Epic Spreadsheet.pdf

Volume Statistics

Organization Name: Florida Department of Health

Contact Name:

Date: 4/25/2025

Volume Your Volume

4,000(Service Sites. Each Site could have multiple clinics)

System Sizing Volume definition Your Volume

10,000

10,000

*For an Enterprise application scope (i.e., there are three shifts of acute care users, Epic expects concurrent users to be 20%- 40% of Total Named Users.

*For an ambulatory-only organization with a single shift of users, we expect concurrent users to be 30% - 70% of Total Named Users.

Volume Statistics (continued) Annual Volume Volume definition Your Volume Ambulatory Visits Needed for EpicCare Ambulatory

Provide below as two mutually exclusive volumes

Ambulatory Clinic Visits 939,000

Examples to Include Examples to Exclude

# of Clinics:

# Distinct EHRs at clinics? Please add additional information where possible.

Instructions:

• Please provide your annual volume statistics for the metrics below based on any definitions listed. Volume statistics should represent your anticipated volumes at full rollout. For instance, if you plan on opening a new clinic or are projecting 5% growth before go-live, those volumes should be included in the statistics below.

• Examples are provided to help you determine some of the types of visits to include. Note that in some cases we ask that you provide mutually exclusive statistics.

• If a volume is not applicable to your organization you can list "N/A" in the corresponding cell or ignore it altogether.

# of Providers:

Any completed ambulatory patient appointment with a decision-making medical provider. Decision-making providers are providers whose role typically requires a minimum of a 4-yr degree. Excluded are medical students, RNs and LPNs. Doctors, PAs, nurses with advanced training (NPs, CRNA, etc.) are included. Other examples include audiologists, dieticians, optometrists, physical therapists and surgical technicians. Note that some of these visits may also be counted as specialty visits below (if applicable).

Ambulatory Visits, as defined above, which take place in your ambulatory clinics and are not within the hospital walls.

Volumes for Total Named Users and Peak Concurrent Users are used to assist Epic in hardware and systems sizing. These are not used for licensing purposes and, as such, do not need to be precise numbers. Please provide your best estimates for the system sizing metrics below.

Total Named Users Total number of unique human beings expected to have access to your Epic system at full rollout.

Peak Concurrent Users Number of staff expected, at full rollout, to be logged in to Epic during peak times (typically late morning and early afternoon). Note that these users may be using different systems today (EHR, billing, scheduling systems, etc.). Please make sure all users are accounted for.

* Office visits with decision-making providers.

* Urgent care visits to facilities that primarily treat patients with lower acuity problems.

* Telemedicine and video visits

* Telephone encounters, Letters

* Diagnostic-only visits (lab, rad, etc.)

where the patient does not see a decision-making provider.

* ED Visits and urgent care visits to facilities that primarily treat patients with medium to high acuity problems.

Volume Statistics (continued) Annual Volume Volume definition Your Volume

1,739,133

Examples to Include Examples to Exclude *Quality control testing *Point-of-care testing documented in your

LIS

*Outreach

*Point-of-care testing documented in your EHR *Advanced diagnostics testing specimens *Anatomic pathology cases/specimens

PAP Smears, Molecular, Molecular HIV Test, TB

Examples to Include Examples to Exclude *Anatomic pathology cases *Advanced diagnostics testing specimens *Advanced diagnostics quality control specimens *Outreach

*All specimens included on a single anatomic pathology case will be counted as one AP Case.

N/A

Examples to Include Examples to Exclude

* Certified Home Health

* In-Home Primary Care

* Hospice & Bereavement

* Staff communication & coordination

* Telehealth/Telassess

Volume Statistics (continued) Annual Volume Volume definition Your Volume Specialty Visits Provide below as mutually exclusive volumes

N/A

N/A

Lab Specimens Needed for Beaker Clinical Pathology

Unique collection containers. If a single performable test requires the collection of more than one container (i.e., anaerobic and aerobic containers for a blood culture), they count as one specimen.

Lab Cases and Advanced Diagnostics Needed for Beaker Anatomic Pathology

Each case (i.e., collection of one or more specimens that are processed together and diagnosed on a single case report) processed in your lab system, including those sent from outside of your organization (e.g., outreach), is counted as one Anatomic Pathology (AP) Case. In addition, each advanced diagnostics testing specimen (i.e., flow cytometry, molecular, cytogenetics, NGS) is counted as one AP Case.

