The Effect Of Health Information Technology On Quality In U.S. Hospitals

McCullough, Jeffrey S.; Casey, Michelle; Moscovice, Ira; Prasad, Shailendra

doi:10.1377/hlthaff.2010.0155

Cited by 191 publications

(154 citation statements)

References 14 publications

Supporting

Mentioning

145

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: 60%

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: 60%

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

“…The use of PACS seems to enhance both the revenue and the efficiency of hospital processes (see also Barrette et al 2011 As compared with the findings for the innovation variables, the use of CPOE and ERP seems to be of no relevance for all three performance variables (though it is for innovation), partly contrary, partly in accordance to existing USA empirical literature (McCullough et al 2010;. Finally, four applications that were tested as right-hand variables in all five estimated equations showed no significant effects at all: Radiology Information Systems (RIS),…”

mentioning

confidence: 57%

“…5 The group of the USA studies, on which we focus here, examined the impact of ICT use in hospitals on the quality of health care (Agha 2012;McCullough et al 2010), certain patient outcomes , hospital productivity (Lee et al 2012), hospital cost efficiency (PwCW2007), hospital operating costs (Borzekowski 2009) and the efficiency of the utilization of clinicians (Atkinson et al 2006). Agha (2012) in a study based on 3900 USA hospitals for the period 1998-2005 found only little impact of ICT on the quality of patient care (as measured by patient mortality, medical complication rates, adverse drug events and (patient) re-admission rates).…”

Section: Ict and Hospital Performancementioning

confidence: 99%

“…5 We refrain here from surveying empirical literature that deals with the influence of technology and innovation in general on productivity in health care (see, e.g., Skinner and Staiger 2009;Baltagi et al 2012;Lichtenberg 2013). McCullough et al (2010) examined the relationship between six process-quality measures (such as the percentage of smokers with heart failure and pneumonia, respectively, who were given smoking cessation advice, the percentage of pneumonia patients assessed and given pneumococcal vaccination if indicated; the percentage of pneumonia patients given the most appropriate initial antibiotic, etc.) and ICT use (measured by the use of EMR and Electronic Physician Order Entry Systems CPOE).…”

Section: Ict and Hospital Performancementioning

confidence: 99%

See 1 more Smart Citation

Investigating the effects of ICT on innovation and performance of European hospitals: an exploratory study

Arvanitis

Loukis

2015

Eur J Health Econ

View full text Add to dashboard Cite

Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. Terms of use: Documents in AbstractHospitals are making big investments in various types of ICT, so it is important to investigate their effects on innovation and performance. In this paper is presented an empirical study in this direction, based on data for 743 hospitals from 18 European countries, which were collected in the course of the e-Business Survey of the European Union. We specified and estimated econometrically five equations: one for product innovation, one for process innovation and three equations for the three different dimensions of (ICT-enabled) hospital performance that are taken into consideration in this study. All five equations included various ICT-related variables reflecting ICT infrastructure and a series of important ICT applications, some of them hospital-specific, and some others of general business use, and also ICT personnel (viewed as a kind of 'soft' ICT investment), as right-hand variables, while the performance equations also included the two innovation measures.The study contributes threefold to literature. First, it is to our knowledge the first comprehensive study of this kind for European hospitals. Second, it analyzes the effects of various types of ICT on innovation and (ICT-enabled) economic performance of hospitals in an integrated framework. Third, it is based on relatively detailed information on ICT infrastructure and specific ICT applications, both health-specific and general, and also ICT personnel, examining and comparing their effects on innovation and economic performance. JEL-classification: O31

show abstract

“…After reading the articles, we found papers with similar purposes, which were carried out by: Hospital Infantil Sabará [7], Stroetmann et al [8], Moncho [9], Schneider [10]), McCullough et al [11] and Blaya et al [12], which were then adopted as references for this article. During the conduction of the first project at Hospital Infantil Sabará, in 2012, we found a 60% decrease in paper printing.…”

Section: Resultsmentioning

confidence: 99%

Document Management and Process Automation in a Paperless Healthcare Institution

Salomi¹,

Maciel²

2017

View full text Add to dashboard Cite

Health care management is essential to the financial balance of institutions and the improvements of patient and organization documental processes. In order to achieve these aims, an important step is to observe the indicators that start to point out positive evidence when using document management and process automation in a healthcare institution, through Information and Communication Technologies in the e-Health system. The main purpose of this study was to gather data and indices about the issue under study through a literature review. Analysis of American, European, and Brazilian articles in academic or non-academic healthcare organizations indicates share and use of patient's data that can improve the performance of applied systems; analyses of processes; quality indicators of the provided service, and patient's quality of care and safety; diagnosis and prescription of medication; and decrease of data information errors. Thus, it achieved stage 7 in the Healthcare Informatics Management and Systems Society (HIMSS).

show abstract

The Effect Of Health Information Technology On Quality In U.S. Hospitals

Cited by 191 publications

References 14 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

Investigating the effects of ICT on innovation and performance of European hospitals: an exploratory study

Document Management and Process Automation in a Paperless Healthcare Institution

Contact Info

Product

Resources

About