Harvard Case - A Partner for Mary Washington: Glide with Cerner or Chart a New Path with Epic (A)
"A Partner for Mary Washington: Glide with Cerner or Chart a New Path with Epic (A)" Harvard business case study is written by G. Paul Matherne, Elizabeth Elcan. It deals with the challenges in the field of Operations Management. The case study is 7 page(s) long and it was first published on : Nov 8, 2021
At Fern Fort University, we recommend that Mary Washington Healthcare (MWH) select Epic as their new electronic health record (EHR) system. This decision is based on a comprehensive analysis of MWH's current operational challenges, the capabilities of each vendor, and the long-term strategic goals of the organization. While Cerner offers a robust and well-established system, Epic's superior functionality, user-friendliness, and alignment with MWH's vision for a patient-centered, data-driven healthcare system make it the optimal choice.
2. Background
Mary Washington Healthcare (MWH) is a regional healthcare system in Fredericksburg, Virginia, facing a critical decision: whether to upgrade their existing Cerner EHR system or switch to Epic. MWH is grappling with outdated technology, increasing operational costs, and a desire to enhance patient care and improve efficiency. The case study highlights the challenges of managing a complex healthcare system in a rapidly evolving technological landscape.
3. Analysis of the Case Study
Our analysis utilizes a framework that considers the strategic, operational, and financial implications of each EHR system.
Strategic Considerations:
- Patient-centered care: Epic's focus on patient engagement and data-driven decision making aligns with MWH's vision for a patient-centered healthcare system. Its comprehensive platform offers features such as patient portals, mobile applications, and advanced analytics that enhance patient experience and improve care coordination.
- Innovation and Future-proofing: Epic is known for its continuous innovation and commitment to developing cutting-edge technology. This aligns with MWH's desire to stay ahead of the curve and embrace the latest advancements in healthcare technology.
- Integration and Interoperability: Epic's robust integration capabilities allow for seamless communication and data exchange between different departments and systems within MWH, fostering a more connected and efficient healthcare ecosystem.
Operational Considerations:
- Workflow Optimization: Epic's intuitive interface and streamlined workflows can significantly improve efficiency and reduce administrative burden for clinicians, leading to increased productivity and improved patient care.
- Data Analytics and Reporting: Epic's powerful analytics tools provide MWH with valuable insights into patient populations, care patterns, and operational performance, enabling data-driven decision making and improved resource allocation.
- Scalability and Growth: Epic's scalable platform can accommodate MWH's future growth and expansion plans, ensuring that the system can handle increasing patient volumes and data demands.
Financial Considerations:
- Cost of Implementation: While Epic's implementation costs are higher than Cerner's, the long-term benefits in terms of improved efficiency, reduced errors, and enhanced patient satisfaction can offset the initial investment.
- Return on Investment (ROI): Epic's ability to improve operational efficiency, reduce administrative costs, and enhance patient care can lead to significant ROI over time.
- Sustainability and Future Costs: Epic's commitment to ongoing innovation and support ensures that MWH will have access to the latest technology and updates, reducing future costs and ensuring long-term sustainability.
4. Recommendations
MWH should select Epic as their new EHR system. Here's a detailed implementation plan:
- Phase 1: Planning and Preparation (6 months):
- Form a dedicated implementation team with representation from all key stakeholders.
- Conduct a thorough needs assessment to identify specific requirements and desired functionalities.
- Develop a comprehensive implementation plan with clear milestones, timelines, and resource allocation.
- Secure necessary funding and resources for the project.
- Phase 2: System Configuration and Training (12 months):
- Work closely with Epic to configure the system to meet MWH's unique needs and workflows.
- Develop comprehensive training programs for all users, including clinicians, staff, and administrators.
- Conduct pilot testing and user acceptance testing to ensure system functionality and user satisfaction.
- Phase 3: Go-Live and Post-Implementation Support (6 months):
- Implement the new system in a phased approach, starting with specific departments or units.
- Provide ongoing support and troubleshooting to users during the transition period.
- Continuously monitor system performance and make adjustments as needed.
- Phase 4: Optimization and Continuous Improvement (Ongoing):
- Implement a robust process for ongoing system optimization and improvement.
- Leverage Epic's analytics tools to identify areas for improvement and optimize workflows.
- Encourage user feedback and suggestions for system enhancements.
5. Basis of Recommendations
Our recommendation is based on the following considerations:
- Core Competencies and Consistency with Mission: Epic aligns with MWH's mission to provide high-quality, patient-centered care by offering a comprehensive and innovative platform that supports data-driven decision making and improved patient outcomes.
- External Customers and Internal Clients: Epic's user-friendly interface and robust functionality enhance the experience for both patients and clinicians, fostering a more positive and efficient healthcare environment.
- Competitors: While Cerner is a strong competitor, Epic's superior functionality, innovation, and focus on patient engagement provide a competitive advantage.
- Attractiveness: The long-term benefits of Epic, including improved efficiency, reduced errors, and enhanced patient satisfaction, outweigh the initial investment costs.
6. Conclusion
Selecting Epic as MWH's new EHR system is a strategic decision that will position the organization for long-term success. Epic's advanced functionality, user-friendliness, and commitment to innovation will enable MWH to deliver exceptional patient care, improve operational efficiency, and achieve its strategic goals.
7. Discussion
While Cerner is a viable option, its limitations in terms of user experience, innovation, and patient engagement make it a less attractive choice compared to Epic. The decision to implement a new EHR system involves significant risks, including implementation challenges, user resistance, and potential disruptions to operations. However, the potential benefits of Epic outweigh these risks.
8. Next Steps
MWH should immediately begin the implementation process by assembling a dedicated team, conducting a needs assessment, and developing a comprehensive implementation plan. The timeline outlined in the recommendations section provides a roadmap for a successful transition to the new EHR system.
Key Milestones:
- Month 1-3: Form implementation team, conduct needs assessment, secure funding.
- Month 4-6: Develop implementation plan, select vendors, negotiate contracts.
- Month 7-12: System configuration, user training, pilot testing.
- Month 13-18: Go-live in phases, post-implementation support, ongoing optimization.
By taking these steps, MWH can ensure a smooth and successful transition to Epic, realizing the full potential of this transformative technology to enhance patient care, improve operational efficiency, and achieve its strategic goals.
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Case Description
This case set focuses on a health system undergoing transformation and change. In 2015, Mary Washington Healthcare is the latest health care organization to plan to upgrade its electronic health record (EHR) system. The new CEO, Mike McDermott, MD, is considering which vendor to choose: Cerner Corporation or Epic Systems Corporation. This A case includes a brief history of EHR systems, including new regulations, their impact on demand, the state of the market, and the myriad benefits and challenges associated with implementing EHR systems. Students have the opportunity to evaluate the business case for two different EHR systems, as well as to consider the decision's effect on different stakeholders, such as the board, practitioners, and patients.
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