e4 employs proprietary tools and methods to drive Cerner implementation projects efficiently. We deliver transparency, timeliness and accountability for Cerner net new and extension initiatives.

We provide insight into the functionality of all charge interfaces, all charge generation points, core revenue cycle workflows, claim rules, claim edits, and 3rd party solution functionality. Our charge auditing validates charge content against Revenue and Usage within the legacy system, providing a report of any gaps in future state design compared to existing activity.

1. Program Management Architecture and Leadership: Comprehensive, efficient, and aligned to Cerner’s methodology, we leverage program management best practices (our LEAN Engineering Playbook) and utilize e4’s Program Management & Metrics Dashboard (e4caster™).

  • Program Architecture, Deployment and Management (Program Director/PM’s)
  • LEAN Program Governance Structure Establishment
  • Executive Bootcamp, Team Lead Bootcamp, SWAT Team

2. High Impact KPI Protection Services & Design Audit Team: Designed to ensure that program tactics, work sessions and designs are optimal and protect the financial interests of the organization. Package includes e4 tools and leverages Cerner tools where available.

  • Clinically Driven Revenue Cycle Bootcamp, Work Session/Kaizen to Build a KPI Protection Blueprint
  • Design Review: Workflows, DCW’s, Design Decisions, Education Content
  • Revenue and Charges Design Audits – Including Cross Walks to Revenue and Usage Data
  • Executive KPI Dashboard and Operational KPI Tracker
Cerner Case Studies – Tools and templates proven to drive Cerner program success. Request the presentation.

3. Testing Office Leadership and Staffing: Proven and repeatable testing services, managed through e4caster™ dashboard, provide unparalleled visibility into go-live readiness.

  • Testing Office Architecture, Testing Directors, Managers and Coordinators
  • Testing Readiness Scorecards, Reporting and Briefings, Roadmap & Timeline, Resource Plan
  • Cost Confidence Modeling (Balance Testing Comprehensiveness and Costs)
  • Design and Manage Effective Integrated and Claims Testing Events

4. eMPI Cleanup: Unique strategies to not only identify and remediate eMPI issues, but to also solve the underlying cause of duplicate creations.

  • Duplicate Identification and Cleanup Services and Productivity Tracking Dashboards
  • Duplicate Avoidance Best Practice Process Development and Application

5. Cerner Staffing: Expert specialists to fill in for team and staffing gaps.

  • Revenue Cycle, EMR and Allied Health/Ancillaries
  • Integration Architects, Subject Matter Experts, Project Managers, Program Directors,
    Testing Coordinators, Testing Directors, Workflow Designers, KPI Protection Experts

Additional Services Provided:

  • System Release Upgrade Services
  • Education, Communications
  • Change Management Strategy, Design, Planning and Content
  • HIM Services: Productivity & Staffing Allocation Models, Cross Team Collaboration for Issue Resolution
  • Go-Live ‘At-The-Elbow’ Support Team

CASE STUDY: LEAN Engineered EHR Conversion Strategies

Lessons Learned from a Successful LEAN Engineered EHR Conversion at Winthrop-University Hospital

Winthrop University Hospital (WUH), a 591-bed university-affiliated medical center and New York State-designated Regional Trauma Center located in Mineola, NY, recently embarked on a Cerner Soarian Big Bang EHR conversion, transitioning to both Cerner Soarian Financials and Cerner Soarian Clinicals. By utilizing a LEAN Governance Model (“DELTA Team”), visibility tools and a commitment to LEAN project management, WUH was able to achieve a successful conversion. This case study highlights several proven strategies that contributed to the success of the project. Download the case study.