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A. John Blair, III, MD President and Chief Executive Officer Taconic IPA, Inc. Fishkill, NY

The Taconic Case Study. A. John Blair, III, MD President and Chief Executive Officer Taconic IPA, Inc. Fishkill, NY. Taconic IPA. Founded 1989 Mid-Hudson Valley region, New York State 8 counties 2,300 physicians / 500 practices 1 to 70+ physician practice size range

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A. John Blair, III, MD President and Chief Executive Officer Taconic IPA, Inc. Fishkill, NY

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  1. The Taconic Case Study A. John Blair, III, MD President and Chief Executive Officer Taconic IPA, Inc. Fishkill, NY

  2. Taconic IPA • Founded 1989 • Mid-Hudson Valley region, New York State • 8 counties • 2,300 physicians / 500 practices • 1 to 70+ physician practice size range • 4 physicians – average practice size • Over 1 million covered lives

  3. Taconic IPA • NOT a staff model • Physicians NOT employed by Taconic IPA • NO centralized control • Not an IDN • Not a Clinic • Not a University

  4. Obstacles • Cost • Complexity • Selection • Human Resources • Data • Silos

  5. Strategy: Cost • Internet and ASP model • Leverage IPA size • Aligning incentives • Health plans • IHA model • Technology focus • Employers • Bridges to Excellence

  6. Strategy: Complexity • Incremental approach • Electronic results delivery • Most popular • Electronic signature for transcribed reports • Electronic Prescribing • Document imaging • Full EMR

  7. Strategy: Selection • Independent EMR expertise • Leading annual survey • In-depth knowledge of vendors • Extensive vendor evaluation process • End user group • Health plan / Employer group • Medical Directors • CIOs

  8. Strategy: Human Resources • MedAllies • Change Management expertise • Planning, Training, Implementation, Support • Hardware / Network Support

  9. Strategy: Human Resources • Industry average • 7.5 hours per physician – Year 1 • Phone support – Post-implementation • MedAllies • 80 hours per physician – Year 1 • 40 hours per physician – Ongoing • 24/7 Help Desk • Local support / trainers • 1.5 hours maximum onsite response time

  10. Strategy: Data • Physician leadership • Hospital participation • Physician office staff • Laboratory participation • Leverage competing hospitals • Critical mass

  11. Strategy: Silos • Require vendor interoperability • Require standards • Require certification

  12. CLINICAL DATA REPOSITORY PAYORS PAY-4-PERFORMANCE MedAllies Portal EMR 2 E Rx PHYSICIANS E-Results EMR 1 PMS PATIENTS MASTER PATIENT INDEX TRANSLATOR Hospitals Reference Laboratories Pharmacies Physician Practice

  13. The Taconic Case Study Thanks for your time! A. John Blair, III, MD President and Chief Executive Officer Taconic IPA, Inc. Fishkill, NY

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