Evidence map›Paper›PMID 33851924›Full record

ArticleJournal of medical Internet research2021

Association of Electronic Health Record Vendors With Hospital Financial and Quality Performance: Retrospective Data Analysis.

Bradley Beauvais, Clemens Scott Kruse, Lawrence Fulton, Ramalingam Shanmugam, Zo Ramamonjiarivelo, Matthew Brooks

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2021. 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
2.4field-weighted citation impact, top 9% of its field
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, 10 citations in OpenAlex.

  1. Which Electronic Health Record System Should We Use? A Systematic Review.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2022
    Pooled it
  2. Review
  3. 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 at 1 institution in 1 country.

Bradley Beauvais *School of Health Administration, College of Health Professions, Texas State University, San Marcos, TX, United States.ORCID 0000-0003-3085-5379
Clemens Scott Kruse *School of Health Administration, College of Health Professions, Texas State University, San Marcos, TX, United States.ORCID 0000-0002-7636-1086
Lawrence Fulton *School of Health Administration, College of Health Professions, Texas State University, San Marcos, TX, United States.ORCID 0000-0001-8603-1913
Ramalingam Shanmugam *School of Health Administration, College of Health Professions, Texas State University, San Marcos, TX, United States.ORCID 0000-0002-3388-1014
Zo Ramamonjiarivelo *School of Health Administration, College of Health Professions, Texas State University, San Marcos, TX, United States.ORCID 0000-0001-5756-3582
Matthew Brooks *School of Health Administration, College of Health Professions, Texas State University, San Marcos, TX, United States.ORCID 0000-0001-6064-1545
Texas State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic health records (EHRs) are a central feature of care delivery in acute care hospitals; however, the financial and quality outcomes associated with system performance remain unclear.

objectiveIn this study, we aimed to evaluate the association between the top 3 EHR vendors and measures of hospital financial and quality performance.

methodsThis study evaluated 2667 hospitals with Cerner, Epic, or Meditech as their primary EHR and considered their performance with regard to net income, Hospital Value-Based Purchasing Total Performance Score (TPS), and the unweighted subdomains of efficiency and cost reduction; clinical care; patient- and caregiver-centered experience; and patient safety. We hypothesized that there would be a difference among the 3 vendors for each measure.

resultsNone of the EHR systems were associated with a statistically significant financial relationship in our study. Epic was positively associated with TPS outcomes (R

conclusionsThe results of this study provide evidence of a difference in clinical outcome performance among the top 3 EHR vendors and may serve as supportive evidence for health care leaders to target future capital investments to improve health care delivery.

Indexed as

Data AnalysisElectronic Health RecordsHospitalsHumansPatient SafetyRetrospective Studiesdelivery of health careelectronic health recordsfinancial managementhospitalsmedical informaticsquality of health caretreatment outcome

Identifiers

PMID33851924
PMCPMC8082376
OpenAlexW3129025231

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.