HIMSS10 – Eclipsys

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At HIMSS10, Dr. Eric Fishman had the opportunity to speak with Phil Pead, President and CEO of Eclipsys. Mr. Pead explains Eclipsys’ tagline, “The Outcomes Company.” For many years, Eclipsys products have been based on Clinical Decision Support (CDS) and evidenced-based medicine, which helps physicians to adjust their workflows and documentation to ensure care is delivered consistently and clinical outcomes can be derived.

Mr. Pead further discusses Eclipsys’ wide range of product lines. The most recent product is the Sunrise Enterprise(TM) 5.5, which is the most sophisticated product scheduled for launch at the end of March 2010. The PeakPractice EHR/PM™ solution is designed for community physicians, and will be the most applicable to Eclipsys’ work with the Regional Extension Centers (RECs). Mr. Pead and Dr. Fishman talk about Eclipsys’s plans to work with RECs, and how the company’s products and services will uniquely help physicians achieve meaningful use with its various EHR/PM solutions.

Category: Featured, HIMSS10, Tradeshows
Date: March 10, 2010
Views:8,666 views

Dr. Eric Fishman: This is Dr. Eric Fishman for EHRtv and I have the distinct pleasure of speaking with Phil Pead, President and CEO of Eclipsys. Phil, I thank you very much for taking your time at this very busy HIMSS10 and I appreciate it.

Phil Pead: Thank you.

Dr. Eric Fishman: Let me start with your tagline, Eclipsys, "The Outcomes Company". Where is that from and what should a physician or hospital take away from that?

Phil Pead: That's a great question. I think that every hospital or every physician tries to deliver the optical care for their patients. The idea here is that as you deliver care and take care of patients, are you really caring for them in the optimal way based on whatever evidence-based medicine there is out there, whatever clinical decision support exists, do you actually have all the information necessary for you to make the right decisions at the right time. What Eclipsys has done is documented the evidence associated with the optimal care that can be provided and then use that in the work flows of the physicians caring for those patients or all the clinicians caring for those patients including those in an ambulatory environment to insure that that care is delivered consistently depending on the diagnosis that those physicians are making.

Dr. Eric Fishman: People are speaking about documenting in that fashion a lot these days but I have a feeling you've been doing it before the curve.

Phil Pead: We've been doing it for a long time which is why we have the tagline, "The Outcomes Company" because while it's meaningful - if I could just take that word for a second - while it's meaningful that physician order entry is a big part of the quality initiative in delivering care, being able to document that, being able to show the evidence associated with the outcomes is really critical in making sure because ultimately, it's an interactive process. If you find there's a better way of doing something then let's document that process, let's involve the work flow and then ultimately the physician behavior changes so that it matches the optimal outcome.

Dr. Eric Fishman: Thank you, Phil. Walking HIMSS is about 900 exhibitors. Eclipsys is a billion dollar public company - larger than a billion dollars. You probably have a wide variety of offerings and if you could start at the largest, the hospital installation types of product lines and then go down to the individual ambulatory physician practice. Just basically giving an understanding of the different products.

Phil Pead: The largest product obviously is our Sunrise Enterprise. We're about to release a new version at the end of this month which is Sunrise Enterprise 5.5. It is probably the most sophisticated and elegant releases that we've made. It includes the clinical applications, it includes scheduling, documentation, ED, ambulatory. It is one of the biggest releases that we've made as a company and it's scheduled for the end of this month. That would be one of the largest. As you go down the scale, clearly we have performance management tools which are world class leading products. Performance management is really in the area of cost accounting, budgeting, planning coupled with bed management which of course is a huge cost focus for hospitals and inefficiencies. Then finally, clinical analytics bringing it all together in a comprehensive suite of solutions that allow a clinician or even a CFO or a CEO to look at every aspect of the delivery of care to ensure that it's done the most efficiently and that the patient ultimately receives the optimal care associated with whatever the conditions is that they're arriving


We've also just announced our ambulatory applications for physicians which of course is a huge interest right now of clinicians generally. I don't know where the statistic came from, but I understand anecdotally that about 60 percent of physicians now own an iPhone.

Dr. Eric Fishman: And soon possibly an iPad.

Phil Pead: Soon possibly an iPad but it becomes a lifestyle issue. The interesting thing about the day in the life of physician is it's chaotic, it's not necessarily linear. So managing that chaotic environment to a device that allows that clinician to react to whatever the condition is under those circumstances with a device that allows them to review whatever data is associated with that patient while they're on the go is very powerful.

Dr. Eric Fishman: I understand that your software is compatible not only with the iPhone but also even with the Android and the Blackberry.

Phil Pead: Yes. We're working with all mobile devices so that we can make available to those devices the applications we're running that will be meaningful to a clinician to make their decisions better.

Dr. Eric Fishman: You also have a product Eclipsys Peak Practice.

