Morgane Plantier1, Nathalie Havet2, Thierry Durand3, Nicolas Caquot4, Camille Amaz5, Pierre Biron6, Irène Philip7, Lionel Perrier8. 1. Direction de la Recherche Clinique et de l'Innovation, Centre de lutte contre le cancer Léon Bérard, 28 rue Laennec, 69008 Lyon, France. Electronic address: morgane.plantier@univ-lyon1.fr. 2. University of Lyon, Université Claude Bernard Lyon 1, ISFA, Laboratoire SAF, 50 avenue Tony Garnier, 69007 Lyon, France. Electronic address: nathalie.havet@univ-lyon1.fr. 3. Direction du Système d'Information, Centre de lutte contre le cancer Léon Bérard, 28 rue Laennec, 69008 Lyon, France. Electronic address: thierry.durand@lyon.unicancer.fr. 4. Groupe Hospitalier Mutualiste de Grenoble, 8 rue Dr Calmette, 38000 Grenoble, France. Electronic address: N.CAQUOT@ghm-grenoble.fr. 5. Direction de la Recherche Clinique et de l'Innovation, Centre de lutte contre le cancer Léon Bérard, 28 rue Laennec, 69008 Lyon, France. Electronic address: camille.amaz@lyon.unicancer.fr. 6. Centre de lutte contre le cancer Léon Bérard, 28 rue Laennec, 69008 Lyon, France. Electronic address: pierre.biron@lyon.unicancer.fr. 7. Direction de la Qualité, Centre de lutte contre le cancer Léon Bérard, 28 rue Laennec, 69008 Lyon, France. Electronic address: irene.philip@lyon.unicancer.fr. 8. Direction de la Recherche Clinique et de l'Innovation, Centre de lutte contre le cancer Léon Bérard, 28 rue Laennec, 69008 Lyon, France; GATE Lyon Saint Etienne-UMR-CNRS 5824, University of Lyon, Lyon, France. Electronic address: lionel.perrier@lyon.unicancer.fr.
Abstract
BACKGROUND: Electronic health records (EHR) are increasingly being adopted by healthcare systems worldwide. In France, the "Hôpital numérique 2012-2017" program was implemented as part of a strategic plan to modernize health information technology (HIT), including the promotion of widespread EHR use. With significant upfront investment costs as well as ongoing operational expenses, it is important to assess this system in terms of its ability to result in improvements in hospital performances. OBJECTIVE: The aim of this study was to evaluate the impact of EHR use on the quality of care management in acute care hospitals throughout France. METHODS: This retrospective study was based on data derived from three national databases for the year 2011: IPAQSS (indicators of improvement in the quality and the management of healthcare, "IPAQSS"), Hospi-Diag (French hospital performance indicators), and the national accreditation database. Several multivariate models were used to examine the association between the use of EHRs and specific EHR features with four quality indicators: the quality of patient record, the delay in sending information at hospital discharge, the pain status evaluation, and the nutritional status evaluation, while also adjusting for hospital characteristics. RESULTS: The models revealed a significant positive impact of EHR use on the four quality indicators. Additionally, they showed a differential impact according to the functionality of the element of the health record that was computerized. All four quality indicators were also impacted by the type of hospital, the geographical region, and the severity of the pathology. CONCLUSION: These results suggest that, to improve the quality of care management in hospitals, EHR adoption represents an important lever. They complete previous work dealing with EHR and the organizational performance of hospital surgical units.
BACKGROUND: Electronic health records (EHR) are increasingly being adopted by healthcare systems worldwide. In France, the "Hôpital numérique 2012-2017" program was implemented as part of a strategic plan to modernize health information technology (HIT), including the promotion of widespread EHR use. With significant upfront investment costs as well as ongoing operational expenses, it is important to assess this system in terms of its ability to result in improvements in hospital performances. OBJECTIVE: The aim of this study was to evaluate the impact of EHR use on the quality of care management in acute care hospitals throughout France. METHODS: This retrospective study was based on data derived from three national databases for the year 2011: IPAQSS (indicators of improvement in the quality and the management of healthcare, "IPAQSS"), Hospi-Diag (French hospital performance indicators), and the national accreditation database. Several multivariate models were used to examine the association between the use of EHRs and specific EHR features with four quality indicators: the quality of patient record, the delay in sending information at hospital discharge, the pain status evaluation, and the nutritional status evaluation, while also adjusting for hospital characteristics. RESULTS: The models revealed a significant positive impact of EHR use on the four quality indicators. Additionally, they showed a differential impact according to the functionality of the element of the health record that was computerized. All four quality indicators were also impacted by the type of hospital, the geographical region, and the severity of the pathology. CONCLUSION: These results suggest that, to improve the quality of care management in hospitals, EHR adoption represents an important lever. They complete previous work dealing with EHR and the organizational performance of hospital surgical units.
Authors: Andrew M Ferry; Matthew J Davis; Ewa Rumprecht; Alexander L Nigro; Priya Desai; Larry H Hollier Journal: Plast Reconstr Surg Glob Open Date: 2021-06-22