ArticleHealth services research2014
The impact of electronic health records on workflow and financial measures in primary care practices.
Article in Health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The impact of eHealth use on general practice workload in the pre-COVID-19 era: a systematic review.BMC health services research · 2024Pooled it
- The burden of the digital environment: a systematic review on organization-directed workplace interventions to mitigate physician burnout.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Impact of a Web-Based Electronic Health Record on Behavioral Health Service Delivery for Children and Adolescents: Randomized Controlled Trial.Journal of medical Internet research · 2018Trial
- Impact of Scribes on Physician Satisfaction, Patient Satisfaction, and Charting Efficiency: A Randomized Controlled Trial.Annals of family medicine · 2017Trial
- Evolution of Computerized Provider Order Entry Documentation at a Leading Tertiary Care Referral Center in Riyadh.Healthcare (Basel, Switzerland) · 2026Article
- Value of Electronic Health Records Measured Using Financial and Clinical Outcomes: Quantitative Study.JMIR medical informatics · 2024Article
- Electronic Health Record Implementation Enhances Financial Performance in High Medicaid Nursing Homes.Journal of multidisciplinary healthcare · 2024Article
- "Everything's so Role-Specific": VA Employee Perspectives' on Electronic Health Record (EHR) Transition Implications for Roles and Responsibilities.Journal of general internal medicine · 2023Article
- Physician Productivity and Supervision.The western journal of emergency medicine · 2023Article
- Digital health needs for implementing high-quality primary care: recommendations from the National Academies of Sciences, Engineering, and Medicine.Journal of the American Medical Informatics Association : JAMIA · 2021Review
- THE IMPACT OF VIDEO VISITS ON MEASURES OF CLINICAL EFFICIENCY AND REIMBURSEMENT.Urology practice · 2021Article
- Scribes, EHRs, and Workflow Efficiencies in Allergy Practices.Current allergy and asthma reports · 2020Review
- Impact of Scribes with Flow Coordination Duties on Throughput in an Academic Emergency Department.The western journal of emergency medicine · 2020Article
- An Efficient Mobile-Healthcare Emergency Framework.Journal of medical systems · 2020Article
- Transformation of the Doctor-Patient Relationship: Big Data, Accountable Care, and Predictive Health Analytics.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2019Article
- Prognostic models will be victims of their own success, unless….Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Utilizing a Physician Scribe in a Pediatric Plastic Surgical Practice: A Time-driven Activity-based Costing Study.Plastic and reconstructive surgery. Global open · 2019Article
- A Time-Driven Activity-Based Costing Analysis of Emergency Department Scribes.Mayo Clinic proceedings. Innovations, quality & outcomes · 2019Article
- Using Smart City Technology to Make Healthcare Smarter.Proceedings of the IEEE. Institute of Electrical and Electronics Engineers · 2018Article
- The Association of Electronic Health Record Adoption with Staffing Mix in Community Health Centers.Health services research · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectiveTo estimate a commercially available ambulatory electronic health record's (EHR's) impact on workflow and financial measures. DATA SOURCES/STUDY
settingAdministrative, payroll, and billing data were collected for 26 primary care practices in a fee-for-service network that rolled out an EHR on a staggered schedule from June 2006 through December 2008. STUDY
designAn interrupted time series design was used. Staffing, visit intensity, productivity, volume, practice expense, payments received, and net income data were collected monthly for 2004-2009. Changes were evaluated 1-6, 7-12, and >12 months postimplementation. DATA COLLECTION/EXTRACTION
methodsData were accessed through a SQLserver database, transformed into SAS®, and aggregated by practice. Practice-level data were divided by full-time physician equivalents for comparisons across practices by month. PRINCIPAL
findingsStaffing and practice expenses increased following EHR implementation (3 and 6 percent after 12 months). Productivity, volume, and net income decreased initially but recovered to/close to preimplementation levels after 12 months. Visit intensity did not change significantly, and a secular trend offset the decrease in payments received.
conclusionsExpenses increased and productivity decreased following EHR implementation, but not as much or as persistently as might be expected. Longer term effects still need to be examined.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.