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19
June, 2013
Wednesday

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A survey analysis suggests that electronic health records will yield revenue gains for some practices and losses for many

Adler-Milstein J et al, Health Affairs, 32(3)

Health care providers remain uncertain about how they will fare financially if they adopt electronic health record (EHR) systems. We used survey data from forty-nine community practices in a large EHR pilot, the Massachusetts eHealth Collaborative, to project five-year returns on investment. We found that the average physician would lose $43,743 over five years; just 27 percent of practices would have achieved a positive return on investment; and only an additional 14 percent of practices would have come out ahead had they received the $44,000 federal meaningful-use incentive.
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Published: March 2013 |
Keyword(s): Electronic Health Records, ROI, United States

A qualitative study of Canada’s experience with the implementation of electronic health information technology

Rozenblum R et al, CMAJ, 183(5)

Background:
In 2001, Canada Health Infoway unveiled a plan to implement a national system of interoperable electronic health records. This government-funded corporation introduced a novel model for interprovincial/territorial collaboration to establish core aspects of a national framework. Despite this $1.6 billion initiative, Canada continues to lag behind other Western countries in adopting electronic health records. We conducted a study to identify the success of different aspects of the Canadian plan and ways to improve the adoption of electronic health records.
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Published: 22 February 2011 |
Keyword(s): Adoption, Barriers, Canada, Electronic Health Records, Health Information Technology, Implementation, ROI

Reviewing the benefits and costs of electronic health records and associated patient safety technologies

Menachemi N, Brooks RG. Journal of Medical Systems, 30(3)

In the current paper, we describe the challenges in measuring return on investment (ROI) and review published ROI studies on health IT. In addition, given the absence of a robust ROI literature base, we review the general benefits and potential costs of various health IT applications including electronic health records (EHRs), computerized physicians order entry (CPOE) systems, and clinical decision support systems (CDSS).
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Published: 13 July 2006 |
Keyword(s): CPOE, Decision Support Systems, Electronic Health Records, Patient Safety, ROI, United States

Assessing Differences Between Physicians’ Realized and Anticipated Gains from Electronic Health Record Adoption

Peterson LT et al, Journal of Medical Systems, 2009

Return on investment (ROI) concerns related to Electronic Health Records (EHRs) are a major barrier to the technology’s adoption. Physicians generally rely upon early adopters to vet new technologies prior to putting them into widespread use. Therefore, early adopters’ experiences with EHRs play a major role in determining future adoption patterns. The paper’s purposes are: (1) to map the EHR value streams that define the ROI calculation; and (2) to compare Current Users’ and Intended Adopters’ perceived value streams to identify similarities, differences and governing constructs. Primary data was collected by the Texas Medical Association, which surveyed 1,772 physicians on their use and perceptions of practice gains from EHR adoption.
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Published: 8 August 2009 |
Keyword(s): Adoption, Electronic Health Records, ROI, United States

Calculating the return on investment of mobile healthcare

Oriol, Nancy et al, BMC Medicine, 7(1)

BACKGROUND:
Mobile health clinics provide an alternative portal into the healthcare system for the medically disenfranchised, that is, people who are underinsured, uninsured or who are otherwise outside of mainstream healthcare due to issues of trust, language, immigration status or simply location. Mobile health clinics as providers of last resort are an essential component of the healthcare safety net providing prevention, screening, and appropriate triage into mainstream services.
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Published: 2 June 2009 |
Keyword(s): mHealth, Mobile Healthcare Service, ROI, United States

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