Dedicated to Community Physicians

Summer 2012

13535 Nemours Parkway Orlando, FL 32827 News at Nemours Dedicated to Community Physicians

Day in the Life Simulations Help Train Staff for Real Situations UPCOMING EVENTS As the Nemours Children’s Hospital staff gears up to open the doors to patients in October, October 3 countless hours of training are going into the learning processes and patient flows of a brand new 6:00 p.m. – 9:00 p.m. hospital. And Dr. Lynne Wallom and Tim Finlan are guiding the tireless efforts to prepare teams to Grand Opening Physician Reception see patients in the fall. Join us at Nemours Children’s Hospital for a special evening reception to celebrate innovation What started as an education initiative during the months prior to opening turned into comprehensive in holistic, specialty care for children. Enjoy heavy training sessions referred to as Day in the Life simulations. hors d’oeuvres and drinks, guided tours of the new hospital, and live music. “We’re not expecting staff to come in July and be completely ready to go and see patients immediately – that’s why we’re working thoroughly on processes in simulated situations,” said Finlan, Director To RSVP, email [email protected]. of Therapeutic & Rehabilitation Services at Nemours Children’s Hospital. “We want to instill For more information, call (407) 243-2046. the Nemours culture in our Associates while learning to work together as a team throughout the hospital – whether they’re dealing with registration, lab, radiology or using our EMR.”

October 6 From the Patients’ Perspective 10:00 a.m. – 4:00 p.m. “When planning the simulations we realized it would have been piecemeal if it was done from an Community Day Open House employee point of view,” said Wallom, Director of Nursing Professional Excellence. “But when we Move-In Day at NCH Receptions Introduce Physician Leadership to Bring the family to NCH for food, entertainment, decided to use the patient and family perspective it really all came together.” and fun for everyone, including hands-on Area Health Care Professionals cooking demonstrations, hospital art projects, The training has built teamwork, helping to create communications and an understanding of flow Community pediatricians and pediatric story time with special guests, tours, and more. among departments from a patient care perspective. health care providers met with NCH leaders at receptions in Lakeland on May 8 “We’re using children and parents and Melbourne on June 5. NCH leadership as role players, including some General Surgery Schedule at Nemours Children’s Clinic provided updates on the new hospital of our Family Advisory Council Beginning in September, a limited schedule is available for general and its expanding team of world-class PROFESSIONAL LIAISONS members,” said Wallom. “It’s surgery consultation with Dr. Kenneth Liechty or Dr. Cartland Burns pediatric subspecialists. definitely been beneficial to have at Nemours Children’s Clinic, 1717 S. Orange Avenue, Orlando. Marza Penny, MD, Penny Pediatrics, Richard Sandler, MD, NCH, Sheila McLeod, MD, Brevard Health different perspectives – families Monday, September 17, 8:00 a.m. to 1:00 p.m. Alliance,were three attendees at the physician event in Melbourne. . Georgia Jacobson with previous hospital experiences Monday, September 24, 8:00 a.m. to 1:00 p.m. Orange and those without any experience Friday, October 5, 8:00 a.m. to 1:00 p.m. (407) 271-3591 dealing with hospital stays. The Friday, October 12, 8:00 a.m. to 1:00 p.m. NCH Partners With UCF Baseball [email protected] players came up with some really interesting questions that staff For more information or if you’re interested in scheduling a consultation, . Gina DeFlippo Nemours Children’s Hospital sponsored wouldn’t have thought of.” call our referral line at (407) 650-7715. General Surgery will operate a Brevard, Seminole & Volusia NCH CEO Roger Oxendale and Skanska Florida Executive Vice the UCF Knights baseball games this full schedule at NCH beginning October 22, 2012. (407) 259-1376 President Fred Hames welcomed Associates – including more than season. We had the opportunity to [email protected] Phased Approach 160 new hires – in a key handoff ceremony as they opened the doors connect with hundreds of families at While the team has been planning to the new Nemours Children’s Hospital for move-in day on July 16. each game. Between the interactive . Lisa Howell and practicing at Nemours’ Preview Center in Lake Nona for months, the on-site simulations will ® The NCH team was on-site for the first time to officially settle into word scramble on the JumboTron , the Osceola, Lake & Polk happen in three phases at NCH. their designated areas, while the new hires were greeted at the main bean bag toss competition on top of the (407) 470-9504 Phase 1 Building culture and learning processes through simple patient flows throughout the entrance as they arrived for orientation. Focus will now shift to training Knights’ dugout or the bike giveaway – [email protected] hospital and clinic settings. and preparing for the hospital to open to patients on October 22. Jason Oviedo took home an official game NCH became a big part of each game. ball and an NCH t-shirt. continued on page 2

