Evidence map›Paper›PMID 40677604›Full record

ArticleLearning health systems2025

Trends in electronic health record metadata use for management purposes.

Nuo Xu, Ishwar Badwaik, Gunwoo Lee, Eric W Ford

Abstract read
In one paragraph

Article in Learning health systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Review
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

4 authors.

Nuo XuCollat School of Business The University of Alabama at Birmingham Birmingham AL USA.
Ishwar BadwaikCollat School of Business The University of Alabama at Birmingham Birmingham AL USA.
Gunwoo LeeCollat School of Business The University of Alabama at Birmingham Birmingham AL USA.
Eric W FordHealth Care Organization and Policy (HCOP) University of Alabama at Birmingham Birmingham AL USA.ORCID https://orcid.org/0000-0002-7885-0019

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to analyze hospitals' adoption and integration of electronic health record (EHR) metadata into their management processes. Design: The study compares the rates of EHR metadata utilization across various hospitals over time. Hospitals' self-reported use of EHR metadata is drawn from the AHA-IT Supplements from 2018 to 2020. An analysis of metadata utilization by EHR vendors is also provided. Method: The study uses Bass diffusion modeling to estimate EHR adoption parameters by fitting adoption rate data from 2018 to 2020, using Excel Solver to minimize prediction errors. The estimated internal and external influence coefficients reveal which factor primarily drives adoption, while the diffusion model enables future projection of tipping point and adoption level. Results: Analysis of EHR metadata utilization rates from 2018 to 2020 find a significant trend towards the integration of this data into hospital management practices. Among health systems responding to the items of interest, 69% of them are already using EHR metadata, and it is projected that nearly all will do so by 2035. Further, metadata use varied significantly depending on the vendor. Discussion: The study underscores that hospital managers' intrinsic motivations, rather than external demands, are driving EHR metadata. As innovations with greater intrinsic appeal spread more rapidly and have greater staying power, EHR metadata use will continue to grow. These trends are indicative of the growing importance of EHR metadata in management decision-making, clinical quality improvement, and optimizing workforce efficiency. Conclusions: EHR metadata holds great promise as a managerial and health service research source. The tools' utilities would be enhanced if EHR vendors created uniform metrics.

Indexed as

electronic health recordhealth policyphysicianstechnology adoption

Identifiers

PMID40677604
PMCPMC12264387

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.