Been to one of the those dog and pony shows on behalf of a practice, and the guy leading it was a surgeon who did the lap bands; his perspective was PCPs and FPs were a form of a land-rush, every ACO wanted them to help their numbers and drive their revenue.
My rejoinder was the practice had years of patient data on a population of over 6000, and we could provide data in what ever flavor it needed to be, but the practice was not interested in the hospital EMR. There were other practices that were not as 'clear' in their communication, but once I started some discussion to disrail the bums-rush, effect,there was more push to define the value of the arrangement to the FPs and PCPs practices, that is the question that really matters.
As a business mentor you used to say, figure the business arrangement, then logistics flow out of that. From an integration point of view *anything* is possible it just depends on how much time and money you have. There are ways to get any data out of AC, there is no legitimate reason to require the practice change EMRs. Make it worth the practice, and part of that is covering the cost of getting that data out, and the practice [and ACO] shouldn't have to bear the cost of a heavy bureaucracy or a bloated monster EMR.
