Use of Electronic Health Records in U.S. Hospitals

Jha, Ashish K.; DesRoches, Catherine M.; Campbell, Eric G.; Donelan, Karen; Rao, Sowmya R.; Ferris, Timothy G.; Shields, Alexandra E.; Rosenbaum, Sara; Blumenthal, David

doi:10.1056/nejmsa0900592

Cited by 1,216 publications

(920 citation statements)

References 19 publications

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“…In 2006, the advanced EMRs adoption rate is under 6 percent for our sample. Therefore our definition is still less restrictive than the 'comprehensive' electronicrecords system concept used by Jha et al (2009), who report only 1.5 percent of hospitals having such a system in place by 2008. These advanced features are especially important for standardizing care, managing drug prescriptions for patients with multiple conditions and preventing medical errors.…”

Section: Analysis Of Alternative Technologiesmentioning

confidence: 89%

Can Health Care Information Technology Save Babies?

Miller

Tucker

2011

Journal of Political Economy

159

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Electronic Medical Records (EMRs) facilitate fast and accurate access to patient records, which could improve diagnosis and patient monitoring. Using a 12-year countylevel panel, we find that a 10 percent increase in births that occur in hospitals with EMRs reduces neonatal mortality by 16 deaths per 100,000 live births. This is driven by a reduction of deaths from conditions requiring careful monitoring. We also find a strong decrease in mortality when we instrument for EMRs adoption using variation in state medical privacy laws. Rough cost-effectiveness calculations suggest that EMRs are associated with a cost of $531,000 per baby's life saved.

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Section: Analysis Of Alternative Technologiesmentioning

confidence: 89%

Can Health Care Information Technology Save Babies?

Miller

Tucker

2011

Journal of Political Economy

159

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“…A 2008 crosssectional survey that used more stringent definitions of computerization adoption found lower levels of implementation. 36 Even if the HIMSS survey provides an imperfect measure of computerization, the lack of cost and efficiency differences between hospitals at the extremes of computerization suggests that its salutary effects cannot be large.…”

Section: Discussionmentioning

confidence: 99%

Hospital Computing and the Costs and Quality of Care: A National Study

Himmelstein¹,

Wright²,

Woolhandler³

2010

The American Journal of Medicine

168

121

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“…Computing technology has transformed virtually every aspect of our daily life, however the proportion of U.S. health care professionals and hospitals that have transitioned to EHRs is remarkably small [4,7]. The barriers include cost, technical challenges, interoperability, privacy and confidentiality and an adequate HIT workforce.…”

Section: Ehrs In Orthopaedicsmentioning

confidence: 99%

ABJS Carl T. Brighton Workshop on Health Informatics in Orthopaedic Surgery: Editorial Comment

Veillette

2010

Clinical Orthopaedics &Amp; Related Research

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The economic woes of the United States (U.S.) healthcare system have given rise to an unprecedented federal effort to modernize the information systems and promote the adoption of health information technology (HIT). The recent economic stimulus package-the American Recovery and Reinvestment Act of 2009 (ARRA)-has a HIT component (HITECH Act) that will allocate $17 billion in financial incentives intended to persuade doctors and hospitals to adopt meaningful use of an electronic health record (EHR) and $2 billion for support systems and requisite infrastructure [1,2]. The purpose of the HITECH Act is to encourage health care providers to leverage HIT tools to achieve quality and efficiency goals. Although this primary value proposition for HIT adoption by health care professionals remains a matter of debate, the potential for secondary benefits such as the reuse of clinical data for research and quality improvement is inevitable [8].The U.S. is not alone in their efforts to adopt HIT. The United Kingdom's NHS Connecting for Health (http://www.informatics.nhs.uh), Australia's HealthConnect (www.healthconnect.gov.au) and Canada's Health Infoway (www.infoway-inforoute.ca) represent three such efforts at different stages of implementation. EHRs, however, are just one of the many tools of health informatics. The tools of informatics encompass clinical guidelines and decision support, formal health languages, information systems (EHRs, PACS, integrated databases and registries) and communication systems (Internet, telemedicine). It is important to remember that these tools are only a means to an end-the delivery of the best possible healthcare.Informatics is the intersection of people, information and technology. Within the field of informatics are several major subcategories, each with their own domain (Fig. 1). Health informatics has been defined broadly as the logic of healthcare [3]. It is a field concerned with the optimal use of information, often aided by technology, to improve individual health, health care, public health, and biomedical research [6].Substantial differences have been identified between various clinical fields to justify the creation of areas of ''subspecialty'' informatics. Certainly there is enough uniqueness in our information needs, those of our patients and the technologies we routinely use to make clinical decisions to warrant the existence of orthopaedic informatics. Orthopaedic informatics is therefore the logic of orthopaedics-the rational study of the way we think about patients: the way we define, select and evolve treatments; how we create, share and apply clinical knowledge; the information needs of our consumers. It is aided by informatics tools to obtain the information we need in the appropriate detail, of the appropriate quality, when we need it, where we need it, to improve the efficiency and effectiveness of patient care, research and education. Informatics skills underpin communicating effectively, structuring information, questioning to find information, searching for knowl...

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Use of Electronic Health Records in U.S. Hospitals

Cited by 1,216 publications

References 19 publications

Can Health Care Information Technology Save Babies?

Can Health Care Information Technology Save Babies?

Hospital Computing and the Costs and Quality of Care: A National Study

ABJS Carl T. Brighton Workshop on Health Informatics in Orthopaedic Surgery: Editorial Comment

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