Dorothy (Home Health)
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Subject Expert
Paul Hess
Research Director
Commentary Summary
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User Commentary
Interfacing and Integration
The biggest advantage of the product is that it is connected with the Epic products that our...
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Functionality and Upgrades
Dorothy wasn't our first pick. A different vendor's product did some things, like care plans, that...
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Implementation and Training
We went through a couple of project managers and other people during the implementation, and that...
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Relationship
At a high level, Epic needs to start having a two-way dialogue with home health customers, not just...
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Implementation and Training
The only reason our implementations and training exists is that we have an informatics nurse that...
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Functionality and Upgrades
We need Epic to really focus on the product's functionality. I want the ability to document in a...
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Relationship
CMS requires an emergency response plan in the home, but right now, that is being collected on...
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Service and Support
Changing 485 forms and rolling out a new system to work with Dorothy isn't going to change my life....
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Lessons Learned
We have to use Epic because we work with a hospital, and Epic is what they use, but if I had my own...
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Technology
Dorothy has been fine. The challenge is that we are taking a home health system that should be built...
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Functionality and Upgrades
I like that we have the capability to get things changed in our arena easier than people do in the...
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Future Outlook
I would like the care-plan section to be a little more user friendly. There are other systems out...
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Service and Support
Epic is very innovative in terms of keeping up with technology. And we have our own little team, so...
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Interfacing and Integration
Dorothy’s integration with things like our scrubber tool has been a challenge.
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Functionality and Upgrades
Epic is in constant development as they try to improve their products. They usually come out with...
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Service and Support
Our experience with the technical support analysts that Epic provides has been a bit of a mixed bag....
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Implementation and Training
Our implementation with Dorothy was much better than our implementation with another of Epic's...
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Functionality and Upgrades
There is an absence of integration across the care continuum. We still have a lot of fragmentation...
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Other Observations & Comments
In general, people love that Dorothy is Epic's system, but I think that is the halo effect of Epic.
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Other Observations & Comments
I don’t think Dorothy is very well built here. It is probably our fault that the product is not...
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Functionality and Upgrades
There are some things Dorothy does not do on the home health side of things, so we have had to take...
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Functionality and Upgrades
Dorothy has been working really well. We will be updating it soon because Epic has some new features...
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Implementation and Training
Epic’s upgrades for Dorothy are going well. The vendor doesn’t do too much ongoing training, but we...
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Functionality and Upgrades
There are too many steps for field clinicians. The navigation is not easy because Dorothy is...
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Service and Support
The people we talk to at Epic are not at the high end. We don't talk to executive-level people who...
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Functionality and Upgrades
The benefits of Dorothy are its integration and real-time transparency. It is nice to see what is...
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Functionality and Upgrades
Dorothy is labor intensive for our field staff. There is a lot of documentation, and there are not...
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Functionality and Upgrades
Dorothy is robust. We haven’t had downtime or any big system crashes for several months.
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Future Outlook
Dorothy is a complicated system that is not very easy to use. I don’t know whether the system works...
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Implementation and Training
The go-live training was not as robust as we expected. Epic didn’t do as much as we thought. The...
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Functionality and Upgrades
Epic has online training modules, but we took those modules several months before our go-live. We...
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Interfacing and Integration
I would tell a peer that Dorothy is a great system for health systems that need to integrate all...
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Functionality and Upgrades
Epic often adds what we refer to as half features or quarter features. That problem is less bad than...
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Future Outlook
Epic will continue to improve the product. However, the product's biggest weakness is the human user...
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Functionality and Upgrades
There are parts of the product that don't function the way we need them to. When Epic creates a new...
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Relationship
Epic puts their heart and soul into supporting their clients, and they are good about letting us...
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ROI / Cost
We have had problems with scheduling because the schedulers work in Hyperspace. We have had problems...
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Implementation and Training
In terms of training new users, Epic is very front-loaded. When a new user comes in, they are not...
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Interfacing and Integration
We really like the way that the product can integrate with systems that are not part of our...
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Functionality and Upgrades
There are some pieces in the product that are broken, and the fixes are going to be a long time...
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Sales and Contracting
Epic promoted some specific aspects of the product as super easy and wonderful. When the product was...
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Interfacing and Integration
Being on Epic's system along with our other system has been game changing. We are able to see...
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Other Observations & Comments
The one challenge that we had going live with Epic's system that I didn’t really anticipate was that...
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Functionality and Upgrades
Based on the reports that I have seen, the analytics on Dorothy's financial side are better than the...
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Other Observations & Comments
I would be interested in looking at Dorothy's competitors to see whether there is a similar solution...
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Functionality and Upgrades
Everything is so visible related to our financials whether it is looking at the sheer volume, the...
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Service and Support
In the beginning, we had a lot of attention from Epic's support people and our analyst support...
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Service and Support
Epic is proactive. They prepare bills in advance when there are changes. Their people are involved...
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Functionality and Upgrades
Dorothy's analytics aren't good for the home health area. We send all of our information to a third...
