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

This business report presents a comprehensive analysis of the business case for investing in Electronic Health Records (EHR) within a doctor's practice. It begins with background information on the doctor's practice and an overview of EHR systems, specifically focusing on PrimeSuite Software by Greenway technologies. The report then provides an executive summary, key recommendations, and a strategic context, including a SWOT analysis of EHR implementation. A detailed analysis of investment, including financial and non-financial benefits and costs, risks of implementation, organizational change impact, and potential digital opportunities, is presented. The report also covers benefits realization, ethical and social implications, and limitations of the study. The report recommends fitting the EHR system with staff workflows and proper training of the staffs. The financial analysis reveals the costs and benefits associated with EHR implementation, considering hardware, software, operational, and labor costs, along with potential savings. The report also highlights the importance of risk management and data security measures to mitigate potential issues such as data loss and theft. The report emphasizes the significance of strategic planning and the need for expert guidance in EHR implementation.

Running head:BUSINESS REPORT
Part 2: Business Report: The Business Case for Investing in EHR within a Doctor’s Practice
Name of the Student:
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Table of Contents
1. Background Information.....................................................................................................2
1.1 Overview of doctor’s practice.....................................................................................2
1.2 Explanation of EHR and the EHR vendor...................................................................2
2. Executive Summary............................................................................................................3
3. Key Recommendations.......................................................................................................4
4. Strategic context.................................................................................................................5
5. Analysis of investment........................................................................................................8
5.1 Evaluation approach used in the analysis....................................................................8
5.2 Financial benefits and costs.........................................................................................8
5.3 Non-financial benefits and costs...............................................................................10
5.4 Risks of implementation............................................................................................11
5.5 Organizational change impact...................................................................................12
5.6 Real options and future digital opportunities supported by investment....................12
6. Benefits realisation...........................................................................................................12
7. Ethical and social implications.........................................................................................14
8. Limitations........................................................................................................................17
References................................................................................................................................18
Appendix..................................................................................................................................22
Part 1: Data collection..........................................................................................................22
Data Audits...........................................................................................................................28

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1. Background Information
1.1 Overview of doctor’s practice
The doctor practice or general practice provides medical consultations to the patients
related to diseases. In the healthcare sector, General Practice are the drivers according to
NSW Health Department of Australia. The challenges which they are facing are related to
little understanding of socio-economic elements of the healthcare sector. The problems
are related to threat of litigation, paperwork, limitation of time to work, cost of the
practice overheads and negative media comments (Riahi et al., 2017). The opportunities
that they are gaining are performing diagnosis of the physical conditions of the patients
and helping the society to prevent from the diseases. They are also providing knowledge
on the healthy lifestyle to the patients besides society.
1.2 Explanation of EHR and the EHR vendor
Electronic Health Record (EHR) is the digital version of the patient’s paper and it
provides real time patient’s records to the doctors. It makes the healthcare information as
well as data secured and safe to authorized users.
In this case, the selected EHR vendor is PrimeSuite Software of Australia. It is the
software solution of Greenway technologies. This software is implemented in the
healthcare sector so that it can provide healthcare solutions to General Practices,
Specialist and healthcare practitioners. Based on two of the principles, the software is
created.
a. The first principle is that the software is easier to use
b. The second principle is that it encounters between doctor as well as patient so
that it cannot slow down.

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The functions of this solution are Patient charts: It can track each aspects of the
history of patients into single record. ePrescribing: It allows for appointments of the
patients and transmits it electronically to the patients. Schedule: It creates appointments
of the patients and provides views for the schedules for entire healthcare organization.
Patient registration: It can speed for new registration as well as merges for the patient data
with the healthcare records. Message: It can enables the staffs to track plus manage the
electronic communications. Greenway made the solution based on three architectures
such as web based application, open standards and flexible hosting solutions.
2. Executive Summary
This business report is based on implementation of Electronic Health Records (EHR)
in the healthcare sector which acts as patient centered delivery system of their healthcare
data in real time. The analysis is based on healthcare solution, EHR which provides
opportunities regrading cost reduction, error free healthcare data and improve over quality
of data. Most of the healthcare providers are invested in this solution as this solution can
share electronic information with both patients as well as clinicians. It helps the providers
to diagnose the patients, reduce the medical errors plus provides safer care. It improves
the patients as well as healthcare provider to interact and communicate regarding
healthcare issues. There is analysis of financial plus non-financial investments of EHR so
that their cost investments are analyzed. There is analysis of investment based on risks,
organizational change impact and digital opportunities of the investments in Australia.
The findings of this study are that there is identification of issues in the
implementation of healthcare system as loss and theft of data, data manipulation along
with system failure due to improper maintenance of the system. Due to implementation of
EHR system as there are issues and risks, therefore it is recommended to implement risk

