1 / 9

Yael Harris, PhD, MHS Senior Policy Analyst

Measuring Return on Investment: Comparing Apples to Oranges (or at least Macintosh to Granny Smith). Yael Harris, PhD, MHS Senior Policy Analyst Office of the National Coordinator for Health Information Technology. A Quick Review of the Literature.

lola
Download Presentation

Yael Harris, PhD, MHS Senior Policy Analyst

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Measuring Return on Investment:Comparing Apples to Oranges(or at least Macintosh to Granny Smith) Yael Harris, PhD, MHS Senior Policy Analyst Office of the National Coordinator for Health Information Technology

  2. A Quick Review of the Literature • $339,662 total annual savings in practice of 28 MDs using EHRs- Grieger, Cohen, Krusch, 2007 • Estimated net benefit of using EMR over 5 year period: $86,400 per physician- Wang, Middleton, Prosser, et. al., 2003 • Nationwide savings of $21.3 billion within 5 years of 90% adoption- Hillestad, Bigelow, Bower et. al. 2005 • Use of EMRs can result in poorer quality (and possibly higher overall costs as a result)- Linder et. al. 2007

  3. What are we measuring? • Electronic Administrative Record? • Computerized Physician Order Entering? • E-labs? • Medication Management? • Clinical Decision Support?

  4. A Plea for a Standardized Definition • ONC funded study by George Washington /Harvard • What constitutes an Electronic Health Record (EHR) • How to measure adoption

  5. Results • 4 Functionalities • Electronic notes • Electronic ordering of lab tests • Electronic receipt of lab results • Electronic ordering of medications

  6. So, What is Current Adoption Rate? • 9.2% for physician offices • Rate much lower for small and solo practices • Rate lower in rural areas • Highest rates in New England

  7. Ongoing Measurement • 2007 Comprehensive survey of adoption • Identify types of practices that have adopted • Identify practices planning to adopt • Identify barriers • Identify cost tradeoffs • 2008 & going forward- National Ambulatory Medical Care Survey (NAMC)

  8. So, is there a return on investment? • Technology type • “Adoption” of EHR • Practice size • Time since implementation • Start up costs

  9. Questions? Yael Harris 202-205-3628 Yael.harris@hhs.gov

More Related