How to Budget for Clinic Software: A Cost Framework

Clinic software is often compared on the monthly fee alone. The real cost includes set-up, training, hardware, support and the time staff spend learning and using the system. A simple cost framework helps you compare options on the same basis, and avoid surprises after you sign.
Line 1: Subscription or licence
Confirm what the fee includes: the number of users, the modules, the storage and the support level. Ask how the fee changes when you add a doctor, a branch or a module, and whether the price is per user, per site or per organisation.
Line 2: Set-up and migration
Include the cost of configuration, template building, data migration and any integrations, such as a lab interface or a payment link. Ask for a fixed quote for the set-up work, and for what is excluded.
Line 3: Hardware and network
Line 4: Training
Training time is a real cost. Count the hours each role spends in training, and the slower weeks after go-live. Ask the vendor what training is included, and what costs extra.
Line 5: Support and maintenance
Check the support hours, the response times and any charges for extra support. Include the cost of updates and any maintenance the clinic must arrange itself.
Line 6: Staff time
Estimate how much time staff spend on data entry, reports and workarounds each week. Compare this time before and after the change, and value it at your real staff cost.
Line 7: Exit costs
Ask how much it would cost to export your data if you change vendors, and whether the export is in a usable format. Exit costs are easy to overlook and hard to fix later.
Build a 12-month total
Where MedeilPlus fits
For current EMR editions and pricing, check the pricing page, because plans can change. Use the framework above to compare the total cost of ownership over 12 months, including set-up, training and support, and ask MedeilPlus for a written quote covering each line. For an example of the set-up work, read how a multi-doctor clinic should choose EMR.
Frequently asked questions
What is the biggest hidden cost?
Usually staff time for training and workarounds, followed by the cost of set-up and migration.
Should I compare the monthly fee only?
No. Two options with similar monthly fees can have very different 12-month totals.
How often should the budget be reviewed?
At least once a year, and whenever you add a doctor, a site or a service.
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