The business end of health information technology: Can a fully integrated electronic health record increase provider productivity in a large community practice?

Journal of Medical Practice Management

Volumn 25, Issue 6, 2010, Pages 342-349

  De Leon, Samantha ^a   Connelly Flores, Alison ^b   Mostashari, Farzad ^c   Shih, Sarah C ^d  

^a New York City Economic Development Corporation   (United States)

^b Urban Health Plan Inc   (United States)

^c Office of the National Coordinator for Health Information Technology   (United States)

^d Primary Care Information Project   (United States)

Author keywords

Efficiency; Electronic health record (EHR); Primary care; Productivity; Relative Value Unit (RVU)

Indexed keywords

ARTICLE; COMMUNITY CARE; MEDICAL RECORD; ORGANIZATION AND MANAGEMENT; UNITED STATES;

COMMUNITY HEALTH SERVICES; EFFICIENCY, ORGANIZATIONAL; ELECTRONIC HEALTH RECORDS; UNITED STATES;

EID: 77954812048     PISSN: 87550229     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (24)

1. Miller RH, Sim I. Physicians' use of electronic medical records: barriers and solutions. Health Aff (Millwood). 2004;23:116-126. (Pubitemid 38471048)
2. Menachemi N. Barriers to ambulatory EHR: who are 'imminent adopters' and how do they differ from other physicians? Inform Prim Care. 2006;14:101-118.
3. DesRoches CM, Campbell EG, Rao SR, et al. Electronic health records in ambulatory care: a national survey of physicians. N Engl J Med. 2008;359:50-60. Epub 2008 Jun 18.
4. Andreae MC, Freed GL. Using a productivity-based physician compensation program at an academic health center: a case study. Acad Med. 2002;77:894-899.
5. Wilson MS, Joiner KA, Inzucchi SE, et al. Improving clinical productivity in the academic setting: a novel incentive plan based on utility theory. Acad Med. 2006;81:306-313.
6. Klingensmith ME, Winslow ER, Hamilton BH, Hall BL. Impact of resident duty-hour reform on faculty clinical productivity. Current Surgery. 2006;63:74-79.
7. Paxton ES, Hamilton BH, Boyd VR, Hall BL. Impact of isolated clinical performance feedback on clinical productivity of an academic surgical faculty. J Am Coll Surg. 2006;202:737-745.
8. Dorr DA, Wilcox A, McConnell KJ, Burns L, Brunker CP. Productivity enhancement for primary care providers using multicondition care management. Am J Manag Care. 2007;13:22-28. (Pubitemid 46180507)
9. Collier DA, Collier CE, Kelly TM. Benchmarking physician performance, part 2. J Med Pract Manage. 2006;21:273-279.
10. Thrall JH, Meehan MJ, Whelton DG. Comparison of productivity and cost of full-time and part-time faculty members in an academic department of radiology. J Am Coll Radiol. 2006;3: 335-339.
11. Pershad J, Whitley M, Herman M. Visit-level acuity and resource- based relative value unit utilization in a pediatric emergency department. Pediatr Emerg Care. 2006;22:423-425.
12. Lewandowski S, O'Connor PJ, Solberg LI, Lais T, Hroscikoski M, Sperl-Hillen JM. Increasing primary care physician productivity: a case study. Am J Manag Care. 2006;12:573-576. (Pubitemid 44657337)
13. Archila AM, Jarecke AJ, Damiani TN, Boorady J. Tri-service optometry productivity findings and benchmark recommendation. Mil Med. 2007;172:418-420. (Pubitemid 46652606)
14. Chiang MF, Boland MV, Margolis JW, Lum F, Abramoff MD, Hildebrand PL. Adoption and perceptions of electronic health record systems by ophthalmologists: an American Academy of Ophthalmology survey. Ophthalmology. 2008;115:1591-1597.
15. El-Kareh R, Gandhi TK, Poon EG, et al. Trends in primary care clinician perceptions of a new electronic health record. J Gen Intern Med. 2009;24:464-468.
16. Wong DH, Gallegos Y, Weinger MB, Clack S, Slagle J, Anderson CT. Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. Crit Care Med. 2003;31:2488-2494.
17. Overhage JM, Perkins S, Tierney WM, McDonald CJ. Controlled trial of direct physician order entry: effects on physicians' time utilization in ambulatory primary care internal medicine practices. J Am Med Inform Assoc. 2001;8:361-371. (Pubitemid 32641639)
18. Makoul G, Curry RH, Tang PC. The use of electronic medical records: communication patterns in outpatient encounters. J Am Med Inform Assoc. 2001;8:610-615. (Pubitemid 33095500)
19. Apkon M, Singhaviranon P. Impact of an electronic information system on physician workflow and data collection in the intensive care unit. Intensive Care Med. 2001;27:122-130.
20. Evans DC, Nichol WP, Perlin JB. Effect of the implementation of an enterprise-wide Electronic Health Record on productivity in the Veterans Health Administration. Health Econ Policy Law. 2006;1(Pt 2):163-169.
21. Mostashari F, Tripathi M, Kendall M. A tale of two large community electronic health record extension projects. Health Aff (Project Hope). 2009;28:345-356.
22. Glass KP, Anderson JR. Relative value units: from A to Z (Part I of IV). J Med Pract Manage. 2002;17:225-228.
23. Friedberg MW, Coltin KL, Safran DG, Dresser M, Zaslavsky AM, Schneider EC. Associations between structural capabilities of primary care practices and performance on selected quality measures. Ann Intern Med. 2009;151:456-463.
24. Pham HH, Schrag D, Hargraves JL, Bach PB. Delivery of preventive services to older adults by primary care physicians. JAMA. 2005;294:473-481.