Electronic health record implementation and hospitals' total factor productivity

Timothy R. Huerta, Mark Andrew Thompson, Eric W. Ford, William F. Ford

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

The adoption and implementation of electronic health record (EHR) systems have been widely promoted as a means for improving health care delivery and controlling costs in U.S. hospitals. To date, the results of efforts to adopt such systems have been mixed and often unsuccessful. This paper uses frontier analysis to measure hospitals' Total Factor Productivity (TFP) during 2006-2008 and compare it to nine different stages of EHR implementation. Overall, we find that hospitals implementing EHR systems have lower TFP gains relative to those facilities that have as yet to adopt. In particular, hospitals that attempt to fully implement an EHR in one year, the 'Big Bang' strategy, have relatively low TFP levels. Therefore, the anticipated savings from increased EHR use may not be realized in the near-term for EHR system adopters. Moreover, an evidence-based approach to developing the 'Meaningful Use' incentive and reward program for EHR implementation is warranted.

Original languageEnglish (US)
Pages (from-to)450-458
Number of pages9
JournalDecision Support Systems
Volume55
Issue number2
DOIs
StatePublished - May 1 2013

Fingerprint

Electronic Health Records
Productivity
Health
Efficiency
Electronic health record
Total factor productivity
Total Factor Productivity
Reward
Health care
Motivation
Delivery of Health Care
Costs and Cost Analysis
Costs

Keywords

  • Data envelopment analysis
  • EHR
  • HIT implementation
  • Hospitals
  • Meaningful use

ASJC Scopus subject areas

  • Management Information Systems
  • Information Systems
  • Developmental and Educational Psychology
  • Arts and Humanities (miscellaneous)
  • Information Systems and Management

Cite this

Electronic health record implementation and hospitals' total factor productivity. / Huerta, Timothy R.; Thompson, Mark Andrew; Ford, Eric W.; Ford, William F.

In: Decision Support Systems, Vol. 55, No. 2, 01.05.2013, p. 450-458.

Research output: Contribution to journalArticle

Huerta, Timothy R. ; Thompson, Mark Andrew ; Ford, Eric W. ; Ford, William F. / Electronic health record implementation and hospitals' total factor productivity. In: Decision Support Systems. 2013 ; Vol. 55, No. 2. pp. 450-458.
@article{861165184052405786d3e1cbd5d7d7f4,
title = "Electronic health record implementation and hospitals' total factor productivity",
abstract = "The adoption and implementation of electronic health record (EHR) systems have been widely promoted as a means for improving health care delivery and controlling costs in U.S. hospitals. To date, the results of efforts to adopt such systems have been mixed and often unsuccessful. This paper uses frontier analysis to measure hospitals' Total Factor Productivity (TFP) during 2006-2008 and compare it to nine different stages of EHR implementation. Overall, we find that hospitals implementing EHR systems have lower TFP gains relative to those facilities that have as yet to adopt. In particular, hospitals that attempt to fully implement an EHR in one year, the 'Big Bang' strategy, have relatively low TFP levels. Therefore, the anticipated savings from increased EHR use may not be realized in the near-term for EHR system adopters. Moreover, an evidence-based approach to developing the 'Meaningful Use' incentive and reward program for EHR implementation is warranted.",
keywords = "Data envelopment analysis, EHR, HIT implementation, Hospitals, Meaningful use",
author = "Huerta, {Timothy R.} and Thompson, {Mark Andrew} and Ford, {Eric W.} and Ford, {William F.}",
year = "2013",
month = "5",
day = "1",
doi = "10.1016/j.dss.2012.10.004",
language = "English (US)",
volume = "55",
pages = "450--458",
journal = "Decision Support Systems",
issn = "0167-9236",
publisher = "Elsevier",
number = "2",

}

TY - JOUR

T1 - Electronic health record implementation and hospitals' total factor productivity

AU - Huerta, Timothy R.

AU - Thompson, Mark Andrew

AU - Ford, Eric W.

AU - Ford, William F.

PY - 2013/5/1

Y1 - 2013/5/1

N2 - The adoption and implementation of electronic health record (EHR) systems have been widely promoted as a means for improving health care delivery and controlling costs in U.S. hospitals. To date, the results of efforts to adopt such systems have been mixed and often unsuccessful. This paper uses frontier analysis to measure hospitals' Total Factor Productivity (TFP) during 2006-2008 and compare it to nine different stages of EHR implementation. Overall, we find that hospitals implementing EHR systems have lower TFP gains relative to those facilities that have as yet to adopt. In particular, hospitals that attempt to fully implement an EHR in one year, the 'Big Bang' strategy, have relatively low TFP levels. Therefore, the anticipated savings from increased EHR use may not be realized in the near-term for EHR system adopters. Moreover, an evidence-based approach to developing the 'Meaningful Use' incentive and reward program for EHR implementation is warranted.

AB - The adoption and implementation of electronic health record (EHR) systems have been widely promoted as a means for improving health care delivery and controlling costs in U.S. hospitals. To date, the results of efforts to adopt such systems have been mixed and often unsuccessful. This paper uses frontier analysis to measure hospitals' Total Factor Productivity (TFP) during 2006-2008 and compare it to nine different stages of EHR implementation. Overall, we find that hospitals implementing EHR systems have lower TFP gains relative to those facilities that have as yet to adopt. In particular, hospitals that attempt to fully implement an EHR in one year, the 'Big Bang' strategy, have relatively low TFP levels. Therefore, the anticipated savings from increased EHR use may not be realized in the near-term for EHR system adopters. Moreover, an evidence-based approach to developing the 'Meaningful Use' incentive and reward program for EHR implementation is warranted.

KW - Data envelopment analysis

KW - EHR

KW - HIT implementation

KW - Hospitals

KW - Meaningful use

UR - http://www.scopus.com/inward/record.url?scp=84878250547&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84878250547&partnerID=8YFLogxK

U2 - 10.1016/j.dss.2012.10.004

DO - 10.1016/j.dss.2012.10.004

M3 - Article

AN - SCOPUS:84878250547

VL - 55

SP - 450

EP - 458

JO - Decision Support Systems

JF - Decision Support Systems

SN - 0167-9236

IS - 2

ER -