decisionhealth Newsletters, Part B News - 2010 Issue 6 (June)
Follow these 4 tips to avoid the unexpected costs of a new EHR
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Article Overview
This article explains common categories of hidden or unexpected expenses associated with adopting an electronic health record (EHR) system. It is aimed at medical practices evaluating EHR purchases, implementation planning, contract terms, training, interoperability, data conversion, storage, and transition-related operational risks. The discussion is relevant to administrators, physicians, and office managers who want to understand the broader financial and operational impact of an EHR purchase.
Why This Topic Matters
EHR costs can extend well beyond the initial purchase price, and overlooking those additional expenses can disrupt budgets and operations. This article helps practices identify where unexpected costs may arise so they can evaluate vendors and implementation plans more realistically.
Article Sections
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Hidden expenditures and contract terms
Introduces how unexpected EHR costs can arise from sales presentations, licensing terms, and agreement details. Covers the importance of reviewing contract-related obligations and end-of-agreement considerations.
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Data conversion and paper record digitization
Discusses expenses tied to moving existing data into a new system and converting paper records to electronic form. Focuses on the broader operational burden of preparing usable records for the new environment.
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Training days
Explains that training levels vary by product and practice needs. Addresses how training time and delivery format can affect adoption and staff readiness.
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Interoperability
Covers the cost of interfaces and system communication with outside entities such as laboratories and radiology providers. Also references related compliance considerations involving outside contribution to software-related expenses.
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Storage overruns
Describes backup and storage expenses that can follow EHR adoption, including offsite storage and on-site infrastructure needs. Highlights ongoing maintenance and facility-related costs.
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Planning for the unexpected
Looks at operational disruptions that may occur during EHR transition and the need to plan for contingencies. Includes preparation for workflow issues and other business continuity concerns.
What You Will Learn
- How hidden EHR expenses can arise before and after purchase
- What kinds of contract terms may affect total system cost
- Why data conversion and record scanning can add significant expense
- How training scope and delivery can affect implementation planning
- Why interfaces and storage needs can increase the cost of EHR adoption
- How to think about transition-related operational risks when budgeting for a new system
Who Should Read This
- Physicians
- Practice managers
- Medical office administrators
- Healthcare consultants
- Billing and operations staff
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