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One year after go‑live, hospital and Oracle/Cerner partners report progress and continued reporting/interoperability work

Hospital Authority Board · November 21, 2025

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Summary

Hospital and Oracle (Cerner) staff said Nashville General went live with Oracle Health Community Works on Dec. 16, 2024; they described successful clinician adoption but ongoing reporting and patient‑accounting integration challenges and recommended a phased roadmap including an enterprise data warehouse and interoperability improvements.

Interim CEO Dr. Elders and visiting Oracle/Cerner executives told the board that Nashville General went live with Oracle Health Community Works on Dec. 16, 2024. Presenters said clinicians are using the system effectively and the hospital has seen benefits in medication safety and infection‑prevention workflows, but reporting and the integration with the third‑party patient‑accounting vendor remain challenges.

Oracle representatives described plans to move legacy Cerner reporting to Oracle Analytics, to build an enterprise data warehouse for more robust executive dashboards and to work with the hospital on a patient‑accounting roadmap. They said changes implemented to date reflect 90% of the originally purchased functionality and recommended continued listening sessions by department, governance for change control, and a strategic road map for billing/patient‑accounting integration and analytics.

Board members asked for a clear layout of the optimal target state, timeframes, costs and who would be needed to complete the work. Oracle and hospital staff said they would provide a further roadmap and continue weekly engagement with the hospital team; the board asked for future progress reports.