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Author Girosi, Federico.

Title Extrapolating evidence of health information technology savings and costs / Federico Girosi, Robin Meili, Richard Scoville.

Imprint Santa Monica, CA : RAND Health, 2005.

Copies

Location Call No. OPAC Message Status
 Axe JSTOR Open Ebooks  Electronic Book    ---  Available
Description 1 online resource (xiii, 94 pages) : illustrations
text txt rdacontent
computer c rdamedia
online resource cr rdacarrier
data file
Bibliography Includes bibliographical references (pages 89-94).
Contents Ch. 1. Introduction -- ch. 2. Scaling up and projecting savings into the future -- ch. 3. Estimating the benefits of HIT -- ch. 4. Estimating the cost of HIT -- ch. 5. Simulation of financial incentives -- ch. 6. Conclusion and summary -- Appendix A. Taxonomies -- Appendix B.A note on transaction and administrative costs -- Appendix C. Cost of connectivity.
Summary In 2003, RAND Health began a broad study to better understand the role and importance of Electronic Medical Record Systems (EMR-S) in improving health and reducing healthcare costs, and to help inform government actions that could maximize EMR-S benefits and increase its use. This report provides the technical details and results of one component of that study: national-level efficiency savings brought about by using Healthcare Information Technology (HIT). We quantify those savings--what results from the ability to perform the same task with fewer resources (money, time, personnel, etc.)-- by providing a methodological framework to scale empirical evidence on the effect of HIT to the national level and to project it into the future. A key element of this framework is a projection of the rates of adoption of HIT in the inpatient setting and in the ambulatory/outpatient setting. Next, from the evidence found in our search of peer-reviewed and gray literature (the body of reports and studies produced by local government agencies, private organizations, and educational facilities that have not been reviewed and published in journals or other standard research publications), we considered savings from 10 different sources (5 inpatient; 5 outpatient). Then, we compared the efficiency savings with the costs the nation has to incur in order to be able to realize those savings, using a modeling framework analogous to the one developed for the extrapolation of savings and cost data from the literature or given to us by providers. We found that savings outweigh costs by a factor of 5, which implies that, even if a large portion of savings is not realized, the ratio of benefit to cost is still larger than 1. Finally, we studied what might be the effect of those financial incentives presented to providers that lower the cost of EMR-S and quicken the pace of HIT adoption. A general result that does not depend on the size of the behavioral response of physicians is that incentive programs are more likely to be cost-effective if they start early and do not last long, but are sizable. The report concludes with a summary chapter. The report should be of interest to healthcare IT professionals, other healthcare executives and researchers, and officials in the government responsible for health policy.
Note Print version record.
Subject Medical records -- Data processing.
Cost effectiveness.
Medical Records Systems, Computerized -- economics
Cost-Benefit Analysis
United States
Dossiers médicaux -- Informatique.
Coût-efficacité.
cost benefit analysis.
MEDICAL -- Medical History & Records.
Cost effectiveness
Medical records -- Data processing
Added Author Meili, Robin.
Scoville, Richard P.
Added Title Rand (Online publications)
In: Books at JSTOR: Open Access JSTOR
Other Form: Print version: Girosi, Federico. Extrapolating evidence of health information technology savings and costs. Santa Monica, CA : RAND Health, 2005 0833038516 (DLC) 2005024409 (OCoLC)61351641
ISBN 9780833040992 (electronic bk.)
0833040995 (electronic bk.)
0833038516 (Online version)
9780833038517 (Online version)
9780833040947
0833040944
1282282840
9781282282841
Standard No. AU@ 000044591792
AU@ 000048757672
AU@ 000051324427
AU@ 000053246593
DEBBG BV043126929
DEBBG BV044127884
DEBSZ 422197564
DEBSZ 430447930
GBVCP 100864921X
GBVCP 80211783X
NZ1 12045664
AU@ 000060545786

 
    
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