and Epic platforms; and standardization of clinical documentation and workflows.

OneCare’s acute care EHRs will include elements common to all of the hospitals that will use them. CHI’s Cerner project team completed the “enterprise build” of these elements for the Cerner EHR in 2011, and the Meditech project team completed its enterprise build in early February. Each MBO will be able to localize certain aspects of the acute care EHR to meet specific needs for payers, medical staff directories, etc., while maintaining compatibility across CHI.

The first organizations to implement the acute care EHR will be Saint Clare’s Health System, Denville, NJ (Cerner) and Memorial Health Care System, Chattanooga, TN (Meditech).

  • The Access Plus Initiative, which will give providers instant access to their patients’ records and give patients access to their own records. This includes CHI’s enterprise master patient index (EMPI) as the foundation of CHI’s health information exchange (HIE) activities, as well as provider and patient portals.

During 2012, Des Moines will serve as the pilot site for CHI’s implementation of HIE, which will make it easier to share patient data internally and with providers outside of CHI that care for the same patients. “After the HIE is established, we’ll address online portals that patients will use for tasks such as requesting appointments, updating personal information, requesting medication refills and paying bills,” said O’Rourke.

As CHI’s largest initiative, OneCare is also one of the most vibrant examples of One CHI in action. “OneCare is bringing together people from across the system to design tools that we will use to provide patient care and do business for years to come,” said Sanford. “We can expect learning experiences all along the way that will make the final reality of OneCare even more beneficial for our providers, employees and patients.”