Wednesday, July 13, 2005

What is a Regional Health Information Organization?

Perhaps when we define a region we should set it's parameters by it's consumer or patient demographics. The area of the region may vary greatly according to the state or part of the country in which we reside. In California the regions may be large or small, urban or rural.
Patients in California move a great deal, change employment, insurance companies, providers, medical groups, IPAs and are referred to and from tertiary care medical centers.
My early research has discovered that some IPAs and centers have embarked upon EMR solutions independently which is a good thing. However neither an IPA, an academic medical center, established medical clinic, nor a cluster of providers surrounding a hospital is not a true region. While connected financially and/or institutionally their patient base floats in and out of the realm of that particular provider group. The true purpose of the RHIO is for our systems to become interoperable with secure patient information data sharing which would benefit both the patient and the providers.

The expense of acquisition of these systems can significantly be reduced with a uniform collaboration amongst previously competing entities.

To quote John Garamendi, the State Insurance Commissioner, "Perfect is the enemy of the good".

We must move forward, together, and it will be to no one's advantage, nor the patient's for unbridled competition to defeat a collective effort to adopt EHRs. The cost per physician is reduced significantly with scalability from 100 to 1000 to 2000 to 5000 physician providers.

Our RHIO will offer you that scalability.

Does it not seem foolish that our state government has passed laws that require billions to be spent retrofitting hospitals for 9.0 earthquakes while not provisioning any mandates for electronic medical information systems in our hospitals and offices. We need our providers to move forward with this measure.


At 9:37 PM, Blogger cbt said...

What is your community? Who are your stakeholders? Are you a nonprofit RHIO?

At 4:25 PM, Blogger Gary M. Levin M.D. said...

Our region is the Riverside-San Bernardino County area, also known as the Inland Empire


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