The impact of electronic health record implementation and use on performance of the Surgical Care Improvement Project measures.
Ontology highlight
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.
SUBMITTER: Thirukumaran CP
PROVIDER: S-EPMC4319882 | biostudies-literature | 2015 Feb
REPOSITORIES: biostudies-literature
Publications
The impact of electronic health record implementation and use on performance of the Surgical Care Improvement Project measures.
Thirukumaran Caroline Pinto CP Dolan James G JG Reagan Webster Patricia P Panzer Robert J RJ Friedman Bruce B
Health services research 20140626 1
<h4>Objective</h4>To examine the impact of electronic health record (EHR) deployment on Surgical Care Improvement Project (SCIP) measures in a tertiary-care teaching hospital.<h4>Data sources</h4>SCIP Core Measure dataset from the CMS Hospital Inpatient Quality Reporting Program (March 2010 to February 2012).<h4>Study design</h4>One-group pre- and post-EHR logistic regression and difference-in-differences analyses.<h4>Principal findings</h4>Statistically significant short-term declines in scores ...[more]
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