From Galen Healthcare Solutions - Allscripts Enterprise EHR Wiki

Assumptions

• This estimated effort is based on 50 physician multi-specialty organization.
• It is intended to give a ballpark of effort involved and the numbers serve as estimates only.
• It does not necessarily scale linearly with number of providers or specialties.
• The effort only addresses four categories of effort – implementation, technical, interface and training.
• Categories of effort not addressed include project management, systems configuration and deployment, networking configuration and deployment, hardware (including desktop) deployment, and helpdesk and on-going support.

	Criteria	Threshold	Module	Delivered in AE-EHR Y/N	Typical EHR Phase	Implementation Effort	Interface Effort	Technical Effort	Training	Total
1	Electronically enter all orders for medications, laboratory, imaging and referrals.	80% of all patients	Order	N	III	220	100		80	400
2	Implement drug-drug, drug-allergy, drug- formulary checks.	100%	Base	Y	I
3	Maintain an up-to-date problem list.	80% of all patients	Base	N	I	100	80		40	220
4	ePrescribe	75% of all permissible prescriptions	RX+	Y	II	40			40	80
5	Maintain active medication list.	80% of all patients	RX+	N	II	120			20	140
6	Maintain active medication allergy list.	80% of all patients	Base	N	I	80			20	100
7	Record patient demographics (including race/ethnicity/language).	80% of all patients	Base	Y	I		50			50
8	Record vitals signs for those age 2 and older, calculate BMI, and plot growth charts for children 2-20.	80% of all patients	Base	Y	I	80			20	100
9	Record smoking status for patients 13 years old and older.	80% of all patients	Note	N	II
10	Incorporate clinical lab-test results into EHR as structured data.	50% of all lab results	Result	N	II	100	70		40	210
11	Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, and outreach.	N/A	Base	N	I	60	40			100
12	Report ambulatory quality measures to CMS or State	N/A	N			160		200	20	380
13	Send preventive/follow-up care reminders.	50% of patients over 50 years old	Base	N	I
14	Implement five clinical decision support rules relevant to specialty or high clinical priority and track compliance	N/A	Base	N	I
15	Check insurance eligibility electronically from public and private payers	80% of all patients	Base	Y	I	40			20	60
16	Submit claims electronically to public and private payers.	80% of all patients	Charge	N	III		50			50
17	Provide patients with an electronic copy of their test results, problem list, medications, and allergies	Within 48 hours for 80% of those requesting	Base/Result/Rx+	N	II
18	Provide patients with timely electronic access to their lab results, problem list, medications, and allergies	10% of patients	Base/Result/Rx+/Patient Portal	N	II	200		40		240
19	Provide clinical summaries to patients for each office visit.	80% all office visits	Multiple	N
20	Electronically exchange problem list, medication list, allergies, and diagnostic test results among providers of care and patient authorized entities.	Test and demonstrate	Multiple	N
21	Perform medication reconciliation	80% of relevant visits or care transitions	Rx+	N	II
22	Provide summary care record for each transition of care and referral.	80% of care transitions and referrals	Multiple	N		60	40			100
23	Submit electronic data to immunization registries and actual submission where required and accepted.	Test and demonstrate	Base	N	I	40	120			160
24	Provide electronic syndromic surveillance data to public health agencies.	Test and demonstrate	N/A	N			150			150
25	Conduct or review a security risk analysis for protecting patient privacy.	100%	N/A	Y