The Association between eHealth Capabilities and the Quality and Safety of Health Care in the Netherlands: Comparison of HIMSS Analytics EMRAM data with Elsevier’s ‘The Best Hospitals’ data

OBJECTIVE: To test the hypothesis that advanced electronic medical record (EMR) capabilities are associated with better quality and safety of hospital care. METHODS AND FINDINGS: We used data from the HIMSS Analytics EMR Adoption Model (EMRAM(SM)) to measure the adoption and use of information techn...

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Autores principales: van Poelgeest, Rube, Heida, Jan-Peter, Pettit, Lorren, de Leeuw, Rob J., Schrijvers, Guus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4525186/
https://www.ncbi.nlm.nih.gov/pubmed/26242750
http://dx.doi.org/10.1007/s10916-015-0274-7
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author van Poelgeest, Rube
Heida, Jan-Peter
Pettit, Lorren
de Leeuw, Rob J.
Schrijvers, Guus
author_facet van Poelgeest, Rube
Heida, Jan-Peter
Pettit, Lorren
de Leeuw, Rob J.
Schrijvers, Guus
author_sort van Poelgeest, Rube
collection PubMed
description OBJECTIVE: To test the hypothesis that advanced electronic medical record (EMR) capabilities are associated with better quality and safety of hospital care. METHODS AND FINDINGS: We used data from the HIMSS Analytics EMR Adoption Model (EMRAM(SM)) to measure the adoption and use of information technology in Dutch hospitals. To measure the quality and safety of healthcare in Dutch Hospitals we used select data from the publicly available basic set and the safety set of the Health Care Inspectorate (IGZ) and the Dutch Health Care Transparency Program ‘Zichtbare Zorg’ (ZIZO) program. The quality and safety measures selected reflect the measures used to score Dutch hospitals as presented in Elsevier’s annual ‘The Best Hospitals’ publication. The scores of this publication are based upon 542 of the 1516 available indicators from this basic set and safety set. Almost all indicators from the hospital-wide indicator sets are included in the selection, as are a large portion of indicators for acute care delivered by all hospitals. Of the 84 non-academic hospitals in the Netherlands, 67 (80 %) were included in this study. RESULTS: There is no statistically significant association found between a hospital’s EMRAM score and their overall quality/safety performance in the Elsevier hospital scoring model. CONCLUSION: There is no evidence found to support the research hypothesis at this point in time. This outcome maybe the result of a multiplicity of factors to include the (limited) use of the methodologies used in this study, the fact that no fully digitalized hospital (EMRAM stage 7) is yet present in the NL, and/or the organizational competency of the NL hospitals in fully leveraging the EMR to facilitate patient care. Further research is needed to explore these findings.
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spelling pubmed-45251862015-08-06 The Association between eHealth Capabilities and the Quality and Safety of Health Care in the Netherlands: Comparison of HIMSS Analytics EMRAM data with Elsevier’s ‘The Best Hospitals’ data van Poelgeest, Rube Heida, Jan-Peter Pettit, Lorren de Leeuw, Rob J. Schrijvers, Guus J Med Syst Systems-Level Quality Improvement OBJECTIVE: To test the hypothesis that advanced electronic medical record (EMR) capabilities are associated with better quality and safety of hospital care. METHODS AND FINDINGS: We used data from the HIMSS Analytics EMR Adoption Model (EMRAM(SM)) to measure the adoption and use of information technology in Dutch hospitals. To measure the quality and safety of healthcare in Dutch Hospitals we used select data from the publicly available basic set and the safety set of the Health Care Inspectorate (IGZ) and the Dutch Health Care Transparency Program ‘Zichtbare Zorg’ (ZIZO) program. The quality and safety measures selected reflect the measures used to score Dutch hospitals as presented in Elsevier’s annual ‘The Best Hospitals’ publication. The scores of this publication are based upon 542 of the 1516 available indicators from this basic set and safety set. Almost all indicators from the hospital-wide indicator sets are included in the selection, as are a large portion of indicators for acute care delivered by all hospitals. Of the 84 non-academic hospitals in the Netherlands, 67 (80 %) were included in this study. RESULTS: There is no statistically significant association found between a hospital’s EMRAM score and their overall quality/safety performance in the Elsevier hospital scoring model. CONCLUSION: There is no evidence found to support the research hypothesis at this point in time. This outcome maybe the result of a multiplicity of factors to include the (limited) use of the methodologies used in this study, the fact that no fully digitalized hospital (EMRAM stage 7) is yet present in the NL, and/or the organizational competency of the NL hospitals in fully leveraging the EMR to facilitate patient care. Further research is needed to explore these findings. Springer US 2015-08-05 2015 /pmc/articles/PMC4525186/ /pubmed/26242750 http://dx.doi.org/10.1007/s10916-015-0274-7 Text en © The Author(s) 2015 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Systems-Level Quality Improvement
van Poelgeest, Rube
Heida, Jan-Peter
Pettit, Lorren
de Leeuw, Rob J.
Schrijvers, Guus
The Association between eHealth Capabilities and the Quality and Safety of Health Care in the Netherlands: Comparison of HIMSS Analytics EMRAM data with Elsevier’s ‘The Best Hospitals’ data
title The Association between eHealth Capabilities and the Quality and Safety of Health Care in the Netherlands: Comparison of HIMSS Analytics EMRAM data with Elsevier’s ‘The Best Hospitals’ data
title_full The Association between eHealth Capabilities and the Quality and Safety of Health Care in the Netherlands: Comparison of HIMSS Analytics EMRAM data with Elsevier’s ‘The Best Hospitals’ data
title_fullStr The Association between eHealth Capabilities and the Quality and Safety of Health Care in the Netherlands: Comparison of HIMSS Analytics EMRAM data with Elsevier’s ‘The Best Hospitals’ data
title_full_unstemmed The Association between eHealth Capabilities and the Quality and Safety of Health Care in the Netherlands: Comparison of HIMSS Analytics EMRAM data with Elsevier’s ‘The Best Hospitals’ data
title_short The Association between eHealth Capabilities and the Quality and Safety of Health Care in the Netherlands: Comparison of HIMSS Analytics EMRAM data with Elsevier’s ‘The Best Hospitals’ data
title_sort association between ehealth capabilities and the quality and safety of health care in the netherlands: comparison of himss analytics emram data with elsevier’s ‘the best hospitals’ data
topic Systems-Level Quality Improvement
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4525186/
https://www.ncbi.nlm.nih.gov/pubmed/26242750
http://dx.doi.org/10.1007/s10916-015-0274-7
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