During the process of selecting an EHR, one critical step is to identify the TCO (Total cost of ownership). As you have mentioned, there are certainly different models that vendors would quote the EHR package. Some include hardware, and software costs upfront with reoccurring maintenance fees, others are simply a monthly subscription fee. In most cases, you will need to establish what the system will cost you over a period of five years. This analysis not only will help you identify which package will have an ROI, but also discover many of the hidden costs that usually are identified during the implementation or even several months post going live.
Some of the costs to identify are:
Third party technology vendors to assist with the additional day to day support needed (if IT is outsourced).
Connectivity monthly costs (cost of faster / dedicated connectivity when using an ASP model)
Maintenance fees and warrantee upgrades on hardware after 3 years
Licenses costs of third party applications (example: Microsoft Office, Database engine licenses, crystal reports, and so forth)
Fees associated with yearly maintenance fees on the EHR and other packages (eFax/Clearinghouse/web portal for patients..)
Charts scanning services to capture paper charts
costs of lists updates (CPTs/ICD 9/Formulary..)
There are several resources online that can assist review and price all the needed items for you.
The end result would be a detailed analysis of all the different models you were quoted. This will enable you to have a better overview of what type of investment you will need to make in each solution.
Last Wiki Answer Submitted: June 15, 2010 2:08 am by RedaChouffani1,785 pts.
TechTarget publishes media for information technology professionals. More than 100 focused websites enable quick access to a deep store of news, advice and analysis about the technologies, products and processes crucial to your job. Our live and virtual events give you direct access to independent expert commentary and advice. At the Health IT Exchange, the online community and dedicated networking portal of SearchHealthIT.com, you can share solutions with health IT peers and get mission critical advice from industry experts. Ask questions, get answers and begin connecting with your colleagues today.