CanadianEMR Webinar - How to Finance an EMR

1. Webinar – How to Finance the Cost of
an EMR
June 23, 2011
Funding
to
support
this
Webinar
has
been
provided
by
Hewle7-­‐Packard

2. Webinar – How to Finance the Cost of
an EMR
June 23, 2011
Funding
to
support
this
Webinar
has
been
provided
by
Hewle7-­‐Packard

3. Agenda
• High level of overview
– Dr. Alan Brookstone – 10 mins
• Experiences on the frontline
– Dr. Mark Dermer – 15 mins
• Alternative options
– Financing through a hardware vendor – 5 mins
• Q&A – 20-25 mins

4. Health Expenditure 2010

5. Financing Options – Important Questions
• How much does an EMR cost?
– Purchase cost
– Maintenance cost
• Should you…
– Pay for the EMR yourself?
• What are your options?
• Pros and Cons
– Take advantage of provincial funding?
• What is available across Canada?
• Pros and Cons

6. Background - Canada
• Pre-2001
– No option but to pay for the EMR directly
– No provincial funding programs for EMR
– Have to build a business case for an EMR based
upon ability to improve practice efficiency and
potentially increase revenue
• Post 2001
– Starting with Alberta, a number of provinces
progressively put funding programs into place to
support the purchase of an EMR…

7. Provincial Programs
• Funding programs are currently available in:
– Alberta
– Ontario
– British Columbia
– Nova Scotia
– Saskatchewan
– Manitoba
• Soon to offer programs
– Newfoundland
– New Brunswick

8. Overview of Provincial Programs
• Alberta
• Ontario
• British Columbia
• Nova Scotia
• Manitoba
• Saskatchewan
• Others….

9. It’s Not Just the Hardware and Software
• What else should you consider?
– Network
– Office re-design
– Hardware replacement
– Ongoing support and maintenance
– Internet or dedicated high-speed access
– Local Server vs. Remote Server (ASP or Cloud-
based EMR)

10. Dr. Mark Dermer
10

11. Central Ottawa
Family Health Organization
• 11 family physicians, 5.9 FTE
• 4 nurses, 3.1 FTE
• Full Electronic Medical Record (EMR) since
2002
*Purchased without government funding
• Culture of integrating new evidence, setting
clinical targets and continuously modifying
processes
• EMR is key to our quality and efficiency of
care

12. EMR Business Case
• Reduced time spent by providers
– Prescription renewals
– “One-write” data entry
– Retrieving information within chart
– Finding patient record
• Reduced time spent by staff
– Eliminates chart pulls for visits and filing
– No need to carry paper from place to place
– Easy access to info to respond to phone inquiries
• Reduced chart storage costs
• Increased revenues
– Greater capture of charges earned in an encounter
– Prompts increase services and associated fees per visit

13. Cost of Adopting an EMR
• Two types of possible costs to physicians
– Transitional – implementation and optimization
– Ongoing – persistent reduced productivity
• Transitional costs are unavoidable
• Must avoid ongoing reduced
© Mark Dermer, 2003

15. Comparison:
EMR Costs to EMR Savings
• Based on 5 half-days at EMR site
– Labour time savings $26.00/day
– Physician time saving $67.00/day
• REVENUE
• $94/day  $1,883/month  $22,600/year
• COST
• $54/day  $1,077/month  $13,000/year
• After first 4 years, cost drops to $11,000/year

16. EMR without Connectivity: An Island

17. Patient Self-Service
• Kiosk
• Web

18. Additional EMR Staff Efficiencies with
Connectivity and Self-Serve
• No scanning 0.75 hrs/day
• Dramatic reduction in phone work
• Patient calls for appointments 1.00 hrs/day
• Pharmacy calls for renewals 0.50 hrs/day
• Patient calls for results and questions 0.25 hrs/day
• Calls to arrange consults and tests 1.00 hrs/day
• Dramatic reduction in reception work
• Patients arriving 0.25 hrs/day
• Patients leaving 0.50 hrs/day
• TOTAL 4.25 hours = $85 per day
© Mark Dermer, 2003

19. Matthew Debolt
19

20. About HP Financial Services
Who we are Business model
– HP’s wholly owned leasing and financial • End-to-end model, control of all
services subsidiary business functions
– One HPFS worldwide, complete • Leadership team with 150 years of
global linkage combined financial services experience
– Full range of financial lifecycle management • Oversight by HP Board of Governors
services – transition, acquisition, • Five consecutive profitable quarters
management and disposition
• P&L accountability, segment reporting
Mission Size and scope
• Enhance HP’s worldwide sales efforts by • $11.2 billion in assets
providing a broad range of financial services • More than $3 billion in annual revenue,
and asset management capabilities that nearly $6 billion in annual financing volume
positively impact HP’s customer/partner
• 1,100 people in 40 countries
relationships and enhance shareowner value
• Manage 1.2 million units in secondary
• Achieve financial performance comparable markets annually
to the world’s best performing financial
services companies • Multi-vendor/multi-technology financing for
transactions from $399 to multi-millions

21. HP Financial Services
Position Second largest IT captive
financing organization
worldwide
Funding model Direct access to capital; no
reliance on third party
Expertise Expert in acquisition,
management and
retirement of assets
Global reach Global capabilities with a
presence in 40 countries
around the world

22. Programs
– 24, 36, or 48 month terms
– Fair market value, dollar buyout and bargain purchase option
available
– Finance 100% of the total solution, including 3rd party equipment and
software
– Special payment structures designed based on your needs
– Quarterly Promotions
• 0% 12 month $1 Buyout – thru 7/31/11
• 0% 36 month Fair Market Value – thru 7/31/11

23. HP Financial Services Contacts
– Susan Holmes
• 813-907-3030
• Susan.holmes@hp.com
– Wayne Leblanc
• 905-206-3640
• Wayne.leblanc@hp.com
– Matt DeBolt
• 719-592-6832
• Matthew.debolt@hp.com

24. Questions & Discussion

25. Questions & Discussion

26. Questions & Discussion

27. Webinar – How to Finance the Cost of
an EMR
June 23, 2011
Funding
to
support
this
Webinar
has
been
provided
by
Hewle7-­‐Packard

28. Webinar – How to Finance the Cost of
an EMR
June 23, 2011
Funding
to
support
this
Webinar
has
been
provided
by
Hewle7-­‐Packard