From: Economic impact of clinical decision support interventions based on electronic health records
Study | Model time horizon (years) | Choice of model | Implementation and maintenance costs | Total budget impact | ICER |
---|---|---|---|---|---|
Gong et al. [5] | 30 | Markov model | $1.91 base case for 100,000 individuals [preexisting EHR] | CDS intervention $17.32 mill. Control $17.82 mill. | $99.8 per QALY in base case scenario |
Sharifi et al. [26] | 10 | Monte Carlo micro-simulation | $23,542 per PCP group [preexisting EHR] | CDS intervention +$239 mill. | $237 per BMI unit reduction |
Michaelidis et al. [33] | 5 | Decision analytic tree | $18 base case - medical record programming [preexisting EHR] | CDS intervention $2802a Control (usual care) $2768a | $51.51 per antibiotic prescription safely avoided |
Forrester et al. [35] | 5 | Decision analytic tree | $1,773,000 5 years CPOE system cost | CDS CPOE system $25 mill. Control (paper system) $43mill. | $110 per ADE avertedb |