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The value of electronic health records in solo or small group practices.

We conducted case studies of fourteen solo or small-group primary care practices using electronic health record (EHR) software from two vendors. Initial EHR costs averaged $44,000 per full-time-equivalent (FTE) provider, and ongoing costs averaged $8,500 per provider per year. The average practice paid for its EHR costs in 2.5 years and profited handsomely after that; however, some practices could not cover costs quickly, most providers spent more time at work initially, and some practices experienced substantial financial risks. Policies should be designed to provide incentives and support services to help practices improve the quality of their care by using EHRs.

Cost-Benefit Analysis↗

Well-child care by pediatric nurse practitioners in a large group practice. A controlled study in 1,152 preschool children.

A controlled two-year study of the effectiveness of well-child care by pediatric nurse practitioners (PNPs) of 1,152 children, newborns through age 22 months, was made at the Kaiser-Peranente Medical Centers in San Francisco and Oakland, Calif. In this setting of a large, prepaid, group practice health care plan, the PNPs were found to be entirely competent in maintaining the health of their patients, and were generally accepted by the parents. Effects on utilization of medical care facilities were minimal. Costs of well-child care were reduced.

California↗

Through the eyes of the consumer. A look at marketing group practice.

The marketing concept should be understood and practiced in varying degrees by all medical groups; otherwise, growth is left to chance. Operating on this premise, the author has set forth a very clearly written description of the key components and general considerations of a long-range marketing plan. The managerial functions of a plan are presented, as well as controllable and uncontrollable factors, and the needs and associated risks of various marketing growth strategies. Within this discussion, the administrator will find a framework for evaluating his particular situation and planning for the future.

Group Practice↗