Business Case for Investing in EHR within a Doctor's Practice

This business report meticulously examines the potential of Electronic Health Records (EHR) within a doctor's practice, focusing on Greenway Medical Technologies. The report begins with background information on the necessity of EHR systems, the challenges faced by doctors, and an overview of an EHR vendor. It then presents an executive summary, key recommendations, and a strategic concept that includes a SWOT analysis and a mission statement. The core of the report lies in its detailed financial investment analysis, which covers cost-benefit evaluations, NPV, IRR, and a comprehensive risk assessment. It also includes non-financial benefits, stakeholder analysis, and benefits realization strategies. Ethical and social implications are addressed through customer journey maps and KPIs, with limitations and references included. The assignment aims to provide a thorough analysis of EHR implementation, supporting informed decision-making for healthcare practices and improving patient care.

Running head: EHR WITHIN A DOCTOR’S PRACTICE
The Business Case for Investing in EHR within a Doctor’s Practice
Greenway Medical Technologies
Student name:
Name of the University:

1EHR WITHIN A DOCTOR’S PRACTICE
Table of Contents
1. Background Information..............................................................................................................2
1.1 Doctor’s prcatices..................................................................................................................2
1.2 Challenged facing by the doctors..........................................................................................3
1.3 Explanation of E-health record system..................................................................................4
1.4 E-heath record vendor............................................................................................................4
2. Executive summary.....................................................................................................................4
3. Key recommendations.................................................................................................................5
4. Strategic concept..........................................................................................................................6
4.1 Strategic context....................................................................................................................6
4.1.1 SWOT analysis...............................................................................................................6
4.1.2 Mission statement...........................................................................................................7
4.2 Business context....................................................................................................................8
4.2.1 Business Process Model.................................................................................................8
5. Total financial investment analysis.............................................................................................9
5.1 Evaluation approach of the analysis......................................................................................9
5.2 Financial benefits and costs...................................................................................................9
5.3 Non financial benefits..........................................................................................................15
5.3.1 Benefits of using Key Performance Indicator (KPI)....................................................15
5.3.2 Balance score card........................................................................................................16

2EHR WITHIN A DOCTOR’S PRACTICE
5.4 Project and social/ ethical risks............................................................................................16
5.4.1 Risk register..................................................................................................................16
5.5 Stakeholder analysis............................................................................................................19
6. Benefits realization....................................................................................................................20
6.1 Governance structure...........................................................................................................20
6.2 Risk management.................................................................................................................21
6.2.1Benefit register...................................................................................................................22
7. Ethical and Social Implication...................................................................................................24
7.1 Principle for the customers..................................................................................................24
7.2 Customer journey map.........................................................................................................24
7.3 Key performance indicators.................................................................................................25
8. Limitations.................................................................................................................................26
References..................................................................................................................................27
Appendix........................................................................................................................................31

3EHR WITHIN A DOCTOR’S PRACTICE
1. Background Information
1.1 Doctor’s prcatices
In order to maintain a healthy life style timely and periodic health check up is very
essential. The general medical services play active roles in managing health status of the patients.
Electronic health care record keeping system is referred to as one of the most useful applications
these days which helps to integrate all the details health check up related operations and
functions successfully (Tyllinen, Kaipio & Lääveri, 2019). The business report is related to
Australian GP’s. Besides patient records, doctor’s prcatices are also very essential for
successfully managing the health status of the patients. With the help of this system the doctors
would be able to manage to check the health condition of the patients and also the required
changes in the prescribed medicines as well.
With the help of the electronic health record keeping system the patients would be able to
share their health status with the doctors and based on that the doctors would also be able to
change their diagnosis technique for the patients. Apart from this the system can improve the
clinical, professional and ethical standards as well (Colonias et al., 2017). It improves the overall
quality of the system and also the service efficiency as well. It is not only the responsibility of
the doctor but also the overall healthcare industry to implement possible and effective IT level
prcatices to improve the overall system for bot the doctors and patients as well.
1.2 Challenged facing by the doctors
The general medicinal administration center is growing these days however, direct care if
the doctors is becoming a major challenge in Australia these days. In order to set up a direct