Phase 2 Adding equipment as well as complications that can occur during the patient flows. Concussion Center Planned for Nemours Children’s Hospital Moving from lower to higher levels of patient complexity throughout the flows. Phase 3 Reviewing Associate competencies. NCH Division Chief of Neurosurgery Todd Maugans, MD, has several priority projects in mind for NCH. One of them, a comprehensive concussion center, will not only provide diagnostics and treatment for children and teens with concussions, “Hospitals have used similar training for opening units or new floors, but not to this scale with but also facilitate his discovery efforts on an under-researched medical topic. He is co-author of the Pediatrics study an entire hospital,” said Wallom. “We’re able to learn so much about how different departments titled Pediatric Sports-Related Concussion Produces Cerebral Blood Flow Alterations, 2012;129(1):28-37. work while forming relationships and improving teamwork.” Why is a concussion center a priority? “Another benefit of multiple departments working together is determining solutions that The current media interest in concussions, especially sports-related ones, follows medical discoveries that connect concussions may apply across departments,” said Finlan. “We’re looking for commonalities that can be in children with sometimes long-lasting neurological consequences. Multiple concussions appear to increase that possibility. With so many children standardized throughout the hospital, reducing the chance of errors and increasing patient safety engaged in high-risk sports in Florida, physicians need the kind of research-based care we can offer. and comfort.” How aware is the general public? Pretty aware, I would guess. Florida just passed a law that requires coaches to immediately pull If you’re interested in receiving an athlete from a game once they get a head injury and to keep them out until they are medically a copy of Dr. Maugan’s article TLC Pediatrics Joins Children’s Health Alliance cleared. Parents were among the groups that lobbied for this bill. from Pediatrics, please contact TLC Pediatrics is now associated with Nemours as part of a new physician-led and fully integrated primary care network: Children’s Health Alliance (CHA). Drs. Sally Elias, What are the risks when a child suffers a concussion? your professional liaison. Tom Lacy and Anne vanWert at this respected Orlando-based pediatric practice decided to join CHA because Nemours shares their commitment to family-centered care and to Extreme cases often lead to cognitive issues, problems in school, headaches, etc. My research take advantage of an association that offers multiple benefits. concludes that pediatric sports-related concussion is primarily a physiologic injury that affects cerebral blood flow (CBF) significantly. At the same time, measurable signs of structural, metabolic neuronal, or axonal injury may not be TLC Pediatrics will continue to manage the practice as before, with enhancements that include: evident. Further study of how CBF interruptions affect the brains of children is needed so we can better understand patterns of recovery. §§ full access to the Nemours integrated health system, including prevention §§ connections to the award-winning Nemours electronic health record system services and specialized care §§ family-friendly education resources from Nemours KidsHealth.org, What sports are the main offenders? §§ assistance with many time-consuming administrative duties the web’s most visited site for children’s health information You might think football, and it is certainly a high-risk sport. Others that might not come to mind are cheerleading and gymnastics. §§ help with meeting Meaningful Use requirements and compliance with §§ unique opportunities to pursue research interests and teaching Quite a few activities can put children at risk. ICD 10 Standards §§ support from Nemours specialists in finance, HR, and marketing – including What will the concussion team at NCH look like? physician recruitment if desired Diversity of expertise is the key. Our center will bring together specialists in neuropsychology, rehabilitation and sports medicine, all interfacing with the patient’s primary care or sports physician. To learn more about joining the CHA network, contact your professional liaison or Bill Winder at (407) 650-7006. Beyond this team approach, how else will the NCH Concussion Center differ from other available care in the area? Pittsburgh currently has the best program in the world for concussion diagnosis and therapy. Ours would parallel their model of combining evaluation and diagnosis with treatment, all in an academic environment that is in the business of discovery. We will offer a comprehensive, focused NCH Critical Care Chief Helps Area PCPs Prepare for Emergencies program with diagnostics, early treatment, monitoring, and long-term follow-up. A combination of care and discovery supports the Nemours philosophy of being serious about research as part Given the serious medical issues that will present at Nemours Children’s Hospital, a trained and equipped critical care of clinical delivery. We want to understand what’s happening during a concussion to help children team is a priority. Primary care providers must also equip and train their practices for emergencies, says Dr. Al Torres, recover. Then there is the whole area of education. Division Chief of Critical Care at NCH. In recent presentations to Central Florida pediatric practices, he cites a 2009 article by the American Academy of Pediatrics. “Studies have shown that many parents rush to their primary care provider Explain what you mean by education. when a child should be taken to the ED,” said Dr. Torres. “The Committee on Pediatric Emergency Medicine of the AAP We will take a lead role in getting information out to area physicians, parents and school athletic published guidelines for primary practices. I share this with staff and highlight the essentials.” programs. We can advocate for prevention and for best protocols when a concussion occurs. I would like to establish a concussion hotline that will work two ways: primarily as a means of helping In his approximately 30-minute presentation, offered free to area practices, Dr. Torres focuses on equipment and training. “Emergency training children who suffer concussions, but also to collect information that can move research forward. should involve everyone in the office,” he notes. “The first person to see a sick baby is usually the receptionist, after all. Everyone needs to understand their role. Where do we keep the emergency equipment is something people should know without thinking. You should train, Dr. Maugans comes to NCH from Cincinnati Children’s Hospital Medical Center where he served practice, and repeat training on a regular basis. Somebody should be in charge of making sure equipment is checked regularly. It is important as a pediatric neurosurgeon and Assistant Professor at the University of Cincinnati College of to have a process and stick to it.” Medicine. Prior to joining Cincinnati Children’s Hospital in 2009, he was a pediatric neurosurgeon at The Children’s Medical Center of Dayton in Ohio. Since emergencies are a fact of life for primary care providers, being ready is the right thing to do for children. It can also help protect the practice. “Lack of preparation for an emergency situation may be a true cause of increased liability,” said Dr. Torres. “When a practice has the right equipment and staff is trained to use it when necessary, everyone is safer.”

