Success story
Lahey HealthIndustry• HealthcareSolutions• OpenText™ Clinical Archiving• OpenText™ Documentum™
• OpenText™ Intelligent Capture

Lahey Health delivers timelier,evidence-based care
A complete view of the patient delivers better customer
experience at the point of care

Results
Eliminated the need to leave
the EHR to gain a historical viewof a patient’s health
Improved clinical efficiency
Leveraged historical data toimprove clinical decision making“With the help of OpenText™ Documentum™, we’ve made patient
information that wasn’t migrated into Epic available insideof Epic Hyperspace with one click. Our clinical providers arethrilled with the seamless access to patient data, which they
have as a result of Clinical Archiving, a unique approach to thischallenge—which many organizations in the industry face.”
David Reis

Ph.D., CIO
Lahey HealthLahey Health delivers timelier, evidence-based care

Throughout northeastern Massachusetts and southern New Hampshire,
Lahey Health comprises nationally recognized, award-winning
hospitals, primary care providers, specialist physicians, behavioral
health services and post-acute programs, such as home healthservices and senior care resources.

Increasing clinical efficiency and improving outcomes

To deliver timelier, more evidence-based care, improve outcomes
and increase clinical efficiency, Lahey deployed Epic electronic
health record (EHR) technology. Epic held the promise of providing
a single, complete view of the patient record. “As an integrated
delivery network, we have a robust ambulatory environment, as
well as a dynamic inpatient environment,” said David Reis, Ph.D.,
chief information officer for Lahey. “As Lahey transitioned to a fully
electronic patient chart, we considered a single, longitudinal viewof the patient chart as a necessity that would help manage andimprove care coordination across the continuum of care.”
As healthcare organizations like Lahey move to EHRs, they are alsotransitioning to a value-based reimbursement and consumerizationof-care delivery model. The consumerization of care requires accessto as much relevant patient information as possible so the right clinicaldecisions can be made at the point of care, which often occurs outside
the walls of traditional physician’s offices and exam rooms. The presenceof patient data in a variety of legacy systems makes it difficult to giveclinicians a complete view of the patient’s overall health.
Meeting the challenges of legacy systems
Moving to Epic while maintaining legacy systems presented Laheywith clinical and IT challenges. “We had a significant amount of
unstructured legacy data that could not be practically converted

to our new Epic EHR system,” said Lore Chapman, vice president
and chief enterprise architect for Lahey Health. “We needed thisdata somewhere it would be accessible to our clinicians in an
efficient manner, taking advantage of user and patient context.”
That “somewhere” became the joint solution developed by Lahey andOpenText™ Documentum using the OpenText™ InfoArchive solution.

Creating the clinical archive“We found a willing partner who could help us bring to fruition our idea
for where to put all the data that wouldn’t be migrated to Epic,” notedReis. “Documentum seemed like a tool that could be adapted to thisuse case. So, we joined forces and Clinical Archiving was born.”
A major step in the process: deciding what would be moved to Epicand what would live in the archive. Lahey started with Epic’s
recommendation on which data to migrate to the new EHR. It also
enlisted its own clinical and governance experts. “We wanted tominimize how often the provider had to look in the archive,” said
Tonya Hongsermeier, MD, Chief Medical information Officer for Lahey.
“So, we used the 80/20 rule. Eighty percent of what a clinician would
normally need to see would live in Epic. The other 20 percent would
be in the archive. As much as possible, we wanted to eliminate
spelunking for information.” Lahey also created snapshot views of all
the discrete data that resided in each of the original legacy EHRs. The
data lives in the archive and the snapshots are generated at run time.
“We were converting data from a variety of systems into Epic,” added
Chapman. “And we didn’t want to force clinicians to hunt through all
the different source systems to find what they needed. So, ClinicalArchiving gave them a central repository to look into.”“We’re finding thatthe move to Epic
has been one of thethings attracting
other organizations
to consider affiliatingwith Lahey Health.”
David ReisPh.D., CIO
Lahey HealthLahey Health delivers timelier, evidence-based care

Clinical Archiving used a vendor-neutral XML format, which enabled
Lahey to retain information from legacy systems in a single, costeffective, compliant archive. For clinicians, the solution makes archived
information available at the point of care without leaving the EHR.
For health information technology (HIT) managers, Clinical Archiving
assures compliance via immutable data, security, encryption and audit
trails in a non-proprietary, application-independent format.
Enhancing clinical decision support
Patient information from legacy systems has always had value, but it isoften spread across disparate systems with no common format to makeit usable. As the industry starts to recognize using the right technology
can overcome that hurdle, clinicians can use legacy information as atool to enhance the quality of care and improve outcomes.
Integrating Epic with the archive created by Lahey and OpenText has
made a significant contribution to improving clinical decision support.
It eliminates the need for providers to exit Epic, open another applicationand hunt for a patient’s history in some other system. “When you’retrying to take care of patients, you really need to have all theinformation available,” said Hongsermeier. “And while we migrated
a lot of data into Epic, it would have been a huge step backwards tolose access to so much historical data.”
Reis pointed out, “For the first time, we are able to put a lot of
information about our patients right in front of the provider.
Now they can make better, more longitudinally-based decisions
by consulting a deeper set of data in a seamless, contextappropriate manner.”In the past, migrating from one EHR to another had providers clamoringfor patient information they could no longer access. Not this time. “Youcan’t really measure the avoidance of a problem,” said Shiby Thomas,
Ph.D., Lahey’s vice president for data warehouse and analytics. “But,with Epic and Clinical Archiving, easy access to legacy clinicalinformation was a huge problem that we didn’t have. The strategy
to create a centralized repository for legacy clinical data was criticalto minimize the disruption of the EHR replacement.”

A valued partnership

In 2005, Lahey chose Documentum and Intelligent Capture to handle
its document management needs. The areas that leverage content
management solutions include contracts, admissions and in-patient
records and automated incident reporting.

To continue to provide integrated document management as it migrated
to Epic, Lahey deployed its OpenText™ Documentum ™ Healthcare
Integration Portfolio Epic Integration. The Connector for Epic integrates
Documentum with Epic and makes advanced content management
features available to the Epic user in a transparent manner.
HIP implements healthcare IT standards, such as XDS, HL7 and DICOM,
while applying the rich content management services of Documentum
to patient-related content throughout its lifecycle.
“We’re finding that the move to Epic has been one of the things
attracting other organizations to consider affiliating with Lahey
Health,” said Reis. “And we know that having Documentum andClinical Archiving as our underlying technology is what makesthat available.”

About OpenText

OpenText, The Information Company,
enables organizations to gain insight
through market leading information
management solutions, on-premises orin the cloud. For more information about
OpenText (NASDAQ: OTEX, TSX: OTEX)
visit opentext.com.
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