A key issue to the implementation of electronic health records rests on unresolved issues and who ultimately is responsible for costs. Under most provider reimbursement models according to Sittig, and Singh (2011), “An estimated 89% of monetary donations to EHR relies on health care payers, rather than those who finance the implementations” (American academy of pediatrics, pp. 1043, para. 4). With providers well aware of this, perhaps initially implementing such a system may not be as simple as it seems.
For those physicians concerned about costs more than having available resources, implementing and maintaining an EHR may be risky. According to Sittig, and Singh (2011), approximate costs up to $50,000 is required for implantation and maintenance. System costs for maintenance could involve software, hardware, training, and support (Murphy, 2012). There is discussion about stimulus money providing reimbursements for clinicians but further questions about the role health insurers’ will have in funding is uncertain. Through the recent passing of the patient protection and affordable care act an emphasis on patient-centered medical offers looked to promise financial support for EHR and health information exchange implementation (Murphy, 2012). ...
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Layman, J. (2013). Ethical issues and the electronic health record. Healthcare management Journal. 2 (165-176). doi: 10.1097/01.HCM.0000285044.19666.a8
Murphy, K. (2012). Top 10 EHR adoption challenges. Etelligent Media Journal, 3 (8-13). Retrieved from: http://ehrintelligence.org/2012/08/20/top-10-ehr-adoption-challenges/
Ohio State Bar Association. (2013). Law requires parental consent for treatment of minors. Retrieved from https://www.ohiobar.org/ForPublic/Resources/LawYouCanUse/Pages/LawYouCanUse-208.aspx
Sittig, D., and Singh, H. (2011). Legal, Ethical, and Financial Dilemmas in Electronic Health Record Adoption and Use. American Academy of Pediatrics, 4 (1042-2047). doi: 10.1542/peds.2010-2184
University of Tennessee Health Science Center. (2013). Legal issues in health care. Retrieved from http://www.uthsc.edu/Medicine/legaledu/
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