Featured Research

from universities, journals, and other organizations

Hospitals not always prepared for full costs of implementing electronic patient records

Date:
February 12, 2014
Source:
BMJ-British Medical Journal
Summary:
Hospitals don't always take into account the full costs of implementing new electronic health record systems and should be better prepared if they are to maximize the benefits, finds research.

Hospitals don't always take into account the full costs of implementing new electronic health record systems and should be better prepared if they are to maximize the benefits, finds research published online in the Journal of the American Medical Informatics Association (JAMIA).

Electronic health record (EHR) systems can improve the safety, quality, and efficiency of healthcare in hospitals, and their adoption is a priority for the UK and US governments.

But despite their promise and the existence of EHRs in UK primary care for several decades, UK hospitals have been slow to adopt the technology, citing cost as a significant barrier, say the study authors.

As part of England's 12.7 billion (US$20 billion) National Programme for IT (NPfIT), three EHR systems were procured centrally: iSOFT's Lorenzo Regional Care; Cerner's Millennium; and CSE's RiO. But their implementation has been fraught with difficulty.

And the English government announced the dismantlement of the programme in September 2011, after a Cabinet Office review concluded it was "not fit to provide the modern IT services that the NHS needs."

The researchers evaluated the implementation of the three systems in 12 diverse healthcare organizations, in three different regions of the country, and at different stages of implementing these systems.

They also carried out 41 semi- structured interviews with 36 hospital staff, members of the local implementation team, and those involved in the implementation at a national level, between February 2009 and January 2011.

They identified four overarching cost categories associated with implementing an EHR system: infrastructure (such as hardware and software); personnel (such as a project managers and training teams); estates/facilities (furniture, fittings and space); other (such as training materials).

Many factors affected these costs, with different hospitals choosing varying amounts and types of infrastructure, diverse training approaches for staff, and different software applications.

Some of the hospitals incurred significant costs in testing the software while some spent a lot of money training clinicians and administrative staff to use the new system, using either one-to-one, classroom, or mass training sessions, or different combinations of both.

The decision to backfill staff on the wards varied among hospitals, with one hospital stumping up a one-off cost of 750,000 (over US$1.1 million) to provide cover for clinical staff who were being trained to use EHRs, while another spent no money at all on providing cover.

The analysis showed that, overall, implementation proceeded at a much slower pace than expected, with many challenges along the way.

Out of the four main categories of associated expenditure identified, hospitals were most likely to cut back on training and implementation costs.

Certain factors were systematically under-appreciated in project planning, including the need to back fill staff due to lost productivity, and the need to test the system due to inadequate vendor testing.

"With cost considered one of the most significant barriers, it is important for hospitals and governments to be clear from the outset of the major cost categories involved and the factors that may impact on these costs," conclude the authors.

If organizations don't take these factors on board, they risk failure, the authors warn.

"Failure to adequately train staff or to follow key steps in implementation has preceded many of the failures in this domain, which can create new safety hazards," they say.


Story Source:

The above story is based on materials provided by BMJ-British Medical Journal. Note: Materials may be edited for content and length.


Journal Reference:

  1. S. P. Slight, C. Quinn, A. J. Avery, D. W. Bates, A. Sheikh. A qualitative study identifying the cost categories associated with electronic health record implementation in the UK. Journal of the American Medical Informatics Association, 2014; DOI: 10.1136/amiajnl-2013-002404

Cite This Page:

BMJ-British Medical Journal. "Hospitals not always prepared for full costs of implementing electronic patient records." ScienceDaily. ScienceDaily, 12 February 2014. <www.sciencedaily.com/releases/2014/02/140212212353.htm>.
BMJ-British Medical Journal. (2014, February 12). Hospitals not always prepared for full costs of implementing electronic patient records. ScienceDaily. Retrieved September 22, 2014 from www.sciencedaily.com/releases/2014/02/140212212353.htm
BMJ-British Medical Journal. "Hospitals not always prepared for full costs of implementing electronic patient records." ScienceDaily. www.sciencedaily.com/releases/2014/02/140212212353.htm (accessed September 22, 2014).

Share This



More Health & Medicine News

Monday, September 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Sierra Leone in Lockdown to Control Ebola

Sierra Leone in Lockdown to Control Ebola

AP (Sep. 21, 2014) Sierra Leone residents remained in lockdown on Saturday as part of a massive effort to confine millions of people to their homes in a bid to stem the biggest Ebola outbreak in history. (Sept. 20) Video provided by AP
Powered by NewsLook.com
Sierra Leone's Nationwide Ebola Curfew Underway

Sierra Leone's Nationwide Ebola Curfew Underway

Newsy (Sep. 20, 2014) Sierra Leone is locked down as aid workers and volunteers look for new cases of Ebola. Video provided by Newsy
Powered by NewsLook.com
Changes Found In Brain After One Dose Of Antidepressants

Changes Found In Brain After One Dose Of Antidepressants

Newsy (Sep. 19, 2014) A study suggest antidepressants can kick in much sooner than previously thought. Video provided by Newsy
Powered by NewsLook.com
Could Grief Affect The Immune Systems Of Senior Citizens?

Could Grief Affect The Immune Systems Of Senior Citizens?

Newsy (Sep. 19, 2014) The study found elderly people are much more likely to become susceptible to infection than younger adults going though a similar situation. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins