costs of implementing a patient portal

by Alberta Macejkovic I 3 min read

The Cost of Implementing a Patient Portal - iSalus

15 hours ago  · The truth about the cost of implementing a patient portal is that, it really shouldn’t cost anything. The Cost of a Patient Portal. The truth about the cost of a patient portal is that it does not, and should not, have to cost a provider a dime. Each component of a physician’s office technology is related and should work together to make sure physicians are offering quality … >> Go To The Portal


Although patient portal software development costs can only be assessed on a case-by-case basis, a comprehensive solution which is merged into a hospital IT infrastructure and enhanced with all the features listed above would cost you anything between $100,000 and $140,000. Of this amount, $ 18-21 thousand would be spent on EHR

Electronic health record

An electronic health record is the systematized collection of patient and population electronically-stored health information in a digital format. These records can be shared across different health care settings. Records are shared through network-connected, enterprise-wide information systems …

integration.

Holmes estimates portal costs in the range of $30-$40 per provider per month, on average. Some vendors charge a fee per patient per month. Partly to compensate for this extra cost, some practices charge patients for viewing their own records on the portal.Apr 29, 2015

Full Answer

What do you need to know about patient portal implementation?

Some customization of the system will likely be needed based on how the practice functions and the individual work styles of the various providers. For the patient portal implementation to be most beneficial, the practice will offer patient education sessions to help patients register and to familiarize them with the portal’s features.

How many hospitals have had experience with patient portals?

Three hospitals had minimal experience with portals—small pilots with limited functionalities or a classic portal version—but were also in the implementation phase. Only 2 hospitals had an active patient portal; however, stakeholders of one hospital mentioned they were still implementing to extend their current functionalities.

What are the barriers to patient portal implementation?

Open in a separate window Innovation: Patient Portal Barriers Lack of perceived usefulness, lack of accessibility, and guaranteeing privacy and securitywere identified as barriers for portal implementation.

How do patients Register on the patient portal?

After the patient portal implementation, patients registered by providing their e-mail address and within 24 hours they receive an e-mail with instructions for registering on the website. A reminder e-mail is sent after 30 days if patients have not registered.

How much does IT cost to implement patient portal?

A patient portal app for the health care sector usually costs $12,500 to build. However, the total cost can be as low as $5,000 or as high as $20,000.

How much does IT cost to implement an EHR?

$15,000 to $70,000 per providerThe Basics Several studies estimate the cost of purchasing and installing an electronic health record ( EHR ) ranges from $15,000 to $70,000 per provider. Costs vary depending on whether you select on-site EHR deployment or web-based EHR deployment.

How do you implement a patient portal?

7 Steps to Implement a New Patient Portal SolutionResearch different solutions. ... Look for the right features. ... Get buy-in from key stakeholders. ... Evaluate and enhance existing workflows. ... Develop an onboarding plan. ... Successful go-live. ... Seek out painless portal migration.

How much does IT cost to implement Cerner?

How Much Does Cerner EHR Cost? This EHR system starts from $25 on an annual basis, and there is no free version available. In addition, they don't even offer a free trial.

What costs are associated with EHR implementation Aside from hardware and software?

The cost of EHR is often one of the first questions organizations ask when selecting new software....What are the hidden costs of an EHR implementation?software licensing.projected maintenance.consulting and training fees.labor including overtime.hardware (if required - usually only required for on-premise installations)

How expensive is Epic EMR?

Epic EMR's pricing starts at $1,200.00 for their self-hosted solutions, according to our research. Epic does not provide pricing for their EMR on their website. SMBGuide research further found that for large clinics and hospitals the cost of Epic EMR is around $500,000.00.

What is the nurse's role in implementation of patient portals in healthcare?

Nurses encourage patients to enroll in the portals, wear buttons to welcome questions from patients and their families, explain the portal's privacy and security features, and demonstrate how to look up test results, send and receive provider messages, and request prescription refills.

Is a patient portal an EHR?

Electronic health record (EHR) patient portals provide a means by which patients can access their health information, including diagnostic test results. Little is known about portal usage by emergency department (ED) patients.

How do patient portals improve nursing practice?

