Sunrise implementation immerses Columbus Children's Hospital and Maine Medical Center in total Eclipsys experience

Delray Beach 13 March 2001Columbus, the Ohio-based Children's Hospital, specialised in paediatric health care services, is implementing Eclipsys' Sunrise Clinical Manager solution, featuring fully automated Knowledge-Based Orders (KBO), throughout the organisation. Earlier, Maine Medical Center (MMC), a tertiary medical centre based in Portland, and a longstanding customer of Eclipsys Corporation, has signed a sweeping agreement with this company to add a wide range of the latest Sunrise health care information solutions to its current slate of Eclipsys' Sunrise and heritage systems. Once all additional Sunrise products are implemented, Maine Medical Center will be a flagship Eclipsys customer, where other customers and prospects can visit to see the full benefits of utilising the complete outcomes-enhancing Sunrise product line.


The Eclipsys contract with Columbus consists in combining the Clinical Manager and Sunrise Critical Care clinical-documentation solution in the hospital's 22-bed Cardiology unit. The project marks the first step in a major IT initiative by Columbus to further enhance its clinical-information services by adding the Clinical Manager's knowledge-driven physician order-entry capabilities to Critical Care's documentation functionality throughout the organisation. A long-time user of Sunrise Critical Care, the Children's Hospital has installed Eclipsys' clinical-documentation solution in units containing over half of its inpatient beds, and hopes to have the application installed enterprise-wide by the end of 2001.

The combined use of Sunrise Clinical Manager and Sunrise Critical Care will enable physicians and other clinicians at Children's Hospital to access both applications in an integrated manner. The clinicians will be able to consult Critical Care's continuously updated patient documentation while using Clinical Manager's KBO to order tests and medications electronically, backed by Clinical Manager's real time and asynchronous clinical decision-support capabilities, which automatically check for and alert caregivers to duplicative orders, drug-drug and drug-food interactions, and other potential problems. As orders and other data are being entered in the Clinical Manager, they will directly flow to and populate Critical Care's on-line patient charts, treatment flow sheets, and other documentation features.

Utilisation of Clinical Manager and Critical Care together offers clinicians the prospect of an easily accessible, easy-to-use, and continuously updated clinical-information system that incorporates robust, seamless order-entry, results-reporting, and clinical-documentation functionality. Such integration holds enormous potential benefits for health care organisations, including reduced over-utilisation of inappropriate tests and procedures, fewer adverse drug events and other medical errors, greater staff productivity as well as an enhanced quality of care.

Further adding to the benefits Columbus Children's Hospital will receive by integrating Eclipsys' Clinical Manager and Critical Care solutions, the clinic also plans to integrate the WORx pharmacy information management system by Mediware Information Systems, an Eclipsys strategic partner. Adoption of Clinical Manager also will position Columbus Children's Hospital to leverage and achieve added value from other leading-edge Eclipsys applications which are currently in use within the organisation, including the Sunrise Decision Support Manager, for which Eclipsys offers remote hosting and management support through the company's Technology Solutions Center in Mountain Lakes, New Jersey, and Sunrise Record Manager.

Clinical Manager not only will serve as the hospital's enterprise-wide clinical data repository for information residing on the other Sunrise applications, but also will enable clinicians to more easily access and utilise information at present stored in other legacy clinical and ancillary systems throughout the organisation. These disparate applications from Cerner Corporation, SMS/Siemens, and other vendors are applied in areas such as Pharmacy, Laboratory, Radiology, and Patient Registration. Serving more than 400.000 patients each year, the facility has 313 licensed inpatient beds, 47 leased beds in the Neo-natal Intensive and Special Care Units at three local adult hospitals and approximately 11.000 patient admissions annually. Critically-ill children are cared for in the 45-bed Neo-natal Intensive Care Unit and 27-bed Paediatric Intensive Care Unit. Columbus' speciality areas include burn, surgical, neuro-sciences, rehabilitation, dialysis, and bone-marrow units.

