Electronic Health Records Impacts on Revenue, Costs, and Staffing 2010 Report Based on 2009 Data

Electronic Health Records Impacts on Revenue, Costs, and Staffing 2010 Report Based on 2009 Data - Print Edition


Item # 8353

ISBN: 9781568293585

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Your up-to-date resource on what to expect from EHR implementation

Understanding the impact of electronic health records- (EHR) or electronic medical records (EMR) system implementation is critical to comprehending its benefits to your medical practice’s performance. The information in this mgma report can help you establish practical, realistic expectations of your investment and its potential long-term implications to your medical group practice.

Electronic Health Records Impacts on Revenue, Costs, and Staffing also includes articles by industry experts defining the meaningful use of EHR/EMR and covering practical experiences with electronic medical record implementation.

Use the extensive, easy-to-access data in this report to help your practice

  • Evaluate the impact of initial costs related to EHR implementation
  • Identify possible areas for improvement with your electronic health record software
  • Determine how the addition of an EHR might boost revenue and performance
  • Compare staffing levels of EHR-based practices to paper-based medical practices

Everything you need is inside

  • Data on 1,324 multispecialty and single-specialty practices with an EHR, including primary care, nonsurgical, and surgical specialties
  • EHR practice breakouts by full-time-equivalent physicians, providers, total relative value units (RVUs), work RVUs, patients, and square footage
  • Comprehensive accounts receivable, fee-for-service charges, and revenue data for EHR and paper-based practices
  • Cost and productivity data points for EHR and paper-based practices

Electronic Health Records Impacts on Revenue, Costs, and Staffing 2010 Report Based on 2009 Data

Overview

Introduction Purpose
Description Data Collection
Response Rate

How to Use This Report Report Organization
Appendices Additional Information

Statistical Interpretation — A User’s Guide
Introduction
Interpreting the Data
Using the Survey Report

  • What Does Successful EHR Adoption Look Like?
  • The Federal EHR Incentive Program: Achieving “Meaningful Use”
  • The Impact of EHR Use and Implementation on Multispecialty Groups

Key Findings and Demographics — Section One

Not Hospital/IDS-Owned PracticesHealth Records Storage, Not Hospital/IDS Owned
Total Number of Years since First Generation EHR Installation, Not Hospital/IDS Owned
Median Total Medical Revenue, Total Operating Cost, and Total Medical Revenue after Operating Cost (per FTE Physician) for Multispecialty Practices, Not Hospital/IDS Owned by Years EHR in Practice
Median Total Medical Revenue, Total Operating Cost, and Total Medical Revenue after Operating Cost (per FTE Physician) for Multispecialty Practices, Not Hospital/IDS Owned, Paper vs. EHR
Median Total Operating Cost as a Percentage of Total Medical Revenue for Multispecialty Practices, Not Hospital/IDS Owned, Paper vs. EHR
Mean Gross Fee for Service Collection Percentage for Multispecialty Practices, Not Hospital/IDS Ownedby Years EHR in Practice
Median Medical Records and Information Technology Staffing (per FTE Physician) in Multispecialty Practices, Not Hospital/IDS Owned by Years EHR in Practice
Median Medical Records and Information Technology (per FTE Physician) in Multispecialty Practices, Not Hospital/IDS Owned by Years EHR in Practice
Median Total Medical Revenue, Total Operating Cost, and Total Medical Revenue after Operating Cost (per FTE Physician) for Multispecialty Practices, Not Hospital/IDS Owned, Five-Year Growth

Demographics — Not Hospital/IDS-Owned Practices 1: Responses Received
2: Geographic Section
3: Demographic Classification
4: Legal Organization
5: Organization Ownership
6: State
7: Single-Specialty Group Type 8: Federally Qualified Health Center
9: Rural Health Center 10: MSO or PPMC Provided Services 11: Square Footage of All Facilities
12: Number of Branch Clinics
13: Practice Derived Revenue from Capitation Contracts
14: Practice Maintained IBNR Liability Account for Capitated Patients
15: Total Medical Revenue
16: Net Capitation Revenue Percentage of Total Medical Revenue
17: Tax Reporting Accounting Method
18: Internal Management Accounting Method
19: Re-Age Accounts Receivable
20: FTE Physicians
21: FTE Nonphysician Providers
22: FTE Providers
23: Nonphysician Providers per FTE Physician
24: Health Records Storage
25: Total Number of Years since First Generation EHR Installation
26: Practice Provides Online Consultation
27: Practice Charges for Online Consultation
28: Hours to Complete Survey Questionnaire