Engaging patients in the delivery of health care has the potential to improve health outcomes and patient satisfaction. Patient portals may enhance patient engagement by enabling patients to access their electronic medical records (EMRs) and facilitating secure patient-provider communication.

How much does ECW cost?

eClinicalWorks PricingNamePriceEHR Only$449month per providerEHR with Practice Management$599month per providerRevenue Cycle ManagementContact Us

Are Electronic Medical Records worth the costs of implementation?

Is It Worth It? Evidence Shows Mixed Results So Far. Research by Michael Howley, et al, examining thirty ambulatory practices for two years after EMR implementation found that, on average, productivity declined by an average of 15 patients per physician per quarter following implementation of an EMR.

Is Cerner or Epic better?

However, many nurses state that Epic is the first choice of the hospitals where they work. For EMRs and electronic charting, hospitals also use Cerner, but the majority of nurses from large hospitals say Epic is relatively more user-friendly. While charting, Cerner does not allow them to look up anything else.

How much does it cost to develop a patient portal?

Although patient portal software development costs can only be assessed on a case-by-case basis, a comprehensive solution which is merged into a hospital IT infrastructure and enhanced with all the features listed above would cost you anything between $100,000 and $140,000.

What is patient portal?

In a nutshell, a patient portal is the user-facing component of an electronic health record (EHR) solution, which is intended to simplify patients’ access to medical data — i. e., physician notes, laboratory results, billing information, — and drive patient participation.

What is the best technology stack for patient portal software?

According to Zakhar Bessarab, head of the web development unit at R-Style Lab, the optimum technology stack for the web components of patient portal software would list a flexible PHP framework (preferably Laravel or Symfony), MySQL/NoSQL database, Node.js WebSocket API supporting the live chat functionality, Go- or Python-based microframework enabling secure integration with an EHR solution and a JavaScript framework — preferrably Angular or React — for effective data visualization.

Why is patient portal adoption important?

Greater patient portal adoption correlates with hospital revenues and allows care providers automate tasks that were previously performed manually — i.e., patient consultations, gathering patient feedback, scheduling visits and sharing payment information. To foster physician-patient collaboration, however, it is necessary to promote your portal. The are a few steps you can take in this direction, including targeted email campaigns, loyalty programs and personal assistance with user profile configuration.

What is the educational section of a patient portal?

Designed to replace printed supplementary materials promoting healthy habits and effective chronic condition management, the educational section of a patient portal allows physicians to develop personalized outreach campaigns and unlock the value of technology-assisted population health management.

What is eBilling payment?

Leveraged through secure third-party payment gateways, such as Stripe or PayPal, the eBilling feature enables care providers to seek reimbursements in a transparent way, split expenses between insurance companies and individuals and allow patients to pay bills online.

What is the importance of integration with electronic health records?

Often regarded as the cornerstone of patient portal development, the integration with electronic health records ensures online access to medical information, including after-visit summaries, laboratory test results, medical images and clinical notes. Optionally, healthcare providers may take a step towards a deeper integration with hospital software and allow patients to self-manage the information regarding medication intake, allergies and immunization and upload files, which would be automatically added to their personal health records.

What Is a Patient Portal?

A patient portal is an online solution (web page or mobile app) that provides patients with 24/7 access to medical records, personal profiles, health billing management, and their healthcare service data/history.

How Patient Portals Can Help Optimize Expenses for Healthcare Providers

There are many advantages to be gained by introducing patient portals to your medical practice, each of which will result in considerable enhancement of your financial reporting.

Features of Patient Portal App Solutions

When you develop a patient portal from scratch (in contrast to using off-the-shelf software products), it’s an opportunity to define your own, very specific configuration of features and ideas to suit your specific business model at its best.

Patient Portal Software Development, Step by Step

How does one go about creating patient portal software? Let’s learn the major steps of the process:

How Much Does It Cost to Develop a Patient Portal?

The cost of patient portal development depends upon the size of the team involved, the technologies used, and the time required for implementation.

In Conclusion

Patient portals bring your healthcare services closer to your patients.

What percent of Summit Medical Group payments are online?

Summit Medical Group, a 500-physician group in Berkeley Heights, New Jersey, receives 30 percent of its patient payments via online portals, according to the report. Middleton, for his part, says about 7 percent of payments come through the portal.

Why is secure email important for physicians?

