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53 Additional factors that go into the selection process seljaci viagra vs cialis the cost of a wireless network, the price of the hardware, licensing fees for the software and the conversion cost of transferring the existing records to the electronic system. Other considerations include networking costs, such as Internet connectivity, wireless network, practice management system integration into the new system; hardware costs such as desktops, laptops, servers, and printers; software licensing costs and future upgrades; yearly fees, such as subscription or licensing costs; training and support; transferring records from the existing system to the new one; and creating communication procedures between the current office equipment and the e-prescribing system. 54 A survey conducted by the Texas Medical Association determined that the median cost for implementing an EMR system was about 25,000 per doctor. 55 The following table depicts the usual costs for lower, mid-range, and seljaci viagra vs cialis higher cost EMRs systems for an average size practice in Texas, which consists of 3. 5 full time employed physicians. 56 Sample Costs (Based on an Average, 3. 5-physician practice) Item Product A Product B Product C Software Licenses 31,980 61,020 71,000 Data Conversion 2,995 2,900 5,000 Other Licenses - 6,691 8,000 Training 6,205 26,449 50,635 Installation 4,480 12,345 4,940 Discounts - ( 23,215) ( 19,402) Annual Recurring Costs 12,871 26,834 21,537 HardwareNetwork 30,000 30,000 30,000 Project Total 88,531 143,024 171,710 These costs seem expensive but the government provided substantial incentives to hospitals and physicians under Medicare and Medicaid for those who complied with the mandates of 鈓eaningful use by 2011. 57 The financial inducements offered walmart dunkirk md pharmacy viagra the government under Medicare can reach 44,000 and 63,750 under Medicaid. 58 VI.

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Cases Involving E-Prescriptions There have not been many reported cases concerning e-prescriptions, presumably because the technology and its widespread use are fairly new. Most of the published litigation involves criminal prosecutions.

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