Outpatient Prescription Dispenses Needed for Willow Ambulatory

The total number of dispenses (including refills) from all outpatient/retail pharmacies (including pharmacies for your employees only). Do not include dispenses sent to an external pharmacy.

Some of these visits are also counted in your ambulatory clinic visits and/or hospital outpatient department visits listed above (e.g., a face-to-face visit with an oncologist); these visits should be counted in the appropriate specialty procedure volume below as well.

Home Care Visits Needed for Dorothy Home Care

Any completed home care patient visit/assessment. N/A

Outpatient Behavioral Health Visits Needed for Behavioral Health

Any visit to an outpatient behavioral health department. Multiple visits in the same day for the same patient in the same department are only counted once.

Outpatient Rehab Visits

Any visit to an outpatient rehab department. Multiple visits in the same day for the same patient in the same department are only counted once.

Dental Visits Needed for Wisdom 190,677

Examples to Include Examples to Exclude

* General dentistry, hygiene, oral surgery, periodontal, prosthodontics

1 county, 1 provider, select cases

Radiology Visits Needed for Radiant

X-Rays at a select few locations

Examples to Include Examples to Exclude

* Diagnostic

* CT, MR, US

* Nuc Med

* Fluoroscopy

* IR/Vascular Lab

* Radiation oncology

* Procedures counted in another specialty bucket (e.g. count Vascular Lab in either radiology or cardiology, but not both).

Volume Statistics (continued) Annual Volume Volume definition Your Volume

284,160

Examples to Include Examples to Exclude

* Professional charges for services performed by owned providers.

* Charges from affiliates or third parties

* Interfaced or imported charges from other systems.

* Voided or zero dollar charges

* Institutional charges billed out of your hospital billing system.

Total # of IT Staff ~140

Application Comments Do you do the billing for any affiliates or third parties? If so, what is the total annual count of professional billing charges? This volume should be independent of the Professional Billing Charges number listed above.

Examples to Include Examples to Exclude

* Charges from affiliates or third parties.

* Interfaced or imported charges from other systems.

* Your own professional charges

* Voided charges or zero dollar charges

* Institutional charges billed out of your hospital billing system.

Do you outsource any part of your revenue cycle operations to Third-Parties?

If so, who is the Third-Party and approximately how many end users are performing billing tasks on your behalf?

Needed for Rehab

Professional Billing

We do not

Yes; FLMMIS, Optum, Availity. Number of users is apx. 8,000

Any specialty visit, as defined above, to the dental department. Multiple visits in the same day for the same patient in the same department are only counted once.

Ophthalmology Visits Needed for Kaleidoscope

Any specialty visit, as defined above, to the ophthalmology department (including optometry). Multiple visits in the same day for the same patient in the same department are only counted once.

The current size of your IT team supporting your EHR(s).

Supplemental Info for Implementation Scoping

Any specialty visit, (including visits in both outpatient and inpatient settings) to the radiology department. Multiple studies in the same day for a patient with the same modality type (e.g., CT) are only counted once.

Professional Billing Charges Needed for Resolute Professional Billing

The total annual count of professional billing charges billed out of your current system, including charges for visits and services occurring at other facilities. This should be the count of charges, not the dollar value of charges.

Do you offer Behavioral Health services?

If yes, please indicate in the comments field if you have a standalone Behavioral Health Hospital, Residential Behavioral Health treatment facilities, or a partial hospitalization Behavioral Health program.

Do you have any Methadone Clinics?

Wisdom Do you offer Dental services?

If yes, please describe the size of your Dental Practice (by number of practicing Dentists or number of Annual Dental Visits), describe what Dental services you offer (e.g., General Dentistry, Orthodontics, Periodontics), and indicate if you have a dental school.

Population Health Do you coordinate or deliver community services to patients (e.g., high-risk care management, transitions of care, chronic disease management, child welfare, mom/baby, care/social navigation, programs addressing social factors)? If yes, please indicate how many programs you offer and if any of these programs are offered in the recipient's home.

In what value-based agreements do you participate today or plan to participate in the future? Plan required agreements for reimbursements

Dorothy Home Care Do you provide Home Care or Hospice services? If so, which system(s) do you use today? No

Core public health services

Behavioral Health

Basic behavioral and mental health counseling No

Yes we have dental services. 57 physicians. 191,000 visits, General and pediatric services

Epic Volume Worksheet