On Saturday, November 14, 1998 10:26 PM, Trefor Roscoe 
[SMTP:[log in to unmask]] wrote:
> > -----Original Message-----
> > From: [log in to unmask]
> > [mailto:[log in to unmask]]On Behalf Of Stuart Skeates
> > Sent: 13 November 1998 09:09
> > To: 'GP-UK'
> > Subject: Implementation of EPR
> >
> >
> > http://www.acponline.org/journals/ecp/octnov98/success.htm
> >
> > I came across this ariicle on the successful implementation of an EPR 
for
> > an American HMO that records 5000 outpatient consultations a day, looks
> > after 400,000 patients on 31 different sites. It provides all lab, 
path,
> > discharge summaries, email, web browsing, intranet, guidelines as well 
as
> > the contact details entered by the physicians.
> >

>
> and how much did it cost. How much training did they receive, how many 
terminals. How long were appointment times and how many days
> off did they get to learn the system. Who did their work while they 
learnt
>
I have no idea of the costs or details of time for training but I'm think 
this is the one area that is never truly costed in general practice.I would 
be interested if anyone has any figures for a suitable ratio of
hardware costs to software costs to training costs to locum costs.
I know each system will vary but if the government is serious about 
implementing the IM&T strategy then we need to bid for all these costs in 
an upgrade. If there was some acknowlegement that HAs should reimburse for 
all these elements it would be useful fo have some data from industry or 
elsewhere on what proportions would be reasonalble.

Stuart

Dr Stuart Skeates
Romsey
Hants




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