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The impact of electronic health record implementation and use on performance of the Surgical Care Improvement Project
Caroline Pinto Thirukumaran1, James G Dolan, Patricia Reagan Webster
1Department of Public Health Sciences, University of Rochester, Rochester, NY.
Objective:
To examine the impact of electronic health record (EHR) deployment on Surgical Care Improvement Project (SCIP) measures in a tertiary-care teaching hospital.
Data Sources:
SCIP Core Measure dataset from the CMS Hospital Inpatient Quality Reporting Program (March 2010 to February 2012).
Study Design:
One-group pre- and post-EHR logistic regression and difference-in-differences analyses.
Principal Findings:
Statistically significant short-term declines in scores were observed for the composite, postoperative removal of urinary catheter and post-cardiac surgery glucose control measures. A statistically insignificant improvement in scores for these measures was noted 3 months after EHR deployment.
Conclusion:
The transition to an EHR appears to be associated with a short-term decline in quality. Implementation strategies should be developed to preempt or minimize this initial decline.
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