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Vendor Pricing Template

The document provides a vendor pricing template for an electronic health record (EHR) system. It includes sections for licensing fees, software as a service fees, implementation costs, training costs, and fees for additional components like interfaces, portals, and maintenance. Vendors are asked to fill in dollar values for each item. The template notes that prices vary by practice and additional fees may apply for optional features.

Uploaded by

Julie Kiselev
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162 views12 pages

Vendor Pricing Template

The document provides a vendor pricing template for an electronic health record (EHR) system. It includes sections for licensing fees, software as a service fees, implementation costs, training costs, and fees for additional components like interfaces, portals, and maintenance. Vendors are asked to fill in dollar values for each item. The template notes that prices vary by practice and additional fees may apply for optional features.

Uploaded by

Julie Kiselev
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Vendor Pricing Template

Instructions: Please ask the vendor that you are evaluating to fill out dollar values in each of the cells in the appropriate row. If the vendor does not have a price for
a particular item, then leave "$0" for calculation purposes.

In terms of implementation and training costs for the main Electronic Health Record (EHR)/Practice Management (PM) system, there are two scenarios:
1. Fixed fee for a specific number of providers. We display 1-, 5-, and 10-provider levels as a base from which to work. A practice needs to substitute the actual
number of providers for the particular practice.
2. Hourly rate, which then can be used in a calculation based on the number of hours specified for the particular practice.

Descriptions:
* Licensing Model: There is a one-time licensing purchase fee paid upfront for perpetual use of the software.
** Software as a Service (SAAS) Model: Also known as cloud-based deployment, Web-based deployment, or Application Service Provider deployment. The EHR/PM
system is hosted at a third-party location, with both use of the software and hosting charged as a monthly fee per provider. Some advantages of such a remotely
hosted model versus a locally hosted model are potentially lower and more predictable costs, simpler security, easier upgrades and updates, improved accessibility,
and better data exchange.

Vendor Name

License
Vendor Licensing Model* Fee/Provider

Vendor Licensing Model *


$0

Vendor SAAS Model** Provider/Month

Vendor SAAS Model **


$0
NOTES
Note 1: Implementation hours and number of training days needed vary by practice and should be discussed with the vendor.
Note 2: Prices reflected are base fees only; additional fees for other required and optional features may apply.

Vendor Pricing Template 1 October 21, 2011


Note 3: Training is onsite.
Note 4: Training is remote.
Note 5: Additional information or comments may be placed in the boxes to the right.

Vendor Pricing Template 2 October 21, 2011


Portal Meaningful Use 1-Provider
License Fee/Part- License Fee/Mid- Portal Activation Portal/Provider/ Implementation/ Portal Mobile Phone Analytics Implementation/
Time (PT) Provider Level Fee Month Practice Training/Practice Fee/Month Dashboard Practice

$0 $0 $0 $0 $0 $0 $0 $0 $0

Portal Meaningful Use


Portal Activation Portal/Provider/ Implementation/ Portal Mobile Phone Analytics 1-Provider
PT Provider/Month Mid-Level/Month Fee Month Practice Training/Practice Fee/Month Dashboard Implementation

$0 $0 $0 $0 $0 $0 $0 $0 $0

Vendor Pricing Template 3 October 21, 2011


Vendor Pricing Template 4 October 21, 2011
5-Provider 10-Provider No. of
1-Provider Implementation/ 5-Provider Implementation/ 10-Provider Implementation/ Implementation Training/Hourly No. of Training
Training/Practice Practice Training/Practice Practice Training/Practice Hourly Rate Hours Rate Hours

$0 $0 $0 $0 $0 $0 $0

10-Provider No. of
1-Provider 5-Provider 5-Provider Implementation/ 10-Provider Implementation/ Implementation Training/Hourly No. of Training
Training/Practice Implementation Training/Practice Practice Training/Practice Hourly Rate Hours Rate Hours

$0 $0 $0 $0 $0 $0 $0

Vendor Pricing Template 5 October 21, 2011


Vendor Pricing Template 6 October 21, 2011
Health Information State Immunization
Lab Interface Lab Interface Exchange (HIE) HIE Connection HIE Connection State Immunization Registry State Immunization
Lab Interface Fee Implementation Training Connection Fee Implementation Training Registry Fee Implementation Registry Training

$0 $0 $0 $0 $0 $0 $0 $0 $0

State Immunization
Lab Interface Lab Interface HIE Connection HIE Connection State Immunization Registry State Immunization
Lab Interface Fee Implementation Training HIE Connection Fee Implementation Training Registry Fee Implementation Registry Training

$0 $0 $0 $0 $0 $0 $0 $0 $0

Vendor Pricing Template 7 October 21, 2011


Vendor Pricing Template 8 October 21, 2011
Patient Ed Support and Support and
Other Interface Other Interface Other Interface Database (DB)/ e-Prescribing/ Drug Coding Maintenance Full- Maintenance PT
Fees Implementation Training Provider/Month Month DB/Provider/Month DB/Provider/Month Time (FT) Provider Provider/Mid-Level

$0 $0 $0 $0 $0 $0 $0 $0 $0

Support and Support and


Other Interface Other Interface Other Interface Patient Ed e-Prescribing/ Drug Coding Maintenance FT Maintenance PT
Fees Implementation Registry Training DB/Provider/Month Month DB/Provider/Month DB/Provider/Month Provider Provider/Mid-Level

$0 $0 $0 $0 $0 $0 $0 $0 $0

Vendor Pricing Template 9 October 21, 2011


Vendor Pricing Template 10 October 21, 2011
Total
Implementation Total Training Fees
Hosting/Provider/ Fees for All Listed for All Listed
Month Hosting Setup Components Components

$0 $0 $0 $0
Total
Implementation Total Training Fees
Fees for All Listed for All Listed
Components Components

$0 $0 $0 $0

Vendor Pricing Template 11 October 21, 2011


Vendor Pricing Template 12 October 21, 2011

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