Physicians concerned about costs of EHR use PDF Print E-mail
Written by Ron Shinkman,   
Friday, 17 December 2010 13:10
The implementation of an electronic health records system for patients could cost each physician practice as much as $120,000, according to a new survey by CDW Healthcare.

Moreover, physicians are concerned that implementing EHRs could create a potential drain on practice revenue. On average, those surveyed believe using EHRs means patient encounters could drop by 10 percent in the first year, cutting revenue by $100,000. Some 40 percent of those surveyed say their revenue could fall as much as 25 percent.

Survey participants also expressed concern about the time expended training staff and workflow readjustments.

"Survey responses indicate that physicians are worried about the costs of hardware and software components when they should focus on implementing a complete solution that reduces the time lost to workflow changes," said Bob Rossi, vice president of CDW Healthcare. "While a typical practice will have a greater investment than expected, the payoff will be significant."

Although CDW estimated that revenue could drop by as much as $101,250 in the first year, it concluded that the payoff in efficiencies will outweigh any initial expenditures. It estimated that patient encounters could rise as much as 30 percent due to new workflow efficiencies, and that practices could gain as much as $151,000 per physician per year in new revenue.

For more:
- here's the CDW press release
- read the Healthcare Finance News article
- read the Information Week article


'Meaningful use' readiness drops among hospital CIOs PDF Print E-mail
Written by Neil Versel,   
Friday, 17 December 2010 13:00

Hospital CIOs are rapidly losing confidence in their organization's ability to qualify early for federal subsidies for "meaningful use" of EMRs, according to an updated survey from the College of Healthcare Information Management Executives.

In a November survey, results of which were released last week, just 15 percent of the 191 CHIME members queried said they expected to qualify for the Medicare and Medicaid bonus payments in the first half of federal fiscal year 2011, which began Oct. 1. That is down nearly half from the 28 percent who expressed confidence in their ability to meet the standards early in a similar survey conducted in August.

"One potential reason for the drop in confidence may be due to the fact that CIOs are getting a clear view of the horizon, as many of their questions are being answered by federal agencies," Chuck Christian, director of information systems and CIO at Good Samaritan Hospital in Vincennes, Ind., says in a CHIME press release. "Many of the clarifications are adding to the complexity of the task at hand."

While just 10 percent of CIOs don't believe their organizations will achieve meaningful use until Stage 2 of the program--fiscal years 2013-14, the same as in the August poll--concerns even among the most confident respondents have shifted. While more named EMR certification as their top concern three months earlier, this time a plurality of 29 percent view CPOE as the most problematic area of meaningful use. Some 22 percent said capturing and/or submitting quality data was their No. 1 concern, while 13 percent were most worried about vendor readiness.

More than six in 10 respondents expect to have some difficulty with CPOE requirements, particularly when it comes to convincing clinicians to enter enough orders electronically for the entire hospital to qualify for federal stimulus money.

"To really engage physicians, one must provide evidence that clearly shows the advantages of CPOE," explains David Muntz, senior VP and CIO of Baylor Health Care System in Dallas. "Our experience has shown that once a physician begins using the technology, they will influence others. It is imperative that physician workflows are improved by the introduction of not only CPOE, but clinical documentation, and all other aspects of EHRs."

For more:
- here's the CHIME report (.pdf)
- view this press release from CHIME
- take a look at this Health Data Management story
- see this Healthcare IT News story


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Page 7 of 39

ICD-10 Corner

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6. Monitoring resource utilization
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