But he has also helped develop an EHR strategy to assist 7,000 affiliated physicians in the service area of the organization to purchase and deploy EHRs in their office-based practices.Read profiles of the AMDIS award winners
Fortune smiled on North Shore-LIJ in early June with Allscripts-Misys Healthcare Solutions' announced acquisition of Eclipsys Corp. North Shore-LIJ uses Eclipsys products for its inpatient EHR and selected Allscripts for its ambulatory EHR vendor. “We're very happy in retrospect with the choices we've made.”
“What's incredibly exciting about what we're doing at the health system is the belief the future depends on its ability to integrate care across all components,” Oppenheim says, not just the hospital or doctor's office, but also home care, long-term-care facilities and hospice. Getting all of these providers and care settings wired up and interconnected “is necessary to set us up for any kind of bundled-payment, quality-based payment system. We believe they're all coming.
“This transcends not only all of the North Shore-Long Island Jewish facilities, but all of the providers in the geographical area,” Oppenheim says.
“We started enrolling toward the end of 2009,” Oppenheim says, adding that he expects a “surge” of signups and rollouts by affiliated physicians through 2011, which includes much of the first “payment year” under the Medicare portion of the federal EHR subsidy program of the American Recovery and Reinvestment Act of 2009. Faculty practices should be all up and running by 2012, he adds.
Affiliated physicians will be offered two “tiers” of financial support from the hospital for EHR installations, which will avail itself of the 2006 Stark and anti-kickback law exemptions, Oppenheim says. The hospital will pay a 50% EHR subsidy for affiliated physicians interested in sharing clinical data on specific patients for clinical use, he says.
North Shore-LIJ will subsidize the maximum under federal waivers, 85% of an EHR's cost if a physician will share data on all patients—“to pull quality metrics across the region,” Oppenheim says.