The Impact of Accelerating Electronic Prescribing on Hospitals' Productivity Levels: Can Health Information Technology Bend the Curve?
Open Access
- 1 November 2011
- journal article
- research article
- Published by SAGE Publications in INQUIRY: The Journal of Health Care Organization, Provision, and Financing
- Vol. 48 (4), 304-312
- https://doi.org/10.5034/inquiryjrnl_48.04.04
Abstract
This paper examines how different strategies for implementing computerized prescriber order entry (CPOE) impact hospitals' productivity. We used the American Hospital Association's Annual Survey to construct hospital-level measures for 1,812 facilities and analyzed the productivity indices against CPOE use rates. The relationship between CPOE use rates and indices for “technical efficiency change” and “total factor productivity” was significant. Hospitals introducing CPOE facilitywide in a one-year period (where usage went from zero to more than 50%) experienced declines in both productivity indices. One implication is that hospitals achieving the goals of the “meaningful use program promoted by the Centers for Medicare and Medicaid Services may do so at the expense of productivity.Keywords
This publication has 31 references indexed in Scilit:
- The Impact of eHealth on the Quality and Safety of Health Care: A Systematic OverviewPLoS Medicine, 2011
- Future of clinical decision support in computerized prescriber order entryAmerican Journal of Health-System Pharmacy, 2010
- Launching HITECHThe New England Journal of Medicine, 2010
- The Effect of Physicians' Long-term Use of CPOE on Their Test Management Work PracticesJournal of the American Medical Informatics Association, 2006
- Factors and Forces Affecting EHR System Adoption: Report of a 2004 ACMI DiscussionJournal of the American Medical Informatics Association, 2004
- Some Unintended Consequences of Information Technology in Health Care: The Nature of Patient Care Information System-related ErrorsJournal of the American Medical Informatics Association, 2003
- Hospital cost efficiency and system membership.INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 2003
- Medical Informatics and the Quality of Health: New Approaches to Support Patient CareMethods of Information in Medicine, 2003
- The Impact of Computerized Physician Order Entry on Medication Error PreventionJournal of the American Medical Informatics Association, 1999
- Effect of Computerized Physician Order Entry and a Team Intervention on Prevention of Serious Medication ErrorsJAMA, 1998