Effectiveness of an electronic health record-data warehouse system implementation: Return on investment analysis

Cinzia Muriana, Giovan Battista Vizzini, Tommaso Piazza, Giulio Gilia, Vincenzo Mistretta

Research output: Contribution to journalArticle

Abstract

Electronic health records (EHRs) allow the storing of a patient's history, and retrieval of information. Despite studies have pointed out the impact of EHRs in reducing healthcare structures' costs and increasing revenues, it is not clear if the return on investment (ROI) justifies the initial effort required. This paper proposes an advanced EHR joined to a data ware house (DWH) enabling business intelligence analysis, for structuring documents and manipulating atomic data. A case study is presented dealing with the implementation of a prototypal version of the EHR-DWH developed within the Smart Health 2.0 project (PON04a2-C), carried out between 2012 and 2015, at IRCCS-ISMETT, an Italian transplant institute. The ROI, the pay-back period, and the net present value have been calculated based on actual investment costs, and estimated maintenance costs. Results show that the ROI is in line with that of the reference sector, making profitable investments in EHRs.

Original languageEnglish
Pages (from-to)373-397
Number of pages25
JournalInternational Journal of Medical Engineering and Informatics
Volume9
Issue number4
DOIs
Publication statusPublished - Jan 1 2017

Fingerprint

Data warehouses
Electronic Health Records
Information Systems
Health
Costs and Cost Analysis
Information Storage and Retrieval
Costs
Competitive intelligence
Transplants
Intelligence
Health Care Costs
Maintenance

Keywords

  • Data warehouse
  • Datamining
  • DWH
  • EHRs
  • Electronic health records
  • Return on investment
  • ROI

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Biomaterials
  • Biomedical Engineering
  • Health Informatics

Cite this

Effectiveness of an electronic health record-data warehouse system implementation : Return on investment analysis. / Muriana, Cinzia; Vizzini, Giovan Battista; Piazza, Tommaso; Gilia, Giulio; Mistretta, Vincenzo.

In: International Journal of Medical Engineering and Informatics, Vol. 9, No. 4, 01.01.2017, p. 373-397.

Research output: Contribution to journalArticle

Muriana, Cinzia ; Vizzini, Giovan Battista ; Piazza, Tommaso ; Gilia, Giulio ; Mistretta, Vincenzo. / Effectiveness of an electronic health record-data warehouse system implementation : Return on investment analysis. In: International Journal of Medical Engineering and Informatics. 2017 ; Vol. 9, No. 4. pp. 373-397.
@article{70d32a0747594816b73ff6beb06908da,
title = "Effectiveness of an electronic health record-data warehouse system implementation: Return on investment analysis",
abstract = "Electronic health records (EHRs) allow the storing of a patient's history, and retrieval of information. Despite studies have pointed out the impact of EHRs in reducing healthcare structures' costs and increasing revenues, it is not clear if the return on investment (ROI) justifies the initial effort required. This paper proposes an advanced EHR joined to a data ware house (DWH) enabling business intelligence analysis, for structuring documents and manipulating atomic data. A case study is presented dealing with the implementation of a prototypal version of the EHR-DWH developed within the Smart Health 2.0 project (PON04a2-C), carried out between 2012 and 2015, at IRCCS-ISMETT, an Italian transplant institute. The ROI, the pay-back period, and the net present value have been calculated based on actual investment costs, and estimated maintenance costs. Results show that the ROI is in line with that of the reference sector, making profitable investments in EHRs.",
keywords = "Data warehouse, Datamining, DWH, EHRs, Electronic health records, Return on investment, ROI",
author = "Cinzia Muriana and Vizzini, {Giovan Battista} and Tommaso Piazza and Giulio Gilia and Vincenzo Mistretta",
year = "2017",
month = "1",
day = "1",
doi = "10.1504/IJMEI.2017.086900",
language = "English",
volume = "9",
pages = "373--397",
journal = "International Journal of Medical Engineering and Informatics",
issn = "1755-0653",
publisher = "Inderscience Enterprises Ltd",
number = "4",

}

TY - JOUR

T1 - Effectiveness of an electronic health record-data warehouse system implementation

T2 - Return on investment analysis

AU - Muriana, Cinzia

AU - Vizzini, Giovan Battista

AU - Piazza, Tommaso

AU - Gilia, Giulio

AU - Mistretta, Vincenzo

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Electronic health records (EHRs) allow the storing of a patient's history, and retrieval of information. Despite studies have pointed out the impact of EHRs in reducing healthcare structures' costs and increasing revenues, it is not clear if the return on investment (ROI) justifies the initial effort required. This paper proposes an advanced EHR joined to a data ware house (DWH) enabling business intelligence analysis, for structuring documents and manipulating atomic data. A case study is presented dealing with the implementation of a prototypal version of the EHR-DWH developed within the Smart Health 2.0 project (PON04a2-C), carried out between 2012 and 2015, at IRCCS-ISMETT, an Italian transplant institute. The ROI, the pay-back period, and the net present value have been calculated based on actual investment costs, and estimated maintenance costs. Results show that the ROI is in line with that of the reference sector, making profitable investments in EHRs.

AB - Electronic health records (EHRs) allow the storing of a patient's history, and retrieval of information. Despite studies have pointed out the impact of EHRs in reducing healthcare structures' costs and increasing revenues, it is not clear if the return on investment (ROI) justifies the initial effort required. This paper proposes an advanced EHR joined to a data ware house (DWH) enabling business intelligence analysis, for structuring documents and manipulating atomic data. A case study is presented dealing with the implementation of a prototypal version of the EHR-DWH developed within the Smart Health 2.0 project (PON04a2-C), carried out between 2012 and 2015, at IRCCS-ISMETT, an Italian transplant institute. The ROI, the pay-back period, and the net present value have been calculated based on actual investment costs, and estimated maintenance costs. Results show that the ROI is in line with that of the reference sector, making profitable investments in EHRs.

KW - Data warehouse

KW - Datamining

KW - DWH

KW - EHRs

KW - Electronic health records

KW - Return on investment

KW - ROI

UR - http://www.scopus.com/inward/record.url?scp=85030686535&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85030686535&partnerID=8YFLogxK

U2 - 10.1504/IJMEI.2017.086900

DO - 10.1504/IJMEI.2017.086900

M3 - Article

AN - SCOPUS:85030686535

VL - 9

SP - 373

EP - 397

JO - International Journal of Medical Engineering and Informatics

JF - International Journal of Medical Engineering and Informatics

SN - 1755-0653

IS - 4

ER -