{"id":5462,"date":"2013-03-24T15:52:05","date_gmt":"2013-03-24T19:52:05","guid":{"rendered":"http:\/\/www.poweryourpractice.com\/?p=5462"},"modified":"2013-03-24T15:52:05","modified_gmt":"2013-03-24T19:52:05","slug":"free-ehrs-expensive-in-long-run","status":"publish","type":"post","link":"https:\/\/carecloud.com\/continuum\/free-ehrs-expensive-in-long-run\/","title":{"rendered":"What Makes Free EHRs Expensive in the Long Run?"},"content":{"rendered":"

The word \u2018free\u2019 is alluring<\/strong>. It\u2019s the same reason grandma collected newspaper coupons and why you probably don\u2019t mind enduring a dirty fingernail for the chance to win the stack of cash pictured on tawdry corner store scratch-off.<\/p>\n

But free EHRs don\u2019t represent the kind of no-strings-attached reward we\u2019re alluding to above. The appeal can be strong, but hidden expenses, heightened risk and unforeseen liabilities can cost you just as much as any web-based EHR, and you\u2019re probably not getting the same level of technology.<\/p>\n

See below for a demystified view of free EHRs.<\/strong><\/p>\n

The Revenue Problem<\/strong>
\n\u2018Free\u2019 is not always a profitable business model, so what are free EHR providers doing to not go out of business or have to switch to pay models in the near future?<\/p>\n

Anyone in the health IT space knows investor money is not infinite, meaning you\u2019ll sooner or later be forced to turn a profit \u2013 or fail, naturally. And vendors need money to function, not only for the sake of their operations but because\u00a0software becomes outdated nearly overnight.<\/strong><\/p>\n

New features need to be added, others need to be repaired \u2013 meaning the expenses in human capital alone are hefty. Can ads and data drive sufficient revenue?<\/p>\n

Users sit in front of their EHRs up to eight hours a day, which means they can become desensitized to small, unobtrusive ads rather quickly. If free EHR providers begin designating more space for ads, how turned off will users be?<\/strong><\/p>\n

There are also rumors that a number of the more popular free EHRs will consider selling patient profiling power to pharmaceutical companies, through tools similar to Facebook\u2019s Graph Search feature.<\/p>\n

Now, if increased advertising and sketchy use of patient data is enough to persuade you to turn elsewhere, there\u2019s no way they can return the time and money you lost on training and implementing the system<\/a>, thereby making your free EHR a rather costly investment.<\/p>\n

The Little Things Add Up<\/strong>
\nWe can begin with training<\/a> here, which is not included in any free EHR plan. And consultants don\u2019t come cheap either – $1,500 – $4,000 a day, depending on the size of your practice.<\/p>\n

And considering that training will often take several weeks to get the full hang of the system\u2019s functionality<\/strong>, you should probably have an airtight plan to maximize your group\u2019s workflow.<\/p>\n

Free solutions often have limited functionality as well, at least in their \u2018free,\u2019 bare-boned versions, and therefore have a tough time adapting to your practice\u2019s workflow.<\/p>\n

Furthermore, many free EHRs don\u2019t have the ability to streamline note creation<\/a>, which means no templates, no forms, and no menus. Think of the amount of time your practice is wasting \u2013 typing in diagnosis prescriptions, vitals, allergies, etc.<\/p>\n

And you have to think of your patients as well, especially if the rights to patient data are up-in-the-air, so to speak. Do they feel comfortable knowing their doctor uses a free EHR?<\/strong><\/p>\n

Some free EHRs don\u2019t offer doctors the ability to extract their data in the event of an emergency or a system switch, which could be a huge cost to your medical practice. Others take it a step further \u2013 they charge patients to use the patient portal, with part of the subscription fees going to the medical practice.<\/p>\n

While this may work for some practices, do you think it\u2019s a realistic business model for the industry at large?<\/p>\n

The HIPAA Hiccup<\/strong>
\nOne thing we\u2019re not used to hearing about free EHRs, however, is that ad-based business models may not be HIPAA compliant. However, following the passing of the HIPAA omnibus final rule in January, pop up ads often associated with free EHRs may go beyond mere irritation.<\/p>\n

The HIPAA updates impose new restrictions on marketing<\/strong>, requiring providers to obtain patient authorizations \u201cfor all treatment and healthcare operations communications where the covered entity receives financial remuneration for making the communications for a third party whose product or service is being marketed.\u201d<\/p>\n

In other words, you must inform patients that you\u2019ll be receiving a financial benefit for sharing the third party\u2019s information with the patient. And while popup EHR ads aren\u2019t addressed by name, it\u2019s exactly the kind of marketing HIPAA is referring to.<\/p>\n

As a physician using a free EHR, you\u2019re \u2018communicating\u2019 the produce or service in the popup ad without having patient authorization to do so. And since the EHR is free, you\u2019re receiving a financial benefit.<\/p>\n

Now imagine how much a free EHR will cost you if its revenue model gets you into legal trouble?<\/p>\n","protected":false},"excerpt":{"rendered":"

The word \u2018free\u2019 is alluring. It\u2019s the same reason grandma collected newspaper coupons and why you probably don\u2019t mind enduring a dirty fingernail for the chance to win the stack of cash pictured on tawdry corner store scratch-off. But free EHRs don\u2019t represent the kind of no-strings-attached reward we\u2019re alluding to above. The appeal can […]<\/p>\n","protected":false},"author":1,"featured_media":32785,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[2],"class_list":["post-5462","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-growth","tag-growth"],"yoast_head":"\nWhat Makes Free EHRs Expensive in the Long Run? - Continuum<\/title>\n<meta name=\"description\" content=\"Are free EHRs expensive in the long run? 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