(From the PITO website) - With the assistance of a wide group of BC specialists from every specialty and major subspecialty, PITO has conducted a comprehensive review of specialist requirements for EMR and technology. The findings demonstrate the widely varying needs between specialty types such as surgery, medical consultants, paediatrics, psychiatry, ophthalmology (see BCMJ May 2009 and October 2009), and particularly the graduated scale of EMR use, ranging from those using relatively narrow functionality (e.g. psychiatry, surgery) to those using relatively full and sophisticated functionality (e.g. rheumatology, ophthalmology).
Rather than the standard “Complete EMR Offering” normally funded through PITO, the Alternative Specialist Funding Program allows the specialist to define the level of adoption they wish to achieve for their practice. Funding is incremental to the level of adoption (“Meaningful Use”) the specialist chooses and is based on the clinical impact that level of EMR use can support (e.g improving chronic care, avoiding adverse medication events, improving continuity of care). Specialists must achieve their chosen level of Meaningful Use to receive the funding associated with that level, but may select the EMR, hardware, and network solutions of their choice in order to achieve that level of Meaningful Use.
The EMR must be ASP hosted. The Alternative Specialist Funding Program is available to physicians certified in one of the specialties defined by the Royal College of Physicians and Surgeons of Canada, and GPs who have completed a nationally accredited program in an area of specialization and approved by their local health authority for delivery of a specialized service or GPs practicing in a specialized group practice with specialist physicians (e.g. sports medicine, mental health and addictions).
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