Epic

THE RECRUITERS
PERSPECTIVE

A SPECIAL MODULE FOR

What is Epic?

EPIC, the company, produces the markets leading EMR

(Electronic Medical Record) health care software that services
Hospitals and its staff, ranging from Doctors, Nurses and
patients. They are one of many EMR software vendors, but
they are the market leader.

EPIC is like an ERP software for hospitals. Like a

manufacturing company might use SAP to help run its
business, a hospital would use Epic to run their business.

EPIC functions in a paper-less environment where all the

required information can be displayed on screen for its users.
This functionality and ease of use gives its intended users
access to vital information quickly, locally or mobile.

What is driving the Epic

explosion?
The HITECH portion of the ARRA (American
Recovery and Reinvestment Act of 2009,) stimulus
package allocates funding for per-hospital and perphysician Medicare incentives for those who
achieve "Meaningful Use" by a specified date. The
AARA, often referred to as the Stimulus Package,
sets aside $25.8 billion for health information
technology investments and incentive payments.
By implementing an EMR system like Epic,
hospitals can be paid incentives if they prove they
have implemented the software and are using it in a
meaningful way.
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EPIC. A Deeper Dive

Like Hospitals and Clinics that have several services offered

for its customers and various functions for its staff, EPIC
supports these by providing various services as well.

EPIC is composed of various modules or components that

cater to specific needs needed by either the staff, customers
or hospital administration.

EPIC is dissected into roughly 40 different modules, catering to

all possible healthcare processes.

EPIC. A Deeper Dive

EpicCare is the base product and and is designed to

accommodate physician specialists, therapists and other
specialized care providers in addition to Primary Care.

EpicCare includes Orders (which the doctors use) and ClinDoc

(which the clinicians use). Specialized clinicians comprise
approximately half of EpicCare's total users. Epic makes it
easier for these users to get up and running with preconfigured Specialty Model Content.

These workflows, templates, order sets and other tools are the
same configurations that are working in live use at Epic client
sites Most can be used as-is or tweaked to a specific
workflow need.
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Specialty Model Contents

Allergy - Immunology

General Surgery

Oncology

Radiation
Oncology

Bariatric Surgery

Genetics

Ophthalmology

Cardiology

Gynecology

Orthopedics

Respiratory
Therapy

Cardiothoracic Surgery

Infectious Disease

PM&R

Rheumatology

Dermatology

Internal Medicine

Physical Therapy

Sleep Lab

Endocrinology

Nephrology

Plastic Surgery

SLP

ENT

Neurology

Podiatry

Sports Medicine

Family Medicine

Neurosurgery

General Pediatrics

Transplant

Gastroenterology

Obstetrics

Psychiatry

Urgent Care

Gerontology

Occupational
Therapy

Pulmonology

Urology

Vascular Surgery

EPIC Distributions

Department
& Ancillaries
14 Modules

Access and
Revenue
9 Modules

EPIC

Specialty
Information
Systems
6 Modules

Interoperabili
ty7 Modules

EPIC Specialty Information Systems

(for specialty groups and specialized
facilities)

Ambulatory is the term used to describe outpatient services and is also the name used to
describe Epics EMR offering for Dr. Offices. Many hospitals implement Epics Ambulatory
software before they commit to or implement the Epic Inpatient (Orders and Clindoc)
software. The Epic Ambulatory software is a condensed and combined version of both Orders
and Clindoc used in outpatient services.

Beacon Oncology Information System lets physicians create treatment plans based on
standard protocols and make treatment decisions guided by comprehensive decision support.

Cardiant Cardiovascular Information System features multi-modality, procedurespecific clinical documentation along with streamlined consult, follow-up and referral
workflows.

Kaleidoscope Ophthalmology Information System enables device data capture and

guides image-intensive ophthalmology documentation workflows.

PhoenixTransplant Information System supports the focused clinical workflows and

detailed regulatory requirements of solid organ transplants.

Stork Obstetrics/L&D Information System organizes the complete course of obstetric

care and supports the unique documentation workflow of Labor and Delivery.

EPIC for Departments and Ancillaries.

