What question did this study set out to answer?

To evaluate the relationship between incremental electronic health record adoption, system maturation over time, and thirty-day hospital mortality rates.

July 1, 2018Health Affairs

Electronic Health Records Associated With Lower Hospital Mortality After Systems Have Time To Mature

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Authors

SLSunny C. LinWashington University in St. Louis AJAshish K. JhaChandigarh University JAJulia Adler‐MilsteinUniversity of California, San Francisco

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Implication

Longitudinal analysis reveals reduced thirty-day mortality rates as electronic health record systems mature in US hospitals, suggesting clinical benefits require time to materialize.

Key Points

To evaluate the relationship between incremental electronic health record adoption, system maturation over time, and thirty-day hospital mortality rates.
Analyzed longitudinal hospital data from 2008 to 2013 across US hospitals to evaluate incremental adoption and maturation of electronic health record (EHR) functions.
Assessed thirty-day mortality rates in relation to baseline EHR adoption, years of function maturation, and newly added functions, with subgroup analyses by hospital size and teaching status.
Baseline EHR adoption was associated with a 0.11-percentage-point higher mortality rate per function, but baseline function maturation was associated with a 0.09-percentage-point reduction in mortality rate per year per function.
Each newly adopted EHR function during the study period was associated with a 0.21-percentage-point reduction in mortality rate per year per function.
Effect modification was observed by hospital characteristics, with small and nonteaching hospitals experiencing greater mortality reductions than larger or teaching facilities.

Cite This Study

Lin et al. (2018) studied this question.

synapsesocial.com/papers/6a10f7fc39dd87f6d0eea62f https://doi.org/10.1377/hlthaff.2017.1658

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Implication

Longitudinal analysis reveals reduced thirty-day mortality rates as electronic health record systems mature in US hospitals, suggesting clinical benefits require time to materialize.

Electronic Health Records Associated With Lower Hospital Mortality After Systems Have Time To Mature

Discussion

Member takes

Implication

Key Points

Cite This Study

Electronic Health Records Associated With Lower Hospital Mortality After Systems Have Time To Mature

Discussion

Member takes

Implication

Key Points

Cite This Study

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