Textbook of Urgent Care Management: Chapter 23, Choosing the Electronic Health Record
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About this ebook
Chapter 23 includes:
- Taxonomy
- Background
- Benefits of an Electronic Health Record
- Getting Started
- Which Solution is Right for Your Practice?
- Selecting the Right Vendor
- Is the Vendor Certified by the Certification Commission for Healthcare Information Technology?
- Client Server or Application Service Provider Model?
- Arrange a Product Demonstration
- Visit Site Using the Electronic Health Record
- How Much Will It Cost?
- Cost of Implementation
- Indirect Costs of Electronic Health Record Implementation
- Medicolegal Pitfalls
- Conclusion
- Key Points
John Shufeldt
John Shufeldt is a serial student, an indefatigable change agent and a multidisciplinary entrepreneur who has studied the traits and qualities of extraordinary individuals for over three decades. In Ingredients of Outliers John guides us through a number of traits common to outliers and inspires us leave our comfort zones to join their ranks.John received his BA from Drake University in 1982 and his MD from the University of Health Sciences/ The Chicago Medical School in 1986. He completed his Emergency Medicine Residency at Christ Hospital and Medical Center in 1989 where he spent his final year as Chief Resident. John received his MBA in 1995, and his Juris Doctorate in 2005, both from Arizona State University. He is admitted to the State Bar in Arizona, the Federal District Court, and Supreme Court of the United States.He has started numerous health and non-health care businesses and continues to practice emergency medicine and law. He writes and lectures on a variety of subject matters to graduate medical, business and law students. He is an adjunct professor at the Sandra Day O’Connor College of law where he teaches a clinic on Health Law Entrepreneurism. He serves on the Drake University Board of Trustees and the Sandra Day O’Conner College of Law Alumni Board.You can find more information out about John and his work at www.ingredientsofoutliers.com
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Textbook of Urgent Care Management - John Shufeldt
CHAPTER 23
Choosing the Electronic Health Record
John Shufeldt
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CHAPTER 23
Choosing the Electronic Health Record
John Shufeldt
ONLY A SMALL NUMBER of physicians in the United States fully use an electronic health record (EHR), even though EHRs have been widely available for years. Common barriers to adoption have included excessive setup and maintenance costs, disruption to physician productivity, legal concerns, and insufficient demonstrable financial or clinical benefits. However, thanks to technological progress, as well as incentives offered by the Health Information Technology for Economic and Clinical Health (HITECH) Act, consumer demand is finally overcoming resistance and spurring adoption.
The General Accounting Office estimated that over $200 billion could be saved annually in the United States with more widespread adoption of EHR systems by physicians. In addition, the General Accounting Office estimates that nearly 100,000 lives could be saved annually. Couple those predictions with EHR vendors’ promised positive return on investment (ROI) and productivity improvements, and what’s not to love? Apparently, given some of the challenges in EHR adoption, quite a bit.
For example; a 2013 study from the University of Michigan School of Public Health found that practices that implement an EHR without a well-thought-out plan and dedicated focus on enhancing revenue and cutting costs are likely to lose more than $43,000 over 5 years. In other words, 73% of those surveyed failed to see an ROI.¹ Notably, a 2012 user satisfaction survey of the American Academy of Family Physicians showed that only 38% of respondents were highly satisfied with their EHR systems.²
This chapter offers a road map to successful EHR selection, adoption, and implementation. It reviews today’s EHR competitive landscape, including both opportunities promulgated by the HITECH Act and the hazards of adopting the wrong