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Examples of Economic Effects of Health IT
P. Jon White MD
December 5, 2013
Tools, Systems, and Practices
• E-prescribing with formulary support
(FS) saves money; e-prescribing
without FS does not
• Health information exchange is
associated with net societal savings
• Implementation requires significant
time and money
► (600+ hrs per practice, 100+ hrs per
physician)
► ($162K, $85K in first year)
Citations
• Fischer MA, Vogeli C, Stedman M, Ferris T, Brookhart M, Weissman JS.
Effect of Electronic Prescribing With Formulary Decision Support on
Medication Use and Cost. Arch Intern Med. 2008;168(22):2433-2439.
doi:10.1001/archinte.168.22.2433.
• Frisse ME, Johnson KB, Nian H, Davison CL, Gadd CS, Unertl KM, Turri
PA, Chen Q. The financial impact of health information exchange on
emergency department care. J Am Med Inform Assoc. 2012;19(3):328-333.
• Fleming NS, Culler SD, McCorkle R, Becker ER, Ballard DJ. The Financial
and Nonfinancial Costs of Implementing Electronic Health Records in
Primary Care Practices. Health Affairs. 2011; 30(3):481-489.

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Economic Evidence for Health IT - AHRQ Slides

  • 1. Examples of Economic Effects of Health IT P. Jon White MD December 5, 2013
  • 2. Tools, Systems, and Practices • E-prescribing with formulary support (FS) saves money; e-prescribing without FS does not • Health information exchange is associated with net societal savings • Implementation requires significant time and money ► (600+ hrs per practice, 100+ hrs per physician) ► ($162K, $85K in first year)
  • 3. Citations • Fischer MA, Vogeli C, Stedman M, Ferris T, Brookhart M, Weissman JS. Effect of Electronic Prescribing With Formulary Decision Support on Medication Use and Cost. Arch Intern Med. 2008;168(22):2433-2439. doi:10.1001/archinte.168.22.2433. • Frisse ME, Johnson KB, Nian H, Davison CL, Gadd CS, Unertl KM, Turri PA, Chen Q. The financial impact of health information exchange on emergency department care. J Am Med Inform Assoc. 2012;19(3):328-333. • Fleming NS, Culler SD, McCorkle R, Becker ER, Ballard DJ. The Financial and Nonfinancial Costs of Implementing Electronic Health Records in Primary Care Practices. Health Affairs. 2011; 30(3):481-489.