Related Experiment Video
Updated: Feb 14, 2026

TBase - an Integrated Electronic Health Record and Research Database for Kidney Transplant Recipients
Published on: April 13, 2021
Changes in hospital bond ratings after the transition to a new electronic health record
Dustin McEvoy1, Michael L Barnett2,3, Dean F Sittig4
1Partners Healthcare, Information Systems, Somerville, MA, USA.
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.
Related Concept Videos
Ionic Bonding and Electron Transfer
Hospitals-II
Nurses that work in...
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
Purpose of Health Records II
Bonding in Metals
Hospitals-I

