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MGMA: Practice Revenue Increases with EHRs

 |  By Margaret@example.com  
   October 28, 2010

Medical practices that have avoided implementing an electronic health record system (EHR) because of the associated costs may not have such a strong argument, according to a study published by the Medical Group Management Association (MGMA). Data collected from both hospital/IDS-owned and independent practices indicates that practices that have implemented an EHR system produced better financial results than those that have not.

Multi-specialty and single-specialty practices, including primary care, nonsurgical, and surgical specialties with an EHR had almost $50,000 more in operating margin—total medical revenue per full-time-equivalent (FTE) physician—than practices that still use paper medical records.

And while overall expenses rose among EHR-enabled practices (approximately $106,000 per FTE physician), median revenue per FTE physician was also greater at $179,000 for the year. "The potential of improved financial performance should be an encouragement for many organizations to purchase and use an EHR," said William Jessee, president and CEO of MGMA in a statement.

The results, detailed in the report Electronic Health Records Impacts on Revenue, Costs, and Staffing: 2010 Report Based on 2009 Data, also points out that multispecialty hospital/IDS-owned practices with an EHR, while not quite achieving the results of their unaffiliated counterparts, also realize better operating margins than those without at just over $42,000 in 2009.

The report indicated that while an EHR's expense was quite high during the first year, other operating expenses tended to decline. In fact, non-hospital/IDS owned practices realized 10 percent greater operating margin in their fifth year with an EHR than the first.

"Adopting an electronic system can be costly and time consuming, and understanding the impact it will have on the practice is critical," said William F. Jessee, MD, FACMPE, CEO of MGMA in a statement. "While the implementation process can be very cumbersome, these data indicate that there are financial benefits to practices that implement an EHR system."

While IT staffing per FTE physician increased moderately after five years with an EHR (0.13 to 0.15), practices were able to reduce medical records and transcription staff by 44 percent, resulting in significant savings on labor.

Although increasing numbers of practices are looking to automate their medical records in light of financial incentives from Medicare under the federal stimulus package, proving "meaningful use" of the technology—a requirement for practices to receive up to $44,000 in funding to help offset EHR implementation costs—still presents a challenge for many medical groups, according to Jessee.

Margaret Dick Tocknell is a reporter/editor with HealthLeaders Media.
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