If you’re interested in scheduling Dr. Torres to present at your practice, please contact your professional liaison.

Page 2 Page 3 Opening October 22 Nemours.org Anesthesiology Team Focuses on Family-Centered Safety and Comfort NCH Announces New Additions to Medical Leadership Team

As Nemours Children’s Hospital’s new Chair of Anesthesiology, George Mychaskiw, DO, will lead a department dedicated to Steven L. Frick, MD, Chair of Orthopedic Surgery treating every child as if he or she were our own. “Everything we do will contribute to a better patient experience,” he Steven L. Frick, MD, has recently come to Nemours as the new Chair of Orthopedic Surgery. He joins the team from Carolinas Medical Center and Levine says, “because our goal is better medicine for the child.” Dr. Mychaskiw notes that his team’s philosophy is to provide Children’s Hospital in Charlotte, North Carolina, where he served as a faculty member of the Department of Orthopedic Surgery and the Orthopedic Residency the safest and most effective treatment for children. This includes not only the practice of letting parents accompany a Program Director. Dr. Frick received his undergraduate degree from George Washington University in Washington, D.C., and graduated from the Medical child into the operating room for sedation, but also allowing them to be present when the child awakes from anesthesia. University of South Carolina in Charleston. He completed his internship, residency and a research fellowship at the Carolinas Medical Center. He also “When a child is calm, it takes less medication to sedate,” said Dr. Mychaskiw. “Our team will be focused on keeping completed an additional fellowship in pediatric orthopedics at Children’s Hospital San Diego and the University of California at San Diego. He is a highly children as safe as possible. With the jury out about the long-term implications of anesthesia, especially repeated episodes regarded expert in orthopedics, with clinical and research interests in congenital clubfoot, hip dysplasia, limb deformities, neuromuscular diseases and musculoskeletal trauma. in young children, we will take every precaution we can.” Dr. Frick has published or co-authored more than 50 articles and book chapters. He currently serves on the board of the Pediatric Orthopaedic Society of North America and the J. Robert Gladden Orthopaedic Society, and as scientific program chair for the American Academy of Orthopaedic Surgeons. He has longstanding interests in medical education, Precautions include innovative drug selection. “Our emphasis is on doing things the best way, but not necessarily the easiest,” he notes. “The anesthetics we and is editor of the Resident Review Newsletter and chair of the Core Curriculum Committee for the Pediatric Orthopaedic Society of North America. A respected researcher prefer are more difficult to use than traditional choices, but they are ‘cleaner,’ with a quicker wake-up. We are interested in drugs that are less and lecturer, he has been honored by the American Orthopaedic Association as both a North American Traveling Fellow, and as an American-British-Canadian Traveling Fellow. irritating to the brain, alternatives to traditional narcotics, for example, which can cause itching, nausea and vomiting. Choices like this are part of a philosophy to second-guess ourselves where it can help improve outcomes. We looked for flexibility when we recruited our team, Monica Epelman, MD, Vice Chairman of Radiology and Director of Clinical Radiology Research and we don’t have a lot of sacred cows. We are not going to do it the way it has ‘always’ been done