Benefits of IT Farrokh 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 Calculations Take Home Lesson