HTPN policy made EHR adoption, and its use for all patient encounters following a practice's launch date, mandatory.
For each practice, we collected data on patient characteristics (mean age, percentage female), physician characteristics (number of physicians, length of time in HTPN, practice type ]family medicine, internal medicine, or "other," which represents combined primary care specialties]), and year of adoption (2006/2007 vs.
We saw increased practice expenses of approximately $1,650 per physician FTE per month, which corresponds closely to the monthly $1,425 per physician cost of EHR maintenance ($1,225 for software licensing, networking, and hosting and technical support through a third-party vendor, and $200 of additional maintenance personnel support) reported in the evaluation of the costs associated with HTPN's EHR implementation (Fleming et al.
The physician board of directors at HTPN felt a more proactive process might be helpful.
In 1999, HTPN formed a malpractice support committee.
Committee membership includes both Baylor Healthcare System Risk Management experts and attorneys from the retained HTPN defense counsel firm.
In recommending HTPN, the psychosocial and financial support systems are also important (Ottery, 1995).
Patients who are already on HTPN due to Crohn's disease, short bowel syndrome, pseudo intestinal obstruction, or radiation enteritis are living longer.
The first two codes were chosen as they represent the most frequent type of patient in the 1996 HTPN referrals.
Medical Costs of Nutritional Support Therapies Direct Costs Hospital(a) ENT $81.00 TPN $870.00 Home Care(b) HTPN $150,000.00 HEN $9,693.00 Complication(c) TPN $41,248.92 ENT $40,307.80 Indirect Costs(d) Community Nursing TPN $400.00 ENT $150.00 Nutrition Support Service Annual followup cost $2,119 Induced Costs(e) Lab Work for TPN monitoring $915.00 for ENT monitoring $305.00 Followup assessments(f) TPN patients $240.00 ENT patients $120.00
HTPN comprises >100 practices, with 450 physicians, and has >1 million patient encounters annually.
In 2007, HTPN established and began populating a retrospective semi-annual diabetes prevalence cohort database using the AMA Physician Consortium Adult Diabetes Performance Measure set to enable patient-, physician-, and practice-level evaluation of the diabetes care provided.