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A small hospital in Maine is among the healthcare providers for adoption of electronic medical records, according to an organization that studies healthcare IT.

Parkview Adventist Medical Center, in Brunswick, is one of only 69 hospitals in the U.S. and Canada to score a 6 on a 0-7 scale for EMR adoption, in an ongoing study conducted by HIMSS Analytics, a not-for-profit subsidiary of the Healthcare Information and Management Systems Society ( HIMSS ). HIMSS Analytics looked at 5,836 hospitals total. Nurses are communicating and documenting electronically, physicians are doing computerized physician order entry ( CPOE ), and ancillary systems like pharmacy, radiology, and labs are electronic. Achieving the current level of EMR adoption has been a five-year process. In 2004, when McQuaid joined the hospital, it had a best-of-breed approach to adopting EMR systems, leading to a variety of different, incompatible systems in different departments.

Many of the products the hospital relied on were being sunsetted by the vendor, leading to a need to transition to new systems. Vendors told him he needed to upgrade to a different version to achieve interoperability, which required new Oracle licenses, or hardware upgrades, or doing business with a new company because the old vendor had been sold, or overcoming other obstacles. The hospital selected Meditech as its single vendor. He liked that the vendor had 22 hospitals using the product, did not require customers to pay for training. The consolidation allowed the hospital to reduce staff  from about 340 full-time equivalents in 2004, to about 295 currently. McQuaid has a six-person IT department, with no outside consultants.  McQuaid said he could not provide a precise measure of what spending was previously, because one of the changes was to consolidate IT budgets from other hospital business units into the central IT organization, so that he could more easily keep track of spending.

Also clouding the issue, the hospital acquired six medical practices since 2004. The hospital is on track to win the federal funding set aside in the U.S. American Recovery and Reinvestment Act of 2009 for meaningful use of IT technology in 2011- 2015, McQuaid said. The hospital expects to receive $3.7 million of incentive money over those four years. Parkview Adventist is working on sharing data with other facilities, including neighboring physician practices, larger hospitals, and Maine's Regional Information Exchange for EMRs, under construction. Parkview serves an upper-middle-class community, which includes Bowdoin College, and a military base. McQuaid previously worked in information technology at retailer L.L. Bean, and he selected a team from outside the healthcare industry.

Source: InformationWeek

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