Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Aug 29, 2020
Date Accepted: Feb 2, 2021
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Electronic Health Record Vendors: An Evaluation of the Association with Hospital Financial and Quality Performance
ABSTRACT
Background:
Electronic health records are a central feature of care delivery in the acute care hospital, but financial and quality outcomes associated with system performance remain unclear.
Objective:
This study evaluates the association between the top three electronic health record vendors and measures of hospital financial and quality performance.
Methods:
This study evaluates 2,667 hospitals with Cerner, Epic, or Meditech as their primary EHR and considers performance on net income, Hospital Value Based Purchasing (HVBP) Total Performance Score (TPS) and the unweighted sub-domains: Efficiency and Cost Reduction, Clinical Care, Patient and Caregiver-Centered Experience, and Patient Safety. We hypothesize there is a difference among the three vendors on each measure.
Results:
None of the EHR systems was associated with a statistically significant financial relationship in our study. Epic was positively associated with Total Performance Score outcomes and higher patient perceptions of quality but negatively associated with patient safety quality scores. Cerner and Epic were positively associated with improved efficiency. Lastly, all three vendors were associated with positive performance in the Clinical Care domain but with low explanatory power.
Conclusions:
The results of this study provide evidence of a difference in clinical outcome performance among the top three EHR vendors. The results of our study may serve as supportive evidence for healthcare leaders to target future capital investments to improve healthcare delivery.
Citation
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