Updates Automatic Local Application Application Runs if Internet Fails Encrypted Data Need License(s) to Application is Complete Can Customize as You – Proceed Differences between Client Server, Web-based and Application Service Provider EHR Systems Client-Server EHR System Web-based EHR System ASP EHR System overview The EHR is installed in the The EHR or other health IT The EHR application is hosted physician’s practice. The modules, such as eRx or on your desktop or laptop. The physician’s practice provides registry, are developed software vendor supports the service maintenance, specifically for and accessed application. The physician’s troubleshooting, data via the Internet on a monthly practice typically accesses the and security. The subscription basis. They are application via the Internet. physician’s practice has a designed specifically for perpetual license to use the multiple, simultaneous users, application and makes which lends to a lower cost payments upfront. and more nimble software. Expend money upfront; make Vendor remains accountable. sure contract addresses vendor support. Cost Large upfront cash outlay No down payment. Little or potentially no down (average $25,000–$45,000 payment (expect an annual Ongoing subscription cost per physician), plus annual fee up to $6,000 per user). ($0* to $800 per month) operating and maintenance depending on the Ongoing subscription cost is expenses from about 12–20 sophistication of the typically between $300 and percent of initial costs. Set technology. $800 per month. price. Very little administrative cost. Very little administrative cost. Larger administrative and Maintenance included in Most of the maintenance fees training cost. subscription are included in the Maintenance are the subscription price. responsibility of the practice. Hardware Workstations connected to the Workstations, including Reduced hardware cost, server. smartphones with Web however, hardware must be browsers. able to operate very specific Direct control of hard- ware software and may require new and software. Reduced hardware cost. purchases.
Updates Automatic Local Application Application Runs if Internet Fails Encrypted Data Need License(s) to Application is Complete – Can Customize as You Proceed Differences between Client Server, Web-based and Application Service Provider EHR Systems Client-Server EHR System Web-based EHR System ASP EHR System overview The EHR is installed in the physician’s practice. The physician’s practice provides service maintenance, troubleshooting, data and security. The physician’s practice has a perpetual license to use the application and makes payments upfront. Expend money upfront; make sure contract addresses vendor support. The EHR or other health IT modules, such as eRx or registry, are developed specifically for and accessed via the Internet on a monthly subscription basis. They are designed specifically for multiple, simultaneous users, which lends to a lower cost and more nimble software. Vendor remains accountable. The EHR application is hosted on your desktop or laptop. The software vendor supports the application. The physician’s practice typically accesses the application via the Internet. Cost Large upfront cash outlay (average $25,000–$45,000 per physician), plus annual operating and maintenance expenses from about 12–20 percent of initial costs. Set price. Larger administrative and training cost. Maintenance are the responsibility of the practice. No down payment. Ongoing subscription cost ($0* to $800 per month) depending on the sophistication of the technology. Very little administrative cost. Maintenance included in subscription Little or potentially no down payment (expect an annual fee up to $6,000 per user). Ongoing subscription cost is typically between $300 and $800 per month. Very little administrative cost. Most of the maintenance fees are included in the subscription price. Hardware Workstations connected to the server. Direct control of hard- ware and software. Workstations, including smartphones with Web browsers. Reduced hardware cost. Reduced hardware cost, however, hardware must be able to operate very specific software and may require new purchases.
EHR%20System%20Selection%20Workbook.docx