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Functionality and Upgrades
The program is really bulky, and its documentation is quite tedious and lengthy. The hospice program...
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Implementation and Training
Epic has a decent cookbook approach put together for training and implementing solutions for hospice...
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Interfacing and Integration
With all home service lines, everything across the billing and clinical sides is interrelated. Epic...
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Functionality and Upgrades
We went to Epic's system so that we would be on the same system as our hospitals and clinics. It is...
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Future Outlook
There was a lot of good support from Epic when we moved to Dorothy, and everything went smoothly...
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Lessons Learned
The first wave of any implementation is always the roughest because we must make so many decisions...
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Interfacing and Integration
Building care plans or 485s is difficult with Dorothy. The system doesn't automatically pull from...
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Functionality and Upgrades
We like that we can see and find out information about patients through Care Everywhere with the product....
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Implementation and Training
I have been involved in a lot of upgrades from Epic, and the upgrades are excellent. Epic has...
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Interfacing and Integration
We have a lot of connectivity within the product and across other third-party products.
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Functionality and Upgrades
Dorothy is pretty easy to use once a user has been trained and understands the context of what they...
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Relationship
We have periodic reviews of our numbers, and Epic drives meetings where they look at the numbers...
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ROI / Cost
We don’t have any plans to get rid of Dorothy. We are an Epic shop, and Epic is the first vendor we...
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Implementation and Training
We receive updates to Dorothy during nonbusy times, so Epic automatically pushes the newest updates...
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Lessons Learned
We have found some glitches with the sync system in Dorothy, but even with the difficulties, I would...
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Relationship
Epic has been doing well. In fact, we have relied a lot on the vendor this year because, like many...
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Future Outlook
One of the things that had kept us on the sidelines for a long time about the system is its lack of...
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Functionality and Upgrades
I like the program, and the clinicians like it as well. I like the ability to follow patients...
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Functionality and Upgrades
I hate the reports in Dorothy because they are hard to navigate. It takes me forever to drill down...
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Functionality and Upgrades
We are getting better at doing upgrades with each new one. Epic is getting more consistent, and we...
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Functionality and Upgrades
Scheduling for home health is different than scheduling for appointments in a doctor's office. There...
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Functionality and Upgrades
The system is rigid, and we need more flexibility with scheduling.
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Functionality and Upgrades
I like that my nurses can message doctors in Dorothy. We use that every single day. We can also get...
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Implementation and Training
I want Epic to be three steps ahead of the regulations that are placed on home health vendors and to...
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Interfacing and Integration
Dorothy is a well-integrated system. It is integrated with our other Epic systems, and the systems...
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Functionality and Upgrades
The biggest challenge we faced early on with Dorothy was that the process for documenting care...
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Interfacing and Integration
The integration into other Epic products is so important to us, so we might choose to buy Dorothy...
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Relationship
I get great support from Epic. I have never had a vendor that has been so involved with me at the...
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Functionality and Upgrades
The upgrades are easy for us today. We take Epic's quarterly upgrades and apply them across the...
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Functionality and Upgrades
We have had a lot of challenges with our end users' ability to get the data documented and...
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Functionality and Upgrades
We transitioned to Dorothy early in its infancy. That was a total nightmare, but the product has...
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Functionality and Upgrades
We have had the EHR for several years, and we still don't have the product where we want it to be in...
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Relationship
Epic is good about keeping up with the new regulatory-type things that are going on. They are...
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Service and Support
Epic tries to keep their promises, but it's kind of a long process by the time we put in a request...
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Service and Support
We don't really work with Epic, we work with our Epic team within the organization, so I think...
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Implementation and Training
I think the go live process with Epic was very difficult. I wouldn't rate them very good for that,...
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Functionality and Upgrades
As far as the computer system, I think it's easy to use. It's just the customizable part, it may be...
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Interfacing and Integration
We have a lot of homecare nurses utilizing Epic's homecare module. The platform is integrated with...
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Functionality and Upgrades
We have the same challenge as every other institution in the country, and that challenge is getting...
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Functionality and Upgrades
Most home health vendors are experts, and home health is their bread and butter. Most vendors bring...
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Service and Support
It isn't that the people at Epic are not empowered, but sometimes they don't have the knowledge base...
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ROI / Cost
It is certainly helpful to have everything be part of one record. The clinical care piece is...
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Implementation and Training
Epic's training structure has our internal folks do the training, so that isn't really effective.
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Win/Loss - Why they were selected (by current clients)
We chose Epic's system because the rest of our organization used it, and we were having issues with...
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Implementation and Training
Since we did not do central scheduling, we did not get the canned version of Epic's system. We got a...
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Interfacing and Integration
We have access to the rest of the patients' information in the product, but some things don't cross...
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Functionality and Upgrades
Epic is constantly doing upgrades to give us what we need if the product doesn't do it yet.
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Functionality and Upgrades
When used in conjunction with our scrubber, Dorothy has an automatic analysis that is immediate.
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Functionality and Upgrades
By and large, Epic's billing is unintuitive. The billing piece is clunky to use and doesn't work. It...
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