title: Health information technology impact on productivity.
abstract: Managers work to achieve the greatest output for the least input effort, better balancing all factors of delivery to achieve the most with the smallest resource effort. Documentation of actual health information technology (HIT) cost savings has been elusive. Information technology and linear programming help to control hospital costs without harming service quality or staff morale. This study presents production function results from a study of hospital output during the period 2008-2011. The results suggest that productivity varies widely among the 58 hospitals as a function of staffing patterns, methods of organization, and the degree of reliance on information support systems. Financial incentives help to enhance productivity. Incentive pay for staff based on actual productivity gains is associated with improved productivity. HIT can enhance the marginal value product of nurses and staff, so that they concentrate their workday around patient care activities. The implementation of electronic health records (EHR) was associated with a 1.6 percent improvement in productivity.
authors: Department of Health Services Management and Policy, George Washington University, Washington, DC, USA. eastaugh@gwu.edu
authors: Steven R
authors: SR
authors: Eastaugh
mesh_terms: D000066:Accounting / Q000379:methods*; D003365:Costs and Cost Analysis; D020000:Decision Support Systems, Clinical / Q000458:organization & administration; D004526:Efficiency; D017598:Efficiency, Organizational; D006739:Hospital Administration / Q000191:economics*; D006801:Humans; D007256:Information Systems / Q000458:organization & administration*; D050316:Medical Order Entry Systems / Q000458:organization & administration; D009042:Motivation; D009741:Nursing Staff, Hospital / Q000458:organization & administration; D010561:Personnel Staffing and Scheduling