Medical Staff Pulse is
a Publication of the Chief of Staff
Clinical System Vendor List is Narrowed

By John G. Harold, M.D., & William W. Brien, M.D.

Co-Chairs, Physician Advisory Team, Clinical System Selection

Another major milestone was reached this week in our efforts to select a proven clinical information technology system that will support Cedars-Sinai's leading edge medical care delivery in the future. The clinical system's potential vendor list has been narrowed to include Cerner, Eclipsys and Epic systems. These three were selected as finalists based on their ability to meet the functional, technology and company requirements established as a result of several months of evaluation and significant input from our medical staff and a multi-disciplinary cross section of the staff.

The Steering Committee voted unanimously on March 21 to approve the recommendations to eliminate GE and McKesson from the field, and to proceed to the next phase of the selection process with the three identified vendors. This decision followed review of the vendor analysis and recommendations by the Physician Advisory and Care Delivery Teams. More than 35 of our physicians took time from their busy schedules to attend this important Advisory Team meeting.

The initial vendor analysis reviewed clinical systems in terms of overall system functionality, technical architecture, ability to execute, company history, leadership, vision and corporate culture, as well as academic medical center experience. Medical centers used in the comparison group included 27 premier health care facilities representative of Cedars-Sinai. Included among this group were such organizations as Johns Hopkins Hospital, Stanford University Medical Center and New York Presbyterian Healthcare.

Functionality evaluation was based on the key requirements from the future-state sessions, which over 250 medical staff members and employees attended. The assessment encompassed capabilities in clinical documentation, orders and medication management, pharmacy, clinical decision support and results review, as well as usability and health analytics.

Technology evaluation was based on technical requirements identified in the process, including integration (intra-operability) with the CSHS environment, scalability, and speed and reliability. Assessment of each vendor was based on market intelligence and experiences, with a review of the company's vision, viability, ability to execute, customer service focus, and the vendor's culture and goals alignment with CSHS.

With Wednesday's decision made, vendors are being notified and Requests for Quotation are being sent to Cerner, Eclipsys and Epic. The next steps in the vendor selection process will be dependent upon feedback from you. We encourage all of you to provide direct input during a vendor demonstration and capabilities review scheduled to feature one vendor each week beginning the week of April 16. During this period, vendors will demonstrate their systems on campus, using Cedars-Sinai real-life scenarios, rather than simply highlighting the bells and whistles of their systems. All of you are invited to "test drive" these different products and to provide formal input and comments. More information will follow in Pulse next week.

Other key decision-making assessments are scheduled between April and June, including reference calls the weeks of April 9-27, and potential site visits the week of May 21. We urge you to get involved by either talking to one of your Physician Advisory Team members or attending the next series of meetings to share your ideas and address your concerns. Click here to access a PDF version of the list.