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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/business-case/costs-national-health-information
The Costs of a National Health Information Network
While the use of information technology may … achieve an NHIN in five years given the current state of information technology infrastructure would cost … Ongoing costs would be more evenly divided between functionality and interoperability. … system will spend $24 billion on functionalities over the next five years or about one-quarter of the cost … AK, Franz C, Middleton B, Glaser J, Kuperman G, Christino M, Fernandopulle R, Newhouse JP, Bates DW, Cost
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/justifying-cost-computer-based
July 01, 1995 - Justifying the cost of a computer-based patient record
Authors: Kian, L. A., Stewart, M. … Years of study: 1994-Not available Study Design: Case-based predictive cost-benefit analysis Outcomes … : Predicted costs and benefits of HIT. … Evaluation Method: A predictive cost-benefit analysis with support from top management. … Costs: The projected costs over the 10 years are listed below.
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digital.ahrq.gov/sites/default/files/docs/page/e_rx_evaluation_guide.pdf
February 01, 2010 - Value: Cost savings
from decreased
treatment costs for
ADEs resulting from
garbled prescription … Measure(s) of
cost/value
analyzed
Cost savings
were estimated
using average
medication costs … estimated.*
The costs to be measured are the net changes in costs for any particular cost category … J
and discount rates for benefit-cost analysis of federal Am Med Inform Assoc 2009 Jul-Aug;16(4):480 … Benefit-cost analysis: years discount rates from appendix C of OMB circular
financial and economic
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/return-investment-computerized
August 23, 2021 - Hospital (BWH) Years of study: 1992-2002 Study Design: Retrospective cost and financial benefit estimates … HIT System Sustainability: on-going use of the CPOE system Costs: All costs are present value in constant … in operational costs (total approximately $11.8 million). … No further detail of cost breakdowns are provided. … Cost of Implementation: The authors did not include the costs of rule development and knowledge engineering
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/return-investment/reviewing-benefits-and-costs
Reviewing the Benefits and Costs of Electronic Health Records and Associated Patient Safety Technologies … addition, given the absence of a robust ROI literature base, we review the general benefits and potential costs … examining ROI itself; these trends are indicative of the challenges in scientifically measuring many of the costs … Less-tangible benefits of IT applications, such as increased revenues and averted costs are described … Systems Publication Year: 2006 Volume: 30 Page Number: 159-168 Link: Reviewing the Benefits and Costs
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/value-electronic-health-records
August 30, 2021 - Outcomes: Initial and ongoing EHR costs. … Cost of HIT systems: Initial system costs were found to be $44,000 per FTE provider. … Hardware costs were $13,000 per FTE provider. … Cost of Implementation: Revenue losses from decreased productivity (fewer patient visits) during training … Long-term Cost:
Ongoing costs were $8,500 per FTE provider Quality of Care and Patient Safety Outcome
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cycle-time-chart
January 01, 2023 - In addition, it may demonstrate the costs associated with each step as well as whether the steps add … Possibilities include: cost of each step, overall cost, and whether or not a step is value added.
4 … past the highest cost. … past the total cost. … Can also show value and costs.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/evaluation-studies-health-it/systematic-review
January 01, 2006 - Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical … systematically review evidence on the effect of health information technology on quality, efficiency, and costs … on system capabilities, design, effects on quality, system acquisition, implementation context, and costs … Whether and how other institutions can achieve similar benefits, and at what costs, are unclear. … Apr 11 Link: Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018220-fleming-final-report-2011.pdf
January 01, 2011 - Provider
number is linked to the general ledger cost centers and accounts; thus, payroll cost data were … Total Costs. … Maintenance costs for the
first year were estimated to be $85,500, with an average per physician cost … The total
costs through the first year were estimated at $232,297 with an average per physician cost … Year Costs Total Cost
Capital Expenditures (Depreciable):
Hardware Costs (Fixed) $25,000 $25,000
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-evidence-based
Impact of an evidence-based computerized decision support system on primary care prescription costs … Intervention: Compared new prescription costs for providers using an electronic prescribing system with … to detailed therapeutic reviews that contain supporting evidence from the literature and comparative cost … Changes in healthcare costs: The mean cost per new prescription was $4.16 lower (p=.02) in the intervention … group, and the mean cost for new and refilled prescriptions was $4.99 lower (p=.01).
