Clinical Information Technologies and Inpatient Outcomes

Amarasingham, Ruben; Plantinga, Laura C.; Diener‐West, Marie; Gaskin, Darrell J.; Powe, Neil R.

doi:10.1001/archinternmed.2008.520

Cited by 309 publications

(220 citation statements)

References 26 publications

Supporting

Mentioning

202

Contrasting

Unclassified

Order By: Relevance

“…Our differential findings across the three communities mirror the conflicting evidence about the impact of EHRs on healthcare utilization and associated costs (Amarasingham, Plantinga, Diener-West, Gaskin, & Powe, 2009;DesRoches et al, 2010;Himmelstein, Wright, & Woolhandler, 2010;McCullough, Casey, Moscovice, & Prasad, 2010;McCormick et al, 2012). The literature also suggests potential mechanisms that may explain the differential findings across communities.…”

Section: Discussionsupporting

confidence: 59%

The Impact of Electronic Health Records on Ambulatory Costs Among Medicaid Beneficiaries

Adler‐Milstein¹

2013

MMRR

View full text Add to dashboard Cite

Background: Broad adoption of electronic health records (EHRs) is a potential strategy for curbing healthcare cost growth, which is particularly vital for Medicaid. Despite limited evidence for EHR-related cost savings, the 2009 HITECH Act included incentives for providers to become meaningful users of EHRs. We evaluated a large Massachusetts EHR pilot to obtain early insight into the potential for the national strategy to reduce short-run healthcare costs in the Medicaid population. Methods:We calculated monthly ambulatory cost and visit measures from Medicaid claims data for beneficiaries receiving the majority of their care in the three Massachusetts eHealth Collaborative (MAeHC) pilot communities or in six matched control communities. Using a difference-in-differences of slope analysis, we assessed whether cost and visit trajectories differed in the pre-implementation period compared to the post-implementation period for intervention and control community members. Results:We found evidence that EHR adoption impacted ambulatory medical cost in two of the three communities, but the effects were in opposite directions. Ambulatory medical costs increased more slowly in one intervention compared to its control communities in the pre-to-post period (difference-indifferences=-1.98%, p<0.001; PMPM savings of $41.60). In contrast, for a second pilot community, ambulatory medical cost increased more slowly in the control communities (difference-indifferences=2.56%, p=0.005; PMPM increase of $43.34). Conclusions:As a stand-alone approach, adoption of commercially-available EHRs in community practices did not consistently impact Medicaid costs in the short-run. This suggests that future meaningful use criteria may need to specifically target cost savings and coordinate with payment reform efforts.

show abstract

Section: Discussionsupporting

confidence: 59%

The Impact of Electronic Health Records on Ambulatory Costs Among Medicaid Beneficiaries

Adler‐Milstein¹

2013

MMRR

View full text Add to dashboard Cite

show abstract

“…21 A recent study of 41 Texas hospitals found that hospitals with computerized physician order entry had lower mortality for coronary artery surgery but not for other conditions. 22 Facilities with automated decision support had lower costs. The impact of computerization on complication rates and length of stay was inconsistent.…”

Section: Discussionmentioning

confidence: 99%

Hospital Computing and the Costs and Quality of Care: A National Study

Himmelstein¹,

Wright²,

Woolhandler³

2010

The American Journal of Medicine

164

120

View full text Add to dashboard Cite

“…In the setting of more limited duty hours and demands for increased clinical productivity, EHRs have functions that may improve the quality and efficiency of clinical documentation. [1][2][3][4][5] The process of note writing and the use of notes for clinical care have changed substantially with EHR implementation. Use of "efficiency tools" (ie, copy forward functions and autopopulation of data) may increase the speed of documentation.…”

Section: Resultsmentioning

confidence: 99%

Internal medicine progress note writing attitudes and practices in an electronic health record

Stewart

Kahn

Lee

et al. 2015

Journal of Hospital Medicine

View full text Add to dashboard Cite

show abstract

Clinical Information Technologies and Inpatient Outcomes

Abstract: Hospitals with automated notes and records, order entry, and clinical decision support had fewer complications, lower mortality rates, and lower costs.

Cited by 309 publications

References 26 publications

The Impact of Electronic Health Records on Ambulatory Costs Among Medicaid Beneficiaries

The Impact of Electronic Health Records on Ambulatory Costs Among Medicaid Beneficiaries

Hospital Computing and the Costs and Quality of Care: A National Study

Internal medicine progress note writing attitudes and practices in an electronic health record

Contact Info

Product

Resources

About