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Final Report - Memo.docx

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CMN 124
John Burry

Memo Date: December 3, 2011 To: Frank Skeptic, IT project supervisor From: Haseeb Nawaz, IT specialist Subject: An application service provider (ASP) that will provide better security and automate administration This report will outline the benefits of application service provider (ASP) model as opposed to traditional electronic health records (EHR). This report also explores ASP options and analyzes two different types ofASP solutions. Lastly, this report includes the reasons as to why our hospital should adapt one of theseASP-based solutions. Over the last few years, with wider availability of broadband connections, more sophisticated vendor solutions, and a growing number of options for hosting software, the application service provider (ASP) model has emerged as an alternative to purchasing, installing, and maintaining EHRs and other software at medical clinics. In this approach, an organization maintains the application and related hardware, while the physicians access it remotely over a network connection and pay a monthly fee. Benefits ofASPsolution There are two main differences between anASP-based solution and traditional EHRs. First, the clinical application for ASP is not housed at the clinical facility. The application and software that the physicians access is supported via a secure network or internet connection. Second, there is no need to buy or install expensive hardware and software which would require regular costly updates. “Buying an EHR application can be expensive – as much as $44000 per provider on average, with estimated ongoing costs of $8500 per provider per year (Fortin & MacDonald, 2006, p.6).” An ASP solution offers numerous other benefits that maybe of our interest. These include (Kanccheva, 2002, p.5): • Asuperior practice from specialized expertise • Areduced risk due to a lower capital investment • Accessibility using thin clients • Scalability, flexibility of add-ons and changes • Ability to focus on core businesses (physicians maintaining an EMR on a server in their office can end up spending inordinate amounts of time supporting the technology rather than freeing up time for patient care or themselves.) This figure shows theASP model’s upfront and ongoing cost (Fortin & MacDonald, 2006, p.11): This figure shows the traditional EHR’s upfront and ongoing costs (Fortin & MacDonald, 2006, p.12): This comparison shows that anASP-based solution’s overall costs are much lower for the first few years. At some point, theASP costs will become greater than traditional EHRs. However, that would take a long period of time and perhaps better solutions will be available at that time. Furthermore, our hospitals top priority is to provide better security for our data and automate administration. “An ASP hosts the databases in environments which have 24/7 security monitoring, including sophisticated intrusion detection and prevention, compared to the data stored on a less closely monitored ser
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