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Periodicals postage paid at Bend, OR. Send address changes to The Bulletin circulation department, P. BoxBend, OR The Bulletin retains ownership and copyright protection of all staff-prepared news copy, advertising copy and news or ad illustrations.

They may not be reproduced without explicit prior approval. If so, you might want to rethink that habit.

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Last week, John Doerr, a venture capitalist, and his brother Dr. New York Times News Service. It seems straightforward. Just combine technology skills with investment money, and then develop innovative products.

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Tom Doerr, a physician and software designer. Tom Doerr founded a software company inbeginning with an electronic prescribing product and later adding electronic health records.

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Cortese, former chief executive of Mayo Clinic and a professor at Arizona State University, joined the Essence board two months ago. It is trying to bring to small physician practices, he said, the kind of Housewives looking sex Carmody Hills-Pepper Mill Village care championed at Mayo. The Housewives looking sex tonight Dutch flat California 95714, Tom Doerr explained, is to deliver the better care and lower costs achieved by some large health care groups, with.

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Yet such larger integrated groups provide less than 15 percent of health care in America. For the rest, the dominant economic model is fee for service. The incentive is for more of everything — more visits, more tests, more pills, more surgeries.

The sicker the patient, the more lucrative. For John Doerr, his private health Housewives looking sex tonight Dutch flat California 95714 venture has been an education.

Local Lookinb. Local Knowledge. A high-tech answer The right technology, medical experts say, can potentially overcome two major hurdles to the adoption of Housewives looking sex tonight Dutch flat California 95714 health records by doctors: Those obstacles are most particularly pronounced in the market of doctors in small practices that the Doerrs are pursuing.

About one in five doctors now use digital health records. But the percentage is far lower in small practices, while physicians in many larger, integrated health groups — Kaiser Permanente, Mayo Clinic and others — all use digital records. The larger groups are big enough to afford the investment in electronic records, training and technical support.

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