Elements of successful eCR system implementation included executive and clinician leadership, established funding models for specialist clinician reimbursement, and a commitment to optimizing clinician workflows.
Reconciliation and reimbursement will take time and commitment, but will not be externally dictated or timed.
Commit to your commitments.
These factors include absence of guidelines for CAM practice, insufficient research to prove cost-effectiveness and the limited commitment of insurers for reimbursement [ 23, 24].
ROSE is not available at many centers secondary to the considerable time commitment, cost, and inadequate reimbursement or compensation by insurance or medicare.
Rates of participation in the OCS may have differed according to whether the site was administering the core questionnaire or the extended questionnaire, since both the time commitment and the financial reimbursement varied by type of questionnaire.
Most importantly, in rural and remote contexts the evidence suggests that supporting practitioners to access support interventions by means of financial reimbursement, travel subsidies, backfilling and organisational commitment can directly or indirectly influence retention of staff and the quality and safety of services.
Partnering another offshore company to update your site isn't a wise idea, so regularly communicate your partner company and make them long term friends by fulfilling the commitment of paying and reimbursement.
The Nicaraguan government has continued to cut the number of doctors, changing to an hourly rate of reimbursement rather than salaries, and ending the commitment of government to employ graduating medical students [ 14].
The commitment is such that, when finishing a course and giving them a reimbursement, I heard hundreds of times: "Can you really reimburse me?
Other benefits may include tuition reimbursement, flexible work hours, bonuses based on experience or length of commitment, study and recreation leaves, employment opportunities for doctor's spouses, better accommodation facilities and improvements in educational institutions for doctor's children [ 14, 39].
