Strategic Complements or Substitutes? The Case of Adopting Health Information Technology by U.S. Hospitals

2021 ◽  
pp. 1-55
Author(s):  
Jianjing Lin
Keyword(s):  
Information Technology ◽  
Health Information ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Static Model ◽  
Counterfactual Analysis ◽  
Strategic Complements ◽  
Oligopoly Model ◽  
Incentive Program ◽  
Dynamic Oligopoly

Abstract This paper explores the adoption choice of electronic medical records by U.S. hospitals, which could exhibit strategic complements or substitutes. I find complementarities in adoption through a reducedform analysis with instruments for unobserved market characteristics. I further develop a dynamic oligopoly model to allow for strategic timing incentives that are missing in the static model. Adopting a dominant local vendor could increase perperiod profits from adoption by 9.2% over choosing a marginal vendor. A counterfactual analysis suggests an incentive program rewarding coordination, not just adoption, is more effective in achieving interoperability, especially before the widespread adoption of the technology.

Future Health Services Managers' and Health Information Managers' Views on Information Technology: A Pilot Survey

1996 ◽  
Vol 26 (2) ◽  
pp. 82-87 ◽  
Author(s):  
Jeffrey Braithwaite ◽  
Johanna I Westbrook
Keyword(s):  
Information Technology ◽  
Health Service ◽  
Health Information ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Future Health ◽  
Disk Storage ◽  
Pilot Survey ◽  
Service Managers ◽  
Insight Into

This pilot survey examined the views of a sample of health service managers (HSMs) and health information managers (HIMs) undertaking tertiary studies about the application of information technology (IT) in health care. The survey was based on a questionnaire designed as part of a 1994 study of health service executives (HSEs) commissioned by the Australian College of Health Service Executives (ACHSE). We examined views about current and future IT expenditure, satisfaction with IT, impact of IT on quality and efficiency and the future use of electronic medical records and optical disk storage. Results identify differences and some similarities between respondent groups on these issues. The paper explores these differences and similarities and provides insight into the views held by future HSMs and HIMs.

scholarly journals Meaningful Use and Certification of Health Information Technology: What about Safety?

2011 ◽  
Vol 39 (S1) ◽  
pp. 77-80 ◽  
Author(s):  
Sharona Hoffman ◽  
Andy Podgurski
Keyword(s):  
Information Technology ◽  
Federal Government ◽  
Health Information Technology ◽  
Health Information ◽  
Medical Records ◽  
Meaningful Use ◽  
Medicaid Program ◽  
President Obama ◽  
Incentive Program ◽  
American Health Care

Health information technology (HIT) is becoming increasingly prevalent in medical offices and facilities. Like President George W. Bush before him, President Obama announced a plan to computerize all Americans’ medical records by 2014. Computerization is certain to transform American health care, but to ensure that its benefits outweigh its risks, the federal government must provide appropriate oversight.President Obama’s stimulus legislation, the American Recovery and Reinvestment Act of 2009 (ARRA), dedicated $27 billion to the promotion of health information technology. It provides payments of up to $44,000 per clinician under the Medicare incentive program and $63,750 per clinician under the Medicaid program.

Educational approaches for improving physicians’ use of health information technology

2019 ◽  
Vol 32 (4) ◽  
pp. 188-191 ◽  
Author(s):  
Aviv Shachak ◽  
Gurprit K. Randhawa ◽  
Noah H. Crampton
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Chronic Disease Management ◽  
Data Entry ◽  
Rigorous Evaluation ◽  
Video Tutorials ◽  
And Training

The benefits of Health Information Technology (HIT) depend on the way they are being used. Education and training are often needed to move from basic to advanced, value-adding, use. In this article, we describe three educational approaches that can help in achieving this goal: “productive failure,” video tutorials, and simulation. We describe the rationale behind these approaches, their strengths, and limitations and illustrate their application, respectively, to three problems associated with the use of HIT in clinical practice: improving data quality within Electronic Medical Records (EMRs) at the point of data entry, use of advanced EMR features for chronic disease management, and impact of the EMR on patient-clinician communication. We conclude that, while these approaches are promising, there is a need for innovation and diversity of educational approaches to address use of advanced HIT features, identified challenges with HIT, and usage in context—as well as for rigorous evaluation.

scholarly journals The efficiency analysis and spatial implications of health information technology: A regional exploratory study in China