4EHR WITHIN A DOCTOR’S PRACTICE
contact to the doctors the electronic health record keeping system has been implemented by the
IT experts. The system will store all personal as well as financial information of the patients but
no unauthorized users would be able to access any information from the server without proper
permission (Guo, Chen & Mehta, 2017). With a lesser time and cost consumption the patients
would be able to access information of the doctors and the doctors as well. Individual practices
of the doctors have become very common in Australia but this approach increases the rate of
errors a lot (Sparks, 2017). Availability of data on time, presence of needful information are the
basic practices must be im0lemeted to avoid the challenges of data loss, late response etc.
1.3 Explanation of E-health record system
Electronic health care record system would be able to store all essential information both
related to the patients and doctors as well. The doctors can check the heath status of the patients
and the patients an also successfully update their health status in the server (Henricks, et al.,
2015). The complete design framework must be updated with periodic checking.
1.4 E-heath record vendor
In order to design and develop the electronic health record keeping system the different
tools and techniques are essential. A clinical administration called Insta HMS will provide the
programming tool to the developers. In addition to this, the explicit medicinal programming
application is successfully sponsors by few of the human service administration imperative
partners. It will help to improve the overall quality of the service ad application as well.
2. Executive summary
This business report depicts the roles and help of implementing Information technology
based services in the healthcare industry to improve the overall system and business efficiency as

5EHR WITHIN A DOCTOR’S PRACTICE
well. The requirements of the doctors and the patients as well from the electronic health record
keeping system are elaborated in this report. Besides this, some potential risks that may interrupt
the successful operation of the electronic health record keeping system are also elaborated in this
business report (Mowery et al., 2017) Along with that, a stakeholder management plan tha6 is
essential for improving the existing IT prcatices in the system are also elaborated in this paper. In
addition to this, the different prcatices that are expecting after the implementation of the IT
services with the existing system are clinical, professional and ethical standards, total care for the
patients, continue care offering for the regular service users, high level controlling and
monitoring (Ruffin et al., 2015). The role of key performance indicators and the role of using a
balance score card during the implementation of the system are also elaborated in this report.
3. Key recommendations
Recommendations to the practice owners: The practice owners are required to check the
existing system specification and make sure that the new system will improve the status of the IT
based electronic health record keeping system (Reed et al., 2015). While operating the system
the developers and the users both are facing certain major challenges those are extremely
important to be mitigated. It is the reasonability of the CEO to check theses aspects and make
sure that all of these factors are successfully running in the electronic health record keeping
system.
Actionable advice: Before final design and launch the system developers are required to
select and implement the most suitable IT system development strategy into it to make sure that
the IT system will give long terms success global competitiveness as well.

6EHR WITHIN A DOCTOR’S PRACTICE
Training and development: In order to make sure that all the expected operations and
functions are appropriately running proper training and development program is required to be
implemented by the owner company and the developer team should attend the workshop or
training classes on a regular basis (Robert, Vasa, Delaney & Mark, 2018).
Meeting and discussion: Whether the system is meeting the expectation of the
consumers or not must be checked through meeting and professional team discussion.
4. Strategic concept
4.1 Strategic context
4.1.1 SWOT analysis
In order to bridge the gap different internal and external market analysis are required tie
be conducted by the project developers. The SWOT analyses for the electronic health record
keeping system are elaborated in the below section:
Strength: With the help of the electronic health record keeping system the data can be easily
accessed, updated and shared among the associates and stakeholders. It reduces the error of
duplicate testing and as a result system integrity can be easily achieved by the developers
(Sparks, 2017). Not only this but also, in those cases where data amount is not huge, system
owners can manage those data. The system helps to interpret and analyze information while
requited.
Weakness: The developers are required to maintain lots of discipline while managing the data
which is a major weakness (Rizvi, 2017). Apart from that, the similar types of discipline
maintenance are also essential for registration services as well. The typological error gets

7EHR WITHIN A DOCTOR’S PRACTICE
completely reduced and if the workers are found need to access many heath statistics then also
workload gets increased respectively.
Opportunity: Before final design and implementation of the system proper economical,
technical and social feasibility is required (Kassakian et al., 2017). While conducting this service
the knowledge and skills of the associates will generally get improved. Stronger technical
support will restrict the unwanted user’s access information from the storage server.
Threats: Improper arrangement of staffs training can be a chief threat to the developers.
In addition to this during the design and development of the system new strategies plan are
needed to en incorporated (Ozair et al., 2015). While incorporating such strategic ideas major
issues can be raised.
4.1.2 Mission statement
The missions of the electronic health record keeping system is to store patient’s health
records and keep them updates so that doctors can continuously diagnosis the patients based on
their health condition and status as well (Robert, 2018). The other mission of the Greenway is to
become a global competitor in IT market by delivering quality and affordable IT services to
either to the healthcare industries or to individual physicians.