ASAP or also called EDfor the use in Emergency Departments

Willow for use in Inpatient Pharmacy
Radiant for use in Radiology
OpTime for us in Operating Room Management
Anesthesia for use with the Anesthesia department
ICU for use in Intensive Care
Nurse Triage for use Triage what order they would be looking at the patient, who
they will be threating first.
EpicCare Home Health for Home Health
HIM for Health Information Management security and overall that keeps them
together
Beaker Clinical Pathology for use in clinical labs .. Alsohave the following tools
Mobile Lab uses handheld devices in a scan-based workflow, allowing phlebotomists
to review orders needing collection, print specimen labels at the patient's bedside and
capture collection details.
OutReach expands the lab's business opportunities through a web-based portal
where clients can submit bar-coded, instrument-ready specimens to the lab for testing
and receive online results/notifications.
Reference Lab Billing supports the billing office's client billing and non-EMR patient
billing workflows for tests completed in the Beaker labs.
Beaker Anatomic Pathology supports the needs of surgical pathology and cytology
labs.
Beaker Public Health Laboratory
System is designed to meet the needs of multi9
site public health laboratories.

EPIC for Interoperability.

Care Everywhere provides a framework for interoperability, so that wherever

the patient goes between healthcare systems in the same town or across state
and national borders the clinicians providing care can have the information
they need.
Lucy is a patient guided, freestanding Personal Health Record (PHR), not
connected to any facility's electronic medical record system. It stays with
patients wherever they receive care and allows them to organize their medical
information in one place that is readily accessible.
MyChart gives patients controlled access to the same Epic medical records
their doctors use and provides convenient self-service functions that reduce
costs and increase satisfaction.
EpicCare Link gives referring physicians secure, Web-based access to
information about the care the hospital provides their patients.
EpicWeb allows true anytime/anyplace access to patient information by
allowing providers to login to the Epic system from any PC with a Web browser.
OutReach works with the Beaker Clinical Laboratory System to connect to
external providers that receive laboratory or diagnostic services from your
organization. Intuitive order entry features allow users to send orders to your
facility securely over the Internet rather than through staff-intensive telephone,
fax or paper-based methods.
PlanLink gives provider and payor organizations a competitive advantage by
making distinctive services available to employers and community providers via
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the Web.

EPIC for Access and Revenue.

Prelude - for Patient Registration

Cadence- for Patient Scheduling
Resolute - for Hospital Billing (HB) and Professional Billing (PB)
Managed Care - XXX
Tapestry - for managed care facilities and organizations
Enterprise Reporting - XXX
Clarity- for enterprise reporting
Bridges - the interface for data mapping and formatting
Chronicles - the Extended Relational Database Management System,
this is the Data Engine

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EPIC RECRUITMENT
HOW TO SURVIVE PPS-HIT

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HIT Recruitment 101

You will be recruiting for healthcare IT
professionals
Since Epic is a hard to find skill set and also
somewhat expensive, most hospitals are open to
hiring some of their new staff who does not have
previous Epic experience.
Some hospitals put more importance on previous
clinical experience while other hospitals put more
importance on previous technical experience.
In order to recruit for these skill sets you must to
begin recognize some of the other 300+ EMR
systems that are out there.
EPIC is a software which your candidates are
building, modifying, supporting, implementing in
hospitals and other healthcare institutions.
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Your kind of candidates

To start recruiting for EPIC, you need to
understand the 3 basic roles
Epic Application Coordinators/AC/Analysts
Those who gather requirements
Those who configure the software
Those who support the application

Trainers
Credentialed and certified trainers

Technical
Software developers

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Epic Application
Coordinator/AC/Epic Analyst

Gathering Requirements - works with customers to figure out their

work flows, like a business analyst..ex. how do you room a patient.
Who rooms them, what do they do when they arrive. What does the
RN do, vitals etc. What happens with no shows. What questions do
we need to ask before we can go on. They need to understand the
specialties. What needs to be added to make sure the application fits
the work flows.

Configuring the Software - this is the Build. Once they

understand the workflows they start the build. The build is where you
take the out of the box application and then add in the available
pieces to the application. They are not creating or coding new fields
but adding in available fields that already exist but are not in the core
product.. If the needed field doesnt exist then Epic would need to add
it or they would need to change the workflow. Some hospitals may
have actual programmers to customize the software (add fields and
choices that are not available) although most hospitals lets Epic do all
of that.
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Continuation..

Application Support - Working with end users to help them

understand and troubleshoot why the software isnt doing what the
end user thinks it is supposed to be doing. Eg. If the Dr. doesnt
correctly document when a patient has their baby changes her status
to not pregnant instead of has delivered baby, then it can turn off
all of the lactation alerts because the software assumes there is no
baby. This would be a case where the AC would need to follow up with
the Dr. to have them input the information correctly. Another example
would be where the nurse wants to put in a lab request but the only
labs that show up on the list to choose from are labs they rarely use.
The AC would need to go into the software and add in or activate the
names for the frequently used labs.

