IT value realisation.

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IT value realisation
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IT value realisation 1
Table of Contents
The Business Case for Investing in EHR within a Doctor’s Practice..............................................................1
The requirements for a doctor’s practice................................................................................................1
Software package solutions – vendor and software................................................................................2
References...................................................................................................................................................4

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The Business Case for Investing in EHR within a Doctor’s Practice
Doctors are having number of patients and all patients are having different types of symptoms
and treatment. Therefore, it is necessary to maintain a health record of individual patients to use for
further treatment. This record has used as a history of patients in future (Angst & Agarwal, 2009).
The requirements for a doctor’s practice
Doctors need all the health record of patient to diagnosis about the diseases and their
treatments. In human body, all things are interrelated. Therefore, it is necessary to maintain a record
based on tests and daily reports of different test. In present era, most of the people connect through
technologies (Palvia, Lowe, Nemati, & Jacks, 2012). Therefore, it is a basic need of people to manage
their different works through technology, such as internet, laptop, iPad, and many other devices and
softwares. Doctor faces many issues in the search process of documents of patients. Many patients are
having long time diseases. Therefore, they have many data about their physical condition during
treatment. Doctors are having many constraints related to the patient’s data and information, such as
privacy and security issues. It is also having constraints from government side (Blumenthal & Tavenner,
2010).
Doctors have many research documents and they want results and data about the previous
patients to provide proper treatment to new patients based on the research results. Doctors have many
processes and they provide different services to their patients. It starts from appointment, but after
appointment, many services are start, such as tests, precautions, health checkups, reminders, and many
other services (Romano & Stafford, 2011). In a hospital, three stakeholders considered which are
doctors, patients, and management. However, buyer and supplier are also considering in stakeholders of
the complete system. Suppliers supply medicines, test results, and many other materials, which are
needful for patient’s treatment (Fernández-Alemán, Señor, Lozoya, & Toval, 2013).
EHR software provides many advantages to the doctors in different perspectives. It provides
many improvements in the reduction in medical error, quality of care, and many others. In terms of
organizational outcomes, it provides improvement in operational performance and financial
performance of the organization. These are the benefits of the EHR software to the organization (Hsiao
& Hing, 2012).

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EHR and clinical outcomes: EHR provides three components for quality care of patients, which
are equitable access, timeliness, and centeredness. EHRs can improve adherence rate using the CDS
tools. EHRs are also helpful form the societal public health perspective. It provides guidelines to keep
individuals healthy based on their medical tests data. It also reduces risk of disease (Häyrinen, Saranto,
& Nykänen, 2008).
It reduces different cost of the organization and it increases revenue through regulatory
compliance, descries billing errors, improved cash flow, and it increases patients routine health visits. It
provides societal benefits in terms of research. It collects large amount of data from medical records of
patients, which can used in research purpose (Jensen, Jensen, & Brunak, 2012).
There are some potential disadvantages of EHRs, which are related to the security, EHR
adoption, privacy, and many unintended consequences in the use of that system. EHRs have few issues,
which are related to the financial conditions. It has required different types of cost, such as purchasing,
implementation, training of end-users, and converting documents into electronic ones (Menachemi &
Collum, 2011). The maintenance cost of EHRs can also be high, as there are many changes in hardware
and softwares. EHRs are having privacy violations risk, as large amount of data transfer using electronic
way. It makes many unintended consequences, such as overdependence on technology, increased
medical error, and negative emotions (Weiskopf & Weng, 2013).
Software package solutions – vendor and software
In Australian market, there are many vendors, which provide software solution for Electronic
Health Records (EHR) services. In present market, there are many software Vendors available with lots
of services, which are related to the healthcare sector, such as Epic, GE healthcare, NextGen, Greenway,
CureMD, Kareo, CareCloud, and many others (softwareadvice.com, 2019). Care cloud is easy to navigate
and versatile software. It is designed for fulfill all the need of practices in which customer can also design
their personal health record. It is an application, which is running on the Amazon Web Service (AWS). It
takes $628 per month for the EHRs Modules ( Ferrill , The Best Electronic Medical Record (EMR)
Managers of 2018, 20118).
Organziation requires computer systems, servers, and a secure network to implement EHRs in
their premises. There is security and privacy risk in that system. In the implementation of EHRs, every
staff has some roles and responsibility to use that system with security. It has different architecture in
which different people connect with the wired and wireless network to share information.

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CareCloud is a best example of EHRs system that provides better services in low cost with all
features, which are necessary to manage different operations of an organization.
Source: (Ferrill, CareCloud, 2018)
It maintains all the record in a proper way, which is available all the time as shown in above
diagram. It has provided all the records of our credit and debit ( Uzialko, 2019).

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Source: (Ferrill, CareCloud, 2018)
It provides all the information of patients with their history data, such as health checkups,
appointments, and many other (curemd.com, 2019).
Source: (Ferrill, CareCloud, 2018)
It makes all the appointments in a schedule manner with full details.