Phil Pead: We do. That's speaks really to the community physicians, those that are essentially the referral docs and non-referring docs, anyone that really needs to manage their practice with a practice management solution. It also includes an EMR. It also includes the accounting piece of it and it also includes the supply chain.

Dr. Eric Fishman: Even some inventory which allows it to be used in surgical centers which is rather unusual in itself.

Phil Pead: Absolutely. The supply chain piece is really very powerful and, as you say, that's not usually seen in some of these smaller applications, so it's very comprehensive. It's a web-based application so it can be hosted either by us or by the client and it's actually a very powerful tool.

Dr. Eric Fishman: Do you find that many of your inpatient implementations installations are encouraging their local physicians to acquire Eclipsys Peak Practice?

Phil Pead: They are. It's actually an interesting situation where for the first time the inpatient is bringing in the community and helping them with the purchase of the technology and obviously the relaxation of the Stalk laws to enable them to do that.

Dr. Eric Fishman: That percent is a lot of money.

Phil Pead: Is exactly right but it also now allows that patient data to flow from the primary care or even OB. Every OB patient is going to show up in the inpatient at some point.

Dr. Eric Fishman: Right. Now you have the continuity there.

Phil Pead: Now you've got the continuity.

Dr. Eric Fishman: Phil, thank you very much. If you could talk about your CPOE products because they're rather robust as I understand them.

Phil Pead: We have many, many hospitals that have actually accomplished 100 percent CPOE. As you know, to meet meaningful use, they've set the bar at 10 percent.

Dr. Eric Fishman: You think you can do better.

Phil Pead: We have many clients actually that are considerably better than that. To us, in order to influence the quality of care, we believe that physicians need to enter orders. How do we accomplish 100 percent CPOE? That's really a great question. The way we've done that is every physician will tell you that they're different. The way in which they perform their medicine is different, the way in which they view patients is different, and so if you can customize the application to meet the needs of that specialty, you'll get physicians using it. Physicians will tell you don't slow me down, don't give me a work flow that doesn't work. What Eclipsys has done for many, many years is allowed our clients to customize the application so that they can use it depending on the specialty that they're in. That's a huge difference here from us and everybody else. If you take an oncologist, they can actually customize their user interface on our Sunrise Clinical Manager to specifically meet their needs for their particular patient population as opposed to us saying this is the way that you have to work; this is the application that we're delivering. That's why I think in fact we are the only vendor that has the highest adoption in the industry.

Dr. Eric Fishman: That's great, Phil. Congratulations on that.

Phil Pead: Thanks.

Dr. Eric Fishman: Certainly change management, work flow management is important, so in addition to providing software which you do a lot of, tell us about the consulting services, the implementation opportunities that you provide to your clients.

Phil Pead: The key right now is to get clients up and running as quickly as possible so that they can meet the meaningful use deadlines. Eclipsys has developed what we call a speed to value implementation methodology that allows us to go in with at least a 60 percent configuration of our application. We're saying this configuration is based on best practices and we're allowing our clients to now implement it based on that methodology. So they can get up and running and see the value of that implementation. Not just for meaningful use but also to see the value of running the entire application in their environment as quickly as possible.

Dr. Eric Fishman: What are you doing as far as the regional extension centers, the RECs? You must have a strategy in that regard.

Phil Pead: We do and that really ties into our Peak Practice strategy again. We're bidding on a lot of RECs, or at least combining their offerings with ours, so that we can reach out again to those community physicians, the smaller hospitals - where they don't get the assistance because of being remote - and providing them with the applications that we think will ultimately help them connect back into the inpatient community that they so desperately need to get connected to.

Dr. Eric Fishman: Somebody had mentioned to me while I was at HIMSS that there's a pretty short time frame for that bidding process.

Phil Pead: Yes.

Dr. Eric Fishman: How long a period of time is it that the RECs will be developing their preferences?

Phil Pead: Well, it's very robust as I should say right now. The other thing is that it's important that RECs are not seen to be favoring one vendor over another, that they're allowing as much choice as possible. In some cases, they're probably overbroad in their offerings but either way, our intention is to work with all of them to ensure that they get as many options in the applications that they can offer as possible.

Dr. Eric Fishman: Lastly if I may, and we didn’t discus this, but I can tell in your accent maybe you weren't born in the United States but there's a lot of issues in health care in Washington. Would you care to air any opinion about what's happening in Washington these days?

Phil Pead: Yes, that's actually very near and dear to my heart because I grew up in a national health system. I recognize that there are clearly issues that we've got in this country that we need to fix but I can tell you, having experienced both systems, that this is one of the best systems in the world.

Dr. Eric Fishman: You like it better here.

Phil Pead: For sure.

Dr. Eric Fishman: Phil, I thank you very much.

Phil Pead: Thank you very much. I appreciate it.

Dr. Eric Fishman: This is Dr. Eric Fishman with EHRtv. We've been speaking with Phil Pead, President and CEO of Eclipsys. Thank you.

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