EHR Implementation May Lead to Revenue Loss, Survey Suggests | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

EHR Implementation May Lead to Revenue Loss, Survey Suggests

March 14, 2013
by Gabriel Perna and Mark Hagland
| Reprints
Mostashari Responds to Survey at Press Conference

According to a study, recently appearing in an issue of the journal Health Affairs,  implementing an electronic health record (EHR) could to lead to revenue loss. The authors of the report studied 49 community practices in a large EHR pilot through the Massachusetts eHealth Collaborative, and found that the average physician lost $43,743 over five years and just 27 percent of practices would have achieved a positive return on investment.

The researchers said that “only” an additional 14 percent of practices would have come out ahead had they received the $44,000 federal meaningful-use incentive. According to the researchers, “the largest difference between practices with a positive return on investment and those with a negative return was the extent to which they used their EHRs to increase revenue, primarily by seeing more patients per day or by improved billing that resulted in fewer rejected claims and more accurate coding.”

The survey’s authors said meaningful use incentives alone would not likely achieve a positive return on investment from EHR adoption. Most smaller providers, they reported, would need help from a regional extension center program.

In a press conference at the Healthcare Information and Management Systems Society (HIMSS), Farzad Mostashari, M.D., National Coordinator for Health IT, responded to the survey’s findings, saying the cost of EHR implementation isn’t realistically portrayed in the survey,

“The first study was kind of a sister project of mine, Massachusetts eHealth Collaborative, that basically covered all the costs for software, hardware, and support, for these practices in Massachusetts. So there was no price sensitivity in this,” Mostashari says. “In fact, providers in the real world are very price-sensitive. So the context of that study is important but not really generalizable. They’re saying it costs $137,000 per physician for hardware, software, and physician support. In this day and age, it would be hard to find comparable cost comparisons with that study.”

Topics

News

NewYork-Presbyterian, Walgreens Partner on Telemedicine Initiative

NewYork-Presbyterian and Walgreens are collaborating to bring expanded access to NewYork-Presbyterian’s healthcare through new telemedicine services, the two organizations announced this week.

ONC Releases Patient Demographic Data Quality Framework

The Office of the National Coordinator for Health IT (ONC) developed a framework to help health systems, large practices, health information exchanges and payers to improve their patient demographic data quality.

AMIA, Pew Urge Congress to Ensure ONC has Funding to Implement Cures Provisions

The Pew Charitable Trusts and the American Medical Informatics Association (AMIA) have sent a letter to congressional appropriators urging them to ensure that ONC has adequate funding to implement certain 21st Century Cures Act provisions.

Former Michigan Governor to Serve as Chair of DRIVE Health

Former Michigan Governor John Engler will serve as chair of the DRIVE Health Initiative, a campaign aimed at accelerating the U.S. health system's transition to value-based care.

NJ Medical Group Launches Statewide HIE, OneHealth New Jersey

The Medical Society of New Jersey (MSNJ) recently launched OneHealth New Jersey, a statewide health information exchange (HIE) that is now live.

Survey: 70% of Providers Using Off-Premises Computing for Some Applications

A survey conducted by KLAS Research found that 70 percent of healthcare organizations have moved at least some applications or IT infrastructure off-premises.