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The administrator will act as the chief medical officer and chief executive officer of the NSC. This physician will be the liaison to the hospital marketing department, newspaper, serve on the executive committee and report directly to the president of the hospital. The administrator will also obtain grants and contributions to support the expansion of the Center.
SUPPORT
A 4 percent fee based upon the individual clinics annual collection support the NSC. The fee will be paid on a collection basis. Equipment needed for integration and computerization will be purchased by the NSC. Additional expenses of the NSC will be split between hospital and the individual clinics capital budget contribution and based on the number of full-time physicians.
Funding Coordinator will approach individuals and organizations for contributions and endowments. A separate non-profit NSC will be established to accept the donations. [.07A]
COMPUTER SYSTEM
A wonderful idea, which sparks hope for physicians in that they may be able to regain control of the care of patients and the dissemination of patient data that up until this point has been in the domain of the insurance companies, is a centralized computer health system. By regaining our proper foothold, we will no longer be at the beck and call of neither insurance companies nor large health care management organizations, but be responsible for our own destiny.
I propose that we organize a consortium of five to seven physicians with collaboration from University Computer Science Department to form an area patient database. If successful I imagine that this database will be a pilot project for the rest of the country. The patient data will remain the property of the patients. The control of the data will be by the patient's doctor. The management of the data will be by the nonprofit consortium of physicians and the University. All doctors in the area may eventually participate. Initially, the system will be used by the NSC. The fee for participating is that once a patient is seen in a particular office, that office has the responsibility of updating the information. The data will be the collection of all patient health information and the data base administrators will govern the ultimate access to the collective.
The information that will need to be gathered, as well as the management of the database, should be the collaboration between the computing experts at the University and the physician consortium. The physicians have the ability to query other individuals that may help in developing the concept. The patient data should consist of and not be limited to their name, social (Continued on page 76)
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