“There are many moments in healthcare where a provider has to decide on a course of treatment quickly. “Efficient communications between healthcare providers is essential for ensuring quality patient care,” noted Bernstein. The reduction in exceptions translates directly to improved clinician user experience.” That doesn’t sound like a big change, but it’s pretty incredible to be able to cut that number in half just by moving to Nutanix. There was a dramatic improvement the day we cut over to Nutanix-the number of exceptions plummeted from. Our goal is to remain below our threshold of 1% exceptions for every action. If it’s over that period of time, it’s called a Workflow Exception. “All of our physicians and healthcare staff should be able to access patients’ records in a short period of time determined by Epic (based on their best practice). “Epic’s EMR system includes a web-based application that tracks Workflow Exceptions,” explained Bernstein. This has enabled us to provide IT services to our new practices very quickly, improving our ability to provide excellent patient care.”Ĭutting Epic Response Time Exceptions in Half With Nutanix, it only takes three days to rack, stack, and cable the systems, and then bring up VMs. “It used to take a month and a half to procure and implement new infrastructure with our legacy environment. “We were struggling with all of the expansion due to our lengthy purchase and deployment cycles,” noted Bernstein. Presence Health has been growing rapidly over the last two years, acquiring 2-4 physician practices per month. “To be able to quickly upgrade all of our Epic code and also deploy Nutanix at the same time-with only two days of support after the double upgrade-was a phenomenal accomplishment,” stated Bernstein. By doing this, pre-production Nutanix and LoginVSI were able to complete the project with no downtime during platform cut-overs. Configuration tuning resulted in increased overall system performance and an additional 1000 users’ density. Nutanix collaborated with LoginVSI, to ensure that user experience would exceed expectations, as well as to validate configuration tuning. The smaller footprint is enabling us to rein in our co-lo costs and operating expenditures as we grow,” Bernstein reported. “We were able to consolidate six racks of legacy infrastructure into just 16 RU of Nutanix. Presence Health migrated Epic Hyperspace to Nutanix in 2017. So, we decided to go with the market visionaries with the proven track record of success among other large health systems.” RESULTS Nutanix is the leader in hyperconverged infrastructure- they actually created that term a few years ago. Nutanix Enterprise Cloud was the only solution that checked all of the boxes on our wish list. Our goal was to simplify and standardize all of the infrastructure in our data centers. “We were tired of dealing with the confusing sprawl of vendor equipment that we’d inherited over the years, including practically every system that EMC and HP have ever made. “Whenever we undertake major strategic initiatives, we look at how we want to do business five years down the road,” Bernstein said. Improving reliability and disaster recovery were also high priorities for us, since it would severely impact patient care if any of our systems failed or our healthcare records were compromised.” SOLUTION “We needed to upgrade both of our EMR systems and the legacy existing infrastructure was due for a refresh. “We spent the better part of this year restructuring and reorganizing our IT initiatives,” noted Jeremy Bernstein, Interim CTO at Presence Health. Six of its hospitals are using MEDITECH’s EMR solution, and an additional six hospitals plus the majority of its outpatient facilities use Epic. Presence Health relies on two electronic medical records (EMR) systems and Citrix XenApp to provide its healthcare professionals with access to patient records.
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