if there are better ways available.” Monica Epelman, MD, will serve as the Vice Chairman of Radiology and Director of Clinical Radiology Research. Her areas of expertise include pediatric cardiovascular and body imaging, as well as applications of ultrasound in pediatric imaging. She has published more than 50 articles and is a sought-after Leveraging the Nemours System speaker. Dr. Epelman received the Caffey Award for Outstanding Basic Science Poster in 2004 and the Caffey Award for Outstanding Scientific Poster in Dr. Mychaskiw came to Nemours partly because he subscribes to the family- and child-centered 2012, both from the Society for Pediatric Radiology. In 2008, her work received the Walter E. Berdon Award for the Outstanding Clinical Paper published care philosophy that is embedded in the culture. “We can take advantage of systems already in the journal Pediatric Radiology. Fluent in English and Spanish, Dr. Epelman attended medical school at Universidad Nacional de Cordoba and she in place to make things safer for children and easier for families,” he notes. obtained a master’s degree in diagnostic imaging at the Sackler School of Medicine, Tel Aviv University. She completed her radiology residency in Israel, and four years of fellowship training in pediatric radiology as well as cardiovascular and interventional radiology at The Hospital for Sick Children in Toronto. Most recently, she served as a An example is the award-winning NemoursOne electronic medical records system, which faculty member and as Director of Neonatal Imaging at The Children’s Hospital of Philadelphia. enables coordinated care. “If a child needs ear tubes and will also require an unrelated surgery, we can put her under just once for both procedures.” NemoursOne also permits centralized Victoria Niklas, MD, Division Chief, Neonatology scheduling, a benefit for families. “We can pair the child’s pre-anesthesia evaluation and Victoria Niklas, MD, joins Nemours from Los Angeles, California, where she was Associate Professor of Pediatrics at the Keck School of Medicine of the pre-op appointment with their surgeon so families won’t have to make an extra trip.” University of Southern California and an attending neonatologist at Children’s Hospital Los Angeles (CHLA) and the Center for Newborn and Infant Critical Care at Hollywood Presbyterian Medical Center. She earned her medical degree from Harvard Medical School and a master’s degree in biochemistry and NemoursOne offers another important capability: patient-by-patient outcome tracking. molecular biology from Harvard University. She completed her residency in pediatrics at CHLA and a fellowship in perinatal and neonatal medicine at “I was attracted to the academic focus at NCH because it will enable research that would University of California, Los Angeles. Dr. Niklas brings expertise in the intensive care management of newborns and infants in need of advanced medical not be possible at most children’s hospitals,” said Dr. Mychaskiw. “NemoursOne will let us and surgical critical care. In addition, she is a keen researcher whose interests are in understanding the development of the intestinal immune system and its role in protecting look at the way our sedation methods are working across many patients. Clarity of information the newborn from life-threatening diseases such as necrotizing enterocolitis, as well as nosocomial and perinatal infections. One of Dr. Niklas’ most rewarding academic roles should lead to a safer, more efficient experience.” has been to serve as a mentor for medical students, clinical residents, fellows and junior faculty.

