Table 2.

Cost balance for electronic charts

Outgoing costs project delivery
Role	Allocated time		Total
Design and workforce plan—ICU	7–10 hours per month		12 590
Design—clinical input (nursing and consultant)	10 hours per month		35 672
Design—EHR Business Process and training/implementation	12 hours per month		9726
Software development—senior PICS developers	40%–60% of full time		203 580
Project management—project and Programme managers	24 hours per month		29 269
Training—PICS trainers	14–20 hours per month		3840
Hardware set up, testing and support documentation—estimate of 2 hours per device (ie, 220 hours) for Tech Support person	220 hours		4277
Staff surveys one person (band 5 trainer) for 10 min × 350 staff	58 hours		1128
Design, pilot, review (10 staff @ 1 day each)	75 hours		1458
Agency cover for ICU nurse training	5 staff per half day over 3 weeks		125 000
Hardware cost (trolleys and PCs)	65 units		366 200
Licences	65 units		18 700
Total			Total spent on project 811 440
Ongoing costs project sustainability
Role		Costs per year
Information Technology/PICS support		24 800
Licences		5000
Equipment rolling replacement		50 000
Energy		2100
Maintenance		3300
Total			Total ongoing cost/year 85 200
Savings
Role		Savings per year	Total
ICU chart paper savings based on 100% elimination (£).		30 000
Ward clerks filing based on average 10 min per bed day. Time-saving is recycled into other duties		28 000
Nursing time saved setting up new charts estimated at 11 min per day for band 5 and band 6 ICU nurse with blended unsociable hours rates. Time-saving is recycled into improved quality of care		199 100
Total			Total saved/year 257 100

EHR, electronic health record; PICS, Prescribing, Information and Communication System.