Physicians are ditching expensive paper pads and sending electr
The push for electronic medical records
has gone through fits and starts over the last decade, but the time
may have finally arrived when it actually makes sense for physician
offices to go through this disruptive innovation. A confluence of
factors including the Obama stimulus bill, CMS incentives, and the
rapid development of new and exciting technology has record numbers
of doctors considering making the switch.
One of the exciting new technology
innovations is the ability to deliver EMR over the web, rather than
having to install the program locally. Web delivery drastically
reduces EMR implementation costs because it eliminates the need to
purchase expensive servers to host the program. A single physician
practice purchasing a traditional EMR system may have to spend
upwards of $25,000 just to get the hardware necessary to use the
program. However, since most medical offices already have computers
and internet connections, no additional hardware purchases are
typically necessary to get started with a web-delivered EMR system.
Additionally, web-delivered EMRs reduce a practice’s HIPAA
liability because sensitive PHI is stored on the EMR vendor’s web
servers, rather than on the medical practice’s local machines-
partially pushing the burden of HIPAA compliance on to the EMR
vendor.
The federal government is now offering
several different incentive programs to encourage providers to begin
using electronic medical records that in many cases covers a large
portion, if not all of the costs associated with implementing an EMR
system. The Obama Administration’s signature piece of legislation,
“The American Recovery and Reinvestment Act of 2009,” includes
$20 billion of incentives intended to encourage EMR adoption. Under
this bill, incentives begin in 2011, and a single provider can
receive upwards of $44k over a 5 year period. Additionally, CMS is
offering a bonus to physicians who use electronic prescriptions. The
bonus is equal to 2% of a physician’s total charges billed to
Medicare in 2009 and 2010, and then steps down by .5% each year
through 2013. The CMS e-Prescribe bonus program could yield between
$1,700 and $3,500 a year for a typical single-provider, primary care
practice in 2009 and 2010. As is often the case with government
programs, the details for the varying EMR adoption incentives are a
bit murky and still being hashed-out, but medical providers around
the country can rely on the fact that the government has pledged to
make a large investment in Healthcare I.T., and as time goes on the
pressure on practices to convert to an electronic medical records
system will only intensify.
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