Specialized Team Richard H. Sandler, MD, Division Chief, Gastroenterology, Hepatology and Nutrition In anticipation of patients with diverse and serious needs, the department has recruited anesthesiologists and nurse anesthetists from many Dr. Richard Sandler recently served as Associate Chairman for Research and Director of Pediatric Gastroenterology, Hepatology and Nutrition, Department of different specialty areas of pediatric anesthesiology. Coming in August is Dr. Kathy Rosen, an expert in education and simulation events who Pediatrics, Rush University, Chicago. Dr. Sandler was also an attending pediatric gastroenterologist at Stroeger Cook County Hospital in Chicago; Adjunct will help keep the department alert and prepared for unanticipated events. Dr. Raquel Buser, Associate Professor in the Department of Biomedical Engineering, University of Illinois at Chicago; and President of a biomedical research company in who joins Nemours from Children’s National Medical Center in Washington, D.C., brings deep Evanston, Illinois. Dr. Sandler earned his medical degree from the College of Human Medicine, Michigan State University in East Lansing where he did his We are not going to do it the way it experience in family-centered medicine. Dr. Ivana Bielwaska is an academic anesthesiologist who, pediatrics residency. He was a research fellow at the Clinical Research Center, Whitaker College, Massachusetts Institute of Technology, and completed Dr. Mychaskiw predicts, will help train the next generation of anesthesiologists in Central his clinical and research fellowship in pediatric gastroenterology, hepatology and nutrition at Boston Children’s Hospital and Massachusetts General Hospital, Harvard Medical has ‘always’ been done if there are Florida. In January of 2013, the department will welcome Dr. Lisgelia Santana Rojas, one of School. Dr. Sandler is board certified in pediatrics and pediatric gastroenterology, hepatology and nutrition. better ways available. the top chronic pain anesthesiologists in the world. “It is such a small club, her specialty,” says Dr. Mychaskiw. “She will bring unique skills to NCH for children with cancer, nerve injuries, James Franciosi, MD, Associate Chief, Gastroenterology, Hepatology and Nutrition and other conditions that cause chronic pain. She uses methods like spinal cord pumps and As Associate Chief of Gastroenterology, Hepatology and Nutrition, James Franciosi, MD, has published over 25 peer-reviewed journal articles with research stimulators that are very effective but also rare, because people don’t look at anesthesia in kids like they do in adults. When kids have chronic focused on defining and validating symptom and quality of life clinical outcome measurement tools in addition to NIH-funded disease-specific registries pain, it is overlooked. For example, child cancer patients who are in pain are typically treated with narcotics alone, or sometimes cognitive for clinical care, clinical and translational research, and quality improvement. Dr. Franciosi has particular interests in eosinophilic GI disease and therapy. We can do a lot better.” inflammatory bowel disease. Prior to joining Nemours, Dr. Franciosi was an attending physician in the Division of Gastroenterology, Hepatology & Nutrition at Children’s Hospital Medical Center in Cincinnati, Ohio (CCHMC), and the Director of the Registry for Eosinophilic Gastrointestinal Diseases (www.regid.org). Before he joined Nemours, Dr. Mychaskiw served as Professor and Chair of Anesthesiology at Drexel University College of Medicine and He earned his medical degree from the Medical College of Wisconsin, Milwaukee. He holds a master’s in cellular biology, neurobiology and anatomy from Clinical Service Chief of Anesthesia at Hahnemann University Hospital. He was an intern, resident, and fellow in both cardiac and pediatric the Medical College of Wisconsin and a master’s in clinical epidemiology from the Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia. anesthesiology at Yale University. Dr. Mychaskiw is an avid medical researcher, with interests that range from pre-anesthesia evaluations to He completed two years in general surgery at Parkland Hospital, University of Texas Southwestern in Dallas, followed by a pediatric internship and residency, and clinical fellowship in the potential of hyperbaric medicine in treating children, including newborns. pediatric gastroenterology, hepatology and nutrition at The Children’s Hospital of Philadelphia. Dr. Franciosi is board certified in general pediatrics and pediatric gastroenterology.

Page 4 Page 5 Opening October 22 Nemours.org Ormond Pediatrics Enjoys Successful EMR Transition With EpicCare Prepare Parents for a Buggy Season

As a recognized leader in electronic medical records (EMR), Nemours now offers area pediatricians the opportunity to transition from paper Heavy rains and standing floodwaters have set the stage for what experts predict could be the heaviest late-summer-through- records to its highly customized EMR software, EpicCare, known as Community Connect. Ronaldo Lozano, MD, of Ormond Pediatrics, fall mosquito season in recent history. Local pediatricians and primary care physicians have an opportunity to educate whose practice was the first in our network to adopt the program, notes that he was an unlikely choice to play guinea pig. parents on mosquito bite risks and prevention, notes Catherine Lamprecht, MD, Division Chief of Infectious Diseases at Nemours Children’s Hospital. “I was reluctant because my first attempt to go electronic seven years ago was not successful,” he says. “And even though I knew government penalties are coming, I figured it would be pennies compared to the expense and frustration I experienced the first time around.”

