| Chart Costs |
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Average
number of physicians |
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Average number of patients per physician per day |
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Average number of patient visits per day
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Average number of chart
pulls for visiting patients |
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Average number of chart pulls for non-visiting patients
(Industry average is 60% of the daily chart pulls)
source
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Chart pulls for non-visiting patients
include medication refills, lab results, phone consultations, and
correspondence.
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Source: Bingham, A., “Computerized
Patient Records Benefit Physician Offices, Healthcare Financial Management,
September 1, 1997 |
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Total chart pulls per day |
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Cost
to pull and re-file chart ($5.00 per chart)
source
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Source: Wang, A., Middleton, B., et al.
“A Cost-Benefit Analysis of Electronic Medical Records in Primary Care,” The
American Journal of Medicine, April 1, 2003. |
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$
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| Transcription |
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Average number of internal
employees working on transcription |
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Average
percentage of employee time devoted to transcription
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Enter the percentage of a 40-hour work
week that transcription-related employees spend on transcription. If there is
more than one employee, use an average. |
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% |
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Enter one of the following: |
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or
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Annual full-time cost per employee
(wages, benefits, etc.) |
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Average hourly cost per employee
(wages, benefits, etc.) |
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Internal employee transcription costs per month |
$ |
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Outside transcription cost per month total
(all physicians) |
$ |
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Estimated Reduction in Transcription Costs
(20%-100%)
source
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Source: American Journal of Medicine April, 2003
estimates 20%-100% depending on physicians using point of care. |
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% |
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Pharmacy Refills |
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How many prescription refills per day |
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Staff time per refill (15 minutes)
source
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Source: Erstad, T., “Analyzing Computer-based
Patient Records: A Review of Literature, Journal of Healthcare Information
Management, vol. 17, no. 4. 2003. |
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Enter one of the following:
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$ |
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or
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Annual full-time cost per employee responsible for refills (wages,
benefits, etc.)
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Average hourly cost per employee responsible for refills (wages,
benefits, etc.) |
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Time spent per refill with automation (3 minutes)
source
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Source: Erstad, T., “Analyzing Computer-based
Patient Records: A Review of Literature, Journal of Healthcare Information
Management, vol. 17, no. 4. 2003.
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Coding |
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Average number of patient visits per day |
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Percentage of patient visits that could be coded at a higher
level with increased documentation
(Industry average 3-15%)
source
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Estimate the percentage of visits that may be “down
coded” due to the additional documentation burden and/or fear of an audit. EMR
allows for more accurate coding, with the ability to automate full supporting
documentation, and built in coding assistants based on “E and M” guidelines. |
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Source: Erstad, T., “Analyzing Computer-based
Patient Records: A Review of Literature, Journal of Healthcare Information
Management, vol. 17, no. 4. 2003. (3-15% is the industry average for down
coding.) |
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% |
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Average increase for affected visits
(conservative at $21.00)
source
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Average increase for 99202 to 99203 = $21.28
99203 to 99204 = $34.71 |
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$ |
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Medical Record Space |
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Size of Medical Record Storage Space (square feet)
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ft |
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Cost per square feet of office space per month |
$ |
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Charge Capture and Billing |
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Average charge per visit |
$ |
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Improvement in Billing Capture (Range 1.5%-5%)
source
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Source: Wang, A., Middleton, B., et al. “A
Cost-Benefit Analyss of Electronic Medical Records in Primary Care,” The
American Journal of Medicine, April 1, 2003. |
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% |
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