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Breaking Even: The Amount Of Time For Roi For Adopting An Ehr

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• Thank you for the feedback and the comments. Yes, I do believe you are right. That was a typo. Also, this poster was presented during the Health IT program at The University of Texas.

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• Nice poster. Glad to see this kind of practical EMR / EHR cost-based research being done. Was this presented in a class or at a conference? I'd be interested in seeing the other posters.

You're right about EMR / EHR ROI being 'fuzzy math'. As a pre-med accountancy major I was taught that theoretically correct ROI is based on the net present value of the net cash inflow (discounted value of future inflows minus investment and discounted associated cash outflows). However NPV ROI so sensitive to assumed discount values that we fall back upon time to break even and so forth.

Homework for accountancy students is to calculate 'ROI' (loosely defined) using different methods under different assumptions (sensitivity analysis) in order to explore often different and contradictory results. This might be an interesting future exercise to compare and contrast approaches calculating EMR / EHR 'ROI'.

You note that practices are different. EMRs /EHRs are too. My experience is that the difference between EMR / EHR 'ROI' is just as much a difference between EMRs / EHRs as it is between practices. The right practice combined with the right EMR / EHR leads to a short or good 'ROI' while any other combination is has a long or bad 'ROI'.

I do have a question about a couple numbers and whether they might be a typo...

'only 15% of providers have adopted a fully functional EHR and only 4% of providers have adopted a basic system'

...might you have meant to say

'only 4% of providers have adopted a fully functional EHR and only 15% of providers have adopted a basic system'?

I don't have a copy of the ''Electronic Health Records in Ambulatory Care --A National Survey of Physician' article but I did find this post about it:

'Only 4% of physicians have comprehensive EHR' http://findarticles.com/p/articles/mi_hb4345/is_8_36/ai_n28567542/

Cheers

Chuck

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