Then a Nemours CME presentation on meaningful use in Orlando piqued his curiosity. “Nemours offered a demonstration of their EpicCare Mosquito Essentials for Parents EMR system and I decided I had nothing to lose. Ultimately, I chose the full suite of EpicCare including all of the practice management §§ Risk awareness components, such as registration, scheduling and billing systems.” - The chief mosquito-borne threat currently is West Nile virus, a disease unknown in the U.S. before 1999 that is now widespread. Children are also at risk for encephalitis viruses. Malaria and dengue fever are very unlikely locally. Reflecting on Ormond Pediatrics’ transition to §§ Prevention strategies EpicCare in November of 2011, Dr. Lozano - Avoid outdoor activities at dawn and dusk, the prime times for mosquito activity. and his wife and business manager Sharon - Dress children in protective clothing: long sleeves, long pants, socks, etc. Lozano say they couldn’t be happier with their - The best insect repellents for children are a lower-percentage DEET formula decision. Credit, they add, goes in large part to (ALWAYS follow package instructions carefully); picaridin; or oil of lemon-eucalyptus. Harry MacCorkle, Nemours Health Informatics - Invest in a stroller net for infants and young toddlers. Manager, who guided them through the - Empty all standing water sources in your environment: stagnant/abandoned pools, process and still checks in almost daily. “I am birdbaths, pails, puddles, etc. not good with computers, so I was worried,” - Stay clear of mosquito-intense areas. said Dr. Lozano. “But Harry made it possible. §§Mosquito first aid after a child is bitten He even set things up so I could train on the - Calm itching that can lead to scratching and infection with any of the following: system at home. I practiced for several hours ú Calamine lotion one night, and the next day, I knew what I ú oral Benadryl® was doing. We were afraid we might have ú a paste of baking soda and water slow-downs, but it never happened. From ú apple cider vinegar dabbed on with a cotton ball the beginning, the transition was easy and ú hot or cold compresses smooth. Part of the reason is that Nemours - Bathe daily to lessen the possibility of a bacterial skin infection like Staph or Strep. has customized EpicCare for pediatrics, with - Cut fingernails. orders for medication dosages, vaccines and - Antibiotic creams can also be used on individual bites. procedures all specific to children. It is a definite §§ When to call a doctor timesaver over other EMR programs.” - Fevers, headaches, body aches, weakness, and/or confusion are all Dr. Ronaldo Lozano and his team at Ormond Pediatrics have experienced a smooth EMR transition with Nemours’ customized software. cause for concern and need evaluation by your doctor. - Abscesses with redness and swelling around the insect bite may signal In some cases, Nemours can subsidize EpicCare for eligible pediatricians. Individual practices are responsible for hardware purchases. infections that need medical attention. In Dr. Lozano’s case, that meant new laptops for the practice. But the benefits, he points out, far outweigh expenses. They include:

§§ Enhanced patient safety “We have less chance of mistakes now; for example, it improves the way I prescribe because the medication guidelines are right there on the screen. After 30 years of practicing pediatrics, I can be a better doctor.” §§ Improved work processes “It’s a much better way to keep organized, and prescribing is so much simpler than before. It’s easy to see all of a patient’s data when someone calls and easy for parents to request medications. Everyone can just pull the chart right up.” §§ Better interoffice communication “The front desk can flag urgent information so nurses can easily see priorities. Better communication is good for everybody.” §§ One-click external communication “We can send prescription requests directly to pharmacies, with far fewer callbacks from pharmacists. Electronic referrals go straight to Nemours, and other referrals are easier now, too. Nemours is working to finalize contracts to allow lab orders and results to interface with Labcorp and Quest. An Interface with FLShots will be available at a later date.” §§ Integrated EMR system “This means no more re-entering data between systems. EpicCare provides seamless integration between registration, scheduling, clinical documentation and billing.”

If you are interested in learning more about EpicCare contact Harry MacCorkle at [email protected] or (302) 651-6216.

Page 6 Page 7 Opening October 22 Nemours.org