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EMR Implementation Costs & Benefits
- 1. ELECTRONIC MEDICAL RECORDS IMPLEMENTATION Daphiny Ragone HCA/270 July 29, 2012 Maureen Kilzer
- 2. WHY TO IMPLEMENT EMR? Electronic Medical Records Medical Record Errors Illegible handwriting Medical Abbreviations Handwritten medical notes Accuracy Costly Training Setting up software
- 3. WHAT IS INVOLVED IN THE IMPLEMENTATION PROCESS? Choosing Software Choosing Vendor Testing Training Support
- 4. CAPITAL EXPENDITURE Long-term improvement Costs Medical equipment expenditure Lawsuits Electronic Medical Records will reduce medical errors
- 5. CURRENT VALUE value of a future payment on a given date Definitely financial gain - Huge saving on implementing an EMR Reduction in Lawsuits Undesirable Drug Events Needless medical testing Additional hospital stays Unapproved claims
- 6. PROJECTED REVENUE to estimate what will the revenue be Electronic Medical Records save expenses by Reduction in Office personnel and staffs transcriptionists chart storage cost Enhances emergency room coding evaluation and management coding
- 7. OPPORTUNITY COSTS The cost of passing the next best choice when acquiring a decision One option vs another option Implementation cost Comparing financial loss in each options
- 8. OVERALL COSTS Costs required to implementing EMR Hardware Software Training staff support user friendly
- 9. SURPRISE COSTS Legal Threats Reduction in Lawsuits Lifetime storage Maintenance Yearly maintenance cost Increase in utility bill
- 10. INCENTIVES Federal grants • Medicare incentives • Tax credits • Software stimulus packages
- 11. ADVANTAGES Patients • Improved healthcare • Accuracy • Faster treatment & decisions Organization • Transferring patient information • Increased number of patient seen daily • Reduced operational costs
- 12. DISADVANTAGES Patient • Privacy • Distractions • Reduced personal touch Organization • Costly • Maintenance • Training
- 13. CONCLUSION There are various advantages on implementation of an Electronic Medical Record system. There are some disadvantages associated with it too. Electronic Medical Records helps to improve patient healthcare. Electronic Medical Records are not misplaced like paper files or records. The information kept in Electronic Medical Records is far more accurate and legible compared to paper record ones. Potential human errors are reduced considerably through Electronic Medical Record system as opposed to paper charts entered manually. Some of the medical staffs would not prefer using EMR System as they are less adaptive to the technology changes and would be overwhelmed using computerized system entering the medical records. Since the initial set up cost is high, there is loss of revenue at the initial phase though it has many positive gains. EMR not only maintains the information but also organizes these for further use. EMRs can also be used as guides for providers for their daily rounds. To sum up, EMR implementation will provide best healthcare possible to the patients.
- 14. REFERENCES July 16, 2012, from Choosing an EMR: Pricing and Cost. (2008). Retrieved Medscape news:http://www.medscape.com/viewarticle/571849_3 EMR Costs. (2012). Retrieved July 18, 2012, from EMR consultant: http://www.emrconsultant.com/education/emr-costs EMR ROI (Return on Investment). (2012). Retrieved July 18, 2012 from EMR Experts: http://www.emrexperts.com/emr-roi/index.php Gurley, L. (2004). Advantages and Disadvantages of the Electronic Medical Record. Retrieved July 17, 2012 from American Academy of Medical Administrator:http://www.aameda.org/MemberServices/Exec/Articles/spg04/ Gurley%20article.pdf Weil, I. S. (n.d.). Top 10 Factors to Consider Before Purchasing and Implementing and EMR System. Retrieved DATE, from The Camden Group:http://www.thecamdengroup.com/pdfs/Weil_EMR_Consider_Before_ Purchasing_and_Implementing_EMR_System.pdf
Notas del editor
- Imagine all of the reasonsas to why medical abbreviations are no longer used any more in the hospitals. Reduce medical errors by not using abbreviations. Even though this may help the situation doctors and nurses still make mistakes. Hiring someone to review the charting errors could minimize complications as well as fines. Doing this however, may cause to increase scheduling time and thereby increase the cost through overtime. The most productive way to deal with this would be a computerized system where patients’ charts and notes are placed. Red flags can be used to indicate there is a question regarding any medical abbreviations and the medical staff has to accept this before proceeding. The system would be a bit expensive but would be hassle free from inaccuracy and having to undergo lawsuit for malpractice. Electronic Medical Records are thus the best means to reduce medical errors.
- Picking a software that provides a set of new innovative tools for improving efficiency of the office and clinic along with improving the quality of care. The software helps to replace the paper charts with a completely intuitive and user-friendly interface with built-in security. This easy-to-learn and easy-to-use EHR system is suitably enough for any office.
- In order to begin a paperless system, we do need to have sufficient capital. The privacy and security of the patients are the biggest and most important concerns in regards to Electronic Medical Records. EMR will need to follow HIPAA guidelines. The Electronic Medical Records would definitely help to reduce medical errors, thereby decreasing hassles of expensive lawsuits.
