A. John Blair, III, MD

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

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PAYORS
PAY-4-PERFORMANCE
MedAllies Portal
EMR 2
E Rx
PHYSICIANS
E-Results
EMR 1
PMS
PATIENTS
MASTER PATIENT INDEX
TRANSLATOR
Pharmacies
Hospitals
Reference Laboratories
Physician Practice
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The Taconic Case Study
Thanks for your time!

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