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digital.ahrq.gov/sample-questions-answers-1
January 01, 2023 - Thus, these results are best used as general guidelines for determining costs and benefits rather than … Please refer to Chapter 4 of "Costs and Benefits of Health Information Technology," AHRQ Publication … What is the cost? What are the caveats? … What is the cost? What are the caveats? … The following summary provides useful guidance on when an order entry system costs time.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/barriers-ambulatory-ehr-who-are
January 01, 2006 - that requires the provider to enter patient information into the computer system Barriers: "upfront" costs … Ongoing maintenance costs, inadequate return on investment, perceived difficulties in data entry and
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digital.ahrq.gov/sites/default/files/docs/page/telemedicine-in-prevention-and-chronic-disease-management.pdf
June 03, 2010 - Costs, Costs, Costs! … Design Philosophy
• Costs
Hardware
Asynchronous Communication
• Strengthen Patient-Provider Relationship … Self-Monitoring
Education
Communication / Feedback with PCP
• Access
Easy / Flexibility / Cost
Cost … small patient errors
Clinical studies show comparable
Outcomes
For large populations, hardware costs … Telephone Access
Flexibility Needed,
But Hard to Address in a Research Study
Design Philosophy
• Costs
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digital.ahrq.gov/sites/default/files/docs/activity/r18hs017817-field-annual-summary-2012.pdf
January 01, 2012 - In addition an analysis was completed on the development and
implementation costs. … FACILITIES TO HOME
A manuscript describing the process, required resources, and personnel costs … Field used a 1-year no-cost extension to complete the study,
data collection, and the subsequent analyses … The development costs for establishing the automated system were
estimated at $76,314 with the major … costs and time contributions from physicians to develop content,
provide overall project management
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digital.ahrq.gov/ahrq-funded-projects/showing-health-information-value-community-network
January 01, 2023 - Medicine
Quality Improvement
Quality Measurement
This three-year project assessed the costs … was the impact of information-driven interventions on care quality, patient safety and health care costs … From these measures, we assessed the costs and benefits of this community-wide effort to promote interoperability … Potentially, a great deal, in terms of both health care quality and costs. … measured by HEDIS scores for preventive services and chronic disease management; care coordination; costs
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digital.ahrq.gov/sites/default/files/docs/biblio/Poon.ppt
August 01, 2006 - Benefit Analysis
Do the benefits of the technology justify the costs? … Societal
Cost analysis more straight forward
Prospective data collection preferred
Discounting: … of illness averted: medical costs, productivity for patient
What is the cost of suffering due to preventable … What is the cost of a life? … Cost data:
Most notable pitfall is allocation of indirect costs
Benefit data: think through the process
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/telemedicine-surgery
January 01, 2003 - Varies among studies Implementation: The following potential barriers were discussed in the article: cost … Costs: The article reported that the daVinci surgery system has an initial investment of about $800,000 … with a running cost of $100,000 per year. … Changes in healthcare costs: Most of the studies reviewed (e.g. the report of a single or handful of
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digital.ahrq.gov/sites/default/files/docs/biblio/EHRSurvivalGuideNQF2006.pdf
January 22, 2006 - Costs
• Hardware/software costs are a fraction
of total costs. … total cost. … existing “legacy” hardware and
software, and the technical and business skills
of the person negotiating pricing … the initial EHR system cost
estimates. … (Cost of National Health Information Network Working Group).
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digital.ahrq.gov/ahrq-funded-projects/improving-outcomes-related-patients-through-advanced-nursing-technology
March 31, 2023 - Acute Care
Health Care Theme
Quality Improvement
Despite rising healthcare costs … To promote better health quality and reduce costs, the Centers for Medicare & Medicaid Services has stopped … reduces the risk of adverse events, improves satisfaction for both patients and nurses, and lowers costs
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/independent-pharmacies
January 01, 2023 - itself contains detailed instructions and separate tabs to enter data such as your own volumes and wage costs … Your particular costs and savings may differ from those shown; therefore the values will have to be set
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/predicting-adoption-electronic-0
January 01, 2006 - Barriers: Initial costs, ongoing maintenance costs, vendors going out of business, lack of implementation
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effectiveness-computer-supported
November 01, 1984 - Design: RCT Outcomes: Impact on health care effectivness/quality, Impact on efficiency, utilization, costs … Measures of patient compliance with refills for all medications or cardiovascular medications only, and costs … Cost of HIT systems: The cost per day to generate the reminders was $14, after an initial investment
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025374-weiner-final-report-2022.pdf
January 01, 2022 - For instance, substituting a low-cost generic for a high-cost brand name
medication may enable a patient … costs in the case of under treatment. … Cost Analysis:
The primary aim of the cost analysis (Aim 3 of study) was to test the hypothesis that … For
the purpose of the analysis, appropriate care was set at zero cost, meaning the cost was neither … Both
overuse and underuse were valued as
the cost of the resource Figure 4: A djusted costs of misuse
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/prevention-adverse-drug-events
January 01, 1992 - surveillance tool to increase the identification of ADEs and reduce hospital length of stay and associated costs … Case-Control and Time Series Outcomes: Impact on patient safety, Impact on efficiency, utilization, costs
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digital.ahrq.gov/sites/default/files/docs/activity/use_of_electronic_referral_system_2009_update_2.pdf
January 01, 2009 - further validation may be needed to ensure the work process models adequately
reflect the time and cost … Establishing valid simulation models that can predict the costs and
benefits of electronic referral … However, in surgical clinics, eReferral reviews were conducted by lower-cost
nurse practitioners. … less than the surgeon time saved on visits (100.7 hours for 1,212 referrals),
yielding a 22.5 percent cost … Selected Outputs
The study yielded an implementation handbook, cost tool, and summaries of findings
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/systematic-review-home
review Outcomes: Impact on healthcare effectiveness & quality, Impact on efficiency, utilization and costs … Changes in healthcare costs: Very few studies reported cost data; the authors could not make conclusions
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digital.ahrq.gov/ahrq-funded-projects/new-mexico-health-information-collaborative-nmhic
January 01, 2023 - information exchange that improves care coordination and chronic disease outcomes, and reduces unnecessary costs … pediatric asthma, depression, and low back pain) that utilize eHealth strategies to improve care and reduce costs … initially driven by several business leaders with concerns over unrelenting escalation in health care costs
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digital.ahrq.gov/key-topics/computerized-provider-order-entry
January 01, 2007 - well as compliance with guidelines and the efficiency of hospital workflow; they can also reduce the cost … Computer Physician Order Entry: Benefits, Costs, and Issues Author(s) : Kuperman GJ, Gibson RF Source … provides a systematic literature review of CPOE evaluation studies in the outpatient setting on safety; cost … studies published to date does not provide adequate evidence that CPOE systems enhance safety and reduce cost … priority on patient safety and showed CPOE's impact on hospital efficiency could more easily justify the cost
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/evaluation-computerized-decision
September 01, 1996 - randomized-control (practice B) Outcomes: Level of INR control, adverse events, patient satisfaction, overall costs … Changes in healthcare costs: Savings estimated at £436 in the first year of use, and £2604 for each
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/immediate-benefits-realized
May 01, 2000 - Impact on patient safety, Impact on health care effectivness/quality, Impact on efficiency, utilization, costs … laboratory, counter-signature of verbal orders, variable impact on length of hospital stay and overall costs