Evidence map›Paper›PMID 29471362›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2018

Changes in hospital bond ratings after the transition to a new electronic health record.

Dustin McEvoy, Michael L Barnett, Dean F Sittig, Skye Aaron, Ateev Mehrotra, Adam Wright

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Electronic Health Record Transitions-How to Make Them Work.Journal of general internal medicine · 2023
    Article
  3. Applying requisite imagination to safeguard electronic health record transitions.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dustin McEvoyPartners Healthcare, Information Systems, Somerville, MA, USA.
Michael L BarnettDepartment of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Dean F SittigSchool of Biomedical Informatics, University of Texas Health Science Center, Houston, TX, USA.
Skye AaronBrigham and Women's Hospital, Boston, MA, USA.
Ateev MehrotraDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA and.
Adam WrightBrigham and Women's Hospital, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To assess the impact of electronic health record (EHR) implementation on hospital finances. Materials and Methods: We analyzed the impact of EHR implementation on bond ratings and net income from service to patients (NISP) at 32 hospitals that recently implemented a new EHR and a set of controls. Results: After implementing an EHR, 7 hospitals had a bond downgrade, 7 had a bond upgrade, and 18 had no changes. There was no difference in the likelihood of bond rating changes or in changes to NISP following EHR go-live when compared to control hospitals. Discussion: Most hospitals in our analysis saw no change in bond ratings following EHR go-live, with no significant differences observed between EHR implementation and control hospitals. There was also no apparent difference in NISP. Conclusions: Implementation of an EHR did not appear to have an impact on bond ratings at the hospitals in our analysis.

Indexed as

Economics, HospitalElectronic Health RecordsFinancial Management, HospitalKaplan-Meier EstimateUnited States

Identifiers

PMID29471362
PMCPMC7647018

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.