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The Impact of Electronic Health Record Implementation and Use on Performance of the Surgical Care Improvement Project Measures

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Keywords: Quality of care/patient safety (measurement); observational data/quasi-experiments; surgery

Objective: To examine the impact of electronic health record (EHR) deployment on Surgical Care Improvement Project (SCIP) measures in a tertiary-care teaching hospital.

Data Sources: SCIP Core Measure dataset from the CMS Hospital Inpatient Quality Reporting Program (March 2010 to February 2012).

Study Design: One-group pre- and post-EHR logistic regression and difference-in-differences analyses.

Principal Findings: 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.

Conclusion: 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.

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