Use of secure email allowed physicians respond to patients at their convenience and view "inquiries in the context of the full patient record, which they may not have at hand when patients call," according to the report. "All of these can improve provider productivity, which, in turn, can improve practice finances.".

Patient Portal features

Because patients are faced with a lengthy registration procedure, workflow at the front end of practice will suffer. It will minimize wait times and encourage fewer burdens on front desk staff by enabling patients to register electronically.

Want to Build Patient Portal for Your Clinic?

We build plenty of Healthcare Portals! Get the FREE estimation of your product idea.

Cost of the Patient Portals Development

There are three types of cost calculation based on the completeness of three types of specifications: task scope, User Stories, and Software Requirement Specification.

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What do patients want from a portal?

Patients want a portal to offer at least three primary features: online appointment scheduling, access to their personal health information, and the option to view and pay their medical bills online, says Gaby Loria, team lead at Software Advice. Increasingly, patients also want to communicate through their portals via tools such as secure messaging and notifications. As an example, according to a 2018 study by Steve Alfons van den Bulck et al in the Journal of Medical Internet Research, of 433 surveyed patients, 93.7 percent stated that a patient portal or app that could notify them when they needed to take action to protect their health would significantly improve their quality of life and allow them to assume greater responsibility for their own healthcare. More than 80 percent of respondents also were interested in features that would allow them to track their symptoms over time, understand how symptoms were related to biological factors, and find information about expected treatment effects.

How does a patient portal help?

A well-designed, properly implemented patient portal helps providers serve patient populations better and build a reputation as a business with heart. Streamlining administrative processes behind the scenes translates to better, faster service to patients. Mohan Giridharadas, founder and CEO of LeanTaaS, says that hospitals and other care providers “that are capitalizing on technology to improve their efficiency propel themselves forward both with service and reputation.” Portals should be seen as “engagement systems” designed to help patients actually own their health outcomes. In addition to offering the basics — scheduling and payment tools — patient portals should enable individuals to view their health history, monitor prescription requests and refills, view previous invoices and make payments, and access and complete intake forms before they even set foot in a clinic. These features can have a huge impact on quality of care and health outcomes for patients. The team at Politdok offers the following examples:

Why don't portals engage patients?

Currently, many portals don’t engage patients because they aren’t designed with the patient’s interests or needs in mind. Rather, they’re based on systems created for providers that have been reconfigured to allow certain types of limited patient access. Often, the result is information that is fragmented, non-intuitive, or difficult to understand, particularly for patients with lower health or computer literacy, according to a 2017 study by Jessica L. Baldwin and her team of fellow researchers in Healthcare. This creates a significant problem when it comes to bill payment tools, says Tom Furr, CEO of PatientPay. For instance, the bills displayed in the patient portal may not match the paper invoices patients are used to receiving, thus causing confusion and incorrect bill payment.

Why do we need a patient portal?

A patient portal can improve communication, streamline patient registration and scheduling, and allow practitioners to focus on patient care rather than administrative minutiae, says Amy DeMarco, marketing specialist at Henry Schein MicroMD. And the convenience offered to patients through well-constructed portals with access to patient records and efficient utilities for communication and transactions cannot be overestimated. At a time when consumers can do so much online — banking, research, shopping, getting a mortgage — it’s time for providers to get onboard with equally superior tools.

How does an online portal help patients?

Through robust portals that work both ways, patients can more efficiently support their own healthcare and feel more in control, and feel highly connected to their providers. As patients experience more benefits, their providers will too. Engagement of both groups will evolve into efficiencies and related cost savings, fewer visits, stronger patient-provider relationships, and improved outcomes.

How can web portals help with medication adherence?

Researchers at OpenNotes says poor adherence may lead to 125,000 deaths annually and cause of $100 billion in excess healthcare spending. Web portals can help curb this problem. “Encouraging patients to utilize a web portal to view their doctor’s notes is a cost-effective and efficient way to influence medication-taking behavior.”

How important is patient education?

