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Cost (I)

| Cost Category |
Description |
Impact on ROI |
One-time or ongoing |
Main Driver |
| Information Technology |
IT investment and installation |
- |
One-time |
Hardware, software, network, broadband
Workflow design
IT system design, setup, integration |
| Information Technology |
IT maintenance |
- |
Ongoing |
Support, maintenance, upgrades of hardware, software, and network
Broadband service |
| Physical/staff time |
Higher physician and staff training time |
- |
One-time
Ongoing |
Training time for workflow design and system usage |
| Staff time |
Lower transcription costs |
+ |
Ongoing |
Direct entry into EHR (typing, template, voice recognition) |
| Admin Supplies |
Lower postage, fax, copier costs |
+ |
Ongoing |
Referral letters, reports, diagnostic results entered and sent electronically (scanned, fax server, electronic data exchange)
|
| Staff time |
Lower staff medical records handling time |
+ |
Ongoing |
No chart search, pull, re-file time |
| Staff time |
Higher staff scanning time |
- |
Ongoing |
Scanning hard copy information for inclusion in patient record |
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