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DrChrono is especially tailored to apple products to provide a well-designed user interface. It is
comfortable with different Apple products, such as iPad, iPhone, and many others. It provides basic
facilities in only $199 per provider per month for EHR.
Source: (Ferrill, DrChrono, 2018)
Source: (Ferrill, DrChrono, 2018)

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Source: (Ferrill, DrChrono, 2018)
There is a comparison between different top EHR software providers in Australia.
Product WRS Health DrChrono CareCloud Practice
Fusion
AdvancedMD
Visual Organization of Data Yes Yes Yes Yes Yes
Integration of Financial and
Clinical Components
Yes Yes Yes Yes Yes
Automatic Medical Coding Yes Yes Yes Yes Yes
Alerts for Meaningful Use
Compliance
Yes Yes Yes Yes Yes
Point-of-Care Modification
of Assessment Templates
Yes Yes No No Yes
Voice Input Optionality Yes Yes Yes Yes Yes
Fax From Patient Chart Yes Yes Yes Yes Yes

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Pen Input Yes Yes No No Yes
Pharmacy Location Yes Yes Yes Yes Yes
Security of Data in Cloud
Environment
Yes Yes Yes Yes Yes
Point of Care History of
Filled Prescriptions
Yes Yes No Yes Yes
Patient Data Input Yes Yes Yes Yes Yes
Patient Self-Scheduling Yes Yes Yes Yes Yes
Patient Messaging Option Yes Yes Yes Yes Yes
Customized Practice
Management Reporting
Yes Yes Yes Yes Yes
Customize Educational
Resources
Yes Yes Yes Yes Yes
Audit Log Embedded in
Patient Chart
Yes Yes No Yes Yes
Order Tracking Yes Yes Yes Yes Yes
Cloud Storage Unlimited Yes Yes Yes Yes Yes
Data Collection:
There are many vendors are present in the market and most of them are providing different
services related to the personal health records, monitoring, and financial helps. There are few details
about the EHRs based on research.
Characteristics 1 2 3 4 5 6
Ownership Physician Physician Physician Physician Physician Physician
EHR Care cloud WRS Health DrChrono Practice
Fusion
AdvancedMD McKesson
Practice Partner
Years in business 15-20 6-10 10-15 6-10 10-15 15-20
Years since
implementation
5 8 7 2 9 9
Employees 16-20 11-15 11-15 Less than
equal to 10
11-15 11-15
Clinicians 4-6 1-3 4-6 1-3 1-3 4-6
Work flow re-
design
No Yes In process Yes No No
In-house server Yes Yes Yes No Yes Yes
First EHR No Yes Yes Yes Yes Yes
E-Prescribing Yes Yes Yes Yes Yes Yes

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Above table is designed based on the survey and research on the EHRs systems in different
clinic and hospitals.

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References
Ferrill , P. (20118, September 1). The Best Electronic Medical Record (EMR) Managers of 2018. Retrieved
from au.pcmag.com: https://au.pcmag.com/cloud-services-1/58377/the-best-electronic-
medical-record-emr-managers
Uzialko, A. C. (2019, January 2). The Best Electronic Medical Record (EMR) Software of 2019. Retrieved
from business.com: https://www.business.com/categories/best-electronic-medical-records-
software/
Angst, C., & Agarwal, R. (2009). Adoption of electronic health records in the presence of privacy
concerns: The elaboration likelihood model and individual persuasion. MIS quarterly, 32(2), 339-
370.
Blumenthal, D., & Tavenner, M. (2010). The “meaningful use” regulation for electronic health records.
New England Journal of Medicine, 363(6), 501-504.
curemd.com. (2019). Top EHR Software Vendors of 2019. Retrieved from curemd.com:
https://www.curemd.com/top-ehr-vendors/
Fernández-Alemán, J. L., Señor, I. C., Lozoya, P., & Toval, A. (2013). Security and privacy in electronic
health records: A systematic literature review. Journal of biomedical informatics, 46(3), 541-562.
Ferrill, P. (2018). CareCloud. Retrieved from au.pcmag.com: https://au.pcmag.com/cloud-services-
1/58384/carecloud
Ferrill, P. (2018). DrChrono. Retrieved from au.pcmag.com: https://au.pcmag.com/cloud-services-
1/58379/drchrono
Häyrinen, K., Saranto, K., & Nykänen, P. (2008). Definition, structure, content, use and impacts of
electronic health records: a review of the research literature. International journal of medical
informatics, 77(5), 291-304.
Howard, J., Clark, E. C., Friedman, A., Crosson, J. C., Pellerano, M., Crabtree, B. F., . . . Cohen, D. J. (2013).
Electronic health record impact on work burden in small, unaffiliated, community-based primary
care practices. Journal of general internal medicine, 28(1), 107-113.

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Hsiao, C.-J., & Hing, E. (2012). Use and characteristics of electronic health record systems among office-
based physician practices: United States, 2001-2012.
Jensen, P., Jensen, L., & Brunak, S. (2012). Mining electronic health records: towards better research
applications and clinical care. Nature Reviews Genetics, 13(6), 395.
Menachemi, N., & Collum, T. H. (2011). Benefits and drawbacks of electronic health record systems. Risk
management and healthcare policy, 47.
Palvia, P., Lowe, K., Nemati, H. R., & Jacks, T. (2012). Information Technology Issues in Healthcare:
Hospital CEO and CIO Perspectives. CAIS, 30(9), 293-312.
Romano, M., & Stafford, R. S. (2011). Electronic health records and clinical decision support systems:
impact on national ambulatory care quality. Archives of internal medicine, 171(10), 897-903.
softwareadvice.com. (2019, April 14). Medical Software. Retrieved from softwareadvice.com:
https://www.softwareadvice.com/au/medical/?avg_rating=4&sort=reviewcount
Weiskopf, N. G., & Weng, C. (2013). Methods and dimensions of electronic health record data quality
assessment: enabling reuse for clinical research. Journal of the American Medical Informatics
Association, 20(1), 144-151.