Changes in hospital bond ratings after the transition to a new electronic health record-Reference-Cited by-同舟云学术

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

Published:2018-02-20 Issue:5 Volume:25 Page:572-574
ISSN:1067-5027
Container-title:Journal of the American Medical Informatics Association
language:en
Short-container-title:

Author:

McEvoy Dustin¹,Barnett Michael L²³,Sittig Dean F⁴,Aaron Skye³,Mehrotra Ateev⁵,Wright Adam³⁶

Affiliation:

1. Partners Healthcare, Information Systems, Somerville, MA, USA

2. Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA

3. Brigham and Women’s Hospital, Boston, MA, USA

4. School of Biomedical Informatics, University of Texas Health Science Center, Houston, TX, USA

5. Department of Health Care Policy, Harvard Medical School, Boston, MA, USA and

6. Department of Medicine, Harvard Medical School, Boston, MA, USA

Abstract

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.

Publisher

Oxford University Press (OUP)

Subject

Health Informatics

Link

http://academic.oup.com/jamia/article-pdf/25/5/572/34150657/ocy007.pdf

Reference7 articles.

1. Adoption of electronic health record systems among US non-federal acute care hospitals: 2008-2012;Charles;ONC Data Brief.,2013

2. Partners posts $108m operating loss, its largest;McCluskey;The Boston Globe [serial on the Internet],2016

3. MD Anderson runs up $102 million in losses;Loeb;Houston Chronicle [serial on the Internet],2016

4. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study;Barnett;BMJ,2016

Cited by 7 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Transitioning from One Electronic Health Record to Another: A Systematic Review;Journal of General Internal Medicine;2023-10

2. Electronic Health Record Transitions—How to Make Them Work;Journal of General Internal Medicine;2023-10

3. Applying requisite imagination to safeguard electronic health record transitions;Journal of the American Medical Informatics Association;2022-01-12

4. Transitions from One Electronic Health Record to Another: Challenges, Pitfalls, and Recommendations;Applied Clinical Informatics;2020-10

5. Early warning of nursing risk based on patient electronic medical record information;Journal of Infection and Public Health;2020-10