solo practice in 2004, I took out extra loans to
purchase an EHR, which cost around $80,000 including computers and server,"
said Chris Buchanan, a physician at Brazos Urology Clinic in Granbury, Texas.
"I think it would be unfair to pay doctors to purchase new EHR systems without
rewarding doctors who have had them for years. The fact that I have a system
improves the quality of the care that I deliver through reduced errors,
24-hour access to patient charts when on call, etc. Therefore an incentive
should be given to all doctors who use EHRs."
"I recommend use of any subsidy be applied toward one-time expenses such
as implementation training or license costs," said Mark Gilbert, Director of
Operations at Practicare Medical Management Inc., in Liverpool, New York.
"Ongoing maintenance expense should not be covered. ... I would be against
the stimulus being used toward fee schedule adjustments as the beneficiaries
would be the practices that already have an EHR. Providers need the monies to
get an EHR off the ground."
"A program that only rewards new purchasers of EHR's is quite unfair to
those who have already taken the plunge and paid for the systems themselves,"
said Jeffrey Johnson, MD, Medical Director of Central Utah Clinic, in Provo,
Utah and a former Microsoft Health Users Group Physician of the Year award
winner. "We have done much of the work to help EHR technology get to the
advanced stage of development it's in today, and to not recognize that and
only reward the Johnny-come-lately's in an incentive system would be grossly
"The stimulus bill may be the single most effective way to assure improved
quality and cost of healthcare," said Larry Wiley, a staff member at
Washington Regional Medical System Clinics in Fayetteville, Ark.
Survey Methodology and Demographics
The survey invitation was sent via email to 50,000 healthcare
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