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management plan. There is also recommendation of database system which can collect
healthcare data in secured and safe place within the organization. The limitations are that
it is not always time consuming system as sometimes it takes long time to see the patients
and collect the data. It is also limited in terms of security plus privacy risks. The EHR
system also reduces the cost but it can be a risk regarding collecting and recording the
data into the system. Due to human errors, there are possibilities of data loss in additionto
data theft cause unsuccessful implementation of EHR system.
3. Key Recommendations
Following are the primary recommendations which are suggested while
implementation of EHR system in the healthcare sector such as:
Fit the EHR system with staff workflows:EHR system is not implemented to meet
with 100% requirements of each of the project stakeholders. It is required to determine
each of the stakeholder’s aspects and their requirements to implement the system.
Therefore, each of the staff’s decisions are to be taken into mind while implementing the
healthcare system. It is recommended to take opinions of staffs and their cooperation to
make sure that EHR system should work efficiently.
Training of the staffs: It is recommended that the company should not rush for the
implementation of EHR system while they should train their staffs regarding how to
handle this new healthcare system. Training session should be conducted for the non-
technical staffs so that they can aware of the system. The company should follow planned
procedure to make sure about correctness as well as competence of EHR system
implementation.

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Following are the secondary recommendations based on above identified primary
recommendations which are suggested while implementation of EHR system in the
healthcare sector such as:
Elimination of duplication of data: There should be minimization of redundant data
entry. There is required to eliminate data duplication while entering the patient’s data into
the system. Due to human errors, there are possibility of system failure. When the system
is fitted with the staff workflows, then there is proper implementation of proposed system
is carried out in the healthcare business organization.
Work with EHR implementation experts: It is recommended to work with the EHR
implementation expert those have experience to handle the system. They should have
knowledge regrading basic workflows of the hospital and healthcare practice. Training is
helpful in this case for the staffs by the EHR implementation experts so that they are
knowledgeable with details of EHR.
4. Strategic context
In order to analyse the business environment, desired future opportunities and actions
for bridging the gap in the implementation of healthcare system, SWOT analysis is
performed to analyse the internal business environment of Greenway Medical. EHR
system is a key significant decisions for the healthcare organizations. Due to lack of
understanding of the factors which are considered for implementation of EHR system
provide effect on its adoption (Atasoy, Greenwood, & McCullough, 2018). SWOT
analysis is performed to determine strengths, weaknesses, opportunities and threats
behind implementation of EHR system in the healthcare organization.
STRENGTHS WEAKNESSES

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 Using EHR system, there istimely
as well as quick access to the
information (Meigs& Solomon,
2016).
 There is reduction of duplication
of healthcare data as well as
accurate transfer or exchange of
electronic information.
 There is an increase in speed of
the delivery of the services
(Ratwani et al., 2015).
 The system provides accurate
record of the healthcare services
and it has ability to computerize
analysis plus interpretation of
collected healthcare data.
 There is prevention of the medical
errors.
 The organization has lack of
required equipment’s plus hardware
required for implementation of EHR
system.
 It is a time consuming process to
link data contained in the legacy
system to new system.
 There is an increase in workloads of
the healthcare providers due to
implementation of EHR system.
 There is imposed of more disciplines
as well as control over the healthcare
staffs and employees (Kreamer et
al., 2015).
 Due to implementation of EHR
system, there is jeopardizing of the
job positions of the staffs.
OPPORTUNITIES THREATS
 It becomes an opportunity to
share information among the
healthcare providers. There is also
better information management in
the organization.
 Implementation of the system
 There is lack of strategic planning
into the electronic health records
field.
 There are threats related to
programming as well as software
developed based on the

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becomes a source of the training
for the physicians as well as
healthcare staffs (Pare et al.,
2015).
 There is easier access to the
healthcare statistics plus records
of the healthcare services provided
to perform tax refunds.
 There is proper coordination as
well as communication among the
internal and external staffs (Atun
et al., 2015).
 There is applying of legal
documents related to the type of
healthcare services offered.
implementation requirements
(Chapman &Blash, 2017).
 The physicians as well as clinical
staffs are resistance to the use of
proposed healthcare system.
 There are lack of funds collected for
designing and implementing the
system (Dietz et al., 2015).
 There are lack of experts those are
aware of using the system and
limited awareness of the healthcare
providers to handle the system.
From the above table, it is analysed that as EHR system is useful and provides
benefits to the healthcare sector, it has also disadvantages and threats at the time of
implementation. Besides the threats and risks, the healthcare sector is focused on its
implementation as it processes the entire healthcare operations easier, error free and provides
with real time healthcare data.
Mission statement of EHR system implementation is to provide high quality of
healthcare services to the patients and increase the profitability and revenue of the business
organization by 15%. Approximately, 85% of the general practices are used this system
(Lewis et al., 2016). The decision makers are going for pre-implementation phase where they