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Trainers
Certified and Credentialed Trainers
Certified Trainer/Principal Trainer - This of this as a Trainer of other
trainers. This is someone who has gone to Epic headquarters in
Wisconsin andbeen certified in how to train other trainers and is in
charge of creating the curriculum and lesson plans for the training.
You must be certified in the module that you are training in. Eg.
Ambulatory, Orders, Clindoc, Beacon, Willow etc.
Credentialed Trainers - These trainers train the end users. To be
credentialed you need to go through training provided by a
Certified Trainer. This is done at the hospital. You need to be
credentialed in the module you are training in. Eg. Ambulatory,
Orders, Clindoc, Beacon, Willow etc. Some of these trainers come
from the existing hospital staff ie. Nurses and other clinicians. And
additional trainers are brought in to augment what the current
hospital staff cannot provide.

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Technical

Epic Technical Positions

These are the positions that are more technical in nature. They
are not working to understanding workflows like and AC but are
performing the technical tasks that support the Epic software.
Examples of this would be Clarity Report Analyst, Bridges
Interface developer, Database Administrator with Cache, Desktop
Support Technician with Epic, and Server Administrator with Epic.
These positions would be filled with candidates who have previous
technical experience.

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An additional note

Usually a hospital will provide an A, B and C profile. This will

come out in how they describe their A, B and C profiles.

Often they will be looking for candidates with previous EMR

experience who would like to learn Epic or previous Clinical or
Back office Hospital Billing and/or Registration experience with
a technical aptitude.

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Our Demographic
Below is a Market Share analysis done
in May of 2010 with the top 10 EMR
software vendors.
Vendor

Physician
Users

Practices
Served

Vendor

Physician
Users

Practices
Served

Epic

45,000

N.A.

Practice Fusion

18,500

10,000

Allscripts

40,000

N.A.

Eclipsys

11,000

N.A.

eClinicalWorks

40,000

6,500

Sage Health

10,000

N.A.

GE Centricity

35,000

2,500

6,000

1,400

NextGen

35,000

2,000

Greenway
Medical

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Certification Verification

Most of our requirements would require the candidate to be certified with a

particular EPIC module. Some candidates claim they are, while some are indeed
certified but dont claim that they do.

HOW DO YOU KNOW IF HES TRULY CERTIFIED?

Currently all Epic certification happens in Verona, Wisconsin, the corporate

headquarters for Epic. In order to be certified a person needs to be enrolled
in the 6 week course and then pass tests to become certified in the module
they will be working in.

Every clinical AC or Principle Trainer starts by taking the100 level module

classes. This teaches them the software from the user side. Then they take
the 200 and 300 level Clin Admin - the chronicles database training. This is
generic for all ACs as everyone pulls info from the same database. Then
they take the Application Admin 400 training which is deeper module
specific training for the module they are obtaining certification for. This is
where they learn how to configure the specific module.

Trainers also take TEDs Training - Training, Environment and

Documentation.

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ACs also take MyChart and Order Transmittal training.

Candidate's Snapshot

Date of Snapshot
Name of Candidate

General Snapshot Template

Active Jobsearch (Y/N)

Offers

(Y/N) (if Y, check status)

Current/Last Employment

(position,

company, MM/DD/YY)

Rank Current/Last Role from 1-10

Motive for Change/Reason for Leaving
Authorization to Work in the US

(Citizen/Green Card/H-1B)

Communication Skills
Type of Employment

(Contract/Full-time)

Type of Industry
Distance to/from Employer

What hospitals are in your area that use Epic would you be
willing to commute to?
Target Job Title
Current/Last Base Salary
Target Salary

($/hr)

($/hr)

Minimum Expected Salary

($/hr)

Type of Contract preferred

BS Degree

Here is a copy of the General Snapshot

Template

(W2/1099)

(course, institution, MM/DD/YY)

Healthcare Experience
Healthcare IT Experience
Epic/EMR Experience
Epic/EMR Certification/s
Other Certification/s
Implementation Experience
Number of Go-Lives handled
Build Experience

(if applicable)

Adult Training Experience

Largest Class Handled

(if applicable)

(if applicable)

Largest budget handled during Managerial Experience

(if applicable)

Most number of reports/people handled during Managerial

Experience (if applicable)
Strengths

Prior submittals/Currently working with any other staffing firms?

