How to Examine Post-Launch EHR Productivity

By McBride, Michael | Medical Economics, December 25, 2012 | Go to article overview

How to Examine Post-Launch EHR Productivity


McBride, Michael, Medical Economics


Once you implement your electronic health record, study key metrics to ensure best practices

POWER POINTS

* The best way to assess the effect of an EHR is to look at its impact on productivity, overhead, and general quality of life.

* The EHR will deliver a better bottom line, but not without a strong, ongoing effort at integrating the technology tool into the clinical operations.

Before you implement an electronic health record (EHR) system, it's important to analyze and document your practice's procedures. To get the most out of your system once it is in place, you'll want to examine your staff's performance and analyze key metrics. The insights you gain will help you ensure that practice productivity continues to increase and stabilize.

Here, Robert Rowley, MD, Shahid Shah, and Rosemarie Nelson- three healthcare industry experts in the areas of health information technology implementation, EHR development for primary care, and practice management- share their knowledge in easy-to-follow steps that you can apply immediately to ensure the health and longevity of your practice post-EHR implementation.

Send your feedback to medec@advanstar.com. Also engage at www.twitter.com/MedEconomics andwww.facebook.com/MedicalEconomics.

Predicting the EHR pay-off

By Robert Rowley, MD, Health information technology consultant

An electronic health record (EHR) system, which replaces the use of paper charts in your medical practice, affects everything that touches a patient's chart. In other words, it affects just about everything.

How can you tell whether it is worth it? How can you measure the effect on productivity, overhead, and general quality of life brought about by EHR adoption? By having some useful measurement tools.

The best way to assess the effect of an EHR is to look at three domains:

* the effect on productivity,

* the effect on overhead, and

* the effect on quality of life.

For the purposes of this discussion, we will include the effect on quality of care under the heading of productivity.

PRODUCTIVITY

In a practice that relies on fee-for-service income as the mainstay of its compensation, the effect of an EHR on productivity can be measured in several ways:

* Raw volume. For ambulatory practices, look at an average of how many visits per day occurred before EHR implementation (use a 1 -month survey to calculate average visits per day). Then count the average visits per day 30 days after implementation, 3 months after implementation, 6 months after implementation, and 1 year after implementation. Doing so should provide a sense of dip in productivity (which is common and can last weeks to months).

* Intensify of service. Look at the total receipts deposited for a 1 -month interval (or total billings, although actual deposits probably are a better measure) and divide by the total number of visits for that month. The result is the average dollars received per visit Compare this number before and after EHR implementation (30 days, 3 months, 6 months, and 1 year).

If part of your compensation comes from achieving clinical quality measure (COM) goals (some practices, especially primary care practices, can have as much as 25% of their income come from performance-based compensation), then the measures can be either simple, or more sophisticated:

* Look at the performance-based income (perhaps weighted by total patient volume, in case that varies) in global gross dollars before and at intervals after EHR adoption.

* If the EHR Is able to measure specific CQM achievement (or if there are other COM measurement tools outside the EHR), then use those reports to see whether quality measures are improving, deteriorating, or remaining flat after EHR implementation compared with before implementation. …

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • A full archive of books and articles related to this one
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

How to Examine Post-Launch EHR Productivity
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

    Already a member? Log in now.