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One-on-One With Baptist Health SVP & CIO Roland Garcia, Part III

November 5, 2009
by root
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In this part of our interview, Garcia says aligning IT with business must live at the core of any strategy.

Jacksonville, Fla.-based Baptist Health is one of the leading providers of healthcare in Northeast Florida and Southeast Georgia. The organization provides its acute services through a network that includes four medical centers (Downtown, Beaches, Nassau and South), the area’s only children’s hospital (Wolfson Children’s) and a number of outpatient diagnostic and therapeutic services. Heading up the IT for sizable enterprise is CIO Roland Garcia. Recently, HCI Editor-in-Chief Anthony Guerra had a chance to talk with Garcia about all the projects in his pipeline.

(Part I, Part II)


GUERRA: So you’re working on getting integration with all of the AllScripts flavors that are relevant in your universe?


GARCIA: Beyond just AllScripts, to all of the EMRs that are relevant to us in the marketplace.


GUERRA: You have three “digital” hospitals, what are your plans to get the other two up to the same level?


GARCIA: We’re actually deploying a project in that area right now. The two remaining hospitals are Wolfson Children’s Hospital and our larger adult facility. So, that project is on the way.


GUERRA: So you’ve got about 25 more practices to get up on an EMR. You’re going to roll out AllScripts to those as well?


GARCIA: Correct. That’s in primary care. In addition to that, we have specialist’s practices that we anticipate rolling out EMRs to. We plan on growing in that area, so today there might be 40 practices in Baptist Primary Care. Two years from now, there might be 55 or 60.


GUERRA: What is your strategy for integrating the independents?


GARCIA: Well, we have a tool, as I mentioned, that allows us to communicate with all of these different EMR physician practice vendors’ products, or the majority of them, the more predominate ones in the market. What we’ve done is made a commitment that we will assist them in the cost of the development of the interface up to 85 percent, or a particular dollar figure that would serve as a cap.


GUERRA: And that’s the interface, not the product?


GARCIA: Correct.


GUERRA: When you mentioned the tool, you’re talking about the Novell MediCity tool?


GARCIA: Correct.


GUERRA: Have you had anyone knocking on your door for that integration?


GARCIA: Those that have an EMR, they want to have that interface. Especially nowadays, there’s a lot more interest than, say, a year ago. The misconception is around what information you actually exchange. If I’m a physician, I may not necessarily need to get into my practice’s EMR all of the data that is collected during an inpatient stay. So you’re going to have thousands of records potentially, all the lab work, all the dietary, all the pharmaceutical; let’s say you have a surgical patient and you have a number of different elements that make up that record.

Well, that may not be something I really want to have in my ambulatory EMR. So, there’s a relevant smaller subset of information that is of value for continuity of care. That information should be exchanged, but it’s not the moving of the whole chart from one place to the other.


Let’s say I show up in the ED and I’m a patient of Dr. Rosemont. There’s a lot of lab work and a whole bunch of stuff that’s done to me, and then I get to go home. Well, a notification is sent to my physician. And so, Dr. Rosemont can then choose to go into the Baptist physician portal and access the EMR, and through the EMR, access my record. He can always opt to look at the EMR and see the whole record of my visit to the ED or my visit to the hospital, but he doesn’t have to carry it within his architecture or his system.


GUERRA: Are any practices saying they want an EMR, but they want you to host it?