The Impact of Electronic Health Record Implementation and Use on Performance of the Surgical Care Improvement Project Measures
Article first published online: 26 JUN 2014
© Health Research and Educational Trust
Health Services Research
Volume 50, Issue 1, pages 273–289, February 2015
How to Cite
Thirukumaran, C. P., Dolan, J. G., Webster, P. R., Panzer, R. J. and Friedman, B. (2015), The Impact of Electronic Health Record Implementation and Use on Performance of the Surgical Care Improvement Project Measures. Health Services Research, 50: 273–289. doi: 10.1111/1475-6773.12191
- Issue published online: 29 JAN 2015
- Article first published online: 26 JUN 2014
- Quality of care/patient safety (measurement);
- observational data/quasi-experiments;
To examine the impact of electronic health record (EHR) deployment on Surgical Care Improvement Project (SCIP) measures in a tertiary-care teaching hospital.
SCIP Core Measure dataset from the CMS Hospital Inpatient Quality Reporting Program (March 2010 to February 2012).
One-group pre- and post-EHR logistic regression and difference-in-differences analyses.
Statistically significant short-term declines in scores were observed for the composite, postoperative removal of urinary catheter and post–cardiac surgery glucose control measures. A statistically insignificant improvement in scores for these measures was noted 3 months after EHR deployment.
The transition to an EHR appears to be associated with a short-term decline in quality. Implementation strategies should be developed to preempt or minimize this initial decline.