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North Shore-LIJ Health System Investing $400M to Connect Up to 7,000 Physicians, 13 Hospitals with Electronic Health Records System

With national focus on health reform, NY hospital system looks to improve quality and efficiency by subsidizing docs to enroll in NY area's largest automated medical record system

GREAT NECK, N.Y., Sept. 28 /PRNewswire/ -- The North Shore-LIJ Health System announced today it is subsidizing up to 85 percent of the cost of implementing and operating an Electronic Health Records (EHR) system in the offices of its more than 7,000 affiliated physicians in New York City and Long Island -- part of a $400 million investment to strengthen the quality of care throughout the region by automating inpatient and outpatient records in all medical settings, including 13 hospitals. In implementing the largest EHR program in the New York metropolitan area and one of the largest in the nation, North Shore-LIJ will provide physicians with individual subsidies of up to $40,000 over five years.

The North Shore-LIJ Electronic Health Record, powered by Allscripts (NASDAQ: MDRX), will be deployed this fall as part of a bold effort to drive unprecedented improvements in the efficiency and quality of care throughout the region. Embedded within the EHR are automated care guides that will help improve clinical care, prevent illness, and avoid medical and drug errors.

"While the Obama administration and Congressional leaders are still negotiating a comprehensive bill, the essence of real health reform is going to happen at the local level by optimizing technology and involving physicians who are directly involved in delivering care to the communities we serve," said Michael J. Dowling, president and chief executive officer (CEO) of the North Shore-LIJ Health System. "We're not going to measure our return-on-investment (ROI) in terms of dollars and cents; our ROI will be based on our ability to improve patient outcomes." As the federal government continues to move toward a system in which provider payments are based on performance, Mr. Dowling said, the financial subsidies tied to the EHR will assist North Shore-LIJ physicians in providing patients with a full continuum of care, addressing all chronic conditions through evidence-based treatment protocols.

North Shore-LIJ will subsidize either 50 percent or 85 percent of each physician's implementation cost and monthly operational fees, with a maximum incentive of $40,000 over five years. "No comparably-sized hospital system in the country is providing this level of financial assistance to so many physicians to integrate an electronic health record," said Robert Williams, MD, director of Deloitte Healthcare Consulting. North Shore-LIJ is able to offer these incentives to doctors because of recent exceptions made to the federal Stark Law, which previously prohibited hospitals from entering into financial arrangements with private physician practices.

In addition to the subsidies they receive from North Shore-LIJ, physicians may be eligible for up to $44,000 in Medicare incentives over five years as part of the American Recovery and Reinvestment Act.

Physicians who receive the 85 percent subsidy from North Shore-LIJ will agree to use the EHR to report and share their performance data, allowing them to compare it against a set of nationally recognized measures for superior care and outcomes. Embedded within the EHR are automated, best-practice treatment guidelines endorsed by North Shore-LIJ physicians and based on recommendations by the US Centers for Medicare and Medicaid Services, the National Quality Forum, the Institute of Medicine and other leading health experts.

The EHR program will provide real-time, situation-appropriate care plans, clinical alerts and preventive care. For example, when a physician indicates a patient's problem, the clinician is provided with a list of diagnostic tests and possible therapeutic interventions that are considered best practices to help support the decision-making process. In addition, once elements of a care guide are selected, the system suggests a long-term plan for ongoing monitoring of the patient, based on their list of medical problems, as well as standard health care preventive maintenance based on the patient's age and gender.

"One of the fundamental flaws of our nation's health care system is underscored by the fact that 75 percent of our health care costs can be attributed to chronic preventable diseases affected by lifestyle choices such as smoking, poor eating habits and physical inactivity," said Lawrence G. Smith, MD, North Shore-LIJ's chief medical officer. "We need to change our focus from treating `sick' people to promoting an integrated approach to wellness, and a comprehensive electronic health record is a critical and necessary tool to achieving this goal."

Glen Tullman, CEO of Allscripts, noted that providing physicians with real-time care guidelines via the EHR increases the probability of achieving fundamental improvements in the quality of patient care. "Physicians are committed to providing the best possible care for their patients, but to deliver, they need just the right information at just the right time," said Mr. Tullman. "With this initiative, North Shore-LIJ is ensuring that physicians across the entire market area it serves not only have immediate access to the latest care guidelines, as well as access to patient information from every care setting, whether it's their own office, the emergency room or a clinic in another town. Connecting providers to each other and to the latest information is the key to helping our health care system do a better job of managing chronic diseases, providing preventative care, increasing the quality of the care provided and removing waste."