Hospital/IDS-Owned Practices
Health Records Storage, Hospital/IDS Owned
Total Number of Years since First Generation EHR Installation, Hospital/IDS Owned
Median Total Medical Revenue, Total Operating Cost, and Total Medical Revenue after Operating Cost (per FTE Physician) for Multispecialty Practices, Hospital/IDS Owned by Years EHR in Practice
Median Total Medical Revenue, Total Operating Cost, and Total Medical Revenue after Operating Cost (per FTE Physician) for Multispecialty Practices, Hospital/IDS Owned, Paper vs. EHR
Median Total Operating Cost as a Percentage of Total Medical Revenue for Multispecialty Practices, Hospital/IDS Owned, Paper vs. EHR
Mean Gross Fee for Service Collection Percentage for Multispecialty Practices, Hospital/IDS Owned by Years EHR in Practice

Demographics — Hospital/IDS-Owned Practices 1: Responses Received
2: Geographic Section
3: Demographic Classification
4: Legal Organization
5: Organization Ownership
6: State
7: Single-Specialty Group Type
8: Federally Qualified Health Center
9: Rural Health Center
10: MSO or PPMC Provided Services
11: Square Footage of All Facilities
12: Number of Branch Clinics
13: Practice Derived Revenue from Capitation Contracts
14: Practice Maintained IBNR Liability Account for Capitated Patients
15: Total Medical Revenue
16: Net Capitation Revenue Percentage of Total Medical Revenue
17: Tax Reporting Accounting Method
18: Internal Management Accounting Method
19: Re-Age Accounts Receivable
20: FTE Physicians
21: FTE Nonphysician Providers
22: FTE Providers
23: Nonphysician Providers per FTE Physician
24: Health Records Storage
25: Total Number of Years since First Generation EHR Installation
26: Practice Provides Online Consultation
27: Practice Charges for Online Consultation
28: Hours to Complete Survey Questionnaire

Multispecialty Practices — Section Two

Table 1: Multispecialty, All Practices by Health Records Storage
Table 2: Multispecialty, All Practices by Years EHR in Practice
Table 3: Multispecialty, Not Hospital/IDS Owned by Years EHR in Practice
Table 4: Multispecialty, Hospital/IDS Owned by Years EHR in Practice
Table 5: Multispecialty, Health Records Storage by Hospital Ownership

Medical Group Type — Section Three

Table 6: Primary Care by Health Records Storage
Table 7: Primary Care, Not Hospital/IDS Owned by Health Records Storage
Table 8: Primary Care, Hospital/IDS Owned by Health Records Storage
Table 9: Nonsurgical Specialty by Health Records Storage
Table 10: Nonsurgical Specialty, Not Hospital/IDS Owned by Health Records Storage
Table 11: Nonsurgical Specialty, Hospital/IDS Owned by Health Records Storage
Table 12: Surgical Specialty by Health Records Storage
Table 13: Surgical Specialty, Not Hospital/IDS Owned by Health Records Storage

Single-Specialty Practices — Section Four

Primary Care
Table 14: Family Practice, All Practices by Health Records Storage
Table 15: Family Practice, Hospital/IDS Owned by Health Records Storage
Table 16: Pediatrics by Health Records Storage

Nonsurgical Table 17: Cardiology, All Practices by Health Records Storage

Surgical
Table 18: Anesthesiology, All Practices by Health Records Storage
Table 19: Orthopedic Surgery, All Practices by Health Records Storage
Table 20: Orthopedic Surgery, Not Hospital/IDS Owned by Health Records Storage

Appendices

Appendix A: Abbreviations, Acronyms, and Geographic Sections
Appendix B: Glossary of Common Survey Terms
Appendix C: Formulas and Methodology
Appendix D: Activity-Based Cost Allocation Model
Appendix E: MGMA Survey Products
Appendix F: Cost Survey: 2010 Questionnaire Based on 2009 Data
Appendix G: Cost Survey: 2010 Guide to the Questionnaire Based on 2009 Data

Medical Group Management Assocation

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