Researcher says Leapfrog's 4th 'leap'
to cover ambulatory EMR, e-Rx
The long-awaited fourth "leap"
in the Leapfrog Group's strategy to encourage quality
improvement in healthcare will involve advanced ambulatory
electronic medical records systems with integrated prescribing
tools that transmit prescriptions directly to pharmacies via
electronic data interchange, a patient safety researcher says.
The Leapfrog Group, a Washington, D.C.-based coalition
of large employers that seek to improve healthcare by raising
standards for purchasing care, has said that it will announce
its fourth quality initiative near the end of 2003. The
organization has said that the fourth leap would focus on some
facet of ambulatory medicine; the first three programs are
specific to inpatient care.
Speaking at a symposium on
ambulatory computerized physician order entry in Chicago this
week, Harvard Medical School instructor Rainu Kaushal, M.D.,
disclosed that the next step in the Leapfrog Group's agenda
"will focus on ambulatory EMR with e-prescribing and direct
transmission of prescriptions to pharmacies."
is a staff physician at Harvard-affiliated Brigham and Women's
Hospital and at Massachusetts General Hospital, the two
founding hospitals of Boston-based integrated delivery system
Partners HealthCare. Partners researchers are advising the
Leapfrog Group on its quality initiatives.
Group Executive Director Suzanne Delbanco is on vacation this
week. Another key spokesperson, Leapfrog co-founder Arnold
Milstein, M.D., medical director for the San Francisco-based
Pacific Business Group on Health, was not immediately
available for comment.