ArticleHealth services research2016
Physician EHR Adoption and Potentially Preventable Hospital Admissions among Medicare Beneficiaries: Panel Data Evidence, 2010-2013.
Article in Health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Current practice patterns and gaps in guideline-concordant breast cancer survivorship care.Journal of cancer survivorship : research and practice · 2023Article
- Electronic Health Record Use and Perceptions among Urologic Surgeons.Applied clinical informatics · 2023Article
- Impact of Electronic Health Record Interoperability on Telehealth Service Outcomes.JMIR medical informatics · 2022Article
- Novel Nonproprietary Measures of Ambulatory Electronic Health Record Use Associated with Physician Work Exhaustion.Applied clinical informatics · 2021Article
- Measuring physician practice site characteristics: A comparison of data from SK&A and a practice site survey.Health services research · 2021Article
- Horizontal and vertical integration's role in meaningful use attestation over time.Health services research · 2019Article
- Electronic health records systems and hospital clinical performance: a study of nationwide hospital data.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Medical Group Characteristics and the Cost and Quality of Care for Medicare Beneficiaries.Health services research · 2018Article
- Choosing Wisely clinical decision support adherence and associated inpatient outcomes.The American journal of managed care · 2018Observational
- Best of the 2016 AcademyHealth Annual Research Meeting.Health services research · 2016Article
- Assessing HITECH Implementation and Lessons: 5 Years Later.The Milbank quarterly · 2016Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo test for correlation between the growth in adoption of ambulatory electronic health records (EHRs) in the United States during 2010-2013 and hospital admissions and readmissions for elderly Medicare beneficiaries with at least one of four common ambulatory care-sensitive conditions (ACSCs). DATA SOURCES: SK&A Information Services Survey of Physicians, American Hospital Association General Survey and Information Technology Supplement; and the Centers for Medicare & Medicaid Services Chronic Conditions Data Warehouse Geographic Variation Database for 2010 through 2013. STUDY
designFixed effects model estimated the relationship between hospital referral region (HRR) level measures of physician EHR adoption and ACSC admissions and readmissions. Analyzed rates of admissions and 30-day readmissions per beneficiary at the HRR level (restricting the denominator to beneficiaries in our sample), adjusted for differences across HRRs in Medicare beneficiary age, gender, and race. Calculated physician EHR adoption rates as the percentage of physicians in each HRR who report using EHR in ambulatory care settings. PRINCIPAL
findingsEach percentage point increase in market-level EHR adoption by physicians is correlated with a statistically significant decline of 1.06 ACSC admissions per 10,000 beneficiaries over the study period, controlling for the overall time trend as well as market fixed effects and characteristics that changed over time. This finding implies 26,689 fewer ACSC admissions in our study population during 2010 to 2013 that were related to physician ambulatory EHR adoption. This represents 3.2 percent fewer ACSC admissions relative to the total number of such admissions in our study population in 2010. We found no evidence of a correlation between EHR use, by either physicians or hospitals, and hospital readmissions at either the market level or hospital level.
conclusionsThis study extends knowledge about EHRs' relationship with quality of care and utilization. The results suggest a significant association between EHR use in ambulatory care settings and ACSC admissions that is consistent with policy goals to improve the quality of ambulatory care for patients with chronic conditions. The null findings for readmissions support the need for improved interoperability between ambulatory care EHRs and hospital EHRs to realize improvements in readmissions.
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