Do health information technology investments impact hospital financial performance and productivity?

توضیحات

ABSTRACT

In this study, we examine the associations between health information technology expenses, intermediate business processes, hospital financial performance and productivity. Research using hospital financial data prior to the Health Information Technology for Economic and Clinical Health Act is limited. Using Definitive Healthcare data, we find that health information technology expenses, including information technology operating expense and capital expense, are positively associated with hospitals’ return on assets and productivity. In addition, investments also generate effects via hospital’s intermediate business processes, such as electronic health records (EHR) adoption, and quality measures. Our findings suggest that hospitals’ health information technology investments involving intermediate business  processes are associated withpositive financial performance and productivity following the implementation of the Health Information Technology for Economic and Clinical Health Act.

INTRODUCTION

 The Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act of 2009, promotes the adoption and use of Health Information Technology (HIT) by providing significant  financial incentives and penalties to healthcare organizations. With large investments in information technology such as Electronic Health Record (EHR) systems, questions related to financial and productive payoffs become increasingly important. EHRs meet the goals of integrating  patient medical history with current treatment thereby facilitating improved quality of care and increased productivity, but are expensive for organizations, potentially impacting financial performance and productivity (Kohli and Tan, 2016; Devaraj and Kohli, 2000; Li and Collier, 2000). Since the enactment of HITECH, the adoption rate of EHR systems has increased  significantly.1 As of 2015, 84% of hospitals report adopting at least a basic EHR system, representing a nine-fold increase since 2008 (Henry et al., 2016). To encourage EHR adoption, the Centers for Medicare & Medicaid Services (CMS) provides incentive payments to hospitals that successfully demonstrate Meaningful Use of EHR technology.

Year: ۲۰۱۸

Publisher : ELSEVIER

 By : Tiankai Wang, Yangmei Wang, Alexander McLeod

File Information: English Language/ 13 Page / size: 251 KB

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سال : ۱۳۹۶

ناشر : ELSEVIER

کاری از : Tiankai وانگ، Yangmei وانگ، الکساندر مک لئود

اطلاعات فایل : زبان انگلیسی / 13 صفحه / حجم : KB 251

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