|
Technology
|
Web-based
|
Server-based, housed within practice
|
|
Initial cost
|
Low: no hardware or software purchase required
|
High: requires hardware and software purchase
|
|
Ongoing cost
|
Low: monthly subscription rates
|
Medium
|
|
Implementation
|
Low impact: incremental deployment possible
|
Potentially disruptive: can require full-scale conversion
|
|
Accessibility
|
High: secure 24/7 access from any PC with Internet access
|
Low: accessible only from dedicated PCs within the practice
|
|
Opportunity for incremental ROI
|
High: practice management modules can significantly improve reimbursement rates
|
Not typically available
|
|
Obsolescence risk
|
Low: software and data updated continually by OptumInsight
|
High: practice is responsible for updating data; users may be required to pay for software upgrades
|
|
Impact of staff turnover
|
Low: online tutorials allow new users to easily teach themselves
|
Medium: systems may be more difficult to learn
|
|
Pay-for-performance (P4P)
|
Yes: fully integrated
|
Maybe: existing system may need to be reconfigured
|
|
Connectivity
|
High: easily exchange information with payers and other caregivers
|
Typically limited
|