ArticleJournal of the American Medical Informatics Association : JAMIA
Modeling return on investment for an electronic medical record system in Lilongwe, Malawi.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04283929 (Evaluation of the Clinical Impacts and Costs of eHealth in Rwanda Using Innovative Frameworks and Local Capacity Building), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluation of the Clinical Impacts and Costs of eHealth in Rwanda Using Innovative Frameworks and Local Capacity Building
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Success criteria for electronic medical record implementations in low-resource settings: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2015Pooled it
- Trial
- Health Information System Strengthening During Antenatal Care in Haiti: Continuous Quality Improvement Study.JMIR formative research · 2024Article
- Article
- Determinants predicting the electronic medical record adoption in healthcare: A SEM-Artificial Neural Network approach.PloS one · 2022Article
- The Effect of Innovation Capabilities of Health Care Organizations on the Quality of Health Information Technology: Model Development With Cross-sectional Data.JMIR medical informatics · 2021Article
- Return on investment: a practical calculation tool to convince your institution.European journal of hospital pharmacy : science and practice · 2020Article
- Article
- Sustainability of health information systems: a three-country qualitative study in southern Africa.BMC health services research · 2017Article
- Assessing Perceived Challenges to Laboratory Testing at a Malawian Referral Hospital.The American journal of tropical medicine and hygiene · 2016Article
- Understanding and valuing the broader health system benefits of Uganda's national Human Resources for Health Information System investment.Human resources for health · 2015Article
- Informatics solutions for bridging the gap between clinical and laboratory services in a low-resource setting.African journal of laboratory medicine · 2015Article
- Using electronic health records to save money.Journal of the American Medical Informatics Association : JAMIA · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo model the financial effects of implementing a hospital-wide electronic medical record (EMR) system in a tertiary facility in Malawi. MATERIALS AND
methodsWe evaluated three areas of impact: length of stay, transcription time, and laboratory use. We collected data on expenditures in these categories under the paper-based (pre-EMR) system, and then estimated reductions in each category based on findings from EMR systems in the USA and backed by ambulatory data from low-income settings. We compared these potential savings accrued over a period of 5 years with the costs of implementing the touchscreen point-of-care EMR system at that site.
resultsEstimated cost savings in length of stay, transcription time, and laboratory use totaled US$284 395 annually. When compared with the costs of installing and sustaining the EMR system, there is a net financial gain by the third year of operation. Over 5 years the estimated net benefit was US$613 681. DISCUSSION: Despite considering only three categories of savings, this analysis demonstrates the potential financial benefits of EMR systems in low-income settings. The results are robust to higher discount rates, and a net benefit is realized even under more conservative assumptions.
conclusionsThis model demonstrates that financial benefits could be realized with an EMR system in a low-income setting. Further studies will examine these and other categories in greater detail, study the financial effects at different levels of organization, and benefit from post-implementation data. This model will be further improved by substituting its assumptions for evidence as we conduct more detailed studies.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.