Rhode Island Reveals EHR and Practice Management Initiative


As many as half the practicing physicians in Rhode Island could soon be using the same ambulatory electronic health records and practice management system under a vendor deal involving the five largest physician organizations in the state.

The vendor, eClinicalWorks (Westborough, Mass.), inked the deal in January with Electronic Health Records of Rhode Island (EHRRI), a for-profit enterprise established by the medical groups, but announced details at a high-profile event at the State House in Providence last week. Financial terms, however, were not disclosed.

EHRRI, formed last October by Coastal Medical (Providence), Lifespan/Physicians Professional Services Organization, Thundermist Health Center (Woonsocket), and Care New England Health System physician-hospital organizations at Kent Hospital (Warwick) and Women and Infants Hospital of Rhode Island (Providence), has become the exclusive reseller of eClinicalWorks products in Rhode Island. The organization will hire staff certified by eClinicalWorks to provide service and support.

Mark Jacobs, M.D., president and CEO of Coastal Medical, says there also is an unwritten agreement for EHRRI to serve eClinicalWorks customers in neighboring parts of Connecticut and Massachusetts.

Collectively, the five physician organizations represent 1,200 to 1,300 doctors, or half the physician population in Rhode Island. "We have the potential to capture half of the market," says Maria Montanaro, president and chief executive of Thundermist, a safety-net organization with 35 clinicians.

The automation of the practices of so many physicians will give Rhode Island an advantage as regional health information organizations (RHIOs) develop, EHRRI representatives say. "While the RHIOs are being built, we are going to get all the physician offices that we can connected to EHRs," Jacobs says. This will lay the groundwork for future interoperability, he says.

EHRRI developed out of work done by the Rhode Island Quality Institute, a contractor to the Rhode Island Department of Health, a recipient of a $5 million health-IT demonstration grant from the federal Agency for Healthcare Research and Quality (AHRQ). The AHRQ money was intended to build the backbone of a RHIO, according to Rhode Island Quality Institute president and CEO Laura Adams.

In 2004, Adams counted 40 different EMRs or EHRs in use in the state, despite just 12 percent penetration among primary care practices. "The last thing we wanted was the hard-wiring of more fragmentation into our healthcare system," Adams says.

"We are not promoting a monopoly," Adams adds. "We are promoting reduction of variation."

Jacobs says his practice had been looking "in great depth" at about a dozen clinical records systems and found himself comparing notes with a physician at Lifespan, a longtime competitor clearly wary of sharing clinical data with Coastal and other major Rhode Island practices. "We were able to overcome those barriers," according to Jacobs.

Montanaro says that EHRRI cannot advertise a discount price but can subsidize the cost of purchasing the software for its partners and for other interested parties. The company is trying to raise capital, using its leverage to negotiate lower prices, and will be offering EHR-related services, she says.
Click here to log in.

0 Comments

Add Comment

Text Only 2000 character limit

Page 1 of 1

White Papers & Special Reports

Thomson Reuters
The Rise of The Biologists: The Changing Face of The Bioinformatics Industry
Sponsored by Thomson Reuters


Intel
Transforming Large Scale Genomics and Collaborative Research
Sponsored by Intel


Avere
Considerations for Modernizing Scientific Compute Research Platforms
Sponsored by Avere


Life Science Webcasts & Podcasts

medidata_podcast_Sites and Sponsors: Mending Bridges over Troubled Waters  
Sites and Sponsors: Mending Bridges over Troubled Waters
Sponsored by Medidata Solutions Worldwide

This podcast brings together two industry leaders to focus on the issues that divide sponsors and sites. On the one hand sites and sponsors unite in advancing better health care through a common passion for developing better drugs. Yet some issues divide them and bridges need to be built or mended to advance the highest levels of cooperation, coordination and success in clinical trials. Listen as the key issues are debated from the site and the sponsor side and new methods and technology are advanced that offer near-term and lasting solutions.

• Common ground in reaching agreement on a budget

• Improving the pace of agreement on budgets and contracts

• Processes for payment to sites on a timely basis

Listen Now  

More Podcasts

Job Openings

For reprints and/or copyright permission, please contact Angela Parsons, 781.972.5467.