Patient education about the capabilities and usage of the patient portal is all-important. Too many organizations hand patients a printed sheet with cursory instructions on accessing the portal, and offer little or no education or encouragement. To improve patients’ willingness to try its portal, Novant Health coordinated its launch with an education campaign, offering information, tip sheets, and targeted advertising, says Lauren Miller, operational engagement project manager for clinic services. “One of our main goals was maximizing patient engagement, really allowing for that relationship to be maintained outside the clinic. When patients were more engaged, we could work for better patient outcomes,” Miller says. Many hospitals train in-patients on the use of the portal, so that their online portal relationship is kicked off with questions and concerns answered in person. This practice can be very helpful in beginning a continuing relationship that continues online long after discharge.

What are the benefits of patient portal?

Reaction to the patient portal implementation has been very positive. Patients appreciate the convenience, for example, of being able to contact the practice at any time of day or night . For many patients, the use of Web-based information and electronic communication is “second nature”; consequently, they are comfortable using the portal. As one clinician observed, “Lots of patients are accustomed to using electronic communication now. They don’t want to have to pick up the phone anymore.” Clinicians and staff members appreciate that the portal reduces call volume and “provides a fluid line of communication that works well.” They noted that communication via the portal helped to reduce miscommunication and delays that sometimes occur with phone communication.

Why are patients interested in portals?

Patients may be especially interested in the portal at particular moments, such as when they are frustrated with telephone wait times or playing “telephone tag.” Staff members take these opportunities to encourage patients to use the portal.

What are the limitations of EHR?

The limitations of the EHR and the patient portal have presented challenges, such as the inability to send clinical summaries to patients via the portal. The practice can only move ahead with certain aspects of patient and family engagement as quickly as the system is upgraded.

When did Dover Family Physicians adopt EHR?

Dover Family Physicians adopted an electronic health record (EHR) system in 2008 with a goal of improving the quality of patient care and especially strengthening preventive care services. The practice has focused on ways to use the EHR to engage patients and their family members in their health and healthcare through a patient portal implementation. The practice, located in Dover, Delaware, has four physicians and two physician assistants, and provides primary care to more than 800 patients weekly.

How to get the most value from an EHR?

To get the most value from an EHR, practices will need to invest time in training and preparation. Some customization of the system will likely be needed based on how the practice functions and the individual work styles of the various providers.

Do patients need to be educated about clinical summaries?

The providers noted that patients need to be educated about clinical summaries, otherwise “many clinical summaries are likely to end up in the trash.” Consequently, providers explain the contents, purpose, and benefits of the clinical summary to patients.

How many steps are involved in the implementation of a patient portal?

The implementation of patient portals involves different steps to be followed- from research to final implementation and execution of them as a system. Here are six steps to implement a patient portal:

How many patients are required to use the patient portal?

Also, the law requires every practice to have 5 percent of its patients using the patient portal. Once a practice fulfills this requirement, its portal must be secure and flexible to use. Moreover, to comply with federal privacy requirements, the EHR vendor an organization, selects must ensure that patients access their clinical data through an encrypted connection.

What are the benefits of a patient portal?

By providing easily accessible health information, a patient portal gives considerable benefits to both patients and doctors. One of the remarkable benefits of a patient portal is patient engagement, which allows patients to actively engage in their healthcare.

Why do patients use patient portals?

The patient portals eliminate the need for a phone call or multiple phone calls by patients to communicate with their physician, since these portals incorporate a secure messaging system that makes communication easier between them.

What is a patient portal?

Patient portals are designed to help patients securely view their health data, consult a healthcare provider, schedule their appointments, and do more to be active participants in their health care process.

Why is patient portal important?

A patient portal’s importance is also due to its 24-hour access to patients to communicate with their physicians anytime, ask questions, schedule appointments, review notes, and establish a closer relationship with them.

How does portals help patients?

By allowing patients to schedule appointments online, request prescription refills, and do more, portals automate every practice-related task. This results in the reduction of manual administrative tasks allowing front-office staff to help doctors provide better care to patients.

How does a patient portal affect health care?

