title: The impact of electronic health record implementation and use on performance of the Surgical Care Improvement Project measures.
abstract: OBJECTIVE
  To examine the impact of electronic health record (EHR) deployment on Surgical Care Improvement Project (SCIP) measures in a tertiary-care teaching hospital.
  
  
  METHODS
  SCIP Core Measure dataset from the CMS Hospital Inpatient Quality Reporting Program (March 2010 to February 2012).
  
  
  METHODS
  One-group pre- and post-EHR logistic regression and difference-in-differences analyses.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors: Department of Public Health Sciences, University of Rochester, Rochester, NY.
authors: Caroline Pinto
authors: CP
authors: Thirukumaran
authors: James G
authors: JG
authors: Dolan
authors: Patricia
authors: P
authors: Reagan Webster
authors: Robert J
authors: RJ
authors: Panzer
authors: Bruce
authors: B
authors: Friedman
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S.; D057286:Electronic Health Records; D005260:Female; D006784:Hospitals, Teaching / Q000458:organization & administration; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009518:New York; D009936:Organizational Innovation; D058996:Quality Improvement; D013514:Surgical Procedures, Operative / Q000592:standards*; D014481:United States
keywords: Quality of care/patient safety (measurement); observational data/quasi-experiments; surgery