Bata Seth A, Richardson Terry
Mission Health System in Asheville, NC.
Perspect Health Inf Manag. 2018 Jan 1;15(Winter):1g. eCollection 2018 Winter.
Health systems across the nation are recovering from massive financial and resource investments in electronic health record applications. In the midst of these recovery efforts, implementations of new care models, including accountable care organizations and population health initiatives, are underway. The shift from fee-for-service to fee-for-outcomes and fee-for-value payment models calls for care providers to work in new ways. It also changes how physicians are compensated and reimbursed. These changes necessitate that healthcare systems further invest in information technology solutions. Selecting which information technology (IT) projects are of most value is vital, especially in light of recent expenditures. Return-on-investment analysis is a powerful tool used in various industries to select the most appropriate IT investments. It has proven vital in selecting, justifying, and implementing software projects. Other financial metrics, such as net present value, economic value added, and total economic impact, also quantify the success of expenditures on information systems. This paper extends the concept of quantifying project value to include clinical outcomes and nonfinancial value as investment returns, applying a systematic approach to healthcare software projects. We term this inclusive approach Value of Investment. It offers a necessary extension for application in clinical settings where a strictly financial view may fall short in providing a complete picture of important benefits. This paper outlines the Value of Investment process and its attributes, and uses illustrative examples to explore the efficacy of this methodology within a midsized health system.
全国的医疗系统正在从对电子健康记录应用的大规模财务和资源投资中恢复过来。在这些恢复工作进行的同时，新的护理模式的实施，包括 accountable care organizations（可问责医疗组织）和人群健康计划，也正在展开。从按服务收费向按结果收费和按价值收费的支付模式转变，要求护理提供者以新的方式工作。这也改变了医生获得报酬和报销的方式。这些变化使得医疗系统需要进一步投资于信息技术解决方案。选择哪些信息技术（IT）项目最有价值至关重要，尤其是鉴于近期的支出情况。投资回报率分析是各行业用于选择最合适的 IT 投资的有力工具。它在选择、论证和实施软件项目方面已被证明至关重要。其他财务指标，如净现值、经济增加值和总经济影响，也能量化信息系统支出的成功程度。本文将量化项目价值的概念扩展到包括临床结果和非财务价值作为投资回报，对医疗软件项目应用一种系统方法。我们将这种包容性方法称为投资价值。它为在临床环境中的应用提供了必要的扩展，在这种环境中，严格的财务观点可能无法全面呈现重要益处。本文概述了投资价值流程及其属性，并使用示例来探讨这种方法在一个中型医疗系统中的有效性。
