JAN 5, 2009 1:35pm ET

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Another Hospital to Subsidize EHRs

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Children’s National Medical Center in Washington is subsidizing a portion of the costs for electronic health records for independent pediatricians in the region.

The 283-bed hospital will subsidize up to 100 licenses per year for up to five years for the records software from eClinicalWorks, Westborough, Mass., says Brian Jacobs, M.D., vice president and chief medical information officer at Children’s. Exceptions to the so-called Stark law and I.T. safe harbors to the federal anti-kickback statutes enable hospitals to subsidize certain EHR costs for physicians.

The provider is building what it calls the Children’s IQ Network to enable both its employed physicians and independent doctors to share information via the Internet. The new network will use encryption and other security measures, Jacobs says. It will provide access to demographics, visit histories, lab results, medications, problem lists, immunizations, growth information, radiology results and encounter summaries, he adds.

The network, which will use eClinicalWorks’ Electronic Health Exchange community health record, also will link to schools, foster care programs, mobile medical vans, state immunization registries, commercial labs and other providers.

All of Children’s employed physicians are shifting to practice management as well as records software from eClinicalWorks. Both employed and independent physicians will access these applications remotely via the application service provider computing model.

More information is available at eclinicalworks.com.

--Howard Anderson

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A major success factor for accountable care organizations will be linking caregivers across the spectrum of care delivery. If history is any indication, that's going to be an industrywide struggle.

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