(if applicable)

Availability to Start
Availability to Interview
Referrals
LinkedIn Account
Notes

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Snapshot Template for

Application
Coordinators/Analysts/Builders
Candidate's Snapshot

Date of Snapshot
Name of Candidate

Active Jobsearch (Y/N)

Offers

(Y/N) (if Y, check status)

Current/Last Employment

(position, company, MM/DD/YY)

Rank Current/Last Role from 1-10

Motive for Change/Reason for Leaving

Authorization to Work in the US

(Citizen/Green

Card/H-1B)

Communication Skills
Type of Employment
Type of Industry

(Contract/Full-time)

Here is a copy of the Snapshot Template for

Builders. It is important to ask for how long
they have been building in each module
they have handled or are certified for, as
well as where they have done the build
(dark side, front end, SmartTools,
SmartTexts, etc.).

Distance to/from Employer

Target Job Title
Current/Last Base Salary
Target Salary ($/hr)

Minimum Expected Salary

($/hr)

($/hr)

Type of Contract preferred

BS Degree

(W2/1099)

(course, institution, MM/DD/YY)

Healthcare Experience

Healthcare IT Experience
Epic/EMR Experience
Epic/EMR Certification/s
Other Certification/s

Implementation Experience
Build Experience
Strengths

(if applicable)

Prior submittals/Currently working with any

other staffing firms? (if applicable)
Availability to Start
Availability to Interview
Referrals
LinkedIn Account
Notes

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Candidate's Snapshot
Date of Snapshot

Snapshot Template for Trainers

Name of Candidate

Active Jobsearch (Y/N)

Offers

(Y/N) (if Y, check status)

Current/Last Employment
(position, company, MM/DD/YY)

Rank Current/Last Role from 1-10

Motive for Change/Reason for Leaving
Authorization to Work in the US

(Citizen/Green Card/H-1B)

Communication Skills
Type of Employment

(Contract/Full-time)

Type of Industry
Distance to/from Employer

Here is a copy of the Snapshot Template for

Trainers. It is important to ask how many
classes they have handled (if they can
recall), the biggest class they have had to
handle, and for how long they have been
training users/other trainers. For Principal
Trainers, it would be useful to ask if they
have MST build experience which is usually
a requirement for Principal Trainer
positions.

What hospitals are in your area that use Epic would

you be willing to commute to?
Target Job Title

Current/Last Base Salary

Target Salary

($/hr)

Minimum Expected Salary

($/hr)

($/hr)

Type of Contract preferred

BS Degree

(W2/1099)

(course, institution, MM/DD/YY)

Healthcare Experience

Healthcare IT Experience
Epic/EMR Experience

Epic/EMR Certification/s
Other Certification/s

Implementation Experience

Number of Go-Lives handled

Adult Training Experience
Largest Class Handled

MST Build Experience or Build Experience in the

Training Environment (if applicable)
Strengths

Prior submittals/Currently working with any other

staffing firms? (if applicable)
Availability to Start

Availability to Interview
Referrals
LinkedIn Account
Notes

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Snapshot Template for Project

Managers/Managers/Directors
Candidate's Snapshot

Date of Snapshot
Name of Candidate

Active Jobsearch (Y/N)

Offers

(Y/N) (if Y, check status)

Current/Last Employment
company, MM/DD/YY)

(position,

Rank Current/Last Role from 1-10

Motive for Change/Reason for Leaving

Authorization to Work in the US

(Citizen/Green Card/H-1B)

Communication Skills
Type of Employment

(Contract/Full-time)

Type of Industry
Distance to/from Employer

Here is a copy of the Snapshot Template for

Managers. It is important to ask the extent
of their managerial experience, the most
number of reports they have handled, the
most number of projects handled, and the
biggest budget they have had to handle (if
applicable).

What hospitals are in your area that use Epic would you be
willing to commute to?
Target Job Title
Current/Last Base Salary
Target Salary

($/hr)

Minimum Expected Salary

($/hr)

($/hr)

Type of Contract preferred

BS Degree

(W2/1099)

(course, institution, MM/DD/YY)

Healthcare Experience
Healthcare IT Experience
Epic/EMR Experience
Epic/EMR Certification/s
Other Certification/s

Implementation Experience
Build Experience

(if applicable)

Largest budget handled during Managerial Experience

Most number of reports/people handled during Managerial

Experience
Biggest budget handled
Strengths

Prior submittals/Currently working with any other staffing firms?

(if applicable)

Availability to Start
Availability to Interview
Referrals
LinkedIn Account
Notes

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Thank You