This can be affected by multiple factors at the micro (eg, “individuals”), meso (eg, “re sources”), and macro (eg, “sociopolitical context”) levels [21]. Several implementation models are available, such as “The Consolidated Framework for Implementation Research (CFIR),” which is used in many studies as a guiding framework [22-24]. CFIR consists of 5 levels at which barriers and facilitators can occur during implementation: (1) technology-related factors (eg, “adaptability,” “complexity,” and “cost”); (2) outer setting (eg, “policy and incentives”); (3) inner setting (eg, “resources”); (4) process (eg, “engagement of stakeholders”); and (5) individual health professionals (eg, “individual’s knowledge”). In this model, patients are part of the “outer setting,” suggesting that the CFIR framework is aimed primarily at institutions [24]. Another example is the “Fit between Individuals, Tasks, and Technology” (FITT) framework, which is aimed at the adoption of IT [25]. The comprehensive model of Grol and Wensing [26] summarizes the barriers to and facilitators of change in health care practice at 6 levels: (1) innovation; (2) individual professional; (3) patient; (4) social context; (5) organizational context; and (6) economic and political context. McGinn et al [21] argue that the consideration of various stakeholder opinions can contribute to successful implementations. However, previous research mainly focused on perceptions of single stakeholder groups regarding patient portal implementation, such as physicians [27] or nurses [28]. This highlights the importance of identifying the opinions of many stakeholders during patient portal implementation. Furthermore, it remains unclear which factors are important in accomplishing change in the various groups [26].

How long were the patient portal interviews?

All interviews were performed by telephone and lasted for, on average, 20 min. Participants were first asked for their consent to make audio recordings of the interviews. Then, the purpose of the interview was introduced, and subjects were asked if they received the introductory email. This email was then briefly discussed such that the subjects were aware of the topics to be discussed. After that, questions were asked about participants’ characteristics, such as their age and work experience. To make sure an unambiguous definition of a patient portal was used, participants were asked what their definition of a patient portal was, and if necessary, it was complemented with our definition. Then, we asked them about their perceived barriers to and facilitators of patient portal implementation at all 6 levels [26]. If necessary, for example, if the question was unclear, the interviewer provided examples (and these were also sent per email). At the end of the interview, the participants were asked to suggest additional topics or issues, if any, that had not yet been covered. The interviews were in Dutch, and the questions in Multimedia Appendix 1are translations.

Why is patient centeredness important?

Patient-centeredness is an important element of high-quality care: effective communication between patients and their health care professionals , and information access can both contribute considerably to this [1]. According to the Institute of Medicine, “patients should have unfettered access to their own medical information” [2] to support them in taking control of their health (eg, using medical information to make informed health-related decisions) [2]. Information technology (IT) can play an important role in improving access to this information [3], and it also improves the participation of patients in their own care [4]. In health care, an increasingly popular way to facilitate this is by using patient portals [5]. Patient portals can be defined as “applications which are designed to give the patient secure access to health information and allow secure methods for communication and information sharing” [6], as well as for administrative purposes [7], and are mostly provided by a single health care institution [6,8]. These portals are often connected to the electronic health record (EHR) of an institution—defined as tethered patient portals [9]—to provide access to patients’ medical information [3,10-12]. Some institutions allow patient portals to facilitate communication between patients and health care professionals [3,6,12], view their appointments and provide patient education [11,13], share information [12], request for repeat medication prescriptions [3], and provide tailored feedback [11,13]. Patient portals may have a range of functionalities that enable information exchange (such as having access to the EHR), which in turn may facilitate and improve the communication between the patient and the health care professional [11,14]. Previous research showed that patients are especially satisfied with access to information from the EHR and the list of their appointments [11]. Portal use can also have a positive effect on self-management of conditions [15-18], communication between patients and providers, quality of care [16,17] and participation in treatment [17]. Patient empowerment can also be improved; the accessibility of information can especially contribute to “patients’ knowledge” and their “perception of autonomy and being respected” [19]. On the other hand, effects on health outcomes are reported to be mixed [6]. In summary, patient portals can be important as they provide patients with access to their own medical information, enable interaction with their health care professionals [8], and aim to involve patients in their own care processes [1].

Is a patient portal a technical process?

Patient portal implementation is a complex process and is not only a technical process but also affects the organization and its staff. Barriers and facilitators occurred at various levels and differed among hospital types (eg, lack of accessibility) and stakeholder groups (eg, sufficient resources) in terms of several factors. Our findings underscore the importance of involving multiple stakeholders in portal implementations. We identified a set of barriers and facilitators that are likely to be useful in making strategic and efficient implementation plans.