Full-time and affiliated physicians who use North Shore-LIJ's EHR will be able to access patient records and scheduling information in real-time from 13 North Shore-LIJ hospitals and other patient-care facilities, laboratories, pharmacies and other physicians.

"The North Shore-LIJ electronic health record system will be an exceptional tool for bridging the gap between the community, physicians and hospitals," said Randolph DiLorenzo, MD, a community-based family practitioner based in Syosset, NY, who was one of the early adopters of the EHR. "Community physicians working from their offices will be able to easily access lab data, scans and other vital medical records when their patients are in the hospital or emergency room, significantly improving their ability to care for their patients."

To market the service to North Shore-LIJ's vast network of physicians, Allscripts is working with Henry Schein Inc., (NASDAQ: HSIC), the largest distributor of healthcare products and services to office-based practitioners. While all physicians are eligible to enroll in the EHR, initial priority will be given to primary care physicians and specialists treating chronic diseases affecting large segments of the population.

The system is expected to be operational this November, according to John Bosco, North Shore-LIJ's chief information officer. Mr. Bosco said the Allscripts' EHR will connect to a separate inpatient clinical information system from Eclipsys Corporation that North Shore-LIJ is deploying at its hospitals and other facilities. The EHRs will exchange clinical data to inform inpatient caregivers when patients are admitted to a hospital or seen in the emergency room, and improve the ability of physicians to provide ongoing care after the patient leaves the hospital. "We are very excited about using these technologies to enable sharing of patient information across our provider network and facilities, and provide appropriate decision support tools," said Mr. Bosco.

About North Shore-LIJ Health System

The nation's third largest, non-profit, secular healthcare system, the North Shore-LIJ Health System cares for people of all ages throughout Long Island, Queens and Staten Island -- a service area encompassing more than five million people. The health system consists of 14 hospitals, 18 long-term care facilities, The Feinstein Institute for Medical Research, three trauma centers, five home health agencies, a hospice network and dozens of outpatient centers. In addition, North Shore-LIJ is partnering with Hofstra University to develop a new medical school. North Shore-LIJ's owned facilities house about 5,000 beds, employ about 10,000 nurses and have affiliations with more than 7,000 physicians. Its workforce of about 38,000 is the largest on Long Island and the ninth largest in New York City. For more information, go to

About Allscripts

Allscripts uses innovation technology to bring health to healthcare. More than 160,000 physicians, 800 hospitals and nearly 8,000 post-acute and homecare organizations utilize Allscripts to improve the health of their patients and their bottom line. The company's award-winning solutions include electronic health records, electronic prescribing, revenue cycle management, practice management, document management, hospital care management, emergency department information systems and homecare automation. Allscripts is the brand name of Allscripts-Misys Healthcare Solutions, Inc. To learn more, visit or follow us on Twitter at

This news release may contain forward-looking statements within the meaning of the federal securities laws. Statements regarding future events, developments, the Company's future performance, as well as management's expectations, beliefs, intentions, plans, estimates or projections relating to the future are forward-looking statements within the meaning of these laws. These forward-looking statements are subject to a number of risks and uncertainties, some of which are outlined below. As a result, actual results may vary materially from those anticipated by the forward-looking statements. Among the important factors that could cause actual results to differ materially from those indicated by such forward-looking statements are: the volume and timing of systems sales and installations; length of sales cycles and the installation process; the possibility that products will not achieve or sustain market acceptance; the timing, cost and success or failure of new product and service introductions, development and product upgrade releases; competitive pressures including product offerings, pricing and promotional activities; our ability to establish and maintain strategic relationships; undetected errors or similar problems in our software products; compliance with existing laws, regulations and industry initiatives and future changes in laws or regulations in the healthcare industry; possible regulation of the Company's software by the U.S. Food and Drug Administration; the possibility of product-related liabilities; our ability to attract and retain qualified personnel; our ability to identify and complete acquisitions, manage our growth and integrate acquisitions; the ability to recognize the benefits of the merger with Misys Healthcare Systems, LLC ("MHS"); the integration of MHS with the Company and the possible disruption of current plans and operations as a result thereof; maintaining our intellectual property rights and litigation involving intellectual property rights; risks related to third-party suppliers; our ability to obtain, use or successfully integrate third-party licensed technology; breach of our security by third parties; and the risk factors detailed from time to time in our reports filed with the Securities and Exchange Commission, including our May 31, 2009 Annual Report on Form 10-K available through the Web site maintained by the Securities and Exchange Commission at The Company undertakes no obligation to update publicly any forward-looking statement, whether as a result of new information, future events or otherwise.

SOURCE North Shore-Long Island Jewish Health System; Allscripts

SOURCE North Shore-Long Island Jewish Health System; Allscripts
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