8EHR WITHIN A DOCTOR’S PRACTICE
4.2 Business context
4.2.1 Business Process Model
Figure 1: Business Process model for electronic health record keeping system
(Source: created by author)

9EHR WITHIN A DOCTOR’S PRACTICE
5. Total financial investment analysis
5.1 Evaluation approach of the analysis
It has been found that implementation of a electronic health record keeping system is not
so less of cost and therefore before final design and execution of the project some financial
analysis approaches rather financial evaluation approaches are needed to be followed by the
system developers (Ankem, Uppala & Dhawan, 2017). The details of Return on Investment
(ROI), NPV, Breakeven and payback period are the measured and calculated in the below
section.
5.2 Financial benefits and costs
Cost benefits analysis
Expected Tangible profit from the Electronic health record keeping system
Factors AUD$
Total reduction in cost $
25,000.00
Reduction of error $
10,000.00
Enhanced flexibility $
5,000.00
Increased activity speed $
15,000.00
Planning and improvement control $
20,000.00
Others $
-
Estimated total Tangible Benefits $
75,000.00
One time investment (Tangible cost)
Factors AUD$
Complete E-health record keeping system
development cost
$
20,000.00
Hardware cost $

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8,000.00
software cost $
15,000.00
Technical training cost $
3,000.00
Cost for testing $
12,000.00
Others $
2,000.00
$
60,000.00
Total tangible Recurring Cost
Factor AUD$
Software maintenance cost $
18,000.00
Data storage incremental cost $
15,000.00
Incremental communication cost $
12,000.00
Lease line cost for different hardware and
software
$
14,000.00
Suppliers cost $
1,200.00
Others $
2,000.00
Total Tangible Recurring Costs $
62,200.00
NPV
Cost Benefit Analysis using Present Value (Purchasing Operations Support)
Benefits of option Year 1 Year 2 Year 3 Year 4 Year 5
Staff savings $
20,000
$
21,000
$
30,000
$
35,000
$
40,000
Improved buying practice $
21,000
$
22,000
$
25,000
$
22,000
$
25,000
Improved service $
14,000
$
14,000
$
20,000
$
25,000
$
26,000
Total Benefits $
55,000
$
57,000
$
75,000
$
82,000
$
91,000
Costs of option Year 1 Year 2 Year 3 Year 4 Year 5
Development costs $
20,000
$ - $ - $ - $ -
Additional hardware $
8,000
$ - $ - $ - $ -

11EHR WITHIN A DOCTOR’S PRACTICE
Operation costs $
2,500
$
2,500
$
2,500
$
2,500
$
2,500
User time during
development
$ - $ - $ - $ - $ -
Maintenance costs $
2,500
$
2,500
$
2,500
$
2,500
$
2,500
Total Costs $
33,000
$
5,000
$
5,000
$
5,000
$
5,000
Net benefits/costs $
22,000
$
52,000
$
70,000
$
77,000
$
86,000
Cumulative benefits/costs $
22,000
$
74,000
$
144,000
$
221,000
$
307,000
Net benefits/cost (NPV @
5%)
$20,952.38 $47,165.5
3
$60,468.63 $63,348.09 $67,383.25
Cumulative NPV $20,952.38 $68,117.9
1
$128,586.5
5
$191,934.6
4
$259,317.8
9
Year 1 Year 2 Year 3 Year 4 Year 5
$0.00
$50,000.00
$100,000.00
$150,000.00
$200,000.00
$250,000.00
$300,000.00Net benefits/cost (NPV @ 5%)
Cumulative NPV
IRR
Year Cash
Flow
1 $20,000
2 $25,000
3 $30,000
4 $40,000
5 $45,000
The project costs $4.0,000 today and the required return on investments of this type is
4%. Calculate both NPV and IRR and determine whether or not you should undertake
the project.