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The Impact of Electronic Health Record Implementation and Use on Performance of the Surgical Care Improvement Project Measures
Author(s) -
Thirukumaran Caroline Pinto,
Dolan James G.,
Webster Patricia Reagan,
Panzer Robert J.,
Friedman Bruce
Publication year - 2015
Publication title -
health services research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.706
H-Index - 121
eISSN - 1475-6773
pISSN - 0017-9124
DOI - 10.1111/1475-6773.12191
Subject(s) - medicine , software deployment , logistic regression , electronic health record , quality management , emergency medicine , electronic medical record , health care , medical record , medical emergency , operations management , surgery , management system , computer science , economics , economic growth , operating system
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.