Webinar – How to Finance the Cost ofan EMRJune 23, 2011Funding	  to	  support	  this	  Webinar	  has	  been	  provided	  b...
Webinar – How to Finance the Cost ofan EMRJune 23, 2011Funding	  to	  support	  this	  Webinar	  has	  been	  provided	  b...
Agenda•  High level of overview  –  Dr. Alan Brookstone – 10 mins•  Experiences on the frontline  –  Dr. Mark Dermer – 15 ...
Health Expenditure 2010
Financing Options – Important Questions•  How much does an EMR cost?  –  Purchase cost  –  Maintenance cost•  Should you… ...
Background - Canada•  Pre-2001  –  No option but to pay for the EMR directly  –  No provincial funding programs for EMR  –...
Provincial Programs•  Funding programs are currently available in:  –  Alberta  –  Ontario  –  British Columbia  –  Nova S...
Overview of Provincial Programs•  Alberta•  Ontario•  British Columbia•  Nova Scotia•  Manitoba•  Saskatchewan•  Others….
It’s Not Just the Hardware and Software•  What else should you consider?  –  Network  –  Office re-design  –  Hardware rep...
Dr. Mark Dermer                  10	  
Central OttawaFamily Health Organization•  11 family physicians, 5.9 FTE•  4 nurses, 3.1 FTE•  Full Electronic Medical Rec...
EMR Business Case•  Reduced time spent by providers  –    Prescription renewals  –    “One-write” data entry  –    Retriev...
Cost of Adopting an EMR      •  Two types of possible costs to physicians            –  Transitional – implementation and ...
Comparison:EMR Costs to EMR Savings•  Based on 5 half-days at EMR site  –  Labour time savings      $26.00/day  –  Physici...
EMR without Connectivity: An Island
Patient Self-Service•  Kiosk•  Web
Additional EMR Staff Efficiencies with     Connectivity and Self-Serve      •    No scanning                              ...
Matthew Debolt                 19	  
About HP Financial ServicesWho we are                                           Business model–  HP’s wholly owned leasing...
HP Financial ServicesPosition            Second largest IT captive                    financing organization              ...
Programs–  24, 36, or 48 month terms–  Fair market value, dollar buyout and bargain purchase option   available–  Finance ...
HP Financial Services Contacts–  Susan Holmes  •  813-907-3030  •  Susan.holmes@hp.com–  Wayne Leblanc  •  905-206-3640  •...
Questions & Discussion
Questions & Discussion
Questions & Discussion
Webinar – How to Finance the Cost ofan EMRJune 23, 2011Funding	  to	  support	  this	  Webinar	  has	  been	  provided	  b...
Webinar – How to Finance the Cost ofan EMRJune 23, 2011Funding	  to	  support	  this	  Webinar	  has	  been	  provided	  b...
Canadian emr webinar-june 23-final.ppt
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Canadian emr webinar-june 23-final.ppt

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CanadianEMR Webinar - How to Finance an EMR

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Canadian emr webinar-june 23-final.ppt

