Benefits of ITFarrokh Alemi, Ph.D.Based on Kropf and Scalzi Making Information Technology Work

Clinical Benefits

Shorter stays

Less medication errors

No transcription

Work Flow Impact

Pharmacy call backs

Patient wait time

Less denied claims

CPOE for Renal Dosing at Brigham & Women Hospital

21% more appropriate dosing

0.2 days less length of stay

CPOE for ceftriaxone Brigham & Women Hospital

80% daily dosing instead of twice daily

CPOE for ceftriaxone Brigham & Women Hospital

80% daily dosing instead of twice daily

Assumes all use CPOE, no productivity loss

Whose Benefit?

Patient Physician Hospital Insurance company Society

Less pay

Shorter stay

Better

care

Benefit in Primary Care

$86,000 per provider System costs Induced costs

Initial productivity loss Increased revenue

Reduced tests for HMO patients Less billing errors and more charge

capture Sensitivity analysis

Benefit in Primary Care

$86,000 per provider System costs Induced costs

Initial productivity loss Increased revenue

Reduced tests for HMO patients Less billing errors and more charge

capture Sensitivity analysis

Why 3 months of productivity loss? Impact of better charge capture on patients?

Arbitrary Benefit CalculationsTake Home Lesson