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The effect of information technology on hospital performance

Williams, Cynthia ; Asi, Yara ; Raffenaud, Amanda ; Bagwell, Matt ; Zeini, Ibrahim

Health care management science, 2016-12, Vol.19 (4), p.338-346 [Periódico revisado por pares]

New York: Springer US

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Título:
The effect of information technology on hospital performance
Autor: Williams, Cynthia ; Asi, Yara ; Raffenaud, Amanda ; Bagwell, Matt ; Zeini, Ibrahim
Assuntos: Business and Management ; Communication ; Computerized physician order entry ; Cost reduction ; Data envelopment analysis ; Decision making ; Decision trees ; Diagnostic Techniques and Procedures ; Econometrics ; Efficiency ; Efficiency, Organizational ; Electronic health records ; Electronic Health Records - organization & administration ; Health Administration ; Health care access ; Health care industry ; Health care policy ; Health Informatics ; Health Policy ; Health Services Research ; Hospital Administration ; Hospital Bed Capacity - statistics & numerical data ; Hospitals ; Humans ; Information storage ; Information Systems - organization & administration ; Information technology ; Management ; Medical Order Entry Systems - organization & administration ; Medical records ; Operations Research/Decision Theory ; Order entry ; Patient Access to Records ; Patient Readmission ; Patient Satisfaction ; Patients ; Perception ; Personal health ; Personnel Staffing and Scheduling - organization & administration ; Quality of care ; Quality of Health Care - organization & administration ; Regression analysis ; Technology adoption ; United States
É parte de: Health care management science, 2016-12, Vol.19 (4), p.338-346
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: While healthcare entities have integrated various forms of health information technology (HIT) into their systems due to claims of increased quality and decreased costs, as well as various incentives, there is little available information about which applications of HIT are actually the most beneficial and efficient. In this study, we aim to assist administrators in understanding the characteristics of top performing hospitals. We utilized data from the Health Information and Management Systems Society and the Center for Medicare and Medicaid to assess 1039 hospitals. Inputs considered were full time equivalents, hospital size, and technology inputs. Technology inputs included personal health records (PHR), electronic medical records (EMRs), computerized physician order entry systems (CPOEs), and electronic access to diagnostic results. Output variables were measures of quality, hospital readmission and mortality rate. The analysis was conducted in a two-stage methodology: Data Envelopment Analysis (DEA) and Automatic Interaction Detector Analysis (AID), decision tree regression (DTreg). Overall, we found that electronic access to diagnostic results systems was the most influential technological characteristics; however organizational characteristics were more important than technological inputs. Hospitals that had the highest levels of quality indicated no excess in the use of technology input, averaging one use of a technology component. This study indicates that prudent consideration of organizational characteristics and technology is needed before investing in innovative programs.
Editor: New York: Springer US
Idioma: Inglês

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The effect of information technology on hospital performance

Williams, Cynthia ; Asi, Yara ; Raffenaud, Amanda ; Bagwell, Matt ; Zeini, Ibrahim

New York: Springer US

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