  1. 1. Webinar – How to Finance the Cost ofan EMRJune 23, 2011Funding  to  support  this  Webinar  has  been  provided  by  Hewle7-­‐Packard      
  2. 2. Webinar – How to Finance the Cost ofan EMRJune 23, 2011Funding  to  support  this  Webinar  has  been  provided  by  Hewle7-­‐Packard      
  3. 3. Agenda•  High level of overview –  Dr. Alan Brookstone – 10 mins•  Experiences on the frontline –  Dr. Mark Dermer – 15 mins•  Alternative options –  Financing through a hardware vendor – 5 mins•  Q&A – 20-25 mins
  4. 4. Health Expenditure 2010
  5. 5. Financing Options – Important Questions•  How much does an EMR cost? –  Purchase cost –  Maintenance cost•  Should you… –  Pay for the EMR yourself? •  What are your options? •  Pros and Cons –  Take advantage of provincial funding? •  What is available across Canada? •  Pros and Cons
  6. 6. Background - Canada•  Pre-2001 –  No option but to pay for the EMR directly –  No provincial funding programs for EMR –  Have to build a business case for an EMR based upon ability to improve practice efficiency and potentially increase revenue•  Post 2001 –  Starting with Alberta, a number of provinces progressively put funding programs into place to support the purchase of an EMR…
  7. 7. Provincial Programs•  Funding programs are currently available in: –  Alberta –  Ontario –  British Columbia –  Nova Scotia –  Saskatchewan –  Manitoba•  Soon to offer programs –  Newfoundland –  New Brunswick
  8. 8. Overview of Provincial Programs•  Alberta•  Ontario•  British Columbia•  Nova Scotia•  Manitoba•  Saskatchewan•  Others….
  9. 9. It’s Not Just the Hardware and Software•  What else should you consider? –  Network –  Office re-design –  Hardware replacement –  Ongoing support and maintenance –  Internet or dedicated high-speed access –  Local Server vs. Remote Server (ASP or Cloud- based EMR)
  10. 10. Dr. Mark Dermer 10  
  11. 11. Central OttawaFamily Health Organization•  11 family physicians, 5.9 FTE•  4 nurses, 3.1 FTE•  Full Electronic Medical Record (EMR) since 2002 *Purchased without government funding•  Culture of integrating new evidence, setting clinical targets and continuously modifying processes•  EMR is key to our quality and efficiency of care
  12. 12. EMR Business Case•  Reduced time spent by providers –  Prescription renewals –  “One-write” data entry –  Retrieving information within chart –  Finding patient record•  Reduced time spent by staff –  Eliminates chart pulls for visits and filing –  No need to carry paper from place to place –  Easy access to info to respond to phone inquiries•  Reduced chart storage costs•  Increased revenues –  Greater capture of charges earned in an encounter –  Prompts increase services and associated fees per visit
  13. 13. Cost of Adopting an EMR •  Two types of possible costs to physicians –  Transitional – implementation and optimization –  Ongoing – persistent reduced productivity •  Transitional costs are unavoidable •  Must avoid ongoing reduced© Mark Dermer, 2003
  14. 14. Comparison:EMR Costs to EMR Savings•  Based on 5 half-days at EMR site –  Labour time savings $26.00/day –  Physician time saving $67.00/day•  REVENUE•  $94/day  $1,883/month  $22,600/year•  COST•  $54/day  $1,077/month  $13,000/year•  After first 4 years, cost drops to $11,000/year
  15. 15. EMR without Connectivity: An Island
  16. 16. Patient Self-Service•  Kiosk•  Web
  17. 17. Additional EMR Staff Efficiencies with Connectivity and Self-Serve •  No scanning 0.75 hrs/day •  Dramatic reduction in phone work •  Patient calls for appointments 1.00 hrs/day •  Pharmacy calls for renewals 0.50 hrs/day •  Patient calls for results and questions 0.25 hrs/day •  Calls to arrange consults and tests 1.00 hrs/day •  Dramatic reduction in reception work •  Patients arriving 0.25 hrs/day •  Patients leaving 0.50 hrs/day •  TOTAL 4.25 hours = $85 per day© Mark Dermer, 2003
  18. 18. Matthew Debolt 19  
  19. 19. About HP Financial ServicesWho we are Business model–  HP’s wholly owned leasing and financial •  End-to-end model, control of all services subsidiary business functions–  One HPFS worldwide, complete •  Leadership team with 150 years of global linkage combined financial services experience–  Full range of financial lifecycle management •  Oversight by HP Board of Governors services – transition, acquisition, •  Five consecutive profitable quarters management and disposition •  P&L accountability, segment reportingMission Size and scope•  Enhance HP’s worldwide sales efforts by •  $11.2 billion in assets providing a broad range of financial services •  More than $3 billion in annual revenue, and asset management capabilities that nearly $6 billion in annual financing volume positively impact HP’s customer/partner •  1,100 people in 40 countries relationships and enhance shareowner value •  Manage 1.2 million units in secondary•  Achieve financial performance comparable markets annually to the world’s best performing financial services companies •  Multi-vendor/multi-technology financing for transactions from $399 to multi-millions
  20. 20. HP Financial ServicesPosition Second largest IT captive financing organization worldwideFunding model Direct access to capital; no reliance on third partyExpertise Expert in acquisition, management and retirement of assetsGlobal reach Global capabilities with a presence in 40 countries around the world
  21. 21. Programs–  24, 36, or 48 month terms–  Fair market value, dollar buyout and bargain purchase option available–  Finance 100% of the total solution, including 3rd party equipment and software–  Special payment structures designed based on your needs–  Quarterly Promotions •  0% 12 month $1 Buyout – thru 7/31/11 •  0% 36 month Fair Market Value – thru 7/31/11
  22. 22. HP Financial Services Contacts–  Susan Holmes •  813-907-3030 •  Susan.holmes@hp.com–  Wayne Leblanc •  905-206-3640 •  Wayne.leblanc@hp.com–  Matt DeBolt •  719-592-6832 •  Matthew.debolt@hp.com
  23. 23. Questions & Discussion
  24. 24. Questions & Discussion
  25. 25. Questions & Discussion
  26. 26. Webinar – How to Finance the Cost ofan EMRJune 23, 2011Funding  to  support  this  Webinar  has  been  provided  by  Hewle7-­‐Packard      
  27. 27. Webinar – How to Finance the Cost ofan EMRJune 23, 2011Funding  to  support  this  Webinar  has  been  provided  by  Hewle7-­‐Packard      

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