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Primary Care Information Project : NYC DOHMH

 

Primary Care Information Project

EHR Expansion Initiative

As part of a $27 million Mayoral initiative to improve the quality and efficiency of health care in NYC, the Primary Care Information Project (PCIP) has been established to support the adoption and use of prevention-oriented EHRs primarily among providers who care for the city's underserved and vulnerable populations.

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Selected Vendor

DOHMH has selected eClinicalWorks, a leading provider of integrated end-to-end electronic health records (EHR) and practice management systems for multi-location, multi-specialty medical practices, as the vendor.

The Primary Care Information Project received responses to the DOHMH-issued RFP from all leading ambulatory EHR vendors. Proposers were evaluated based on federal standard established by the Certification Commission for Healthcare Information Technology (CCHIT) functional criteria, and 5 finalists were invited to present on-site demonstrations.

eClinicalWorks has a comprehensive EHR solution that includes practice management, medical charting, electronic prescribing, querying and reporting, and patient portal functionalities among others. More information about the vendor can be found on their website.

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Model EHR for Public Health

DOHMH is working with eClinicialWorks to make their award-winning system even better by developing "Take Care New York" public health functionalities for incorporation into EHR systems. These functionalities will assist ambulatory care providers to:

  • View patient population level statistics to better target individuals for broad interventions.
  • Improve adherence to clinical best practices.
  • Provide interfaces with existing DOHMH information systems such as the Citywide Immunization Registry and Reportable Diseases.

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Software Package

DOHMH's PCIP will provide state-of-the-art eCW EHR software package to community providers who meet eligibility criteria. Eligible practices will receive:

  • eClinicalWorks EHR applications and licenses.
  • 2 years worth of maintenance and support costs.
  • Extensive training for all levels of staff.
  • Interfaces to common laboratory and billing systems.
  • NYC DOHMH Take Care New York customizations, encompassing public health functionalities.

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Practice Involvement

PCIP is seeking to involve primary care practices located in underserved communities (including family medicine, pediatrics, internal medicine, and OB/GYN) in the EHR initiative. For a contribution of $4000 per provider and a commitment to bring their technology and infrastructure up to market standards, primary care practices can partner with PCIP and receive the software package.

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Eligibility Criteria

To qualify for participation in the PCIP EHR expansion initiative, primary care practices must meet the following minimum criteria.

Primary Care Providers - Limited spots available

Eligibility

  • Location in New York City
  • MDs, DOs, NPs, and PAs licensed in Internal Medicine, Family Practice, Pediatrics, Geriatrics, or OB/GYN (if dually licensed in a sub-specialty area, the provider must be the PCP of record for 90% of patient population)
  • Must see >10% Medicaid and uninsured patients (defined as charity care or sliding scale, not private or self pay)

Pricing
Small practices:

  • $5,200 per full time provider, which includes 2 years of extension center fees
  • $4,200 per part time provider, which includes 2 years of extension enter fees

CHCs and Hospitals:

  • $5,200 per FTE provider, which includes 2 years of extension center fees

Specialists - 150 spots available

Eligibility:

  • Location in New York City
  • MDs, DOs, NPs, and PAs licensed in cardiology, nephrology, endocrinology, ophthalmology, and podiatry.
  • Must see >20% Medicaid and uninsured patients (defined as charity care or sliding scale, not private or self pay)
  • Must either receive referrals from a provider in the PCIP pipeline or provide an active Medicaid contract illustrating that they serve a high volume of Medicaid patients

Pricing
Small Practices:

  • $6,000 per full time provider
  • $5,000 per part time provider

CHCs and Hospitals:

  • $6,000 per FTE provider

Providers who do not meet these eligibility requirements may be able to join under a different, non-subsidized pricing structure. Please fill out the Initial Application to see how we can work with you.

Practices must demonstrate readiness to:

  • Commit protected time for clinicians and staff training and allow for lowered productivity during implementation.
  • Demonstrate required technical infrastructure (e.g., high-speed internet connection, IT support staff).

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Application

To find out if your practice is eligible, complete the eligibility application form.

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