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The Resource Extrapolating evidence of health information technology savings and costs, Federico Girosi, Robin Meili, Richard Scoville

Extrapolating evidence of health information technology savings and costs, Federico Girosi, Robin Meili, Richard Scoville

Label
Extrapolating evidence of health information technology savings and costs
Title
Extrapolating evidence of health information technology savings and costs
Statement of responsibility
Federico Girosi, Robin Meili, Richard Scoville
Creator
Contributor
Subject
Genre
Language
eng
Summary
In 2003, RAND Health began a broad study to better understand the role and importance of Electronic Medical Record Systems (EMR-S) in improving health and reducing healthcare costs, and to help inform government actions that could maximize EMR-S benefits and increase its use. This report provides the technical details and results of one component of that study: national-level efficiency savings brought about by using Healthcare Information Technology (HIT). We quantify those savings--what results from the ability to perform the same task with fewer resources (money, time, personnel, etc.)-- by providing a methodological framework to scale empirical evidence on the effect of HIT to the national level and to project it into the future. A key element of this framework is a projection of the rates of adoption of HIT in the inpatient setting and in the ambulatory/outpatient setting. Next, from the evidence found in our search of peer-reviewed and gray literature (the body of reports and studies produced by local government agencies, private organizations, and educational facilities that have not been reviewed and published in journals or other standard research publications), we considered savings from 10 different sources (5 inpatient; 5 outpatient). Then, we compared the efficiency savings with the costs the nation has to incur in order to be able to realize those savings, using a modeling framework analogous to the one developed for the extrapolation of savings and cost data from the literature or given to us by providers. We found that savings outweigh costs by a factor of 5, which implies that, even if a large portion of savings is not realized, the ratio of benefit to cost is still larger than 1. Finally, we studied what might be the effect of those financial incentives presented to providers that lower the cost of EMR-S and quicken the pace of HIT adoption. A general result that does not depend on the size of the behavioral response of physicians is that incentive programs are more likely to be cost-effective if they start early and do not last long, but are sizable. The report concludes with a summary chapter. The report should be of interest to healthcare IT professionals, other healthcare executives and researchers, and officials in the government responsible for health policy
Related
Member of
Cataloging source
COD
http://library.link/vocab/creatorName
Girosi, Federico
Dewey number
651.5/04261
Illustrations
illustrations
Index
no index present
LC call number
R864
LC item number
.G57 2005Internet
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
NLM call number
  • 2006 B-181
  • WX 173
NLM item number
G527e 2005
http://library.link/vocab/relatedWorkOrContributorName
  • Meili, Robin
  • Scoville, Richard P
http://library.link/vocab/subjectName
  • Medical records
  • Medical Records Systems, Computerized
  • Cost-Benefit Analysis
  • MEDICAL
  • Medical records
  • Criminology, Penology & Juvenile Delinquency
  • Social Welfare & Social Work
  • Social Sciences
  • Medical & Biomedical Informatics
  • Medicine
  • Health & Biological Sciences
Label
Extrapolating evidence of health information technology savings and costs, Federico Girosi, Robin Meili, Richard Scoville
Instantiates
Publication
Bibliography note
Includes bibliographical references (pages 89-94)
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Contents
Ch. 1. Introduction -- ch. 2. Scaling up and projecting savings into the future -- ch. 3. Estimating the benefits of HIT -- ch. 4. Estimating the cost of HIT -- ch. 5. Simulation of financial incentives -- ch. 6. Conclusion and summary -- Appendix A. Taxonomies -- Appendix B.A note on transaction and administrative costs -- Appendix C. Cost of connectivity
Control code
69663077
Dimensions
unknown
Extent
1 online resource (xiii, 94 pages)
Form of item
online
Isbn
9780833038517
Lccn
2005024409
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
illustrations
http://library.link/vocab/ext/overdrive/overdriveId
22573/cttfv6c
Specific material designation
remote
System control number
(OCoLC)69663077
Label
Extrapolating evidence of health information technology savings and costs, Federico Girosi, Robin Meili, Richard Scoville
Publication
Bibliography note
Includes bibliographical references (pages 89-94)
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Contents
Ch. 1. Introduction -- ch. 2. Scaling up and projecting savings into the future -- ch. 3. Estimating the benefits of HIT -- ch. 4. Estimating the cost of HIT -- ch. 5. Simulation of financial incentives -- ch. 6. Conclusion and summary -- Appendix A. Taxonomies -- Appendix B.A note on transaction and administrative costs -- Appendix C. Cost of connectivity
Control code
69663077
Dimensions
unknown
Extent
1 online resource (xiii, 94 pages)
Form of item
online
Isbn
9780833038517
Lccn
2005024409
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
illustrations
http://library.link/vocab/ext/overdrive/overdriveId
22573/cttfv6c
Specific material designation
remote
System control number
(OCoLC)69663077

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