A Framework for Performance Comparison among Major Electronic Health Record Systems.

Q3 Medicine Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2019-10-01 eCollection Date: 2019-01-01

Tiankai Wang, David Gibbs

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Abstract

While nearly all hospitals have adopted electronic health record (EHR) systems, some are dissatisfied and considering replacement systems to better address unique organizational needs and priorities. With more than 4,000 certified health information technology products available, comparing the vast number of EHR options is complex. This study tested the hypothesis that various EHR systems demonstrate different financial and quality performance and presented a framework for comparison. Using a subscribed database containing US hospitals' observations from 2011 to 2016, we estimated an ordinary least squares regression model with robust standard errors and clustered by year. We regressed the selected finance and quality measures as dependent variables with the vendors' indicators as independent variables, with control variables. This study demonstrated an approach for analyzing performance data to help hospitals distinguish EHR systems on the basis of several organizational outcomes: return on assets, bed utilization rate, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) summary star rating, and value-based purchasing Total Performance Score. This framework will help EHR acquisition teams make informed decisions.

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主要电子健康档案系统性能比较的框架。

虽然几乎所有的医院都采用了电子健康记录(EHR)系统，但有些医院并不满意，并考虑更换系统，以更好地满足组织的独特需求和优先事项。有超过4000种认证的卫生信息技术产品可供选择，比较大量的电子健康档案选择是复杂的。本研究检验了不同电子病历系统表现出不同财务和质量绩效的假设，并提出了一个比较框架。使用包含2011年至2016年美国医院观察数据的订阅数据库，我们估计了一个具有稳健标准误差的普通最小二乘回归模型，并按年聚类。我们将选择的财务和质量措施作为因变量，将供应商指标作为自变量，与控制变量进行回归。本研究展示了一种分析绩效数据的方法，以帮助医院在几个组织结果的基础上区分EHR系统:资产回报率、床位利用率、医院消费者对医疗保健提供者和系统的评估(HCAHPS)总结星级评级和基于价值的采购总绩效评分。该框架将帮助电子病历采购团队做出明智的决策。

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来源期刊

Perspectives in health information management / AHIMA, American Health Information Management Association Medicine-Medicine (all)

CiteScore

1.90

自引率

0.00%

发文量

期刊介绍： Perspectives in Health Information Management is a scholarly, peer-reviewed research journal whose mission is to advance health information management practice and to encourage interdisciplinary collaboration between HIM professionals and others in disciplines supporting the advancement of the management of health information. The primary focus is to promote the linkage of practice, education, and research and to provide contributions to the understanding or improvement of health information management processes and outcomes.