This webinar discusses options for financing the costs of an electronic medical records (EMR) system. The webinar agenda includes an overview of EMR costs, experiences implementing EMR, and alternative financing options through hardware vendors. Several provinces in Canada now offer funding programs to support EMR adoption. While EMR systems can be expensive initially, they help reduce physician and staff time spent on documentation and improve revenue capture. Hardware vendor HP Financial Services provides leasing programs to cover 100% of EMR and third-party equipment costs. The webinar concludes with a question and answer session to discuss EMR financing challenges and opportunities.

1. Webinar – How to Finance the Cost of
an EMR
June 23, 2011
Funding
to
support
this
Webinar
has
been
provided
by
Hewle7-­‐Packard

2. Webinar – How to Finance the Cost of
an EMR
June 23, 2011
Funding
to
support
this
Webinar
has
been
provided
by
Hewle7-­‐Packard

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. Health Expenditure 2010

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. 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. Provincial Programs
• Funding programs are currently available in:
– Alberta
– Ontario
– British Columbia
– Nova Scotia
– Saskatchewan
– Manitoba
• Soon to offer programs
– Newfoundland
– New Brunswick

8. Overview of Provincial Programs
• Alberta
• Ontario
• British Columbia
• Nova Scotia
• Manitoba
• Saskatchewan
• Others….

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. Dr. Mark Dermer
10

11. Central Ottawa
Family 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. 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. 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

15. 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

16. EMR without Connectivity: An Island

17. Patient Self-Service
• Kiosk
• Web

18. 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

19. Matthew Debolt
19

20. About HP Financial Services
Who 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 reporting
Mission 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

21. HP Financial Services
Position Second largest IT captive
financing organization
worldwide
Funding model Direct access to capital; no
reliance on third party
Expertise Expert in acquisition,
management and
retirement of assets
Global reach Global capabilities with a
presence in 40 countries
around the world

22. 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

23. 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

24. Questions & Discussion

25. Questions & Discussion

26. Questions & Discussion

27. Webinar – How to Finance the Cost of
an EMR
June 23, 2011
Funding
to
support
this
Webinar
has
been
provided
by
Hewle7-­‐Packard

28. Webinar – How to Finance the Cost of
an EMR
June 23, 2011
Funding
to
support
this
Webinar
has
been
provided
by
Hewle7-­‐Packard