New York City Launches EHR System
The system will include patient medical histories, laboratory results and prescription drug regimens. In addition, the system will provide physicians with updated information through a series of alerts, such as overdue dates on prescriptions or cholesterol checks, as well as information on best practices for the treatment of illnesses. The health department will be able to obtain general health care provider data from the EHR system but will not have access to specific information on individual patients.
For physicians in practices where at least 30% of the patients are either uninsured or on Medicaid, the city will pay for licenses, on-site training, tools to use the software and two years of maintenance and support. Physicians who are eligible for the assistance still will be asked to provide their own computers and contribute $4,000 to the Fund for Public Health in New York for technical support. Frieden said the city wants to ensure that physicians are invested in the system.
New York City physicians who do not meet the eligibility requirement can buy the EHR software from eClinicalWorks. Frieden noted that physician practices likely will see a decrease in productivity for about six months as physicians become familiar with the new technology and transition to electronic records (Santora, New York Times, 2/26).
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