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Calculating the Cost and Benefit of Meaningful Use: A User Friendly Overview

Tri-state regional extension center a healthbridge regional collaboration Friday, june 18, 2010. Calculating the Cost and Benefit of Meaningful Use: A User Friendly Overview. Critical to Successful implementation of EHR. Over 400 EHR Vendors….Which product is right for you?

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Calculating the Cost and Benefit of Meaningful Use: A User Friendly Overview

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  1. Tri-state regional extension centera healthbridge regional collaborationFriday, june 18, 2010 Calculating the Cost and Benefit of Meaningful Use: A User Friendly Overview

  2. Critical to Successful implementation of EHR • Over 400 EHR Vendors….Which product is right for you? • Assessment of Practice • Size of Practice • One office or multiple sites • # of Employees • # of Patients • Practice Specialty (One size Does Not Fit All) • Specific Goals of Practice • Patient Requirements • Patient Portal • PQRI • Current Medical Devices • Current Network Configuration

  3. HIE Utility Model EMR PMS PMS eRX Labs EMR PMS PMS eRX Labs EMR PMS PHR eRX Labs INS INS INS INS Applications INS RCM Security Layer (Identity Management/Secure Authentication) Network Layer (Private /Public Internet) Hospital Clinics Physician Practice Public Health

  4. EHR Software Items to Consider • EMR Software $10K-$20K • ASP $0 • Client Server $5K-$15K • ASP or Hosted Software • Typically less up front cost (but not zero) • Pay indefinitely • Relies on Internet Connectivity • Client Server Software • More up front costs • Own hardware and software • Doesn’t rely on Internet Connection • What do I get?

  5. Servers • Application Servers • Interface Servers • Lab Systems • PAC Systems • Imaging Systems • Other • Storage • Storage Area Networks (SAN) • Network Attached Storage (NAS) • Web Servers • Backup Servers

  6. Workstations • Minimum Requirements • Operating System • Windows 7 capable? • Memory • Processor Speeds • Current Machines • Are the minimums met • Can you upgrade • Laptops • Tablets • Netbooks • Ipads • Monitors • Dual Monitor Capable

  7. Infrastructure • Current Infrastructure • Network (CAT 5 Wiring) • Internet (DSL vs DS1) • Security • Firewalls • Routers • Disaster Recovery • Wireless Network • Secure • Reliable • Exam Rooms • Space • Wired

  8. Connectivity • Site to Site Connectivity • Internet Connectivity • T1 Speed or higher • Redundant Internet Connectivity • DSL or Cable • Remote Site Internet Connectivity

  9. Ancillary items • Tablet PC’s • Handhelds • Blackberry • iPhone • Android Phones • Printers • MFP Devices • Specialty Printers • Scanners • Specialty scanners • X-Rays • Photos

  10. Often Overlooked items • Software Compatibility • Specialty machines or devices • Proprietary software • Construction • Exam Rooms • Server location • Cooling • Electrical • Secure • Backup Software • Virus Protection

  11. Long term Considerations • IT Staff • Employee(s) • Outsource • Maintenance Contracts • Servers • Workstations • Scanners • Printers • Software • Growth • New Office • Additional Providers

  12. ConclusionQuestions to Ask • Can I use any existing equipment? • Can I use Virtual Servers? • Can I get a shopping list? • Price Comparisons • Expertise • What is my current network infrastructure and capacity? • Do I have room to grow? • Do I have to know all of this?

  13. Thank You John Reinhart John.reinhart@c-leverage.com Sheri Rose Sheri.rose@c-leverage.com Jeff Amrein Jeff.amrein@c-leverage.com Office: 502 855-3680

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