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9780833038517

Extrapolating Evidence of Health Information Technology Savings And Costs

by ; ;
  • ISBN13:

    9780833038517

  • ISBN10:

    0833038516

  • Edition: 1st
  • Format: Paperback
  • Copyright: 2005-11-30
  • Publisher: Rand Corp
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List Price: $20.00

Summary

Provides the technical details and rexzuts of the natnional level efficiency savings that would be brought about by using Healthcare information Technology and the costs the nation would have to incur to realize those savings.

Table of Contents

Preface iii
Figures
vii
Tables
ix
Summary xi
Introduction
1(4)
Scaling Up and Projecting Savings into the Future
5(14)
Typical Scenario for National-Level Savings
5(9)
Duration of Implementation and Delayed Savings
9(5)
Literature Search and Empirical Findings on Savings
14(5)
Estimating the Benefits of HIT
19(22)
Outpatient
21(6)
Transcription
21(1)
Chart Pulls
22(1)
Laboratory Tests
23(2)
Drug Utilization
25(1)
Radiology/Imaging
26(1)
Inpatient
27(8)
Reduction of Nurses' Unproductive Time
27(3)
Laboratory Tests
30(2)
Drug Utilization
32(1)
Reduction in Length of Stay
32(2)
Medical Records
34(1)
Summary of Savings at the National Level
35(6)
Quantifying Uncertainty in Savings Estimates
37(4)
Estimating the Cost of HIT
41(12)
Inpatient
41(6)
One-Time Cost
41(4)
Validation of the Regression Specifications
45(2)
Outpatient
47(6)
Simulation of Financial Incentives
53(12)
Modeling Subsidies to Hospitals
57(2)
Modeling Per-Encounter Incentives for the Outpatient Setting
59(2)
Modeling a Price Change
61(4)
Conclusion and Summary
65(24)
APPENDIX
A. Taxonomies
69(6)
B. A Note on Transaction and Administrative Costs
75(6)
C. Cost of Connectivity
81(8)
Bibliography 89

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