The Effectiveness of Implementing an Electronic Health Record on Diabetes Care and Outcomes

Herrin, Jeph; Graca, Briget da; Nicewander, David; Fullerton, Cliff; Aponte, Phil; Stanek, Greg; Cowling, Terianne; Collinsworth, Ashley; Fleming, Neil; Ballard, David J.

doi:10.1111/j.1475-6773.2011.01370.x

Cited by 47 publications

(46 citation statements)

References 16 publications

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“…While several previous studies have found improvements in care processes for patients with diabetes associated with EHR use, 9–11,13,23,24 few have found EHR-related improvements in physiologic outcomes such as glycemic or lipid control, 25 and to our knowledge no studies have reported effects of outpatient EHR use on adverse health outcomes such as ED visits or hospitalizations. While the literature capturing care process improvements is important in understanding the pathways for EHR effects, ultimately improvements in process measures matter most to the extent that they lead to improvements in health outcomes and reductions in unfavorable clinical events.…”

Section: Discussionmentioning

confidence: 83%

Implementation of an Outpatient Electronic Health Record and Emergency Department Visits, Hospitalizations, and Office Visits Among Patients With Diabetes

Reed

Huang

Brand

et al. 2013

JAMA

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Section: Discussionmentioning

confidence: 83%

Implementation of an Outpatient Electronic Health Record and Emergency Department Visits, Hospitalizations, and Office Visits Among Patients With Diabetes

Reed

Huang

Brand

et al. 2013

JAMA

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“…For example, improvement in performance of annual medical and multidisciplinary assessments108 and data quality,109 recording of pressure sores,110 , 111 and proportion of patients receiving ‘optimal care’ 112 , 113. EPR use is associated with significantly improved rates of appropriate antithrombotic therapy, blood pressure control, HbA1c testing and smoking cessation intervention,114 whilst in patients with diabetes, EPR use results in significantly less emergency visits, overall doctor visits and hospitalisations 115.…”

Section: Resultsmentioning

confidence: 99%

What to expect from electronic patient record system implementation: lessons learned from published evidence

Priestman

Sridharan

Vigne

et al. 2018

BMJ Health Care Inform

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BackgroundNumerous studies have examined factors related to success, failure and implications of electronic patient record (EPR) system implementations, but usually limited to specific aspects.ObjectiveTo review the published peer-reviewed literature and present findings regarding factors important in relation to successful EPR implementations and likely impact on subsequent clinical activity.MethodLiterature review.ResultsThree hundred and twelve potential articles were identified on initial search, of which 117 were relevant and included in the review. Several factors were related to implementation success, such as good leadership and management, infrastructure support, staff training and focus on workflows and usability. In general, EPR implementation is associated with improvements in documentation and screening performance and reduced prescribing errors, whereas there are minimal available data in other areas such as effects on clinical patient outcomes. The peer-reviewed literature appears to under-represent a range of technical factors important for EPR implementations, such as data migration from existing systems and impact of organisational readiness.ConclusionThe findings presented here represent the synthesis of data from peer-reviewed literature in the field and should be of value to provide the evidence-base for organisations considering how best to implement an EPR system.

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“…Encinosa and Bae (2011) find that EHR technologies do not reduce the number of patient safety events in a hospital; however, EHR technologies are associated with lower mortality, readmissions, and costs after an event occurs. Herrin et al (2012) find that exposure to EHR technology improved outcomes for diabetes patients. Consistent with our conceptual framework, we frame the following two key hypotheses for our research:…”

Section: Literature and Hypothesesmentioning

confidence: 98%

Impact of CPOE Usage on Medication Management Process Costs and Quality Outcomes

Spaulding

Raghu

2013

INQUIRY

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We assess the impact of computerized physician order entry (CPOE) systems usage on cost and process quality in the medication management process. Data are compiled from 1,014 U.S. acute-care hospitals that have already implemented CPOE. Data sources include the American Hospital Association, HIMSS Analytics, and the Centers for Medicare and Medicaid Services. We examine the association of CPOE usage with nursing and pharmacy salary costs, and evidence-based medication process compliance. Empirical findings controlling for endogeneity in usage show that benefits accrue even when 100 percent usage is not achieved. We demonstrate that the relationship of CPOE usage with cost and compliance is non-linear.

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The Effectiveness of Implementing an Electronic Health Record on Diabetes Care and Outcomes

Abstract: Implementation of a commercially available EHR in primary care practice may improve diabetes care and clinical outcomes.

Cited by 47 publications

References 16 publications

Implementation of an Outpatient Electronic Health Record and Emergency Department Visits, Hospitalizations, and Office Visits Among Patients With Diabetes

Implementation of an Outpatient Electronic Health Record and Emergency Department Visits, Hospitalizations, and Office Visits Among Patients With Diabetes

What to expect from electronic patient record system implementation: lessons learned from published evidence

Impact of CPOE Usage on Medication Management Process Costs and Quality Outcomes

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