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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
Date:10/15/2009

ral 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 test
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SOURCE North Shore-Long Island Jewish Health System; Allscripts
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