2019 ◽  
Vol 26 (3) ◽  
pp. 1700-1713
Author(s):  
Dan Li ◽  
Jianqian Chao ◽  
Jing Kong ◽  
Gui Cao ◽  
Mengru Lv ◽  
...  
Keyword(s):  
Information Technology ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Communication Systems ◽  
Spatial Association ◽  
Healthcare Information Technology ◽  
Healthcare Information ◽  
Frontier Analysis ◽  
Picture Archiving ◽  
Picture Archiving And Communication

The new adoption of healthcare information technology is costly, and effects on healthcare performance can be questionable. This nationwide study in China investigated the efficient performance of healthcare information technology and examined its spatial correlation. Panel data were extracted from the Annual Investigation Report on Hospital Information in China and the China Health Statistics Yearbook for 2007 through 2015 (279 observations). Stochastic frontier analysis was employed to estimate the technical efficiency of healthcare information technology performance and related factors at the regional level. Healthcare information technology performance was positively associated with electronic medical records, total input, and cost of inpatient stay, while picture archiving and communication systems and net assets were negatively related. Local Indicators of Spatial Association showed that there existed significant spatial autocorrelation. Governmental policies would best make distinctions among different forms of healthcare information technology, especially between electronic medical records and picture archiving and communication systems. Policies should be formulated to improve healthcare information technology adoption and reduce regional differences.

Big data or big risk: general practitioner, practice nurse and practice manager attitudes to providing de-identified patient health data from electronic medical records to researchers

2020 ◽  
Vol 26 (6) ◽  
pp. 466
Author(s):  
Timothy Monaghan ◽  
Jo-Anne Manski-Nankervis ◽  
Rachel Canaway
Keyword(s):  
Primary Care ◽  
Health Information ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Health Data ◽  
Positive Effects ◽  
Patient Consent ◽  
Patient Health ◽  
General Practices ◽  
Patient Health Information

Research utilising de-identified patient health information extracted from electronic medical records (EMRs) from general practices has steadily grown in recent years in response to calls to increase use of health data for research and other secondary purposes in Australia. Little is known about the views of key primary care personnel on this issue, which are important, as they may influence whether practices agree to provide EMR data for research. This exploratory qualitative study investigated the attitudes and beliefs of general practitioners (GPs), practice managers (PMs) and practice nurses (PNs) around sharing de-identified EMR patient health information with researchers. Semi-structured interviews were conducted with 11 participants (6 GPs, 3 PMs and 2 PNs) recruited via purposive sampling from general practices in Victoria, Australia. Transcripts were coded and thematically analysed. Participants were generally enthusiastic about research utilising de-identified health information extracted from EMRs for altruistic reasons, including: positive effects on primary care research, clinical practice and population health outcomes. Concerns raised included patient privacy and data breaches, third-party use of extracted data and patient consent. These findings can provide guidance to researchers and policymakers in designing and implementing projects involving de-identified health information extracted from EMRs.

How can hospitals better protect the privacy of electronic medical records? Perspectives from staff members of health information management departments

2016 ◽  
Vol 46 (2) ◽  
pp. 87-95 ◽  
Author(s):  
Ming-Ling Sher ◽  
Paul C Talley ◽  
Tain-Junn Cheng ◽  
Kuang-Ming Kuo
Keyword(s):  
Health Information ◽  
Information Management ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Survey Methodology ◽  
Health Information Management ◽  
Healthcare Facilities ◽  
Staff Members ◽  
Security Breaches ◽  
Financial Pressure

Purpose: The adoption of electronic medical records (EMR) is expected to better improve overall healthcare quality and to offset the financial pressure of excessive administrative burden. However, safeguarding EMR against potentially hostile security breaches from both inside and outside healthcare facilities has created increased patients’ privacy concerns from all sides. The aim of our study was to examine the influencing factors of privacy protection for EMR by healthcare professionals. Method: We used survey methodology to collect questionnaire responses from staff members in health information management departments among nine Taiwanese hospitals active in EMR utilisation. A total of 209 valid responses were collected in 2014. We used partial least squares for analysing the collected data. Results: Perceived benefits, perceived barriers, self-efficacy and cues to action were found to have a significant association with intention to protect EMR privacy, while perceived susceptibility and perceived severity were not. Conclusion: Based on the findings obtained, we suggest that hospitals should provide continuous ethics awareness training to relevant staff and design more effective strategies for improving the protection of EMR privacy in their charge. Further practical and research implications are also discussed.

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