The effect of information technology on hospital performance

Abstract

While healthcare entities have integrated various forms of health information technology (HIT) into their systems due to claims of increased quality and decreased costs, as well as various incentives, there is little available information about which applications of HIT are actually the most beneficial and efficient. In this study, we aim to assist administrators in understanding the characteristics of top performing hospitals. We utilized data from the Health Information and Management Systems Society and the Center for Medicare and Medicaid to assess 1039 hospitals. Inputs considered were full time equivalents, hospital size, and technology inputs. Technology inputs included personal health records (PHR), electronic medical records (EMRs), computerized physician order entry systems (CPOEs), and electronic access to diagnostic results. Output variables were measures of quality, hospital readmission and mortality rate. The analysis was conducted in a two-stage methodology: Data Envelopment Analysis (DEA) and Automatic Interaction Detector Analysis (AID), decision tree regression (DTreg). Overall, we found that electronic access to diagnostic results systems was the most influential technological characteristics; however organizational characteristics were more important than technological inputs. Hospitals that had the highest levels of quality indicated no excess in the use of technology input, averaging one use of a technology component. This study indicates that prudent consideration of organizational characteristics and technology is needed before investing in innovative programs.

A Conceptual Model to Evaluate Technology Implementations: A Home Care Case Study

“…Preethy and Yasar used DEA to evaluate performance in hospitals from an efficiency and quality perspective [10]. In the same way, Williams et al evaluated the effects of information systems (IS) in hospitals using DEA to investigate if a larger number of IS implementations leads to increased healthcare quality [11]. Furthermore, [12] employed DEA on a lower level to identify the best healthcare process with particular attention paid to efficiency.…”

Malaysia Health Information Exchange: A systematic review

“…Time spent by the hospital staff in verifying information could be reduced, which includes that of medical tests, results and diagnoses of patients (Blaya et al, 2010;Payne et al, 2011;Zaidan et al, 2015;Williams et al, 2016). Zaidan et al (2015) also found that the costs could be reduced by using HIE; for example, reducing the duplication of tests and results as well as less usage of paper in hospitals (Yaraghi, 2015;Zaidan et al, 2015;Bailey et al, 2013;Miller & Tucker, 2014).…”

“…The researchers (Friedberg et al, 2014;Byrne et al, 2014;Otte-Trojel et al, 2014;Ritten-house et al, 2017) agreed that HIE could increase patient satisfaction, especially when the medical information is accessible to them when they needed it. (Kaelber & Bates, 2007;Hyppönen et al, 2014;Thorn et al, 2014;Zaidan et al, 2015) Timeliness (Blaya et al, 2010;Payne et al, 2011;Zaidan et al, 2015;Williams et al, 2016) Assessing quality of care (Iezzoni, 1997;Zaidan et al, 2015;Vest & Gamm, 2010;AdlerMilstein et al, 2011;Parker et al, 2016). Research resource (Safran et al, 2007;Nissinen et al, 2016;Groves et al, 2016;Miller & Tucker, 2014) Organizational benefits (Vest, 2012;Friedberg et al, 2014;Byrne et al, 2014;Otte-Trojel et al, 2014;Rittenhouse et al, 2017) Patient perception (Park, 2013;Hsieh, 2015;Geissbuhler, 2013) Security and privacy (Gritzalis & Lambrinoudakis, 2004;Ibrahim & Singhal, 2016;Kruse et al, 2014;Huang et al, 2014) Cost reduction (Yaraghi, 2015;Zaidan et al, 2015;Bailey et al, 2013;Miller & Tucker, 2014) Patient perceptions of health information sharing are important as discovered by Park (201...…”

“…Several studies (n = 14) found that organizational issues could affect the electronic healthcare system, including the HIE (Ahmadi et al, 2015;Goo & Huan, 2015;Sulaiman & Wickramasinghe, 2014;Yucel et al, 2012;Ismail & Abdullah, 2016;Mohd. Yusof, 2015;Abdullah, 2012;Ross et al, 2010;Rudin et al, 2011;Rudin et al, 2014;24;25;Zaidan et al, 2015;Williams et al, 2016).…”

“…Several studies (n = 4) found that time could be reduced to perform tasks in the workplace (Blaya et al, 2010;Payne et al, 2011;Zaidan et al, 2015;Williams et al, 2016). This is because patient data and information are assessable through the system and shareable with systems of other locations (Williams et al, 2016). According to literatures, organizational size, managerial structure and timeliness could influence MyHiX implementation as shown in Table 6.…”