The impact of electronic health record implementation and use on performance of the surgical care improvement project measures

Caroline Pinto Thirukumaran; James G. Dolan; Patricia Reagan Webster; Robert J. Panzer; Bruce Friedman

doi:10.1111/1475-6773.12191

The impact of electronic health record implementation and use on performance of the surgical care improvement project measures

Caroline Pinto Thirukumaran, James G. Dolan, Patricia Reagan Webster, Robert J. Panzer, Bruce Friedman^*

^*Corresponding author for this work

Orthopaedic Surgery

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

Objective To examine the impact of electronic health record (EHR) deployment on Surgical Care Improvement Project (SCIP) measures in a tertiary-care teaching hospital. Data Sources SCIP Core Measure dataset from the CMS Hospital Inpatient Quality Reporting Program (March 2010 to February 2012). Study Design One-group pre- and post-EHR logistic regression and difference-in-differences analyses. Principal Findings Statistically significant short-term declines in scores were observed for the composite, postoperative removal of urinary catheter and post-cardiac surgery glucose control measures. A statistically insignificant improvement in scores for these measures was noted 3 months after EHR deployment. Conclusion The transition to an EHR appears to be associated with a short-term decline in quality. Implementation strategies should be developed to preempt or minimize this initial decline.

Original language	English (US)
Pages (from-to)	273-289
Number of pages	17
Journal	Health Services Research
Volume	50
Issue number	1
DOIs	https://doi.org/10.1111/1475-6773.12191
State	Published - Feb 1 2015

Keywords

observational data/quasi-experiments
Quality of care/patient safety (measurement)
surgery

ASJC Scopus subject areas

Health Policy

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10.1111/1475-6773.12191

Cite this

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title = "The impact of electronic health record implementation and use on performance of the surgical care improvement project measures",

abstract = "Objective To examine the impact of electronic health record (EHR) deployment on Surgical Care Improvement Project (SCIP) measures in a tertiary-care teaching hospital. Data Sources SCIP Core Measure dataset from the CMS Hospital Inpatient Quality Reporting Program (March 2010 to February 2012). Study Design One-group pre- and post-EHR logistic regression and difference-in-differences analyses. Principal Findings Statistically significant short-term declines in scores were observed for the composite, postoperative removal of urinary catheter and post-cardiac surgery glucose control measures. A statistically insignificant improvement in scores for these measures was noted 3 months after EHR deployment. Conclusion The transition to an EHR appears to be associated with a short-term decline in quality. Implementation strategies should be developed to preempt or minimize this initial decline.",

keywords = "observational data/quasi-experiments, Quality of care/patient safety (measurement), surgery",

author = "Thirukumaran, \{Caroline Pinto\} and Dolan, \{James G.\} and Webster, \{Patricia Reagan\} and Panzer, \{Robert J.\} and Bruce Friedman",

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AU - Dolan, James G.

AU - Webster, Patricia Reagan

AU - Panzer, Robert J.

AU - Friedman, Bruce

N1 - Publisher Copyright: © Health Research and Educational Trust.

PY - 2015/2/1

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N2 - Objective To examine the impact of electronic health record (EHR) deployment on Surgical Care Improvement Project (SCIP) measures in a tertiary-care teaching hospital. Data Sources SCIP Core Measure dataset from the CMS Hospital Inpatient Quality Reporting Program (March 2010 to February 2012). Study Design One-group pre- and post-EHR logistic regression and difference-in-differences analyses. Principal Findings Statistically significant short-term declines in scores were observed for the composite, postoperative removal of urinary catheter and post-cardiac surgery glucose control measures. A statistically insignificant improvement in scores for these measures was noted 3 months after EHR deployment. Conclusion The transition to an EHR appears to be associated with a short-term decline in quality. Implementation strategies should be developed to preempt or minimize this initial decline.

AB - Objective To examine the impact of electronic health record (EHR) deployment on Surgical Care Improvement Project (SCIP) measures in a tertiary-care teaching hospital. Data Sources SCIP Core Measure dataset from the CMS Hospital Inpatient Quality Reporting Program (March 2010 to February 2012). Study Design One-group pre- and post-EHR logistic regression and difference-in-differences analyses. Principal Findings Statistically significant short-term declines in scores were observed for the composite, postoperative removal of urinary catheter and post-cardiac surgery glucose control measures. A statistically insignificant improvement in scores for these measures was noted 3 months after EHR deployment. Conclusion The transition to an EHR appears to be associated with a short-term decline in quality. Implementation strategies should be developed to preempt or minimize this initial decline.

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KW - Quality of care/patient safety (measurement)

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The impact of electronic health record implementation and use on performance of the surgical care improvement project measures

Abstract

Keywords

ASJC Scopus subject areas

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