![Electronic Medical Record Implementation: Money Maker or Bust? Kimberly Chen and Robert R. Reza II The University of Texas at Austin Health Information Technology Summer Certificate Program INTRODUCTION DISCUSSION RESULTS REFERENCES ABSTRACT The United States has the world’s most inefficient healthcare system, spending about 1.7 trillion dollars per year 2 . Electronic health record (EHR) systems show potential with the ability to provide major health care savings, reduce medical errors, and improve health of the population 2 . EHR implementation can cost $10,850-$38,600 per physician with additional maintenance being about 20% of the start up cost 3 . Moreover, additional tests requested by the EHR system nationally could cost $3-$12 billion annually 3 . However, there are potential saving of $76 billion annually (at 90% adoption) 2 . Based on our research, we believe that EHR implementation was more of an expense than a benefit in the short term with potential for benefits in the long run. The benefits, however would accrue to the payers and consumers and not the providers. We propose that in order to drive adoption, the model for reimbursement should be switched to a fee-for-performance. This would allow for benefits to accrue more to the physicians. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CONTACT INFORMATION Kimberly Chen Email: Kimberly10587@aol.com Phone : (512) 468-6736 Robert R. Reza II Email: r.reza131@gmail.com Phone : (512) 767-8640 Fig. 1: Costs of an EHR system implementation per provider, by category. *information courtesy of reference 5 Figure 1: Cost of EHR system (per Provider) Figure 2: EHR Potential Efficiency Savings (In the U.S.) Fig. 2: Potential efficiency saving from implementing an EHR by category and includes inpatient and outpatient savings. Note: numbers are based on a 90% adoption rate for year 15 from initial adoption. *information courtesy of reference 2 Figure 3: U.S. National Healthcare Spending Projection Fig. 3: National healthcare spending projection. Black, blue, and red curves represent our current spending, 1.5% savings, and 4% savings spending projection, respectively. *information courtesy of reference 5 Legend Black-Current path Blue- 1.5% savings Red-4% savings CONCLUSIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],To acquire a higher adoption rate, a fee-for-performance model is needed because it would yield a higher ROI for providers. In switching to this model, cost, quality, and access will be enhanced for the consumer. Overall, electronic health record system implementation will result in short term cost but long term benefits that mainly are seen to the payers and consumers, not the providers. Acknowledgements: Dr. Rick Nauert, Dr. Kimberly Smith, Dr. Diane Kneeland, and Dr. Leanne Field Lower bound Upper bound Software (annual license) $800 $3,200 Implementation $500 $6,000 Support and Maintenance $750 $3,000 Hardware (3 computers plus network) $3,300 $9,900 Temporary productivity loss $5,500 $16,500 Total $10,850 $38,600 Annual savings ($ billion) Mean Yearly Savings ($ billion) Cumulative savings by year 15 ($ billion) Year 5 Year 10 Year 15 Outpatient Transcription 0.9 13.4 0.4 1.2 1.7 Chart pulls 0.8 11.9 0.4 1.1 1.5 Lab tests 1.1 15.9 0.5 1.5 2 Drug Usage 6.2 92.3 3 8.6 11 Radiology 1.7 25.6 0.8 2.4 3.3 Total 10.7 159.1 5.1 14.8 19.5 Inpatient Nursing time 7.1 106.4 3.4 10 13.7 Lab test 1.6 23.4 0.8 2.2 2.6 Drug usage 2 29.3 1 2.8 3.5 Length of stay 19.3 289.6 10.1 27.6 34.7 Medical records 1.3 19.9 0.7 1.9 2.4 Total 31.3 468.6 16 44.5 56.9 TOTAL SAVINGS 42 627.7 21.1 59.3 76.4](https://image.slidesharecdn.com/finalposter-12802609055964-phpapp02/85/EMR-Money-Maker-or-Bust-1-320.jpg)
Empfohlen
Weitere ähnliche Inhalte
Was ist angesagt?
Was ist angesagt? (20)
Andere mochten auch
Ähnlich wie EMR: Money Maker or Bust?
Ähnlich wie EMR: Money Maker or Bust? (20)
Hinweis der Redaktion
- Costs And Benefits Of Health Information Technology: New Trends From The Literature Computerized Physician Order Entry with Clinical Decision Support in Long-Term Care Facilities: Costs and Benefits to Stakeholders Sujha Subramanian