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can monitor the system and also gather feedback from the patients as well as healthcare
providers if the system can meet with the business requirements or not.
The current as well as future state of implementation of EHR system is proper
adoption of clinical decision support system which can engage the clinicians plus healthcare
providers in recording of real time data. The staffs should have knowledge and also experts in
implementing the EHR system (Raghupathi&Raghupathi, 2014). They should have
knowledge regarding EHR system tools and governance structure.
5. Analysis of investment
5.1 Evaluation approach used in the analysis
The human services administrations are given of independent of the time, circulation
of the assets just as limitation into collaborative path, for example, eHealth. EHR is being
actualized into the framework that comprises of set of segments, for example, make, use,
and store along with recover of the proposed framework. EHR framework alongside its
models is characterized to have surveyed with reference to the structure of the EHR. The
medicinal services data framework is assessed to think about relationship among the
client innovation along with medical conditions (Stefko, Gavurova, &Korony, 2016).
EHR framework will help the healthcare experts for development of productivity,
adequacy just as decrease of the medical mistakes. Selection of EHR prompts better
quality, viable human services which contains of delicate wellbeing related information
for the individual patients.
5.2 Financial benefits and costs
Hardware $ 30,000.00
Software $ 900.00
Development team salaries $ 1,290.00
Training $ 2,000.00
Total Development Cost $ 34,190.00

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Hardware $ 27,000.00
Software $ 90.00
Operational Labour $ 18,000.00
Total Operational Cost $ 45,090.00
Approximate salary savings $ 70,000.00
Reduced operating cost $ 70,000.00
Total Benefit $ 1,40,000.00
Discount Rate Used 5.00%
Year of Project
0 1 2 3 4 5 TOTALS
Econom
ic
Benefit
$0.00 $
1,40,000.
00
$
1,40,000.
00
$
1,40,000.
00
$
1,40,000.
00
$
1,40,000.
00
Discoun
t Rate
1.0000 0.9524 0.9070 0.8638 0.8227 0.7835
PV of
Benefits
$0.00 $1,33,333
.33
$1,26,984
.13
$1,20,937
.26
$1,15,178
.35
$1,09,693
.66
NPV of
all
BENEFI
TS
$0.00 $
1,33,333.
33
$
2,60,317.
46
$
3,81,254.
72
$
4,96,433.
07
$
6,06,126.
73
$
6,06,126.7
3
One-
Time
COSTS
$(34,190.
00)
Recurrin
g Costs
$0.00 $
(45,090.0
0)
$
(45,090.0
0)
$
(45,090.0
0)
$
(45,090.0
0)
$
(45,090.0
0)
Discoun
t Rate
1.0000 0.9524 0.9070 0.8638 0.8227 0.7835
PV of
Recurrin
g Costs
$0.00 $
(42,942.8
6)
$
(40,897.9
6)
$
(38,950.4
4)
$
(37,095.6
5)
$
(35,329.1
9)
NPV of
all
COSTS
$(34,190
.00)
$
(77,132.8
6)
$
(1,18,030.
82)
$
(1,56,981.
25)
$
(1,94,076.
91)
$
(2,29,406.
10)
$(2,29,40
6.10)
Overall
NPV
$
3,76,720.6
3
Overall
ROI
1.6422
Break-even Analysis
Yearly
NPV
$(34,190
.00)
$
90,390.48
$
86,086.17
$
81,986.83
$
78,082.69
$
74,364.47

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Cash
FLOW
Overall
NPV
Cash
FLOW
$(34,190
.00)
$
56,200.48
$
1,42,286.
64
$
2,24,273.
47
$
3,02,356.
16
$
3,76,720.
63
IRR 3%
0 1 2 3 4 5 0
$0.00
$100,000.00
$200,000.00
$300,000.00
$400,000.00
$500,000.00
$600,000.00
$700,000.00 NPV of all BENEFITS NPV of all COSTS
Year
D
o
l
l
a
r
s
Chart 1: Breakeven point
(Source: Created by author using Ms Excel)
5.3 Non-financial benefits and costs
Key performance indicator helps to provide an impact on the business performance of
the healthcare sector. The healthcare management team performs a survey in order to
identify the benefits of the proposed system. The survey helps the project team members
to make improvement over quality of their collected data, improve over the customer
satisfaction as well as access to the patient’s data by authorized person only (Yin, Zhu
&Kaynak, 2015). The complaints from the patient’s side is recorded so that it helps to
make improvement over the healthcare services. Finally, there is a measurement over the

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retention rate of the patients which is measuring percentage of the total customers that the
industry has lost over a specific period of time.
Balance scorecard is considered as the performance measurement model that is used
to translate the mission of the organization as well as its vision in actual strategic actions
(Keyes, 2016).
CensusPayermixOperatingmarginCustomersatisfactionCommunitybenefitsQualityindicatorsTurnoverContinuingeducationGrantsandprojectsFinancialStakeholdersInternalbusinessprocessLearningandinnovation