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digital.ahrq.gov/sample-questions-answers
January 01, 2023 - Please refer to Chapter 4 of "Costs and Benefits of Health Information Technology," AHRQ Publication … What will the cost of an electronic medical record (EMR) implementation be for me? … What is the cost? What are the caveats? … What will the cost of an electronic medical record (EMR) implementation be for me? … Using the criteria of electronic health record and cost effectiveness and cost benefit we get the following
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digital.ahrq.gov/research-method/cost-benefit
January 01, 2023 - Cost-Benefit/Cost-Effectiveness
Contribution of continuous virtual monitoring … Implementation of pharmacogenomic clinical decision support for health systems: a cost-utility … Implementation of pharmacogenomic clinical decision support for health systems: a cost-utility analysis … an evidence-based inpatient tobacco dependence treatment service on 1-year postdischarge health care costs … an evidence-based inpatient tobacco dependence treatment service on 1-year postdischarge health care costs
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digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-primary-care-workflow-and-financial/annual-summary/2011
January 01, 2011 - ) systems on primary care workflow and financial measures, or about the financial and non-financial costs … Fleming and his team used a 3-month no-cost extension to complete the analysis for the first two aims … For a fivephysician practice, implementation cost an estimated $162,000, with $85,500 in maintenance … increased to about $1,650 per-physician FTE per month, which is approximately the per-physician monthly cost … of EHR maintenance costs.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/implementation-hospital
Cost of HIT systems: The authores provided vendor-supplied estimated CPOE costs in Appendix 1 of the … , and "low" or "high" estimates Cost of Implementation: CPOE implementation cost will increase a hospital's … ongoing costs, to a ÒhighÓ cost estimates of 3.3% and 0.7% respectively Estimates for critical care … was m Long-term Cost: Urban hospitals would need to recoup 0.4% (ÒLowÓ cost scenario) to 1.0% (ÒHighÓ … cost scenario) of annual operating costs on CPOE-related efficiency/safety improvement over a ten-year
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/return-investment/computer-physician-order
Computer Physician Order Entry: Benefits, Costs and Issues
Information technology has consistently … Studies have documented that CPOE can decrease costs, shorten length of stay, decrease medical errors … The costs of CPOE are substantial both in terms of technology, system implementation, and user training … Publication Year: 2003 Volume: 139 Page Number: 31-39 Link: Computer Physician Order Entry: Benefits, Costs
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/medical-groups-adoption
August 16, 2021 - Cost of HIT systems: Average initial costs were $33,000 per physician Long-term Cost: Average maintenance … costs were $1,500 per physician per year. … The average initial costs and maintenance costs even when amortized over five years at 8% interest would … The average initial costs and maintenance costs even when amortized over five years at 8% interest would
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digital.ahrq.gov/ahrq-funded-projects/use-affordable-open-source-systems-rural-and-small-practice-health-professional/annual-summary/2011
January 01, 2011 - Funding Amount
$299,078
Summary: National efforts focus on improving medical quality and reducing costs … Hardware and software installation, usage, and maintenance costs will be optimized to maintain affordability … assessments evaluate the functionality, trustworthiness, interoperability, performance, compliance, and affordability … process for evaluating the functionality, trustworthiness, interoperability, performance, compliance, and affordability … Due to the mid-semester start and end dates of the grant, a 1-year no-cost extension will be used.
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digital.ahrq.gov/sites/default/files/docs/page/Leapfrog-CPOE_Costs_Benefits_Challenges.pdf
March 01, 2003 - varies enormously – not only among vendors but even as sold by a single
vendor, depending on individual pricing … Range and Average Costs of One-Time and Ongoing Costs of CPOE
Across Five Sites
Type of Cost Low … Overall,
however, while software costs are perhaps the least predictable element in the total cost … and Ongoing Support
Category Cost
One-Time Capital
Hardware/server costs $750,000
Software … sites – were only twice the cost of one single
site hospital, in spite of the fact that QHN’s costs
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/long-term-care/costs-associated-developing-and
Costs associated with developing and implementing a computerized clinical decision support system for … tracked the time spent by team members and used US national averages of relevant hourly wages to estimate costs … The team required 924.5 hours and $48,668.57 in estimated costs to develop 94 alerts for 62 drugs. … Estimates under alternative scenarios found lower total cost estimates with the existence of a valid … Publication Year: 2008 Publication Month: Jul-Aug Volume: 15 Issue: 4 Page Number: 466-72 Link: Costs
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digital.ahrq.gov/ahrq-funded-projects/computable-social-factor-phenotyping-using-ehr-and-hie-data
January 01, 2023 - there is the potential to increase their collection, act on them, and reduce healthcare utilization and costs … Social factors are an important driver of morbidity, mortality, utilization, disparities, and healthcare costs … patient-level computable social factor phenotypes to predict a patient’s risk of increased healthcare costs … used to determine the predictive validity of the approaches in identifying subsequent utilization and cost … research holds the potential to improve the prediction of a patient’s risk of increased healthcare costs