Healthcare IT News - April 2008 - (Page 18)

18 Healthcare IT News ■ April 2008 PHYSICIAN PRACTICES & AmBULATORY CARE not allow physicians to bring pens into the new facilities. “We wanted this to be more than just an EMR transition,” Klasko said. “We wanted everyone to view this as an entire business transformation.” “If we were going to lead the quality revolution, electronic records were someStephen Klasko, thing we had to do,” he MD added. Klasko’s research found that 87 percent of USF-affiliated physicians expected their practice to be automated within 10 years, but 60 percent of those had no immediate plans to convert. www.HealthcareITNews.com table: (1) patient pressure; (2) financial incentives; (3) decrease in cost; and (4) fear of compliance penalties. In its EMR transition, USF decided to encourage physicians to think creatively. “We changed the leadership culture of our physician group,” said Klasko. “We found that we needed to spend most of our energy on the ‘silent majority’ of physicians, not on converting those who would never really accept the EMR. It’s absolutely critical to manage change.” More at CHaNge Continued from page 17 includes 394 physicians and 69 nurse practitioners who see patients throughout the Tampa Bay area. “We did a six year study looking at how physicians negotiate, communicate and handle change,” said Klasko. “We took a ‘history of the future’ approach. We wanted to know what we would need to succeed in 2018.” When organizing the group practice, the USF leadership team decided they would “When physicians ENCOUNTER CONFLICT, they usually become either hypercompetitive or try to avoid the situation.” – Stephen Klasko, MD However, the physicians cited four “drivers” that would move up the EMR time- HealthcareITNews.com e ●Connect: CHaNGe 0408 J u n e 9 - 10 | R E N A I S S A N C E WA S H I N G TO N , D C H OT E l NyC Continued from page 1 Soar to New Heights of Health IT Leadership High level policy issues and their implications, strategic educational topics and influential keynote speakers highlight this one-of-a-kind, executive leadership forum. Advance your leadership by harnessing the power of healthcare IT… attend HIMSS Summit08! ► Results-based Partnerships Achieving new levels of collaboration between practices and enterprise affiliates ► Rights, Access and Privacy The C-Suite and payors, retail clinics, PHR use cases and consumer privacy ► Fiscal Fitness Cost, quality and reporting outcomes, funding and pay for performance ► The C-Suite Game Plan Optimizing collaborative relationships between the C-Suite and stakeholders For more information and to register, visit www.himsssummit.org today. John Agwunobi, MD, MBA, MPH Senior Vice President & President, Health & Wellness Business Unit, Wal-Mart Stores Division Charles Cook Publisher, The Cook Political Report and Political Analyst, National Journal Group James Canton Chairman and CEO, Institute for Global Futures Earn ACHE, CNE or CPHIMS continuing education credits or sit for the new CPHIMS exam! CEO IT Achievement Award Recipients! American College of Healthcare Executives (ACHE) Healthcare Information and Management Systems Society is authorized to award 9.75 hours of pre-approved Category II (non-ACHE) continuing education credit for this program toward advancement, or recertification in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward Category II credit should indicate their attendance when submitting application to the American College of Healthcare Executives for advancement or recertification. Continuing Nursing Education (CNE) This activity qualifies for 9.75 contact hours of continuing nursing education. HIMSS is an approved provider of continuing nursing education by the Illinois Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. CPHIMS HIMSS is providing up to 22.2 continuing education contact hours toward renewal of the CPHIMS credential. Attendee tracking forms are available for download at www.himsssummit.com. Innovative leaders tell the story of harnessing IT to advance their business. Modern Healthcare and HIMSS are proud sponsors of this year’s 6th annual CEO IT Achievement Awards. areas of central Brooklyn, Harlem or the South Bronx are also eligible. “We are using public money, and so we felt that we should first deal with and help support physicians who practice in the poorest neighborhoods,” Mostashari said. The city provides participating practices a package of software and services, including two years of maintenance and support, and the system training for physicians and their staff members. In return, each practice has to supply its own computer and Internet connection and contribute $4,000 to a technical assistance fund. The city is spending $30 million on the program, and it will receive $5 million from the federal government to evaluate it. According to the American Academy of Family Physicians, individual patient data will be restricted to patients and their doctors under the terms of the program. But the city’s health department will be able to evaluate patient outcomes, which could lead to higher payments for physicians based on performance. There is a danger, however, that EHRs could “simply digitize inefficient workflows,” Vito Grasso said Mostashari. Mostashari explained that New York City would be working with the National Committee for Quality Assurance to devise a streamlined, facilitated path to medical home certification for the practices that participate in the program and make full use of the EHR. The AAFP reports that some of its members in New York City have raised questions about the program, saying interoperability remains a prime concern. “The system that the city has chosen may not be compatible with or interoperable with some of the systems our members may employ,” said Vito Grasso, executive vice president of the New York AAFP. “That is a constant issue in technology transfer – whether the system is going to become antiquated in a short period of time.” Cost also will be an issue for some physicians. Marianne LaBarbera, MD, of Staten Island, a solo family practitioner in the final stages of implementing the New York City program’s EHR system, said she expects to spend about $20,000 on the software package, which does not include the $4,000 she will have to pay to the technical assistance fund. Nevertheless, LaBarbera expects the EHR to lead to “greater efficiencies” and make it easier to track and manage patient care. ■ More at Opening Keynote Tuesday Keynote Closing Keynote HealthcareITNews.com e ●Connect: NYC 0408 http://www.HealthcareITNews.com http://www.HealthcareITNews.com http://www.healthcareitnews.com/story.cms?id=9000 http://www.himsssummit.org http://www.himsssummit.org http://www.himsssummit.com http://www.HealthcareITNews.com http://www.healthcareitnews.com/story.cms?id=8974

Table of Contents Feed for the Digital Edition of Healthcare IT News - April 2008

Healthcare IT News - April 2008 Contents New Media Push Stepping Down BI Headaches Decision Grants Safety Alerts Summit 08 Growing an EHR Year 24

Healthcare IT News - April 2008

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