Problem: The Cleveland Clinic was an early adopter of the EPIC health IT system, implementing it in 2001, five to ten years ahead of many large hospital systems. In 2015, the Clinic had a unified integrated electronic medical record system, MyPractice, serving all Cleveland Clinic physicians. Using a single common data warehouse, the system was organized longitudinally by patient. All applications, whether they were clinical, administrative or financial, were views of this database. The Clinic's system used the most robust and accepted information standards available for each type of record.6 Patient records included digital data and images, test values, doctors' reports, and extracted values from non digital data such as echocardiograms. When possible, lab computers and medical devices transmitted data directly to the database. From this platform, MyChart enabled the physician and the patient to access the same information.7 Patients could see records, request and cancel appointments, request prescription renewals, and notify the doctors about changes to mail or email addresses. For referring physicians, the Clinic introduced Dr.Connect in 2005. A secure, real-time portal where physicians could review the care being delivered to their patients, Dr.Connect allowed referring physicians to access the records of their patients in real time. Electronic prescribing was also introduced, as was MyPractice Community which enabled doctors not affiliated with Cleveland Clinic to purchase the software add-on for a monthly fee and communicate with other providers in the system. Need Assignment Help?