- Finding out about the financial effects through Electronic Medical Records has not been conducted much, though some studies are available. One of such study was conducted in ambulatory setting. The collected data showed that on approximately 86,400 savings to the healthcare provider on an average in 5 years’ time period. This saving came from expenses in drugs, reduction in expenses in radiological testing.The study also showed that the Electronic Medical Records prevented 47,000 drug errors.
- Advanced technology allows medical personnel accessing the medical records from their clinics or hospitals or even from their homes. The medical doctors even can have video conference or chat with specialists residing in different state, city or country for improving the quality of healthcare service they provide. There is added advantages and financial benefits with the implementation of Electronic Medical Records. It eliminates the chart storing area and expensive paper files. It helps in increasing revenue through improved evaluation and management coding system. The financial benefits arises from the increased revenue and reduced operational costs, right from the first year of its implementation. The study also showed that there is approximately 8.2 million financial saving over the 5 years’ time period.
- Installation of an Electronic Medical Records system in a clinic costs approximately $45,000 per full-time physician. The initial setup cost is $45,000 per physician along with $8500 yearly maintenance cost of the system and approximately $25,000 for the training. During the negotiation, extra training can be placed as a condition for purchasing and installing the EMR System. It is projected that we could regain the cost back from the system in 2 ½ years with a profit of $23,000 per physician. There are some drawbacks too with the installation of the system. There would be decrease in patient seen per day for the first month as it would take some time to get into the system and use it and the number of patient would then increase. Another issue is hardware cost which may account up to $140,000 or more along with software for lab. Apart from this, there would also be bugs to work out with.
- It is very necessary that we do study on Return on Investment before we do any purchase decision. It is more so for Electronic Medical Record system as the installation cost is pretty high and may vary from one company to the other. For an instance, if a physician checks 30 patients a day with around 2500 active patient base. Now taking a ratio of 3:1, the clinic receives approximately 100 calls per day for appointment, medication refill, billing request and other queries. The license on Electronic Medical Records software ranges from $1,000 - $25,000 with an average of $10,000 for a license of full Electronic Medical Records system while an entry level system costs around $1,000. The implementation costs ranges from $75 to $150 an hour. The average implementation time is about 35 hours. The training hours is of 35 out of which 10 hour is for actual computer training and 10 hours for customizing the system so as to fit the organizational need. Higher the number of physician, lower will be the overall cost of implementation cost. To make it more clear, let’s see an example. Let’s assume an hourly rate of $100 and the assistant ratio 3:1. We are assuming that every provider has an IPad costing $1000, a server costing around $2,000, and a room accommodating 3 nurses costing up to $1,000. Apart from these, there is recurring annual maintenance cost to be contracted with the vendor which would cover for both technical support along with software updates. Then, there would be a need of local IT guy who would deal with other technical issues with hardware or the network as required.
- Though the initial set up cost for an Electronic Medical Records system is pretty high, we can save lots of time any money in the long run that is spent on charting files, arranging papers, filing personnel, storage area and fees and salaries. The cost for filling charts and billing of all the patients would keep on increasing. With the implementation of EMR, the legal threats decreases since all the information could be stored for a longer period should lawsuits do arise. There is also power consumption increment and yearly maintenance associated with the EMR software implementation that would increase expenses.
- There are some financial supports given by government for setting up Electronic Medical Records system. There are even federal grants supporting financially the Electronic Medical Record system. There are Medicare incentives of up to $44,000 or Medicare up to $63,750 for the significant use of certified EMR software system Tax credits for 2011 equals to sum of about $250,000 with a depreciation bonus of 50%The government is showing keen interest in decreasing medical errors through the Electronic Medical Records system use. There is lotsof information regarding Electronic Medical Record system which one must read and select the one that suits the facility the most. The benefits of EMR implementation is the financial incentives provided through different agencies, reduction in expenses of initial capital and the increased efficiency with tie implementation of EMR system.
- Let’s look at some of the advantages from the patients’ perspective. From the patients’ point of view, they get improved diagnosis and faster treatment. Considerably less errors in the patients’ clinical records. The decision of treatment plan and healthcare are faster and better from the physician assigned to them.From the viewpoint of the physicians’ point of view, the transfer of data from one department to other is faster and efficient. It’ll also help to increase the number of patient seen per day. The significant advantage comes from the reduced operational cost like transcription services and salaries.
- There is high concern regarding patient information security. If the patient’s personal information is leaked, it would be violation of HIPAA laws. Since the physicians type out the information in computer, the personal touch between physician and patient is lost or reduced. Some even believe the computer becomes a distraction between physician and patient, making the patient feel they are less cared than they are seeking or deserve. Apart from these, the EMR system is expensive, as have been discussed throughout the presentation. Training of medical personnel to use it makes it further costly. So is for the maintenance, updates and technical support. Some of the people don’t even adapt to technical changes so easily and they don’t prefer to change.