Dorothy (Home Health)
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Subject Expert
Paul Hess
Research Director
Commentary Summary
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User Commentary
Functionality and Upgrades
We really like eClinicalWorks here in our practice. Our doctors think the EMR is easy to use, which...
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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 (care and feeding)
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 (care and feeding)
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 (care and feeding)
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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Implementation and Training
Epic’s training for both the end user and the folks who configure the system is very high level. We...
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Functionality and Upgrades
Dorothy is not a niche product that does everything exactly the way a clinician would like. Buying...
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Functionality and Upgrades
We keep our clinicians very engaged in Dorothy. Our frontline clinicians make day-to-day...
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Functionality and Upgrades
I would like to see Epic improve how they approach home health documentation. They often try to take...
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Service and Support
Epic does exceedingly well with their communication. They are a very hands-on vendor, and they are...
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Relationship
Dorothy has gotten significantly better. Home health has gone through a lot of changes over the last...
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Implementation and Training
Epic has monthly webinars, which we can attend as operations team members who are using the product,...
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Service and Support
Dorothy has been doing fine. Epic’s biggest strength is their local technical support team. We had a...
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Relationship
There is a significant amount of effort on Epic's part to make sure they are taking care of their...
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Lessons Learned
Epic does clinical documentation exceedingly well, but they aren't as proficient with back-end...
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Service and Support
Epic does a fairly good job of not nickel-and-diming us for any enhancements. Epic's support people...
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Functionality and Upgrades
The financial system is very strong. It is easy to track our revenue. With Epic's revenue and...
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Functionality and Upgrades
We have to build a lot of different work queues, and there are a lot of different work queues where...
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Service and Support
Epic keeps promises, but their development is very slow. The advantage of an Epic product is that it...
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Interfacing and Integration
I like that Dorothy is part of the Epic ecosystem, so we are linked to the providers, and we share...
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Interfacing and Integration
The big disadvantage of Dorothy is that it is built on a separate platform versus the regular Epic...
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Functionality and Upgrades
Epic could do a better job of letting us customize the flow of the notes and the flow of our care...
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ROI / Cost (care and feeding)
Epic is incorporating some extra features at no cost in their next upgrade.
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Future Outlook
Dorothy is pretty user friendly and is not hard for the clinicians to use. The application itself is...
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Service and Support
The area that probably needs the most attention from Epic is the care plan part, and they are trying...
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Relationship
Epic has good service. We have regularly scheduled calls with Epic representatives.
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Relationship
We have a great working relationship with Epic. The vendor is always extremely responsive, and they...
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Relationship
Our Epic contact is always very receptive and willing to help. That individual will even meet with...
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Functionality and Upgrades
The Dorothy product continues to be a very robust and innovative documentation system for our home care....
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Technology
Our challenge with Dorothy is that the product is very focused on a different patient population...
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Service and Support
Epic could have proactively dealt with EVV differently. EVV is a federal mandate, and I understand...
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Functionality and Upgrades
Our hospital uses Hyperspace. This product is live, but Dorothy, the remote client, is a dead...
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Other Observations & Comments
Epic could grow if they let clients know that certain functionality is working better now than in...
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Technology
We are long-term users of Epic, and what we implemented isn’t what a new customer would implement...
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Functionality and Upgrades
With the solution's mobile app, providers can go into the field and have a computer with them. When...
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Functionality and Upgrades
Providers who are using the system will sometimes get disconnected when they are in rural areas....
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Functionality and Upgrades
We have individualized the system quite a bit, and we appreciate that we have the ability to do...
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Relationship
The system's training is entirely up to us. I would give the vendor's executive involvement an even...
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Functionality and Upgrades
We cannot capture social determinants of health in the system. That is a real problem for us because...
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Relationship
The government changed the way that we notify them that we have admitted a patient. We had to have...
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Other Observations & Comments
The system is fine. I shared this with KLAS a year ago, but I wanted to make sure that I shared it...
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Functionality and Upgrades
I have the system open all the time, but its screen savers used to be made for little kids. Epic has...
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Future Outlook
Dorothy has been in a maturing phase, and Epic is just about there. One of the final big hitters we...
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Implementation and Training
Epic has provided an excellent service. They offer a lot of great training. They have on-site and...
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Lessons Learned
Epic continues to move forward with their initiatives. They are a good partner. They update things,...
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Functionality and Upgrades
Epic has a strong EMR that enables us to complete our clinical documentation needs. However, the...
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