Dustin McEvoy1, Michael L Barnett2,3, Dean F Sittig4, Skye Aaron3, Ateev Mehrotra5, Adam Wright3,6. 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
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.
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.
Authors: Chunya Huang; Ross Koppel; John D McGreevey; Catherine K Craven; Richard Schreiber Journal: Appl Clin Inform Date: 2020-11-11 Impact factor: 2.342