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Health. Care Cost and IT Bhavik (Vik) Mehta
Digital to $$$$ ► Collect Money from Insurance Companies eg: 53% decrease in claims rejected, decreased average time in accts receivable ► Avoid getting sued eg: 1200 wrong dosages avoided ► Save on Personnel costs eg: Reduce temp staff, e-XRAYs etc.
Other benefits ► ► Improved quality of care Less admin stuff Less paperwork for doctors to deal with Savings of $140 billion nationwide So we should just do it, Right ? ? NO !!!!!
CATCH 22’s ► To save money you have to spend money -$33, 000 per doctor plus $1500 per month -have to change decade old practices ► People who benefit the most pay the least !!
The Software Beast !!! ► Software is never plug & play ► Requires extensive maintenance & costs not clear upfront ► Different systems need to talk to each other ► Hundreds of vendors like Mc. Kesson to EHTI with 1000’s of products ► Kaiser Permanante failed & redoing it at a $3. 2 billion price tag.
Dual Problems ► Incentive ► What to buy !! ------EMR highly recommended !!! Sweden’s at 90 % while we are at 20 %
Solutions---Incentives ► Insurance companies playing a carrot and stick approach with providers ► Blue. Cross, Well. Point have spent millions to help doctors go electronic ► Medicare, Medicaid, VA and Federal Government taking lead.
Solutions-What to buy!! ► Veterans leading the way !!! ► Electronic record system called Vista ► Outperformed other providers in a lot of benchmarks. ► Increased vaccinations to 94 % and saving 600 lives FREE !!!!!
Veterans Still Serving the Nation !! ► Veterans have modified Vista to create World. Vista. ► Easy for small practice to use and still cheaper than buying software. ► Medicare and Medicaid encouraging people to use it !!
Conclusion ► EMR will save $$$ in the long run ► There need to be incentives ► Implementation not easy ► Standardization Needed ► Use World. Vista if you can’t buy anything !!