More on REC's

http://www.ama-assn.org/amednews/2010/04/26/bise0428.htm

Another article questioning the ability of REC's to deliver.

Like DOQIT 6 or so years ago, these organizations are not likely to be able to deliver more than some generalized information sharing and dissemenation such as group seminars for physicians on some basics of system selection and implementation, FAQ's, criteria for decision making, etc.

Actual implementation help will have to come from vendors, 3rd party consultancies or direct hire personnel on the part of the physicians. Under DOQIT, the QIO groups typically hired between 5 and 20 people to cover an entire state. One large implementation could require that many people alone: a project manager, nurse informaticists for work flow, report writers, dba's, network specialist, application analysts. While some of these roles might be combined, a multi-site implementation might require multiple people in some of these roles at different sites. 3-10 people or more for one implementation of a physician group with 3 sites and 40 docs would not be out of line.