The non-profit Maine Medical Center, the other flagship Eclipsys customer, is the primary tertiary-care and teaching centre for northern New England. The 606-bed hospital is hosted at the core of the MaineHealth organisation, a regional integrated health system which includes other area community hospitals; comprehensive home care, rehabilitation, and mental health services; and primary care and speciality physician practices serving the health care needs of the residents of Maine. Long known as a dedicated user of advanced medical informatics to improve the delivery of health care, MMC was only the fifth hospital in the world to implement the company's heritage Eclipsys 7000 Series clinical information system over 25 years ago. Maine Medical was the first hospital in the United States to implement document-imaging technology.

MMC is already the first of a growing number of Eclipsys customers to begin evolving from the Eclipsys 7000 heritage system and related components to the open, modular, scaleable architecture of e-healthSOURCE and advanced clinical-management capabilities of Eclipsys' current clinical solution, the Sunrise Clinical Manager. Its KBO includes expert levels of checking relative to changes in a patient's condition, using the full extent of electronic patient information available. Clinical Manager also delivers order management and communication, multi-disciplinary clinical documentation, physician office documentation and work flow, and disease-management care-documentation capabilities.

Implementation of Eclipsys' Sunrise Record Manager document-management solution is also underway at MMC, to support the hospital's compliance with the Health Insurance Portability and Accountability Act (HIPAA) data access and security regulations, and to enable the hospital eventually to evolve to a paperless patient-record environment. Also already in operation at MMC is the recently announced Sunrise Knowledge-Based Transcription, powered by eScription.

Under the terms of the new flagship agreement, Maine Medical also will add the Sunrise Access Manager, including comprehensive patient-registration and enrolment management features, patient tracking with managed-care capabilities and patient scheduling. Another Access Manager component to be implemented by MMC is Sunrise Enterprise Person Identifier, a vendor-independent, master person index for effective identification of patients, physicians, and others registered within the MMC's numerous information systems.

Other Eclipsys solutions integrated into MMC's hospital information system include the Sunrise Patient Financial Manager, featuring patient billing and accounts receivable, contract management, medical records abstracting and electronic data interchange with multi-entity Combined Business Office capabilities; the Sunrise Decision Support Manager, including product-line management, cost accounting, departmental and flexible budgeting, contract management, business development, resource-utilisation management, clinical analysis, process improvement, and ad-hoc reporting; Sunrise Critical Care, a clinical-documentation and monitored-care application for the information-intensive needs of intensive-care areas; and Sunrise Record Manager's Abstracting module.

The Sunrise Record Manager features wide-ranging health information management (HIM) functionality, including comprehensive chart tracking and request, chart completion, release of information, electronic signature and medical record abstracting. Further more, Maine Medical has adopted the Sunrise Dictionary Manager, which synchronises similar information stored in master tables and data dictionaries across multiple applications and systems between Sunrise, and legacy applications; and WebLink, Eclipsys' Web-based systems-integration tools for integration with Eclipsys heritage and non-Eclipsys legacy systems throughout the hospital. WebLink utilises industry-standard integration technologies and the power of the Internet to integrate disparate applications cost-effectively, without the use of scripting or programming languages.

Eclipsys Corporation delivers end-to-end information solutions to more than 1400 health care organisations (HCOs) worldwide. These solutions enable HCOs to balance and improve clinical, financial, and satisfaction outcomes. Sunrise, Eclipsys' comprehensive software line, includes integrated clinical, financial, health information, Enterprise Resource Planning, management information solutions. Sunrise solutions are built on a single, open, modular architecture, e-healthSOURCE, shared by the products of the HEALTHvision affiliate. In conjunction with HEALTHvision, Eclipsys offers locally branded Web-based customer relationship management solutions to health care delivery systems. The Sunrise products are complemented by Web-based integration technology, ASP delivery options, wireless access and network solutions, business process re-engineering, and full IT outsourcing.

Leslie Versweyveld

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