Caroline Pinto Thirukumaran M.B.B.S., M.H.A., James G. Dolan M.D., Patricia Reagan Webster Ph.D., Robert J. Panzer M.D., Bruce Friedman Ph.D., M.P.H.
To examine the impact of electronic health record () deployment on Surgical Care Improvement Project () measures in a tertiary‐care teaching hospital.
Core Measure dataset from the Hospital Inpatient Quality Reporting Program (March 2010 to February 2012).
One‐group pre‐ and post‐ 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 deployment.
The transition to an appears to be associated with a short‐term decline in quality. Implementation strategies should be developed to preempt or minimize this initial decline.