Prioritizing Pediatric Investment for IT in Smaller Practices
Part of the
book series (HI)
Small practices are the least likely to adopt electronic health records.1–4 Practical business decisions determine the choices that office-based physicians make in prioritizing information technologies purchases. Beyond basic clinical and clerical tools (stethoscope, typewriter, telephone, or fax), practices need to consider customer and market expectations, business efficiency, and regulatory issues to choose IT applications that impact on the quality of practice services and the bottom line.
KeywordsElectronic Health Record Clinical Decision Support Continuous Professional Development Electronic Health Record System Software License
Simonian M. The electronic medical record. Pediatr Rev.
Simon SR, Kaushal R, Cleary PD, et al. Correlates of electronic health record adoption in office practices: a statewide survey. J Am Med Inform Assoc.
Simon SR, McCarthy ML, Kaushal R, et al. Electronic health records: which practices have them, and how are clinicians using them? J Eval Clin Pract.
Gans D, Kralewski J, Hammons T, Dowd B. Medical groups' adoption of electronic health records and information systems. Health Aff (Millwood)
. 2005;24(5):1323–1333.CrossRefGoogle Scholar
Morrison G. Mortgaging our future—the cost of medical education. N Engl J Med.
Chismar WG, Wiley-Patton S. Does the Extended Technology Acceptance Model Apply to Physicians. Proceedings of the 36th Hawaii International Conference on System Sciences (HICSS′03); 2003. Available at: http://www.hicss.hawaii.edu/HICSS36/HICSSpapers/ HCDMG04.pdf.
Accessed December 21, 2008.
Adler KG. Why it's time to purchase an electronic health record system. Fam Pract Manage.
Stausberg J, Koch D, Ingenerf J, Betzler M. Comparing paper-based with electronic patient records: lessons learned during a study on diagnosis and procedure codes. J Am Med Inform Assoc.
Perreault L, Metzger J. A pragmatic framework for understanding clinical decision support. J Healthcare Inf Manage.
Sectish TC, Floriani V, Badat MC, Perelman R, Bernstein HH. Continuous professional development: raising the bar for pediatricians. Pediatrics
. 2002;110(1 Pt 1):152–156.PubMedCrossRefGoogle Scholar
Valancy J. How much will that EMR system really cost? Fam Pract Manage
. 2002;9(4):57–58. Available at: http://www.aafp.org/fpm/20020400/57howm.html
. Accessed December 21, 2008.Google Scholar
Bush J. The Internet as cure for inefficient office business processes. Med Group Manage J.
Agency for Healthcare Research and Quality. Technology Assessments; 2008. Available at: http://www.ahrq.gov/clinic/techix.htm
. Accessed December 21, 2008.
Strahan M. Seven years until electronic health records: the negative effects of the new Stark exceptions and anti-kickback safe harbors. J Health Law.
Wang SJ, Middleton B, Prosser LA, et al. A cost-benefit analysis of electronic medical records in primary care. Am J Med.
© Springer Science+Business Media, LLC 2009