Return on Investment for a Computerized Physician Order Entry System

Kaushal, Rainu; Jha, Ashish K.; Franz, Calvin; Glaser, John; Shetty, Kanaka; Jaggi, Tonushree; Middleton, Blackford; Kuperman, Gilad J.; Khorasani, Ramin; Tanasijevic, Milenko J.; Bates, David W.

doi:10.1197/jamia.m1984

Cited by 215 publications

(160 citation statements)

References 33 publications

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“…Because CPOE is so expensive, the return on investment for implementing it is of great public and policy interest. A recent study done by Kaushal et al showed that in the case of a 720-bed tertiary referral teaching hospital over 10 years cumulative net savings of $28.5 million are met by a $16.7 million net operating budget resulting in savings of $9.5 million, although it is unclear how these results would translate to the community setting 21 . Another point is the reduction of LOS by preventing ADEs.…”

Section: Discussionmentioning

confidence: 99%

Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Physician Order Entry for Prevention

Witkowski²,

et al. 2009

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Section: Discussionmentioning

confidence: 99%

Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Physician Order Entry for Prevention

Witkowski²,

et al. 2009

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“…The three studies all reported monetary outcomes specifically related to medicines (table 2), of which two investigated the financial impact of reducing preventable adverse drug events [19,20]. The third measured savings related to various aspects of a CPOE system and displayed a breakdown of savings associated with different aspects including those related to medicines [21].…”

Section: Economic Impact Assessmentmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

“…One study was conducted in the US [21], one in Canada [20] and one in the UK [19]. One [21] was based in a single tertiary care hospital and one in a multi-site healthcare institution [20]. The remaining study had no actual setting and all cost estimates were based on a theoretical model of a 400 bed acute UK hospital using a hypothetical system [19].…”

Section: Study Characteristicsmentioning

confidence: 99%

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Economic impact of electronic prescribing in the hospital setting: A systematic review

Ahmed

Barber

Jani

et al. 2016

International Journal of Medical Informatics

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Objective: To examine evidence on the economic impact of electronic prescribing (EP) systems in the hospital setting. Method: We conducted a systematic search of MEDLINE, EMBASE, PsycINFO, International Pharmaceutical Abstracts, the NHS Economic Evaluation Database, the European Network of Health Economic Evaluation Database and Web of Science from inception to October 2013. Full and partial economic evaluations of EP or computerised provider order entry were included. We excluded studies assessing prescribing packages for specific drugs, and monetary outcomes that were not related to medicines. A checklist was used to evaluate risk of bias and evidence quality. Results: The search yielded 1,160 articles of which three met the inclusion criteria. Two were full economic evaluations and one a partial economic evaluation. A meta-analysis wasn't appropriate as studies were heterogeneous in design, economic evaluation method, interventions and outcome measures. Two studies investigated the financial impact of reducing preventable adverse drug events. The third measured savings related to various aspects of the system including those related to medication. Two studies reported positive financial effects. However the overall quality of the economic evidence was low and key details often not reported. Discussion There seems to be some evidence of financial benefits of EP in the hospital setting. However, it is not clear if evidence is transferable to other settings. Research is scarce and limited in quality, and reported methods are not always transparent. Further robust, high quality research is required to establish if hospital EP is cost effective and thus inform policy makers' decisions. We are pleased to submit our manuscript entitled: "Economic impact of electronic prescribing in the hospital setting: a systematic review". This systematic review examines the evidence to establish if electronic prescribing systems use in the hospital setting is cost effective. We conducted a systematic search of seven databases from inception to October 2013 and included full and partial economic evaluations of electronic prescribing systems or computerised provider order entry. COVER LETTERWe found some evidence of financial benefits of EP use. However, it is not clear if evidence is transferable to other settings. Our review also shows that studies exploring the economic impact of electronic prescribing systems in this context are scarce and limited in quality. Therefore we endorse further robust research to establish if electronic prescribing systems use in hospitals is good value for money. This manuscript has not been previously published and is not under consideration in the same or substantially similar form in any other peer-reviewed media. All authors listed have contributed sufficiently to the project to be included as authors, and all those who are qualified to be authors are listed in the author byline. To the best of our knowledge, no conflict of interest, financial or other, exists. We have included acknowle...

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“…The American Recovery and Reinvestment Act of 2009 (ARRA)'s goal was to computerize all Americans health records by 2014 by dedicating nineteen billion dollars to the promotion of health information technology [4,5]. However, EHR systems also bring new liability and litigation risks such as the inappropriate use of the systems, privacy breaches, and inadvertent data disclosures, which in turn may impose heavy costs in terms of preservation of electronic information and potential litigation issues [6].…”

Section: Introductionmentioning

confidence: 99%

Emerging issues for education in E-discovery for electronic health records

2015

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In order to provide a foundation for education on e-discovery and security in Electronic Health Record (EHR) systems, this paper identifies emerging issues in the area. Based on a detailed literature review it details key categories: Development in EHR, E-discovery policy and strategy, and Security and privacy in EHR and also discusses e-discovery issues in cloud computing and big data contexts. This may help to create a framework for potential short course-design on e-discovery and security in the healthcare domain.

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Return on Investment for a Computerized Physician Order Entry System

Abstract: Other hospitals may be able to save money and improve patient safety by investing in CPOE systems.

Cited by 215 publications

References 33 publications

Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Physician Order Entry for Prevention

Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Physician Order Entry for Prevention

Economic impact of electronic prescribing in the hospital setting: A systematic review

Emerging issues for education in E-discovery for electronic health records

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