Practicum Change Project


PracticumChange Project

PracticumChange Project

Theimportance of technology in healthcare cannot be understated as faras efficiency and effectiveness of care is concerned. Perhaps themost effective technological innovation is the Electronic MedicalRecord (EMR), which is a systematic collection of electronic healthinformation pertaining to the population or individual patient. Theimplementation of the EMR in any healthcare facility would bedependent on the resources that are available not only with regard tothe financial resources but also human. Varied studies haveunderlined the fact that the costs involved in the purchase andinstallation of the EMR may range between $15000 to $90,000 (Gartee,2006).Five items would have to be considered in creating a budget.

Hardware,which include scanners, printers, desktop computers, and databaseservers would consume about $7000. The second cost involves EMRsoftware including interface modules, EHR applications, as well asits upgrades. Of course, there are variations between the costsinvolved subject to the selected plan and provider. On the higherside, the cost should be $9,000. The third cost would entail thepersonnel that would be required or rather the implementationassistance (Gartee,2011).The personnel required may include attorney, IT contractor,consultant support and electrician. This may be obtained from thelocal Regional Extension Center either at a reduced price or even atno cost (Carteret al, 2008).On the higher side, it should cost $16000.

Thefourth cost would be incurred on training of the office staff, nursesand physicians prior to and in the course f the implementation of thesystem so as to enhance utilization of the system. As an ongoingpractice, this would take up to $9000 per year. Lastly, the ongoingnetwork fees and maintenance for the EMR equipment would need to becatered for. These costs may include ongoing staff education, ITsupport fees, telecom fees, software license maintenance agreementsamong others (Amatayakulet al, 2004).Further, it may be necessary to hire new staff particularlyapplication analysts, clinical data analysts and IT operations staff(Carteret al, 2001).


Amatayakul,M. K., &amp American Health Information Management Association.(2004).Electronichealth records: A practical guide for professionals andorganizations.Chicago: American Health Information Management Association.

Carter,J. H., &amp American College of Physicians–American Society ofInternal Medicine. (2001).&nbspElectronicmedical records: A guide for clinicians and administrators.Philadelphia: American College of Physicians-American Society ofInternal Medicine.

Carter,J. H., &amp American College of Physicians. (2008).&nbspElectronichealth records: A guide for clinicians and administrators.Philadelphia: ACP Press.

Gartee,R. (2006).&nbspElectronichealth records: Understanding and using computerized medical records.Upper Saddle River, NJ: Pearson Education.

Gartee,R. (2011).&nbspElectronichealth records: Understanding and using computerized medical records.Upper Saddle River, N.J: Prentice Hall.