The HITECH Act established the necessity of all physicians and facilities to have established EHRs. The primary concerns are issues of costs, revenues, and the effect on the patient encounter that inhibit the implementation of the EHR in small physician practices which comprise 46% of all medical physicians. The purpose of this qualitative method study using a modified Delphi research design was to examine the impact of the adoption of an electronic health record (EHR) on revenue, unintended costs or savings, and changes in the patient encounter. Fifteen expert panelists completed the three round survey process used in this Delphi study. Expert panelists reached consensus that the EHR would reduce the number of patients seen per day, thereby reducing their revenue. Small practice closure was a concern for the panelists who felt not enough was known about future cost increases and reductions to fully understand how viable small practices would remain. Although the expert panelists limited their discussion on the effect of patient outcomes, they voiced their most dominant concern being a loss of face-to-face time with the patient. It was felt that the use of an EHR would reduce the focus on the patient and potentially allow physicians to miss medical conditions. The results of this study indicate an opportunity for EHR vendors to develop educational avenues to teach physicians how to optimize the EHR as well as to share success stories that demonstrate improved financial impact.
|School:||University of Phoenix|
|School Location:||United States -- Arizona|
|Source:||DAI-A 76/08(E), Dissertation Abstracts International|
|Subjects:||Business administration, Management, Information Technology, Health care management|
|Keywords:||Delphi Study, EHR, Electronic health record, HITECH act, Healthcare, Meaningful use|
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