Clinical Integration

Physicians coming together for all the right reasons

Clinical Integration as a working model for physicians is emerging as a progressive and viable alternative to the managed care, risk-based model that has dominated the healthcare market for the last 10 years. It is an intelligently constructed and thorough approach to improving quality of care.


Deliver higher quality care. Manage costs. Reimburse physicians such that we can continue to attract extraordinary talent. Meet the stringent requirements of public accountability. Health care could look like this.

GRIPA Connect™ Clinical Integration

Our flagship program, GRIPA Connect™ Clinical Integration went online in early 2007. It creates a connected community of physicians, hospitals, labs, imaging facilities, and pharmacies, sharing patient information through a secure web portal. The program also includes robust care management and adherence to physician-created Clinical Guidelines.

We consider it a best practices alliance of knowledge, technology and skill. Read more about GRIPA Connect.

Read more about the business rationale and legal considerations driving Clinical Integration.

Clinical Integration benefits everyone

A fully implemented Clinical Integration program benefits everyone in the community.


  • Improved safety
  • Improved quality of health care
  • Better access to the latest proven techniques and treatments
  • Streamlined interactions with health care system—less waiting and duplication
  • Fully informed physicians and medical staff


  • Ability to spend more time with patients, less time with paperwork
  • Access to complete patient information
  • Ability to deliver higher quality care
  • Ability to monitor patient compliance
  • Ability to sell combined services of network to payors, making independent practice more viable, especially for small practices


  • Higher degree of effective collaboration
  • Improved clinical quality and patient safety
  • Base of independent physicians aligned with hospital
  • Ability to manage costs
  • Differentiation in the market as high quality provider


  • Higher subscriber satisfaction
  • Cost efficiencies and savings
  • Higher quality health care for subscribers
  • Easy access to objective utilization data


  • Containment of health care costs
  • Healthier employees


  • Ability to maintain independent physician practices
  • Better health care
  • Ability to recruit medical talent to area

FTC Delivers Favorable Advisory Opinion for GRIPA Connect Clinical Integration

GRIPA Connect™ Clinical Integration is only the second such program in the country to receive a favorable advisory opinion from the Federal Trade Commission. This provides a “green light” for GRIPA to continue implementation of the program in the Rochester region, with confidence that we are complying with federal antitrust laws. It also establishes GRIPA as a national leader in the movement toward a progressive business model for independent and community-based physicians.

Read more about the FTC Advisory Opinion.

Health care could look like this

A physician gets a call at midnight that a patient suffering an acute illness is in the ER. Rather than drive to his office to access the patient chart, the physician pulls the patient’s record up on the Clinical Integration web portal from his home computer. An email or phone call to the attending physician in the ER—who also has access to the record—assures that the patient’s entire medical history, including drug allergies, is understood and accounted for during treatment.

Diabetes management programs offer great promise for managing the disease, but how best to get the information to every patient? Accessing web-based patient records, Clinical Integration care managers pull up the records of patients diagnosed with diabetes. They attach a clinical note to each chart about the most recent promising pharmaceutical intervention so the patient and doctor can discuss it during their next visit.

A cardiologist is called upon to see a patient. Rather than have staff take a complete medical history and order a battery of foundational tests, the cardiologist reviews the already-complete history online and the results of tests already taken. No reinventing the wheel or duplicating expensive procedures. The cardiologist orders a prescription
electronically, and it’s ready for the patient to pick up when he arrives at the pharmacy. The cardiologist can see that the patient did so.