Cerner Millennium

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Cerner is a supplier of health information technology (HIT) solutions.

Introduction

Cerner was founded in 1979 by its current CEO Neal Patterson, Vice Chairman Cliff Illig, and Vice President Paul Gorup while they were a part of the Knowledge & Content Team at Arthur Andersen.[1] The vision of these three founders was to create a patient-centered system that would serve as an alternative to paper processes or financially oriented systems. Cerner was initially known as a laboratory information system (LIS) developer, and its first product, PathNet, was installed in 1984. Besides automating general lab processes, PathNet encompassed microbiology, anatomic pathology and blood bank information. Cerner was commercially successful early on. It was profitable in its second year following the introduction of PathNet, which was well received by the industry. Incorporated in 1980, Cerner was the market leader in LIS and by 1986 it had 30 client placements. Growth continued with 70 clients in 1987, reaching 250 installations by 1990. While competitors focused on narrower domain, best of breed systems, Cerner's architecture allowed for integration across domains and it rolled out MedNet, RadNet and PharmNet beginning in 1987. Cerner added more modules in the 1990s with SurgiNet, MRNet for records management and Open Management Foundation.[1]

The company is headquartered in Kansas City, MO. It is one of the largest employers in Kansas City and employs over 14,000 associates worldwide.[2]

Clinical Applications of Cerner

Cerner's Vision has 4 pillars:

"1. Automate the Care Process to Eliminate Paper

2. Connect the Person by Providing Virtual Personal Health Systems

3. Structure, Store and Study the Evidence to Create New Knowledge

4. Close the Loop by Implementing Evidence-Based Care" [3]


As a result, the founders created Cerner Millennium, the industry's first person-centric integrated architecture. Cerner Millennium is a partnership of Cerner and HP. The architecture of Millennium allows caregivers and supporting providers the ability to view results, problems, diagnosis, medications, and other pertinent information in real-time as well as share clinical and management data across multiple disciplines and facilities. This architecture has been referred to as Health Network Architecture (HNA), providing 12 major system applications operating by this means, fitting into 4 interrelated groups [1]. In a continued effort to reduce waste and friction in healthcare, Cerner has developed many solutions including employee health, life sciences, medical devices, clinical trial management, and biosurveillance. In 2012, Cerner announced the launch of Millennium + which combines the enterprise platform with the secure Cerner Cloud (http://www.cerner.com/about_cerner/newsroom/cerner_announces_next_evolution_of_cerner_millennium/, 2012).

In 2012, Cerner launched Millennium+, which uses the Cerner Cloud to provide a user experience that is “fast, smart and easy”, enabling caregivers to work via desktop, tablet or smartphone with minimal orientation to begin usage. [4] With a total revenue $2.8B including $391M globally (Cerner Corporation 2013 Annual Report), organizations ranging from single-doctor practices to hospitals to corporations to local, regional, national and global government agencies and organizations use Cerner solutions. As of 2012, Cerner works with more than 9,300 facilities worldwide, including 2,650 hospitals, 3,750 physician practices and 500 ambulatory clinics [5]. Associates span 7,300 worldwide with business in Argentina, Aruba, Canada, Cayman Islands, Chile, Puerto Rico, Saudi Arabia, Singapore, Spain and the United Arab Emirates.[6]

In a press release on August 5, 2014, Cerner Corporation announced that they would be acquiring Siemens Health Services for $1.3 billion. This acquisition will allow Cerner to provide health IT to 20,000 associates in more than 30 countries and 18,000 client facilities, greatly expanding their global presence.[7]

Cerner's use of Oracle's Database Technology

The partnership between Cerner and Oracle helps to provide a number benefits to Cerner customers such as industry-leading scalability and reliability in both clustered and single system configurations; high performance; fault tolerance; heavy online processing loads; and the ability to handle a large number of users (http://www.cerner.com/About_Cerner/Partnerships/Oracle/, 2014). Cerner Millennium applications use an Oracle database and provide a common data model to enable data sharing between applications and to eliminate redundant data, while maximizing reliability and performance. This implementation runs on a variety of networks, processors and operating systems, including Windows XP Professional and any Internet browser.[8] All Millennium installs take advantage of the full Oracle database stack (9iEE, RAC, and the Management Packs). Oracle’s Real Application Clustering (RAC) enables both reliability and scalability by allowing the addition of servers to the host cluster. Cerner also uses Oracle’s Tuning Pack, Diagnostic Pack, and Change Management Pack to help protect the integrity, confidentiality, and availability of its Millennium healthcare data. Oracle’s EAL 4 (Evaluation Assurance Level 4) rating also attests to its robust security. Additionally, Cerner's Remote Hosting Facility uses the full Oracle database stack (9iEE, RAC, and the Management Packs) as well and in an exclusive manner (http://www.cerner.com/About_Cerner/Partnerships/Oracle/, 2014)

[Certification Commission for Health Information Technology (CCHIT)][1] performs rigorous inspection of EHR's integrated functionality, interoperability, security and is intended to serve health care providers looking for maximum assurance that a product will meet their complex needs. These listed products have CCHIT Certification but have not been tested against the applicable proposed Federal standards in existence on the date of certification for certified EHR technology of its type under the American Recovery and Reinvestment Act of 2009 (ARRA):

1) Cerner Millennium FirstNet 2007.19 (Expired April 22, 2011)

2) Cerner Millennium PowerChart 2007 (Expired January 22, 2011)

3) Cerner Millennium FirstNet 2007.19 (Expired April 22, 2011)

4) Cerner Millennium PowerChart/PowerWorks EMR 2007.19 (Expired April 22, 2011).2

Millennium Objects®

Clients can create custom applications on the Cerner Millennium architecture with MillenniumObjects®. MillenniumObjects® utilizes Java and XML services for Application Programming Interfaces (API) development by client developers. MillenniumObjects® can be used to create custom applications and additional features on existing processes. This allows the user to create a unique application tailored to their specific needs using data already present within Cerner Millennium. Third-party extensions are available to create new workflows.[9]

References

  1. www.fundinguniverse.com/company-histories/cerner-corporation-history
  2. Reference: https://www.cerner.com/About_Cerner/Community_Impact/
  3. “Cerner Annual Report 2001” (March 2002) https://www.cerner.com/uploadedFiles/2001_Annual_Report.pdf
  4. Reference: http://www.cerner.com/about_cerner/newsroom/cerner_announces_next_evolution_of_cerner_millennium/
  5. "Cerner EMR Solutions - An Overview". (May, 2012) Excite Health Partners
  6. "Cerner Corporation" (September, 2013) New York Times Business Day
  7. “Cerner to Acquire Siemens Health Services for $1.3 Billion” (August, 2014) Cerner News Release [[2]]
  8. Reference: http://h20338.www2.hp.com/enterprise/us/en/partners/cerner-millennium.html
  9. http://www.cerner.com/solutions/Hospitals_and_Health_Systems/MillenniumObjects/?LangType=3081