What are your pain points?
1. Keep Administrative Costs Down (IT)
2. Keep Medical Costs Down (Using Technology to Educate Patients and Keep them Healthy)
What about the challenge of balancing the IT cost to support the move to electronic records and keeping run rates down? I've heard from other healthcare clients they've invested to a certain level to receive credits but the credits doesn't necessarily get reflected in the IT budget. Thoughts?
There are many elements that impact this issue:
1.Companies are still pending dollars in developing technologies that will convert hard records (e.g. By-Mail, Fax) into digital records for EMR. The digital curve in healthcare is not moving quick enough towards a pure digital environment. We still have patients/providers/agencies that rely on hard record transactions.
2. States/Agencies require records to be exchanged in different format/avenues which vary depending where you do business.
3. State/Agencies have requirements on who can touch EMR based on HIPPA restrictions, also impacting your ability to flex between Onshore/Offshore External Resources.
Development for EMR needs to be tagged in the project portfolio for tax credits. If the work is not tagged it will be a manual effort to breakout credit qualifying work. It's important to make sure the organization is following SOP 98-1 to make sure the work is qualified for capitalization development in EMR. Otherwise, that work may not be counted.
Healthcare Providers are stuck in the middle of multiple, complex, payment models ranging from payment for services/product delivered to customer benefit/quality outcomes to capitation for a designated population. They each drive different incentives and processes. Most organizations' ability to understand the costs and cost levers in each of the different scenarios is limited. The IT cost component is becoming more significant to determining what can / can't be done without loosing money.
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