tag:blogger.com,1999:blog-4384692836709903146.post6943243341385703467..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: The Return on Investment of EHRsJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-4384692836709903146.post-61084871308959038022008-11-24T09:26:00.000-08:002008-11-24T09:26:00.000-08:00I agree with you and there is a big shock for all ...I agree with you and there is a big shock for all people of IT that the shares invested in lehmann brothers also in a big loss. Hope the <BR/>economy will soon become normal with risk of Mr.Obama<BR/><BR/>Jack roberts<BR/><BR/><A HREF="http://mls.fastrealestate.net" REL="nofollow">MLS</A>jackhttps://www.blogger.com/profile/11519420021559845530noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-15484443831825526362008-10-27T12:46:00.000-07:002008-10-27T12:46:00.000-07:00There are also open source alternatives such as Op...There are also open source alternatives such as OpenVista or Clear-health that could be used in place of some of the more expensive EMRs. There are subscription alternatives similar to salesforce.com and it is more affordable for smaller practices. I don't know if subsidizing the cost of the EMR is a good idea. I think insurers should change reimbursement rates to a higher value if a practices uses an EMR.Anonymoushttps://www.blogger.com/profile/13001637281974388452noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-9225991502753383202008-10-27T10:15:00.000-07:002008-10-27T10:15:00.000-07:00Another perspective on this issue is to assume inv...Another perspective on this issue is to assume investment in EHRs as the cost of doing business and then seek both hard and soft ROI. Once viewed as a sunk cost, incremental benefit is much more clearly recognized. <BR/><BR/>I'm working on a paper on exactly this topic with Weill Cornell Medical Center. I will keep you updated on my findings.AKhttps://www.blogger.com/profile/13815706019266888982noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-10125346871596428772008-10-27T08:52:00.000-07:002008-10-27T08:52:00.000-07:00I have worked in many private offices on IT projec...I have worked in many private offices on IT projects. The majority of the physisicans I asked about their intentions for installing an EMR/EHR system responded with "we do not get reimbursed for the system" so they were not going to do it unless absolutley pushed to do so. <BR/><BR/>This is an example of a sad case where money and medicine should not mix. The benefits of the systems are enourmous.Unknownhttps://www.blogger.com/profile/17255506501628250807noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-89761184273673988602008-10-27T07:54:00.000-07:002008-10-27T07:54:00.000-07:00Perhaps another consideration for the clinician is...Perhaps another consideration for the clinician is consumer demand. I left a large and reputable pediatric practice because waiting for the pediatrician to shuffle through the paper folders and notes to find the record of a call that I made to an outside nurseline and the notes from the last physician that saw my son seemed ridiculous. <BR/><BR/>Consumers will become used to the efficiency of electronic health records, which (should) allow the clinician to quickly see any recent events and to discuss a patient's care in context of these, rather than just the current episode. Additionally, I believe that consumers will begin to demand ownership of their records through PHRs and the sharing of records through RHIOs and NHIN. It will be consumer demand, not the federal government that finally pushes these projects to completion.<BR/><BR/>ROI is not the only consideration for EHRs; keeping your current customers by providing them with the level of service that can be achieved with technology must also be taken into account.Anonymoushttps://www.blogger.com/profile/11897837130390863331noreply@blogger.com