Epic Gold Stars: A Roadmap to EHR Excellence and AI-Enabled Healthcare

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Understanding Epic’s Gold Stars Program

Epic’s Gold Stars program is a continuous improvement initiative designed to help organizations assess how effectively they have configured and are using Epic’s features. It spans key focus areas such as patient access, quality, population health, financial tools, and provider productivity. Organizations receive a 1-10 score based on system configuration and, increasingly, real-world utilization, a shift designed to drive better clinical, operational, and financial outcomes from existing Epic capabilities.


Gold Stars Matter for Clinical Outcomes, Operational Efficiency, and Financial ROI

Gold Stars are more than recognition; they link measurable improvements in care delivery to business performance. Beginning in 2025, scoring places greater emphasis on adoption and meaningful usage so that clinicians, staff, and patients can engage with Epic tools more efficiently. Health systems that haven’t prioritized adoption may see scores drop under the new rules, potentially affecting Honor Roll status and related incentives.

A fully utilized Epic system can reduce cost and increase revenue capture, all while facilitating a smoother healthcare delivery process. For example, streamlined billing workflows and tools like automated denial management can boost revenue and cut labor costs, while patient engagement features improve satisfaction and provider productivity.

In addition, higher Gold Star levels are often associated with improvements in quality metrics, such as a decrease in hospital-acquired conditions and a reduction in length of stay. These improvements not only enhance patient outcomes but also contribute to the overall efficiency and effectiveness of the healthcare organization.


BDO’s Five-Step Approach to Gold Stars Optimization  

BDO helps organizations meet these evolving expectations with a five-step approach that utilizes existing investments and prioritizes improvements based on impact and ROI:

  • Discovery: Our team conducts a thorough review of your Epic and Epic+ environment, workflows, and pain points to identify underutilized functionality, unnecessary complexity, and superfluous software.

  • Strategic Planning: We create a roadmap that addresses immediate workflow improvements and position your organization to adopt emerging technologies and AI.

  • Implementation: We help execute the strategic plan with precision and attention to detail, supported by robust change management to drive adoption.

  • Measure Success: We evaluate the impact of the changes on set metrics to track improvements (e.g., clinic throughput, documentation time, revenue cycle KPIs).

  • Sustainability: Our professionals establish governance and training frameworks for continuous improvement to maintain momentum and adapt to industry changes in a measured, intentional manner.

  • Lay the Foundation for AI and Future Innovation

    By approaching Gold Stars optimization in stages, organizations can achieve the early wins that secure executive buy-in while building the foundation needed for more complex initiatives. Features that streamline communication (secure messaging, in-basket automation), documentation (Ambient Listening, SmartTools), and care coordination (personalized decision support, population health dashboards) all contribute to a more efficient, patient-centered operation.

    As AI becomes more prevalent in healthcare, Gold Stars optimization helps with workflow efficiency and prioritizes complete, high-quality data — conditions essential for success with emerging technologies. Organizations that rush to layer AI tools on top of poorly utilized electronic health records (EHR) systems often add complexity without meaningful benefit. By climbing the Gold Stars ladder now, healthcare providers build the processes, governance, and user engagement needed to make future innovations feasible and effective.

    A well-structured Gold Stars initiative can do more than enhance Epic; it can create alignment across executive, clinical, and operational teams that allows your healthcare organization to deliver better care. EHR optimization is not just an IT project — it requires collaboration among leadership, clinicians, and operational departments to enhance satisfaction and achieve financial sustainability. BDO uses Gold Stars as a framework to unite these stakeholders around a common language and objective measures, fostering strong governance and a culture of continuous improvement.

    Ready to elevate your healthcare performance with Epic Gold Stars? Contact us today to get started.